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If you were at our Philadelphia APHA Annual APHA Meeting, then you understand what a great networking opportunity this was, and how welcome we felt in our substitute location. It seemed strange to be doing this in December, but the weather cooperated with us quite well allowing for a pleasurable and rewarding experience.
Another "high light" for us this year was the CHPPD exhibit hall which, was well served by many Section members and new student participants. We all shared in the presentation of interesting information, including our "invisible ink" pen that helped us illustrate our annual theme: "CHPPD: Enlightening our Vision for Life" -- the pens were so popular that we ran out halfway through the show. This effort was pretty labor intensive, but it got a lot of people invested and involved in ways that were educational and entertaining (if you believed in the "magic pen").
HIGXYZ21HIGZYXIt is true that you don't learn what the Chair's responsibility is until you've finished your first year of duty, and that is certainly true in my case. I have learned much about expensive food for receptions, electronic scanning of badges, coordination of printing, juggling of candidate presentations, management of business issues, filling in moderator slots, living on four hours sleep daily, and many other things. In particular, I've learned how valuable effective communication is, and how its a continual effort to maintain, not just a goal to achieve. Section relationships are also fragile and need sincere attention and resources in order to benefit as many members as possible./P>
In 2006, we have started to rebuild our Section infrastructure by re-evaluating our mission and committee charges, most of which will require rewriting our Section Manual (aka, bylaws) from the ground up. We want to repopulate our various committee and liaison efforts to accommodate the interests and participation of more members, and to enlarge our size and vitality through increased membership building. This rebuilding effort will capture the energy and resources of our diverse membership into an effective channel of influence on planning and policy development.
If you want to be involved, contact me at firstname.lastname@example.com, and visit our Web site at http://www.chppd.org.
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One year ago, in January 2005, the Centers for Disease Control and Prevention launched an effort to develop its first ever, agency-wide public health research agenda, reflecting its vision for 2006-2015. The CDC has reorganized itself, through the Futures Initiative, "to become a more effective public health response agency to meet the challenges of the 21st century," and this was a major effort in updating the agency to meet those challenges.
In The Future of the Public's Health in the 21st Century (2002), the Institute of Medicine recommended that the "Centers for Disease Control and Prevention should develop a research agenda and estimate funding needed to build the evidence base that will guide policymaking for public health practice." The CDC's initiative toward a new research agenda was also the CDC's response to the need to better relate research to practice, a need addressed in 1999 by the Public Health Foundation:
"For many years, the public health practice community has been frustrated by the apparent disconnect between research studies and practice needs. Where research exists which has application in community settings, it often is not adequately translated or disseminated in a manner to facilitate its application. In addition, an insufficient amount of research in the fields of health and medicine focuses on human behavior, an area of critical importance to public health. There also is a strong perception that the current research agenda is driven by resources, rather than identified needs in communities. Too often, potential users of research at the community level are not involved in identifying information gaps or in establishing research needs."
It set about developing the agenda through workgroups comprised of CDC staff and "external partners," including stakeholders and the public at large. As a result of this engagement, it expected to have a draft of the research agenda available for public comment by May 2005. The agenda was to be finalized in August after the public comments were reviewed and integrated.
CDC's research priorities were to be set according to four criteria[i]:
· Public health need/importance of problem
· Relevance to reducing health disparities
· Potential for broad impact (>1 subject area)
· Relevance to CDC's mission/goals
The six different areas of research interests that reflect CDC's new organizational structure are:
My Workgroup
The process went public with a series of four meetings around the country to gather input for CDC's research agenda from stakeholders, researchers, and representatives of partner organizations invited to attend along with the public-at-large. I was a member of the Community Preparedness and Response Research workgroup that met in Columbus, Ohio at the end of March. Its charge was to focus on developing research areas or themes associated with preparedness and response to both natural disasters and naturally occurring disease outbreaks such as influenza, and those events associated with human made disasters including terrorism.
There were six of us comprising this workgroup, and about a month prior to the meeting, we had been given a list of 18 Research Themes representing potential research priorities. Out of these overlapping areas, I identified two in which I thought that health planning could make a signal contribution:
HIGXYZ29HIGZYXIt seemed obvious to me that the first theme should address the potential of community health planning processes in preparing communities to deal with emergencies. We agreed to recommend the following Research Activity: "Can public health planning approaches, e.g., MAPP (Mobilizing for Action through Planning and Partnerships), be effective for community engagement and public participation in emergency preparedness planning?" Related Research Themes addressed strategies for communicating information to communities so as to maintain trust, and here we recommended the use of social marketing to establish the efficacy of the strategies. I think that communities must be engaged by planners if they are to be protected, for they are best protected from within by the empowerment that comes from being informed. Four years ago, I wrote an article that addresses this, and it is accessible at: http://www.ahpanet.org/Health_policies.html#Protecting.
The difficulty of protecting communities is succinctly stated in the following passage from almost a decade ago:
"If the public understands the limitations within which crisis management must operate BEFORE a crisis occurs, then public trust can be maintained despite the constraints that a crisis inevitably imposes on government openness and accountability, and even in the face of emergency measures that suspend the rule of law in certain areas. On the other hand, in an era of deficit reduction and cost-cutting, publics who vote for governments who promise tax cuts, deregulation and privatization should be educated in the consequences these trends may hold for public safety and security. If those agencies and companies that take over government responsibilities are less publicly accountable or less subject to legal controls, and if profitability and the interests of stock-holders take precedence over the public interest, people should not be surprised when governments have little control over the prevention of future crises." [ii]
HIGXYZ33HIGZYX The second theme addresses the heart of the system response to emergencies. What I thought it overlooked was the need to identify means to implement emergency preparedness and management strategies in rural areas without effective local health departments. In most such areas, it will be incumbent upon local community hospitals to play the role of a public health agency, and JCAHO has issued guidelines for what is expected of them. I recommended that CDC ensure that JCAHO's standards for hospitals engaging in emergency preparedness planning in their communities reflect best practices in public health. Of course, this raises the perennial issues reflecting the age-old barrier between public health and personal health, but I don't think there will be effective preparedness without the seamless integration of medicine and public health.
The draft research agenda we were given presented research questions about planning for emergency preparedness, but those questions look quite different when seen from the perspective of a practitioner who must implement the planning. We were well aware of the practical considerations surrounding the emergency measures, considerations unanticipated in how those research questions were framed for us. A further deficiency in CDC's process was that we were not given sufficient information about CDC's current research and planning activities, nor any information about what similar research was being undertaken and sponsored by other federal agencies, e.g., AHRQ and NIH.
Questions About CDC
Inexplicably, CDC did not release its public comment draft until November, fully six months behind schedule. The draft was available for public comment for 60 days from November 18, 2005 to January 15, 2006. Out of this, the new CDC Health Protection Research Guide, 2006-2015 is expected to be completed during Spring 2006. The Research Guide will serve as a resource for defining the prioritized CDC Health Protection Research Agenda, in support of its Health Protection Goals and Priorities. In addition, portions of the Research Guide will be used to inform research initiatives that address other critical public health needs and research priorities of other agencies.
Unfortunately, neither of my two themes found their way into the draft. In fact, planning WITH communities is totally missing here.
Last July, the Atlanta Journal-Constitution reported on a survey conducted in April, 2005 among CDC employees. When asked if they were confident that the Futures Initiative would result in positive changes at the CDC, 65 percent said no, citing an "inappropriate" business focus to the CDC's public health mission, low employee morale, increased bureaucracy, loss of trust, loss of key staff, and damage to the agency's reputation.[iii]
[i] "Developing the New CDC Research Agenda," Robert F. Spengler, ScD, Robin M. Wagner, PhD, MS, Office of Public Health Research, Centers for Disease Control and Prevention, 2005. http://www.academyhealth.org/2005/ppt/spenglerr.ppt.
[ii] Ronald D. Crelinsten (1997), "Television and Terrorism: Implications for Crisis Management and Policy-Making," Terrorism and Political Violence, 9(4): 8-32, p. 30.
[iii] "Morale of CDC Workers Could Use A Booster Shot," David Wahlberg, Atlanta Journal-Constitution, July 26, 2005. http://www.ajc.com/search/content/auto/epaper/editions/today/news_245e4ed9f5aaf1ed00eb.html.
HIGXYZ22HIGZYX In addition, some areas APHA is looking to members to write position papers are:
How APHA uses written policies
Policies are the foundation of APHA's advocacy work. Whenever APHA is asked to participate in briefings, join coalitions, or write letters to policy-makers, the organization looks to its approved policies to support its position. The Governing Council votes on proposed policies each year at the Annual Meeting.
But where do these policies come from? They come from us! APHA issues an annual call for proposed policy statements. Individual members or Sections respond with draft policy statements on issues that they feel are import and should be addressed by APHA. These drafts are posted on the web for comment, giving individuals and Sections another opportunity for involvement. Draft policies and comments are then reviewed by the Joint Policy Committee, which may work with authors to refine policies. Additional discussion and amendments may take place at the Annual Meeting, prior to the Governing Council's vote.
At the 2005 Annual Meeting, APHA conducted its first-ever training on "Navigating the Ins and Outs of the APHA Policy Proposal Process." At this session, APHA staff and members of the Joint Policy Committee explained the steps and the timeline for the APHA policy process.
What are policies?
APHA policies come in two flavors. A resolution is a concise statement of the Association's stance on a particular issue affecting the health of the public. It describes and endorses a defined course of action, directed toward a particular individual, organization or event. A position paper is a longer statement describing the Association's viewpoint on a broad issue affecting the public's health. It may call for action, though it need not do so.
What makes a good policy?
The Joint Policy Committee shared the following tips for writing a good resolution or position paper:
· Work with your Section and Action Board representative. Reach out to other Sections for comment.
· Write broadly, so that the policy can be applied to more than one particular situation.
· Conduct a review of the scientific literature and provide references that support the statements in the policy.
· Ensure that action statements are externally focused, rather than focused on what APHA should do.
· Give the policy a short, specific, and reflective title.
Linda Quick, firstname.lastname@example.com, is CHPPD's Action Board Representative, and CHPPD's Policy Committee representatives are Doc Lumpkins, firstname.lastname@example.com, and Harry Perlstadt, email@example.com.
2006 Policy Development Timeline
December 2005: Call for 2006 proposed new policy statements is issued
Mar 15, 2006, 5pm EST: Proposed new policy statements due to APHA
March 24, 2006: Proposed new policy statements posted on APHA's Web site for review and comment
April 7, 2006: Last day to submit comments on proposed policies
May 12, 2006: Authors of proposed policies will receive comments from the Joint Policy Committee
June 16, 2006, 5pm EST: Revised policy statements due to APHA
Nov. 5, 2006: Public hearings at the APHA Annual Meeting
Nov. 7, 2006: Governing Council votes on policy statements at the APHA Annual Meeting
John Steen Just last week, I was once again reminded that the American public is in the dark on national health policy. Being in the dark makes it so much easier for entrenched interests – the pharmaceutical and insurance industries in the lead – to lobby against whatever progressive measures are proposed, not to even mention public health. Yet everyday, headlines scream ever louder about our growing public health problems, and about the disparities in access fueled by educational and financial disparities.
And that is particularly unfortunate at this time when a critical mass of policy experts, columnists, and legislators seem finally to be serious about doing the right thing: Designing a national health care system that rights all the wrongs that we've known only too well, for too long.
HIGXYZ40HIGZYX What reminded me about our national blindness was a column by Paul Krugman in the Jan. 27, 2006 New York Times, entitled "Health Care Confidential."[i] Krugman, a professor of economics at Princeton, calls the success of the Veterans Health Administration "one of the best-kept secrets in the American policy debate," and asserts that it provides a "useful" example for reform, adding that VHA provides evidence "that a government agency can deliver better care at lower cost than the private sector." The VHA's success, he writes, is "completely counter to the pro-privatization, anti-government conventional wisdom that dominates today's Washington," and "pundits and policy makers don't talk about the veterans' system because they can't handle the cognitive dissonance." He adds that "farsighted thinkers are already suggesting" that VHA "represents the true future of American health care," not "President Bush's unrealistic vision of a system in which people go 'comparative shopping' for medical care the way they do when buying tile."
Now that the VHA has been rediscovered, I feel that I'm back where I started in health policy, in the early 1970s in New York City. At that time, community leaders believed that the country was on the verge of developing a national health care system, and they wanted it to embody the progressive principles and values characteristic of the City. The Community Council of Greater New York established a Health Task Force composed of policy experts and stakeholders representing the major constituencies, and I served on its Delivery System Subcommittee. The Health Task Force was charged with drafting a plan for an ideal national health care system, and what we designed was a totally public system without a role for private insurance. It seemed much easier then to reach consensus on such issues. Our Subcommittee chair was a physician who was employed by the VHA. In 1978, while I was assistant director in the Health Systems Agency of New York City, the whole professional staff (numbering 140 at the time) believed we were the advance unit for the same impending development, and that it was already long overdue.
My approval in seeing what Prof. Krugman wrote is not only because the VHA model offers a universal, integrated system, but because the profit motive is nowhere to be found within it. In place of the marketing imperative to compete, it has a moral imperative to excel. In Northern California, Kaiser Permanente has many features in common with the VA system, and many patients select Kaiser as their provider of choice.
HIGXYZ42HIGZYX Proof of its success is manifest. Krugman's column was preceded by a news article about that success in The Washington Post ("VA Care Is Rated Superior to That in Private Hospitals," by Rob Stein, 1-20-06).[ii] For the last six consecutive years, customer satisfaction with its system exceeded that for the private sector in an annual survey conducted by the National Quality Research Center (University of Michigan). Those customers are a categorical constituency, providing it with an incentive to invest in prevention and more effective disease management. And in 2003, the New England Journal of Medicine published a study that compared VHA facilities on 11 measures of quality with fee-for-service Medicare, for 1997-99. On all 11 measures, the quality of care in its facilities proved to be "significantly better." In 2000, the VA outperformed Medicare on 12 of 13 indicators.[iii] And the health plan industry's National Committee for Quality Assurance that ranks health-care plans on 17 different performance measures that reflect good, evidence based medicine, has found that in every single category, the VHA system outperforms the highest rated non-VHA hospitals.
This important story was first reported in an excellent article entitled, "The Best Care Anywhere," by Phillip Longman in The Washington Monthly (Jan/Feb, 2005). Longman writes,
"The system's doctors are salaried, which also makes a difference. Most could make more money doing something else, so their commitment to their profession most often derives from a higher-than-usual dose of idealism. Moreover, because they are not profit maximizers, they have no need to be fearful of new technologies or new protocols that keep people well. Nor do they have an incentive to clamor for high-tech devices that don't improve the system's quality or effectiveness of care.
And, because it is a well-defined system, the VHA can act like one. It can systematically attack patient safety issues. It can systematically manage information using standard platforms and interfaces. It can systematically develop and implement evidence-based standards of care. It can systematically discover where its care needs improvement and take corrective measures. In short, it can do what the rest of the health-care sector can't seem to, which is to pursue quality systematically without threatening its own financial viability.
… The system runs circles around Medicare in both cost and quality. Unlike Medicare, it's allowed by law to negotiate for deep drug discounts, and does. Unlike Medicare, it provides long-term nursing home care. And it demonstrably delivers some of the best, if not the best, quality health care in the United States with amazing efficiency. Between 1999 and 2003, the number of patients enrolled in the VHA system increased by 70 percent, yet funding (not adjusted for inflation) increased by only 41 percent. So the VHA has not only become the health care industry's best quality performer, it has done so while spending less and less on each patient."[iv]
[ii] http://www.washingtonpost.com/wp-dyn/content/article/2006/01/19/AR2006011902936.html
[iii] http://content.nejm.org/cgi/content/abstract/348/22/2218
iv] http://www.washingtonmonthly.com/features/2005/0501.longman.html.
The Cenla Medication Access Program is a program that has been working for four years to help improve health care in rural Central Louisiana. CMAP provides prescription medications to over 16,000 people who cannot afford them, and also provides medication education about the importance of appropriate medication usage. CMAP was recognized as the 2005 National Rural Health Program of the Year.
Recently, several findings of the Cenla Medication Access Program were presented at the 2005 APHA Annual Meeting in Philadelphia. One talk focused on the reduction in hospital admissions and emergency department visits for participants of CMAP. Data showed that CMAP participants were admitted less often, and visited the emergency room less frequently in the six months after joining the program, compared to the six months before joining the program.
In the other talk, diabetic participants' blood sugar levels were discussed. Analysis of hospital chart data indicated that diabetic participants had significantly lower blood glucose levels in the six months after joining the program, compared to the six months before joining the program. The data from both talks suggest that the CMAP is helping to improve the health of its participants.
Past CHPPD Chair Paul Meissner's e-mail described the September issue with one simple word - "Wow". The post-Katrina issue had relevant and thoughtful articles.
As you view the charts, it may be helpful to know the acronyms used:
CHW = Community Health Worker, a Special Primary Interest Group (SPIG)
Epi = Epidemiology Section
HA = Health Administration Section
Int. Health = International Health Section
MCH = Maternal Child Health Section
CHPPD newsletter statistics were compared against some of the larger sections.
Graph showing number of times newsletter pages were viewed The September issue of the CHPPD Section was among the most-read of the APHA section and SPIG newsletters, with 386 pages viewed (opened by viewers) as compared to 91 for the previous issue. Viewers spent about seven minutes on the Spring and Fall issues, compared to about 1 ½ minutes more viewing the Annual Meeting issue. This indicates that at least a couple of news items were of interest to readers.
Number of visits per 100 primary section members On a sobering note, even the "Wow" September issue was read by about 21 percent (n=1637) of members who identify CHPPD as their primary section. The newsletter statistics combines numbers of readers who click on the newsletter link that does not require a password, and those that do access the newsletter from the members-only page. Hence the number of visitors includes those who may not even be APHA members. At the same time, it is interesting to note that the Community Health Worker June issue of the newsletter was visited by 89 percent (n=173) of members who identify the Community Health Workers as their primary Special Primary Interest Group.
If you are wondering what made September a "Wow" issue, here are some of possible reasons. My hypothesis is timing and member involvment. A CHPPD member survey was sent out and completed in August, and members were told that the results would be posted in the Fall newsletter. A little over 100 members completed the survey. In early August, members were invited to submit articles. Sharon McCarthy, APHA's very efficient section affairs liaison, sent out an e-mail to CHPPD members in the last week of August reminding them about the newsletter submission deadline. About half a dozen members responded to the second e-mail, submitting information about past or upcoming events. A couple of CHPPD members submitted very relevant and substantive articles, e.g. Katrina experiences of EMT staff, book reviews, and commentary on health care access. All these factors played a role in making the September issue the most read.
Sharon McCarthy has said that she will continue to share newsletter statistics on a regular basis with editors, and this information will be published in the newsletter. So, please do submit articles, and if you read something interesting in the newsletter, please send the link to your colleagues. The deadline for the next newsletter is May 12, 2006
HIGXYZ28HIGZYX This online tutorial possesses many convenient features to facilitate learning. The tutorial is designed so that a user can stop at any point and return to the tutorial where s/he left, allows the user to "drop" pages of information into a folder for easy access at a later time, provides "real time" information and constructive feedback to help the user think through decisions, requires the user work with a community coalition to address the problem (how most public health improvement work is structured) and provides a dynamic learning experience since the decisions the user makes effects how the course unfolds.
Opportunities to enhance website A few opportunities to enhance the website exist. Since the tutorial is released for review through Feb. 26, 2006, technical kinks are still being identified and addressed (hence, the Web site includes the opportunity for users to provide feedback). The Web site does not cover the last few steps of the evidence-based public health practice process of action planning and evaluation. Perhaps in the future, links to a couple of useful resources on action planning and evaluation could be added to complete user learning. The website does take a block of time to complete, however the ability to stop and pick up the tutorial at a later point helps to address this issue.
Given the hectic schedules of public health practitioners, if possible, it may be useful to build in a feature to send a message to a user who has not completed the entire tutorial and has not logged into the website in a while to encourage him/her to revisit the tutorial. The Using a Systematic Approach to Address Disparities in Health Outcomes tutorial provides a vehicle for busy public health practitioners to learn about evidence-based decision making in public health at a time and place convenient for them. Its interactive case study approach takes into account that adults grasp concepts best by actually doing them. It is well worth a visit to this Web site at http://www.ebph.org!
Cheryl was presented the Kimmey Award plaque at a recognition dinner organized by the New York Association of County Health Officials at the picturesque Canandaigua Inn in Upstate New York in June 2005. The CHPPD Section thanks NYSACHO for providing the perfect setting for recognizing Cheryl.
Do you admire the planning or policy work done of a colleague or a group? If so, you should consider nominating her or him for a Community Health Planning and Policy Development Section award. Each year, the CHPPD Section, working in conjunction with the American Health Planning Association, accepts nominations until April 30 in order to present three awards at its annual meeting.
The Henrik L. Blum Award for Excellence in Health Policy recognizes an individual, group of individuals, or an organization who/that has demonstrated excellence, creativity, and innovation in the development and/or implementation of health policy. The award is in honor of Henrik L. Blum, MD, MPH, Professor Emeritus of Health Policy and Planning in the School of Public Health at the University of California at Berkeley.
The James R. Kimmey Award for Excellence in Health Planning Practice recognizes an individual who has demonstrated excellence, creativity, and/or innovation in health planning practice that constitutes a significant contribution to health planning which goes beyond the expectations of routine job performance and is evidenced by accomplishments. This award is given jointly with the American Health Planning Association. The CHPPD Section Service Award is given to a Section member who has made a significant contribution to the Section's operations and/or other activities.
These awards are presented at an Awards Ceremony during the APHA Annual Meeting. All Section members are welcome and encouraged to submit nominations for any of these awards. The award nomination forms are available at http://www.ahpanet.org/CHPPD/Planning_awards.html. Please fax or e-mail a copy of the completed form to to both Ann Umemoto firstname.lastname@example.com, fax: (914) 997-4501, phone: (914) 997-4496 and Tom Piper firstname.lastname@example.com, fax: (573) 751-7894, (573) 751-6403.
Although APHA reported their numbers down for attendance at the Annual Meeting by only a few thousand, the attendance at our sessions was considerably down from past years. Sessions usually having 150-175 participants had only 60-75. However, those attending reported that they felt the sessions were up to the high standards we have come to expect from our Section.
We are now preparing for 2006. This is the time for gathering reviewers, and we still need reviewers for this year. I expect a large number of submissions, as the meeting will be in Boston, usually a popular site for APHA meetings. If anyone is interested in reviewing, please contact Judith Gorbach by e-mail at firstname.lastname@example.com. It usually takes an hour or so and is done online. Most reviewers report enjoying the process. The deadline for abstract submissions to CHPPD is Feb. 17, so all reviewers must be in place at that time.
The time for invited sessions to be organized is NOW. All of those sessions must be accepted as a session by our Section Chair Tom Piper, and the session abstracts submitted by the deadline. If you intend to request an invited session, contact Judith Gorbach at <email@example.com> as soon as possible.
HIGXYZ23HIGZYX Most people spend their time as members of APHA blissfully unaware of the inner workings of the organization. However, any organization this large has to have a bureaucracy, complete with politics and rules, personalities and inconsistencies. It is a great, and fairly non-threatening, way to get your feet wet if you are interested in leadership. It is also a wonderful way to meet and get to know fascinating people from around the country who share an interest in public health. Fortunately, it is simple to get involved in APHA leadership -- just attend your section meetings at the Annual Meeting and run for a section position.
Lara Jones is involved in so many different things at her job that she says, it's hard to describe exactly what she does. Lara is responsible for managing the mini-grant programs, staffing the School Systems Work Group, and administering the annual survey of programs that address child overweight. She works for the Consortium to Lower Obesity in Chicago Children, http://www.clocc.net. Also, Lara is a PhD candidate at the University of Illinois in Chicago School of Public Health in Health Policy and Administration investigating the role of the built food environment on eating behaviors.
"It is a magic pen," CHPPD Section Chair Tom Piper would say when he was staffing the booth. "You write on paper," he demonstrated writing the person's name on a grey copy of the "Irreverent Guide," "and you don't see anything, right? Now you shine the light. And voila! You see your name written down. It is meant to symbolize what CHPPD stands for, and that is, "Enlightening Our Vision for Life." If you let me swipe your badge on the badge reader, you can have a pen with extra replacement batteries for free." Most folks let CHPPD booth staff swipe their badge, while others needed an assurance that they would not be bombarded with marketing information.
Karen Ho scanning the APHA program You haven't heard of the APHA diet? Just ask Karen Ho, CHPPD member from Honolulu, Hawaii. Karen was so busy attending meetings and sessions at the APHA Annual Meeting in Philadelphia that she barely found time to eat.
So finally, on the third day of the meeting, she was determined to get to the corner Dunkin Donuts, and buy some breakfast. And she did.
Just as she unwrapped the sandwich and was getting ready to take a bite, she noticed a gentleman, who seemed homeless or at least fallen on hard times, gesturing at her. She figured he was asking her for money. So she gestured back, asking if he would like her sandwich. And he shrugged and said, "That will do." So she gave him her sandwich. Aloha to the APHA diet.
Members are invited to send in nominations for four governing council positions, a chair-elect and a secretary-elect positions. Job descriptions of each of these positions are in the CHPPD manual. If you wish to nominate yourself or a colleague, please complete nomination forms and email the completed forms to Paul Meissner. Please note the person nominated must be an APHA member on Feb. 1, 2006. If you are interested in helping the nominating committee identify leaders for various positions, please contact Paul Meissner. Your assistance will be appreciated by Section members.
My hypothesis is that newsletter readership is a indicator of membership involvement. More than 100 members completed the survey sent out in August. About half a dozen members sent in requests to post articles related to events and conferences. So when the newsletter was published, they were looking at the issue with a specific agenda in mind. It takes a interested village of "CHPPDers" to build an e-community.
Even so, the Fall newsletter was read by less than a quarter of the members who identify CHPPD as their primary section. Does that mean that less than a quarter of CHPPD members are paying membership dues and are not actively engaged in section and APHA activities? I don't know.
Here is an opportunity to test out the member involvement hypothesis. This Winter (January-February 2006) issue of the newsletter has about half a dozen new contributors. Thank you to all of you who contributed to this issue - Judy Gorbach, Karen Ho, Aubrey Lipham, Lara Jones, Tom Piper, Wendy Roy, John Steen, Holly Tutko, and Kathy Witgert. I expect the readership level to be between the numbers for the Fall and the November issue. Whether you agree with the hypothesis or not, would you please do consider writing a short article for the next newsletter. Submit photos, charts or graphs because as we know "it is worth more than a 1,000 words". The deadline for the next issue is May 12.
You may want to summarize work that you do, or bring our attention to some interesting journal articles. You may want to write a book or course review - I hope there will be at least one review article in every issue. We are also hoping to have a piece from a student perpective.
Or, you may want to react to an article in this issue, and write a letter to the editor. At the least, it will stop me from talking so much. I look forward to hearing from you.
CHPPD members are invited to participate in the bi-monthly conference calls. At these calls, CHPPD members discuss issues such as the annual meeting, how to involve and strengthen networking among members, and other strategies.
The 2006 conference calls are on the dates listed below at 12 noon Central Time, 1:00 p.m. Eastern, and 10:00 a.m. Pacific. To connect, dial (800) 411-7650 to reach the March of Dimes Conference Center, and when prompted, enter 0863, then "#" sign, which will join you to the call.
Meeting minutes of previous CHPPD meetings are usually posted on the Web site at http://www.chppd.org. For more information, contact CHPPD Section Chair Tom Piperat email@example.com or at (573) 751-6403.
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subset: commoncrawl


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Teen Mom/Farrah Superstar: Back Door With a Teen Mom star Farrah Abraham is pregnant. Or, wait, she might be. Or she might not be! She's not sure. But she wants you to know that there's a chance -- which is why she got all gussied up; sauntered into her nearest drugstore; waited until her photograph was being taken, and purchased an e.p.t. You know, the usual way of checking to see if you're pregnant.
According to a "friend" of the Teen Mom, Farrah recently missed her period and is nervous that James Deen got her pregnant with a baby porn star while they were filming together sans condom. But here's the thing I'm wondering: Does Farrah really think she's going to become Kim Kardashian like this? Clearly, this is what she's after. And clearly, that's not going to happen.
Look, we report a lot about what Abraham is up to on this site -- so this is a little "pot calling the kettle black" here, I realize that -- but Farrah is just so ridiculous and delusional if she really thinks that she's going to become a huge star a la Kim Kardashian. I don't think Kim is an upstanding member of society here, but sweet Jesus, at least the woman was/is a little discreet.
More from The Stir: Farrah Abraham's Sex Tape Co-Star Reveals Truth About Her 'Pregnancy'
Kim made it seem like her sex tape was a legitimate accident. Do we buy that? No! But she didn't do it with a porn star, for god's sake. And she's still yet to be caught stocking up on pregnancy tests. Farrah needs to be a teeny bit more discreet and nuanced if she hopes to become an actual celebrity. Yes, Kim is still the punchline of many jokes, but Farrah's mapped out a path for herself that's on a whole other level. Kim at least gets invited to big-name events like the Met Gala. That will never be the case for Farrah Abraham. She has no idea what she's doing right now, and she looks insane.
It's sad that Farrah thought the only way she could continue to make money after being on a reality show for getting pregnant as a teenager was to get into porn. And it's even sadder that she did! But rest assured, although she may be basking in the weird/gross limelight right now, in a few months, all of this will blow over.
What do you think of Farrah Abraham?
Image via Farrah Abraham/Twitter
I think ia m over hearing about her. Who the fuck cares if she's pregnant. A lot of porn stars are parents. Why are we so focused on this girl?
Sad commentary on the psyches of our children today. Famous for literally ANYTHING, is preferred to actual accomplishment. Sad and disgusting. Oh, and the fact that she thinks that anyone, anywhere is buying this whole charade and thinks that she is anything other than some fame-whoring, daddy-issue-having disaster is a testament to her (lack of) intelligence.
I was actually thinking the other day it would be funny if she got prego from doing that movie WITHOUT PROTECTION.....UMMM DUH THAT'S HOW BABIES ARE MADE!
she has more issues then the rest of the teen moms goodlord she needs to keep her legs closed!
I highly doubt she is stupid enough to make a porn without protection and with no birth control. Shes been schooled by Dr. Drew millions of times on this subject and we all know she wouldnt be able to handle another child right now as things started off so rough with Sophia. Besides, shes too hung up on herself to share the spotlight with anyone other than her kid. Lame publicity stunt that Im sure was planned all along. Get a grip, girl! What are you doing?!!


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The Expendables 2 UK Premiere Photo Gallery
Sylvester Stallone was joined by fellow cast members Arnold Schwarzenegger, Dolph Lundgren, Jason Statham, Jean Claude Van Damme and Scott Adkins at the UK premiere of his latest film, the star-studded The Expendables 2, in Leicester Square, London, on Monday, August 13. The action icons were joined by members of the Armed Forces and spent time posing for photos and signing autographs. Check out photos from the red carpet…
Roll your mouse over the left and right-hand sides of the image and then click to view more pictures.
Read our review of The Expendables 2 or our interviews with Sylvester Stallone and Arnold Schwarzenegger and Jason Statham and Jean Claude Van Damme
Also, view character posters or watch the trailer or check out photos from the UK premiere
Alternatively, check out our coverage of The Expendables including interviews with Sylvester Stallone and Dolph Lundgren
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Merge would triple fire district
Whatcom County Fire District 13 will almost triple in size next year if a merger with district 3 proposed last week by the North Whatcom Fire and Rescue Service (NWFRS) meets with voter approval next November.
NWFRS administrators said that it would save costly duplications in service. It will also raise the levy rate in both districts, by 10 percent in district 3 and by a penny in district 13, because to be legal both merging districts must be taxed at the same levy rate.
Were the measure to be voted down, district 13 taxpayers would still be asked for an increase to offset increased demands for service due to rapid growth, said NWFRS chief Tom Fields.
NWFRS originally served three districts until district 5 (Point Roberts) elected to drop out, leaving the two remaining districts with two levels of management that some saw as excessive.


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This conversation is closed.
Is it part of human nature to have a hierarchy?
This question was mainly inspired by my history class. We were going over some Russian Marxists, and I thought it was interesting that even a communist regime will have a leader. This brought up the question, "Is it natural for humans to have a leader?" I thought about any organization and realized they all have a decently-defined hierarchy. I also thought about our cavemen ancestors and the sort of familial hierarchy with the father as the provider of food and safety (I haven't really studied anthropology, so tell me if I'm incorrect).
Feel free to ask clarifying questions, and I am looking forward to your responses!
Showing single comment thread. View the full conversation.
Nov 10 2013: Hierarchy is not human nature but rather cultural. For example, numbering less than a tribe a band is an example of a human society that is not at all hierarchical but rather egalitarian. As the population gets larger the society becomes more hierarchical. It is merely a strategy of survival.
Nov 12 2013: I do not have to prove a negative. The onus of proof has always been upon those who make a positive statement. That's how it works. Otherwise, if I claim "Invisible unicorns do not run the universe." then someone like you can just say "Show me evidence that invisible unicorns do not run the universe." and then claim that invisible unicorns MUST exist and run the universe, since I couldn't prove they didn't. This is something that is covered in a high-school level logic course.
Showing single comment thread. View the full conversation.


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Kevin McNew is President of Grain Hedge and Geograin. McNew was raised on a farm in central Oklahoma and received his bachelor's degree from Oklahoma State University, and master's and Ph.D. degrees in Economics from North Carolina State University. For over a decade, he was a Professor of Economics at the University of Maryland and Montana State University, focusing on commodity markets. He has received numerous academic awards for his research and outreach work, and was (and still is) widely regarded for boiling down complex economic issues into easy-to-understand concepts for applied life.
Grains took a break from their recent run-up as overnight trade saw mostly lower prices across the complex.
Traders continue to watch weather conditions in South America, as dry weather seems to be a key feature of most forecasts over the next week. Agronomists and farmers in Argentina say the corn crop needs rain by the end of the month to achieve the record-high crop forecast of 28 MMT. Rains have been limited lately and meteorologists see only sparse showers on the horizon.
In the corn market, little in the way of export business seems to be materializing. On Wednesday, EIA showed ethanol production took a hit for the week as production averaged 784,000 bushels per day, the lowest level since the agency started releasing weekly data in June 2010. Grain Hedge still expects final corn use for ethanol to fall short of USDA's current target of 4,500 MB as weak margins for ethanol producers should limit production.
For wheat, dryness in the Plains continues to ve a focus of the trade. But, India's competition in the global marketplace seems to be putting a damper on the wheat market. India offered 200,000 tons of wheat for export overnight, and for the year they are expected to export 6.5 MMT, up from 0.9 MMT last year. Crop forecaster Lanworth on Wednesday cut its estimate of U.S. wheat production by 500,000 tonnes due to persistent drought in key production areas of the U.S. Plains states. Lanworth pegged U.S. wheat production for the 2013-14 crop year at 53.8 MMT compared to its previous outlook of 54.3 MMT.


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Do you have an Nokia Lumia 620 and do you immediately want to know whether this smartphone is suitable for Whatsapp? On this page you will find all information about downloading, installing and using Whatsapp for Nokia Lumia 620. Congratulations! Your Nokia Lumia 620 uses the Windows Phone operating system. Windows Phone is a great operating system for the user of Whatsapp. Especially the latest version, Windows Phone 8 works perfectly with Whatsapp. but also the older versions of Windows Phone work really fine with Whatsapp. Downloading and installing Whatsapp for the Nokia Lumia 620 can be done through Windows Phone Store. On this website you will find a very useful step by step tutorial that explains how you should download and install Whatsapp for your Nokia Lumia 620. After reading this tutorial, you can immediately start sending messages, images, video's and more to all your friends and family. Click the link below to open the tutorial. Good luck and have fun with Whatsapp!
Download Whatsapp For Nokia Lumia 620
Download and install Whatsapp on your smartphone? Go to Whatsapp Download for Windows Phone
Do you want a overview of all Whatsapp Downloads? Visit the page Whatsapp Download. Here you simply select the brand of your smartphone or the operating system of your smartphone. You will see immediatly whether your smartphone is suitable for Whatsapp and you can open a tutorial which explains how to download and install Whatsapp on your smartphone!


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Before the weekend we saw a Nokia N900 port of the PSGroove open-source PS JailBreak PS3 exploit, and now it has been ported to Palm Pre by blake_zero over at PSX-Scene.com (linked above).Sponsored Links
Download: PSFreedom for Palm Pre / PSFreedom Module for Palm Pre
Instructions are for working on a linux box running Fedora 13:
Here is a modified version of PSFreedom for the N900 working on my Palm Pre. This version does not support Backup Manager. If Mods allow it I will post the compile module with and without backup manager support.
What you need:
1. The kernel package for the Palm Pre ([Register or Login to view links]) and palm patches ([Register or Login to view links]) that you can find on Open Source Packages.
2. [Register or Login to view links] for your the platform I use [Register or Login to view links]
3. Compiled psfeedom module from the modified PSFreedom source
4. Root access to your Palm Pre, it could be by ssh or Terminal app on phone
Setting the ARM toolchain
1. Extract the file:
tar xjvf arm-2009q1-203-arm-none-linux-gnueabi-i686-pc-linux-gnu.tar.bz2
2. Move the extracted folder where you like it to be:
mv arm-2009q1 /usr/local/arm
3. Set some environment variables so cross-compilation works. Create a new file named setup-env and paste this
you need to set PRETOOL_DIR to where you move the extracted folder. Finally Source the variables (use the path where you saved setup-env):Code:export PRETOOL_DIR="/usr/local/arm" (echo "$PATH" | grep -q "${PRETOOL_DIR}") || export PATH="${PRETOOL_DIR}/bin:${PATH}" export STRIP="arm-none-linux-gnueabi-strip" export LD="arm-none-linux-gnueabi-ld" export CC="arm-none-linux-gnueabi-gcc -march=armv4t -mtune=arm920t" export CPPFLAGS="-isystem${PRETOOL_DIR}/arm/arm-none-linux-gnueabi/include" export RANLIB="arm-none-linux-gnueabi-ranlib" export CXX="arm-none-linux-gnueabi-g++ -march=armv4t -mtune=arm920t" export OBJCOPY="arm-none-linux-gnueabi-objcopy" export PKG_CONFIG_PATH="${PRETOOL_DIR}/usr/local/lib/pkgconfig" export PKG_CONFIG_SYSROOT_DIR="${PRETOOL_DIR}/arm/arm-none-linux-gnueabi" #export LDFLAGS="-L${PRETOOL_DIR}/usr/local/lib -Wl,-rpath-link,${PRETOOL_DIR}/arm/arm-none-linux-gnueabi/lib -Wl,-O1" export CCLD="arm-none-linux-gnueabi-gcc -march=armv4t -mtune=arm920t" export MAKE="make" export CFLAGS="-isystem${PRETOOL_DIR}/usr/local/include -fexpensive-optimizations -fomit-frame-pointer -frename-registers -Os" export CXXFLAGS="-isystem${PRETOOL_DIR}/arm/arm-none-linux-gnueabi/include -fexpensive-optimizations -fomit-frame-pointer -frename-registers -Os -fpermissive -fvisibility-inlines-hidden" export F77="arm-none-linux-gnueabi-g77 -march=armv4t -mtune=arm920t" export AS="arm-none-linux-gnueabi-as" export AR="arm-none-linux-gnueabi-ar" export CPP="arm-none-linux-gnueabi-gcc -E" export OBJDUMP="arm-none-linux-gnueabi-objdump" export CONFIG_SITE="${PRETOOL_DIR}/arm/site-config"
. /usr/local/pre/setup-env
Extract and compile Pre Kernel
1. Extract the kernel:
2. Extract palm modifications:Code:tar xvzf linuxkernel-2.6.24.tgz
3. Change to kernel directory:Code:gunzip linux-2.6.24-patch.gz
4. Apply patch:Code:cd linux-2.6.24
5. Copy configuration for the Pre:Code:patch -p1 < ../linux-2.6.24-patch
6.Compile the kernel:Code:cp arch/arm/configs/omap_sirloin_3430_defconfig .config
(this will take a while)Code:make
Compile modified PSFreedom source
1. Extract the files:
2. Change to folder:Code:tar xvzf PSFreedom-for-PalmPre.tar.gz
3. Compile PSFreedom:Code:cd PSFreedom-for-PalmPre
Copy and install psfreedom.ko module to Palm PreCode:make
1. Connect your Palm pre to PC on drive mode and copy psfreedom.ko to it
2. ssh to your pre (or open terminal app) and insmod the module:
Now you should be ready to goCode:insmod /media/internal/psfreedom.ko
1. Turn completely off your PS3 with firmware 3.41
2. Connect your Palm Pre to the usb of PS3
3. Turn on your PS3 followed by rapidly pressing eject
4. Wait for your PS3 to reboot
5. Enjoy
After using your PalmPre for this exploit you should make a complete device restart to restore usb functions.
Finally, below is a video of it in action from Novis619 via YouTube!
More PlayStation 3 News...


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No rating
GreatSchools Rating
Teacher quality
Principal leadership
Parent involvement
My son has attended St. Pius for 6 years. The Sisters and Brothers set this school apart with a foundation in love and learning beyond any price tag. There are school sports and great music opportunities. The children get along well across grades and seem polite, respectful and happy.
I originally chose St. Pius V School as a school for my 5 year old son because it came so highly recommended. When I took the school tour they talked about how nurturing they were with their students. Yet, choosing St. Pius V School for my 5 year old son was a big mistake. I am so happy and relieved he no longer attends this school. My son now attends another Catholic school in Providence and he is striving thanks to the love, patience and commitment his kindergarten teacher has for all her students.
This is our first year at St. Pius. We have been very pleased with the friendly, respectul atmosphere, the responsiveness of teachers, and a wide variety of extracurricular activities. The Dominican sisters are invaulable for their gentle influence and Christlike witness.
As an educator who has two children attending St. Pius V, our family has been extremely happy with the academic as well as moral education of our children. We were big believers in the 'private, pricey, old boy network'. However, after having our daughter spend a year at St. Pius, we saw how superior this school was to the fancy, overpriced private school our son was attending. The following year, we moved him over to St.Pius, with no regrets! He is now in Honors classes at Lasalle Academy,enjoying every minute! Thank you, teachers and staff! - Mrs.W
St. Pius has a great tradition of community and parish involvement. Providence College, located across the street, is also very involved in academic and extracurricular dimensions of the school. The teachers and staff are caring. The Dominican influence has brought a sense of peace and commitment to the parish. Our children are in great hands. There is a drama club, chess club, after school care, scouting, basketball, swim (thanks to Providence College and the use of their facilities). The Priests at the church are very involved and the Youth Ministry is a strong organization. It is overall one of the best places to educate our children, as well as, a great feeling of community.
St. Pius V School is a a vey nurturing enviroment for your child. The teachers are the most caring people I have ever come across. They enjoy what they do and really take the time to listen to the children and work with them individually. There are a mixture of Nuns and Lay teachers. The sisters have recently come to our school within the past year and they are wonderful. The whole school is family oriented and we have made many new friends here at St.Pius. I wouldn't put my child anywhere else. It is a wonderful school. Any parent wanting their child to get a top notch education then I would suggest giving our Principal a call and coming to see for yourself what a great school we have at St. Pius V.
It's a good school now that the nun's have come. It is very big in basketball. other sports are soccer. Over all I give it a 8 out of 10
Community ratings and reviews do not represent the views of GreatSchools nor does GreatSchools check their accuracy or verify the reviewers' identities. Use your discretion when evaluating these reviews.
The Community Rating is the school's average rating from its community members (e.g., parents, students, and school staff). The highest possible rating is five stars; the lowest is one star.
49 Elmhurst Avenue
Providence, RI 02908
Phone: (401) 421-9750
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Comments about Jockey® Essential Boot Sock:
I really liked these, disagree with other poster. I thought they were soft, comfortable, luxuious feeling. I wore them many times this cold winter, often to work. I wish there were more colors. Not too thick to wear with casual shoes. I was glad to find boot socks with some cotton. So many elsewhere are purely synthetic now.Very pleased with the product.
Service and delivery comments:
fine, no problems
Best Uses
Comments about Jockey® Essential Boot Sock:
Picture and descript as "boot sock" seemed to indicate thickness of some sort at least. Was very disappointed with actual sock. They are very, very thin. Dare I say 'flimsy'. Day 1 wore as regular sock with sport sandals [I don't do slippers] and hole popped up in top seam! Quality very unlike anything have ever experienced with Jockey. Sorry!


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Satin Crepe Halter Neck Crystal Trim Dress in Silver by Matthew Eager is the perfect modern wedding dress. The model below wears the Oyster colour which is also available in a size 10. Our formal dresses by Matthew Eager are the latest available. Buy online now or visit our boutique for a style and fit consultation.
Next Day Delivery on Stocked Items* Returns and Refunds Accepted
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Satin Crepe Halter Neck Crystal Trim Dress by Matthew Eager
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Maricopa County Seal
THE SEAL CAN NOT BE ALTERED IN ANY WAY. Seal must comply with color,
typeface and spacing as outlined below and
in the Graphic Standard Guidelines Manual.
colors available for the one color seal are; MC Black,
MC Khaki or *PMS 7503, MC Ocotillo or *PMS 167, MC Burnt Red or
*PMS 187, MC Eggplant or *PMS 2622, MC Indigo or *PMS 541, MC
Moss or *PMS 363, MC Spinach or *PMS 357. (Color
Palettes are embedded in the ai and eps files)
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contact the Office of Communications at 602-506-3416.
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Woodworker's Journal
Online message board threads often lead to good advice on methods. – Editor
"What's the best way to hide nail heads when installing molding? There must be a better way than what I am doing." – Haywood
"Look into one of those ultra-thin brad nailers. They use a finer wire brad that leaves a smaller head and hole. I have one and love it." – Hugo
Now and again, though, someone tips off his fellow readers to a really nifty product that they may not have seen. – Editor
"There is something much better. It is called 'The Invisible Nail.' I first saw them demonstrated at a woodworking show, and true enough, the things are actually invisible. I guess they are made of some clear space age plastic, sort of like a rigid version of fishing line. Check out their web site at www.invisiblenail.com." – Ron
"I never heard of such a thing. Has anyone else used them, and are they really that good?" – Anne
Another user pointed out what seems like a fairly serious problem. – Editor
"I have used them. They are pretty slick, all right. The only problem I have been having is if you put one down on the table, it is impossible to find because it is completely invisible. I've lost a lot of nails that way." – Erin


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Guys, Logan is really cute too. Just so ya know.
Guys, Logan is really cute too. Just so ya know.
Guys, Jody is really cute. Just so ya know.
Who might have the opportunity to be the coolest nanny evar?
My head hurts and my jaw is tense as fuck. Bleh.
Every member in Falling in Reverse looks like a wannabe Nikki Sixx. Ronnie Radke included.
Told a boy he was pretty, got his phone number.
Good day.
Job hunting is stressful.
There's an opening for a bartender at the local gay bar.
Should I apply to be a part time nanny to a family near me? It's only 1-2 evenings a week, occasional mornings, and just help take him places.
$10 an hour, plus gas money.
It seems like everyone I want to see right now, are too far away. And it's not even the driving that bothers me, it's the fact I can't afford the gas and tolls.
Would it be wrong to bribe a friend to drive me to Philadelphia tomorrow to surprise another friend who has been down in the dumps for a few weeks?


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2013 is right around the corner, but if one of your resolutions is to work on your household budget, you may want to set aside more money for food.
Prices at the grocery store are going up and some things will get more expensive in the coming weeks.
The price hike is largely due to the drought of 2012. Meat and dairy prices will increase first, with other items following suit in the coming months.
So, what's to blame? Corn.
Corn and soybean crops across the Midwest are inadequate for the country's needs.
Both foods are used to feed chickens and cows. When it costs more to feed the animals, it costs more to get it to your table.
The dry spell of Summer 2011, the worst since 1950, caused this year's crops to be the smallest harvest farmers have seen in years.
What's the time table on price hikes?
Processed foods, like cereal, bread and crackers, will rise mid 2013.
Experts say the processed food increases won't be as drastic as fresh items.
If you love a good steak, prices are expected to go up 4 to 6 percent in 2013. Plus, some estimates by the cattleman's association say it'll go up again in 2014.
The meat to buy now: Pork.
Prices are expected to go down before they go higher. It's getting expensive for farmers to feed pigs so they're selling them off.
The result is a temporary glut, with lots of pork at grocery stores.
Hams were just 49 cents a pound at Fresh and Easy.
To save yourself some cash, be a smart shopper. Freeze what you can while prices are still low. You can also try buying directly from a beef producer, to cut out the middle man.
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MILWAUKEE (WTAQ) - An ugly outing for Milwaukee pitcher Johnny Hellweg, as the Brewers were thumped by the New York Mets Friday night 12-5.
Hellweg allowed 7 runs in three-and-two-thirds innings in the loss.
Carlos Gomez had 4 hits and two RBIs, including one in a wild first inning to score Norichika Aoki.
Brewers also had three errors in the game.
Brewers will look to bounce back in Saturday night's game at Miller Park, Yovani Gallardo is scheduled to start. Pregame on 1360/97.5 WTAQ is at 5:35 p.m., with the first pitch at 6:10 p.m.


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By gregschulz
via storageioblog.com
Submitted: Mar 26 2013 / 01:40
For those not familiar, Simple Storage Services (S3), Glacier and Elastic Block Storage (EBS) are part of the AWS cloud storage portfolio of services. With S3, you specify a region where a bucket is created that will contain objects that can be written, read, listed and deleted. Learn more about AWS S3 here.


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Movie reviews, trailers and award show coverage.
Automata trailerby Matt Z
Is it wrong that I thought all Antonio Banderas does anymore is The Expendables movies?!Read More »
Men, Women & Children trailerby Matt Z
How much do you really know about the people you know?Read More »
Mortdecai trailerby Matt Z
Johnny Depp plays Charles Mortdecai and he's joined by a star studded cast, including Aubrey Plaza, Ewan McGregor, Gwyneth Paltrow...Read More »
Revenge of the Green Dragons trailerby Matt Z
The movie is based on a true story and Martin Scorsese is the executive producer.Read More »
Robin Williams Has Four Movies Coming Out In Theaters Soonby Jess Kelley
Robin Williams has four different films that are completed! Merry Friggin Christmas set to be release November ...Read More »
Pride trailerby Matt Z
Gay and lesbian activists join forces with a mine-workers union in the UK during the summer of 1984. Pride stars Bill Nigh...Read More »
Miss Julie international trailerby Matt Z
Jessica Chastain and Colin Farrell star in Miss Julie.Read More »
Maps To The Stars trailerby Matt Z


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Weapons in GTA Chinatown WarsTalk0
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this wiki
this wiki
Category page
This category contains all the articles about weapons in GTA Chinatown Wars.
Pages in category "Weapons in GTA Chinatown Wars"
" v • g • d • eWeapons in Grand Theft Auto: Chinatown WarsFistFistMeleeNight Stick · Chainsaw ·...
Template:Gtacw weapons
" The Fully Cocked License is a weapon license purchasable at the AmmuNation.net in GTA: Chinatown...
Fully Cocked License
" Crates are weapons in Grand Theft Auto: Chinatown Wars only for use during the mission Stealing...
" Proximity Mines are weapons used in Grand Theft Auto: Chinatown Wars. When placed, they will not...
Proximity Mines
" The Flashbang is a projectile weapon in Grand Theft Auto: Chinatown Wars. It can be bought from...
Media in category "Weapons in GTA Chinatown Wars"
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Posted in: Molotov Cocktail
Posted in: Dual Pistol
Posted in: Pistol
Posted in: Sniper Rifle
Posted in: AmmuNation.net


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- Yen Yang
- Cebu City
- Philippines
This conversation is closed.
Curbing global warming or adapting to it?
It pains me to hear that some people have given up on their efforts to curb global warming. They are now up to save humans once again by adapting to the changes brought about by our own doing.
Should we curb to save mother earth and moderate our way of living? Or adapt and focus more on the human race than mother earth?
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Jun 22 2013: Hi Juan,
I was provocative on purpose in my last question to get to see your 'true colors' and I am not surprised to see them matching mine.
My original reply to Cheyenne was not meant provocative at all and just reflecting my pessimistic view on this topic and my own species, which usurp to name themselves 'homo sapiens'.
If you read it again, you may notice by the word 'anymore' that I am referring to our generation to have had a choice in this, yet we failed. And this is what we do consciously till today since we know about the scientific data presented to us. Further I assume, that we are going to take actions in curbing global warming, yet I am not convinced, that we will do it consequent enough to avoid the 'tipping point', by which, once passed, we have no other choice but to adapt to whatever climate there comes.
Regarding this topic, there are not many views of mine of which I wish to be as wrong as one could possibly be in it, as anything else would help this our planet and therefore any single being on it, nevertheless, I almost lost all my optimism to be proven wrong at all.
Therefore, Cheyenne's question does not appear as a question to me and I commented on it,as what it appears to me instead. If this causes confusion 300 years from now, my apologies shall be given here alongside as well and ... just in case.
Will they hate us? Maybe, probably but what difference would it make? In my view, the best they can do is to 'learn' from us and to ensure, that something alike will never happen again as long as, at least, they live. This is how I deal with the history of my very nation, as there is nothing else I can do with it but to be ignorant about it, which I refuse to be.
The same goes for my current responsibility, in which I am trying to do my best in my own contradictoriness, fastidiousness and convenience in which I grew up and settled as if it was for granted, yet since I know better, there isn't much to hide myself behind while judging myself.
Yen Yang
Jun 22 2013: G'Day Lejan,
I am not sure of curbing Global Warming... Can it be curbed?
Some groups of "scientist" say to stop using fossil fuels and the CO2 will go down and all will be cool... which I think is a metaphor.
Another bunch of "Scientist" say to kill all the cows, their flatulence is polluting the skies and causing global warming.
Another group of "scientist" say... Oh forget it.
The only way to survive is to become a world of horse riding vegans...
Wait a minute, where are we getting all that hay and who is going to clean up all that horse sh.....
Life is never that simple.
Jun 22 2013: I think there were many horse riding vegans, including us, if this was the only way to escape a personal terminal illness.
The problem with consequences is, that they only come alive the very moment we directly face them, despite the capacity of our imagination and this probably as a mechanism of 'self-defense' not to paralyze in a multitude of 'what if's' ...
Unfortunately this 'mechanism' short-circuits our actions against better knowledge by simple ignorance, which has the same source which keeps smokers smoking, overweight people eating and drug addicts having their dose ...
Also by the pace of our 'biorhythm' we can not observe the 'slow motion' of drifting changes within the climate, especially by the fact, that the weather changes every day anyway. And how many people actually 'absorb' the meaning and findings in weather statistics?
And to make things even more confusing for 'the masses', you just negate scientific data if it servers your own agenda, of which, so it seems, is no lack of.
As the consequence of curbing global warming would reduce the quality of life 'we', the 'first world' is used to directly, which by itself would be difficult enough to deal with, having 'the people' willingly and additionally 'dis-informed' is what keeps the status quo as it is and alternative solutions off the given and lucrative markets.
And as you said, 'Life is never that simple', we can be certain by the way we cope with this problem at the moment, that this is not going to become better any soon, if ever ...
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The unmistakable, revered tone of the Powerball with more control and versatility.
The Powerball II offers more tone, more control, and more versatility than its predecessor. It's got 4 channels and 100W of power courtesy of 4 - 6L6GC power tubes, along with enhancements like gain controls for each channel, 2 Bottom sound switches for the lead channels, mid-boost switching that affects all 4 channels, footswitchable FX loop, and an electronic Power Tube Monitoring System with LED indicator.
New features on the rear panel include an S.A.C. port for connecting an ENGL Z-9 footpedal, plus the noise gate and FX loop are footswitchable as well.
Like the original Powerball, the Powerball II head has 4 channels: Clean -Channel 1, Crunch-Channel 2, Lead-Channel 3, and Lead-Channel 4, with independent volume controls for each. Clean and Crunch channels have shared bass and mid EQ controls with independent treble controls for each. EQ controls for the lead channels include bass, mid, and treble knobs, plus a selectable middle-boosted control for complete tonal control. Presence and Depth Punch knobs give you reign over the power amp stage, and Master A and B controls let you set different volume settings to your liking.
The most sophisticated Powerball yet! Order now.
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Comments about Engl Powerball II 100W Tube Guitar Amp Head:
I have owned many of the top brand and boutique amps over the years. The Powerball II has ended my search for that elusive sound and feel I've always wanted. My musical style falls mostly within the range of classic hard rock to modern metal. This amp delivers straight ahead AC/DC style drive up to fully saturated, yet articulate gain. This amp, in my opinion is geared towards rock and metal, however it should not be pigeon holed as a "metal" amp, nor a one trick pony. The tones are quite diverse and the clean tone is excpetional. Combining a mild overdrive pedal with the clean channel will cover blues territory. The Powerball II offers many tone shaping options along with it's 4 channels. The only complaint centers on the footswitch. To my knowledge, the Z-9 will not execute multiple functions aimultaneously like channel switching and activating another function like a mid boost, which is a limitation. I think a midi switchable setup would be better to fully utilize all the features of this amp.
Best Uses
Comments about Engl Powerball II 100W Tube Guitar Amp Head:
After reading so many reviews about this being a 'metal' amp, I couldn't disagree more. I'll probably get blasted for saying this, but I really think my Peavey Triple X is a better 'metal' amp. Not that the PB2 can't do metal, but you would be cheating yourself if you used it for only a metal amp. I will say the Engl Powerball 2 is a versatile tone MONSTER . The clean channel is surprisingly great (it reminds me of the Vibrolux channel on my Fender Super Sonic head) and with the clean gain control it does great 'overdriven' clean tones. It's almost like having two channels in one. The Crunch channel is what I had been looking for a nice classic rock/blues tone - perfect breakup, great definition and plenty of sustain and bite all at the same time. I use it with the gain set on 4 and it's everything I'd ever wanted in a rhythm tone. Lead 3 is my favorite channel of all. It has gain to spare, I also have it set on 4, and it sounds absolutely incredible with every guitar I own - my Les Paul with a Joe Bonamassa p/u set, my Explorer with 500T/496R, Flying V with EMG 81/60 and my other Les Paul with a 498T/Seymour Duncan '59. It has lovely saturation, awesome depth and sustain to die for. Then there is channel 4 - similar to channel three, but its voicing begs for neck pickup soloing. Creamy, defined and just inexplicably wonderful. Add in the bottom/bright switches, the Mid-boost, Presence & Depth Punch and two Master Volumes and you have the total package. This amp is worth every penny and then some. If you want a pro quality sound and the tone you've been hearing only in your head, this is your amp.
Best Uses
Comments about Engl Powerball II 100W Tube Guitar Amp Head:
o very versatile.. cleans have a three dimensional presence; crunch is the best I've heard with distinct "tubey" breakup that can be dialed in with infinite levels of grit; lead channels are not as saturated as say a Rivera KTre or a Recto, but less is more when it comes to gain and actual usable and musical tone.
o all channels respond and work well with pedals (quality pedals, that is).. a tube screamer or OCD does exactly what it should push the tubes past sweating; the head needs a dedicated reverb in my opinion; the noise gate is a nice addition though it takes some work to get it dialed in if you've never used one; mid boost,bright and bottom adjustments are fantastic additions allowing for sweet tone tweaks
o style wise do not be fooled, this is not a one trick pony.. it does metal and hard rock very well of course but my fave tone is the "Timmons-esque" neck pickup tone I get with the crunch channel, gain at noonish.(I know, I know.. he plays Mesa. I have a Lonestar head too and can tell you the tones are comparable); with the tonal shaping tools in this amp it is also possible to get legitimate jazz tones as well; it's a very expansive sounding amp even through the two 12" cabinet that I bought with it. obviously the four 12" I played it though at the store can knock a house down, but I'm partial to two 12" cabs, nice stereo quality in the sound with more than enough volume
o major gripe is the footswitch situation.. none of the fifty or sixty versions that Engl offers come with the amp. All are sold separately and are rather pricey. In order to have all of the great switching options that the amp can do you have to shell out another 200 plus bones for the Z9 switch pedal. Oh and no dust covers included like my Mesa head and cab. Minor gripes, I suppose. Otherwise an outstanding, high-performance tone machine. Highly recommended. There's a guy on youtube that highlights some great tones BESIDES the metal ones. Worth checking out.
Best Uses
Comments about Engl Powerball II 100W Tube Guitar Amp Head:
I decided to purchase the Engl Powerball 2 after shopping around a good bit. It came down to a shoot out at my local guitar shop between this head and a Mesa Road King 2. What I found was that the cleans were pretty similar, with the mesa having a little more shimmer, but the crunch and distortion tones on this blew the mesa away!
I fully expected the shared EQ to become a major problem, and may be for tone purists, but its grown on me. It is especially nice on the 3rd/4th channel since i can have the same exact tone for my high gain and lead gain sounds, while only increasing the gain on channel 4 for my leads.
The only thing I wish this amp had was stereo ins and outs for my stereo effects, but otherwise this thing has been a tank on the road and sounds incredible.
Best Uses
Comments about Engl Powerball II 100W Tube Guitar Amp Head:
I have read almost every review on this- many negative. At first this amp makes you tilt your head but once you get it dialed you see the light! All I can think of is people snub this amp because it isn't cheap like their 5150 or 6505 etc.and ENGL are sour grapes. People say their rectos or 5150 are better but let me tell you having owed several of both ( as well as MANY other top amp brands) this thing destroys those amps hands down if for nothing else easy no comprimise level/gain settings,boost and huge variety of sounds AVAILABLE with only a footswitch. The lead channels are easy to play and just beg to bloom into warm sustain with super clarity. The cleans are way better than I thought they would be. This is the best amp overall I have ever played Sounds good low too doesn't need to be loud, but when it is, it gets amazing. You just can't stop playing it because all the channels give you so much on each one. Dual masters sell me also as well as 4 seperate channels for the aloof soundman/stage boost.
Best Uses
Comments about Engl Powerball II 100W Tube Guitar Amp Head:
This the BEST amp I have ever owned.The tone is worth every penny you pay.Getting this amp has been the best thing I have ever done for my sound.It can do it all.
Comments about Engl Powerball II 100W Tube Guitar Amp Head:
with a little tweaking, this amp sounds great. the built in noise reduction handles the hiss and hum beautifully even with heavy distortion. the only thing i wish it had was reverb
a little pricey for the one channel i use but i have this amp for a specific purpose. if i was using it for top 40 stuff where i needed all of those channels then the rpice is good for a 4 channel amp. again, reverb would be nice.
Comments about Engl Powerball II 100W Tube Guitar Amp Head:
I have owned most world-class amplifiers and this one is working the best for me! it has a very raw metal tone to it but with just a slight amount of fx it sweetens up. I added a lexicon reverb and that's pretty much all I needed to make it work with all the songs that we write. what I like the best about it that I can hear every note that I play it does not get mudded up or lost in a hairy distortion! I keep again around 12 o'clock and it needs no more and for the solos I will throw in a tube screamer in front of it just because I like the fx that it gives.this is not your average buzz box it is truly a tone machine I love that it has a definite growl to it that is unmistakable to any other amplifier! My other guitar player uses a hughes & kettner Tri amp. Now he wants one of these. the cool thing about it is if you don't like it you have 45 days to return it but once you work with it for a couple of days you won't want to get rid of it!! I'll look forward to playing it every day! And I have not felt this good or had the desire to play this much in 20 years!
It's plain and simple this amp will work well for anybody's liking and almost every type of music. but mainly hard rock and metal
Best amp I have ever owned the sound is what I was looking for.
It's worth the money you get what you pay for
Comments about Engl Powerball II 100W Tube Guitar Amp Head:
I have had several Marshall amps (I hope a representative from Marshall reads this) and have been dissappointed by the quality of the product and the attitude of the employees. I have a Peavy 6505+ I really enjoy, but my main amp, the go to amp my recording amp is the Engl Powerball II
German design, production and attention to details, what can I say, unlike Marshall, Engl amps work out of the box and continue to perform.
Last amp...only amp you will need
Comments about Engl Powerball II 100W Tube Guitar Amp Head:
Currently, I own an ENGL "BLACKMORE 100w", ENGL "FIREBALL 60w", ENGL "520" PREAMP, ENGL "820" (2x35w POWERAMP) and now the ENGL POWERBALL II. They all have that ENGL signature tone yet they remain very different from each other.
I've read all kind of reviews and seen most youtube clips regarding the FIREBALL vs POWERBALL..and how the FIREBALL is much better...... TRUST BE TOLD, right out of the box it would appear that way, but only do to the simplicity of the FIREBALL. It has that ONE go to tone AMAZING as that may be, it limits your usage of the amp....but the POWERBALL II can be tweaked til' you're blue in the face, which I see as an upside...
Sure you may need to spend hours comparing tones like I did with my amp collection to the new POWERBALL II to see just how versality it could be at emulating sounds....but after this little excercise I was completely satisfied with my results....Although, the emulation test was not an exact match, the POWERBALL II was able to get the essence of the other amps tone..and in some cases made me tweak some of the GO TO setting to match what I captured in the POWERBALL II....
HIGHLY RECOMMENDED for those who expect a ton of variety from there amps.....You want Authenic Metal, Hard Rock, Country & Jazz tone out of your amp....The POWERBALL II would be a great place to start looking.
Other than lack of onboard MIDI capability, this amp is built with most everything you'd expect in a pro-level tube amplifier of this price range. The addition of separate gain controls on this VERSION II of the POWERBALL is main reason I finally made a purchase. Although it requires an additional switcher & footcontoller.....Most every tweakable feature of this amp is switchable..Lastly the FX LOOP can be used in series or parallel manner. THE TONES IN THIS AMP ARE IN ABUNDANCES & THE CLEAN CHANNEL IS ABSOLUTELY SUPERB!!!!
I've been using ENGL products live since 92' and NEVER have I had an issue with their gear....ROCK SOLID!!!! This amp is built like a tank.
I've come to understand you get what you pay for in life but especially in the music gear industry...Not to say others haven't made great product at a lesser price, just that you can't put a price tag an product that give you AMAZING TONE & RELIABILITY for years!!!
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Which players on the Bucks get dunks?
Category: Stats and Stuff
Watching Giannis Antetokounmpo deposit three Go-Go Gadget dunks over the past two preseason games has me wondering: Does this Bucks team have more dunk potential than last year's squad? With 11 new faces, including adept dunker Antetokounmpo, might this team convert a significantly increased number of dunks? The shot has two big advantages over other shots. First, it's a high percentage shot. Most players convert them in the 80%-100% range. Second, when done at home, the shot usually plays to the home crowd advantage.
Everyone loves the dunks!
I initially turned to stats.nba.com to help me do some research, but I gave up trying to make headway on that site after I realized that they have nine different kinds of dunks in their database: alley oop dunk shots, driving dunk shots, driving slam dunk shots, dunk shots, reverse dunk shots, reverse slam dunk shots, running dunk shots, running slam dunk shots, and slam dunk shots. Lazy and deterred, I switched over to basketball-reference.com instead. From their data, I compiled the following table which contains the 2012-13 dunk totals for each member of the Bucks of last season and this upcoming one.
Some notes:
- Joel Przybilla's field goal from last season was not a dunk. It was a tip-in.
- Larry Sanders is the obvious dunk king in Milwaukee, but if you and I played a game where you gave me five guesses at the #2 dunker, I would have lost that game.
- In 1134 minutes last season, 6'11″ Zaza Pachulia had a total of seven dunks and 12 blocks. He does not play above the rim. (Seriously though, seven dunks and 12 blocks is a good weekend for Larry Sanders.) If, however, Zaza returns to the rotation and starts setting fantastic picks, all is forgiven. The Bucks need that skill badly at the moment.
- Does anyone have any leftover doves for Doron Lamb's first NBA dunk?
- It is difficult to predict whether this year's team will surpass last year's squad in dunks. If Antetokounmpo (and to a lesser extent, John Henson), get a lot of minutes, then perhaps they will. Otherwise, they'll probably finish with about the same number of dunks.
About the Author (Author Profile)Husband. Father. Blogger. Retired mathlete. I covered Larry Sanders' "Three Thumbs Up" game as credentialed media -- and failed to see well enough to witness the thumbing as it happened. On Twitter, I'm anaheimamigos.
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Ersan at 6'10″ with 4 dunks LOL!
Fittingly classical music is his favorite genre. Love the diversity on this team and they're all good guys too.


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7 U.S. Code § 2155 - Omitted
Section, Pub. L. 89–544, § 25, as added Pub. L. 91–579, § 22,Dec. 24, 1970, 84 Stat. 1565; amended Pub. L. 94–279, § 16,Apr. 22, 1976, 90 Stat. 421; Pub. L. 104–66, title I, § 1012(a),Dec. 21, 1995, 109 Stat. 711, which required the Secretary of Agriculture to submit an annual report to the President of the Senate and the Speaker of the House of Representatives on licensing, investigation, inspection, and other activity related to carrying out this chapter, terminated, effective May 15, 2000, pursuant to section 3003 ofPub. L. 104–66, as amended, set out as a note under section 1113 of Title 31, Money and Finance. See, also, page 44 of House Document No. 103–7.
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Compensation costs in June 2010
August 04, 2010
Compensation costs for civilian workers increased 0.5 percent, seasonally adjusted, for the 3-month period ending June 2010. Wages and salaries (which make up about 70 percent of compensation costs) increased 0.4 percent while benefits (which make up the remaining 30 percent of compensation) increased 0.6 percent.
Compensation costs for civilian workers increased 1.8 percent for the 12-month period ending June 2010. This was the same as the 12-month period ending in June 2009.
Wages and salaries increased 1.6 percent for the current 12-month period, compared to a 1.8-percent increase for the 12-month period ending in June 2009.
Benefit costs rose 2.5 percent, up from a 1.8-percent increase for the 12-month period ending June 2009.
These data are from the BLS Employment Cost Trends program. To learn more, see "Employment Cost Index — June 2010" (HTML) (PDF), news release USDL-10-1047. The Employment Cost Index (ECI) measures the change in the cost of labor, free from the influence of employment shifts among occupations and industries. Benefits costs include paid leave, supplemental leave, insurance benefits, retirement and savings, and legally required benefits. Paid leave include employer cost for vacations, holidays, sick leave, and personal leave.
Bureau of Labor Statistics, U.S. Department of Labor, The Editor's Desk, Compensation costs in June 2010 on the Internet at http://www.bls.gov/opub/ted/2010/ted_20100804.htm (visited September 20, 2014).
Spotlight on Statistics: Productivity
This edition of Spotlight on Statistics examines labor productivity trends from 2000 through 2010 for selected industries and sectors within the nonfarm business sector of the U.S. economy. Read more »


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CHICAGO — It was 23 years ago. It was in the old Boston Garden. It was in the middle of May. The Bruins and Edmonton Oilers skated into a third overtime in the first game of the Stanley Cup Final. It went until 1:22 in the morning.
And the Bruins lost, 3-2, when Petr Klima (whose lawn in Edmonton used to be mowed by none other than current Bruins defenseman Andrew Ference) beat Andy Moog with a five-hole wrist shot at 55:13 of overtime. Klima, who spent most of the night opening and closing the door for his teammates, said he hadn't skated a shift in almost three hours before he scored the game-winner.


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30 U.S. Code § 161 - Entry of building-stone lands; previous law unaffected
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Any person authorized to enter lands under the mining laws of the United States may enter lands that are chiefly valuable for building stone under the provisions of the law in relation to placer mineral claims. Lands reserved for the benefit of the public schools or donated to any States shall not be subject to entry under this section. Nothing contained in this section shall be construed to repeal section 471 of title 16 relating to the establishment of national forests.
Source(Aug. 4, 1892, ch. 375, §§ 1, 3,27 Stat. 348.)
First two sentences of this section are from section 1 and last sentence of this section is from section 3 of act Aug. 4, 1892.
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I found these classic Mariinsky performances:
Interesting to compare them with a more recent performance by Osipova:
I like Osipova but I really love the "classic" Kirov performances, especially the way they do that cambre and drop their arms completely. So expressive.
Why doesn't the Mariinsky do this piece anymore? It's absolutely gorgeous.
Esmeralda pas de six
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2014 is literally around the corner, and chances are getting healthy is on your resolution list!
Fox 9 Fitness Expert Ali Holman from CoreCamper.com stopped by to show us 5 things you MUST do for your health in 2014.
To find out more about Ali's Daily Online Workout program, visit http://www.CoreCamper.com
1. Set a PLANK goal
The "Plank" is a great way to measure Core Strength & works your abs, back, obliques and more effectively. Set a PLANK Goal, adding 5 seconds each week.
2. Once and for all, eliminate confusion on "Whole" foods!
Whole grain has the entire kernel of the grain from the bran to the endosperm to the germ. Whole wheat has the bran and germ removed during the refining process and is left containing only the endosperm. Unfortunately, the majority of vitamins and fiber are contained in the wheat bran and wheat germ that is shed during the refining process.
3. Join "PREP" School
Learn how to prep and how to do it effectively. (CARRIE: SEE ATTACHED PIC so we can show my prep! Thank you!)
4. Get Water-Logged
Research shows that drinking sufficient amount of water helps you metabolize food more efficiently, is great for your skin and helps you feel more full longer. Shoot for 64 oz / day and track your progress with tick marks on your water bottle.
5. Set your goals WEEKLY instead of for the year.
This seems so realistic with our jobs, but what about our health? Each week for work, many have meetings to discuss "action items". Look at your fitness goal as a WEEKLY process with benchmark goals instead of a yearly goal.
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