text:
From HFMA: Hospitals Advance Quality and Access Amidst Rising Charity Care and Costs
Like CHW, Harbor View is working to find the right way to talk about patient safety. "We have adopted a way of talking about adverse events at the hospital that is personal. We are forcing ourselves to use words like 'last month four patients were harmed at Harbor View when they shouldn't have been.'"
At the same time, the hospital is also working with physicians to improve key quality indicators by taking advantage of their natural desire to be A students. Reporting indicators by individual service areas, such as orthopedics, creates competition among the chiefs to be the best, she says. Harbor View also reports by unit. "We are observing hand hygiene, which is posted up on the units and that has helped us improve our scores."
Gregory Poulson, senior vice president at Intermountain Healthcare in Salt Lake City, said the 21-hospital system serves as a safety net for Utah and covers 80% of the uninsured that receive hospital care in the state. Intermountain also has seen a big increase in charity care costs, climbing to $200 million last year, up from $140 million the prior year.
He said Intermountain is focused on providing care the same way across all of its facilities. This approach has "yielded improvements in quality and cost," he said.
Intermountain's history in electronic medical record technology has set the stage for improvements across the system. "We started one of the first electronic medical records in 1967," said Poulson.
Karen Davis, PhD, president of The Commonwealth Fund, who moderated the forum, asked how the group is addressing access to care, the uninsured, and underinsured while waiting for healthcare reform.
"For many of our hospitals, we have found it is more cost effective to offer free clinics than to figure out how to go after all of the insurance," said Pelletreau, with Catholic Healthcare West, noting that hospitals can also put in a request for seed money for special projects through the system's community benefit fund. For example, she said, one project offers diabetes education in largely Hispanic areas.
Harbor View, meanwhile, has taken a unique approach to the uninsured, said Mitchell, explaining that the issue is not so much about access, but rather helping patients move into financial assistance programs, such as Medicaid.
A few years ago, Harbor View began having workers who process Medicaid applications for the state of Washington set up shop at the hospital with nurses and social workers. "We get them processed quickly and we get paid for services we are providing, and it helps as they are discharged and need other assistance," said Mitchell.
—Michelle Ponte
Comments are moderated. Please be patient.
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Local News
Bridgeport Mayor Admits Defrauding His TownBENTON, Ill. (AP) - The mayor of a southeastern Illinois town faces up to 80 years in federal prison and $1 million in fines now that he's admitted using bogus invoices to skim money from his community.
Fifty-six-year-old Bridgeport Mayor Max Schauf pleaded guilty Wednesday in U.S. District Court in Benton to three counts of mail fraud and one count of obstructing justice. Schauf admitted he submitted false invoices, contracts and bills to the town for services and equipment, then took a portion of money from all of them for his personal use.
It's unclear how much money Schauf is accused of stealing though the scheme, which investigators say began in July 2008 and ended in March 2011. Schauf was charged last November.
Sentencing is scheduled for Aug. 8.
See other LocalNews news:Salem Grade School Half Day
Irvington Boy Who Fought Cancer Passes Away at 17
Carpenter Steps Down As Centralia Assistant City Manager
Rauner: Dept. of Agriculture 'Full of Cronyism'
Oberweis: Government Overreaching in Regulations

subset: commoncrawl


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Guardian News & Media seeks digital shop for Soulmates dating site
By Sara Kimberley, campaignlive.co.uk, Thursday, 19 July 2012 11:35AM
Guardian News & Media is talking to agencies about the digital account for its Soulmates dating website.
The review is being handled directly by GNM's marketing department, which is looking to hire the first dedicated digital agency for the Soulmates brand.
Last year, Soulmates was supported by a print and online advertising campaign by Forty6 Design. The ads included illustrations by Zara Picken, with quotes from people featured on the site revealing what they were looking for in a relationship.
The review will not impact on GNM's relationship with Glue Isobar, which works as the lead agency on the publisher's digital creative business.
A GNM spokeswoman said: "We are currently in the process of evaluating how we position the Guardian Soulmates brand in the digital space, and are assessing what agency support will be required to grow the Soulmates business."
This article was first published on campaignlive.co.uk
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Unearthly (Imperial India Pale Ale) - Southern Tier Brewing Company
Displayed for educational use only; do not reuse.
Ratings: 2,619 | Reviews: 1,170 | Display Reviews Only:
British Columbia (Canada)
3.9/5 rDev -4.4%
Yum! A nice DIPA from Southern Tier. A little more towards the DIPA than Hoppe. Rich, hoppy nose and flavour with a good malt profile. A little bit bitter on the aftertaste, but this is fairly well balanced.
Very drinkable for the ABV, and you can almost get away with putting away two of these a night.
07-24-2009 05:55:07 | More by BDTyre
South Carolina
4.03/5 rDev -1.2%
Purchased a bomber last night, chilled it, and drank in the evening. Wonderful hop aroma, nice copper color, with a fluffy tan head that laced the glass evenly throughout consumption. The taste was reminiscent of Flying Dog Brewery's Double Dog DIPA, possibly due to the high alcohol content of both beers. The taste is slightly coppery with a strong hop presence and a definite alcohol finish.
07-22-2009 12:58:01 | More by cullen0013
4.25/5 rDev +4.2%
I really liked this, I saved it for about 8 months or so and finally decided to break it out. I was a little worried about the flavor being a little compromised from this bottle because I had it in the fridge and had to move. It was in the fridge then went back down to room temp during the move, it happened again after taking it to a a friends for his birthday but we didn't end up drinking it then either so it went back down to room temp again. So this bottle survived two to major temperature changes. Well to the appraisal. From a bottle poured into a Sam's perfect pint glass. This beer had a great look to it, slightly darker than a normal IPA, almost a quality lager. Had a golden color, not completely clear with the slightest of slightest haze. Had some pretty good lacing to it too, lasted the entire drink. Smells is good, has a nice strong hoppy smell to it. Tastes great nice strong and refreshing hoppy taste. The taste lingers on a bit which is really nice. Had very good mouthfeel and drinkabiliy as well. Very nice drink to have, especially on a nice summer or warm spring day. Great brew from Southern Tier, highly recommended.
07-17-2009 00:05:48 | More by AndyAvalanche
British Columbia (Canada)
4.15/5 rDev +1.7%
A little bit thicker and sweeter than the Hoppe but still way too drinkable for the ABV. You either like the big moutfeel of ST beers or you don't. I do like the way the beer balances out with lots of malt and a smoothness that really shows up in the finish. Not the most complex DIPA but certainly well made and very refined.
07-15-2009 21:34:40 | More by canucklehead
3.48/5 rDev -14.7%
RBSG09 bottle at the grand tasting. Pours a dark orangey gold color with a creamy white head. Sweet caramel aroma with grapefruit and a more resinous, piney hop note as well. Flavor is too sweet, lots of caramel and sugar, sweet hop notes, decent herbal piney finish, bitter finish. Not bad and certainly very hoppy but file this one under 'diabetes-causing' with the other ST beers.
07-13-2009 19:29:27 | More by illidurit
4.1/5 rDev +0.5%
A- A nice golden honey color with about an inch of off-white head that sticks around for a while.
S- Some nice blends of citrusy and floral hops. Some light malt in the background, some caramel sweetness to it too. Something really refreshing about it too.
T- Bitter start, a bit piney, moves into big sweet malt-a bit too sweet for me. Piney finish, a bit dry. I've had Dreadnaught, Apocalypse Cow, and Furious this week, and I'd have to liken this most to Apocalypse Cow. Sweetness, while almost too much at first, is nicely balanced by bitter, piney hops on the finish as I enjoy this one. Not bad.
M- Syrupy, dry finish, creamy with a bit of a prickle from the alcohol/carbonation.
D- Pretty high. I was worried about the sweetness at first, but I'm really enjoying it now.
07-11-2009 17:14:44 | More by LordAdmNelson
3.88/5 rDev -4.9%
Bomber received from a trade by beandip... looking forward to this and the OA ver. for a very long time.... never really realized this puppy sits at 11% Alc.... here we go!
- Very nice caramel color with a bright zesty orange glow to it.. little bit of eggshell colored head... leaves a lot of lacing...
- Smell the sweet candy from afar.. up close its a sweet caramel malt complimented with a honey floral hop... but not really over the top in scent. I was kind of expecting major hop scent. Little bit of orange and lemon.
- Smooth creamy caramel smoothie with a great citrus hop flavor and some bitter hop as well w/ a touch of pine. Honey, and sweet caramel.. rather balanced but a bit thick and sweet for my liking... but I'm sure it had to be to reach the 11% Alc. mark. I bet a 9% Unearthly would be much better.
- Little bit chewy, slightly dry.. sticky sweet.. oily.
- Overall very drinkable for being so strong... hides it well.. but has a bit of excessive carbonation for me for the style...
07-10-2009 23:55:17 | More by Docer
4.08/5 rDev 0%
Brought this back from the East Coast. Remember liking it before I was really into DIPAs, so I'm curious how it'll hold up.
Appearance - Starts very well. A real orange color. An inch of that soapy head. A little cloudy, certainly. Almost has that great DIPA glow that the best ones get. Very good looking beer.
Smell - Sweet hop mother. More pine than a lot of IPAs. Really a forest. Balanced by some citrus. There's almost a cinnamon hint of spice, which is unusual. Hiding behind it all is some malt. It's got an apricot thing going on. Not as much sweet citrus as I'd like, but it's there.
Taste - Wow, a lot going on. It's pretty sweet. For a horrifying minute I thought the sweet candy malt was going to win the day. But the hops roar back, and are nice and bitter. It's sweet and bitter. That apricot is hanging around. It seems like that sweet malt is going to linger, but that too is balanced out. Very good. It's very complex. Both piney and citrusy with a hint of malt that is mellowed and tempered by all the hops. A very nice beer.
Mouthfeel - Surprisingly light. Very nice. Not too syrupy, but not watery. Just right.
Drinkability - Very good for the high abv, but I wouldn't want to mess with this one. A real palate destroyer, frankly.
A very, very good beer. I understand how I used to like it. It's actually sort of "balanced" which is a crazy thing to say. But it has a lot going on, and really prevents those sweet malt burnt taste from dominating. Thoroughly enjoyed.
07-09-2009 05:03:52 | More by callmescraps
4.25/5 rDev +4.2%
Fairly hazy orange body, small but solid cream colored head leaves a nice lace trail. Nice floral hop scent, fair amount of sweet malt as well. Taste wise, this beer is all about the hops. Bitter hops in front trailed by a nice floral mix as well. Sweet malts underlie the dominating hops. The alcohol has enough of a presence to be noticed as well, especially as the beer warms. Fairly wet and thin mouthfeel overall.
This is certainly a big bad IIPA, if you like sucking on the hops you'll like this one
07-07-2009 00:42:01 | More by Tballz420
4.4/5 rDev +7.8%
Another one I've enjoyed in bottles and then decided to have on tap at home. Thanks to Mike at Andy's for getting this.
Appearance: Nice rich amber color. Good head - light beige that quickly retreats. A lot of lacing.
Smell: The first few glasses from the keg were incredible. Lots of fresh piney citrus and grass. Grapefruit as well.
Taste: More grapefruit upfront, but the citrus hops is there. Very good. Minimally bitter. Surprisingly non-bitter actually.
Mouthfeel: Surprisingly light. Very smooth. Good carbonation
Drinkability: Dangerous. You can't tell this is an 11%er until you have too many and try to find your own bathroom. I really liked it. I prefer citrus hops IPAs over overly bitter hops IPA.
07-06-2009 17:10:30 | More by isubsmith
New Jersey
3.9/5 rDev -4.4%
22 oz bottle poured into a Delerium Tremens pink elephant snifter
A - pours a reddish amber with one finger of head. Spotty lacing sticks to glass.
S - over the top piney hop aroma. You can also detect a good bit of sweetness in the nose.
T - Very nice. A balanced DIPA, leaning to the side of hoppiness. There is an herbal grassiness to to the taste.
M - viscous, lightly carbonated, sits very heavy in your mouth.
D - the 11% ABV is VERY well hidden... be careful with this one! As this beer warms though it becomes harsh and overly sweet.
This beer started out great, but really wore on me in a bad way as the bottle warmed.
07-04-2009 01:06:41 | More by FickleBeast
New York
4.38/5 rDev +7.4%
No BB date I could find. Sipped starting at 45 deg., not the 42 bottle recommends.
Pours a thick, slightly cloudy, glowing amber, topped by a half inch, light beige head, which dissipates rapidly to islands within a persistent edge. A ring of lace really hugs the glass, this baby has some hop power behind it if the look is an indication.
Smell is a beautiful blend of strong, immediate floral/ herbal, into caramel, and effervescent lemon peel, finally adding notes of deeper bitter, more prolonged floral sweetness.
The first few sips of this featured a whallop of bitter and citrus, heavily and blessedly, then deep sweetness, floral notes, mysterious spicy herbal notes, the blend of hops hits it just right in this. It's more than a double IPA usually is, it's immediately clear, but I can't put my finger on it. Now eight sips in it's a bit warmer, usually I like 'em this way, about 50. This brew has gone wild in a good way. The bittering notes are there, strongly, wonderfully, but a wonderful blend of alcohol warmth, deep mysterious florals, framed in citrus, many undernotes, very complex, these tones shining and blending in a fantastic and delicious way. It ends in a bourbon finish of extraordinary viscosity and harmony that reveals a balance to the flavors that is simply marvelous.
This beer is like double bastard, it doesn't clear out, but the clinging flavor of this marvelous elixir is pleasurable in the extreme. It is a dry paradise of deep flavor in my mouth between sips.
Thick, not overly carbonated (thankfully), resinous, splendid retention, no cloying or metal, very clean and potent. No clear out, but who wants it to?
Drinkability? Hmm, doubt I could have more than this bomber, but an excellent sipper for the long haul. Looking forward to practicing drums and finishing the rest of this bottle.
This is a member of the rotation for sure. Get it if you see it!
07-02-2009 23:06:11 | More by cavedave
South Carolina
4.5/5 rDev +10.3%
Presentation: On tap at the Flying Saucer in a tulip glass.
A: Golden medium amber. Minimal head and heavy lacing.
S: Citrus and hops.
T&M: Excellent balance of hops and malts. Medium bodied. Slightly complex but gratifying flavors. Very smooth and extra dry finish.
Very good IPA.
06-30-2009 16:14:31 | More by cdizinno
4.1/5 rDev +0.5%
22oz bomber poured into a goblet.
A: Medium amber. Not much of a head.
S: All that piney citrusy goodness we've come to expect. Also some noticeable alcohol.
T: Very bitter, grassy notes, a bit of citrus, honeyish malt. Remarkably, alcohol is undetectable.
M: Resiny, slightly grass-like.
D: I've definitely found a few of ST's imperials to be pretty cloying. But they came correct with this one. A very nice DIPA.
06-24-2009 03:25:24 | More by BarrelO
4/5 rDev -2%
A: Poured from a bottle into a snifter. Head retention is impressive, leaving decent lacing after its two fingers worth have dissipated. Some residual foam never leaves as it sits on the top of the beer. Beer is a typical rich gold, and can be seen through once the beer has had a chance to settle. Streams of carbonation reaching to the top are easily visible.
S: Grapefruit immediately. Small hints of pine as well, but mostly grapefruity-goodness. The smell of alcohol is mostly hidden within the grapefruit.
T: Just like the smell, the grapefruit is the most noticeable, being able to taste a little alcohol and perhaps other citrus fruits. Sweet in general, with a manageable amount of bitterness to compliment to grapefruit.
M: Not that heavy, which is a surprise considering the abundance of flavor and alcohol. Pretty smooth
D: The bottle of this was a little over a full pint, and I was looking to share after my first snifter full. Not that it is bad; it is just a little overwhelming with the citrus.
06-17-2009 15:56:31 | More by MagyarPuska
4.38/5 rDev +7.4%
Well here's a treat, to review Unearthly and Oak-Aged Unearthly side by side; and all 44 ounces are mine!
Both appear pretty much the same, except that the oak-aged version is clearer, and thus appears to the eye to be just a slight touch darker (there's no yeast in it to reflect light back at you). Other than that, they deliver a deep amber body that has an orange cast to it, and glimmering golden highlights at the base of the glass. The finger-thick, off-white head is creamy and holds pretty well. The original leaves short, creamy mountains of lace rising up above the surface. The oak-aged leaves sheets of thinner, craggy lace that sticks to the glass and stays, where as the original version tends to slide down to near to the level of the head as it goes. Overall I'd guess I'd have to say that the original version has a bit of a better head, but that the clarity of the oak-aged version is generally more enticing.
In the nose, the original Unearthly is decidedly caramelish and malty with notes of pine/spruce and citrusy, and a bit of grassiness and leafiness as well. It's bold and bright, and somewhat sweetish.
The oak-aged version displays some subtle oak (which I kind of didn't expect), along with fruity and citrusy notes; and it's dryer with much less maltiness. I also get a little more grapefruit out of the oak-aged, and some lemon and what I think of as something like a tomato plant - it's vegetal, but in a good way... grassy I guess. And I get more spruce than pine.
As expected, in the flavor the standard version wraps piney, grassy, floral and citrusy hops in a rich blanket of bready and gently caramelish and honey-like malt. The oak-aged version also follows what its aroma suggests, and it's dryer and more fruity, although some raspy pine does appear in the finish. The woody touch is nice. I should also note, however, that even though the original is a bit sweetish, it still finishes fairly dry, with just a hint of doughy malt lingering, and it doesn't build on the palate.
Interesting! They're really like two different beers. The original version is very wide in its flavor profile, whereas the oak-aged is more focused, but with perhaps a touch more depth. Hmmmm....
The mouthfeel for each beer is a little bit different as well, with the original Unearthly displaying a more dextrinous body.
Oddly, both beers display the same bitterness to me, despite the fact that I find the fuller maltiness of the original to be sweeter, and the oak-aged to be drier. The bitterness somehow remains the same.
Both beers have their own charms in the end, and I again have to reiterate how different they really are. I like the fuller mouthfeel of the original, and its bready malt and bolder hop flavors. But I also like the fruitiness and dryness of the oak-aged version, and because of that I think I'd find it a little more drinkable in the long-run (although it seems to have just a little bit more alcohol to it as well). And on that note, perhaps the extra aging time, and surface contact with the oak allowed it to ferment out a bit more. Just a theory.
Conclusion: both versions are really good beers that don't overstep their bounds with too much maltiness, too much bitterness, or too much hop flavor - and yet all of those are present in abundance. Nicely balanced. Nicely rounded. Nicely drinkable. Certainly worth trying!
06-08-2009 22:20:09 | More by NeroFiddled
3.88/5 rDev -4.9%
A: From the tap into a tulip, this is a transparent gold with some amber shades. The head is small and frothy that collapses to a disk that's half the surface of the beer.
S: Aroma is of grapefruit, pine, and fruity perfume, with some earthy notes underneath.
T: The flavor is piney, with lemon, giving way water crackers, tea, and a little brine on the finish.
M: The mouthfeel is heavy with pins-and-needles carbonation, alcohol is apparent on the finish.
D: This is a piney, bracing version of an IPA, but balanced with enough sweetness to make it somewhat refreshing. There is a saltiness on the finish, which somewhat deters me from craving another.
06-08-2009 19:26:29 | More by Maction
New York
4.43/5 rDev +8.6%
This is a strong beer, and it is cleverly disguised as just another Imperial IPA. You can find this beer pretty easily in the NYC area, and it is shelved next to Stone and Dogfishead's efforts. This one is stronger and more refined than either by far.
On the pour, this beer is pretty entrancing. Very rich color, one of the more gorgeous beers I've poured, and certainly the best IPA.
The smell is honeysuckle, caramel, then port and - dare I say - oak?
Fortunately, the beer doesn't let down from there. This is one huge beer, but it's not a battle to drink. This is wine-caliber, where the carbonation is low, the flavor is high, and beer-haters are invited to soak up the hops with delight instead of disdain.
After sharing a 750 I'm ready to move on from one of these, but I keep coming back. I doubt there's another supermarket-available Imperial IPA that can match it.
06-06-2009 04:22:03 | More by enemyisyou
North Carolina
3.73/5 rDev -8.6%
Poured from a 22 oz bomber into my Duvel tulip.
Appearance: Pours a golden-copper, hazy at first but clears pretty quickly. Two fingers of white head with decent retention. Tons of lacing. Slightly darker then I expected for a DIPA.
Smell: Surprisingly sweet. Lots of bready, honey notes, backed by a piney, slightly citrusy bitterness. Maltier then I expected.
Taste: Sweet, but not cloyingly so. The bready and honey notes in the smell are definitely strong in the taste, along with some vanilla notes. There's also some kind of fruit flavor in there, but not really citrus. And of course, the hops. Very strong pine notes - and again, there's a bitter fruity note, but not the citrus typically found in DIPAs. The hops don't take center stage though - it's almost like the hops are here to balance out the malt, not the other way around. It's interesting, and kind of complex. A bitter aftertaste lingers for quite some time. Overall, it doesn't taste nearly as bitter or hoppy as most DIPAs, though.
Mouthfeel: A little bit thin, surprisingly so, considering the complexity and all of the strong flavors. Carbonation is average.
Drinkability: This was an interesting one...it wasn't bad, but I'm not sure it's the best representation of the style. One was enough (obviously, considering the ABV), and I'm not sure I'd reach for this one again. I wish Southern Tier dated their bottles, because I don't think I got an old one, but it'd be nice to know for sure.
06-04-2009 02:22:13 | More by StarlightSeraph
4.6/5 rDev +12.7%
22oz Bomber poured into Chimay goblet.
App: Dark egyptian golden with shallow frothy head, 1-2 fingers. Not too much carbonation. Lacing in the house.
Smell: Not too overpowering, wish it was, hoppy a little on the foamy breakdown.
Taste: Bangin', probably my new favorite joint. At 11% it is hidden so well. Hoppy/Citrusy and that's all I'm pickin' up. Sick brew.
Mouthfeel: Usually a stout man, so it does feel thin and not too full-bodied, but it really is on point. Not too "runny." Figgadealme?
Drinkability: Go 'on head and get a few, i challenge you to drink 2 and not be stumblin'.
Best wishes on this one, definitely in my top 5, maybe 3. Hoping to get some on tap one of these days.
06-01-2009 02:47:27 | More by gatorbreath
3.38/5 rDev -17.2%
Pours a nice even, clear copper color with some moderate visible carbonation. Sticky, foamy head that won't go away.
Smells heavily of citrusy hops, lemon and some pine all well remaining somewhat sweet.
This beer is sweet. Syrupy herbal hops, pineapple and toffee on the forefront with some serious alcohol warmth in the aftertase. The hops are not nearly as prevalent as I would expect, but it is balanced. There is some pine bitterness in the finish, but where is the rash hoppiness of the DIPA?
Mouthfeel is thick and there is enough carbonation to cut through it.
I expected a hoppier brew here. Sweet smooth and could potentially get you in trouble at 11%.
06-01-2009 00:01:36 | More by BDLbrewster
3.68/5 rDev -9.8%
Bomber poured into a snifter.
A-Ever-so-slightly hazed orange amber beer, glowing and beautiful. Off-white head, small off the pour and receded quickly.
S-A fun mixture of toasty, bready backbone and a big hoppiness, very resiny with a bit of earthy undertone.
T-Thick resiny/piny hops right away, moving on to earthy, herbal hop. Malts are present, bready in nature, with a sense of toast. Alcohol flavor is present within the bitterness.
M-Medium-low carbonation. Medium-full body. Quite warming in my belly, with a drying alcohol.
D-Pretty good. It's a tasty beer, not terribly remarkable, but a consistent performer.
05-29-2009 21:00:27 | More by CHSLBrew
4.28/5 rDev +4.9%
22 oz bomber served in my 8 ounce flute glass
A-amber with reddish hints, almost mahogany. 1 inch frothy head which clings to the sides of the glass like sap dripping..looks spectacular, decent retention
S- Strong grapefruit/citrus smell, slight pale malty sweetness smell
T-One word describes this beer- BALANCE between malt/hop flavor and bitterness. much more malty than expected but that is the way i like my dipas..only malt detected is pale malt. Grapefruit taste from the hops comes in towards the middle to end of the mouthful. Slight floral/citrus taste may be detected. Cloying sweetness after taste.
M- Medium bodied, great mouthfeel...very smooth
D- Honestly, can not really detect the 11% alcohol, could drink this beer all night, very dangerous...be careful
Overall- great beer, brewer paid a lot of attention to the mouthfeel and appearance of this beer with the use of the carapils and red wheat malt as noted on the bottle..enjoy my friends.
05-29-2009 02:09:25 | More by ken2cart1
4.38/5 rDev +7.4%
A- Pours into an oversized wine glass an orangeish scarlet color with one finger creamy head. Fair amount of lacing.
S- Hops hit right away, sweet malt, some yeast. A bit of toffee/caramel as well.
T- Nice balance of hops and malt. Sweet, clean and crisp. A bit of yeast and toffee. The flavors mesh together in sweet unity. Clean finish. Alcohol is remarkably well hidden. Not a big hop bomb.
M- Medium bodied, smooth and very creamy texture. Velvety carbonation on the tongue.
D- This could be dangerous. Extremely well balanced, alcohol is hardly detected. This goes down way too easy for an 11% ABV beer.
Kind of reminds me of DFH 90 minute IPA. Highly recommended.
05-29-2009 00:51:19 | More by jera1350
3.9/5 rDev -4.4%
Enjoyed a bomber of this.
Burnt orange color.. nice amount of tan head. Smell and taste are typical for the style.. grapefruit and piney.. strength is pretty noticeable, maybe a bit on the higher end for the style. Medium to high bodied mouthfeel.
A decent, average to above average DIPA. Higher strength and more alcohol presence than others.
05-25-2009 02:01:22 | More by webmanspidey
Unearthly (Imperial India Pale Ale) from Southern Tier Brewing Company
91 out of 100 based on 2,619 ratings.


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If I consider you a close friend chances are I'm gonna be at least a little gay with you
all the kids love animal with leaf zine
While travelling across Europe, a Romanian host of mine had a cat too beautiful not to share. This is Teemo
i feel like this is older than me
Look at this relic
Fucking fossil lol
r u for real
12 days of snk: favorite female character
↳ mikasa ackerman
"if you think it's natural for people to sacrifice their own lives to save others, surely you understand that sometimes a single death can save many lives."
John Waters' Cry-Baby (1990)
Aritzia: The morning of our shoot, Orange Is the New Black scored seven Emmy nods, and Samira Wiley is all smiles—and eager to leave. "They're celebrating on set right now," says the Juilliard grad, who plays the hilarious but vulnerable Poussey Washington on the breakout Netflix show. Fame "happened so suddenly," Wiley explains. "When the show came out, people could watch [the whole season] in a weekend, so I feel like our lives changed less gradually than people on network TV shows." Not that she's complaining: "It's awesome to go through it with all the other girls. I feel like we're a family."
It took me a really long time to accept that I could be an actor. I had been doing acting since I was ten years old but I never got acknowledgment for it until I got accepted to Juilliard. It was like, Oh, we know you're passionate…and now maybe you're talented too!
The number of times you're going to get stopped on the street and get asked to take a seflie with someone is something to keep in mind. I don't ever want to look busted these days. Not even to go to the corner store for ice cream!
That was supposed to be just a quick and simple mermaid drawing, but then I did a background. What's gotten into me?!


text:
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Number cake
To Prep
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(6 Members)
Pink-coloured cocktail sauce is another variation of mayonnaise. This sauce is great with... Watch Video
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Sorry but it was absolutely disgusting. We tried using the mayonnaise in a tuna pattie and it overpowered all the other ingredients, even the tuna! Sorry but whoever decided white wine vinegar was suitable for a mayonnaise recipe obviously is unaware of the pungent aroma of this ingredient. I would definitely substitute normal vinegar and only half the quantity if I was to make again. On the plus side the emulsion was really fun to watch in the process and it was a very straight forward recipe with good options. Just don't use white wine vinegar!
I just made it, and it's fabulous, probably the easiest & nicest mayo I've made. The thing is, you've targeted the wrong ingredient - it's the olive oil that gives it a pungent bitter taste, not the white wine. Olive oil is only good in hand whisked mayonnaise, it's really well known for tasting disgusting in machine whipped mayo. I used 200ml macadamia oil, with the 3 egg yolks, 2 teaspoons of white wine vinegar
Great recipe - easy to follow and quick to make. We added sweet chilli sauce to half the mix and usedas a topping for our tuna patties. The other half I placed in a jar to be used throughout the week.Delicious!
Rice Bran Oil works a treat. Beautiful recipe! I also used my food processor and it's super quick- about 6 mins.
So easy to make, I used Rice Bran Oil instead as I don't like olive oil, and 4 yolks accidentally, but it was absolutely delicious and made my potato salad the best! Will never buy store made mayo again!
This was really easy to make. I actually used my food processor. The smaller bowl doesn't have a pouring lid, so I stopped it, poured a bit of oil in, started and repeated until it was all mixed. It turned out perfectly. I used fresh eggs from my chickens, so the colour was really yellow. i used ollive oil and it did leave a strong taste, but have since read that canola or grapeseed oil will provide a lighter flavour.
I absolutely loved it! My 9 year old daughter made it for me with a chicken burger and it was amazing! It's so easy to do a child can make it.
Alas, in the Philippines. All sauces tend to be sweet, Mayonnnaise, Marinade etc., So, I've started making my own. The prevailing illness here tends to be, Diabetes. I've also found out, I can buy virtually nothing that has no MSG. That's why I make my own, I know what's in it
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PPR-league strategy
Updated: June 19, 2013, 11:04 AM ETBy AJ Mass | ESPN.com
"There is little difference in people, but that little difference makes a big difference." - W. Clement Stone
On the surface, you wouldn't think that adding a single point to a player's score just for making a catch would change the game of fantasy football all that much, and yet when you make this seemingly insignificant alteration to your league's scoring system, suddenly up is down, left is right and whole new cheat sheets need to be created. That little difference can end up ...
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The 2013 fantasy football season is almost here. Start preparing for your draft with our rankings, projections, profiles and more! Draft Kit »
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Houston 77056, TX, United States1 month ago on craigslist.org
For sale $8,5001955
1955 Chevy
55 chevy gassers:
1955 chevy gasser,
55 chevy gasser,
chevy gasser sale
Santa Rosa 95404, CA, United States1 month ago on americanlisted.com
For sale $5,000chevrolet pink 1955
I have a 1955 Chevy 2door post it's ether a 150 or 210. , old hotrod gasser . No straight axel. It's in builder condition . Olds rearend,moon pedal, mags. Comes with stock chassis w/ rebuilt 283 power
55 chevy gassers:
gassers for sale,
1955 chevy gassers for sale,
old gasser
Cape May, NJ, United States2 days ago on craigslist.org
For sale $1ford 1955
This is a really cool old hot rod!! It is a 350 with a 350th 9" ford 4 wheel discount brakes drilled rotors. It has full interior. Fiberglass tilt frontend. All the glass is nice.It's a blast to cruise around in. Just seeing what's out there. Old muscle cars novas camaro chevelles grand National ls stuff ...
55 chevy gassers:
Rolla 65401, MO, United States3 weeks ago on trucks2cars.com
For sale $18,500chevrolet bel air white 1957 cd player
Chevrolet : Bel Air/150/210 Chrome 1957 Bel Air 2 Door Hard Top hot rod rat rod custom trim 55 56 gasser chevy tire
Williamsport 17702, PA, United States1 month ago on shoppok.com
For salepontiac g6 2011 sedan
55 Chevy 2 door sedan Allenwood Pa Gasser style 55 chevy 2 door sedan. Has 327 with T-10 with 411 pcase. Car is currently inspected till next year 515. It is a blast to drive. If you are in the market for a good driving piece of history call me.If you are looking for a Barrett-Jackson ...
De Witt 52742, IA, United States4 weeks ago on trucks2cars.com
For sale $777chevrolet bel air white 1956 1mi wagon
Chevrolet : Bel Air/150/210 Gasser fully restored 1956 Chevy 2-Door nostalgic Gasser with race history 55 57 lqqk!
Evansville 47712, IN, United States1 month ago on trucks2cars.com
For sale $5,500chevrolet bel air 1957 sedan
Chevrolet : Bel Air/ ... Chevy 210 Sedan gasser body only with tilt front end--55, 56, and 57 Chevy
Conyers 30012, GA, United States3 days ago on trucks2cars.com
For salechevrolet bel air 1955 sedan
Chevrolet : Bel Air/150/210 Two Ten 1955 55 Chevrolet Chevy Belair 210 150 Gasser Hot Rod ... Rat rod 56 57
Lufkin 75901, TX, United States1 month ago on trucks2cars.com
For sale $200chevrolet bel air 1955 sedan
Chevrolet : Bel Air/150/210 2dr Sedan 1955 chevy 2dr sedan gasser rat hot rod project car 55 56 57 Tri five
Hamden CT, United States2 weeks ago on ebay.com
For sale Auctionchevrolet bel air 1957 convertible
...It is a beautiful must see car open to trades for any types of 55 Chevy's street,drags,or gasser style Call for details Dave Gagnon Racing Ent ... dgreshop....
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$100 Award For a Tagline
Time Left
I am a top producing Realtor in N. VA. I offer one on one attention & an intense focus on whatever the individual client needs.I do it ALL myself-no delegating to assistants. My clients get all of my focus & attention. I have described it as conceirge service but that is cliched. I want a tag line to describe my "whatever it takes to get you what you want" approach to service without cliches & without sounding too aggressive! I'll drop everything for a client and that makes a difference.
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my business relationship with you will seem like a lifetime freindship
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We do backflips.
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Really yours....or Really, Really yours....or REALLY yours....or Really.Yours....variations of same
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Intense Client Focus Produces Amazing Results!
Meta Service
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GUARANTEED is not just a word for me.
My goal is to meet and exceed your expectations
Can do.
Servicing Your Real Estate Needs With Shooting Stars!
Together, We Will Get Your Property Moving
My clients get more attention then family.
The Realtor That Works


text:
Keeping Secrets
- Thursday, May 22, 2003
At a dinner party, several of the guests were arguing whether men or women were more trustworthy. "No woman," said one man, scornfully, "can keep a secret."
"I don't know about that," answered a woman guest. "I have kept my age a secret since I was twenty-one."
"You'll let it out some day," the man insisted.
"I hardly think so!" responded the lady. "When a woman has kept a secret for twenty-seven years, she can keep it forever."
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Arsenal manager Arsene Wenger says he is reluctant to buy a new striker, despite a long-term injury to Olivier Giroud.
Niall Quinn backed Alexis Sanchez to fill the goalscoring void left by the injured Olvier Giroud at Arsenal.
Arsenal survived the final 15 minutes with 10-men to defeat 1-0 Besiktas to reach the Champions League group stages.
Arsenal striker Olivier Giroud is unlikely to play again this year after having surgery on his injured ankle.
Find out how to follow the Champions League group stage draw across Sky Sports on Thursday.
Arsenal boss Arsene Wenger admitted he was relieved to have progressed through to the Champions League group stages.
Arsenal's Jack Wilshere admitted Besiktas could have had a penalty in their Champions League clash at The Emirates.
MK Dons' reward for knocking Manchester United out of the Capital One Cup is a third-round home tie against Bradford.
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Matthew Stanger asks whether Arsenal's false nine struggle means they could still need to sign a new striker?
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Arsenal will miss "go-to man" Aaron Ramsey in their Champions League second-leg clash with Besiktas, says Paul Merson.


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- Power-sharing talks between Greece's prime minister and the opposition leader have dragged on into the evening. But senior government officials say a deal is near. The two agreed over the weekend to put together an interim government that will shepherd a new $179 billion European rescue package through Parliament.
- Interior Secretary Ken Salazar is proposing to hold 15 lease sales for oil and gas drilling in the Gulf of Mexico and three off Alaska's coast. But that's not enough to satisfy Republicans, who are pushing to greatly expand drilling as a way to create jobs and wean the country off foreign oil.
- Government advisers are warning that the nation's transition to computerized medical records could create unforeseen patient safety problems. A report by a panel from the influential Institute of Medicine says potential problems range from computer crashes to quirky systems. It recommends creating an independent agency to investigate safety problems linked to computerized medical records, including injuries and deaths.
- Some of the Occupy Wall Street activists in New York are planning to take a two-week walk to Washington. About a dozen of them plan to leave Manhattan at noon tomorrow and arrive in Washington by the Nov. 23 deadline for a congressional committee to decide whether to keep President Barack Obama's extension of Bush-era tax cuts. The 240-mile trek will pass through New Jersey, Pennsylvania, Delaware and Maryland.
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Communicated by Richard Wooster
Genomic rearrangements in the BRCA1 and BRCA2 genes†
Article first published online: 14 APR 2005
DOI: 10.1002/humu.20169
© 2005 Wiley-Liss, Inc.
Human Mutation
Volume 25, Issue 5, pages 415–422, May 2005
Additional Information
How to Cite
Mazoyer, S. (2005), Genomic rearrangements in the BRCA1 and BRCA2 genes. Hum. Mutat., 25: 415–422. doi: 10.1002/humu.20169
- †
Publication History
- Issue published online: 20 APR 2005
- Article first published online: 14 APR 2005
- Manuscript Accepted: 19 DEC 2004
- Manuscript Received: 8 SEP 2004
Funded by
- le Comité Départemental du Rhône de la Ligue contre le Cancer
- Association pour la Recherche sur le Cancer
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News Details
Red Bull's Total fuel causing sensor failures - FIA
Red Bull's official fuel supplier, Total, might be to blame for the various fuel flow sensor failures which have hit Red Bull and even cost them second place in Australia. The FIA's head of powertrain, Fabrice Lom, whilst giving evidence during the International Court of Appeal hearing, noted that a chemical used in Total's fuel, can damage a seal in the sensor, causing it to fail. "We discovered and now we have identified the issue," said Lom. "It is an issue that is now understood well and we know that it only affects the reliability of the sensor. "We discovered that there is a seam, an o-ring in the sensor, that doesn't support the Total fuel chemical composition so...
Full Story »
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Sea Tow Reports Increased Boating Activity and Calls for Assistance Midway Through July 4th Holiday Week. Incidents Underscore the Need to Follow Commonsense Boating Safety Guidelines.
The extended July 4th holiday has been one of the busiest in recent years for Sea Tow Services International Inc., the nation's leading on-water assistance provider, and its network of Sea Tow locations across the U.S. This increased activity reflects a growing desire among boaters to enjoy the many benefits of the boating lifestyle with friends and family.
By midway through the July 4th holiday week, which runs this year from June 29-July 8, 2012, Sea Tow already had received more than 2,200 calls for assistance. In addition to these calls, about 20 percent of the Sea Tow network had responded to requests for boat salvages and recoveries through July 4th. Call volume to Sea Tow operators was up more than 16 percent this year over the 2011 holiday period, with the number-one assistance request being for boat tows.
"With another weekend yet to go, the 10-day July 4th holiday has been tremendously busy for our network of skilled U.S. Coast Guard-licensed Sea Tow Captains and crew," said Capt. Joe Frohnhoefer, Sea Tow Founder and CEO. "We're proud of the job our Captains and staff from coast to coast have been doing to help boaters stay safe. They can rest assured that Sea Tow will continue to provide boaters with peace of mind on the water on a 24/7 basis for the rest of the holiday week and beyond."
Through increased boating activity have come a number of harrowing incidents that serve as strong reminders to all boaters to pay attention and follow safe boating practices on the water. Through the July 4th holiday period to date, Sea Tow Captains have responded to multiple emergency calls, including the following incidents:
• Capt. Ethan Maass of Sea Tow South Shore in Cape Cod, Massachusetts, rescued two boaters on June 29th from an overturned boat in Cape Cod Bay where waves of two- to three- feet were washing over the hull. Neither boater was wearing a shirt or a lifejacket. Capt. Maass provided them with both when they boarded his vessel. He called the Coast Guard, which took both boaters back to shore and marked the vessel for recovery.
• Sea Tow Central New Jersey was involved in the rescue of five adults and four children from a sinking boat near the north jetty of Barnegat Inlet on July 1st. The Sea Tow crew rescued three people, while the Coast Guard picked up the remaining boaters. Sea Tow Central New Jersey also freed the boat from the jetty. Everyone was taken ashore safely and transferred to awaiting emergency medical personnel.
• Sea Tow Cape May responded to a July 1st boat fire in the Cape May Canal along with local Avalon Police and New Jersey State Police. A 20-foot center console boat burst into flames at the fuel dock at Avalon Marine Center in Avalon, N.J. The boat's occupants were able to get out, but were taken to the hospital. In an attempt to prevent damage to surrounding boats and the marina, Sea Tow Cape May's Capt. Scott took the smoking boat in tow, beached it, and helped to control the fire aboard for 45 minutes until the Avalon fire department finally extinguished it with foam. (Live video and photos available upon request.)
• Sea Tow Naples, in Florida, responded to the scene of a boat explosion on June 30th where a father and son were seriously injured. The docked boat exploded when the father apparently turned on a wet/dry vac to remove water from the bilge. It is suspected a spark may have ignited gasoline vapors. The father suffered second- and third-degree burns over 75 percent of his body, while his 11-year-old son, who had been assisting, suffered severe burns to the legs.
• Sea Tow Miami responded to a July 4th call for help from a Good Samaritan who saw a vessel taking on water and about to sink with six adults and two children around 8-years-old aboard. Capt. Fernando Sordo headed out only to encounter scores of boats returning from various on-water fireworks shows. Nonetheless, he arrived on scene in about five minutes to help the stranded boaters safely board a nearby boater's vessel. Capt. Sordo pumped out the sinking boat and saved it, then towed the vessel safely to shore.
As many of these and other recent incidents clearly demonstrate, it's important that all boaters follow some basic, commonsense rules on the water. Sea Tow and the Sea Tow Foundation, a nonprofit organization founded to promote boating safety, offer boaters the following reminders for the rest of the July 4th holiday week:
• Wear Your Lifejacket. They are proven to save lives and are mandatory for all children under age 13 on the water in a recreational boat.
• Designate a Sober Skipper to drive the boat at all times. It is against federal law and most state laws for a person with a blood alcohol centration (BAC) or .08 or higher to operate a recreational vessel.
• Follow Proper Fueling Procedures. Always turn off your motor when fueling. For boats with enclosed cabins, windows always should be closed during fueling. And always properly vent enclosed engine compartments after fueling and before restarting the motor(s).
• Be Courteous and Watch Your Wake. Obey "No-Wake" zones in order to avoid causing damage to docked vessels and injury to marine life. Always reduce your speed when passing vessels in narrow channels. If your vessel throws a large wake, be aware of fellow boaters and take care not to swamp smaller vessels while underway.
• Download the Sea Tow App. Sea Tow Captains report that boaters calling for help often don't know their exact location while on the water. With the new Sea Tow App, you can have your GPS location in the palm of your hand and call for assistance with a swipe of your thumb. The App also lets you monitor current weather conditions and tides, as well as performing other useful functions. Visit www.seatow.com/app to download the Sea Tow App.
100 Central Avenue
Hillside, New Jersey 07205
Tel: (908) 964-8812
Email: firstname.lastname@example.com
Website: www.donjon.com
President & CEO: J. Arnold Witte
The Company:
Donjon Marine Co.
The disabled mixed-products tanker Pine Galaxy is expected to arrive in San Francisco Wednesday morning.
The ship is being towed by commercial tug to San Francisco Bay.
The U.S. Coast Guard (USCG ) rescued two people from a disabled boat near Niagara Falls late Monday night.
At about 9:15 p.m., a search-and-rescue (SAR) coordinator from USCG Sector Buffalo,
The Coast Guard informs it is responding to the capsize of a tug on the Calumet River near the 106th St. Bridge in Chicago, in which the two crew members were able
Labor Day weekend marks the unofficial end of the boating season and is known as one of the busiest recreational boating weekends on the Ohio River. With approximately 2,
Coast Guard and National Oceanic & Atmospheric Administration researchers report the successful landing of an unmanned aircraft system on the flight deck of Coast Guard Cutter 'Healy',
Professor Neil Greenberg of March on Stress at the Institute of Psychiatry, King's College London, visited the Philippines to assess the competencies of mental


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Weekend Edition Saturday
The place where you can catch up on the week's developing news, plus culture and entertainment with host Scott Simon.
Wait, Wait Don't Tell Me
Test your knowledge against some of the best and brightest in the news and entertainment world while figuring out what's real news and what's made up.
Former Detroit City Council Member Sheila Cockrel and Former Wayne State University President Irv Reid join Craig to discuss the new initiative, Citizen Detroit Project, that works to teach voters the complex terrain that legislators must navigate to make decisions for the City's future.
Post your questions and comments below.
Photo courtesy of en.wikipedia.org


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|Sorting Last Post on Top ↓ Message:
I'm so glad I found this team! I've always loved the water and started swimming on a regular basis my sr. year in college. That was... 14 years ago! I kept it up through grad school and now, after 2 babies, I'm back at it. Currently, it's my only consistent, regular exercise. We have a treadmill, but with little ones, I don't always get to it during their naps.
Once in a while I need to hear how good it is for your body to keep it up!
I usually swim 1500m during each session, which is during my lunch. However, I'll need to increase it since I just signed up for the team challenge.
Thanks so much for this group!!!!!
|Last Post:


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Book Love
colorful book spines
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Good Books Add So Much To A Good Vacation | #summer
Repeating Single Point Folded Book Art ( Book Origami). $24.95, via Etsy. - plus he offers an ebook on how to do it
Inside The Last Bookstore, Downtown, Los Angeles. Photo by Omar Bárcena.
Need one beside every bed, sofa and chair in my house (but the books still won't be under control, I fear).
Interesting sculpture found in the landscape of state housing, Holland Village-Singapore.


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Lawn & garden equipment for homeowners
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Very strong words nice work yet again Sylvia. (Report) Reply
Sylvia Chidi
Contemporary Freedom
I am who I am
Because of what I am
I ask for freedom from love
I ask for freedom from slavery
I ask for freedom from hunger
I ask for freedom from desire
You know and I know
That not all seeds you sow
Will eventually grow
This is contemporary poem
Seeking for freedom with my pen
I read there was an old man
Who bade farewell to his only son
At the hands of his own gun
Where his actions contemporary?
Was his anger or concern temporary?
This is contemporary poem
Seeking for freedom with my pen
Vivid imagination leads to frustration
It could trigger a chain-reaction
Hence the concept of mass-killing
Is born out of an over-reacted feeling
There is no cure or process of healing
Once death is the meal we are dealing
This is contemporary poem
Seeking for freedom with my pen
We drink with intention to forget
We drink but later on regret
And the people are walking
And the people are talking
Talking about freedom, freedom
Talking about a heavenly kingdom
Talking about their great grandfathers and their moms
Talking about freedom in any shape or form
This is contemporary poem
Seeking for freedom with my pen
And it does not make any sense
Why we always speak first in defense
And it does not make any sense
Why our passion for life despite the struggle is immense
We crave for human heroes
Those who started from zero
Their brave tales flows tremendously
So our fertile hope elongates endlessly
So when you tell a lie
Look your victim deep in the eye
Penetrate their mind
Find out what you can find
Because freedom is a lie
Because freedom is a lie
This is contemporary poem
Seeking for freedom with my pen
Copyright 2007 - Sylvia Chidi
Sylvia Chidi's Other Poems
Read this poem in other languages
This poem has not been translated into any other language yet.
I would like to translate this poem »
Comments about this poem (Contemporary Freedom by Sylvia Chidi )
Steven Morrisey (9/1/2007 1:31:00 AM)
Nicky Turner (5/22/2007 11:13:00 PM)
words could not discribe your ability to capture everything in it's beauty (minus a couple of poems) freedom is a well written about topic but none of any that i have read even equal this.....great once again (Report) Reply
the poet (5/21/2007 8:42:00 AM)
freedom is fought for and earned, never asked for or given... -thanks for this thoughtful poem. (Report) Reply
David Taylor (5/21/2007 8:31:00 AM)
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text:
This is my R/C 9 ft 1/8 scale GRP model narrowboat, sailing on the macclesfield canal.
The Narrow Boat and Restaurant White Nancy at Bollington Cheshire on the Macclesfield Canal.
A view from the window: Scenes from the Macclesfield canal.
Glyn Evans Norway Ivy Dianna Heidi David Ben Lars Erik Macclesfield Canal.
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"Southam" and "Lilith" near Fools Nook on the Macclesfield Canal en route to Lincoln for timber to restore "Hazel". June 2011.
Poor guy was actually asleep on the boat when it caught fire. Luckily he escaped but didn't even have time to grab his shoes.
Vets Boat Trip on The Marple to Macclesfield Canal.
The Bosley Flight of 12 locks are situated on the Macclesfield Canal between Macclesfield and Congleton and lower the canal some 118 feet from the summit lev...
Video news item on the maintenance work which is underway on the Macclesfield Canal, near Clarence Mill, Bollington. See the work in progess.
Snake bridge on the Macclesfield canal, tighter and steeper than it looks. Located just behind the kings head pub at Gurnett, Macclesfield.
jetski on macc canal.
British Waterways renovated the Macclesfield canal around Kerridge and Bollington in the summer of 2010. Unfortunately they have left parts of the towpath lo...


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Computer Software
How is a variable used in computer programming?
Answered by Discovery Channel
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When you are writing a computer program, you will often want the program to be able to "remember" a value. You can do this by assigning the important value to a named variable. Variables are categorized by the types of data they store. Several standard types of variables used by the C programming language are the following:
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Clayton L Santimore, 41 years old, lives in West Newbury, Massachusetts, but has also spent time in Bridgewater, Massachusetts; Newbury, Massachusetts; Worcester, Massachusetts and Georgetown, Massachusetts.
He has attended Georgia State University and Bridgewater State College. He works as a Mutual Fund Analyst.


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Nurse Practitioner Elected Medical Staff President
Bob Donaldson is clinical director of emergency medicine and president of the medical staff at Ellenville Regional Hospital in New York. His current projects sound much like any medical staff president's goals.
What might surprise you is that Donaldson is not a physician but a nurse practitioner. He was elected to this influential position by his physician colleagues and enjoys great support from the hospital's medical staff.
I interviewed Donaldson to find out how a nurse practitioner broke down physician hierarchy and found an innovative hospital that could be a model for provider collegiality and meeting a community's healthcare needs.
Donaldson has a long background in emergency nursing and came to Ellenville Regional in 2004 when he was approached by the owners of an emergency medicine group that staffed providers for the ER, which at the time was staffed by all physicians, and asked to be the first non-physician provider for the ER.
He interviewed with the new CEO, with whom he immediately hit it off. The CEO convinced him that despite the hospital's financial difficulties those things would change, so Donaldson came on board.
"I passed muster, if you will, as the first non-physician, full-time, sole provider here as an NP working in the ER alongside the docs," he says. "It was so successful that we ultimately eliminated all the docs here and replaced them all with nurse practitioners or physician assistants."
In 2004, the ER saw 8,000 visits per year. Now, it sees 12,500 per year, a number it has maintained for the last two years. Donaldson notes that the non-physicians provider arrangement is unusual but explains that his CEO conducted extensive research on nurse practitioners and their practice as part of his graduate work.
Comments are moderated. Please be patient.
Lisa Sams MSN, RNC (3/25/2011 at 4:51 PM)
Congratulations, this is such an important step for patients and families. Care can only be improved by high functioning interdisciplinary teams and what many consumers feel when they spend time with an Advanced Practice Nurse is they are treated as a whole person. Nursing continues to research and enrich clinical care through this view.
VBA (3/19/2011 at 1:39 PM)
Regarding medical management, the individual makes more difference than whether they are a physician or a nurse or a tech or anyone. A leader is a leader. With respect to the management of the critically ill patient and performing intubations, central lines, cracking a chest, cardioversion, and performing many other tasks, I am very concerned about not having a trained emergency physician in the emergency department. A nurse practitioner or physician assistant can do an amazing job for 90% of the patients who come to the ED, but there is a difference in the training both in content and duration between the two specialties (NP, PA is definitely a specialty and are amazingly skilled positions). its similar to a computer programmer and a the hardware engineer; both very skilled, but different talents and knowledge sets. They are not substitutes of each other and can be very dangerous when someone comes to the ED with a true emergency to not have the right person there to help them.
Susan Johnson (3/18/2011 at 11:06 PM)
I'm sorry, but when I go to an emergency room I expect their to be a doctor on-site. Maybe a nurse can handle many/most of the things that go on in an ER, but its ridiculous that there's absolutely no ER doctors on staff and its all nurses and PAs. Thats extremely dangerous to let these folks practice solo without supervision. An ER doctor has more than 4 times the training that an emergency NP or PA gets. We are not talking about a clinic where people treat cough and runny nose. The name is EMERGENCY for a reason and we need the BEST trained people we can get in there. I will not be coming to that hospital anytime soon and I'd advise everyone else to steer clear of it.
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The Uncle Remus' Car Boon Crash attraction, which recently celebrated its major anniversary
The Uncle Remus' Car Boon Crash entrance is like a walking tour through Boontown. The attraction cars are just like Betty the Cab, and while you drive you can crash them by spinning the dashboard.
Run from Princess Mode
© copyright 2011–2014
A Pants Aflame production


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Christmas Tournament Day 1 - Leopold vs. Oak Ridge
December 27, 2012
Leopold defeated Oak Ridge 69-34 during the first round of the Southeast Missourian Christmas Tournament Thursday, Dec. 27, 2012 at the Show Me Center in Cape Girardeau.
Order printsTo order prints from this gallery, look for the "Order this photo" link below each photo. You will be able to select photo sizes and pay online using your credit or debit card.
2014 Football Preview (08/21/14)
Football jamboree at St. Vincent (08/15/14)
Fall practice begins for high school teams (08/04/14)
Southeast football team's first practice (08/01/14)
PGA Junior Series golf (07/28/14)
Junior Legion state tournament title - Jackson vs. Eureka (07/26/14)
Junior Legion state tournament - Jackson vs. Washington (07/25/14)
Junior Legion state tournament - Jackson vs. Glendale (07/24/14)