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Founded in 1978, The Home Depot is the fastest growing retailer in U.S. history. From the beginning, The Home Depot developed strategic product alliances directly with industry-leading manufacturers to deliver on the most exclusive assortments to customers. To start utilizing The Home Depot's government contract, participants may visit the more than 1900 retail stores across North America. Home Depot offers thousands of high-quality merchandise and services, including construction building supplies, operations & maintenance.
The Home Depot, through U.S. Communities, is proud to deliver program participants comprehensive solutions that range from basic maintenance products to professional installation and repair. Each solution is customized to fit your agency's specific needs.
Full Line of Categories including:
To download or print this information, click here.
Lowest possible price on bulk orders for government purchases. This program was specifically created for procurement professionals to assist with large scale projects. Purchases of $2,500.00 or more qualify for possible price adjustments.
Renovation Services (including material and labor) project quotes
How do I place an order with Home Depot?
To enroll in the U.S. Communities program with The Home Depot: Go to the Home Depot-U.S. Communities webpage.
That completes the registration process, enabling access to The Home Depot U.S. Communities program. To customize access and/or account management, call 866-589-0690.
Who can participate?
States, State Agencies, Counties, Cities, Schools, Colleges and Universities, Non-Profits and Special Districts.
Does my agency need to be a member of ASBO, NACo, USCM, NIGP or NLC to participate?
No. Any qualified agency can participate in the program.
My state requires local governments to bid everything. Can local governments in my state use this program without going out to bid?
Yes. This contract has been competitively bid by a government agency. Through the Joint Powers Authority or an inter-local agreement, local governments can "piggy-back" this competitively bid contract through U.S. Communities. This satisfies the competitive bid requirements in most states. See state by state laws on intergovernmental purchasing.
What does a government agency need to do in order to participate?
Complete the free online registration found on the U.S. Communities website. During the registration process, you will be asked to mark suppliers you are interested in. The suppliers that you select will contact you with detailed pricing and ordering information.
Is there a fee associated with joining U.S. Communities?
No, there are no costs or user fees to the local agency to participate or register.
If my agency already has an account with Home Depot, do I need to set up a new account?
No. Contact your Home Depot Account Representative at firstname.lastname@example.com to have the U.S. Communities program linked to your existing account.
Does the competitive pricing apply, regardless of quantity?
Using Home Depot and the U.S. Communities program assures an agency they are getting a very competitive price on any size order. There are no costs, minimum quantity requirements or spend limits associated with using the Home Depot U.S. Communities program.
Does the USC contract allow me to procure Labor and Services?
Yes. Home Depot Installation Services and Renovation Services are part of the contract.
How does it save time and money?
The key value for the agency is resource savings. On average, U.S. Communities participating agencies will save 5% over traditional procurement practices. Most agencies today are spread too thin. Agencies are downsizing administrative departments, and retiring or departing purchasing and maintenance positions are left unfilled. The U.S. Communities program provides a mechanism to save the time and costs associated with obtaining quotes or preparing bids. The time savings allow the department to accomplish its work tasks more efficiently with the personnel on hand.
How can my agency participate in the U.S. Communities program?
Complete the online registration.
Can more than one person at my agency register?
Yes, additional users can register by completing the standard registration process; the system will automatically unify all registrations that use the same TIN under one agency account. Alternately, existing users can add new users from within their account.
Direct ship to warehouse or job site is available on Bulk Orders.


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Seroconversion 7 Weeks After Exposure
Here's a taste of what TheBody.com has to offer on this topic:
Ask the Experts
Can Antibiotics taken after exposure delay seroconversion (ANTIBIOTICS AND HIV TESTING, 2010)Dr. Bob, I want to thank you for taking the time to answer my questions in the past. Unfortunately I am still very worried. I still have symptoms I cant explain and now I have a rash on my body 12 weeks later after my possible exposure and I am so...Response from Robert J. Frascino, M.D.
The Robert James Frascino AIDS Foundation
Hi,As with so many of the questions cramming their way into my overstuffed inbox, your question has been asked (and answered) numerous times before. A quick search of the archives would have revealed this. See below!Dr. BobCan antibiotics affect...
Read more »
sero-conversion exposure time frameSir, I had both protected sex but also limited risk -- and the very next day -- for over one and... Read more »Newly infected: Time between exposure and seroconversion illness?Dr Bob, I've been reading your advice for a long time because my partner is positive. I read a... Read more »
Insight and Information on Post-Exposure ProphylaxisNote: In response to the questions received in the past few weeks in regard to post-exposure prophylaxis (PEP), STEP has decided to send out a small briefing on what PEP is and what is the best use for PEP (either occupational use or... Read more »Post-Exposure Prophylaxis -- How Well Do Health Care Providers Take Antiretroviral Therapy?The objectives of this study were to examine the toxicity and tolerability of post-exposure prophylaxis (PEP), the impact of PEP on markers of HIV infection, and the epidemiology of exposures in a group of health care workers. 154 exposures to... Read more »Update on Occupational ExposureThe following is updated information on the current status of occupationally acquired HIV infection primarily based on data from the Centers for Disease Control and Prevention. Reported Cases The number of reported cases through June, 1995 was 46... Read more »Lowering the Risk of HIV After Sex or Other ExposurePost-exposure prophylaxis -- or PEP for short -- has long been used to minimize the chance of HIV infection among healthcare workers exposed to the virus (primarily through accidental needlestick injuries). 1-3 It is also generally available in... Read more »
Connect With Others
Seroconversion after 7 weeks
Posted by Anonymous, 1 Reply
What are the chances of having a negative test result at 7 weeks with 3rd generation Elisa and then going onto having a positive result at 13 weeks. Does anyone have any idea percentage wise
Read more »
Seroconversion after 13 weeks?
Posted by Anonymous, 4 Replies
Last year I had unprotected sex with a person who later turned out to be HIV positive (I know stupid). I took an hiv test 15 weeks later and tested NEG. It is almost a year later. I have had various strange symptoms such as night sweats,... Read more » 9 week post exposure, muscle twitches, 7 week Oraquick rapid negative result.
Posted by treeoflife1, 1 Reply
any way muscle twitches can have anything to do with 9 weeks post exposure HIV,
Read more »
Is folliculitis a sign of early HIV? Im 8 weeks into my exposure.
Posted by treeoflife1, 1 Reply
Had a negative 7 week oraquick test, i have 2 infected hair follicles on my arms....Also would anyone know if getting my wisdom teeth taken out would delay my time for seroconversion? Read more » Advertisement Advertisement
Guides for People With HIV

subset: commoncrawl


text: A crisp, toasty blend of 40% chardonnay, 18% xarel-lo, 18% macabeo, 18% parellada and 6% pinot noir grapes. Stunningly great price. Fresh, crisp lime notes with lots of mouse and bubbles. Perfect for parties and gatherings. Spectacular Spicy WineThis Totus Tuus Reserva Bodegas Matilde Cava Método Tradicional was reviewed August 17, 2013 by Natalie MacLean


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5 Reasons Mia Love Lost Utah Congressional Race
Mia Love's hopes of becoming the first black Republican congresswoman were dashed on Election Day.
To say that Mia Love is an anomaly would be an understatement. She's black, Mormon and Republican. Mayor of Saratoga Springs, Utah, Love sought to make history on Election Day 2012 by becoming the first black Republican congresswoman. In the end, however, Love lost the seat in Utah's 4th Congressional District to Democratic incumbent Jim Matheson by a margin of 48.1 percent to 49.3 percent. So how did Love manage to lose the race when she had overwhelming GOP support? She was even featured at the GOP convention in August. Here are five reasons Love failed to edge out her competition.
All Style No Substance: Love had the backing of the who's who of the Republican Party. U.S. Sen. John McCain, U.S. Rep. and GOP vice presidential nominee Paul Ryan, House Speaker John Boehner, Condoleezza Rice and Ann Romney each endorsed her. Add in her appearances on Fox News, CNN and NBC, and the amount of star power Love had amassed is clear. However, some Utahans questioned if Love was nothing more than an "it-girl" who had little substance behind her campaign.
Disorganized Campaign: Brigham Young University political science professor Quin Monson told Utah paper the Deseret News in August that Love's campaign was disorganized. In fact, from April to August, Love switched campaign managers several times, the Deseret News reported.
[ALSO READ: Mia Love's Rousing RNC Speech]
Reminiscent of Sarah Palin: Voters told the Utah Pulse business website that Love reminded them of former Alaska governor and 2008 vice presidential contender Sarah Palin. One remarked, "She was a mild version of Sarah Palin; an empty suit who couldn't go off script from her simplistic, partisan messages. If she did go off script she sounded uninformed, contradictory, and dare I say, unintelligent." Another told the Pulse: "Mia Love was hugely extreme and poorly informed -- a deadly combination. "
Formidable Opponent: The incumbent in the race, Jim Matheson, was difficult to beat. A fellow Mormon, he'd served for six terms in office when Love challenged him. Moreover, Matheson is the son of beloved former Utah governor Scott M. Matheson, now deceased. He's a political legacy in the state.
Extreme Views: While Love's opponent is widely viewed as a moderate, Love made headlines for her extreme views. She supported ending the federal school lunch program, student loans and citizenship to the children of immigrants born in the United States, according to Mother Jones magazine.


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See All Contributors »
Originally Posted by demoncore1031 i smoked for many many years and can spot a stoner from a mile away. not a chance that the mayor ever toked the greenage! I smoked quite a bit for a few years, but you must have me beat because I did not lose my ability to detect irony.
Last name Blount. Who else?
Keepers of the Faith -- htiaF eht fo srepeeK Keepers of the Faith is an alliance for those who are excited, enthusiastic, and optimistic about the direction of our men's basketball program. We reject the notion that one bad loss can derail the incredible progress of the past three years. To join, put this in your signature.
you're beautiful
Originally Posted by DurangoCy Hoiberg petitioned that his number be 420 until the NCAA and NBA ruled that triple digit numbers wouldn't be allowed. Sad Day for Rasta-Fred. He also voted to legalize weed in both CO and WA via mail in ballots. Hey, haven't you heard, he's going by Fred-lion now. Snoop be copyin' offa honkey-azz.
Fred looks like the kind who had his first ever beer (and 2nd and nearly half of the bottle of his 3rd beer) on his 21st birthday, and talked about "that crazy 21st birthday where he had like 8 beers" for the next 5 years.
holy hell.. do people not get that this is a joke?
*****Fearless Leader of the 2012 HawkeyeNation Trolling Invasion***** Originally Posted by Londo If neither Texas and Oklahoma finish in the top 2 and we finish 7th or higher (all in the BXII of course) , I will legitimately cover myself in feathers, tape myself doing the chicken dance for no less than 3 minutes in the Iowa snow, and post the video to CF in a new thread on Dec. 14th. Book it. Quote me. Do whatever you need to do
Freddy gets a pass since it was medicinal (heart reasons)
"ranked from least likely to smoke up before games to most likely" 1600 AM here in CR took it as #1 is the least likely to smoke up before games.
Keepers of the Faith -- Member Keepers of the Faith is an alliance for those who are excited, enthusiastic, and optimistic about the direction of our men's basketball program. We reject the notion that one bad loss can derail the incredible progress of the past three years.
Corie Blount sentenced to year in prison on marijuana charges - ESPN Blount was arrested Dec. 4 after sheriff's deputies intercepted 11 pounds of marijuana sent to him at a relative's house. Investigators said they found another 18 pounds in a subsequent search of his home. Having this guy at #5 really makes a statement.
But, who is the joke on....?
Deadspin is back at it with a follow-up story: Jay Williams's Allegations Of Pot-Smoking On The 2002-03 Bulls Have Really Upset Donyell Marshall It includes the following amusing few paragraphs: The rest of the 2002-03 Bulls are not happy about Williams's allegations, reports K.C. Johnson in the Chicago Tribune: "I like Jay, but when you make blanket statements, you incriminate everyone," said Rick Brunson, currently a Bobcats assistant coach. "You have to look in the mirror first: 'Did I contribute to some of those things?' Your career didn't go the way it should've gone. Let it go. You're doing a great job on ESPN. You should be honored and blessed the Bulls paid you." [...] "My thing is, why say these things now?" said Donyell Marshall, one of the team leaders from 2002-03. "You don't need to be making people assume. You're messing up situations for other people. Now, instead of Fred (Hoiberg, coach of Iowa State) focusing on the NCAA tournament or whatever, he's got to deal with that (crap)."Johnson reports that Marshall, Brunson, and four other unnamed members of that Bulls squad denied smoking before games. He doesn't, though, mention any communication with Fred Hoiberg. So, just to make sure Fred deals with that ****, we've put in a call and an email to Iowa State about these very serious allegations. We'll update when we hear back. I wonder if they'll get an official reply?!!?!?
Fred Hoiberg Tells Us, "I Have Never Smoked Pot In My Life"
Originally Posted by gocubs2118 Fred Hoiberg Tells Us, "I Have Never Smoked Pot In My Life" LOL at Dreamy if he actually called them back.
some of the comments are kind of funny is there not a hoiberg "why not zoidberg" meme setup with his picture? you'd think you could get a lot of mileage out of that one
Forum Rules


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Results 21 to 25 of 32
Thread: What are your middle names?
June 13th, 2013 03:50 PM #21Senior Member
- Join Date
- Dec 2009
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- 1,706
My middle name is Hope. I sometimes wish it were my first name instead!
June 13th, 2013 04:01 PM #23Senior Member
- Join Date
- Jun 2013
- Location
- Tellus
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June 13th, 2013 04:01 PM #25
June 13th, 2013 06:28 PM #27
My middle name is Aileen, pron. Eye-leen. I think it goes great with my first and last names and it's fun because when people see my middle initial is A, they usually assume it's something like Anne or Alice or Alexa. No one ever suspects it's Aileen, so it's a fun surprise
The only issue I have is when I tell people my middle name is Aileen-with-an-A, they tend to spell it Eilean or something similar. Or pronounce it Ay-leen instead of Eye-leen but since I don't use it that often, it doesn't come up much and I still like it!contemplating combos:
August David Dodge · August Henry Dodge · Barnaby Viggo Paul · Barnaby Atlas Paul
Leona Vesper Lynn · Vivian Lillie Revere · Florence Patricia Mae · Zelda Katherine Rose
avatar by *moogley-mog
June 13th, 2013 06:45 PM #29
My middle name is Angelí. I like how it flows with my first name.
Little Bean arriving September 2014
Zoe | Noemí Esther
Lucas Emmanuel | Levi Alexander
Adele | Adira | Arabella | Aurora | Eliana | Elizabeth | Milena | Susannah | Zara


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NEW YORK NURSE: January-February 2011
by ALison Munday
Peggy Leonard has been appointed to serve on the technical expert panel of the Oregon Evidence-Based Research Center to assist with a recently launched comprehensive comparative effectiveness review of case management practices. Leonard is senior vice-president for clinical services at Tarrytown-based insurer Hudson Health Plan, where she leads a team of nurse case managers to assist patients with diabetes, risky pregnancies, severe mental illness and disabilities, asthma, and AIDS/HIV. She is former president of the Case Management Society of America. Recently, she implemented an integrated-care case management model as part of a New York State Department of Health-funded Chronic Illness Demonstration Plan. She and her team are now replicating that model at Hudson Health for members who have complex medical and behavioral health issues. Leonard has participated in the national Quality Forum Steering Committee on care coordination measures, is past co-chair of the New York State Department of Health Case Management Work Group, and has served as chair of the American Nurses Credentialing Center Nurse Case Management Expert Panel. Most recently, she was named to the New York State Board of Nursing, which oversees the practice of all nurses licensed within the state.
Connie Vance, professor and former dean at The College of New Rochelle School of Nursing has published Fast Facts for Career Success in Nursing: Making the Most of Mentoring in a Nutshell. Vance, who was also previously a professor of nursing at New York University, received her diploma in nursing from Washington Hospital Center, Washington, D.C. She went on to earn baccalaureate and master's degrees from Washington University in St. Louis and a doctorate from Columbia University, Teachers College in New York City. Vance is a Fellow of the American Academy of Nursing; a Fellow of the New York Academy of Medicine; member of the Nursing Hall of Fame at Columbia University; and honorary member of the American Association of Colleges of Nursing. A prolific writer for professional journals, books, and the popular media, she focuses on mentorship, leadership development, education, global affairs, and public policy. She serves on several professional and editorial boards, including those for Nursing Spectrum of New York/New Jersey, and Nursing Economics. Prior publication credits include: The Mentor Connection in Nursing; Nursing in the Global Arena; Mentorship in Nursing: A Collection of Research Abstracts; and Mentorship in the Annual Review of Nursing Research. She is co founder of the Global Society for Nursing and Health, past vice president and current board member of Teachers College Nursing Education Alumni Association, and an honorary member of the Russian Association of Educators of Nursing and Pharmaceutical Colleges. A consultant, workshop leader, and accreditation evaluator to hospital departments of nursing, professional associations, and nursing programs throughout the U.S. and internationally, Vance is the recipient of many awards, including the Humanitarian Award from Hope for a Healthier Humanity and the Pan American Catholic Health Care Network; the Outstanding Achievement Award from the International Institute of Human Understanding; the Teachers College Nursing Education Alumni Association Award for Nursing Scholarship & Research, and the NYSNA Nursing Education Award. She is a member of the American Academy of Nursing Expert Panel on Global Health and is a Distinguished Lecturer of Sigma Theta Tau International.
The Long Island College of Nursing recently celebrated more than a decade of acknowledging RN excellence with the eleventh annual Thomas and Elizabeth Butson Awards for Clinical Excellence and Compassionate Nursing. Established by Elizabeth Butson in memory of her husband Thomas and in recognition of the outstanding nursing care he received, this annual award celebrates the compassion and skill of the hospital's nursing staff. CBS medical reporter Dr. Max Gomez guest-hosted the event, honoring four NYSNA RNs and a patient care assistant. This year's award recipients were:
Hazel Fajardo, a nurse who cares for patients undergoing ambulatory chemotherapy. Fajardo works alongside Linda Bernard-White, who was the inspiration for the Butson Award and its first recipient, and together they continue a tradition of excellence;
Claudette Thompson cares for stroke and neurosurgical patients. A hands-on nurse, she is famous among her colleagues for knowing everything about the patient's diagnosis, prognosis and plan of care. For 17 years she has provided comfort to patients and families;
Nick Pistilli, the youngest recipient of the award and a nurse for just two years, was recognized for excellent work in the Emergency Department, and for encouraging other young men to consider a nursing career;
Cindy Pietromonico, a critical care nurse in ICU for more than 20 years was described as embodying the spirit of the award, "extremely caring and a true patient advocate." She was credited with excellent technical skills, for never losing sight of the human side of the ICU, and for helping patients and families through end-of-life issues with great compassion; and
Sandra Ozeta, a patient care associate, was recognized for providing patient support in the emergency room with a "smile and positive attitude, enabling nurses to focus more completely on their clinical duties."


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Pairwise comparisonThis tool allows you to align and compare RNA secondary structures.
Distance table
Compute a distance table for a set of secondary structures.
Database search:
Search full structuresSearch in database secondary structures similar to a query structure.
Search stems / stem-loops
Search in database stems or stem-loops similar to a query stem or stem-loop.
Secondary Structure RenderingRenders a given structure (Connect, dot-bracket, ...).
Structures Alignment Rendering
Renders an alignment between 2 structures.
Consensus Alignment Rendering
Renders an consensus alignment between a same structure and a set of structures.
Other tools:
Formats ConversionTools to converts secondary structure format.
Unalign a structure
Unalign a secondary structure.


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Studio Mieke Meijer is a Dutch design studio run by Mieke Meijer and Roy Letterlé.
A constructive form language, clean lines and industrial details contribute to a strong, recognizable signature.
The designs of Studio Mieke Meijer are never purely functional but offer the user freedom to use them his own way. This helps them retain their autonomy.
The designs they are mostly hand made in their Eindhoven based workshop. Craftmanship and highly demanding finish are of fundamental importance.
Meijer (Wezep, 1982) graduated from Design Academy Eindhoven. Letterle (Kerkrade, 1978) studied architecture at PTH Eindhoven. Together they work on self initiated and commissioned projects. They teach at Design Academy Eindhoven and HKU University of the Arts Utrecht.
Studio Mieke Meijer regularly takes part in exhibitions in different contexts both nationally and internationally. Recently her work was part of the exhibition 'Revaluate' by collective Dutch Invertuals during the Dutch Design Week in Eindhoven.
The work of Studio Mieke Meijer is available through a limited selection of galleries at home and abroad.
For more information please contact call +31(0)611254354 or email to firstname.lastname@example.com.
Salone del Mobile 2014
Studio Mieke Meijer presents new work during the Salone del Mobile in Milan as part of the exhibition 'Happy future' by collective Dutch Invertuals.
Royal Showpieces
For the first time in history, the interior of Palace 'Het Loo' will be temporarily changed. In the historic rooms the work of Dutch designers will be combined with clothing, tableware and art objects from the royal depot.
OBJECT Rotterdam
During OBJECT Rotterdam from February 6-9, the new label by Beeldenstorm, Sundaymorning@EKWC and the National Glass Museum present work by Studio Mieke Meijer on the 30th floor of The Rotterdam, the imposing new building by architect Rem Koolhaas.
From January 13-19, Studio Mieke Meijer presents her work as part of the exhibition 'Dutch Design 2014', organised by Dutch Design Desk in collaboration with the Dutch embassy.
Light Distillery
Light Distillery is a neon lamp designed by Studio Mieke Meijer and Max Lipsey commissioned specifically for the NatLab.
The restaurant NatLab in Eindhoven recently purchased two cooling tower lights. The design of the lamps perfectly fit the industrial character of the building.
During the Dutch Design Week from October 19-27, Studio Mieke Meijer will present new work as part of the Dutch Invertuals exhibition. The Invertuals collaborated with the EKWC, the Glass Museum and Beeldenstorm to realize their projects.
This happened
September 9, Mieke Meijer will be one of the guest speakers in 'This happened'. She will tell us about an interesting collaboration with Peugeot, in which an unexpected material was used in a futuristic conceptcar's interior design: old newspapers.
The restaurant NatLab in Eindhoven recently purchased two cooling tower lights. The design of the lamps perfectly fit the industrial character of the building.
Salone del Mobile 2013
From April 9-14, new work by Studio Mieke Meijer was part of the new Dutch Invertuals exhibition 'Transform' during the Salone del Mobile, Milan. Dozens of scale models formed the Framework Collection, a shelving system based on that of lattice constructions.
Commissioned by Museum Hilversum Dutch Invertuals designed the exhibition REFRAMED. In this exhibition past and present come together in a surprising way, because they are literally placed in a new context.
Newspaperwood in Peugeot conceptcar
Vij5 and Mieke Meijer are proud to present the result of their collaboration with Peugeot in the Peugeot Onyx conceptcar!
The concept of the car is based on new techniques and materials and NewspaperWood is one of them!
The Onyx will be officially launched during the 2012 Paris Motor Show from September 29 to October 14 2012.
HFG Karlsruhe
Mieke Meijer was invited to do a lecture on February 20 at the Hochschule für Gestaltung Karlsruhe around the theme 'DesignKultur_DesignDialoge. The students were amazed by the Newspaper Wood samples Mieke Meijer had brought with her for this occasion.
Winters Tafelen
Touchables is part of the exhibition "Winters Tafelen" in ceramics museum Princessehof in Leeuwarden. In the exhibition you can see spectacular tables with dishes of the museum, together with design by famous designers such as Piet Hein Eek, Ineke Hans and Roderick Vos.
Kortrijk: Inside of Mobile
During Interior 2012 from October 20-28 in Kortrijk, the Balance lamps will be part of the exhibition 'Inside of Mobile' organized by Suzanne Rietdijk. Other participating designers are Daphna Laurens, Lotty Lindeman and Wouter Scheublin, Rick Tegelaar en Jeroen Wand.
Location: Buda Gallery, ground floor
Prins Bernhard Cultuurfonds
Mieke Meijer recently gratefully received financial support from Sofa Fonds, a cultural foundation part of Prins Bernhard Cultuurfonds. Their support makes a metalworking department within Studio Mieke Meijer possible soon!
Dutch Invertuals presents 'conflict'
During the Dutch Designweek 2012 Dutch Invertuals presents conflict; an exhibition with new works from different disciplines. We are confronted by conflict on a daily base. It forces us to choose side and by doing so we keep in motion of renewal. New formats and points of view form as we are being pushed into the future by the power of conflict.
What's Up? May 8th 2012
What's Up? is a monthly 'Show & Talk' about the best of creative Amsterdam and surroundings. For de 48th edition on May 8th guest speakers are author Philip Huff, theatre producer Margo van de Linde, entrepreneur Stef van Dongen (Enviu) and designer Mieke Meijer. Presentation: Jörgen Tjon A Fong (Urban Myth).
Salone del mobile 2012
The exhibition Untouchables Retouched by Dutch Invertuals was succesfull. Mieke Meijer presented the improved version of the Balance lamp including a prototype of a suspension lamp within the same concept.
Christian Ouwens
During Museum Night Rotterdam (March 10), Mieke Meijer presents a series of remarkable installations inspired by the work of Bernd and Hilla Becher. Exclusively for Christian Ouwens, Winding Tower 01 was designed; an desk with an unusual placed showcase.
Dutch Design - Huis van Oranje
In the summer of 2012, Oranienbaum Palace will be hosting an exhibition of contemporary Dutch Design and fashion in combination with historical artefacts from the Dutch Royal Archives.
Dutch Invertuals
Dutch Invertuals celebrates vulnerability with the exhibition 'Untouchables' during the Dutch Design Week 2011, October 22-30 in Eindhoven.
Dutch Design Week 2011
During the Dutch Design Week, Mieke Meijer will present new work at different locations: Dutch Invertuals, Copy Nature and Yard at work
Huize Brabant
From October 20-January 8, BKKC organizes the exhibition Huize Brabant. Huize Brabant shows an overview of design from the Brabant area.
The Dutch Collection
Oriel Myrddin Gallery hosts an important exhibition of contemporary Dutch design curated by Freshwest Design. The curation is particular: its emphasis is creative, questioning, light and holistic. The exhibition will feature the work of 13 important or emerging designers. Mieke Meijer is one of them.
Depot Basel
Together with 8 international designers, Mieke Meijer has built the infrastructure for Depot Basel, a former grain silo transformed into a place for contemporary design.


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Northern State football coach Tom Dosch, center, talks to a group of defensive players during a recent spring practice at Swisher Field. American News Photo by John Davis (April 2, 2013) |
Northern State finally got to practice in some nice weather.
The NSU football team had its eighth practice of the spring on Monday at Swisher Field. The Wolves had been practicing in cold weather during the first two weeks of spring ball and had been practicing in the mornings. On Monday, the Wolves practiced for about two hours in the afternoon. The high on Monday was 35 degrees.
"Actually it does feel good to play in some nice weather," NSU safety Jayson Geditz said. "It has been really, really cold in the mornings when we have been out here. The sun is out. It is probably like 30 degrees right now. This feels awesome."
Geditz is one of 85 players participating in spring ball. NSU went 6-5 last season. The Wolves are coming off its best season since 2005 and competed for a divisional title in the final game of the season. The Wolves landed 10 players on the All-NSIC North teams following the season. NSU will have 12 seniors on the roster this season.
"We have a lot more seniors this year than we have had in a while," NSU tight end Spencer Flakus said. "You can just tell the pace of everything is going better. Everyone is really committed. We have a lot more people now than we have ever had before, which is nice. The competition is higher and everyone is doing a good job."
The Wolves have seven practices left during their spring season and Monday's practice was its first since last Thursday, as the players had Easter break.
"There was good and bad things we saw today," NSU coach Tom Dosch said. "Offense really did some good things for a while and then defense responded well. Now it is a matter of getting more consistent."
The Wolves are allowed 15 practices during the spring and the time spent on the field is beneficial for several reasons, said Dosch. The time is instrumental for all players, especially for the younger players. There is also more teaching during the spring as opposed to the fall Dosch said.
"Everyone is practicing well," Flakus said. "It is high tempo and everyone has a good attitude and effort out here. This spring ball, you can just tell there is a lot of competition."
Dosch also had some fun with the team at the end of practice. He told the players to line up so they could run sprints because he said the team did not have a good practice. Before they were getting ready to run he told the team April Fools.
"He has got us the last few years, so the older guys kind of knew," Geditz said about the joke.
The Wolves spring football game is 6 p.m. April 12 at Swisher Field.
Heiser verbally commits to Northern State
Tanner Heiser of Watertown has verbally committed to play basketball for Northern State.
The 6-foot guard was a first team all-stater last season and is an All-Eastern South Dakota selection. His junior season he averaged 22 points, four rebounds, three assists and two steals per game. He scored 44 points in a game last season against Brookings to break Jason Sutherland's school single-game scoring record. This season he averaged 19.9 points and 4.6 rebounds per game. He finished his career with 1,130 points.
Verbal commitments are not binding until prospects sign their national letters of intent. Heiser can sign his national letter of intent later this month. He is NSU's fifth recruit for the upcoming season. Carter Evans (Rochester, Minn.), Dan Becken (Lino Lakes, Minn.), D.J. Pollard (St. Louis Park, Minn.) and Jeff Probert (Prior Lake, Minn.) signed with NSU during the fall signing period.
Sports writer Ryan Deal
S.D. rivals


text: Born in Jerusalem, Gad Almaliah devoted his life to creative expression through the graphic arts. In 1965, he completed his studies at the Bezalel Academy of Art in Jerusalem. Gad served as president of the Graphic Designer's Association of Israel for 15 years. He has designed for the Israeli, United States, and Mexican Postal Services. In addition, the Israeli Government commissioned him to design coins and medals as well as the emblem for the six-day war. He produced books on design. The central text of his Ketubot is enveloped by special designs, many in a choice of copper alloy, silver alloy, or lithographic watercolors. Each Ketubah is unique, and was signed by the artist. With a look which reminds us of both the ancient and modern land of Israel, his Ketubot are the perfect combination of a legal text transformed into a striking and special commemoration of the Mitzvah of marriage. Gad Almaliah passed away in 2007, but his family continues to produce and sell his giftware designs and the remaining signed prints. |


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NEW! 2/1/2014 by Ty Smedes
by Ty Smedes
NEW! 12/1/2013 by Barbara Tabach
NEW! 10/1/2013 by Linda Betsinger McCann
by Linda Betsinger McCann
NEW! 10/1/2013 Text by Mike Pace Photography by Mike Wetteland
by Barbara Tabach and Polly Clark
NEW! 8/1/2013 by Donald C. Elder III, ed.
by Bill Cotton
by Henry Gregor Felsen
by Gail Kurrle Wilkinson
by Diana Landau
by Timothy C. Florer
by Carson Ode
By historian Dr. Michael Kramme
by Cynthia Huffman Sweet
by William Friedricks


text: We always have Bristol Beer Factory's permanent range of beers: SEVEN4.2% Premium Amber ale. Toffee malt flavours balanced with a smooth hop bitterness & aroma. All English malt & hops. SUNRISE4.4% Golden Ale. A biscuit malt backbone followed by waves of citrus hops make for a wonderful English Golden ale. NOVA3.8% A light malt base; Maris Otter, CaraPils and wheat malt allows the bright, fresh and zesty hop aromas to shine - underpinned by herbal and floral notes. We will be rotating our 3 craft keg lines on a regular basis with artisan beers from some of the UK's most exciting craft breweries, as well as from further afield. See below for the keg beers we are serving and stay up-to-date by following us on twitter. Jaipur 5.9% Thornbridge Brewery A citrus dominated IPA, soft and smooth yet builds to a crescendo of massive hoppiness accentuated by honey. An enduring, bitter finish. Voted best keg ale in the World at the 2010 Brewing Industry International Awards. Camden Pale Ale4% Camden Brewery Bright gold, big hops and white foam, it's packed with citrus and tropical fruit, there's a round body and a drink-me-faster bitterness. Weiss Bier 5.2% Maisels Careful selection of the finest wheat and barley malts gives Maisel's Weisse his glowing reddish amber colour and the traditional brewing methods of bottle fermentation with yeast gives it its unique character. Fruit notes combine with mild seasoning from cloves and nutmeg to give a fruity, spicy wheat beer flavour. We also have two guest cask ales. Also available is a large variety of high-end spirits which include premium Polish vodkas, Scottish single malts and Cuban rums. We try our best to keep food and drink miles to a minimum, so we only European wines. Click here to view our full drinks menu.


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Nelsons Arnileve Arnica Cream -- 1 oz
Best Product Ever
Arnica has proven itself to me to be 100% reliable in helping with my aches and pains. A tube was given to me by a friend to try; and since then, my mom, my sister, and several aunts, cousins, grand mothers, and on and on are now users of Arnica. They too find it to be effective and easy to use. It has no smell, is not greasy, and it WORKS! It truly relieve's your muscle pains.
April 30, 2009
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The pastor of Claremore Church destroyed by a fire Saturday is speaking with News On 6.
The fire reduced the century-old building to rubble, and emotions are running high in the congregation as it moves forward without its building.
Saturday night, the Christ Presbyterian Church in Claremore was up in flames.
7/20/13 Related Story: Claremore Presbyterian Church Destroyed By Fire
Instead of Sunday services, pastor David Schwenk is touring the damage of the church.
Christ Presbyterian services have taken place in the building at the corner of Fifth and Weenonah for 26 years.
"I love this building," Schwenk said. "It was old; it was beautiful. I mean, it was a magnificent building."
But a large fire took the building down Saturday night.
"It was just crazy," witness Sara Poteet said. "I [haven't ever] seen anything like this. It was a whirlwind of emotions for sure."
Claremore Fire Chief Sean Douglas says 12 agencies responded to the downtown fire.
"By the time I got here, you could still see a little bit of the flames out from the eaves," CFD's Sean Douglas said.
"Then it came out through roof, and once it did that, it got enough air where it was very hard to put out."
The fire was so large crews had to protect other buildings surrounding the church.
"There's nothing you can do when it's this close to your house," Samantha Flynn said. "There's nothing you can do. You must try to watch your house. We saw embers falling on that house across the street so we were scared."
Blowing embers were the biggest concern.
"Once it vented through the roof, we had a lot of embers and stuff," Douglas said. "We had a lot of wind with the weather front coming in. It was blowing embers to the south of this building. So we had crews to try to make sure the gymnasium didn't catch on fire."
The pastor said the message to his congregation is clear.
"I'll remind them that we're the body of Christ," Schwenk said. "Blessed beyond measure to be God's children. It's far greater than a building."
One firefighter was taken to a hospital to be checked out for heat exhaustion.
The fire is still being investigated.
The church says they will have another building to worship out of next Sunday.
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I wrote my birth story in my journal a week after my beautiful daughter was born. I was 18 years old at the time. I am 22 now, and my now 4 year old daughter gets more and more beautiful and amazing everyday! Since my boyfriend and I have recently started trying to have a baby (this will be my 2nd, his 1st baby), I felt like sharing my birth story. 4 years ago, after 3 years of dating, my daughter's father left me for another woman when I was 17 years old and 3 months pregnant with his baby. I was still single when she was born, but I let her father be my labor partner so that he could be there when she was born. All-natural labor was extremely challenging, but I think childbirth is a beautiful (though graphic lol) process, and I am positive that I want to have an all natural childbirth with my next baby as well. Here is my story.
November 13th, 2008
My mom and I arrive at the navy hospital for my 39 week appointment with my OB. So far in my pregnancy I have never felt any contractions. My OB asked if I had been feeling any contractions, had any leaking fluid or blood. I as always replied no. He said that even though I wasn't feeling contractions, if I would like he could check my cervix (it would be the first time he'd ever done that) and see if I had made any progress at all. And he offered to strip my membranes, which I replied YES PLEASE!!! So he checks me and I am expecting to either be 0 cm dilated or 1 at the most. And then he says "...Yep, you're 3 cm dilated and 90% effaced. I'm sending you to Labor and Delivery!" And then he pulled his hand out and there was blood on it! He said, "...that's a good sign too."
I couldn't believe it!!!
Next thing I know I'm in triage hooked up to the monitors. After 30 minutes of having contractions every 4 minutes, they decided to admit me!!! Now the first couple of contractions that showed on the monitor I couldn't feel at all, but after 5 or 6 I started feeling a little bit of discomfort with each one, nothing painful but just enough for me to recognize that I was having a contraction. Now my mom was pretty flabbergasted that I was in labor and in no pain at all. She kept saying how unfair it was and that I should be in pain!! Strange when your mom wants you to be in pain, huh?!
Now that I was officially admitted, I called Andrew (baby daddy) to let him know. Because I wasn't in any pain yet, I told him he didn't need to come right away and that I would call him in an hour or two when i actually got into a labor suite. He sounded so terrified!! (he was 18 yrs old too btw) He mumbled "Uh...okay...that's cool..." Because I was so nonchalant about it all I guess he didn't realize that we were actually having a baby TODAY and SOON! Afterwards he told me that he would have come to the hospital a lot sooner if he had realized that this was the real deal. Also at 11:00 AM, my mom left to go to our house and pick up my hospital bags, birthing ball (aka exercise ball), etc. She wanted to hurry and leave to go get them so that she would be back before baby arrived. Luckily, I already had my bags pretty much packed, and I had made a list of things I still needed to pack so she found everything real easily. My birth plan definitely went out the window, however. I had everything planned down to what outfit I would wear and what color eyeshadow I would have on. What was I thinking?!? (Well, I was 18 yrs old after all lol) I had planned to labor at home until the last minute, and then when at the hospital I still wanted to labor out of bed: walking, squatting, using the birthing ball, etc., along with a million other things. And even though my birthing plan didn't happen at all and was way too unrealistic (example: writing her birth story while IN LABOR. What!!??!?) I'm really glad I did have a plan, especially since it allowed me to be strong in knowing that I did not want an epidural or any other pain medication. I was also really scared that they were going to put me on pitocin to make labor stronger and progress faster (and be much more painful!!), but amazingly I progressed really fast all on my own.
A nurse gave me an IV with Penicillin since I tested positive for GBS. It made my arm burn for about 15 minutes but other than that I didn't notice it. Because of the IV and two monitors on my belly - one for baby's heart rate because it was too high, and the other to measure the strength of my contractions - I was restrained to the bed the entire labor :(. I didn't mind except the fact that I had to lay perfectly still or else we would lose baby's heart rate.
An OB I had never met before came in and did a quick ultrasound to make sure baby's head was down - it was. He also asked if I wanted an epidural or pain meds now or if I might want some later on when the pain got bad, I said no.
Some nurses came in my triage room and helped me move to a labor suite (I had to drag my IV pole behind me lol) I normally would have been transferred to a labor suite right when they admitted me at 10:30 AM, but all the rooms were full. All the nurses kept apologizing, but I really didn't care since I wasn't in pain. I got changed into a hospital gown, re-hooked up to monitor belts and laid down in bed. The contractions were starting to get more uncomfortable, but still not painful. A nurse came in and sat next to my bed for about 30 minutes asking me a bunch of questions to fill out forms with.
Andrew arrives. ...Looking scared out of his mind, haha. Right after he came the contractions started getting painful and more frequent, about 1-2 minutes apart. Andrew was a great labor partner, every time a contraction came on he came real close to me and started rubbing my back and neck while reminding me to breathe, breathing with me, and telling me I was doing such a good job. I couldn't have asked for anything more. My Mom, as well as Andrew's Grandma, arrive at about the same time and come into my room. My mom was in the room for like 10 minutes setting the camera up for me, bringing my bags in, etc. I really didn't want anyone but Andrew in there though, especially since the contractions were getting pretty bad. It took everything I had not to scream at them to get out, and luckily they did soon enough. My mom brought my boom box so that I could listen to music during labor, but we couldn't get it to work. I seriously didn't care at this point though.
2:00 PM to 4:00 PM
My OB came in along with a really nice midwife. They checked me and I was 5 cm. My OB decided he wanted to break my water, so they did. Then they inserted an internal monitor on the baby's head since the belt kept showing the baby's heart rate at 170, with 160 being the highest normal heart rate. From this point until she was born I had on an oxygen mask, which I kind of liked, in hopes of bringing her heart rate down. Before they broke my water, the contractions were BAD, I couldn't talk through them and I had to really focus on my breathing. And they HURT, like a burning, stinging, my-body-is-on-fire pain. But AFTER they broke my water - and they warned me that it usually makes the contractions more painful - the contractions became INSANE. I started to feel out of control, knowing that the contractions were going to keep coming and coming and there was nothing I could do to stop them. I only got by because I would make myself focus on the current contraction and not allow myself to think about how there was another one coming. Now to get through contractions I definitely needed Andrew, the oxygen mask smashed against my face, my whole body shaking and trembling, my hands grasping on to the bed rail for dear life, and panting breathing techniques. After a while I also had to add low groaning and a little bit of loud yells. After what seemed like an eternity of contractions, I started getting confused as to why no one had come in my room to check my dilation for such a long time. What if I was already 10 cm? What if the baby's head is right there and my body pushes her out and no one is there to catch her?! I thought about calling the nurse but I didn't want to annoy them. Soon after, every time I felt a contraction, it kind of felt like I needed to push. After several contractions of the feeling, it got bad enough that I accidentally pushed a little bit so I called the nurse right away. The midwife came in, checked me and said I was 8 cm and asked me if I wanted an epidural. The pain was more excruciating and all-consuming than anything I had ever felt, but I knew how quickly you can progress from 8 to 10 centimeters and so I was able to say no. I really wanted to say yes, and the only reason I was able to say no is because of how many birth stories I had read about women caving in and getting an epidural at 8 cm, only to have to sit up and SIT STILL on the edge of the bed while they got the epidural, which they said was awful, only for the epidural not to kick in until after they pushed the baby out, because they progressed so quickly once they got to 8 cm. I didn't want that to happen to me, and the thought of sitting up and sitting still sounded horrible at that point. So I said no. So the midwife told me to just breathe through the contractions, and then she and the nurses left. After a few contractions, I kept accidentally pushing and so I called them to check me again. I was 9 centimeters. The contractions were UNBEARABLE and pushing felt SO GOOD!! It was so hard not to. They got my OB and pretty soon I was 10 cm and ready to go.
I started pushing. The midwife delivered the baby but my OB was standing right next to her the whole time. The midwife said I was an amazing pusher and therefore she was going to let me direct my own pushing. She said to push whenever I felt a contraction. The only problem was, there was so much pressure it felt like I was constantly in a contraction!! So I really had no clue when to push but I did the best I could! I would push 3-5 times and then take a little break. Then push again. Oh my gosh, I pushed SO HARD!! I felt like my head was going to just fall off because i was going so hard. I remember when the head and shoulders came out, it was as if the pain was more painful than possible. My mouth let out 2 screams and it was as if my soul was screaming. I know that sounds strange, but it's the best way I can describe it. I pushed from 4:10 to 4:25 pm. Only 15 minutes!
At 4:25 PM on November 13th, 2008, Anemone Cadence Kennedy was born. Right when she came out they put her on my stomach. She had lots of brown hair and I stroked her arm before they picked her up and took her to the warmer because she wasn't crying. She took a really long time to cry. I was so scared. They had to clean out her lungs a bunch, but eventually she did cry. Next, came the worst part of my whole labor and delivery. Yep, that's right, the worst part by far was the 30 minutes after she was born. Because I had no pain meds or epidural, I could feel EVERYTHING.First, I had to deliver the placenta. The midwife pushed down on my belly to make it come out, which hurt really, really bad. Then it came out, and I saw it and it was really weird looking haha. Then they told me that I tore, a 2nd degree tear and my OB started stitching me up. So they gave me a shot of demerol in the area where the tear was that was supposed to numb me. He started stitching me up, and the demerol wasn't working. I could feel everything. And it hurt....SO BAD. I was sobbing and screaming so hard the whole time. Also, I was losing way more blood than normal and it wouldn't stop coming. My OB said I lost a total of 700 cc's of blood- which is a lot. My OB said if I had lost any more, I would have needed a blood transfusion. They gave me a couple more shots of demerol throughout the stitching because I was in so much pain, sobbing and shaking, but the shots never numbed me at all. To stop the bleeding, my OB kept pushing down on my belly extremely hard and pulling huge clots out of me. Which also hurt EXTREMELY BAD. After what seemed like an eternity of pain, but was probably closer to 30 minutes, the bleeding finally slowed down and i got to hold my beautiful little girl. She was so gorgeous and fragile and perfect. She had no health issues or problems, except for a small cataract in her left eye. She has since seen an eye specialist and he said she will not need surgery, it is just a small speck in her vision.
I breastfed my daughter until she was 18 months old. She never had one drop of formula her whole life. I just went straight from breastfeeding to regular milk when she was old enough.
All the doctors and nurses said I had a "picture perfect labor", the best delivery of the year, etc. I guess because I progressed so quickly, didn't need any pain meds, and I was never mean to anyone. All the nurses, my midwife, and my OB were really nice throughout the whole thing. My only complaint was that I wish my Midwife had directed my pushing. I pushed WAY too hard. I know this because I ended up getting apezea (sp?), little dots all over my face and neck for a day after my daughter was born. I also really wish the midwife had told me that the baby was getting closer to coming out while I was pushing. She never told me anything, so I thought I was doing a terrible job and the baby wasn't moving closer at all!! Which made me push harder!! I was shocked when all of a sudden the baby was out, because I thought they always told you when you were making progress. I hope my 2nd baby progresses fast as well and I am able to have an all-natural child birth again. If only I could not tear this time lol. Feeling the stitching was by far the worst part. Good luck to any women that are hoping for an all-natural child birth, and I hope you enjoyed reading my story. Thanks for listening :).


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Neighbourhood: | Las Cañitas |
Category: | Studio |
Area Size: | 40 / 430 sqft |
Num. of People: | 2 People |
Min Stay: | 30 Days |
Weekly: | U$S N/A |
Monthly: | U$S 1.045 |
Beautiful studio located in Las Cañitas neighbourhood, only a few blocks away from Av. Libertador, restaurants, bars, shops and bus stops. It has a queen size bed. Its equipped with a cable tv LCD, refrigerator, electric oven, internet and air conditioning.
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Buenos Aires Apartments rental. Buenos Aires accommodations. See our list of furnished apartments in Buenos Aires. We are the #1 rental company in Buenos Aires with over 1400 apartments. We provide excellent customer service to our guests!
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Shadow Dancer Perspective
Artist description:
The shadows fall behind you and the joy of the Lord becomes your strength when you turn to Him for help in your darkest times.... THE JOY OF THE LORD IS YOUR STRENGTH!!! (Ref. used/changed for drawing) For ^A^ ~ Keep on keeping on Jesus loves you!
Created Oct 26, 2011. Unless noted Copyright 2011
Salita .
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this is extraordinary piece Sali!!!!! love it and Im sure that Trish do too:)
Delightful, Sali. What a beautiful perspective to have ... both literally and visually :) 5 ♥s
amazing drawing and message i love the pose and shadow and the background is cool awesome job once again 5/5
So beautiful drawing and saying, brings tears into my eyes, Angelheart will love it. 5/5+Collect
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Unisex Fitted Tee (More Styles...)
American Apparel 100% cotton t-shirt with a fitted / vintage fit. The medium-lightweight jersey fabric is made of ultra-soft combed cotton. Sizes: SM-3XL
Mens & Unisex Jump to: Tees Long Sleeve Tanks Sweatshirts Juniors / Women's Fitted Kids & Babies Accessories Description: This spare, minimal design begins with the C of "Clinton" and stylishly promotes the run by Hillary Clinton to be the next President of the United States of America in 2008. This and every shirt we sell through Skreened is made ethically and sweatshop-free by American Apparel. Design by Irregular Times, the place for news that doesn't fit. Search: hillary, clinton, c, 08, '08
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Is Winning Everything?
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My Life is a Sitcom Summary
Real families compete to prove that their family is worthy of starring in their own sitcom by having a sitcom writer live with them to observe their everyday lives while the cameras watch. One family appears each week. Former sit-com stars comprise the three person panel of judges.
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This publication was supported by an educational grant from Amersham Health, Princeton, NJ. The opinions expressed in this publication are those of the authors and not necessarily those of Amersham Health. <
Dr. Bae reports relationships with Tyco Healthcare and Mallinckrodt through patent agreements and as a consultant. Dr. Fishman reports relationships with Siemens Medical Solutions and Amersham Health as a consultant. Dr. Foley reports a relationship with GE Medical Systems through an investigator agreement. Dr. Naidich reports a relationship with Siemens Medical Solutions through its Advisory Board and as a consultant. Dr. Saini reports a relationship with GE Medical Systems through research support. Dr. Becker, Dr. Sahani, Dr. Siegel, Dr. Tahktani, and Dr. Zinreich report that no such relationships exist.
Dr. Bae is an Assistant Professor of Radiology at the Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO.
The goal in optimizing contrast delivery is to achieve the greatest contrast enhancement with the least amount of contrast material. No single approach to contrast delivery is effective in all cases, however, as many factors influence contrast enhancement. These factors can be divided into three categories: the patient, the contrast injection, and the scan itself.
Patient factors that influence contrast enhancement include the target organ of interest, the specific diagnostic application, the patient's body size, cardiac output, vascular access, renal function, age, and gender. Factors to consider in contrast injection include the concentration and volume of the contrast material; the rate, pattern, and duration of the injection; and whether or not a saline flush is used. Scanning parameters are also important, particularly the delay between contrast injection and the initiation of scanning, scan duration, whether bolus tracking or some other method is used to adjust for variations in the patient's cardiac output, whether the scan must capture multiple phases of contrast enhancement, and the degree of radiation exposure.
With 16-slice CT, the short duration of scanning makes the timing of image acquisition critical. Faster injection and higher concentration contrast material can be used to improve contrast enhancement and, perhaps, reduce contrast volume. However, the injection duration and scan delay that are appropriate for a single- or 4-slice CT scan must be recalibrated to optimize contrast enhancement for a 16-slice CT scan.
Injection rate
The effect of injection rate on arterial enhancement is shown in Figure 1. Three time-enhancement curves are created by simulating the injection of contrast material at rates of 1, 3, and 5 mL/sec, while keeping the volume (150 mL) and the concentration (320 mgI/mL) constant. The simulation model is based on an adult man with a body weight of 150 pounds, a height of 5 feet 8 inches, and a normal cardiac output. Two trends are apparent from these time-enhancement curves: As the rate of injection increases, the degree of contrast enhancement increases and the duration of contrast enhancement decreases.
The duration of contrast enhancement is prolonged by slow injection. Prolonged enhancement is preferred with slower CT scanners, to match the long scan duration. It is less critical with fast scanners, however. As a result, fast injection of contrast medium is better suited to multislice CT angiography (CTA). In addition, fast injection achieves a higher level of arterial enhancement without an increase in contrast volume. Conversely, with fast injection it may be possible to reduce contrast volume and still achieve an acceptable level of contrast enhancement.
There is a limit as to how much contrast volume can be reduced, however. A minimum contrast volume is required for the following reasons. First, patient safety precludes increasing the injection rate indefinitely, as fast injections increase the risk of extravasation and other physiologic complications. Second, contrast enhancement must be sustained at a desirable level over the finite duration of the CT scan. Third, as contrast medium is injected intravenously, it is diluted by the central blood volume before reaching and enhancing the target organ. A sufficient iodine mass must be achieved within the circulatory system to generate a diagnostically useful level of contrast enhancement. The critically required minimum contrast volume for mixing with the central blood reservoir depends on patient size, blood volume, and physiology.
High injection rates are effective for dual-phase CT scanning. Figure 2 shows arterial and hepatic time-enhancement curves simulated with injection rates of 2 and 5 mL/sec. Compared with slow contrast injection at 2 mL/sec, rapid injection at 5 mL/sec magnifies the difference in the degree of enhancement during the arterial and portal venous phases, and increases the temporal separation between their respective enhancement peaks.
Injection bolus shaping
Bolus shaping is another way to modify contrast delivery. Uniphasic injection is the most common way to administer a bolus of contrast. It involves delivery of contrast material at a constant rate throughout the injection, with a resulting peak in aortic enhancement near the completion of the injection. 1
An alternative approach, biphasic injection, involves a fast injection of contrast material followed by a slow injection. The advantage of the biphasic injection is that it can prolong contrast enhancement. However, neither uniphasic nor biphasic injections achieve the ideal uniform prolonged contrast enhancement.
A third, and perhaps more effective, approach is the exponentially decelerated injection, which involves an exponential decline in the injection rate over time. The exponentially decelerated injection has been tested mathematically and in animals. In a recent human study, we compared two different 40-second injection protocols in the same patients. 2 The first involved uniphasic contrast injection at a constant rate of 4 mL/sec and the other, exponentially decelerated injection following the formula:
We found that the exponentially decelerated injection generated uniform contrast enhancement while using less contrast material (134 mL, versus 160 mL with uniphasic injection), although peak en-hancement was reduced (Figure 3).
Uniform contrast enhancement is desirable in CTA and cardiac CT, as well as in brain perfusion studies. 3 One of the advantages of uniform enhancement is that it becomes less critical to time image acquisition precisely to correspond to peak contrast enhancement.
Figure 4 illustrates the effects of concentration on aortic and hepatic enhancement. Three time-enhancement curves are simulated for the aorta and liver by varying the concentrations of contrast medium (300, 350, and 400 mgI/mL) but keeping the total iodine mass constant (42 g). The volume of contrast medium corresponding to these concentrations is 140, 120, 105 mL, respectively. When the same injection rate of 5 mL/sec is used for all injections, contrast medium with a higher concentration delivers more iodine mass per second, resulting in earlier and greater peak aortic enhancement. Since the contrast volume is reduced with high-concentration contrast material, the duration of enhancement is shorter, but the net effect is an increase in aortic contrast enhancement. The effect of contrast concentration on the liver is not as pronounced as in the aorta.
There are several potential advantages of using high-concentration contrast material. First, we can deliver more iodine without increasing the injection rate. Conversely, the injection rate can be reduced while still achieving the same desired level of enhancement. Improvement in enhancement is evident when 370 mgI/mL contrast material is compared with 300 mgI/mL contrast material. However, the degree of im-provement in contrast enhancement with 370 mgI/mL contrast material as compared with 350 mgI/mL contrast material may be marginal. Cost savings are another potential advantage of using high-concentration contrast media, as price generally may vary by volume, not by iodine concentration.
A major disadvantage of high-concentration contrast material is viscosity. The higher the concentration, the more viscous the contrast agent becomes.
Injection duration
Injection duration may be the most important factor in optimizing contrast delivery in CT. Injection duration critically affects both the degree of contrast enhancement and the timing of peak contrast enhancement and, therefore, optimal scan timing.
The contrast enhancement curves in Figure 5 show the effect on peak aortic enhancement of contrast injections ranging from 1 to 30 seconds in duration. 4 As the injection duration increases, peak enhancement is delayed and the enhancement curve becomes more asymmetric. With short injections, the timing of peak contrast enhancement depends predominantly on physiological variables, such as cardiac output and circulation course. With long injections, however, the influence of injection duration on the timing of peak contrast enhancement dominates.
The approach to determining injection duration must be adjusted with advances in CT scanner technology. In general, injection duration must be sufficiently long to produce good enhancement. With a shorter scan, a reduced injection duration may be used. But if the injection duration is too short, contrast volume may not be adequate and contrast en-hancement may be suboptimal.
With single- and 4-slice CT scanners, a common approach to determining the injection duration for CTA is to keep the injection duration identical to the scan duration. This approach, however, may no longer work with 16-slice scanners, as scans are much shorter. An injection duration equal to the scan duration may result in poor enhancement. We may increase enhancement by using a higher injection rate, but there are practical restrictions on the degree to which we can increase the injection rate to compensate for a short injection duration or low contrast volume.
One option for estimating injection duration for a short scan is to add a constant factor to the scan duration, for example, 10 seconds. Another ap-proach takes into consideration the patient's physiology and the injection rate. If, for example, achieving a peak aortic enhancement of 200 HU requires 50 mL of contrast material to be injected at 5 mL/sec, the injection duration is 10 seconds. If the duration of the scan itself is 7 seconds and we want to keep the enhancement above 200 HU throughout the scan, the optimal injection duration for the scan would be 17 seconds. An optimal injection duration for each examination can be determined empirically or perhaps through pharmacokinetic modeling.
In peripheral run-off studies in a subject with normal cardiac output, the transit of contrast medium or blood flow from the abdominal aorta to the ankles typically takes 15 to 20 seconds. In an ideal situation, the CT scan travels with or chases after the contrast flow at the same speed and direction, so that imaging coincides with peak enhancement throughout the course of the vessels. Even with 16-slice scanners, however, peripheral run-off studies typically take 20 to 30 seconds. It is therefore necessary to increase injection duration above that required for the ideal case, ie, the minimum required duration, by about 10 seconds. Conversely, with faster CT scanners, scan speed may exceed contrast flow rates and may have to be slowed to match the scan and the propagation of the peak enhancement along the course of the vessels.
Scan timing
With multislice CT, it is critical to scan during peak contrast enhancement. Three key factors in determining scan timing are cardiac output, injection duration, and scan duration. When cardiac output is reduced, the magnitude of peak enhancement increases (Figure 6), but the times to both contrast arrival and the peak enhancement are delayed. 5 The delay in time to peak enhancement is approximately the same as that for contrast arrival, and therefore may be predicted by monitoring contrast arrival with a bolus-tracking method.
In determining a scan delay that accounts for variations in cardiac output, a common approach is to use a test bolus of contrast material. A small test bolus is injected and repeat sequential scans are performed at a fixed level to monitor contrast enhancement. For CTA on a single- or 4-slice scanner, the time to peak enhancement of the test bolus is estimated and used to determine the scan delay.
This approach works well for single- and 4-slice scanners, but during a 16-slice scan it may result in scanning too early and completing the study before reaching the peak enhancement. Use of a shorter injection duration with a 16-slice scan can reduce the time to peak en-hancement and achieve peak enhancement in the middle of the scan. However, the shortened injection duration may not provide an adequate degree of enhancement during the scan.
We may, therefore, have to maintain the injection duration for a 16-slice scan at the level used for a single or 4-slice scan. In this case, the scan delay for a 16-slice scan should be longer than for a single or 4-slice scan, ie, estimated from the test-bolus peak enhancement time, to ensure that scanning takes place during the peak contrast enhancement. In an unpublished clinical CTA study with a 16-slice CT scanner, we found that adding approximately 8 seconds to the time of peak test-bolus enhancement corresponded to the optimal time to begin image acquisition following a full bolus (KT Bae, unpublished data). Nonetheless, this approach is empir-ical and arbitrary, and its appropriateness with other scan protocols is unknown.
A better approach is to use a bolus-tracking technique, which eliminates the need for a test bolus. Bolus tracking helps to determine contrast arrival and is used to trigger the initiation of scanning. Among the limitations of the bolus-tracking technique, however, is the triggering of the scan by the detection of contrast enhancement above an arbitrary enhancement threshold, which can range from 30 to 150 HU, depending on the operator and CT scanner.
Another limitation of bolus tracking is a delay between the detection of threshold enhancement and the actual initiation of scanning. The delay varies from 2 to 9 seconds, depending on the table position and CT scanner. One solution to compensate for a long delay in image acquisition is to use a low enhancement threshold. In this way, the scan is triggered before the desired enhancement is reached, but image acquisition actually starts at that enhancement level. With 16-slice scanners, short scan times have reduced the impact of a delay between triggering and image acquisition, making bolus tracking much more practical.
Table 1 illustrates the use of bolus tracking for determining optimal scan timing during an examination for pulmonary embolus. This example assumes a scan duration (T SD ) of about 10 seconds. Injection of 120 mL of contrast material at 4 mL/sec results in an injection duration (T ID ) of 30 seconds. The contrast arrival time (T CA ), defined by a threshold enhancement of 30 HU, would be about 5 seconds for a patient with a normal cardiac output and 20 seconds for a hypothetical patient with low cardiac output. The time to peak contrast enhancement would, therefore, be the sum of the injection duration and the contrast arrival time, or 35 seconds for a patient with normal cardiac output and 50 seconds for a patient with low cardiac output. Scan timing can then be determined by the following formula:
This example demonstrates how a scan delay can be calculated from the scan duration and injection duration, combined with the contrast arrival time measured from the bolus tracking method, to account for the variations of cardiac output.
Saline flush
The use of a saline flush immediately following contrast injection has several potential advantages. It flushes out contrast material that would otherwise be left behind in the injection tubing. It eliminates the extra step of clearing the vascular access site of residual contrast after injection. By pushing the contrast bolus forward, it may create a more desirable bolus shape. It increases the amount of contrast available for use in image acquisition and may reduce artifact. Typically, a double-barrel power injector is required for a saline flush.
In the future, optimization of contrast delivery may be automated. We will simply swipe an identification card through a card reader to input patient information, specify the organ to be studied, and push a button. Automated protocols will take into account pre-tailored input parameters such as the target organ's ideal level of enhancement, preferred contrast bolus shape, injection rate, concentration, and scan duration. By integrating the patient, injection, and scan factors, the automated program will calculate the optimal injection duration and determine the optimal scan delay in conjunction with bolus tracking technology. During the scan, the contrast injector and the CT scanner will interact, automatically terminating the injection when enough contrast has been delivered.
FIGURE 1. Effect of injection rate on arterial contrast enhancement. Simulated aortic time-enhancement curves in which the volume of contrast medium is held constant at 150 mL and the concentration at 320 mgI/mL. As the rate of injection increases, the intensity of contrast enhancement increases and the duration of contrast enhancement decreases.
FIGURE 2. Dual-phase scan: (A) Fast (5 mL/sec) versus (B) slow (2 mL/sec) injections. High injection rates are effective for dual-phase scanning of the liver, as they magnify the difference in the degree of enhancement during the arterial (A) and portal venous (PV) phases, and increase the temporal separation between their respective enhancement peaks.
FIGURE 3. Exponentially decelerated injection. Contrast medium administered using the exponentially decelerated injection, as described by the formula 4exp(-0.01t)mL/sec, results in uniform contrast enhancement with less contrast material than a uniphasic injection.
FIGURE 4. (A and B) Effect of high-concentration contrast material on contrast enhancement. Simulated aortic and hepatic time-enhancement curves depict the delivery of a constant iodine mass in a 150-pound man (140 mL of 300 mgI/mL, 120 mL of 130 mgI/mL, and 105 mL of 400 mgI/mL). The use of high-concentration contrast material is associated with earlier and greater peak aortic enhancement. The effect of contrast concentration in the liver (B) is not as pronounced as it is in the aorta (A).
FIGURE 5. Effect of injection duration on peak aortic enhancement: (A) in a porcine experiment and (B) in a simulation. As injection duration increases, peak enhancement is delayed and the enhancement curve becomes more asymmetric. (Figure reprinted with permission from Bae KT. Peak contrast enhancement in CT and MR angiography: When does it occur and why? Pharmacokinetic study in a porcine model. Radiology. 2003 Jun;227(3):809-816. 4 Copyright © 2003 Radiological Society of North America.)
FIGURE 6 . Effect of cardiac output on contrast enhancement. Time-enhancement curves simulate the effects of decreasing cardiac output (CO), while holding contrast volume constant at 120 mL and injection rate at 4 mL/sec. When cardiac output is reduced, the magnitude of peak contrast enhancement increases, and the times to contrast arrival and peak enhancement are delayed.
ELLIOT K. FISHMAN, MD: Thank you very much for a very informative presentation. Does anyone have any questions or comments?
W. DENNIS FOLEY, MD: I'd like to ask a question. You initially referenced the physiology of the body, particularly intravascular volume and cardiac output. In reference to that, some investigators have proposed weight-based dosing. Could you comment on weight-based dosing, and whether it is an adequate replication of the patient's intravascular volume and cardiac output?
KYONGTAE T. BAE, MD, PhD: I think so. Certainly, weight is the most important factor in calculating blood volume or even cardiac output in physiology. To determine adequate contrast volume, a weight-based algorithm would be much better than the current fixed injection. You also need to consider other factors. Going back to physiology, for estimating a patient's blood volume, weight is a strong factor; height and gender are also factors, but not as strong.
FOLEY: I have a follow-up question relating to the use of the bolus- tracking technique, which you are basically marrying to a uniphasic injection.
But you had mentioned the potential use of a biphasic and, then, exponentially decelerated injection techniques. Is the use of a biphasic or exponentially decelerated technique still going to require a preliminary mini-bolus to model? Or can it be used with the bolus-tracking technique?
BAE: I think bolus tracking can be used. If you are going to use an exponentially decelerated injection, the en-hancement curve will go up and then will stay uniform. Peak enhancement timing is not as critical as it is for the single-phase injection, but you still have to know when the contrast arrives. The bolus-tracking method will help you determine that the contrast arrives at the right time.
FISHMAN: You talked about a minimum volume of contrast. How do you define your minimum volume typically?
BAE: That really depends on the patient's weight or size. Last year, at another Applied Radiology meeting, Dr. Foley reported that he used 50 mL for CTA of the aorta.
FOLEY: As a rule, 50 to 60 mL is relatively minimum. But even with the 16-channel scanners, you can even go faster than a 10-second acquisition. You can go down to a 5-second acquisition, to do a total abdomen/pelvis. In a patient with marginal renal function, you have two choices. You can stay at 50 to 60 mL, which is probably a reasonable amount of contrast, or you can even go lower. But then the question you raise is that with such a short duration of acquisition, you may not be timing it adequately. But can you compensate for that by, instead of injecting at 5 mL/sec, injecting at 6 or 7 mL/sec? If you're very precise with your acquisition interval, you can still capture a very short duration peak and use a smaller amount of contrast.
BAE: Yes, I think that probably 50 to 60 mL can be minimum for a normal-size patient, approximately 150 pounds, to just capture a certain short segment. But once you scan durations longer than a few seconds, you have to inject more contrast.
FISHMAN: I've seen Dennis' work also, but that was really in select instances where you had questions to answer in small areas. But if I'm studying an abdominal aorta in a patient with reasonable renal function, what would be the minimum contrast you would suggest? In cases of normal BUN creatinine, are there some routine normals that you use?
BAE: Again, it depends on patient size, contrast concentration, and injection rate. While I haven't done a systematic study, in an average-size (150-pound) patient, I would think 70 or 80 mL would be sufficient, if you inject at 5 to 6 mL/sec. But I have little practical experience with injecting low volumes.
FOLEY: I'd like to come back to minimum volume. You suggested that recirculation plays a very important part in increasing aortic enhancement. It requires about 7 seconds into the circulation before you start to see recirculation, and that's fairly constant.
BAE: Yes, it could be in some fast circulatory systems. But, in general, it takes much longer than 7 seconds to see the circulation effect (Figure 5A).
FOLEY: In certain parts of the anatomy, in fact, you want to avoid that recirculation effect, particularly in cerebral work. If you wanted to image the kidneys before you saw the renal vein, which may or may not be an issue, do you want to avoid recirculation, to avoid that second hump of increase of aortic attenuation?
So in other words, for cerebral and for renal studies, instead of trying to delay your acquisition, you may be better off scanning in the early phase, after aortic arrival.
S. JAMES ZINREICH, MD: I have a question: you mentioned saline. In which studies would you apply this technique?
BAE: I cannot speak for the neuro studies, but for cardiac and all other body parts, a saline flush will be very helpful. I think Chris Becker has some slides on that, and he has more experience with that than I do.
DAVID P. NAIDICH, MD: Why would you not use it?
ZINREICH: In the intracranial compartment, obviously, you have this 6-second transit time, and that's what we want to administer the contrast toward. So, in the head, especially the intracranial compartment, it's a shortened time.
SANJAY SAINI, MD: With the flush, though, you grab the tail of the injection; otherwise the tail sort of sits there. Presumably, you use it in every case.
FISHMAN: We decided to use the dual injector also. Of course, we are doing dual-phase imaging, because otherwise you are leaving 8 to 15 mL behind that you are not using, between the line and the peripheral vein. So you're right, there is really no downside for using the saline flush.
I guess in the neuro applications, when you are doing carotids, you are doing a single acquisition; for arterial, it's probably not going to have the impact that it has on the body. So you can potentially lower the volume, even in cranial applications. You could lower the volume of the contrast, probably by 10% or 15%, by making more efficient use of the contrast.
SAINI: Let's say you have two individuals with the same cardiac output, and one has twice the weight of the other individual. Due to the same cardiac output, you would assume that the peak arrival enhancement would be at the same time. But because individual B weighs twice as much, we would want to deliver twice the contrast. So it seems to me you would have to change the injection rate when you give more volume, so that your timing is exactly the same. Something I had not thought about until today was that it seems that if you change the volume, assuming cardiac output is the same, you have to adjust the injection rate.
BAE: I have not thought about putting the weight and the cardiac output together, either. But cardiac output increases with a patient's weight.
FISHMAN: There have been several articles published, and our experience is very similar, that for most patients, you can do preset delays. If I have a 16-slice scanner and I'm doing routine aortic work, why don't I just acquire it 25 seconds arterial, 55 to 60 seconds venous, and not worry about everything. Then I'll go by Mike McCarey--they looked at a range of patients with aortic aneurisms, and it worked fine. We do 30 patients a day, for the most part, using preset delays. In some select patients, you'd be more careful. But is it possible that in the majority of patients you don't need to do that?
BAE: Yes, the majority of patients have close to normal cardiac output, so fixed delays would work. Some people like to use fixed delays, others like to use optimized settings in each individual. Certainly, from the throughput aspect, fixed delay will work fine. But there will be some patients in whom you are going to miss the bolus.
FISHMAN: For people first getting into CT angiography, I think that this contrast delay always concerns them significantly. So I wonder if we could have rules that say that for this group of patients, you are going to do preset, but in this group of patients you need to do an optimized delay. For instance, in coronary angiography, I would agree that all those patients need some sort of monitoring to determine when to acquire CTA. Or in older patients, in whom it's more difficult.
But if you are doing something as simple as renal donors, or patients under age 50, do you feel comfortable in the simple preset delay? Is there some way we could come up with those rules?
BAE: I think it is a philosophical difference. Really, in every case we do, we use bolus tracking to time it. But I know the other school of thought is to use a fixed delay. Then there will be a few cases for which you miss optimization of contrast. But in the majority of cases, it will be fine with the fixed delay. I don't think that there's a wrong and right answer. But that's the approach I would take.


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Quick Facts
- NAME: Nero
- OCCUPATION: Theater Actor, Musician, Political Leader, Emperor, Poet
- BIRTH DATE: December 15, 37
- DEATH DATE: June 09, 68
- PLACE OF BIRTH: Antium, Italy
- PLACE OF DEATH: Rome, Italy
Best Known For
As Roman emperor, Nero's reign was lavish and tyrannical. He killed his mother, persecuted Christians and is said to have "fiddled while Rome burned."
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He supported the arts and athletics above gladiator entertainment and gave aid to other cities in crisis. Although he was known for his nighttime frolicking, his actions were good-natured, if irresponsible and self-indulgent.
But after Agrippina's murder, Nero descended into a hedonic lifestyle that was marked not just by lavish self-indulgence but tyranny. He spent exorbitant amounts of money on artistic pursuits and around 59 A.D., began to give public performances as a poet and lyre player,
a significant breach of etiquette for a member of the ruling class.
When Burrus died and Seneca retired in the year 62, Nero divorced Octavia and had her killed, then married Poppaea. Around this time accusations of treason against Nero and the Senate began to surface, and Nero began to react harshly to any form of perceived disloyalty or criticism. One army commander was executed for badmouthing him at a party; another politician was exiled for writing a book that made negative remarks about the Senate. Other rivals were executed in the ensuing years, allowing Nero to reduce opposition and consolidate his power.
The Great Fire
By 64, the scandalous nature of Nero's artistic antics may have begun to cause controversy, but the public's attention was diverted by the Great Fire. The fire began in stores at the southeastern end of the Circus Maximus and ravaged Rome for 10 days, decimating 75 percent of the city. Although accidental fires were common at the time, many Romans believed Nero started the fire to make room for his planned villa, the Domus Aurea. Whether or not Nero started the fire, he determined that a guilty party must be found, and he pointed the finger at the Christians, still a new and underground religion. With this accusation, persecution and torture of the Christians began in Rome.
Political Demise and Death
After the Great Fire, Nero resumed plans for the Domus Aurea. In order to finance this project, Nero needed money and set about to get it however he pleased. He sold positions in public office to the highest bidder, increased taxes and took money from the temples. He devalued currency and reinstituted policies to confiscate property in cases of suspected treason.
These new policies resulted in the Pisonian conspiracy, a plot formed in 65 by Gaius Calpurnius Piso, an aristocrat, along with knights, senators, poets and Nero's former mentor, Seneca. They planned to assassinate Nero and crown Piso the ruler of Rome. The plan was discovered, however, and the leading conspirators, as well as many other wealthy Romans, were executed.
Just three years later, in March 68, the governor Gaius Julius Vindex rebelled against Nero's tax policies. He recruited another governor, Servius Sulpicius Galba, to join him and to declare himself emperor. While these forces were defeated and Galba was declared a public enemy, support for him increased, despite his categorization as a public enemy. Even Nero's own bodyguards defected in support of Galba.
Fearing that his demise was imminent, Nero fled. He planned to head east, where many provinces were still loyal to him, but had to abandon the plan after his officers refused to obey him. He returned to his palace, but his guards and friends had left. He ultimately received word that the Senate had condemned him to death by beating and so he decided to commit suicide. Unable to carry out the deed by himself, however, his secretary, Epaphroditos, assisted him. As he died, Nero was said to have exclaimed, 'What an artist dies in me!' He was the last of the Julio-Claudian emperors.
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text: One of the most-loved plants of all time—the peony—stars in the cover story. A garden standard for generations, it's easy to grow and adds a cheerful burst of color to beds. Or perhaps you'd rather build a rain garden. We tell you how to create these saucer-shaped, eco-friendly solutions to water drain-off. Want to start a little smaller? In just a couple of hours, you can make a pretty heart-shaped topiary to put on your deck or patio or give as a gift.


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Home > Banking > Supervision and Regulation |
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Annual Notice of Asset-Size Exemption Threshold for Depository Institutions
December 17, 2007
Circular No. 11920 | |
The Federal Reserve Board has published its annual notice of the asset-size exemption threshold for depository institutions under Regulation C, which implements the Home Mortgage Disclosure Act (HMDA). The asset-size exemption for depository institutions will increase from $36 million to $37 million based on the annual percentage change in the Consumer Price Index for Urban Wage Earners and Clerical Workers for the twelve-month period ending in November 2007. As a result, depository institutions with assets of $37 million or less as of December 31, 2007, are exempt from collecting data in 2008. An institution's exemption from collecting data in 2008 does not affect its responsibility to report the data it was required to collect in 2007. The adjustment is effective January 1, 2008. See the press release for full details.
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I have to say, I really enjoyed Delores Caiborne as an Audio Book. The first person narrated way the book was written transitioned BEAUTIFULLY to Audio.
IT was well read, as was Eye of the Dragon. But the reader for NightShift had an annoying quality to his voice. Anyone have any recommendations of your favorites?


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Jennifer Lawrence accepts her first SAG Award on Sunday (Photo: John Shearer/Invision/AP)
We should have known from her first Oscar race for that gritty little indie "Winter's Bone" that she had the potential to surprise us. Sure, she played Ree, a straightforward, tough as rehab, meth cooker's daughter who could kill and eat squirrel without flinching. But, then, when it came time to hit the red carpet, she learned fast. She had poise to burn. She went from grungy flannels to couture. On the big day when the then 20-year-old strode down the 2011 Academy Awards red carpet filling out that Calvin Klein red maillot gown, the whole tired, jaded enterprise perked up and took notice. It was as if she was saying, "this may be old for you, Hollywood, but not for me. It's my party and I'll enjoy it if I want to."
Just tonight, while she was talking live to Giuliana Rancic of Eonline, Lawrence owned the interview by making it her own. She teased first and set the tone with her deadpan discussion of the recent flu that kept her from accepting an award yesterday, and worried stargazers that she would be a no-show tonight. She told Rancic that she felt fine, but that everybody was scared of her, asking 'are you still sick?"' It turns out that she had walking pneumonia, but could still rock Dior Haute Couture while sending out a jab to her older brothers, saying that she wasn't a tomboy but that "her family forced her to wear men's clothes." Wanna piece of me now?
She didn't get huffy when the press totally took her to task for allegedly trash-talking Meryl Streep in her Golden Globes acceptance speech. All she was doing was quoting a line from "The First Wives' Club." Don't you get it? She just couldn't be bothered to justify herself. What was there to justify? It was a joke!
So, how did she deal with that joke – she built on it. She went on "SNL" and trash-talked all her current Oscar rivals, from Jessica Chastain to Quvenzhane Wallis. Sure, I got on her case because the comedy writers just didn't give her the lines to match her talent, and support her out on that career limb on which she balanced. But that's not the actress's fault.
Lawrence seems best when she ad-libs because, when it's live, she doesn't know what frogs will fly out of her mouth. "I get excited and scared and I never know what I'm going to say or do," she confessed to Rancic on the red carpet tonight. And that's what makes her so watchable.
The other thing that makes her watchable, whether she's Tiffany or Katniss Everdeen (yeah, that!) or Ree, is that we are discovering a young actress in her prime that can do drama, action or romantic comedy and surprise us as much on screen as she does on the red carpet – or "SNL."
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