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Welcome to Sneak Peek Saturday on Reading List!
Current book:
Your Roots are Showing
Lizzie Buckley has a life many women dream of – a gorgeous husband, a beautiful home and darling (when they're not fighting) three-year-old twins. But ever since the birth of her children, she's had a fantasy about locking herself in her bedroom for twenty-four hours with a good book and a box of chocolates.
Unfortunately, her husband James doesn't understand her feelings. And when Lizzie unburdens herself in a flaming email to her sister Janie, then hits send at the wrong moment and accidentally shoots it off to James instead, her fairytale life gets a big dose of reality. With the word "divorce" ringing in her ears, Lizzie finds herself moving out and embarking on a totally different life – working hard to reinvent herself as a runner, a gardener, and a writer of children's books.
But despite transforming her body, her neglected career, and her libido (courtesy of the local landscape gardener), Lizzie can't get over her soon-to-be ex. As Lizzie discovers, sometimes the fairytale ending is just the beginning of the real story.
Sneak Peek:
Chapter 7: page 136
"I brought them back, because the whole thing was a bloody nightmare. They were howling for you by mid morning, and mum was ready to bite a chunk out of somebody. "
Initial Thoughts
Meet the Hosts of Saturday Sneak Peek:
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Alyssa reads a variety of genres and writes about it at Sunrise Avenue. She is always looking for new bookish friends and recs'! Besides reading, Alyssa loves to bake and anything Doctor Who.
Twitter ~~ Google + ~~ Instagram ~~ Pinterest
Bloglovin' ~~ Subscribe ~~ Goodreads
Karen is a reading teacher who loves to listen to books as she commutes to and from work. She prefers crime thrillers and mysteries but enjoys a good book from any genre. She blogs about her life as a wife and mom at Dino Hero Mommy.
Here are some rules if you decide to join in:
• Open to any page you have already read
• Share a few "teaser" sentences from somewhere on that page – make it interesting without flipping to a ton of different pages.
• BE CAREFUL NOT TO INCLUDE SPOILERS! (make sure that what you share doesn't give too much away — You don't want to ruin the book for others!)
• Share the title & author, too, so we can all add your book to our To-Be-Read lists!
This particular link up will be open for a month, so stop by often to share a new sneak peek, and grow your own TBR list!


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Intrusion Prevention, Malware Protection, Application Control, Content Filtering, Spyware Protection, Stateful Packet Filtering, URL Filtering, Denial of Service (DoS), Signature-based Intrusion Prevention, Distributed Denial of Service (DDoS) - 10 Port - 10/100/1000Base-T Gigabit Ethernet - DES, 3DES, MD5, SHA-1, AES (256-bit), AES (192-bit), AES (128-bit) - USB - 10 x RJ-45 - 1 - Manageable - Power Supply - Desktop - View Complete Details
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subset: commoncrawl


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Please check back soon.
The Vincenzes Law, PLLC website is under construction. We are building.
What to look for
We are implementing a blog covering Northern Virginia and U.S. criminal defense news and updates, commentary and answers to often-asked questions, and
Secure (SSL) Client Document Access Portal
Additionally, we are adding login option for clients. They will be able to access documents, paperwork, and final drafts (if applicable) by logging in through a secure connection (SSL). Of course, this is optional.
We expect our site to be functional and officially open within a few days, but don't hesitate to contact us in the meantime!
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Brent Vincenzes
Principal Attorney at Vincenzes Law, PLLC
Brenton D. Vincenzes is a lifelong Fairfax County resident and Fairfax Criminal Defense Lawyer. He is a member of the Virginia Association of Criminal Defense Lawyers, National College of DUI Defense, NORML, and has been awarded the following in 2014-15: Top 100 Trial Lawyer (National Trial Lawyers) Top 40 Under 40 Trial Lawyer (National Trial Lawyers) Nationally Ranked Top 10 Under 40 Defense Attorney (National Academy of Criminal Defense Attorneys) 10 Best in Client Satisfaction for Criminal Defense (American Institute of Criminal Law Attorneys) Nationally Ranked Top 1% Attorney Award Recipient (National Association of Distinguished Counsel) As a local leader, Mr. Vincenzes mentors troubled youths, volunteers his time to serve at his church, takes select pro bono clients, and strives to improve the community. Mr. Vincenzes represents men, women, and juveniles through zealous and diligent advocacy, strategic planning, and skilled trial work preparation. Mr. Vincenzes' areas of criminal law practice are broad, and include most felonies and misdemeanors such as: reckless driving, DUI & DWI, drug offenses, assault and battery, domestic violence, assault on an officer, destruction of property, alcohol offenses, firearm offenses, larceny, shoplifting, embezzlement, fraud, and other theft offenses, and moving traffic violations among others. His private legal services are available in most Northern Virginia jurisdictions, including Fairfax County, Arlington County, Prince William County, Loudoun County, Stafford County, Alexandria, Manassas, Leesburg, South Riding, and other cities and towns.
Latest posts by Brent Vincenzes (see all)
- Fairfax Defense Attorneys: 4 charges GMU students frequently face - February 23, 2017
- New Marijuana Policy and Laws for Virginia 2017 - February 13, 2017
- How should a Fairfax reckless driving lawyer object to police radar reliability? - June 13, 2016
- Poking Holes: Virginia DUI Test Problems - October 24, 2015


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Suzie Wokabi has been busy in the media promoting herself, her company and her yet to be launched makeup line. Throughout her interviews, you'll get a glimpse of her life, her work, what drives and motivates her and what she thinks about the beauty industry in general. Take a peek at some of her interviews.
AIM Magazine
"Over the years, Suzie has developed the trade skills that has led to her success – in makeup artistry, marketing, product development and sales…" read more
Beauty and brains feature (Standard Newspaper)
"She enjoys spending time with friends, loves the beach and enjoys cooking Chinese cuisine…" read more
Tujuane Interview
"Suzie Wokabi is already making tracks in the local beauty and fashion industry and by the look of things, she is just but beginning…" read more
Jamati Online
"The basis for a good make up application is always a clean well moisturized face, the foundation should be the right color for the skin to have one even tone…" read more
How We Made it in Africa
"I have met people who thought I was crazy to imagine a project like this, but the passion I have keeps me going. I have never stopped believing in my dreams…" read more
- Mimi Magazine The MIMI Magazine Blog is your daily source for Soul.Substance.Style from Africa and the African Diaspora.


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I want to make Boston cream whoopie pies and I'm wondering if anyone has done this and can share a recipe.
I assumed I could use any recipe and bake as whoopie pies, assembling with the custard filling and chocolate ganache topping. My concern is with the cake part of the recipe. Anyone have any guesses as to whether a standard sponge cake batter will bake up into the characteristic whoopie pie cake mounds when spooned onto a parchment-lined baking sheet? Would I be better off using a yellow cake recipe instead?


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Reuters Staff
1 Min Read
March 30 (Reuters) - Jiangyin Haida Rubber and Plastic Co Ltd :
* Says it plans to pay cash div 0.61 yuan per 10 shares for FY 2016
Source text in Chinese: goo.gl/qWvDiC
Further company coverage: (Beijing Headline News)
All quotes delayed a minimum of 15 minutes. See here for a complete list of exchanges and delays.
© 2017 Reuters. All Rights Reserved.


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Insurance for Holiday Homes has grown into a major provider in the holiday home insurance market, particularly for French Holiday Homes. This has been achieved not only by offering exceptionally competitive rates and first class policy cover but most importantly by providing excellent customer service. We do not operate a call centre so when a customer calls us they will immediately speak to an experienced advisor – no music, no queuing and the opportunity to speak to the same person whenever they call. This may sound a little old fashioned but we believe that this is the service people appreciate.
We are exclusively a holiday home insurance broker and by specialising in this one sector we can negotiate exceptional terms with insurers. As an approved Coverholder at Lloyd's we not only underwrite all business on their behalf but also control the issue of all policy documents. Claims are handled by a dedicated team of claims handlers based in the midlands. A complete service of which we are proud and which our customers clearly appreciate with a substantial number having been with us for many years.
The Holiday Home Insurance we can offer includes the following benefits:
As our name suggests, we specialise in arranging second home Insurance and holiday home insurance. We currently offer property insurance for holiday homes in United Kingdom and overseas property in France, Spain, Portugal, Greece, Greek Islands, Cyprus, Malta and Ireland.
The policy we offer is tailored to meet unique needs of a holiday homeowner, regardless of whether the property is used by yourself, family and friends or let for holiday use. Insurers tend to be perceive these homes as a greater risk to standard household insurers so they will generally shy away from insuring them. However, our underwriters do not believe this to be the case.
We believe that although competitive premiums are of paramount importance, it is equally important your insurance should have a comprehensive level of cover and a unique understanding of the specific requirements along with a first class service.
Website: www.insuranceforholidayhomes.co.uk
Email: firstname.lastname@example.com
Telephone: 0044 (0) 1934 424040
Copyright © French-Property.com | Property in France | Rentals France


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Wildbound PR is a California based literary publicity company started by Julia and Jared Drake that works with authors across the globe to gain exposure for their work via traditional and digital media press campaigns, social media marketing, innovative book tours, author websites and promotional videos. In a time when digital media is changing the face of the publishing industry and the way readers find, process and share stories, we have worked with over a hundred clients––from New York Times bestselling authors to first time self-published authors––to create new and innovative ways to connect them with their target audience across the globe and celebrate great stories and writers and what they do best: venture into the wilds of the mind to bring back stories that entertain, edify, and transform us, all that within the bounds of a book.
You can write the most amazing book in world history––if nobody knows about it––nobody will read it or buy it. It's like the proverbial tree falling in the woods. In today's fast-paced world of technology where consumer experiences have become increasingly fragmented and the term "mainstream" is slowly giving way to a world of hyper-individualized digital experiences, trying to connect with your audience can be a formidable and overwhelming task. Wildbound maintains strong relationships with target media and social influencers and combines traditional and social media PR to get the most mileage out of each media hit. Media contacts at top publications are more likely to act on a pitch from a trusted publicist than an unsolicited query from an unknown author. Of course that doesn't mean that we can get every book placed. The bottom line for the success of every PR campaign is the quality of the product and the demand in the market place. Some books naturally have stronger PR and marketing potential than others.
1. Build Your Online Platform/Brand:
Wildbound will help you develop your author brand and message and how to position yourself with media and consumers which starts with a professional website. Both consumers and media professionals will visit your website before engaging further with your book. So it's important that your online platform is established prior to launch time. It should reflect you and your book accurately and look professional, so unless you have a knack for visual design and are tech savvy, our website designers will work with you to build a website that reflects your personality, work and vision.
2. Social Media Platform:
As with your website, a successful PR campaign relies on the strength of your social media network and should be in place 3-4 months before publication date at the minimum. Whether you choose to blog or use Facebook, Twitter, LinkedIn, Google +, Instagram, Pinterest, Goodreads, etc., our social media team will help you build and expand your platform with a completely customized social media campaign to fuel and work in tandem with the traditional media campaign. We can either train you to take over the reins after the conclusion of the campaign or we can manage your social media needs for a monthly retainer.
3. Media Campaign:
We will build a targeted list of print, online and broadcast media in local, regional and national markets. The media campaign often also includes blog tours, blog talk radio, online book groups and online author chats to take full advantage of all today's virtual world has to offer. We realize that many authors have one or two dream media outlets they want to try for, so in composing our media list, we strive for a balance between "shooting for the moon" and setting attainable goals.
Unlike many major PR agencies, we don't believe in general press releases. In fact, most media contacts consider them spam. Instead, we analyze each of our clients' books to identify all possible interest angles within the world of the book as well as the author's own background and personal story, personality and inspiration for the book, to create a pool of interesting story material from which to develop customized pitches for each media interest area. We then reach out to each media contact on our targeted media list for each book and individually to solicit review coverage, features, mentions, guest articles, interviews, and exclusive excerpts––as appropriate.
In addition, we will help you orchestrate your release with an e-announcement to your mailing list, social media buzz, giveaways, and other incentives to build anticipation and awareness for your book release and beyond.
4. Tracking Success
We believe in absolute transparency and our clients receive weekly and monthly media updates to track the effectiveness of all elements of the marketing plan and publicity campaign. It's important to stay flexible because every book takes on a life of its own. We go where the energy is and will work with our clients to adjust the parameters of the campaign accordingly to attain results.
Due to the deep-seated changes in the publishing industry brought about by digital media technology, both the leading publishing houses (Penguin Random House, Simon & Schuster, etc.) as well as smaller independent publishers have been forced to downsize their PR and marketing budget to a bare minimum while at the same time, the proliferation and ease of POD and self-publishing had led to a growing amount of books competing for a limited audience.
Although most established publishing houses will assign an in-house publicist to you and your book, you and your book will only occupy a limited amount of time and space in their assembly line of books (usually 2-3 months) and with shrinking publicity budgets, it is impossible for in-house publicists to explore all media opportunities for your book, not to speak of assisting you with your social media marketing needs, blog tours, book club outreach, and promotional tools such as book trailers, websites, and author videos.
Timing is everything when it comes to launching a successful publicity campaign. The ideal start date for the PR campaign would be 4-6 months before the publication date for the book. That allows for ample time to 1) help authors develop a solid online platform, a strategy for the PR campaign, the creation of media lists, pitches and an editorial calendar for social media 2) Mailings to long lead media (book industry trades, magazines, journals, newspapers, top tier TV and radio shows) require a 3-6 month lead time.
Unfortunately many authors approach us too late in the game when their book has already been published or shortly before publication date. At this time, a significant portion of available PR windows is already out of reach and therefore we will not be able to generate optimal results.
Our client base consists 90% of traditionally published authors, represented by major publishing houses or reputable independent publishers. As we believe in great stories and "the diamond in the rough", we consider self-published authors on a project-per-project basis. Although we are very supportive and excited about the opportunities afforded to talented authors through self-publishing and believe that content should be king, many self-published authors contact us with good intentions but a book that is not ready to compete in the market place with traditionally published books. Self-published books often lack in writing skill, grammar, editing, and quality of design––not to speak of a lack of national distribution channels and a presence in brick and mortar stores. In fact, one of the reasons many major media outlets do not cover self-published books is because they are not widely available to audiences.
Due to the relationships we have built with media contacts over the years, we can guarantee coverage for your book. But we cannot guarantee placement in a specific media outlet or coverage within a certain time frame. Above all––if the product is not up to par or appropriate for a media outlet, not even the strongest media connection will make a difference. We also don't believe that the job of a publicist is to "push" books on people. Our mission is to connect each book with the perfect reader, to fulfill a need, which increases your chances of receiving positive coverage for your book.
Our average campaigns run between 4-6 months and start 2-3 months before publication date and 2-3 months after publication date. The bulk of the first month is spent building and prepping our client's online and social media platform for the launch and creating a master media list and pitches for each interest area, followed by the media outreach. The media outreach itself is a very calculated and painstaking process, and the first "media hits" can take up to between 2-3 months, sometimes longer. This time can be very tough for authors, along with the rejection that inevitably comes with media responses. So it's important to remember that publishing a book is like giving birth. It's a slow-burning, life-long journey and we will do our best to create the strongest legs for your book out of the gate to ensure its longevity on the real and virtual shelves.
Yes and no. Our speciality is not executing the ins-and-outs of self-publishing or book production, but we work with a handful of services providers we trust and can help facilitate the communication and process of self-publishing if you prefer to keep everything "under one roof." Author Imprints is a resource and trusted alliance of ours that we suggest reaching out to directly for any publishing needs.
As all our campaigns are completely tailored to each client, we don't have set pricing. Depending on the scope of our services and your specific needs, monthly fees for campaigns range from $1,000 – $6,000 a month, with the average campaign running in the $2,000 – $4,000 range.
Heart and a sense of adventure. We genuinely care about each book and author we represent and enter this collaborative journey with passion, a deep understanding and appreciation of your and our hard work, and absolute honesty and transparency. We also always stay open to the unknown, ready to take a fork in the path if that's where the campaign's energy leads us. In order to do that, a critical understanding of our clients' work and how all the promotional pieces fit together is crucial, which means that, unlike many other PR firms, we actually read every client's book from beginning to end to make sure that we're the best team for the job. If we believe we are, we'll work 24/7 for you and with you to connect your book with media and readers on a national and international level.


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I love the sense of excitement that comes from being clear about things.
I think quickly, and it's often easy for me to make decisions based on… well, I guess "intuition" is the best explanation.
But still, like everyone else, sometimes I just can't decide which course to take.
Fortunately, my friend Anne gave me a perfect decision-making method for those times when I simply can't commit one way or the other.
A Foolproof Decision Making Technique for When You Can't Decide
It goes like this:
Clarify the two sides of the decision you need to make: You'll either do A or B.
Then, flip a coin. If it comes up heads, you'll do A. If it comes up tails, you'll do B.
Of course there's nothing new about tossing a coin to make a decision.
But here's the kicker…
If the coin comes up A and you feel your heart sink, do B instead.
Because your inner voice (or intuition) is often much wiser than your reasoning voice, and this ingenious little trick makes you pay attention to that voice.
Not Right? Flip Again
But what happens if you flip again and get the same heart-sinking sensation? Or perhaps you feel the need to flip over and over again?
In that case, don't do either A or B — do something else.
At the very least, take a step back from the decision and reconsider your options and the possible results and consequences of each one.
Putting Too Much Stock in Reason
Social scientists warn against putting too much stock in reason.
I'm currently reading The Invisible Gorilla by Christopher Chabris and Daniel Simons. In this fascinating book they describe study after study, all of which conclude that people seldom experience or remember the world the way it really is.
If that's the case, then it seems to me that flipping a coin and listening to your heart is every bit as good a strategy as using the false data available through your senses!
Flip a Coin and Listen to Your Heart
The next time you have a tough decision to make, flip a coin and notice your feelings. Then let your heart decide. You may actually make a decision that'll work for you.
At the very least you'll take a moment to listen to your quiet inner voice that's frequently drowned out in all of the noise and "To Do" lists in your life.
When faced with making a tough decision, what strategies have you tried to help you decide?
Share your approach in the comments below.


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Dr Simon Gabriel specialises in international arbitration and has participated in more than 50 international arbitration proceedings. He is founder and owner of the Zurich-based arbitration boutique law firm Gabriel Arbitration and is thus entirely independent.
Simon is regularly appointed as arbitrator in proceedings governed by the ICC Rules, Swiss Rules, Vienna Rules and DIS Rules. He is a Swiss delegate in the ICC Arbitration and ADR Commission in Paris and endorsed on the following panels of arbitrators: ICC Switzerland; Austrian VIAC; Russian Arbitration Association; and Kuala Lumpur Regional Centre for Arbitration.
Furthermore, Simon and his team have acted as counsel for parties in arbitration proceedings under ICC Rules, Swiss Rules, Vienna Rules, DIS Rules, SCC Rules and ad hoc rules. In terms of amounts in dispute, Simon's experience includes the whole range from US$700,000 to US$120 million.
Simon is experienced in disputes concerning joint ventures and consortia, distribution contracts, international sales contracts, licensing contracts and post-M&A issues.
Simon studied law at the University of Berne and the University of British Columbia, Vancouver. He graduated in 2002, passed the Swiss bar exam in 2004 and is admitted to all Swiss courts. He also holds a PhD from the University of Lucerne and an LLM in advocacy from the University of Strathclyde, Glasgow. Before opening Gabriel Arbitration in 2012, he was a member of the dispute resolution group of a leading international law firm.
Gabriel Arbitration is a great alternative to big full-service law firms. Clients benefit from first-class dispute resolution services, fewer conflicts of interest and competitive pricing.
WWL says: Simon Gabriel is a highly experienced counsel in complex international disputes. He also sits as an arbitrator.
This biography is an extract from Who's Who Legal: Switzerland which can be purchased from our Shop.


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- Home
- About OLOG
- Worship & Sacraments
- Faith Formation
- Parish Ministries
- Service & Outreach
- Child Care
Our parish emerged out of the St. Joseph planning effort of 1980. The consensus of the Catholic people of St. Joseph identified the need for a new parish east of I-29. So on July 18, 1981, a group interested in forming this new parish gathered for the first time at Bishop LeBlond High School.
The parish was established officially on February 12, 1982. Monsignor Emmett Summers and Father William Daly were assigned as first pastors. In its first three years, the community of Our Lady of Guadalupe grew from 75 families to 300 families! The first worship space was dedicated on September 16, 1984.
As the area continued to grow, so did the community of Our Lady of Guadalupe. Fr. Robert Murphy arrived as pastor in 1988. Subsequent to his arrival, the initial parish debt was retired.
As the growth in the area continued, however, the need emerged for an even larger worship space, meeting area, and classrooms.
Therefore, in 1994 another building and capital campaign began. After a couple of years of planning, visioning, and hard work, the newly renovated worship space and facility were dedicated on September 7, 1996.
Along with this expansion, new parish staff were added and ministries were developed in order to meet the needs of the dynamic, growing population east of I-29.
Fr. Greg Haskamp was pastor from 1998 to 2005. During those seven years, ministries continued to thrive, the parish debt balance dropped below $1,000,000 and the people of Our Lady of Guadalupe Parish continued to embrace the mission of the parish with enthusiasm, generosity, and faith.
In July, 2005, Fr. Tom Ludwig was appointed pastor of Our Lady of Guadalupe Parish. During those eight years, the parish debt was completely retired and several improvements were made to our facility including the addition of a light-enhancing glass wall in back of the Worship Space. The parish mission statement became more clearly defined to image the Blessed Mother of Our Lady of Guadalupe and parish ministries continued to thrive.
In July 2013, our parish welcomed Fr. Christian Malewski as our pastor.
We look forward to our future together as we continue to grow in our relationship with the Lord and with one another!


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Spin Cycle: Noel Gallagher's High Flying Birdsby Jesse on Nov 2, 2011 • 9:30 am 2 Comments
I'm pretty sure that I've written on here about music that is so good it makes the hairs on the back of your neck stand up as you uncontrollably well up with tears. If I haven't yet, then Noel Gallagher's solo debut would be the best example of this phenomenon. From the second the first chord is struck in "Everybody's On The Run" a mood is created. It's a feeling of joy and wonder beyond anything that Oasis ever set out to achieve.
I owe my wife a huge apology. You see, in our household I've always been Team Liam and she's always been Team Noel. I mentioned that after the second single, "AKA…What A Life!", I was leaning towards her team but after hearing the full-length, I'm definitely switching. It's incredible to think that with just 10 songs, Noel Gallagher has completely eradicated the existence of his brother's band and the latter half of the Oasis catalog. This is not an understatement, folks.
Opening with the fantastically grandiose "Everybody's On The Run", the elder Gallagher proves the first of three very important things: he is definitely the stronger songwriter. Point two: he can still wail on the guitar. Just check out his work on the trippy "(I Wanna Live In A Dream In My) Record Machine" or "(Stranded On) The Wrong Beach". Point three: Noel Gallagher can most certainly carry an album all by his lonesome. If you're not convinced by the time the legendary "Stop The Clocks" closes out the album, then you'd better just crawl back to your Beady Eye LP.
I think if I had heard first single "The Death Of You And Me" in the context of High Flying Birds, I would've liked it a lot more right off the bat. In here (Especially alongside the equally Western movie flavored "Dream On") it works really well but as an introduction to this unequivocal masterpiece, it's a little shaky. Speaking of singles, the piano-laden pinnacle of High Flying Birds, "AKA…What A Life!" is still such a great song even after listening to it at least twenty five times while reviewing this.
Contemporaries like Ian Brown and Richard Ashcroft are sure to be nodding their head in approval and clapping feverishly from the back of the room as Noel Gallagher takes the High Flying Birds on the road in the coming weeks.
Noel Gallagher's High Flying Birds is out now overseas, November 8th in North America. Catch him while you can on tour.
Grade: A+


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All Leather Motorcycle Jacket Brand New
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Skip to comments.New poll shows Cuomo with 33-point lead over Paladino (Smoking Crak Alert!)
Posted on 09/23/2010 6:51:54 AM PDT by frogjerk
ALBANY - Maybe Carl Paladino shouldn't get his hopes up after all.
A day after a statewide poll showed Paladino within striking distance of Andrew Cuomo, another survey out today shows the Democratic attorney general with a runaway 33 percentage point lead over the bombastic Buffalo developer.
The Siena College survey found Cuomo with 57 percent of the vote to 24 percent for Paladino and eight percent for Conservative Party candidate Rick Lazio, who was crushed in the GOP primary to Paladino last week.
The poll found Cuomo leading Paladino and Lazio in all regions of the state including New York City, 69-14-8, the suburbs, 52-23-13, and upstate, 49-35-5.
Cuomo led the other candidates among independent voters, 51-27-7, and among Democrats, 78-7-5, while Paladino was ahead of Cuomo and Lazio among Republicans, 54-23-14.
Cuomo led among women, 61-21-8, and men, 52-28-8.
The poll found voters ranking Cuomo the most effective candidate on seven key issues including job creation, education, and controlling taxes.
They also said Cuomo has the right experience and know-how for the job of governor.
The new poll was in sharp contrast to yesterday's stunning Quinnipiac University survey which found Cuomo holding a mere 49-43 percent lead over the Tea Party-linked Paladino, until now a virtual political unknown who has used heated and insulting rhetoric to gain attention, including questioning Cuomo's manhood'' and threatening to take a baseball bat to Albany.
(Excerpt) Read more at nypost.com ...
So much for polls. What the hell is Lazio still doing in there? Don't dead guys know when to lie down?
33 points behind, ridiculous. I dont know if its 6 but certainly not 33. These folks think we are stupid.
Come on New York, get some cojones and Vote Paladino!!!!
"A day after a statewide poll showed Paladino within striking distance of Andrew Cuomo, another survey out today shows the Democratic attorney general with a runaway 33 percentage point lead over the bombastic Buffalo developer."
Another example of why I never pay a figs worth of attention to polls.
Sienna College has a poor track record for accuracy, by half.
Historically how accurate is Siena College polling versus Quinnapiac polling? (Just asking, as I truly do not know)
They're both garbage. But there is more than one poll to back up the Q poll.
This is the only one who added Lazio into the mix rather than a generic 'other', which accounts for some of the difference.
I see. Thanks! About the only poll I bother to look at in detail anymore is Rasmussen, only because he appears to be the most accurate.
"The two poll used different methodology with today's Siena poll surveying self-described registered voters while Quinnipiac sought out what it described as self-described likely'' voters."
Gosh, 2010 is the year of the living dead candidates. Lazio, Murkowski, Crist.....
Siena is so horrible, Pollster.com doesn't even bother to include them in their accuracy tabulations.
The only we can do about New York is to turn the federal spigot down as far as we can and make them pay for their stupidity....they only elect these bastards because they are on the government dole!
That's nothing. A Madame Zorba Seance poll showed Teddy Roosevelt leading both candidates by more than 311 percent among registered voters, Elvis impersonators, and the Undead.
Is this the first poll with Lazio as the Constitution candidate? That could change the numbers.
That's a typo. They meant to say Cuomo is up 63 points.
The poll found voters ranking Cuomo the most effective candidate on seven key issues including job creation, education, and controlling taxes.
And lets not forget housing. (/s)
Gotta practice my pinging skills! :-)
Please contact me if youre interested in being added on or taken off the Carl Paladino for Governor ping list. This looks to be a fairly high volume ping list for a while, probably until the election.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.


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If you plan on traveling to South Africa in the future with your kids, be ready for a headache! The Department of Home Affairs in South Africa recently started requiring unabridged birth certificates for any child under the age of 18 traveling into the country to prevent child trafficking. Knowing that this rule was in effect I prepared myself with Elara's birth certificate and went to the SF Vital Records office to make sure what I had was "unabridged" and acceptable. In the US, all birth certificates have the parents' names on them, and are therefore, unabridged. I was super vigilant and made sure I had all the proper documentation so we could go on our trip without a hitch!
Thinking I had everything I needed, we boarded our flight from SFO to London via Virgin Atlantic with no issues. Once we landed in London, our flight thru AirFrance denied us boarding, stating that our birth certificate wasn't enough since it didn't have my married name on it. Because my passport has my married name on it and the birth certificate has my maiden name on it, we were denied because they wanted the names to match on both documents. California birth certificates only state the mom's maiden name, there is nowhere to put your married name.
We had it filled it out in accordance to the state. However, the airline asked for a marriage certificate to prove my name change. I had a digital copy, since it's not a form I normally travel with. They wouldn't accept it. I also had an old expired drivers license with my maiden name and a new license with my married name, all of which were deemed inadequate enough to show that I was the same person listed in the birth certificate.
The attendants at the AirFrance gate weren't trained in what documents work so they sent us to the ticketing gate at Heathrow and pulled us and another family in the same situation as us, off the flight. The AirFrance ticketing center took no responsibility and sent us to Virgin Atlantic. Virgin put us up in a hotel and told us to come back the next day to see if South Africa's DHA would okay our documents over the phone. The Virgin Atlantic manager told us there would be a possibility of DHA okaying the documents but the immigration officers denying it, which made us even more upset! We could possibly be okayed and turned away at the last-minute due to the lack of communication between DHA and immigration. Meanwhile, we had to take our baby girl in freezing weather with no heavy jacket and wait for a hotel shuttle outside to go to bed at 11 PM at night. We had landed in London at 1 PM, so we were beyond frustrated and tired at this point.
The next day Virgin called DHA and in less than 10 minutes we were okayed. The manager at the ticketing gate said that AirFrance should have never denied us in the first place and that all our documentation was correct. This was so frustrating! We ended up losing 1 night at our Airbnb, our car rental (which doubled), and a day in Johannesburg. We sent AirFrance a complaint email asking for a check for the money lost since it's their fault for not allowing us on board even with the correct documents. I'll give you guys an update once I hear back!
Once we got into Johannesburg, guess what? No one even looked at the birth certificate twice to verify the parents! They looked at it to match the passport and baby's name and that's it. The immigration officer didn't even look at it for more than 10 seconds! Turns out airlines are fined ~$6K for every person that they bring into South Africa without proper documentation, making the airlines even more strict than the country!
The rules on the DHA website on what type of documentation is acceptable is vague and airlines are not properly educated on what is ok and what isn't. Especially since every country has a different birth certificate. After doing some research I found out that at least 10 families are denied entry into South Africa at Heathrow Airport per day! That's a lot of disappointed kids and tons of money lost!
My tip for any parent traveling there would be to bring your children's' birth certificates and your marriage license with you when you go! Push back if the airline says no and force them to call DHA's 24/7 hotline to get an okay. If AirFrance had just called DHA when we were about to board, we could have made our original flight. So push back if you have to and be informed!
Not that we're finally in South Africa, so far, the hassle was totally worth it!


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The gsg-9_ver2.zip file you have requested: Skins / Player / Skin Packs / GSG-9 Version - 1.15mb is not available. Perhaps try browsing all files for the game Soldier of Fortune II and upload any files you want to share or are missing. This is the only information we could locate:
This yet another skin pack made by -=Z3r0 c001=-. He has really out done himself this time :DHe has made a brillant skin pack that does away with the annoying prometheus skins and replaces em with these :)A job well done.A must have if you have all -=Z3r0 c001=-'s other skins :p
We recommend you return to the download list and browse the links from there. If the problem persists, contact us with the details.


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From Koo-poo-ah-soo to Quinoa there are many super-foods that have heralded from the rainforests of the world. Rainforest honey may not sound as exotic but its benefits are certainly on a par with some of the more outlandishly named fruits and foods to have come from the Amazon and other thickly treed rainforests of the world. The honey can be eaten or it can be used as a face mask which is said to be twice as good as normal moisturizers when it comes to getting rid of stretch marks.
What Are Free Radicals?
Free radicals are an ever present within the body, caused as a by-product of eating. They can prove harmful especially if they are found in too large a number. Unfortunately, the problem is further exacerbated by outside sources such as sun and pollution while lifestyle choices such as smoking can also cause a build up of free radicals in the body.
Free Radical Damage
Free radicals cause damage to the inside of your body. They essentially attempt to destroy cells and other natural and essential components of the body. Even a single, free radical can destroy protein molecules or a strand of DNA. In fact, they can kill or severely damage just about any cell in the body and they can lead to causes of cancer and stroke and will have a major hand in the signs of aging that a person endures.
The Role Of Anti-Oxidants
These free radicals are produced readily within the body. Even if you quit smoking and drinking, eat healthy, and exercise is a pollution free environment you will still be producing some free radicals. In this instance, your body should be able to take enough antioxidants from food and other natural sources to fight and defeat the free radicals and help prevent the potential problems that they cause but this isn't the case for everybody.
The Importance Of Anti-Oxidants
It is anti-oxidants that fight the free radicals in our body and this makes them an essential part of our everyday diet. While they are found, to some degree, in many different food types, there are certain products that are known to have a particularly high concentration of these anti-oxidants in order to help the body stave off the potential problems that they cause.
Rainforest Honey
Antioxidants can certainly help slow the signs of aging and have been shown to reverse them too. Wrinkles, stretch marks, and old looking skin can be reversed by supplementing or adding a greater concentration of anti-oxidants to the body. Rainforest honey is extremely high in anti-oxidants and is easy to add to your daily diet or health regimen.
The Benefits
The rainforest honey tastes great and is naturally sweet. It can be eaten like any other form of honey so can be added to toast, yogurt, cereal, or you can simply eat a teaspoon of the honey every day. Alternatively, you can use it to sweeten cooking and baking so that your food tastes great while offering you the additional health benefits and beauty treatment benefits that antioxidant rich honey like this has to offer. This isn't the only way that rainforest honey can be used to your benefit though.
Other Rainforest Honey Uses
A honey face-pack may sound like a sticky solution to the aging process but it has proven to be highly effective. In fact, when fighting stretch marks, rainforest honey has been shown to be twice as effective as moisturizers in aiding the skin. Rainforest honey can help prevent strokes and heart complaints, stroke, and wrinkles and the signs of aging making it an extremely powerful addition to your pantry.
About The Author: ThinkNatural.com has a selection of supplements and vitamins as well as high quality and highly beneficial rainforest honey that can help prevent a number of illnesses while helping you continue to look young too.


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Back in October, I started what I thought was the best idea EVER: To share my Instagram pictures a couple of times a month since I can't seem to find time to write! I decided to call it My Life In Pictures. You can see all of my previous posts here. So here's what I've been up to the last couple of weeks.
I got my office back! After almost a year of remodeling our entire downstairs, my office is no longer a storage space. I love this office and it's my own private space that makes me happy to be in. Bonus that I got a paint touch up and new flooring in there, too!
We've had amazing weather here lately, and even the evenings are outside-worthy. We've been hanging out in the garage (see below) or around the fire pit. The kids love it, we turn on music, and as you can see, a dance off usually ends up happening.
I couldn't get my wedding ring off of my fat finger, which had started swelling really bad and over the last few weeks had become very painful. I don't know if it's due to weight gain or if I hit it on something and it started to swell, but either way it really hurt. I tried everything to get it off.
My brother mentioned the string trick to get it off, but because of the knobs on the inside of my ring (to keep it from sliding around on my finger) it didn't work…which we only found out after the string was on and I thought my finger was going to blow up. Jason finally cut off the string and then the ring. It no longer hurts, but it's still healing.
Super Bowl! We had a little get together with some family and friends, and Ethan was SUPER excited because he team was playing. They didn't win, but he still had fun. And didn't Lady Gaga KILL IT with the National Anthem? And let's not even get started on how amazing Beyonce did…
Like I said the weather has been amazing here lately, and even though I love my office, I love this office even more! I'm sitting outside as I'm writing this.
For Super Bowl, we moved a TV into the garage and pulled our patio furniture in there. The kids love it, and so we're leaving it like this. We do it every spring and through the summer. It's fun to watch movies outside and the neighborhood kids all come down, too. Easy family fun nights!
For Valentine's Day, I bought Jason some yumminess from Cafe Du Monde in New Orleans…one of our favorite places in one of our favorite cities. The coffee is just as delicious as I remember, and I'm making the beignets as a treat this weekend.
Ethan was standing in the sun talking to me, and I just had to snap a picture of his cute freckles!
I need your help! I'm thinking of making this a bi-weekly or monthly link up. Would you participate?


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Hansun Hsiung
Hansun Hsiung trained at Yale, the University of Tokyo, and Harvard (PhD, 2016). He is a global intellectual historian whose work stands at the intersection of book history, media archeology, and the history of science. His works thus far have focused particularly on the networks and technologies that moved knowledge between Western Europe, the US, Japan, and China from roughly 1750–1900—a story that thrusts missionaries, opium smugglers, and pirate publishers alongside samurai-scholars.
Hansun is currently transforming this dissertation—"Republic of Letters, Empire of Textbooks: Globalizing Western Knowledge, 1790-1895"—into a book manuscript. Alongside, he is also engaged in a collaborative project that aims to trace the pre-photographic reproduction of scientific images across cultures and the role of non-verbal representation in fostering a consciousness of "global science." In the past his research has received the generous support of Fulbright Program and the Mellon Foundation.
Hsiung, H. (2017). The 'Circle of knowledge': radical commensurability and the deaf textbook. In E. Boehmer, R. Kunstmann, P. Mukhopadhyay, & A. Rogers (
Hsiung, H. (2012). Woman, man, abacus: a tale of Enlightenment. Harvard Journal of Asiatic Studies, 72(1), 1-42.Read more
Max Planck Institute for the History of Science
Boltzmannstraße 22
14195 Berlin


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Ugh I feel like crap today and my breakfast choice reflects that.
iced latte 90
scone: 460
breakfast cookie: 180
Turkey sandwich with 1 slice cheese, no dressing (made at home)-270
Baked Lays: 160
Nutrigrain bar: 140
Nutrigrain bar 140
Subtotal before dinner: 1440
L. wanted to go for a walk to Qdoba so we walked there and back. We both had free cupons for chips but I didn't have any of my own (I had like 5 of hers) and had diet coke instead.
rice: 180
lettuce (how many calories does lettuce have?)
dressing: 50
carrots: 70
total: 1740
Walk: not a very fast pace, but for 2.8 miles
So over all, not brilliant, but not horrid either.


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Grey leather bag
Code: 8BR60048CF049T
Shoulder bag with flap and lined interior with zipped pocket. Light grey leather Baguette with crystal appliqués. Fastening with double Fendi logo.
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January 19th, 2010 → 9:50 am @ donmcgrath
Correction: When I originally posted the profile of Bill Hansbury, I was under the impression that Bill owned the "Boston Bill" sunglass company. I was recently informed that this is not the case and that Greg Chewning owns the trademark and the sunglass company that goes by that name. To avoid this dispute, I have removed the […]
50 athletes over 50 &bill hansbury &boston bill &Cyclists &Distance Runners &don mcgrath &miracle &News
January 16th, 2010 → 6:55 pm @ donmcgrath
I attended an independent publishers meeting today and happened to meet an interesting guys by the name of John Mattson. John, whose age I don't know, but definitely over 50, recently published a book of adventures he has had over the years around the globe. The title is Dancing on the Edge of an Endangered Planet, […]
50 athletes over 50 &Adventure Sport Athletes &boomers &climbing &dancing on the edge &don mcgrath &john mattson &kayaking &News &skiing
January 14th, 2010 → 2:17 pm @ donmcgrath
Check out this New York Times article about some well-seasoned adventureres.
I want to be these folkes when I grow up. A 90 year-old wing-walker…How wild?
I'm getting ready to launch into a final edit and organize marathon, that starts tonight around 6pm mountain time and ends Sunday at midnight.
I plan on starting final formatting and editing […]
January 12th, 2010 → 9:31 am @ donmcgrath
Over the holidays I read three books that align well with my 50 athletes over 50 project. The first one I read is by Sandy Scott, a 69-year-old cyclist who has made a remarkable recovery from a neck breaking bike accident when he was 65. His book From Broken Neck to Broken Records tells his story […]
50 athletes over 50 &book reviews &don mcgrath &lee bergquist &News &sandy scott &tony naturale
January 10th, 2010 → 10:58 am @ donmcgrath
This video is from an interview with Eric Biedermann of Fort Collins, Colorado. This is my first experiment with video interviews and I hope you like it. Eric is a retired Lutheran minister and has lived in Fort Collins since he retired. His main sport is badminton, although his main form of conditioning is swimming. […]
50 athletes over 50 &athletes &boomers &don mcgrath &eric biedermann &fitness &fort collins senior center &health &News &Obesity
January 7th, 2010 → 8:27 pm @ donmcgrath
In general I try not to judge what others do, but I was so struck by this invention that I had to turn up the contrast on how lazy some of us have become. I can certainly understand how this system, which required significant R&D investment, would be useful for the disabled, but the suggestion […]
50 athletes over 50 &brain remote control &Cyclists &Distance Runners &don mcgrath &jane welzel &lazy &new decade &new years resolution &News &sandy scott
January 4th, 2010 → 10:40 pm @ donmcgrath
The following is a brief profile of one of the athletes I interviewed for my upcoming book.
While writing my book, I had put together a slide show, showing pictures of the athletes I interviewed, each with the athletes name, age, and location, as well as a quote from the interview. The most common reaction when […]
50 athletes over 50 &cheryl ragsdale &don mcgrath &martial arts &masters athletes &News &senior athletes &thatgirlisfunny.com
December 28th, 2009 → 12:47 pm @ donmcgrath
I am feverishly shoring up the copy and editing my new book entitled, "50 Athletes Over 50 Teach Us How to Live a Strong, Healthy Life." Below is the front cover design.
This book will not only feature profiles of 50 athletes as well as some featured interviews, but will also summarize observations and lessons that […]
50 athletes over 50 &athletes over 50 &don mcgrath &healthy life &masters athletes &News &senior athletes &strong
December 23rd, 2009 → 6:02 pm @ donmcgrath
The following is a brief profile of people I interviewed for my upcoming book about athletes over 50. Enjoy!
R.S. and Melody Mitchell, 61 and 54 respectively, live in Salisbury, Maryland and own and operate one of the largest martial arts schools in the country. R.S. learned martial arts from his father when he was very […]
50 athletes over 50 &athletes over 50 &don mcgrath &fitness &health &masters athletes &Melody Mitchell &Mitchell's martial arts studio &News &R.S. Mitchell &senior athletes &Uncategorized
December 18th, 2009 → 1:49 pm @ donmcgrath
I interviewed Bruce Runnels back in July (http://athletes.50interviews.com/2009/bruce-runnels-cycling-for-health-fitness-and-enjoyment/), and while I typically email the list of questions to interviewees ahead of the interview, I forgot in his case. The one question that Bruce had a hard time answering, and I would too without time to ponder it, is what his motto is. The following is what […]
50 athletes over 50 &50 interviews &athletes &bruce runnels &cyclist &Cyclists &interviews &masters athletes &mottos &News &senior athletes


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Back pain
Patient : I have pain in in back, my right side is tingling and feels a little numb. what could be the problem?
Doctor : According to your description this might be a Lumbosacral nerve root compression. Some of the major causes of acute an and chronic low back pain (LBP) are associated with radiculopathy (nerve compression). However, radiculopathy is not a cause of back pain; rather, nerve root impingement, disc herniation, facet arthropathy, and other conditions are causes of back pain..Lumbosacral radiculopathy, like other forms of radiculopathy, results from nerve root impingement and/or inflammation that has progressed enough to cause neurologic symptoms in the areas that are supplied by the affected nerve root. During the acute phase of the pain, the physical therapy is very important and involves the use of ultrasound, TENS, heat to control pain, teaching you back-protection techniques (e.g., proper lifting, posture awareness).
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CodePlexProject Hosting for Open Source Software
Jan 19, 2014
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Dec 9, 2013
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Mar 19, 2013
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first post: ptahmose wrote: Any specific feature you would like to see? Drop a note here!
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And so instead of building a powerful, unrelenting case for further fiscal easing, mainstream progressives are focused on the Fed, demanding that it do just as much to promote growth and employment as it does to promote price stability. How? By following Krugman's advice and "credibly committing to a higher inflation target," which, it is argued, will stimulate spending by lowering the real rate of interest. It's a policy recommendation that only an economist (or someone with enough credit hours to be dangerous) could conjure up. I almost hope the Fed tries it so that we can banish this proposal to the wasteland of failed policy recommendations (along with QE1, QE2 and Operation Twist). But millions of Americans are suffering and so I really do not want to see us pursue a losing policy just because the alternative looks like a political nonstarter.
The zero bound isn't the problem. Brazil's central bank has cut its policy rate by 400 basis points since August 2011. That's 4 percentage points in under a year! Meanwhile, growth continues to slow and inflation is falling. Why? Brazil isn't up against the zero bound (far from it, rates are at 8.5 percent). The problem is that monetary policy is a blunt instrument (at best). Committing to a higher inflation target isn't going to pull us out of the economic doldrums.Spotted the error? Kelton says an inflation target won't work, and cites Brazil, which did not adopt an inflation target. Instead, they cut rates. I agree, that's a blunt instrument, but it's nothing at all like adopting an inflation target.
Let's step back a second. A central bank has absolute, unquestioned control over the supply of currency. They can create arbitrary quantities of it at nearly zero cost. If they commit themselves in public to inflating that currency by some percent, and take serious steps to start up the presses, you'd have to be insane to bet against that inflation. Or, consider this analogy:
Imagine a situation in which you are the only person in the world who's capable of producing diamonds. But you also have the ability to produce arbitrary quantities of diamonds, at any time, instantly, and at zero cost. Now why on earth would anyone worry that you might be unable to reduce the price of diamonds? I think that if someone in that position said, "I want to make diamonds 25 percent cheaper and intend to do whatever it takes to make that happen" that the price of diamonds would fall more or less immediately by roughly 25 percent. After all, the magical diamond man has promised he's going to make this happen. You probably wouldn't need to do anything at all. To be sure, just to show the world that you're not a jerk and to maintain your credibility for the future it would probably be wise to follow-up the crash in the diamond futures market with the production of some actual new diamonds. So instead of diamonds, say you had the ability to produce arbitrary quantities of dollars….For how a bit more inflation might help the recovery, see here. Krugman's case is stronger than Kelton says, and she doesn't address how inflation helps erode the real value of debt, while strangely insisting that fiscal stimulus (more government spending) is the way to...help households deleverage.
Finally, Kelton also doesn't address what is probably the most effective action the Fed could take: namely, printing money and giving it out to everyone (or just electronically adding $10,000 or whatever to everyone's bank account). If we're still lagging in aggregate demand—meaning we don't have enough spending throughout the economy—then handing out money is about the most straightforward way to get some. It sounds crazy, which is probably why it's so politically implausible, but the economics are ironclad.
UPDATE: I should clarify that I'm not against fiscal stimulus either, just that monetary policy is also important, and does work. These are two great tastes that taste great together. Furthermore, there is a real danger than any economic recovery kicked off by fiscal stimulus would be strangled in a the crib by a Fed fanatically committed to 2 percent inflation uber alles.


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Program Manager, Facilities and Office Services
Develop and maintain written general office and facilities policies and procedures. Manage inventorying and shipping materials to HIMSS conferences and meetings with appropriate staff members. Train staff on shipping procedures and advise of most cost‐ effective method of shipping. Manage HIMSS landlord relationships and oversees special projects. Resolve facilities‐ related issues including electrical, mechanical and janitorial with the building or by bringing in appropriate vendors. Review lease terms and ensure compliance with leases. Oversee contractors for maintenance and repair services for facilities, furniture and equipment; orders and approves purchases of furniture and equipment. Select vendors for decorating and ensure maintenance of the property. Review the progress of all plans, projects, and assignments related to general office functions to accomplish the annual HIMSS goals and objectives according to budget. Supervise and execute all functions related to mail distribution, shipping/receiving, supplies, messenger/courier, reception, conference room. Interface with vendors to order and maintain services such as coffee, water, vending machines, etc. Maintain postage meter systems. Contact services for repairs, service upgrades, or problem resolution. Monitor utilization and prepare usage report history by service type. Ensure all mailroom equipment is up‐ to‐ date and operating efficiently. Conduct cost‐ benefit analysis to determine the need for new equipment and make recommendations to purchase or lease. Evaluate and manage shipping services for all locations. Serve as the Emergency Evacuation Captain for the Chicago office. Participate in business continuity planning. Develop and maintain emergency evacuation policy and procedures for all locations. Coordinate with staff in other locations for emergency evacuation procedures. Maintain all life‐ safety systems and ensure all emergency signage is working properly. Initiate bidding processes and negotiation of office service vendor contracts. Manage on‐ site and off‐ site storage activity. Manage, coach and develop staff to provide excellent customer service.


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Tributes to Morton
West Indies batsman Runako Morton has died following a car crash in Trinidad on Sunday night.
Last Updated: 05/03/12 12:14pm
West Indies batsman Runako Morton has died following a car crash in Trinidad on Sunday night.
The 33-year-old played in 15 Tests and 56 ODIs for the Windies, with his last appearance for his country coming against Australia in a Twenty20 international in 2010.
He averaged 22.03 in Tests with a top score of 70, while he had more success on the limited overs stage. He averaged 33.75, with the highlight coming with his unbeaten 110 against New Zealand in 2006.
England batsman Kevin Pietersen expressed his shock and sadness at the news on Twitter. He said: "My thoughts go out to Runako Morton's family this morning... Such sad news!! What a lovely guy & fierce competitor!! RIP bossman!!!'
West Indies' Chris Gayle tweeted: "We lost a True Warrior. W.I Cricketer Runako Morton - May his soul rest in peace! Our memories together Live On! My Condolences to his Family."
A tweet from the Board's official account read: "Our deepest condolences to Runako Morton's family. Such devastating and tragic news."


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The selection of patients for resective therapy, of hepatic colorectal metastases remains controversial. A number of clinical and pathologic prognostic risk factor have been variably reported to influence survival.
Between January 1981 and December 1991, 204 patients underwent curative hepatic resection for metastatic colorectal cancer. Fourteen clinical and pathologic determinants previously reported to influence outcome were examined retrospectively. This led to a proposed TNM staging system for metastatic colorectal cancer (mTNM).
No operative deaths occurred (death within 1 month). Overall 1-, 3-, and 5-year survivals were 91%, 43%, and 32%, respectively. Gender, Dukes' classification, site of primary colorectal cancer, histologic differentiation, size of metastatic tumor, and intraoperative blood transfusion requirement were not statistically significant prognostic factors (p > 0.05). Age of 60 years or more, interval of 24 months or less between colorectal and hepatic resection, four or more gross tumors, bilobar involvement, positive resection margin, Lymph node involvement, and direct invasion to adjacent organs were significant poor prognostic factors (p < 0.05). In the absence of nodal disease or direct invasion, patients with unilobar solitary tumor of any size, or unilobar multiple tumors of 2 cm or smaller (stages I and II) had the highest survival rates of 93% at 1 year, 68% at 3 years, and 61% at 5 years. Unilobar disease with multiple lesions greater than 2 cm (stage III) resulted in 1-, 3-, and 5-year survivals of 98%, 45%, and 28%, respectively. Patients with bilobar involvement (multiple tumors, any size, or a single large metastasis) (stage IVA) had survival rates of 88% at 1 year, 28% at 3 years, and 20% at 5 years (p < 0.00001). Patients with nodal involvement or extrahepatic disease (stage IVB) experienced the poorest outcome with 1-, 3-, and 5-year survivals of 80%, 12%, and 0%, respectively (p < 0.00001).
The proposed m TNM staging system appears to be useful in predicting the outcomes after hepatic resection of metastatic colorectal tumors.
Although it is clear that hepatic resection for metastatic colorectal cancer can be performed quite safely, there is still controversy regarding patient selection.1–3 Previous studies reported that 5-year survival rates (rarely observed without resection) range from 16% to 52%.1–13 Many have addressed the in influence of various clinical and pathologic parameters on the outcome or resective therapy, but the results vary considerably from study to study.
We have reexamined our 204 consecutive patients who underwent hepatic resection for colorectal metastases during the last 11 years to identify clinical and pathologic prognosticators.
Metastatic tumor characteristics were further examined by utilizing a TNM staging system modified from the International Union Against Cancer (UICC) and The American Joint Committee on Cancer (AJCC) recommendations for primary hepatobiliary tumors.14 The results of this analysis will hopefully provide additional guidance identifying the patients most likely to benefit from surgical intervention and also help identify those at high risk for recurrence.
At the University of Pittsburgh Medical Center 204 patients underwent hepatic resection for metastatic colorectal carcinoma during an 11-year period from January 1981 to December 1991. These were all attempts at curative resection. The 130 men and 74 women ranged in age from 28 to 79 years with a mean age of 58.5 years (median, 60 years). Patient follow-up as of December 1993 ranged from 24 to 130 months (median, 69 months).
The interval between resection of the colorectal primary tumor and hepatic resection ranged from −6 months (primary not discovered until after resection) to 228 months with a median of 16 months. Two patients had Dukes' A primary tumors, and 53 had Dukes' B. Dukes' C tumors comprised the largest group with 93 patients, and 56 patients had synchronous hepatic metastases. Most patients with Dukes' D tumors (synchronous metastases) underwent hepatic resection within the first 3 months; however, nine patients were not referred or evaluated until after this interval.
Major hepatic resections were performed in 171 patients (84%). Of the 115 patients having right or left lobectomies. 96 patients underwent standard lobectomies. 15 had wedge resections in addition to lobectomy, three patients had "extended" lobectomies, and one patient had multiple wedge resections with a right lobectomy. Fifty-five trisegmentectomies were performed with 47 right and 8 left.8
Ninety-one patients had solitary lesions. 15 of which had minor resections and 76 required either lobectomy (n = 54) or trisegmentectomy (n = 22). Multiple metastases were resected in the remaining 113 patients with 40 having four or more lesions (range, 4 to 11 lesions).
A retrospective review of all available inpatient and outpatient records including operative and surgical pathology reports was performed. Patient follow-up and outcome were documented by clinical visits, telephone interview, or correspondence.
The following clinical and pathologic risk factors were examined for prognostic influence: gender, age, interval between colorectal and hepatic resection, Duke's stage, site of colorectal primary tumor, histologic differentiation of the secondary tumor, number of metastases, tumor size (largest nodule diameter), unilobar or bilobar disease, type of hepatic resection, margin of resection, involvement of lymph nodes or contiguous structures, and intraoperative blood transfusion.
Survival time was calculated from the date of hepatic resection until death and disease-free survival from the date of hepatic resection until the time of tumor recurrence. Survival curves were generated by using the Kaplan-Meier (product-limit) method and were compared by using the generalized Wilcoxon (Breslow) test. Univariate Cox's proportional hazards model was used to calculate the relative risk (RR) of mortality and tumor recurrence and 95% confidence intervals. Patients alive as of December 31, 1993, were right censored at time of follow-up. A multivariate stepwise Cox's regression analysis (backward elimination method) was performed to identify factors that were independently associated with tumor recurrence and mortality. A p value <0.05 was considered statistically significant.
The overall survival was 91 % at 1 year, 43% at 3 years, and 32% at 5 years (Fig. 1). Median survival was 33 ± 2.22·(± SE) months. There were no deaths within the first 30 days of operation and only two deaths (1 %) within the first 120 days. As of December 1993, 72 of the 204 patients were alive and 50 patients were disease free at a mean of 65.1 ± 32.4 months (median, 62.5 months) after hepatic resection. Twenty-two patients were alive with recurrent disease at a mean of 20.7 ± 12.9 months (median, 18.5 months). Death with recurrent disease occurred in 124 (61 %) patients. Eight (4%) patients died free of disease at a mean of 27.9 ± 30.9 months (median, 13.5 months) after hepatic resection.
The actuarial overall and disease-free survival rates, stratified according to patient and primary tumor characteristics, are shown in Table I. Gender, incremental disease-free interval, site of primary tumor, and Dukes' stage were not correlated with patient survival. Patients older than 60 years of age and patients with a less than 24-month interval between colorectal and hepatic resection experienced a poorer outcome (p < 0.05).
When disease-free survival rates were examined, men appeared to have longer recurrence-free survival. Early primary tumor stage (Dukes' A or B) and more than 24-month interval between colorectal and hepatic resection were also found to be associated with longer disease-free survival. The remaining factors were not found to be significant predictors of disease-free survival when subjected to univariate analysis (Table I).
A number of hepatic metastasis features were found to affect patient and disease-free survival (Table II). The size (largest diameter) and differentiation of the metastatic tumor did not influence outcome when subjected to univariate analysis.
Patients with unilobar disease experienced superior patient and disease-free survival when compared with patients with bilobar disease (p < 0.0001). Of the 80 patients with bilobar disease, 52 (65%) had lesions requiring trisegmentectomy. The remainder underwent extended lobectomy (3), lobectomy plus wedge resection (16), or multiple wedge resections (9).
A positive resection margin was associated with an extremely poor outcome with a patient survival rate of 88% and 12% at 1 and 3 years, respectively. Most patients with positive margins had major hepatic resections (seven lobectomies, eight trisegmentectomies), and 13 (76%) of 17 had bilobar disease. Patients with resection margins of 1 mm to 1 cm and greater than 1 cm had similar 5-year patient and disease-free survival rates.
The extent of hepatic resection was associated with disease-free survival (p = 0.014); however, it was only marginally associated with patient survival (p = 0.058). Most patients underwent right or left lobectomy (n = 115). The second largest group (n = 54) underwent either right or left trisegmentectomies. These two groups of major hepatic resections had 5-year survival rates of 39% and 21 %, respectively. The bilobar tumor distribution of 16 patients required wedge resections in addition to lobectomy. The median survival in these patients was 18 months, which was considerably worse than the 43-month median survival rate for those requiring lobectomy alone (p < 0.0001). Patients with minor resections (wedge resection and left lateral segmentectomy) had expectedly higher 5-year patient and disease-free survival rates of 46% and 49%, respectively. Those who required multiple wedge (or segmental) resection (n = 9) fared significantly worse with a 3-year survival rate of only 33% and none at 5 years (p < 0.05). All of these patients had bilobar disease, and one third had positive margins or involvement of adjacent structures.
The number of metastatic tumors in the liver was found to be associated with both disease-free and patient survival. Patients with solitary lesions fared best with a 5-year survival of 45%. Survival rates for patients with multiple tumors, especially those with four or more, were significantly less (p < 0.003). Of the 40 patients with four or more lesions there were four patients with positive margins and six patients with nodal involvement or extrahepatic disease. The majority (29 of 40, 73%) had bilobar disease, and 37 required major hepatic resections (22 lobectomies and 15 trisegmentectomies).
Data on intraoperative transfusion were available for 182 of the 204 patients. The mean transfusion requirement for hepatic resection in this series was 3.68 units (± 4.1 units) of packed red blood cells with a median of 3 units. Forty patients (20%) did not receive a transfusion. Most of these patients underwent wedge resection, left lateral segmentectomy, right lobectomy, or left lobectomy (Table III). Almost all patients requiring blood (1 or more units) underwent major hepatic resections (78 right or left lobectomies, 45 trisegmentectomies). When subjected to univariate analysis, there was no significant difference in survival (p = 0.776). The 5-year survival rates of patients receiving 0, 1 to 5, and 6 to 10 units of blood were similar at 46%, 35%, and 41 %, respectively.
The interrelationship between tumor distribution, number of metastases, tumor size, and disease not confined to the liver was examined in accordance with a proposed TNM staging system for metastatic colorectal cancer (mTNM). (Table IV). Unilobar disease is confined to stages I through III, with bilobar disease and disease outside the liver comprising stages IVA and IVB, respectively. The actuarial patient and disease-free survivals correlated well with the proposed mTNM staging system (Fig. 2). Patients with stage I and II disease (n = 67) had the best patient and disease-free survival at 5 years of 61 % and 40%, respectively (p < 0.0001) (Table II). Patients with extrahepatic lymph node involvement or invasion of contiguous structures experienced expectedly poorer survival rates, and recurrent (or perhaps persistent) disease was ubiquitous.
Tumor size, unilobar or bilobar disease, and lymph node involvement were excluded from the multivariate analysis because the combination of these factors defines mTNM staging. They were excluded to avoid problems related to multicollinearity of risk factors.15 The results of the multivariate analysis of mortality and tumor recurrence are shown in Tables V and andVI,VI, respectively. The following factors were found to be independently associated with tumor recurrence: number of tumors (four or more), involved margins, and mTNM stages IVA and IVB. Similar results were obtained when analyzing mortality. Involved margins and stages IVA and IVB disease were found to be independent prognostic factors. Stage III disease was also found to be significant, whereas the remaining factors previously examined were not found to be significant in a multivariate context.
A number of staging systems have been described for metastatic colorectal cancer to the liver.16–19 Each has supportive data that have promulgated their use as significant prognosticators by their respective authors. Unfortunately, no system has been widely adopted to allow comparisons among studies. The application of Fortner's revised staging system to our series would result in the vast majority of patients being categorized as stage I because of the small number with regional or extrahepatic disease (stages II and III).17 Our present analysis supports the further staging of disease confined to the liver (with complete extirpation) and its prognostic significance. Gennari et al.18 and Doci et al.19 suggested the use of a system more akin to TNM staging that took into account multiplicity and distribution, but the extent of liver involvement (percentage of parenchymal disease) was used rather than tumor size. We believed that tumor size, as measured in centimeters (maximum nodule diameter), and unilobar or bilobar involvement were more readily reproducible and applicable. After we analyzed the commonly reported potential risk factors influencing survival and recurrence, we applied a proposed mTNM staging system for hepatic metastatic tumors (Table IV). In our series of 204 patients the correlations to both overall and disease-free survival were shown to be highly statistically significant. In addition, the variables used in the staging system were all significant prognosticators when subjected to univariate analysis. The interrelationship among tumor size, multiplicity, and distribution is well illustrated by the proposed mTNM staging system, and it in turn reflects the influence of tumor burden on patient survival.
A number of studies have suggested that the presence of four or more metastases is a particularly adverse prognostic factor, but this has not been a consistent observation.5, 7, 13, 16, 20–22 In our previous report5 we had only seven patients with four or more lesions, and none survived more than 3 years. However, the results of this current analysis are statistically more compelling. The observed 20% 5-year survival rate of these patients argues against considering this an absolute contraindication to resective therapy. In contrast to the findings of Scheele et al., 4 we found that bilobar distribution of metastases had a significant deleterious effect on overall and disease-free survival. Interestingly, 29 of 40 patients with four or more lesions had bilobar disease as did the majority of patients with large metastases (10 to 20 cm). Consideration of tumor size alone did not reveal prognostic significance, but the consequences of size with respect to tumor distribution and requirement for more extensive (bilobar) resections were observed to be important.
A multiinstitutional retrospective review from the Registry of Hepatic Metastases found that resection margins of less than or equal to 1 cm had a negative effect on long-term survival. It is notable that resection margins were not available for most patients in their series and patients with positive margins were grouped with those having margin widths of 1 cm or less.7 When grouped separately we found no significant difference in survival rates unless the margin exhibited residual tumor. A positive resection margin was a powerful predictor of patient survival and recurrence in both a univariate and multivariate context. These observations were not surprising because residual tumor constitutes surgical treatment failure from the outset and outcome is expectedly poor.
Some reports have observed lower survival rates in older patients, but they did not approach statistical significance.5, 7 Although we found that patients who were older than 60 years had somewhat poorer survival rates, the risk of recurrence was similar to those younger than 60 years of age.
The metastasis-free interval after resection of the colorectal primary tumor appears to be an important prognostic factor. The Registry of Hepatic Metastases study by Hughes et al.7 found that a disease-free interval of less than 1 year was associated with inferior survival rates. Our analysis of incremental increases in disease-free interval revealed a trend for improved survival with increasing time. Patients with disease-free intervals of more than 24 months had superior overall and disease-free survival rates. It would appear that a longer metastasis-free interval connotes more favorable tumor biology and outcome.
In contrast to other previously reported studies we did not find metastatic tumor size, Dukes' stage, tumor differentiation, or amount of blood transfused to be significant prognostic factors.6, 7, 11, 16, 19, 20, 23
The data from this updated series of hepatic resections for metastatic colorectal cancer affirm our resolve to continue an aggressive surgical approach to this disease. In addition to examining the influence of traditionally reported prognostic factors we classified our patients with a simple mTNM staging system. The resultant analysis revealed this staging system to be a significant prognosticator for both survival and recurrent disease. Its application would more readily allow comparisons among studies and allow for prospective evaluation of the staging criteria and the role of adjuvant treatment strategies. Further refinements of staging criteria could evolve to include biologic, molecular, or genetic factors in addition to the anatomic extent of disease, which is the primary basis for TNM staging at present.
Presented at the Fifty-first .annual meeting of the Central Surgical Association, Chicago, Ill., March 3–5, 1994.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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McEwen claims first stage amid Tour Down Under chaos
Queensland sprint star Robbie McEwen took out the first stage of the Tour Down Under amid chaotic scenes in front of an estimated 60,000 spectators on the streets of Adelaide on Tuesday evening.
The 2002 Tour de France green jersey was part of a 12-man breakaway that lapped the field half way through the 25th and final lap of the 50-kilometre street race.
The breakaway had expected the rest of the field to be pulled out of the race, but as they headed for the finish line they found they had ridden into the rear of the field with nowhere to go.
McEwen broke through the confusion and sprinted to the line ahead of Dutchman Rudi Kemna, with New South Welshman Mark Renshaw in third place.
The sprint confusion left fiery Australian rider Graeme Brown - a long-time rival of McEwen's - in fourth place, and lashing out at race organisers.
"I can't believe that happened in a UCI (International Cyclist's Union) categorised race," he said. "We were racing inside the bunch and we lapped 'em, they should be out, and I think today was a joke."
The Tour was dealt a blow before the start with one of the race favourites, Sydney's Brad McGee, dropping out with food poisoning.
Wednesday's second stage will be raced over 157 kilometres from Norwood to Kapunda.
Topics: cycling, adelaide-5000
First posted


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There's no shortage of bars to choose from in Newport Beach or Costa Mesa. But if there's one place we could always count on for stiff drinks and sloppy good times on the dance floor, it was Pierce Street Annex. Hopefully you found yourself at the 17th street watering hole at some point this past weekend, if not, you won't have the opportunity again. On Sat. Jan 7 after everyone paid their tabs and the bouncers kicked them out, the doors closed permanently. And people are not happy about it.
"I don't come out a lot but when I do its fun to come here, so it's sad," says Jenna Etherington of Mission Viejo. "I will miss being able to come here and dance, they have good music."
Over the past 41 years the bar has changed hands, but the current owner Mario Marovic decided to shut it down while they make plans for a complete renovation for their new venue called The Country Club. Think more upscale, early 1900s country club, with a look and feel that wouldn't be out of place in "The Great Gatsby," Marovic told The Daily Pilot. The biggest change on tap is converting the establishment into a full-menu restaurant. While The Country Club will still offer music and dancing, Marovic told the Piolt those will be secondary to food and drinks. However, the folks who showed up last weekend seem to like the old bar way it is.
"It's completely changing the vibe," says local customer Alyssa Swatek. "From what I heard it's going to be like a country club type, which is complete opposite of what Pierce Street is right now, so we don't even know if we're gonna go to this next country club."
On a Friday or Saturday night you would always find the DJ played a combination of Top 40, old school hip-hop, and took song requests to keep people on the dance floor. He made sure to make special shout outs while you enjoyed your free birthday shot and your friends stood around you cheering. But if dancing wasn't your thing the three coin-operated pool tables made it easy to get a couple games in. The diverse crowd allowed comfort for almost anyone, even those who brought their own dinner to prepare themselves on the patio grill. A little nontraditional, but at least you never worried about your meal being cooked wrong.
"I love the diversity of the building," says Helen McBride of Costa Mesa. "You can play pool here, you can hangout outside and have a cigarette, you can go grab a drink inside and there's all ages [over 21] here. You never know what you're gonna have or who you're gonna meet at Pierce Street."
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When Pierce Street posted that the venue was officially closing on social media last Friday, instantly their page was flooded with stories about people's best memories, including their love stories that were sparked on the dance floor and friendships made. The talk of their epic Halloween parties will just be "remember whens" now, with no excitement for the years to come. One guy helped build the DJ booth in 1980 and has been married his co-worker from there for 35 years now, and he's not the only one.
"My parents met here and all their friends, everybody," says Kaitlyn Tona of Costa Mesa. "They come here all the time and I meet them for happy hour from time to time."
Photos from years ago at the bar were posted and many sad faces too, no one claimed to know the reason for the upcoming makeover but for one's favorite bar, that's irrelevant. The speculation is that the renovation will take at least eight months to complete. People say they love coming to Pierce Street and they don't want things to change, but even if their voices mattered it's too late anyway.
"I love fucking Pierce Street I mean it's the best spot around here," says Kyle Borrowman of Dana Point. "Pierce Street is the most awesome thing about this neighborhood, so it sucks. I mean do you want to come hang out at the country club? Cause I don't."


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