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Arthritis Health Center
Raynaud's Phenomenon - Topic Overview
What is Raynaud's phenomenon?
Raynaud's (say "ray-NOHZ") phenomenon is a problem with blood flow. Your body doesn't send enough blood to your hands and feet, so they feel very cold and numb. In most cases, this lasts for a short time when your body overreacts to cold temperatures.
There are two kinds of Raynaud's phenomenon. Primary Raynaud's is also known as Raynaud's disease. It occurs on its own and is the most common form. Secondary Raynaud's is also called Raynaud's syndrome. It most often forms as part of another disease.
People may not talk to a doctor about symptoms of Raynaud's. For most people, it is more of a nuisance than a disability.
What causes Raynaud's phenomenon?
Primary Raynaud's has no known cause. Secondary Raynaud's may be a symptom of another disease such as lupus, scleroderma, rheumatoid arthritis, or atherosclerosis. Taking certain medicines, using vibrating power tools for several years, smoking, or having frostbite may also cause Raynaud's.
Certain things, such as stress and taking certain medicines, can trigger an attack. But the most common trigger is exposure to cold. In the cold, it's normal for the body to narrow the small blood vessels to the skin and to open the blood vessels to the inside parts of the body to keep the body warm. But with Raynaud's, the body overreacts and restricts blood flow through the small vessels to the skin more than necessary.
What are the symptoms?
During an attack of Raynaud's, the body limits blood flow to the hands and feet. This makes the fingers or toes feel cold and numb and then turn white or blue. As blood flow returns and the fingers or toes warm, they may turn red and begin to throb and feel painful. In rare cases, Raynaud's affects the nose or ears.
An attack most often lasts only a few minutes. But in some cases it may last more than an hour.
How is Raynaud's phenomenon diagnosed?
To diagnose Raynaud's, your doctor will ask you questions about your symptoms and past health. He or she will also do a physical exam. Since Raynaud's attacks are so sudden and brief, your doctor probably won't get to see you have an attack. So your doctor will want you to describe what happens to you during an attack.
There are no simple tests that your doctor can use to see if you have Raynaud's. You may have a blood test or other tests to rule out certain diseases that may be causing your symptoms.
How is it treated?
If you have secondary Raynaud's that is caused by another disease, your doctor can treat that disease. This may relieve your symptoms.
There is no cure for primary Raynaud's, but you may be able to control it by avoiding the things that trigger it. These triggers include cold temperatures, stress, smoking, caffeine, cold medicines with pseudoephedrine, and beta-blockers. But don't stop taking prescribed medicines unless you talk to your doctor first.
WebMD Medical Reference from Healthwise


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INDIVIDUAL RESEARCHERPaul W. Gudewicz , Ph.D.
e-mail: firstname.lastname@example.com
Education1975 - Ph.D. from Loyola-Stritch School of Medicine
Current Research
The directed migration of leukocytes into a site of inflammation is determined in part by a class of small molecular weight proteins called chemokines. In addition, extracellular matrix proteins also influence the behavior of leukocytes migrating into tissues via ligation of integrin receptors. Previous studies in our laboratory have demonstrated that cell-binding fragments of the extracellular matrix protein fibronectin inhibited the migration of human neutrophils to the neutrophil specific chemokine, Interleukin-8 (IL-8). We hypothesize that cell-binding fragments of fibronectin interact with integrin receptors on the neutrophil resulting in a desensitization of IL-8 receptors. We are investigating the mechanism of integrin receptor mediated desensitization of chemokine receptors by examining signal transduction of IL-8 receptors stably transfected in a cell line. The potential crosstalk between integrin and chemokine receptors is clearly important in furthering our understanding of the control of leukocyte migration and activation in chronic inflammatory responses.
- Richard, C.A.H., Gudewicz, P.W. and Loegering, D.J. (1999) IgG-coated erythrocytes augment the lipopolysaccharide-stimulated increase in serum levels of tumor necrosis factor-alpha. Am. J. Physiology 276:R171-R177.
- Stanton, K., Frewin, M.B. and Gudewicz, P.W. (1999) Heterologous desesitization of Interleukin-8 mediated chemotaxis in human neutrophils by a cell-binding fragment of fibronectin occurs via phosphorylation of the Interleukin-8 receptor. J. Leukocyte Biol 65:512-522.

subset: commoncrawl


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What is it that causes a great script to stand out against all the rest? Why do some scripts seem to pale in comparison to others, even if both capture an interesting story?
Three titans of cinema discuss the tools they use to bring a script life with rich characters, authenticity, and memorable dialogue.
Shane Black, Richard Linklater, Tim McCanlies
Moderator: Tom Schatz
Listen to a podcast of the panel.


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I get an error that says : "cannot contact reliable source" while trying to install Adobe Reader, the first time I hit "finish" and got message unsuccessful installion? what can I do?
Moving this discussion to the Adobe Reader forum.
You can try downloading the Reader installer from here:
i have tried that as well and still get the same result.
You mean that when you try to download following the link in message #2, you get the same message than the original poster?
yes exact same message.
What is the name of the installer you downloaded from Claudio's link?
Me too, the same Error Message,what can i do now?


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Bread and Roses
Bread and Roses is a collective of women identified radio activists. We offer feminist public affairs programming. We give voice to those working for social justice and equity, globally and locally. We strive to challenge systems of oppression. All this, and we have fun!
Bread and Roses highlights the achievements of women artists, activists, athletes, scholars and innovators.We strive for programming excellence and collaborative efforts, providing access and training to women.
Coming Soon
Maddie See, LCSW and Therapist
New Bread and Roses host, Del Criscenzo interviews Madleine See. Maddie is a community member who has chosen the un-easy career of social work. Born and raised in Idaho, Maddie moved to Portland 11 years ago to attend school. She received her bachelor in Social Work from the University of Portland and her Master's degree of Social work from Portland State University. Maddie is a licensed clinical social worker or LCSW who has worked as a child therapist for the past 5 years providing intensive services.
She discusses with us her choice of career and the challenges of social work. She also shades some light on children mental illnesses and shares with the audience important information about community resources available to families.
- Year: 2012-01-14T19:18:56-08:00
- Length: 45:18 minutes (103.69 MB)
- Format: MP3 Stereo 44kHz 320Kbps (CBR)
- Download audio file
- Login or register to post comments
2011 Feminist Year in Review
Del Criscenzo and Ashley Thirstrup are celebrating the milestones in Feminism during 2011. Listen to the show to hear about some incredible women who have made history this year including hearing clips from Asmaa Mahfouz who is credited by many as starting the Arab spring in Egypt, as well as from the three amazing women who won the 2011 Nobel Peace Prize. The show discusses some inspiring stories of people rising up to defeat anti-women measures in government, as well as celebrate the lives of feminist she-roes we have lost this year.
- Year: 2012-01-03T17:37:15-08:00
- Length: 45:10 minutes (103.4 MB)
- Format: MP3 Stereo 44kHz 320Kbps (CBR)
- Download audio file
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A 2 part show exploring how feminism has changed over the years.
- Title: Bread and Roses
- Year: 2012-01-03T17:31:14-08:00
- Length: 49:51 minutes (114.09 MB)
- Format: MP3 Stereo 44kHz 320Kbps (CBR)
- Download audio file
- Login or register to post comments
Forgiving the Unforgivable
Forgiving the Unforgivable? We explore Gov. Kitzhaber's recent decision to halt executions in Oregon with author Naseem Rakha whose book The Crying Tree grew out of her experiences as a journalist covering Oregon's last executions, and her research speaking with crime victims and Death Row inmates. Learn more: naseemrakha.com
- Title: Forgiving the Unforgivable
- Producer: Lela Prewitt
- Length: 60:22 minutes (55.28 MB)
- Format: MP3 Stereo 44kHz 128Kbps (CBR)
- Download audio file
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An Evening with Lidia Yuknavitch, Author of 'The Chronology of Water'
Bread and Roses hosts Leigh Anne Kranz, Delphine Criszensco and Ashley Thirstrup interview Lidia Yuknavitch, a local writer, teacher, activist and feminist. She is the author of three works of short fiction and literary criticism. She is an Instructor of English and Women's Studies Advisor at Mt Hood Community College.
Her recent memoir, The Chronology of Water: A Memoir is a personal story, though universal. She was born to an angry man's house, where tears got her sent to the crybaby corner and her voice left for years. She found solace in her sister and swimming, water and words, and a journal hidden under her bed, writing her voice back.
Water got her out of that house, a swimming scholarship to Texas Tech, sheer propulsion of body and will. It was a narrow escape. With rage to burn, she rebelled in the ways that hurt women do, using her body as a battering ram to feel nothing.
The stillbirth of her firstborn, a daughter, finally made her go numb.
It was water and rocks, good mentors and men, art and words, that introduced her to her intellect and made her feel—and write. She found her tribe, gave birth to a son, and made her own happy home.
A universal hero's journey.
Lidia discusses the memoir, as well as her latest literary works.
- Artist: Butio
- Title: 1
- Album: tw
- Genre: Dance & House
- Length: 53:31 minutes (61.25 MB)
- Format: MP3 Stereo 44kHz 160Kbps (CBR)
- Download audio file
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Nada Alwadi on democracy movement in Bahrain
Nada Alwadi is a young journalist from Bahrain who has covered the Arab Spring, politics and human rights issues since 2002. She has degree in communication from the University of Maryland and was a Fulbright scholar. In April she was detained while covering the pro-democracy movement in Bahrain. She was forced to sign a statement saying that she would stay away from politics and she was fired from her job. She left Bahrain shortly after that in fear for her safety.
She spoke at the Native American Center at Portland State University on Nov. 17 at 6 pm.
Hosted by Gabriele Ross.
- Artist: Bread & Roses Collective
- Title: An interview about Bahrain's uprising with Nada Alwadi
- Date: Nov. 12th
- Genre: Public Affairs
- Year: 2011
- Producer: Gabi Ross
- Length: 24:23 minutes (33.49 MB)
- Format: MP3 Stereo 44kHz 192Kbps (CBR)
- Download audio file
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Finding Bread and Angels in Syria
In Syria, after 9/11, author Stephanie Saldana encounters a multi-ethnic country of many faiths, quite the opposite of the Axis of Evil portrayed by George Bush. And as she embarks on a spiritual quest, she discovers something quite unexpected. Poet Naomi Shihab Nye says Saldana's book The Bread of Angels is "a love letter to the Middle East and to one's own entire life, replete with doubt and fear, faith and deep connection."
- Title: syria interview
- Length: 25:09 minutes (28.79 MB)
- Format: MP3 Stereo 44kHz 160Kbps (CBR)
- Download audio file
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A Lecture with Annie Murphy Paul - Origins: How the Nine Months Before Birth Shape the Rest of Our Lives
Recent scientific data suggests that low birthweight babies have a 5 times higher risk of developing cardiovascular disease later in life. In light of these discoveries, many politicians are still pushing to cut programs promoting maternal health, such as WIC - Women, Infants and Children program. Bread and Roses host Ashley Thirstrup brings you a special lecture by Annie Murphy Paul, author of Origins: How the Nine Months Before Birth Shape the Rest of Our Lives. She'll tell us how she ventures into the laboratories of fetal researchers, interviews experts from around the world, and delves into the rich history of ideas about how we are shaped before birth.
- Artist: Hanns Dieter Hüsch
- Title: Mein Traum vom Niederrhein
- Album: Mein Traum vom Niederrhein (3. Auflage 2006)
- Genre: Pop
- Year: 1996
- Length: 32:06 minutes (36.74 MB)
- Format: MP3 Stereo 44kHz 160Kbps (CBR)
- Download audio file
- Login or register to post comments
A discussion on the crisis of white masculinity
A discussion on the crisis of white masculinity
Quite a few white men are having more than a bad day... Is ridiculing them the best we can do? A conversation with Dr. Randy Blazak on the crisis of white masculinity and on responding to it in other ways than from a position of intellectual superiority.
Dr. Blazak is an associate Professor of Sociology at Portland State University and Director of the Hate Crime Research Network. He is a prolific writer and works with white supremacists in prison settings.
Hosted by Gabriele Ross.
- Artist: Gabi Ross with Randy Blazak
- Title: A discussion of the crisis of white masculinity;
- Track: 1
- Date: 0916
- Genre: Public Affairs
- Year: 2011
- Producer: Bread and Roses - Gabi Ross
- Length: 55:51 minutes (51.13 MB)
- Format: MP3 Stereo 44kHz 128Kbps (CBR)
- Download audio file
- Login or register to post comments
Empowering Youth to End Sexual Violence - Texas Peace Project
Host Ashley Thirstrup interviews Ted Rutherford from the Texas Association Against Sexual Violence about his work as the Youth Outreach Specialist. He provides training and technical assistance to participants in the Texas PEACE Project, a program to engage and support youth activists and their adult allies who are working for equality and social change to prevent sexual and dating violence.
More information about the project can be found here, including how to get a similar project started in your area!
- Artist: Olive Oil
- Title: Untitled
- Album: After the Spring Break
- Genre: Rap
- Year: 2008
- Length: 18:26 minutes (21.09 MB)
- Format: MP3 Stereo 44kHz 160Kbps (CBR)
- Download audio file
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Bread and Roses
WOW! This show is so enlightening... When is it going national?


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Last Commented Item
» From "SOUTHERN ROCK LEGENDS LYNYRD SKYNYRD TO APPEAR ON THE LATE LATE SHOW WITH CRAIG FERGUSON, OCTOBER 1st" // October 25, 2012 1:45:48 PM UTC
Southern Rock Legends Lynyrd Skynyrd are once again touring the United States and from the show at the Ruth Eckard Hall Last night, they haven't lost anything over the years. With the newest album, "Last of a Dyin' Breed" debuting at No. 14 on the Billboard 200 album Chart, not only did this make the new album the Highest-Chart album since 1977, but it reunited some of the older fans to today's generation.
With lead singer Johnny Van Zant taking the mic last night, to the ending drum beat, fans of all ages were treated to some of the best Rock music we have heard in along time.
Rock on Skynyrd! ROCK ON! Check out some pics!
Latest Blogs Written / Site Activity
powerzonellc has not been hit by the muse. No board_posts found.


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Narrow your search
StumbleUpon for Android is a worthwhile download for killing time and discovering new and interesting Web sites.
Pricing not available
The newest version of the StumbleUpon app for Android sports a cleaner interface and a nifty feature called StumbleDNA.
Anticipating high demand around video consumption on smartphones, the company has purchased little-known startup, which plans to launch mobile apps later this year.
Updated for Android and iOS, use the power of collective opinion to help you discover awesome websites that you otherwise wouldn't have stumbled upon.
The Web and mobile discovery company cut 35 jobs to get its business into the black.
The new StumbleUpon app for Android shows off new features, a polished interface, and NFC capability.
StumbleUpon is a toolbar extension for your browser.
StumbleUpon finally gets its own app, and is launching it for both the iPhone and Android platforms at the same time. While basically a Web browser with a few extra features, it should make StumbleUpon regulars quite happy.
You will now be able to 'stumble' random Web sites on the go thanks to the StumbleUpon app being made available for download on iPhone and Android
Online auctioneer reportedly has hired Deutsche Bank to find a buyer for its Web site discovery service, StumbleUpon.


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I suspect that I'm not the only planner who faces the challenge of getting workshop presenters to get their graphics prepared on time, on budget, and with a professional look. Just when I think I have them all in line, something will happen to remind me that it's a never-ending project. Here are the steps we take to try to keep things under control.
We get started early and identify our workshop leaders each December, even though our conference(s) are in May or June of the following year. I then send a request for the workshop title and description so I can prepare the workshop sign-up form and the conference program; my ulterior motive is to get them to start thinking about their workshops early.
Use an AV Questionnaire In January, as the workshop descriptions arrive, our media department sends out media production planning questionnaires asking if the presenters plan to use visuals or another form of media, what kind, about how many, and then gives them deadlines for contacting a producer. Presenters also can prepare their own visuals. Typically there is an eight-week window (mid-February to mid-April) for actually producing visuals. Anything not included in this production schedule will have to be produced by the presenter or by an outside vendor.
Help the Do-It-Yourselfers Since all this is charged to my budget, I am eager for presenters to get on the production schedule. I know then it will be done professionally and cost-effectively. If they have to go outside, the expense may be much higher. If the presenter creates his or her own visuals, we offer to create a master slide to use as a guide. We also offer an intranet site where they can choose a design from several offered, and we will meet with them and critique their master slide, offering suggestions for improvement. We encourage rehearsal sessions and offer to sit in.
We give them a drop-dead date for shipping if they want my department to ship their materials to the conference. And even after all this, there are always one or two who will do their own thing at the last minute - and it usually looks it.
The "AutoContent Wizard" will allow you to quickly develop a presentation with sample content already in place. From the "Menu" bar, choose "File" and click on "New." On the General Page, double-click the AutoContent Wizard icon. Work through the pages making choices on each. When you finish, you'll have an outline for developing your own presentation - just replace the sample content with your own. PowerPoint also has a special version of Office Assistant called Presentation Assistant. This will alert you to stylistic errors such as using too many fonts or inconsistent punctuation.
Remember the opaque projector? It was functional, but not very portable. While you haven't been paying attention, it has evolved into something called the "video presenter." These are used a great deal in courtrooms and other venues where flat items need to be projected. It looks very much like a copy stand with a small digital camera over the platform. Some of the high-end ones have 16X optical zoom and SVGA resolution, can store up to eight images, and can even project two images side-by-side (one stored and one live).


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More Recipe Collections
muffins and breads
(4 Recipes) Created by KINDERYOGA
Recipes in this Collection
A yummy way to start the day with very little fat and lots of flavor!
Submitted by JOJOMKE
Carbs: 23.6g | Fat: 0.5g | Fiber: 1.7g | Protein: 3g | Calories: 93.2
Low-fat buttermilk and applesauce help lower the fat, and the whole-wheat flour and flax seed add fiber. These healthful muffins freeze well!
Submitted by CHEF_MEG
Carbs: 33.9g | Fat: 1.6g | Fiber: 2.6g | Protein: 3.7g | Calories: 137.7
Like a "No Pudge" fudge brownie in 1 minute: Low fat, low cal, even some fiber! Save this single serving recipe for when you don't want a whole batch to tempt you!
Submitted by SLOWSET
Carbs: 22.1g | Fat: 1.1g | Fiber: 2.7g | Protein: 2.6g | Calories: 94.5
This is a great recipe for summer, when you have a surplus of zucchini in the garden. Double or triple the batch and freeze them for quick and healthy breakfasts.
Submitted by CHEF_MEG
Carbs: 26g | Fat: 2.1g | Fiber: 3g | Protein: 3.3g | Calories: 127.6
Send this recipe collection to a friend - http://recipes.sparkpeople.com/cookbooks.asp?cookbook=690353


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Information about Flight Crew Licences, Aircraft Maintenance Engineer Licences and Air Traffic Services Licences.
|IN-2014/079: Consultation on CAP 774 UK Flight Information Services – Comment Response Document
|17 Apr
|IN-2014/078: Implementation of Part-MED Subpart C - Cabin Crew Medical Assessment
|11 Apr
|IN-2014/075: CAP 797 Flight Information Service Officer Manual
|10 Apr
|Temporary suspension of 'same day' service for the issue of the Restricted Instrument Rating (IR(R))
|9 Apr
|The Conversion of Registered Training Facilities (RTF) to Approved Training Organisations (ATO) - Ad
|4 Apr
|CAA launches review of its medical services
|4 Apr
|Part-FCL Senior Examiner Seminars (Multi Pilot & Single Pilot High Performance Complex Aeroplanes)
|2 Apr
|Major change for general aviation regulation as new unit opens for business
|1 Apr
|Commonwealth Games airspace restrictions, local pilots invited to briefing event
|1 Apr
|Changes to CAA TK Examination Service for Applicants for Professional Pilots Licences (A&H), IR
|31 Mar
Standards and requirements for the licensing of commercial pilots.
Standards and requirements for the licensing of private pilots.
Licences for Air Traffic Controllers,
Flight Information Service Officers and the Radio Operator's Certificate of Competence.
Standards and requirements for the licensing of engineers


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The latest news, tips and updates
from The Partnership at Drugfree.org.
Our Blog
News Releases
Research & Publications
Get the latest news, insights, resources and developments.
Annual Report
The Partnership at Drugfree.org Factsheet (PDF)
Partnership Brochure (PDF)
Drug & Alcohol Fact Sheet (PDF)
Drug & Alcohol Overview (PDF)
Testimonials (PDF)
Your generous support is critical to our ongoing research and the development of our educational programs.
Together we can continue to build healthy families and healthy futures.
The Partnership at Drugfree.org is a drug abuse prevention, intervention, treatment and recovery resource, existing to help parents and caregivers effectively address alcohol and drug abuse with their teens and young adults.
The Partnership at Drugfree.org meets and adheres to the BBB Wise Giving Alliance standards of conduct for charities.
We would like to gratefully acknowledge the contribution of the SAG-AFTRA in the ongoing success of this initiative


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Definitely sign me up. I'm trying to make alliances everywhere!!!!! And I too have no brain...most days! Lol
Definitely sign me up. I'm trying to make alliances everywhere!!!!! And I too have no brain...most days! Lol
We've got six in our alliance! Whooo hoooo!
I'm updating the first post so that we can have one easy place to check each other's galleries, etc. to keep up with each other.
Any more?
You are so funny! I'm going to enjoy hanging out with you!
I thought I had named the alliance, but you know, I like your ideas better! You've got a great brain! It works well! Ooops... well, wait... no.... um.... I'll pretend you have no brain so you can stick with us. Giggle.
What does everyone else like for a name?
Straw for Brains Alliance?
Straw Brains Alliance?
Hair Brains Alliance?
I don't Have a Brain Alliance?
..... OR... who wants to volunteer to make us a graphic for our signatures? All of them could be included on it!
Count me in.... I could use all the help I can get!!!
sorry hummie...i noticed after posting it HAD a name...silly me...told u i had no brain LOL (at least this week...hopefully it will open again next week after recouping...we also had in one day to pack up his home/rent a uhaul and car dolly/bring it home/ get storage and put it in it/ on top of funeral...family etc. AND i blew up a radiator!!! (all of this in the appalacian mtns where u can NOT find anything let alone on a sunday. and thank for the condolences
Oh man I like all the name choices!!!


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Barbara Ellen Phillips Grindle, 84, a well-known florist and who, with her family, owned and operated Dodd's Greenhouse of Elkins, departed this life early Sunday morning, March 3, 2013, in Valentine Personal Care Home at Elkins, surrounded by her devoted family, friends and Marlene with Hospice Care.
The family will receive friends at Lohr & Barb Funeral Home of Elkins from 5 to 8 p.m. today. Final rites will be conducted at the funeral home Thursday, March 7, at 1:30 p.m. The Rev. Barry R. Moll will officiate, and interment will follow in Maplewood Cemetery at Elkins. There will be a celebration of life dinner following the committal at First United Methodist Church.
Lohr & Barb Funeral Home is in charge of the arrangements for Barbara Ellen Phillips Grindle. Condolences may be expressed to the family at www.lohrbarbfuneralhome.com.


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Repair your tire issues with high quality tire tools.
Brody in Missouri
Some say it is "snake oil" but I am a firm believer in these beads. I had them in a set of 30" Mudlite XXL mud tires that I did some hardpack and road riding with and they helped alot on the pavement. I noticed much less vibration through the handlebars.Read All Reviews
Brody in Missouri
This little tool makes putting DynaBeads in a 5 minute job. All you have to do is pull the valve stem core out and squeeze the bottle.Read All Reviews
AARON in WA
It works just like you would expect a rim strip to work.Read All Reviews
jeremy in ID
Like itRead All Reviews
jeremy in ID
Great product. No rim scratchesRead All Reviews
jeremy in ID
Great tool. Long enough to get a good gripRead All Reviews


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The Federal Emergency Management Agency (FEMA) has opened a Disaster Recovery Center (DRC) at the Atlantic City Convention Center, Atlantic County officials said Friday morning, Nov. 10.
The Convention Center is located at 1 Convention Boulevard in Atlantic City. The recovery center is in Room 201
The DRC will be open 8 a.m.-8 p.m. daily, and will provide a full range of assistance services to residents and businesses who suffered property losses as a result of Superstorm Sandy last week, according to county officials.
Those in need can register in person at the DRC; by calling 1-800-621-FEMA (1-800-621-3362); on the Web at www.DisasterAssistance.gov; or by smartphone at m.fema.gov. County officials recommend registering before arriving at the DNC to speed up the registration process.
All forms of registration require a social security number, proof of residency at the location they are claiming, proof of insurance coverage and bank information (for electronic funds transfer to an account).
County officials encourage those in need to access additional information through the FEMA Disaster Assistance web site at www.DisasterAssistance.gov or at www.FEMA.gov.


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February 15, 2013 – The School Nutrition Foundation (SNF) is pleased to announce the first Josephine Martin National Policy Fellow, Sandi Walter, SNS, from Maryville City (Tenn.) Schools.
Walter has 20 years of school nutrition experience and is the cafeteria manager of Coulter Grove Intermediate School in Maryville. She is a certified SNA trainer and currently serves as the president of the Maryville Chapter of the Tennessee School Nutrition Association.
The award, established in July 2012 in honor of school nutrition pioneer and advocate Dr. Josephine Martin, enables an SNA member to attend the Legislative Action Conference (LAC) for the first time.
It is a fitting tribute to Dr. Martin's passion for child nutrition and ensures that the voices of nutrition professionals will continue to be heard by legislators and policy makers at the local, state and national level.
When asked about her upcoming trip to Washington, Walter said, "Attending LAC offers me an opportunity to network with school nutrition leaders and learn about the important issues facing our industry. Child nutrition is where I want to be and is a field that allows for creativity and innovation, as well as providing me an opportunity to serve my community."
Walter will be recognized during the first general session at LAC on Sunday, March 3rd.
Funding for the Josephine Martin National Policy Fellow is made possible by the Josephine Martin Endowment Fund at SNF. The Endowment is still accepting contributions to reach its $75,000 goal. To date the Endowment has raised approximately $22,000.
To learn more about the fund, make a contribution and chart the progress as we reach our goal, visit www.schoolnutrition.org/JosephineMartin.
February 14, 2013 – SNA's District Profiles Database, an online tool that allows SNA members to view profiles of school nutrition programs, is undergoing a makeover! Over the past year, SNA has been working on a number of improvements, including making it more user-friendly and updating the types of information in the database to reflect the changing regulations facing school nutrition programs.
SNA is asking school nutrition programs to submit an up-to-date District Profile using the new online submission form. By doing so, you will:
Click here to submit an up-to-date District Profile
See the complete 2013 District Profile Entry Prize Drawing Rules for more details on the prize drawings.
To learn more about SNA's District Profile Database, visit www.schoolnutrition.org/districtprofiles.
Contact Us Advertise on SNA Site Map Media Center Privacy Policy
© 2000 - 2014 School Nutrition Association, All Rights Reserved


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2 bed. This cute little mobile home is the most affordable home that includes the lot in San Luis Obispo.More info
2 bed, 2 full bath. This charming 2 bedroom, 2 bath manufactured home is centrally located in desirable Rancho San LuisMore info
2 bed, 2 full bath. Immaculate home in Laguna Lake Mobile Estates built in 2000 and meticulously cared for inside and oMore info
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3 bed, 2 full bath. Newly refinished flooring. Better than a condo because you own your own lot. No space rent for thisMore info
3 bed, 2 full bath. TRIPLE wide home on large lot. Newer built 2002. Vaulted ceilings and dry wall finish. OPEN PICTUREMore info
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2 bed, 1 full bath.More info
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2 bed, 2 full bath. In desirable Daisy Hill 55-Plus Mobile Home Park where you own a share of the park and do not pay sMore info


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As CEO and chief activation officer of Working for Good®, Jeff Klein produces collaborative, multi-sector, Cause Alliance Marketing programs that drive social and environmental change while addressing the business objectives of alliance partners. He is a founding director of Conscious Capitalism, Inc., an organization dedicated to "liberating the entrepreneurial spirit for good" that was cofounded by John Mackey, CEO of Whole Foods Market.
Jeff was one of the visionaries and driving forces behind Private Music, the career of Yanni, Spinning, and Seeds of Change. He has consulted for the Esalen Institute, the National Geographic Society, GlobalGiving, and the Institute of Noetic Sciences, among others. Jeff wrote Working for Good: Making a Difference While Making a Living to support conscious entrepreneurs, intrapreneurs, leaders, and change agents at work. He resides in San Rafael, California. For more information, please visit workingforgood.com.
Author photo © Stephanie MohanPRAISE FOR JEFF KLEIN
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Get Reince Priebus OUT of there !He lied to Mark Levin on National Radio about giving RNC funding help to Michele Bachmann. He is no friend of the TEA party.His resume should list losing the election for Romney.OUT OUT OUT.
2012 was your chance.The Republicans are totally ineffectual on the economy, and if they fold on guns, they´re done. Kaput.
Need people with backbone, guts and fortitude to get out there "in your face" with the Dems and make a difference
Cheer: Let´s have another one just like the other one. Go, pubbies, go! /SRaise your hand if you think there will be an improvement. Thought so.I think I´m ready for a third party, actually. We´ve been losing so what´s another few losses until one gets on its feet. For conservatives only. No libs/progressives allowed.
CNN is cheering for the RINOs, trashing the conservatives. What a surprise, eh?
I can´t stand this guy! Great post #4!
Overhaul? Is the GOP for real? Who are they trying to convince? The GOP acronym now stands for: GUTLESS OLD PARTY. Never again will I contribute in any way shape or form to any GOP congressional candidate.They all now appear to come out of a moth-ball closet. Unless a new National Party surfaces to take on the Democrats I will restrain for spending my time working for any party.
All of the above - PREACH IT. Tell us again why we need to keep supporting this corrupt group? (And we call the L´s "losertarians!")
Christie 2016.... The Establishment´s Hat Trick !!!
You don´t think they´re losertarians, #8? Yeah, a 3rd party. That´ll do the trick. That´ll stop the Dems from taking back the house.Face it--it isn´t a conservative country, despite what people say to pollsters. Seniors want their welfare (SS and medicare)--and don´t pretend they "paid into" those; farmers want their subsidies; business wants their cheap labor from Mexico; students don´t want to pay for their own education; everyone wants freebies.
Hey Mark, just because you didn´t understand what Eastwood was saying doesn´t mean he was incoherent.I´m very unhappy with the GOP, so unless they plan to embrace free-market capitalism (for real this time), then I doubt they´ll do anything that will help anyone going forward.
#10 So...we join the Gimmiecrats. That is a solution? (Forgive 2nd post.)
Replay 2012 take two, the other democratic party.
I´ll bet #10 enjoys the low food prices. Don´t think they are? Check food in Europe.About twice as high. That is why the US subsidizes farmers so they can keep farming and sell for less and still keep on farming. Margins are close. Just think of the gasoline it takes to run those tractors back and forth across the fields!GOP, Romney style, ??? The 47% ?? That is why GOP are losers. They don´t really know what they are talking about.
The Progs control all of the conduits of public discourse.It may be too late to do this nicely.I fear that harsher measures may have to be taken.The Progs do not fight fair but they are also a bunch of panzies who count on their opponents being good sports and gentlemen.While a full blown civil war may not be required to correct this situation.....something ´out of the ordinary´surely will.Someone crazier than this grumpy old Texan may be working on it right now.I´m only speculating... but seriously.....how long can this uncontested march towards tyranny go on before there is opposition fromthose who value their liberty above all ??
How difficult can it be to find a coalition of people who love the Constitution, their country and fiscal sanity? I say dump the GOP and it´s associated label Republican - both are deader than the dodo.People respond to humor - [democrats/pros/commies are singularly humorless.] We are an increasingly visual society - so let´s make some cracking good movies -[no Hollyweirds please], cartoons and billboards -anything that gets good public exposure and makes a point.
So, #10, SS & Medicare are welfare! And all this time I thought that SS was an annuity, and Medicare was an insurance plan!No one forces farmers to collect subsidies, hire cheap (illegal) labor, or take out student loans.Last time I checked, if one worked in the private sector, or some areas of government, they had NO CHOICE but to "contribute to SS & Medicare!
CNN?Are they still in business?I guess it´s good that some posters monitor minutae so we may be aware that even the smallest of the Lame Stream Media are attempting to gain our attention.
Let´s see. The Lame Stream loved McCain until he was nominated. Then, in ´12 they promoted a series of debates the purpose of which was to convince the GOP that another moderate was really a conservative and would be best for the party.Last, the Obamanation didn´t show for the first debate because he new the fix was already in motion. "Ground Game" - my Royal Irish Posterior - won it for the RATs.Chicago has been printing dead votes faster than the Fed can print Monopoly money since before JFK. How difficult is it to spread the system to other RAT controlled cities?


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Highlights From the Archives
A Prince Who Forgot History Angers Many
After photographs of Prince Harry wearing a Nazi swastika at a private fancy-dress party last weekend appeared in The Sun, Jewish groups from Los Angeles to Jerusalem protested, and some people urged him to visit Auschwitz to understand why he caused such offense.January 14, 2005worldNews
Diana's Two Sons Share the Bulk of Her $21.45 Million Estate
In a will stressing her concern that the upbringing of her two sons not be restricted to the royal family, Diana, Princess of Wales, left Prince William and Prince Harry the bulk of her $21.45 million estate.March 3, 1998worldNews
Poised to Marry a Prince? She Will Not Be Spared
The tabloids speculate: Will Cressida Bonas spend the holidays with the royal family?December 26, 2013, Thursday
Tabloid Hacked Phone of Prince Harry's Secretary, Jury Is Told
A message seeking help on a term paper led to an article in The News of the World, with some details left out, the prosecution said.November 2, 2013, Saturday
Prince Harry, Almost Just Like Us
What struck many of the fawning guests at the Greenwich Polo Club was how normal Prince Harry seemed to be.May 19, 2013, Sunday
A Governor and a Prince, Down at the Shore
On a royal visit that has led to glowing headlines, Prince Harry met with Gov. Chris Christie and visited hurricane-ravaged areas in New Jersey.May 15, 2013, Wednesday
Photo of Prince Harry visiting the Russell Senate Office Building in Washington, DC. PhotoMay 10, 2013, Friday
When a Prince Comes to Town
Nothing excites Greenwich, Conn., despite its masters of the universe, more than a visit by a royal — this time, Prince Harry for a polo match to raise money for his charity.May 9, 2013, Thursday
Festive and Defiant, London Runs a Marathon for Boston
Six days after the Boston bombings, the London Marathon was held Sunday with no security scares and the minds of nearly all on the victims of last week's attack.April 22, 2013, Monday
Connecticut and Shore on Itinerary for a Prince
Buckingham Palace has released details of a mid-May trip by Prince Harry, which will include a visit to storm-damaged parts of the New Jersey coast and to a polo match in Greenwich.March 28, 2013, Thursday
Prince Harry Dons an Apron
The Prince of Wales makes mokoenya, a type of doughnut, on a trip to Lesotho.February 27, 2013, Wednesday
Regulating the British Press
The urgency of Lord Justice Sir Brian Leveson's call for statutory oversight of the British press seems to have dissipated, but developments in recent days have recalled some of the issues that prompted the inquiry in the first place.January 28, 2013, Monday
A Soldier in a Skeleton Scarf in Mali
The similarities to a killer character from an online warfare game to a news agency's recent photograph of an actual soldier with French forces in Mali is called unacceptable by a military spokesman in France.January 24, 2013, Thursday
Prince Harry Compares War to PlayStation, and Taliban Are Not Amused
A Taliban spokesman said that Prince Harry must have mental problems after the royal said that killing militants from an Apache helicopter was similar to playing video games.January 22, 2013, Tuesday
Afghanistan: Prince's Tour Ends
Britain revealed Monday that Prince Harry was returning from a 20-week deployment in Afghanistan, where he served as a helicopter pilot.January 22, 2013, Tuesday
British Soldier Gives Birth in Afghanistan
A young British soldier suddenly gave birth at the Camp Bastion military post this week, apparently not even knowing that she was pregnant.September 20, 2012, Thursday
Afghan Insurgents Attack Base Where Prince Harry Serves
While it was not clear who the attackers were, the Taliban have vowed to kidnap or kill the prince, who is third in line to the British throne.September 15, 2012, Saturday
Prince Harry Visits New York
A royal visit by Prince Harry of Britain centered on a commemoration of the Sept. 11 attacks and acts of charity.
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Whatever Mike Scioscia is being paid to manage the Angels, it isn't enough.
He has to watch them play every game.
And as bad and disappointing as they have been, going on four years now, it's baseball.
Have you tried watching it recently?
Have you tried switching back and forth from a basketball game, football game or "Spartacus: War of the Damned" to a baseball game?
I understand why Vin Scully doesn't watch the Dodgers or any other baseball game when not being paid to do so.
At the very least the folks who run the sport should make it mandatory that any hitter stepping out of the box to adjust his batting gloves should be suspended a minimum of five games.
I just saw "Olympus Has Fallen," a truly great shoot-'em-up, bombs-blasting, suspense thriller of a movie, which explains why I occasionally tune in to an Angels game.
No one crashes and burns like the Angels, a team loaded with talent and high on expectations, only to flop.
What great reality TV it would be to just train a camera on the face of Angry Arte, beginning with inning one against a low-payroll team like Oakland, and then watch him lose it.
He got so angry at the media this past off-season for documenting his mistakes that he moved the press box, which sat next to his luxury suite behind home plate, down to the right-field foul pole.
I worry now where Scioscia might soon be sitting.
Scioscia has already had a team meeting, and I wish I could have seen the grin on the face of Torii Hunter in Detroit when he heard that.
Hunter was the Angels' yin to Scioscia's going yang on everyone.
Without Hunter, I worry the Angels will have no soul or voice of reason after listening to Scioscia speak.
The loss of a team leader like Hunter for economic concerns is one more reason why Angry Arte is nothing like the man of the people as he was initially portrayed.
"I tell you what," Moreno said last September on the radio station he owns, "if we don't figure out a way to re-sign [Hunter], we're going to get hung, aren't we?"
It's what Angels fans wanted to hear at the time, Angry Arte obliging, but obvious hogwash.
Hey, I don't know why anyone goes to a baseball game anymore, what with the parking, concessions and the unwashed sitting all around. And what's the thrill in watching one of 162 baseball games?
Does it really matter who wins or loses one game?


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The Good,the Bad,and the Ugly: Game 3 Celtics @ Wizards
|Posted by shawn cassidy on November 4, 2012 at 7:00 AM
The Good
I already posted about the great offensive surge by the Big three, and about the standout first quarter defense. The Celtics need to take the next three days, and study the film. They need to learn or they'll never raise the banner we all desire.
Green was a standout off the bench with 11 points Saturday night. I think the Celtics still need a little more from him, but he's taking big strides. Doc only played Green 16 minutes which isn't enough.
I was very pleased with the lack of turnovers Saturday. Of course the Wizards don't force many turnovers, but it's still a solid sign that the Celtics have improved a bit. I would like to see the Celtics at 12 or turnovers for the season.
The Bad
We all have very high expectations for the bench this season. It's still hard to get a fair idea of who's the key guys on the bench. Sullinger, and Bass have both started, and both have been he first big off the bench. Honestly we should be pleased with the 27 points scored by the bench Saturday. I feel like the bench can score in the high 30's though. The Wizards bench scored 66 points against the Celtics Saturday. That number could be misleading. But it's a prime of example of what the Celtics bench needs to do.
The Ugly
The Celtics were out rebounded 46-35 Saturday. Doc inserted Sully to add some rebounding into the starting unit. Sully did fine with 7 rebounds, and KG added 7 of his own in 29 minutes played. The Celtics are still having issues with rebounding, and I don't think they'll fix it this season. It's who they are, and it's the way Doc coaches.
Categories: The Good, the Bad, and the Ugly
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5 Comments
I like what Rondo said. Frankly, this team absolutely sucks. They suck. How loud can I say it. THIS TEAM SUCKS. They are not a good team. They are not contenders, unless you mean lottery contenders. After six preseason games, or however many it was, and three regular season games, we can definitively say that this team flat out sucks. They suck. They are a bad team. Just awful.
The good news is that I think we can believe that they will continue to try to get better, and they will find their way to some answers. I do believe in this team. But man, right now, we are in the land of serious suckage.
It's that simple, Rondo, in my opinion. You have to get after those point guards. When your teammates see you doing that, everything will build from there.
jlil89 says...
I feel when the pressure and urgency gets just to that boiling point, Rondo will take over the remainder of the season and the rest of the team will follow. He is just too damn talented to allow the Celtics to falter. He will find a way, #9 always does.
I think he'll find the right way to lead this team. But I wouldn't be surprised if Ainge made a trade. Not Garnett or Pierce or Rondo, but anyone else could be part of a trade
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The committee acts as an advisory body to the City Council on matters relating to energy and resource recovery.
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The Committee meets on the third Wednesday of each month as needed at 7:30 a.m., in Fullerton City Hall, Council Conference Room, 303 W. Commonwealth Avenue, Fullerton, CA 92832.
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Advance Directives
An advance directive allows you to give instructions to your health care providers and your family on health care decisions about yourself. This includes instructions about the types of treatments you want or don't want to receive if you become incapacitated.
The term advance directive can describe a variety of documents. Living Will and Health Care Power of Attorney documents are types of advance directives. The term advance directive may be used to refer to any of these specific documents or all of them in general.
Many of the decisions you or your loved ones face during serious illness often can be eased by preparation. Advance directives forms:
- Help your family and caregivers understand your wishes should you become unable to communicate those yourself and designate someone to make health care decisions for you
- Are legal documents that accurately reflect your decisions and comply with your state's law
- Should be discussed with your family, your physician and other caregivers, and your attorney
- Should be completed, signed and copies given to your family, physician and other caregivers, and your attorney


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ON THIS PAGE: You will find a list of the common tests, procedures, and scans that doctors can use to find out what's wrong and identify the cause of the problem. To see other pages in this guide, use the colored boxes on the right side of your screen, or click "Next" at the bottom
By definition, CUP is found after it has spread from where it started. Doctors use many tests to try to find the primary site. Some tests may also determine which treatments may be the most effective. For most types of cancer, a biopsy is the only way to make a definitive diagnosis of cancer. Imaging tests will likely be used to look for other areas where the cancer has spread. This list describes options for diagnosing CUP and trying to find the original site it began, and not all tests listed will be used for every person.
A biopsy is the removal of a small amount of tissue for examination under a microscope. Other tests can suggest that cancer is present, but only a biopsy can make a definite diagnosis. The sample removed during the biopsy is analyzed by a pathologist (a doctor who specializes in interpreting laboratory tests and evaluating cells, tissues, and organs to diagnose disease; see below). The type of biopsy performed will depend on the location of the cancer. In another article on Cancer.Net, learn more about what to expect when having a biopsy.
Evaluation by a pathologist
A pathologist diagnoses cancer by looking at the sample of the tumor from the biopsy. The results of the initial biopsy gives important information and helps doctors plan additional testing.
It may also be recommended that additional laboratory tests should be run on a tumor sample to identify specific genes, proteins, and other factors unique to the tumor. This is called molecular testing or profiling of the tumor. Results of these tests may help decide which treatment options may work well and be valuable in helping to predict where the cancer began. More information is provided below.
Most people with CUP have one of these four different types of tumors:
Adenocarcinoma. Nearly 60% of people with CUP have adenocarcinoma. Adenocarcinoma can begin in the glandular tissue of most internal organs (for example, lung, stomach, pancreas, colon, ovary, and breast). Because of this, when adenocarcinoma is found in a metastatic site, it is extremely difficult for the pathologist to tell where it began. Additional diagnostic tests on the biopsy samples, called immunohistochemical (IHC) tests, usually narrow the possibilities. A molecular tumor profiling assay, discussed further in the Treatment Options and Latest Research sections, may be able to predict where the cancer began.
Poorly differentiated carcinoma. Nearly 20% to 30% of people with CUP have poorly differentiated carcinomas. These cancers need extra tests by the pathologist, since some very treatable cancers may initially be diagnosed as poorly differentiated carcinoma. If testing finds that the cancer is lymphoma, germ cell carcinoma, or neuroendocrine carcinoma, effective treatments are often available. When additional testing does not identify more specific tumor types, some patients with poorly differentiated carcinoma may still be treated successfully with chemotherapy (see Treatment Options).
Squamous cell carcinoma. Nearly 5% to 10% of people with CUP have squamous cell carcinoma. Effective treatments are available for this type of tumor if it has certain characteristics. For instance, if squamous cell carcinoma is found in the cervical (neck) lymph nodes, the primary site is often in the head and neck area. If it is found in the inguinal (groin) lymph nodes, the primary site may be in the vulva, vagina, cervix, anus, or bladder. A careful search is important, particularly since most of these cancers can often be treated successfully.
Neuroendocrine carcinoma. Nearly 1% to 5% of people with CUP have neuroendocrine carcinoma. These cancers are being found more often with IHC tests (see above). Some of these tumors are aggressive and fast-growing, but combination chemotherapy (see Treatment Options) may be effective. Others are very slow-growing, and patients sometimes live for several years even without treatment.
Evaluation by an oncologist (called clinical evaluation)
Once CUP is diagnosed, an oncologist (a doctor who specializes in treating people with cancer) will do more tests to search for the primary site and to find out how far the cancer has spread. However, for most patients with CUP, the primary site is not found even after extensive evaluation. For this reason, several diagnostic tests may be done to evaluate specific signs and symptoms, including the following:
Medical history. The doctor will ask detailed questions about previous illnesses, surgeries, and medications. The doctors can help more if they also know as much information as possible about smoking history, drug use, previous moles or benign (noncancerous) tumors, and any exposure to radiation, asbestos, or other chemicals known to be dangerous. A complete family medical history may also provide your doctor with important clues, especially if one or more siblings, parents, or grandparents have had breast, ovarian, or colorectal cancer.
Physical examination. The doctor will do a thorough physical examination of the entire body, including lymph nodes, pelvis, breasts, rectum, and genitals.
Urine and blood tests. These tests can find certain tumor markers and proteins that may help determine where the cancer began. Tumor markers are substances found at higher than normal levels in the blood, urine, or body tissues of some people with cancer. Tumor markers are made either by the tumor or by the body as a result of cancer or other conditions. For example, patients who have cancer in the neck lymph nodes and the Epstein-Barr virus (EBV) may have nasopharyngeal cancer. Also, high levels of the proteins human chorionic gonadotropin (HCG) and alpha-fetoprotein (AFP) may mean a young man with poorly differentiated carcinoma has a germ cell tumor.
X-ray. An x-ray is a way to create a picture of the structures inside of the body using a small amount of radiation.
Computed tomography (CT or CAT) scan of the chest and abdomen. A CT scan helps doctors determine the location of the cancer and where it has spread. A CT scan creates a three-dimensional picture of the inside of the body with an x-ray machine. A computer then combines these images into a detailed, cross-sectional view that shows any abnormalities or tumors. A CT scan can also be used to measure the tumor's size. Sometimes, a contrast medium (a special dye) is injected into a patient's vein or given orally (by mouth) to provide better detail. The CT scan can show cancer in the abdomen and chest.
Positron emission tomography (PET) scan. A PET scan is a way to create pictures of organs and tissues inside the body. A small amount of a radioactive substance is injected into a patient's body. This substance is absorbed mainly by organs and tissues that use the most energy. Because cancer tends to use energy actively, it absorbs more of the radioactive substance. A scanner then detects this substance to produce images of the inside of the body.
PET scans have proven useful for finding a primary site in 20% to 30% of patients with CUP. For this reason, the PET scan is now considered a routine part of the initial evaluation. Even when a primary site is not found, a PET scan can sometimes provide information that is useful in planning treatment. For example, for patients who have one area of cancer where local treatment (surgery or radiation therapy) is being considered, a PET scan can make sure that no other parts of the body have cancer. Using PET and CT scans together, called an integrated PET-CT scan, provides more detailed and specific information than either test alone.
Magnetic resonance imaging (MRI). An MRI uses magnetic fields, not x-rays, to produce detailed images of the body. A contrast medium (a special dye) may be injected into a patient's vein or given orally (by mouth) to create a clearer picture. In some parts of the body, especially the brain and spinal column, MRI provides more information than the CT scan. In addition, women with cancer in the axillary lymph nodes (under the arm) should have a breast MRI scan, since this test can sometimes find a small breast cancer that cannot be seen on a mammogram (x-ray of the breast; see below).
Endoscopy. This test allows the doctor to see inside the body with a thin, lighted, flexible tube called an endoscope. The person may be sedated as the tube is inserted through the mouth, down the esophagus, and into the stomach and small bowel. Similar procedures are named according to the part of the body being looked at. For example, a bronchoscopy allows doctors to look inside the bronchial tubes (lungs), and a colonoscopy allows doctors to look inside the colon and rectum. Endoscopy is used for patients with CUP to evaluate the specific symptoms. For instance, patients with squamous cell carcinoma in the neck lymph nodes should always have a complete endoscopy of the nasopharynx, throat, and larynx (voice box) to search for a primary tumor.
Prostate-specific antigen (PSA) test. Prostate-specific antigen (a type of protein released by prostate tissue) is a substance found in a man's blood when there is abnormal activity in the prostate, including prostate cancer, benign prostatic hyperplasia (BPH), or prostatitis (inflammation of the prostate). Men who are experiencing bone pain or have metastasis found in their bones will have a PSA test. A PSA test detects higher than normal levels of PSA, which may mean a man has prostate cancer.
Mammogram. Women may receive a mammogram, especially if they have cancer in the axillary lymph nodes or other areas that might suggest metastatic breast cancer (for example, fluid around the lungs or cancer that has spread to the bone).
Planning treatment after diagnostic evaluations
After these diagnostic tests are done, your doctor will review all of the results with you. Answers to the following questions are essential in helping doctors plan treatment:
- Was the primary site found during clinical and imaging testing? If so, treatment should follow guidelines for an advanced (metastatic) tumor of that primary tumor.
- Did the pathologist identify a specific tumor type (for example, lymphoma or germ cell tumor) or a primary tumor? If so, treatment should follow guidelines for the specific tumor type.
- If no primary site was found, does this CUP fit into any of the subgroups for which specific treatment is recommended (see Treatment Options)?
- If no primary site was found and this CUP does not fit any of the specific subgroups, will treatment be beneficial? If so, should treatment be based on the tumor type predicted by molecular tumor profiling, or should it be with an empiric (general) chemotherapy program? The chance of chemotherapy being effective depends on the location of the tumor, number of tumors involved, and the person's overall health (see Treatment Options).
Choose "Next" (below, right) to continue reading this guide to learn about the different stages for this type of cancer. Or, use the colored boxes located on the right side of your screen to visit any section.


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The App, which is downloadable from the Apple App Store, will help the public better communicate with the Sheriff's Office and ease the public's access to services such as filing an online report or contacting individual departments, according to Undersheriff Todd Vinger.
"The internet has become a primary source for public information and an ever-growing percentage of the populous is using iPhones and iPads to access their information," Vinger said. "The Sheriff's Office has a history of incorporating cutting-edge technology and innovative thinking to increase efficiency, improve service levels and strengthen the partnership between our agency and the community that we serve."
The App was designed by the Information Technology department at the Sheriff's Office and the home screen features the following services:
•Search Inmates
•Graffiti Abatement
•File Online Report
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Vinger also noted key services such as Alert ID, Twitter and RSS feeds to help citizens stay informed with all things happening in their area. These services, along with those offered on the App, can be useful tools for the public and law enforcement, according to Deputy Robert Markin who heads up web and social media.
"(Graffiti abatement) is something we really hope the public will take advantage of," Markin said as he displayed the ins and outs of the App on a project. "What we have done is given the public the ability to assist us with graffiti abatement.
"They can take a picture of any graffiti. They can put in optional contact info for when the graffiti is cleaned up then send in the photo to the Sheriffs Office. The Graffiti Abatement team uses geo-coordinates to show where they can map it, find it and clean it up."
Markin said the App's connection to the Sheriff's Office newsletter sign up will play a key role for future services in the area. He said because the newsletter allows you to put in your zip code, the chance to send area-specific messages to local citizens increases with each person who signs up.
"Adding a zip code is optional," he said, "But what we would like to do in the future is be able to target one area where the zip code is having a large increase in car burglaries, for instance. We can let them know the trend that is happening directly in their area."
The Sheriff's Office App revealed Tuesday was its first generation for iPhone and iPad and work is still in progress to complete the Android platform version of the App. No estimated time frame was given.
Vinger said having a mobile application will open its exposure to the community even further. He said this was "the first step" of many in bringing a constant stream of information to the community.
"You use (your cell phone) to communicate, to socialize and to gather your information," Vinger said. "The Sheriff's Office realizes that and we want to be sure we are providing the best information we can for the customers we serve. We want to make it easier for you to access your information.
"With our new App, you can access our website and other information, and all you have to is go to your phone and tap the star."


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Leica X1 Magic
By Lisa Singh
About the Author
Publish Date November 21, 2010
Dimensions Small Square 20 pgs
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Category Arts & Photography
Tags Leica, Photography, X1, Cameras
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Stocks cut their losses in the final hour of trading to close narrowly mixed Tuesday, after lawmakers in Cyprus overwhelmingly voted against the controversial bank bailout deal, prompting Jim Cramer to remain skeptical of the market.
"I'm trying not to be too positive or too negative, but I am definitely playing the skeptic," Cramer said on CNBC's "Mad Money." "I worry about what I know and what I don't know, but most important I want to emphasize what could drive the market either way."
(Read More: No Way! Cyprus Parliament Rejects Bank-Deposit Tax)
Cyprus's parliament rejected a tax on bank deposits as conditions of an international bailout. Thirty six members voted against the proposal, 19 abstained and no one voted in favor of it.
Meanwhile, the finance minister of Cyprus Michael Sarris offered to resign, but the president rejected the resignation, sources told CNBC. In addition, unconfirmed rumors swirled that Cyprus will leave the euro zone if the bill does not pass.
(Read More: Tiny Cyprus = Big Market Impact)
To Cramer, the Cyprus bailout can play a role in the market, but he thinks the U.S. housing market will be of greater influence. Housing starts gained 0.8 percent in February to a 917,000-unit annual rate, while new permits for construction jumped to the highest level since 2008, according to the Commerce Department. Economists had expected a reading of 915,000.
"I think we're going to build more than a million homes this year, and these permit numbers indicate that I could be very right and when housing is humming it is a gigantic portion of the United States' economy," Cramer said, noting many building products are made by U.S.-based companies. Housing also gives way to a spike in employment, he continued, as people are needed to build, sell and finance homes.
"To me we will look back on this moment and recognize that while the horrendous rules imposed on the Cypriots certainly damaged Europe and the euro once again, what mattered here in America is that the housing boom was picking up steam at the same time," he said.
Read on for Housing Recovery 'Fundamentally Strong': Lennar CEO
— CNBC.com contributed to this report
Call Cramer: 1-800-743-CNBC
Questions for Cramer? firstname.lastname@example.com
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text: You are here: Home / Calendar / CalendarSponsor / http: Add these events to your calendar Today ◀▶ Feb 28 to Mar 6 Friday, February 28 Submit an itemSaturday, March 1 Submit an itemSunday, March 2 Submit an itemMonday, March 3 Submit an itemTuesday, March 4 Submit an itemWednesday, March 5 Submit an itemThursday, March 6 Submit an item Today ◀▶ Feb 28 to Mar 6 All items Audience Category Location Sport Search Alumni HallBjorling Recital HallChrist ChapelGustavus CampusLund 224 (Aerobics Room)Lund Gymnastics RoomSt. Paul, Minn.St. Peter, Minn.The DiveWallenberg Auditorium, Nobel HallAlumniCampusEmployeesFacultyInvited GuestsPublicStudentsAcademicAnnouncementAthleticCelebrationFine ArtsGeneralLectureMeetingWorkshopWorshipBaseballBasketballCross CountryFootballGolfGymnasticsHockeyNordic SkiingSoccerSoftballSwimming & DivingTennisTrack & FieldVolleyball Search terms


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Enough said.
On 26 April I ordered a variety of items from Bigdug, namely some divided galvanised shelving, a longspan bench, a hazardous waste cabinet, a Draper tool cabinet and a bolted steel workbench. The ordering process was fine, although I found the website a little confusing as they have so many items at so many different prices, with similar descriptions that it is difficult to decide, from the limited information available, what is best suited to your requirements and your price range. Anyway, I spoke to "Nicola" in customer services who assisted me with placing my order and who was very friendly and helpful. She offered to throw in a free gift - more of that later.
The hazardous waste cabinet, the shelving and the longspan bench arrived very quickly indeed. Only one delivery man, and VERY heavy goods, so it was just as well there were three of us at home to unload the lorry. The pallet holding the bench and shelving would have required an industrial fork lift truck to unload, so we had to cut all the packaging off and unload it piece by piece. Two slight problems, though, no assembly instructions for the bench, and the instructions for the galvanised shelving was for ordinary galvanised shelving not the divided shelving. A call to customer services (incredibly helpful and friendly again) pointed me in the direction of their website from where you can download all their instructions. Well, apart from longspan benches and divided galvanised shelving, it turns out. More calls to customer services. The longspan bench is a new item, and there are as yet no assembly instructions for it; but I was sent instructions for bulk longspan racking, which was close enough. The divisions in the galvanised shelving I could work out myself without too much difficulty. One word of warning, though: I ordered a starter bay with a width of 1500mm and an extension bay of 1200mm, naively assuming that the total width would be 2700mm. It isn't, it is 2800mm which meant I had to spend a couple of hours relocating an electrical wall socket, and making good.
The Draper tool cabinet also arrived very quickly, but the bolted workbench did not. The website quoted a delivery time of 8-14 days when I ordered it, and as I write (18 days later) it has still not arrived. I have been in regular contact with customer services, who are very responsive, but they say this item is coming direct from their manufacturer, is made to order and the earliest they are likely to deliver is Monday 20th May, three and a half weeks after I placed the order. I am hoping that they might just manage to bring this forward to Friday, but am not holding my breath.
One rather odd experience during this whole process: the free gift I referred to above was a set of 16 small storage boxes. These arrived with the first delivery of shelving and the hazardous wasterage boxes. These arrived with the first delivery of shelving and the hazardous waste cabinet. I was slightly taken aback, though, to come home one evening and find a further 1,152 small storage boxes packed onto a large pallet and left on my drive. I e-mailed customer services who told me it was an "administrative error" and they would arrange for the pallet to be collected, which they did very quickly.
Very impressed so far with the quality of the items I have ordered, I would love to see what my bolted steel workbench looks like.
I ordered a pair of Le Chameau boots as a Christmas present for my wife in early December. She tried them on briefly on Christmas Day, thought they were great, but wanted to try them again as she suspected they might be a little small. Before she got the chance to do so, we were both involved in a serious road traffic accident on New Year's Eve. My wife broke bones in both her feet and was unable to try the boots on again before the expiry of the normal returns date. I contacted Country House Outdoor in late January to tell them what had happened, and they could not have been nicer. They were happy for us to hold onto the boots for as long as it took, and then return them if they were too small. My wife was finally able to try them on in March, and they were indeed too small. I contacted Country House Outdoor and they gave me a free returns label and I sent the boots back. Within a couple of days I had a call from them offering a full refund of the amount I had paid, and to be charged a slightly lower price for the replacement boots a size bigger. (Where is the catch, you ask? ... There was none.) The refund of the original payment was processed immediately and the new boots arrived a couple of days later. In all my dealings with them, on the phone and by e-mail, Sarah and Lydia could not have been more friendly or helpful.
My hot tub lights were flashing telling me there was a fault. I chose Hot Tub Barn after looking at their website and being impressed by all the DIY solutions they offered complete with video. I described the fault, they suggested a solution and sent me the parts in the post. No guarantee of course that it would work as they were not coming out to test all the electrics, but I fitted the new thermostatic controls in the heater and hey presto, fault cured. No call out fee, just the cost of the parts (and a wet arm, which I was warned about when discussing the issue with Trevor on the phone). A good bunch of people.
Simply the worst online shopping experience I have ever suffered. Ordered goods in December for Christmas. One item was not delivered. When we eventually got through to them at the end of January they said that no short deliveries were notified by the warehouse to the sales office. So if you don't chase them yourself, they never deliver. That is absolutely unacceptable. When they did "allegedly" dispatch the goods, they were supposed to arrive within 5-7 days. But they won't speak to you about it unless you have been waiting at least 10 days. My item was dispatched on 3 February, but here we are on 18 February and still no sign of it. It is "allegedly" with the couriers. They use a courier firm that collects from them on 3 Feb, and have a planned delivery date "by 20 February". What is that all about? I could walk to the depot, pick it up and walk back in an afternoon.
"Will you please call the couriers and ask when they will deliver?" ::: "I am sorry, that is impossible."
"What is impossible?" ::: "For anyone to call the couriers."
Yes, right.
"Can I speak to the sales director? Or a supervisor?" ::: "[Without a millisecond's pause for thought] They are all busy."
"Can someone call me back?" ::: "[Lies through her teeth] Yes, of course."
Yes of course they called me back. Er... not. The poorly named "customer service" team are supremely disinterest in servicing, or assisting in any way, their poor customers.
Do not buy anything from this company. Ever.
Easy to use website, competetive prices. Sold my iPhone on a Saturday, paperwork and envelope arrived early the next week, and the agreed sale price was transferred to my bank account the following Monday. Could not have been easier.
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you know u should probably learn to read media reports before u judge what a player says like u for instance u fail to see one key thing they quoted geno like this "Because I want to be A+… Hey, that's just the way I do things." the ... lets u know that something was said in between and if u know anything about media u can never assume how much or what it was in between there so i wouldnt be so quick to judge.
Jets rookie QB Geno Smith's first day assessment of himself: 'It's an F'
New York Jets rookie quarterback Geno Smith practiced with the team on Friday for the first time and didn't give himself a very good grade.
Smith spoke to the media after practice and said he doesn't resent any criticism he received in pre-draft scouting reports calling him lazy and questioning his leadership skills. Smith received his playbook from the team the night he was drafted and said he has been hitting the books.
Smith completed 6 of 10 passes during 11-on-11 team drills in his first practice. He went 11 of 15 in 7-on-7 drills, taking 20 of 25 snaps under center, according to the New York Daily News.
"I've been studying my butt off. "I've been in the playbook learning formations and learning protections. I'm going to be tough on myself," Smith said. "So I don't even want to do it. I'll let the coaches do the grading. If I'd say, it's an F. Because I want to be A+… Hey, that's just the way I do things."
Because, Hey...that's just how Geno is.
As sooooon as this dude gets the nod to start...in his head, he'll have arrived and settle into 'just get by' mode, just like Vince Young. He's already talking like getting in his playbook work is something he should be congratulated for...which tells you he thinks he's already gone above and beyond. Nooo, you are a quarterback, Geno...at a bare minimum, you are paid to know all the plays. No gold stickers, workaholic. Thanks for telling everybody you're working hard. It means everything...the haters will never question you again.
Hate him already.
@Edward1 Why do you hate him? Is is a black thing? Vince Young may have not made it. That happens to many quarterbacks. Ryan Leaf, Jeff George and many others have stunk up the NFL. Do you hate them? Heck, Eli Manning has won 2 Superbowls, but he has stunk up the league as well. And how did he ever win his first SB MVP is beyond me. The defense held the most potent offense in the history of the NFL to 14 points and Eli gets the MVP.
Geno does not possess the mental intelligence to lead an NFL team. Just look at Geno and tell us that Geno appears to be bright?
@joeshine730 He looks smarter than either of the slack-jawed Manning brothers.
CJ101 - Tried to read them but had to stop. You are so right!!!
People are stupid. Read the comments below and tell me I am wrong.
That's funny because the Jets picking him up was an F and so will their play this season
Geno is a bright young man. I don't think the playbook will be his enemy.
Geno was a dirt road scholar as his head funny as it looks tells all.
@joeshine730 Man it must be tough for many criticizing a guy drafted in the NFL! In the best market ever. He better not make it, because if he makes it there, he will not have to make it anywhere....else! Go Geno, hope you have a tremendous career in New York and let all the sad sack haters drown in jealousy!
Let's see a pic of you, chief. Bet there's a lot about you much uglier than the shape of Geno Smith's skull.
@joeshine730 hmm...GRUNT...hmm...as words you write on post word tells what brain.
And Geno was grading of the curve.
I guess Gino didn't get the memo; if you didn't get a good grade, its obviously due to racism.
@alfredwells Better watch out or he'll come out of the closet and then become a gay saint with Jason Collins.
With challenging ever changing NFL defenses and different sets and blitz packages do the Jets really expect Cooked head Geno to actually be smart enough to read the defense??? NO
@joeshine730 And how many of the last whatever amount quarterbacks the Jets have had in the last zillion years read defenses, where smart, leaders, and won SuperBowls? One championship and thats it! How many smart quarterbacks have they had. NONE! So who is dumb! It is amazing to me that people are trashing this guy. Well like I said, compare him to all the smart quarterbacks in Jets history. Smart, Smart, Read Defenses, Win Championships, Heck even make the playoffs and other than Namath, no one! Do you hear me? No one. So leave Geno alone! One more point, Jets drafted Ken Obrien before Dan Marino and get this, chances are they would not have one a championship with Marino, because he never won one. Jets can't win for losing. Hope Geno wins one!
@joeshine730 Phrenology, bro? Really? What do you think that says about you're overall intellect? Not a whole lot. What is this, Antebellum Georgia? Just admit that you think he's dumb because he's got... dark skin.
@mannythegoat Black and a misshapen oblong coconut skull. Geno looks dumb.
@OverEd @joeshine730 @mannythegoat Pay attention to the wording of his posts. joeshine is a 12-year-old who hasn't learned the intricacies of the English language yet, like complete sentences. You used the wrong "you're," but I'll let it slide. ;)
@joeshine730 @mannythegoat And you PROVE yourself dumb simply by your posts
Look at the shape of Geno's head? It's misshapen oblong deformity does not spell out smarts.
Interesting to see what will happen at this position. Sanchez is a pocket passer, and Smith probably was given passing plays out of the pocket. Jets could have a big mess on their hand with the type of passing offense they want to have. As Smith gains the confidence of the coaches, I think the playbook is going to be re-written. Otherwise, I see Smith replacing Sanchez as the starting QB midway into the season.
Wait until sundays...this doesnt mean a thing. Neither good nor positive...if he doesnt beat out mark sanchez and start from day one...he doesnt belong in this league.
Thank you, Professor.
@demmario Geno's bent head say it all about geno's brain power which is little.
"Says" it all. "Says." You can't call out brain power and mess up simple grammar. There are rules, man.
@roberts126 The Geno-man is not the issue here. Joeshine! Joeshine730 peed on your rug! You're out of your element.
STFU Donnie
@joeshine730 @mannythegoat @demmario The word you're looking for is "misshapen." THIS ISN'T 'NAM, THERE ARE RULES! AM I THE ONLY ONE WHO GIVES A **** ABOUT THE RULES?!?! MARK IT ZERO!
@mannythegoat @demmario Rules state that Geno got a mis shaped dome which yells out stupidity and a lack of leadership.
This guy can't read a play book and understand what is going on, how in the hell do you think he will survive in NYC. He won't. It is clearly a consensus, except for the jets, that this guy is at best a week back up.....
You're calling out a guy for not being able to pick up an entire NFL playbook in a couple weeks, and you don't know the difference between "week" and "weak"? You guys are all clowns.
you can't talk dude. Look at your spelling of week. Should be weak.
Exactly how do you know that he cant read a playbook? 6 of 10 and 11 of 15 suggest differently anyways.
@blackeaglejay Watch the Steve Mariucci interview with him. It will tell you all. I don't have a problem with Smith, but after that interview I was underwhelmed.
@blackeaglejay @larrybradford Geno's misshapened head speaks volumes and shouts out dumbness. Look at that Dome on geno?
@joeshine730 The only thing we know for certain from your relentless amount of pointless and immature posts is that geno is obviously smarter then you at the very least, otherwise your posts mean nothing besides maybe your really vein considering you actually care enough about the shape of someones head to pass judgement on them even though its common knowledge; which im sure you know; that this isnt an indicator of anything.
@JohnP Nah, not a troll, sorry. I didnt come here to make racial comments about his intelligence or his obong head. Wanna try that again? Angry because I called you out on your "One practice and he cant read playbooks" stunt?
@blackeaglejay Speaking of troll: You just jump right in an throw shots at people then you put your hypocrit hat on and call them trolls. Classic Troll Syndrome
@joeshine730 @alfredwells @larrybradford
You are a dedicated troll...well not really. You are trying way too hard to get attention around here. Going on about oblong heads and intelligence, just go away.
@alfredwells @blackeaglejay @larrybradford watch what happens when Geno has to call NFL plays from memory. DUH? It's the oblong head folks.
@joeshine730 @blackeaglejay @larrybradford
And your posts speak volumes about your racism and ignorance.
@blackeaglejay @larrybradford You said it: 11-15 in 7-7 drills says he can't read a playbook.
@JohnP @blackeaglejay HIghly doubt you could, armchair champ. Wishful thinking. There is a reason he is QB and you are not.
@blackeaglejay And you sire make assumptions. Here, I'll set you straight: I could have completed more than 6 passes like you said.
I know comprehension might be tough for JohnP, first practice....he never bragged, he rated himself bad. Armchair knuckleheads like John just dont get the message even if you told him 10 times.
Well you put words in peoples mouth now. I never called you overweight and uncoordinated. Said you are an armchair QB for making an assessment about a first practice. Easy to comprehend, I know.
@JohnP @blackeaglejay Assumption here is geno is just dumb.
@ITATTRACTS Work on paying attention here buddy
@JohnP @blackeaglejay beat a dead horse. the guy was simply saying, let the kid play for a few weeks before you start driving the nail in his coffin, not that hard to understand.
@blackeaglejay Not in pads
@blackeaglejay Making assumptions of other people is amusing as well. I love how you preface it with: "No offense" and then insult me with your thorough lack of information. You must think I am some old, uncoordinated, overweight jackwagon, which is not the case. Completing 73% of your passes in 7-7 drills is nothing to brag about. You do realize it is seven guys against seven guys right?
@JohnP Really? No offense, but you couldnt even connect on 6 passes in these drills and you are telling me that he cant read a playbook all of a sudden. Armchair QBs are funny. Let the guy play first before you made silly comments on his first practice...lol