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Thursday, August 21, 2014
This is what we need more of
There's a new randomized trial published in the Journal of the American Medical Association that evaluates the efficacy of post-cholecystectomy antibiotics in patients presenting with mild/moderate acute calculous cholecystitis. Upon diagnosis, all patient received amoxicillin+clavulanic acid 3 times a day pre-operatively and once during surgery. This open-label trial compared patients randomized to 5 days of post-operative antibiotics with the same antibiotic regimen vs. no post-operative antibiotics. Patients were followed up to four weeks post-operatively for SSI and other infections.
In the 414 patients, in the intention-to-treat analysis, the infection rate was 15% (31/207) in the post-operative antibiotic group and 17% (35/207) in the no-antibiotic group. The absolute risk difference was small (+/- 2.0%) and the 95% CI for the difference included zero for all key outcomes in the intention-to-treat analysis including superficial, deep and organ space infections.
The study appears to have high internal validity and randomization looks adequate. However, the lack of placebo and a relatively large non-inferiority outcome threshold (11%) are potential limitations. Of course, the study was also limited to amox-clav and perhaps some would favor testing other antibiotic regimens.
However, the lack of true difference will hopefully lead to further validation studies or adoption of a no post-operative antibiotic recommendation for this surgical procedure. This study and hopefully more like it are exactly what we need in order to reduce antibiotic exposure in hospitals and subsequent selection of antimicrobial resistant pathogens, including Clostridium difficile. It's great to see important antimicrobial stewardship questions asked and answered.
Eli N. Perencevich, MD, ACP Member, is an infectious disease physician and epidemiologist in Iowa City, Iowa, who studies methods to halt the spread of resistant bacteria in our hospitals (including novel ways to get everyone to wash their hands). This post originally appeared at the blog Controversies in Hospital Infection Prevention.
Labels: antibiotics, Controversies in Hospital Infection Prevention, drug resistance, Eli N. Perencevich, guest post, nosocomial infections, surgery
Wednesday, August 20, 2014
Administrative burdens to blame for burnout in primary care
I spent this past weekend at a wonderful wedding in Richmond, where I lived for over 20 years. At the reception I had an important conversation with one of my former residents (I was an intern and he was a second year). I knew him before medical school, and have kept in touch for the past 37 years during which he worked in a classical internal medicine practice.
He quit primary care this year.
He loved his patients, and his patients loved him. He has a wonderful bedside manner, and is thoughtful and refuses to rush through his patients. He cannot do it anymore.
If this story was unique, then I would not write this rant. But this story is becoming commonplace.
Physicians want to care for patients. We want to spend sufficient time with the patient so that we can fully understand the patient's problems. We try our best to aid our patients in the many dimensions of their illnesses.
We despise seemingly stupid documentation rules, which lead to many clicks in the electronic medical record. We hate pre-authorization requirements and device forms. We burnout when we are told that we are spending too much time with each patient. We burnout when the "suits" have no respect for our working conditions.
This physician has a job with the hospital now. His patients have to find another physician, not because he was tired of caring for them, but rather because the administrative complexities of modern practice put a dagger in his spirit. These complexities, all developed to standardize care for the better, are hurting patients. When we drive physicians like my friend out of primary care, we have a broken system.
As we discussed his personal situation, I could only nod and empathize. Unfortunately, this is not a new story; rather, it is an increasingly common one. I am tired of hearing it. But do the perpetrators of this nonsense understand in any meaningful way?
db is the nickname for Robert M. Centor, MD, FACP. db stands both for Dr. Bob and da boss. He is an academic general internist at the University of Alabama School of Medicine, and is the Regional Associate Dean for the Huntsville Regional Medical Campus of UASOM. He still makes inpatient rounds over 100 days each year. This post originally appeared at his blog, db's Medical Rants.
Labels: burnout, db's Medical Rants, electronic medical records, guest post, primary care shortage, Robert M. Centor
Life at Grady: The Interpreter
I saw a man the other day who mostly spoke Spanish, but who also spoke relatively okay English. So I came to see him and, because of his limited vocabulary in English, had a very "business only" encounter with him. Because of his pride, he didn't want me to go off to get an interpreter. And so. I saw him and evaluated him. And that was that.
Another patient on the same floor spoke pretty much only Spanish. So I called the interpreter line and sat quietly at a computer charting while waiting for the interpreter to come to my rescue. After about ten minutes, up comes my blue-smocked comrade Ana, poised and prepared to bridge the gap between his Espanol solamente and my English only.
Ana was great and things went well so all was fine. We prepared to leave and Ana kindly bid me adieu. But just then, someone spoke words to her in Spanish from across the room. She walked a bit closer and we learned that my first patient, upon seeing me with an interpreter, had a change of heart about not communicating through his native tongue. Ana was super gracious and obliged.
And so. I will keep this simple. Here are 10 things I learned about my patient today after I'd already evaluated him but then returning to him with an interpreter. Some of the details are changed, of course, to protect anonymity.
1. He has been married for 38 years.
2. The part of Mexico that he is from is right in the center of the country which helps him to not mind about how landlocked Atlanta is.
3. The key to staying married for 38 years is to talk things out and share your feelings. Even if you get into a big argument, listen to each other and don't just walk away. And always stick together.
4. Sons can be trouble. Girls are easier.
5. He has 9 children, 5 of them sons. But fortunately only one is really big trouble. The girls are all angels.
6. He has 29 grandchildren and more on the way. As in literally more on the way.
7. Atlanta has been his home for the last 25 years but since his whole community is Spanish speaking, he hasn't fully mastered English. But he has come a really long way.
8. Even though his daughters are easier, the child that takes care of him the most and is the most helpful is one of his sons. (Who has 3 kids of his own and one on the way.)
9. Dialysis is frustrating.
10. Family gatherings at his house never have any less than 100 people.
And for the record? Not a single thing changed about my assessment and plan. But I know for certain that coming back to him and truly humanizing him was therapeutic for us both.
Kimberly Manning, MD, FACP, FAAP is an associate professor of medicine at Emory University School of Medicine in Atlanta, Georgia where she teaches medical students and residents at Grady Hospital. This post is adapted from Reflections of a Grady Doctor, Dr. Manning's blog about teaching, learning, caring and growing in medicine and life. It has been adapted and reprinted with permission. Identifying information has been changed to protect individuals' privacy.
Labels: Life at Grady
Wednesday, August 13, 2014
Life at Grady: Nothing to lose
You were shivering and covered with goose flesh. A slick film of sweat enveloped your skin and stayed that way no matter how many times you tried to wipe it away. Food particles floated on top of the murky liquid in your emesis basin, sloshing back and forth on your lap with every tremble of your rebellious body. You looked up at me with eyelids at half mast; you tried to speak but could only moan. With your torso still quaking you finally got a few words out: "I-I-I-I fee-fee-feel like I'm gonna d-d-die." And the look on your face when you said it made me believe you.
Damn. This wasn't what was intended. You were supposed to make it over to your friend who said he had some money. Once you got the money, things would be fine. You'd get what you needed before feeling like this set in. But you stepped off of that bus and walked those four blocks just as you said you would. Problem is, when you knocked on that flimsy screen door, the person who came to greet you wasn't your friend.
"He ain't here," the other person said. You could feel the urgency welling up inside of you. Your head cocked sideways as you studied the person on the other side of that screen. He had you by at least 50 pounds but that didn't stop you from making a quick assessment about whether or not you could take him down.
"He's supposed to have some money for me. Did he leave it?"
The other person just laughed out loud when you said that. Then, intuitively he stopped and said, "Don't even think about getting froggy and trying to leap on nobody neither 'cause it won't end pretty for you." That urgency turned to desperation when he slammed the wooden door shut in front of that screen. You started to knock, begging for something, anything he might have in there but the minute you heard that loud click you stepped away. Was it a deadbolt or a Glock? You weren't sticking around to find out.
Light became dusk. And dusk became dark. That urgency and desperation evolved into physical sickness. Innards threatening to hurl and bones feeling like each one was being broken from the inside out. And this? This wasn't what was intended.
Calmly, I took your medical history. I asked you about your story and listened as you told me what happened through your chattering teeth and glistening face. But honestly? The explosion of red confetti dots covering your left hand and forearm explained it all. Well, not all of it. But at least it explained your immediate clinical picture.
"How did this happen?" I asked.
Somehow you got what I meant by that question. You knew that I wanted to know how this happened. All of this. You spending your days roaming around and hoping to get what you need to not feel like you feel now. At what point you even stepped into the threshold of this shitty existence. And I am thinking of that adjective to describe it because this just could not have been what was intended for you life.
"I got in an accident. A bad one. They gave me some pain pills and they gave me a couple of refills. Next thing I knew, I was hooked."
"Dang." You offered me up this lopsided shrug when I said that and something about that gesture made me sad. I squinted my eyes as I tried to sift my brain to get the course of events. Then it clicked and I nodded slowly. "First the pills . . .then. . I guess you turned to heroin because it was easier to get?"
"That and way, way cheaper. It hits you harder, too." You winced between sentences and then went on. "Nobody get on this stuff like they did in the old days. Just about everybody I know that shoot up or snort heroin started off on pills. First they was prescribed by a doctor and then all hell broke loose. Like I don't know nobody that just chose heroin to get blowed right off the rip. No way. It's just the way to keep from getting sick."
I just stared at you when you told me that part. My body filled up with these complex emotions that were hard to get my mind around. Pissed that the medical profession was now a new part of an old problem. Intrigued by this suggestion that shooting up heroin just for the sake of getting high was as played out as Tab soda. Pills had become the Coke Zero, and for many it was on accident. In other words, it wasn't what was intended. By the patients or by their doctors when they acquiesced and gave "just a little" of "something strong."
"So you don't know folks who just decide to give it a shot? I mean, no pun intended."
"Naaah. Not really. Not no more. Maybe some really stupid rich kids. But most folks I know start with pills. For real. The needles don't come until they go broke from buying pills. Then, as for the other drugs, once you all caught up in the life, you just in it. So you'll try whatever, you know? Meth, heroin, speedballs, all that."
Again, I said nothing. I mean, what could I say? Instead I just sat there pondering this quote from James Baldwin because that's what that last sentence made me think about.
"The most dangerous creation of any society is the man who has nothing to lose."
~ James Baldwin
Let me tell you. Some of the deepest truths I've learned about addiction have come from simply listening to the voices of my patients. Patients who have lived it or who are living through it. People like my Uncle Woody or like my patient who explained to me the real truth about how a crack addiction develops. And every time it is nothing like what I'd seen on television or heard through urban lore; the common thread being that this--the wretched monkey now perched upon their backs--was never, ever what was intended.
No it was not.
The sad truth is that there was little we could do for you without resources. I couldn't carefully place you into the open arms of an inpatient rehab facility nor could I hospitalize you until I could. Instead, the ball was placed into your court forcing you in your broken state to dribble down a full court and shoot.
You left before I could wish you luck. That ball before you turned out to be an airball. Your sheets were empty before I could even get back down to you.
I guess in my Pollyanna-ness I imagined this brief encounter as something more pivotal than it was. I pictured us plotting your comeback and me running into you somewhere looking robust and strong someday. And I swear to you, I believed that this could be your story. I did.
But as of today? This wasn't what was intended. The magnetic pull of your own back alley hospitals was greater than me and my scattered words of encouragement. In your mind, you had nothing to lose at this point--and maybe you were right.
I guess I just wish I could have convinced you of all you had to gain.
Kimberly Manning, MD, FACP, FAAP is an associate professor of medicine at Emory University School of Medicine in Atlanta, Georgia where she teaches medical students and residents at Grady Hospital. This post is adapted from Reflections of a Grady Doctor, Dr. Manning's blog about teaching, learning, caring and growing in medicine and life. It has been adapted and reprinted with permission. Identifying information has been changed to protect individuals' privacy.
Tuesday, August 12, 2014
What the HAC?!
The University of Wisconsin (UW) Hospital is an excellent institution with a stellar infection prevention program. In fact, last year they won the prestigious U.S. Department of Health and Human Services (HHS) Partnership in Prevention Award, which recognizes "prevention leaders in the U.S … who have achieved wide-scale reduction and progress toward elimination of targeted health care associated infections." Sadly, this achievement may not be enough to keep HHS from levying financial penalties against UW for high infection rates.
Yes, the Hospital Acquired Condition (HAC) scores have come out, and have been generating a fair bit of media coverage, focused on those hospitals most likely to face financial penalties. Funny thing, though—the hospitals most likely to lose money under this program share a lot of characteristics:
"Who is getting penalized? Large, urban, public, teaching hospitals in the Northeast with lots of poor patients. Who is not getting penalized? Small, rural, for-profit hospitals in the South. Here are the data from the multivariable model: The chances that a large, urban, public, major teaching hospital that has lots of poor patients (i.e. top quartile of DSH Index) will get the HAC penalty? 62%. The chances that a small, rural, for-profit, non-teaching hospital in the south with very few poor patients will get the penalty? 9%."
Interesting. Explanations for these findings include: (1) small size, rural location, southern region and for-profit status magically translate to higher-quality, safer care, or (2) this HAC metric is bullshit, as it obviously doesn't adequately control for myriad variables that are associated with the score but that are not indicators of quality and safety. What variables? Intensity and accuracy of surveillance, and variation in infection risk of the different patient populations, for starters.
I can overlook bullshit when it brings more attention (and resources) to the critical task of infection prevention. Unfortunately, this particular form of bullshit does the opposite (unfairly punishing already cash-strapped hospitals with financial penalties). As others have pointed out, the current HAC metric is well-intentioned but obviously flawed, and in desperate need of fixing.
Daniel J. Diekema, MD, FACP, practices infectious diseases, clinical microbiology, and hospital epidemiology in Iowa City, Iowa, splitting time between seeing patients with infectious diseases, diagnosing infections in the microbiology laboratory, and trying to prevent infections in the hospital. This post originally appeared at the blog Controversies in Hospital Infection Prevention.
Labels: Daniel Diekema, guest post, health policy, infectious diseases, nosocomial infections, reimbursement, rural health care
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- This is what we need more of
- Administrative burdens to blame for burnout in pri...
- Life at Grady: The Interpreter
- Life at Grady: Nothing to lose
- What the HAC?!
- What's great about U.S. health care?
- '… at least she didn't die of MRSA'
- How and when is the physical exam useful?
- Life at Grady: Making friends
- GME funding report offers new recommendation, chan...
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Blog log
Members of the American College of Physicians contribute posts from their own sites to ACP Internistand ACP Hospitalist. Contributors include:
Albert Fuchs,
Albert Fuchs, MD, FACP, graduated from the University of California, Los Angeles School of Medicine, where he also did his internal medicine training. Certified by the American Board of Internal Medicine, Dr. Fuchs spent three years as a full-time faculty member at UCLA School of Medicine before opening his private practice in Beverly Hills in 2000.
And Thus, It Begins
Amanda Xi, ACP Medical Student Member, is a first-year medical student at the OUWB School of Medicine, charter class of 2015, in Rochester, Mich., from which she which chronicles her journey through medical training from day 1 of medical school.
Ira S. Nash, MD, FACP, is the senior vice president and executive director of the North Shore-LIJ Medical Group, and a professor of Cardiology and Population Health at Hofstra North Shore-LIJ School of Medicine. He is Board Certified in Internal Medicine and Cardiovascular Diseases and was in the private practice of cardiology before joining the full-time faculty of Massachusetts General Hospital.
Zackary Berger
Zackary Berger, MD, ACP Member, is a primary care doctor and general internist in the Division of General Internal Medicine at Johns Hopkins. His research interests include doctor-patient communication, bioethics, and systematic reviews.
Controversies in Hospital
Infection Prevention
Run by three ACP Fellows, this blog ponders vexing issues in infection prevention and control, inside and outside the hospital. Daniel J Diekema, MD, FACP, practices infectious diseases, clinical microbiology, and hospital epidemiology in Iowa City, Iowa, splitting time between seeing patients with infectious diseases, diagnosing infections in the microbiology laboratory, and trying to prevent infections in the hospital. Michael B. Edmond, MD, FACP, is a hospital epidemiologist in Richmond, Va., with a focus on understanding why infections occur in the hospital and ways to prevent these infections, and sees patients in the inpatient and outpatient settings. Eli N. Perencevich, MD, ACP Member, is an infectious disease physician and epidemiologist in Iowa City, Iowa, who studies methods to halt the spread of resistant bacteria in our hospitals (including novel ways to get everyone to wash their hands).
db's Medical Rants
Robert M. Centor, MD, FACP, contributes short essays contemplating medicine and the health care system.
Suneel Dhand, MD, ACP Member
Suneel Dhand, MD, ACP Member, is a practicing physician in Massachusetts. He has published numerous articles in clinical medicine, covering a wide range of specialty areas including; pulmonology, cardiology, endocrinology, hematology, and infectious disease. He has also authored chapters in the prestigious "5-Minute Clinical Consult" medical textbook. His other clinical interests include quality improvement, hospital safety, hospital utilization, and the use of technology in health care.
Juliet K. Mavromatis, MD, FACP, provides a conversation about health topics for patients and health professionals.
Dr. Mintz' Blog
Matthew Mintz, MD, FACP, has practiced internal medicine for more than a decade and is an Associate Professor of Medicine at an academic medical center on the East Coast. His time is split between teaching medical students and residents, and caring for patients.
Toni Brayer, MD, FACP, blogs about the rapid changes in science, medicine, health and healing in the 21st century.
Vineet Arora, MD, FACP, is Associate Program Director for the Internal Medicine Residency and Assistant Dean of Scholarship & Discovery at the Pritzker School of Medicine for the University of Chicago. Her education and research focus is on resident duty hours, patient handoffs, medical professionalism, and quality of hospital care. She is also an academic hospitalist.
Glass Hospital
John H. Schumann, MD, FACP, provides transparency on the workings of medical practice and the complexities of hospital care, illuminates the emotional and cognitive aspects of caregiving and decision-making from the perspective of an active primary care physician, and offers behind-the-scenes portraits of hospital sanctums and the people who inhabit them.
Gut Check
Ryan Madanick, MD, ACP Member, is a gastroenterologist at the University of North Carolina School of Medicine, and the Program Director for the GI & Hepatology Fellowship Program. He specializes in diseases of the esophagus, with a strong interest in the diagnosis and treatment of patients who have difficult-to-manage esophageal problems such as refractory GERD, heartburn, and chest pain.
I'm dok
Mike Aref, MD, PhD, FACP, is an academic hospitalist with an interest in basic and clinical science and education, with interests in noninvasive monitoring and diagnostic testing using novel bedside imaging modalities, diagnostic reasoning, medical informatics, new medical education modalities, pre-code/code management, palliative care, patient-physician communication, quality improvement, and quantitative biomedical imaging.
William Hersh, MD, FACP, Professor and Chair, Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, posts his thoughts on various topics related to biomedical and health informatics.
David Katz, MD
David L. Katz, MD, MPH, FACP, is an internationally renowned authority on nutrition, weight management, and the prevention of chronic disease, and an internationally recognized leader in integrative medicine and patient-centered care.
Just Oncology
Richard Just, MD, ACP Member, has 36 years in clinical practice of hematology and medical oncology. His blog is a joint publication with Gregg Masters, MPH.
Kevin Pho, MD, ACP Member, offers one of the Web's definitive sites for influential health commentary.
Michael Kirsch, MD, FACP, addresses the joys and challenges of medical practice, including controversies in the doctor-patient relationship, medical ethics and measuring medical quality. When he's not writing, he's performing colonoscopies.
Medical Lessons
Elaine Schattner, MD, FACP, shares her ideas on education, ethics in medicine, health care news and culture. Her views on medicine are informed by her past experiences in caring for patients, as a researcher in cancer immunology, and as a patient who's had breast cancer.
Mired in MedEd
Alexander M. Djuricich, MD, FACP, is the Associate Dean for Continuing Medical Education (CME), and a Program Director in Medicine-Pediatrics at the Indiana University School of Medicine in Indianapolis, where he blogs about medical education.
More Musings
Rob Lamberts, MD, ACP Member, a med-peds and general practice internist, returns with "volume 2" of his personal musings about medicine, life, armadillos and Sasquatch at More Musings (of a Distractible Kind).
David M. Sack, MD, FACP, practices general gastroenterology at a small community hospital in Connecticut. His blog is a series of musings on medicine, medical care, the health care system and medical ethics, in no particular order.
Reflections of a Grady
Kimberly Manning, MD, FACP, reflects on the personal side of being a doctor in a community hospital in Atlanta.
The Blog of Paul Sufka
Paul Sufka, MD, ACP Member, is a board certified rheumatologist in St. Paul, Minn. He was a chief resident in internal medicine with the University of Minnesota and then completed his fellowship training in rheumatology in June 2011 at the University of Minnesota Department of Rheumatology. His interests include the use of technology in medicine.
Technology in (Medical)
Neil Mehta, MBBS, MS, FACP, is interested in use of technology in education, social media and networking, practice management and evidence-based medicine tools, personal information and knowledge management.
Peter A. Lipson,
Peter A. Lipson, MD, ACP Member, is a practicing internist and teaching physician in Southeast Michigan. The blog, which has been around in various forms since 2007, offers musings on the intersection of science, medicine, and culture.
Why is American Health Care So Expensive?
Janice Boughton, MD, FACP, practiced internal medicine for 20 years before adopting a career in hospital and primary care medicine as a locum tenens physician. She lives in Idaho when not traveling.
World's Best Site
Daniel Ginsberg, MD, FACP, is an internal medicine physician who has avidly applied computers to medicine since 1986, when he first wrote medically oriented computer programs. He is in practice in Tacoma, Washington.
Other blogs of note:
American Journal of
Also known as the Green Journal, the American Journal of Medicine publishes original clinical articles of interest to physicians in internal medicine and its subspecialities, both in academia and community-based practice.
A collaborative medical blog started by Neil Shapiro, MD, ACP Member, associate program director at New York University Medical Center's internal medicine residency program. Faculty, residents and students contribute case studies, mystery quizzes, news, commentary and more.
Interact MD
Michael Benjamin, MD, ACP member, doesn't accept industry money so he can create an independent, clinician-reviewed space on the Internet for physicians to report and comment on the medical news of the day.
PLoS Blog
The Public Library of Science's open access materials include a blog.
White Coat
One of the most popular anonymous blogs written by an emergency room physician.


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Dubai hotel occupancy rate tops 87% in March
STR Global data shows hotels see 1.2% year-on-year improvement
Middle East hotels take occupancy hit in July
STR Global describes month as an 'anomaly' due to Ramadan timings
Dubai hotel revenues in H1 top $3 billion
Record number of visitors to emirate's hotels in first six months
Market Update: Dubai's Diversification
How is the city gearing up to welcome up to 20 million tourists?
Dubai hotels post record low for occupancy in July
Worst numbers recorded in emirate by STR Global for past 18 years
Indian guests continue to drive Abu Dhabi hotels
35% growth in H1 from India as source market; GCC arrivals boosted too
Doha leads regional hotel occupancy growth in H1
Occupancy and RevPAR up in key markets including Qatar, Bahrain, KSA
Over 17,000 hotel rooms under construction in UAE
Saudi Arabia close behind in development pipeline, followed by Qatar
Doha hotels hit gold with May MICE demand
Occupancy levels reached 76.7% in May, well above average for month
Strong May for Dubai hotels despite occupancy slip
Slight drop in occupancy levels more than offset by average rate hikes
Market Update: Saudi Arabia
Will the Extended Umrah Tourism Programme increase confidence?
Strong performances for Abu Dhabi hotels in April
Double-digit occupancy, guest nights and revenue growth in hotels
More than 28,000 extra UAE hotel rooms by 2016
Dubai will account for half of the new hotel rooms; 31% in Abu Dhabi
Dubai second most expensive city for hotel rooms
Emirate behind only Geneva; Kuwait City third in Bloomberg rankings
Dubai and Jeddah hotels report strong performance
RevPAR down at Abu Dhabi, Kuwait, and Egypt hotels in February
Dubai hotels report top profits for fourth year
Emirates' hotels produced highest profits across ME in 2013


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Meeting Schedule
Monday Night Meetings
MONDAY NIGHTS 7pm � 9pm
Aug 25 Speaker � Steve Hegele (CEO Hegele Academy)
Topic � Burn Your Canoe
- Stop living your life by what other people think
- Stop letting technology �break your heart�
- You�re not the same person you were 5 years ago. Stop acting like it.
Sep 8 Speaker � Jessica Bachus (Minnesota Workforce)
Topic � Dislocated Worker Program � Plus
There are jobs out there � tare you prepared for them
What�s available?
Your questions answered
Sep 22 Speaker � Joe Timmons (U of MN � Education Research)
Topic � The Connection Between Strengths & Accomplishments � Finding the
Language to Tell Your Story
People who have many career accomplishments have naturally used their strengths to build successful careers. Making the connections between these accomplishments and strengths takes some preparation and practice. In this presentation, participants will learn how Strengths Quest themes can be blended into resumes and job interviews using natural, informal language.
Oct 13 Speaker � Jack Reed (Edward Jones)
Topic � Finances During Job Transition
Oct 27 Speaker � Tom Hentges (VP Entegee Recruiting)
Topic � TBA
4 You - an opportunity to meet one on one
4 Soar - an opportunity to volunteer
4 You & Soar - Post Your Job Openings
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Seven former University of Florida baseball players appear on Major League Baseball Opening Day rosters as the 2014 season kicks off in full swing on Monday.
Click here for the original story.
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I stayed at this resort for 2 weeks more for my long holiday. Everything in this resort was good, but the best of all was the spa. Their spa was very beautiful, the treatment was great, the ladies were gorgeous, the massage lesson was wonderful. I kept wondering why the spa was so outstanding until I met the Spa Director.... More
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- Also Known As:
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text:
This is the root of the common Lisp Directory. The whole tree of tags starts here.
If you are new to the Common Lisp Directory, you should probably first have a look at the "By topic" link below or at the "Tags" and "Index" links above.
The items lists (Libraries, documents, events, etc.) are limited to about 20 items randomly taken from the whole lists. Click on the titles or the "View all (n more)" links to see the full lists of items with their descriptions.
The CLD is written in Common Lisp.
By Topic (681 items) Resources for Common Lisp sorted by topic
Frequently Asked Questions (8 items) The Common Lisp Directory FAQ
Information (189 items) Various sources for information
Software (621 items)
By Support (93 items) Resources sorted by kind of support (books, web-sites, etc...)
People, Groups and Organizations (330 items) Humans related to Common Lisp
Programming Languages (162 items)
Standards and Specifications (57 items)
By Operating System (454 items) Resourses sorted by Operating System
By License (588 items) Resources sorted by their license
Human Languages (27 items)
By location (172 items)
Other resources (3 items) Resources that are not already in the other tags
Lisp Jobs (2 items) Lisp Jobs opportunities
BABYLON | IGS Client | org-davep-newsrc | Michael Parker's Common Lisp Utilities | cl-audioscrobbler | cl-selenium | HTOUT | Mel-Base | RDNZL | LW Compat | DEFTABLE: Unifies interface to Common Lisp's table... | gecol | NST | Lisp hacks | html-entities | CL-WHO | CL-IPC | Hierarchical packages | Opt | NIO | evol | CL-STM | org-davep-dictrepl | CL Slideshow | KM: The Knowledge Machine | Erann's Lisp utilities | Eager Future | jwacs - Javascript With Advanced Continuation Supp... | CLLIB (asdf version) | ASDF | Common LISPcraft Code | FSet | Autowrite | Blowfish | patty
View all (634 more)...
Lisp and Web Development | Planet CLiki | Planet Lisp | Using a waiting protocol to separate concerns in t... | Common Lisp: A Gentle Introduction to Symbolic Com... | Common Lisp Sockets APIs - An analysis and proposa... | CLoX: Common Lisp Objects for XEmacs | Hacking CL into a Lisp-1 (an intro to code-walking... | Performance | Meme | The Rise and Fall of Lisp at the Jet Propulsion La... | Functional Jobs | Guide to good Lisp style | The Common Lisp Document Repository | The Blog | MIT's SICP Open Courseware | Dynamic Learning Center | CDR 1: The CLOS Metaobject Protocol | SICP at ArsDigita University | CLOS in Context: The Shape of the Design Space
View all (167 more)...
Pascal Costanza | Frank Goenninger | Leonardo Varuzza | Irène Durand | Nick Levine | Brian Mastenbrook | Sean D. Gillespie | Tim Jasko | James Bielman | Cyrus Harmon | Massimo Spataro | Greg Pfeil | Oliver Markovic | Manuel Gamallo | Ken Olum | Kevin Rosenberg | Jan Idzikowski | Zachary Beane | David Trudgett | Emre Sevinc | Luke Gorrie | Paul Ruetz | Eugene Talagrand | Matthias Köppe | Magnus Henoch | Edi Weitz | Andreas Fuchs | Matthew Backes | Brad Beveridge | Mark Simpson
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International Lisp Conference 2009 | European Common Lisp Meeting 2008 | International Lisp Conference 2007 | 3rd European Lisp Workshop | LispNYC May 2006 Meeting - Peter Seibel | European Common Lisp Meeting 2006 | LispNYC November 2005 meeting | 2nd European LISP and Scheme Workshop | International Lisp Conference 2005 | European Common Lisp Meeting 2005 | 1st European Lisp and Scheme Workshop | International Lisp Conference 2003 | Japan Lisp User Group Meeting 2000
Liquid Common Lisp | Movitz | Corman Lisp | Allegro Common Lisp | Golden Common Lisp | MCL | MusCL | CMUCL | Parrot Common Lisp | WCL | LispWorks | Armed Bear Common Lisp | Ufasoft Common Lisp | OpenMCL | GCL | CLForJava | Generic ANSI Common Lisp | Scieneer Common Lisp | :o( Smilisp :-) | Star Sapphire Common Lisp
View all (8 more)...
Franz Inc. | LiLA - LISP LAB AUSTRIA | Gothenburg Lisp User Group | The Tech Co-op | HyperMeta Inc. | lispvan | bese | Core Group | Albuquerque Lisp and Scheme Users | Ystok-Systema | LispNYC | Lisp-it | Debian | Consequor Consulting AG | Algorithme - Information Technology services | Association of Lisp Users | Cadence Design Systems GmbH | Clozure Associates | Department of Computer Science and Engineering, FE... | HPC Platform
View all (9 more)...
YstokCard - smart card API (PC/SC)(Modified)| YstokGrid(Modified)| CL-Typesetting(Modified)| CL-PDF(Modified)| Jean-Philippe Paradis(Added)| Armed Bear Common Lisp(Annotated)| Allegro Common Lisp(Modified)| CLFSWM - A(nother) Common Lisp FullScreen Window M...(Modified)| Ystok-URI - library for representing, parsing, and...(Added)| Clon, the Command-Line Options Nuker(Modified)| Common Lisp Reasoner(Modified)| ASDlite(Modified)| Ystok-Library(Modified)| Ystok-Local-Time(Modified)| YHTML-Template(Modified)| cl-gdata(Added)| Michael Filonenko(Added)| cl-portaudio(Added)| YstokHTML - collection of HTML generator, parser a...(Added)| Common Lisp User Space File System(Added)| cl-btree(Added)
View all last modified items...
(Notes are similar to comments but for adding precisions or facts)
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Comments and Notes Welcome
You can comment and/or add notes to all the tags and items of the Common Lisp Directory.
Submitted by admin 3172 days 22 hours 26 min ago
Comments added to RSS feeds
Now the commented items are added to the RSS feeds so that it's possible to see what have been commented recently.
Submitted by marc.battyani 3113 days 2 hours 16 min ago
unicode possibilities
It would be nice if cl-user would display unicode input for CJK text. With PCL and On Lisp getting new printings in Japan, it might be beneficial to attract more brain-share from that side of the world. Would this be considered out of cl-user.net's scope?
Submitted by charliemac 2208 days 20 hours 1 min ago
Perhaps it would be interesting to open up a "universities" category (or subcategory of Organization) to list universities that teach lisp?
Submitted by informatimago 2201 days 11 hours 17 min ago
re: universities
This is a good idea. Done.
Submitted by marc.battyani 2198 days 15 hours 31 min ago
re: unicode possibilities
I have to think about it.
The use of English as the standard language is prefered so that the information is useable by most lispers.
I don't mind some other language content though.
Submitted by marc.battyani 2198 days 15 hours 3 min ago
Change descriptions may accept invalid characters
Attempting to view the "Last Modified Items" RSS feed in the Google Chrome browser gives the error: "error on line 10 at column 2048: PCDATA invalid Char value 12". Adding the feed in Mozilla Thunderbird: "<feed URL> is not a valid feed."
Submitted by WalterGR 1325 days 22 hours 2 min ago
Repository access
Many sites have a link to view the repository such as:
Source code repository http://common-lisp.net/cgi-bin/viewcvs.cgi/?cvsroot=cl-semantic
however, I can't find any place that describes how to convert that link into something that can be used to actually check out the source code. I'm very suppressed this hasn't been an issue before.
Submitted by blake1024 960 days 10 hours 43 min ago


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use the following search parameters to narrow your results:
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Remember the girl who had 56 stars tattooed on her face while sleeping? Yeah... she lied. (smh.com.au)
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surprise surprise
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text:
14 Free Crochet Hat Patterns: Crochet Beanie Hats, Crochet Cap Patterns, and More
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Striped Hipster Slouchy Beanie
We are adding the pattern to your Crochet Patterns.
The pattern was added to your Crochet Patterns.
Click here to view your Crochet Patterns.
The aqua and brown colors of this Striped Hipster Slouchy Beanie look amazing together. Once you see this crocheted hat you won't want to make anything else. It's an easy crochet pattern you can work up for yourself or others. Double crochet and half double crochet stitches are used.
Crochet Hook: F/5 or 3.75 mm hook
Yarn Weight: (4) Medium Weight/Worsted Weight and Aran (16-20 stitches to 4 inches)
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- How to Crochet Edges & Make Crochet Borders on Patterns
- How to Crochet, Volume 1: Free Beginner Crochet Patterns
- How to Make Crochet Bags: 11 Fantastic DIY Bags


text:
Matt Every will take his first glance at Firestone Country Club's South Course at this week's World Golf Championships-Bridgestone Invitational.
Matt Every completed two rounds of the Quicken Loans National in 2-under-par 71-69=142 and sits four strokes off the pace of the 36-hole clubhouse co-leaders.
Matt Every could only muster an even-par 35-35=70 in the final round of the FedEx St. Jude Classic and joins Webb Simpson in the clubhouse lead at 8-under 272.
Matt Every fired a 5-under-par 33-32=65 in the third round of the FedEx St. Jude Classic to establish the clubhouse lead at 8-under 202.
Matt Every signed for a 4-over-par 39-37=76 following his opening round of THE PLAYERS.
Matt Every is listed in the published field of next week's PLAYERS.
Matt Every withdrew prior to his second round of the Zurich Classic of New Orleans due to an illness.
Matt Every battled his way to a 35-35=70 in the third round of the RBC Heritage.
Matt Every followed an opening 69 at the RBC Heritage with a 1-under-par 35-35=70 to post 3-under 139 at the midpoint, two strokes back of the 36-hole co-leaders.
Matt Every fashioned a 2-under-par 35-34=69 in his opening round of the RBC Heritage.
Matt Every missed the cut in his first Masters last week, but now turns his attention towards Harbour Town Golf Links for the RBC Heritage.
Matt Every has been removed from the published field of this week's Valero Texas Open.
Matt Every claimed his first PGA TOUR title when he signed for a 2-under-par 35-35=70 following the final round of the Arnold Palmer Invitational.
Matt Every fired a blemish-free 6-under-par 34-32=66 in the third round of the Arnold Palmer Invitational to take control of the clubhouse at 11-under 205.


text:
BP Oil Spill Topics
On April 20, 2010, the BP-operated offshore oil rig Deepwater Horizon exploded and sank into the Gulf of Mexico becoming the worst industrial environmental disaster in U.S. history. Democracy Now! reported from the Gulf Coast, and continues to interview experts, government officials, local residents, and environmental activists about aftermath of the disaster.
The salmonella outbreak is the most recent episode of many that point to a food industry run amok. Giant corporations, some with budgets larger than most nations, are controlling our health, our environment, our economy and increasingly, our elections.Aug 25, 2010 | Columns & Articles
Scientist Accuses Obama Administration and BP of Underestimating Amount of Oil Left in Gulf of MexicoNew evidence has badly shaken the Obama administration's rosy narrative about the alleged disappearance of most of the oil that gushed into the Gulf of Mexico from BP's blown-out well. Early this month a report by government scientists declared that three-quarters of the oil had vanished, either collected or dispersed. But numerous reports contradict the administration's sanguine picture of the cleanup effort. We speak to Ian...Aug 23, 2010 | Story
Fishing Industry in Gulf Still Worried About Levels of Toxins in the Water and the Impact on Marine LifeThe Obama administration announced last week that it is safe to eat fish and shrimp caught in the 78 percent of federal waters in the Gulf that are now reopened to fishing. But many are still concerned about the levels of toxins in the water and the impact on marine life. Independent journalist Dahr Jamail has been reporting from the Gulf Coast for over a month now. Last week he spoke to some commercial fishermen in Mississippi who are refusing...Aug 23, 2010 | Story
Environmental Activist Jerry Cope on "The Crime of the Century: What BP and US Government Don't Want You to Know"Environmental activist Jerry Cope has spent the last few weeks traveling along the Gulf Coast and experiencing firsthand the contamination in the air and water. In an article being published on Huffington Post, Cope argues that instead of celebrating the allegedly vanishing oil, we should be concerned about the disappearance of marine life in the Gulf. He describes the Gulf as a "kill zone" and looks into where the marine animals have...Aug 04, 2010 | Story
We speak with independent journalist Antonia Juhasz, who is just back from Louisiana, where she found what she calls some of BP's "missing oil" on the wetlands and beaches along the waterways near St. Mary's Parish, where no one is booming, cleaning, skimming or watching. [includes rush transcript]Aug 04, 2010 | Story
With BP having poured nearly two million gallons of the dispersant known as Corexit into the Gulf of Mexico, many lawmakers and advocacy groups say the Obama administration is not being candid about the lethal effects of dispersants. We speak with Hugh Kaufman, a senior policy analyst at the EPA's Office of Solid Waste and Emergency Response and a leading critic of the decision to use Corexit. [includes rush transcript]Jul 20, 2010 | Story
Gulf Coast Residents Outraged that Money Earned on Cleanup Might Be Subtracted from $20 Billion Claim FundGulf Coast residents are outraged by a recent announcement that the $20 billion government-administered claim fund will subtract money cleanup workers earn by working for the cleanup effort from any future claims. Fund administrator Kenneth Feinberg says the ruling will apply to anyone who participates in the Vessels of Opportunity program, which has employed hundreds of Gulf Coast residents left out of work because of the spill. It's seen...Jul 20, 2010 | Story
Concerns are being raised about the hazards posed by thousands of abandoned oil and gas wells throughout the Gulf Coast. An Associated Press investigation found more than 27,000 abandoned sites are in danger of leaking, with about 13 percent said to be particularly worrisome. Regulations forcing companies to plug the wells have been routinely ignored with no government intervention. We speak with Jeff Donn, the AP reporter who broke the story....Jul 09, 2010 | Story
Just over three months ago, thousands of pounds of toxic chemicals began spewing into the skies from BP's massive oil refinery in Texas City. The release began on April 6, two weeks before the explosion on the Deepwater Horizon oil rig, but it took BP weeks to even realize there was a problem. BP now estimates 538,000 pounds of chemicals escaped from the refinery over a forty-day period. We speak with reporter Ryan Knutson of ProPublica...Jul 09, 2010 | Story
We speak with Lance Rosenfield, a freelance photographer who was hired by ProPublica to take pictures of BP's Texas City refinery that had spewed thousands of pounds of toxic chemicals into the skies. While on assignment, Rosenfield was followed by BP security and then detained by local police. [includes rush transcript]Jul 09, 2010 | Story
Show for Aug 19, 2014
31 Arrested in Ferguson Protests Overnight; 2 Shot During Unrest
Brown Family Attorney: Autopsy Backs Up Witness Accounts of Fatal Shooting
Obama Raises Concerns about Police Militarization in Post-Shooting Crackdown
Israel, Hamas Extend Truce for 24 Hours; Key Differences Remain
U.N. Agency: Gaza Can't Return to Blockade Conditions
Israel Blocks Amnesty International, Human Rights Watch from Gaza
Obama Hails "Major Step" as Kurdish, Iraqi Forces Retake Mosul Dam
Islamic State Video Threatens Attacks on Americans
Ukraine, Rebels Trade Allegations of Civilian Killings
Unidentified Warplanes Strike Militias in Libya
Tens of Thousands Rally in Pakistan Anti-Gov't Protests
Nazi Resister Returns Holocaust Medal to Israel After Losing Relatives in Gaza


text:
Easy integration of Twitter cards in WordPress. All card types provided.
Once activated the plugin adds appropriate meta on your WordPress website allowing you to get Twitter cards for your posts according to your settings. Enjoy !
The plugin is available in French, English and Spanish. Feel totally free to send me your translation in other languages. You'll be added to the list here with your name and URL. Thanks a lot to all translators. Can't wait to add your work to the project.
Spanish version : WebHostingHub (thanks dude ^^)
This URL is the place where I improve the plugin according to support requests and stuffs like this. Github is the place !
Requires: 3.6 or higher
Compatible up to: 4.0-beta2
Last Updated: 2014-8-12
Downloads: 74,429
4 of 12 support threads in the last two months have been resolved.
Got something to say? Need help?


text:
Login for singers
Technical support
Send mail
Maria Krylova
Project specialist
Phone: +7 (495) 645-7855 add. 776
Pavel Balashov
Phone: +7 (495) 645-7855 add. 999
Ekaterina Rostikova
Phone: +7 (495) 645-7855 add. 771
Anna Kozyreva
Representative in Ukraine
Phone: +38(067) 465-3537
Sasha Dith
Representative in Germany
Phone: +49 (0) 177 5279022
Dmitry Beloshapkin
Project development
Phone: +7 (495) 645-7855 add. 777
Igor Kraev
Project founder and manager
+7 (495) 645-7855 add. 717
Send mail
Vadim Botnaryuk
Project founder
To Natalia Podolskaya it almost wasn`t forbidden to start up to Moscow all because of her Belarus passport
Natalia Podolskaya urgently had to go to Belarus because of problems with her passport, arisen in the beginning of February. The matter is that her passport for travel abroad, has terminated, more precisely, pure pages where are pasted visas and are put boundary stamps (validities of the passport do not end yet). This trouble was found out at airport "Sheremetyevo" where the actress has arrived from Arab Emirates where she spent the winter holidays. The Russian frontier guards had no place to put a stamp about entrance, and they have kept the performer some hours on item of the control. Fortunately, Natalia managed to agree with frontier guards, and those have released her, strictly having warned, that next time she cannot return to Russia with such document any more. Mrs. Podolskaya had with to go back home to Belarus where employees of a local passport department have tried to solve her problem with the passport as soon as possible. On February, 9th the singer has returned to Moscow already with the pure document.
Source: http://(c)2006 Intermedia
VMAs: Miley Cyrus wins Video of the Year
Center Stage to premiere musical about Bob Marley
Scandal: One of the hits of Shakira recognized as plagiarism
01 September
/ Monday
"Zabrali V Armiyu"
"Tol`ko" (DJ Romeo radio remix)
Mihail Bublik
"Za Serebryanimi Snegami"
Monako Project
Andrey Ivantsov
"Dorogoy Moy Drug"
Michael Jackson
"Slave To The Rhythm" (Audien Remix)
Ten Walls
"Walking With Elephants"
Martin Tungevaag
"Wicked Wonderland"
30 August
/ Saturday
Top Hit
Top Hit Chart 2014-08-30-195 (6 parts)
29 August
/ Friday
Mumiy Troll`
Dirty Nights
"Love Me" (Radio Mix)
DJ Kuba & Ne!tan vs Cherry feat. Jonny Rose
"Escape With Me"
Dennis Sheperd feat. Chloe Langley
"Bring You Home" (Radio Edit)
Barbra Streisand & Billy Joel
"New York State of Mind"
Lea Luna
"Crazy Pills" (Radio Edit)
Michael Mind Project
Major Lazer feat. Sean Paul
"Come On To Me"
2003- "Contemporary Media Technologies" Ltd.


text:
Civitavecchia Private Transfer: Central Rome to Civitavecchia Cruise Port
Read what other Viator.com travelers think about the Civitavecchia Private Transfer: Central Rome to Civitavecchia Cruise Port. What they loved, what they liked and what they think could be improved, it's all here to help you make the most of your next trip.
Click here for tour details, schedule and pricing
Best money we spent was booking this transfer. The driver picked us up at the hotel and dropped us off at the ship.
Very nice car and driver. Picked us up and helped with all of our luggage. Dropped us right at the pier beside the drop off area for our luggage.
This transfer was excellent and would do it again and use these people
Prompt, courteous service. It was much further to the cruise port than we expected, but we had a comfortable and safe transfer.
Great service. The taxi driver is professional and he was 15 minutes earlier than our appointment time.
Expensive but worth it! Arrived in style.
The driver arrived 1.5 hours early to be sure that he would be on time. He waited patiently in the lobby and he called up to the room about 20 minutes before the departure time (we knew he was so early because the front desk attendant told us on the phone). The ride itself was smooth, the car was clean, the driver was courteous.
Transfer from Hotel to Civitavecchia was seamless - on time, plenty of room for our luggage - and right to the
ships boarding area.
Transfer went as planned. No problems. Driver was on time, and very nice and helpful. Vehicle was very comfortable.
Driver was excellent and very friendly ... on time and very professional.
Our driver was early, professional and dropped us at the door to the cruise port. While it was very expensive, I would do it again in a heartbeat.
This tour was amazing!
Al Cabatingan
on time
On time, friendly, excellent driver!


text:
Tim McGraw Admits Motivation for Getting Sober Was Drunk Texting
"I only learned how to text because back when I was drinking, I would get in trouble when I would call my wife, and she would find out I was drinking," Tim tells On the Red Carpet with a laugh. "And then I started slurring my texts, and I figured hell, I gotta quit drinking. Thank God nobody knew anything about Skype back then -- I would've never stayed out of trouble!"
Tim quit drinking about three years ago. He credits the recipient of his intoxicated calls for helping him change his ways.
"Faith has kept me alive," Tim told PEOPLE magazine, adding that if not for his wife, "I'd be dead. I would have partied too hard. I might have caught myself somewhere along the way and put the brakes on. I don't know if I would have gone [to rehab], don't think I could have been talked into that during those times," he said. "She's saved my life in a lot of different ways -- from myself more than anything. She's loved me through times when I didn't love me. I can go down a dark road sometimes, when you're not feeling good about yourself -- and she pulls me out."
Tim jokes that he plays the "Faith" role in his current movie, 'Country Strong,' as the sober half of a struggling couple, while Gwyneth Paltrow plays the old Tim -- a country star struggling with substance abuse.
But in all seriousness, he insists his life off the screen never really compared to that of the intense situations he and Gwyneth act out on screen. "I had some problems, but this was a whole deeper thing here," Tim told The Boot at a 'Country Strong' press junket. "It's a totally different relationship than I have with my wife because [Faith's] actually the boss. I don't know anything about being in charge in our relationship."
Get more at The Boot.
PopScene: Weeks Hottest Pics
- Filed under:
- Famous Couples -
- Music News -
- Troublemakers
- Thursday 13 JanuaryBy GingerHighest Rank Vote downVote upReport this
Could have been worse. He could have been texting someone else's wife.
- Thursday 13 JanuaryBy JUNIORSBOXHighest Rank Vote downVote upReport this
Great news. Wishing them both good luck.
- Thursday 13 JanuaryBy JIMMYLow Ranked Vote downVote upReport this
look Tim, you're a good singer. You've got fame and fortune, your acting ain't half bad. You are married to one of the most beautiful/talented women in the world. She is the rock you stand on... and she is far better a singer than you. You can destroy her, you dumb s.o.b., your family and everything around you. This 'Rock' is human, and as brittle as the rest of us. I know what the old man would say to you. He can't, I will. "Boy, you'd better get your s*** together, because you can undo everything, all by yourself.
- Thursday 13 JanuaryBy johnnyDLowest Rank Vote downVote upReport this
he's a bum anyway..got about as much talent as hannah montana..no, wait!!! he's got less talent..must be nice to ride on your wifes talent and fame....nuff said about the bum....
- Thursday 13 JanuaryHigh Rank Vote downVote upReport this
How do you slur your texts??
- Thursday 13 JanuaryBy Tina
oh pleeze. Tim is HOT and I love his songs.he's a great actor and he quit drinking.give him a break
- Sunday 16 JanuaryBy jeanie
Don't you just hate grown men talking about how they can't manage their own lives...my wife (i.e., my mom) spanks me back in line. duh...I can't does nuthin without her. I'm just a clueless dude...can't cook, can't clean up after myself, can't do anything...duh, I'm a helpless child.
- Tuesday 18 JanuaryBy Cilla
so agree with you...be a man and stop hanging onto womens apron strings you are in your 40's Timmy!!!!!
Jennifer Aniston
Is it Brad(ley) and Jen take 2? Jen was spotted out on the town with dreamboat ...
Paris Hilton
After Fairly Legal actress, Sarah Shahi, laid into Paris via Twitter for almost...
Kate Middleton
Kate Middleton is officially a princess. She walked the aisle in an Alexander...
Denise Richards
According to Denise, she's not sure that her estranged ex is completely sober....
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Cabling Business Magazine
Dallas, TX 75228
Phone: N/A
Not Available
Not Available
Services->Other Biz Services
SIC Code:
8733 - Noncommercial Research Organizations
Full company description is available with the free trial.
Poll Question
Date Created
Current Result
Additional Info:
Cabling Business Magazine, is a company that works within the Other biz services. This Dallas, TX-based business. Their profile on Lead411 presents significant contact information such as cfo contacts, phone numbers, linkedin data, and Cabling Business Magazine email format addresses with the @cablingbusiness.com domain as well as quality contact info regarding Cabling Business Magazine's CEO Margaret Patterson. They have their head office in Dallas, TX. If you sign up for our free trial you will see our email@example.com addresses.
Company Background:
Full company description is available with the free trial.
Ceo Reference:
Margaret Patterson
Their CEO is Margaret Patterson. Their Lead411 profile is categorized under the Other biz services industry. If you're checking for Cabling Business Magazine email addresses, these are also available on Lead411 with the @cablingbusiness.com email addresses and possibly Margaret Patterson's email. Cabling Business Magazine is based in Dallas, TX. You can also get Margaret Patterson's linkedin info, twitter data, phone numbers, wiki and biography on their Lead411 profile. Their contact information is filed under the Other biz services category. Some possible email formats for Margaret Patterson are firstname.lastname@example.com, email@example.com, email@example.com, and email@example.com. If you sign up for our free trial you will see our email@example.com addresses.
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Company Directory > Cabling Business Magazine


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Codies date Overlord II
Summer launch on the roster
Codemasters' long awaited sequel, Overlord II, has been officially dated for released in Europe and North America this week.
According to the publisher, the new tongue in cheek strategy game (we like minions), will be released stateside on June 23rd, and on June 26th across the UK and Europe.
PC, PS3 and Xbox 360 releases are mooted, and the Codies are promising to expand on everything that made the first game a success. So plenty more minions, we imagine.
More on Overlord II as it nears.
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- Dead Or Alive 5: Last Round coming to next-gen consoles
- Voting opens up for GamesAid's charity of 2014
- Nintendo promising a good 2015 with Zelda, Star Fox and Splatoon coming to Wii U
- Warframe comes to Xbox One today


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Green industry gives new entrepreneurs opportunities
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JACKSONVILLE — While in college, Chris Maddern's thoughts always fluctuated between his passion for business and his desire to help the planet.
He wanted more than just money. He wanted to focus his entrepreneurial skills on something that could also include his global concerns. He quickly realized there was a niche for what he sought to do and a demand for public guidance from those who shared his vision.
Now, as president of Energy Solutions International, Maddern, 25, wakes up every morning excited to be a green energy consultant.
"Our goal as consultants is to be proactive in presenting to businesses the most efficient means of conserving energy," he said.
According to Green America's Web site, The Green Business Network, which helps environmentally concerned businesses emerge and thrive in this economy, has grown to include 4,000 members nationwide since it was founded in 1992.
Energy Solutions International works with building owners and office managers around the country to limit their energy use and expenditures. ESI consultants identify efficient, energy-saving techniques for commercial and residential spaces, while using project management to minimize the initial costs.
"These are tough economic times, and we understand businesses' concerns when going through this process," Maddern said. "It's important for businesses to have the correct information."
A major factor for businesses to consider is managing the energy costs of a commercial building. According to Maddern, many managers mistakenly believe energy use is their highest operating cost, when actually the average building may only cost $1.65 per square foot per year in energy costs.
Jacksonville Business Journal reporter Lauren Darm contributed to this report. firstname.lastname@example.com | 396-3502
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Thanks for the offer. My address is:
Eric Jorgenson
1959 Alma Street
Palo Alto CA 94301
Thank you for looking for information on DENVER MABUS. I may be able to piece together the DENVER-JOHANN connection if you have the dates of death of JOHANN's children. I believe that DENVER died of the the flu in 1918 and that his father who had come to take care of him died of the flu not long after that. I believe that DENVER's father was one of JOHANN's sons.
As for the Mabus longevity, it must be the clean living. I once attended the 90th birthday of an "Uncle Jonny" Mabus in Ackerman MS. I was told at the time that Jonny wasn't really 90, because he lied about his age! He lived for a few more years after that.
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SIR PATRICK STEWART'S CLASSY ICE BUCKET CHALLENGE x
Happy 35th Birthday, Aaron Paul! (Aug 27, 1979).
And congratulations on your 3rd Emmy Award.
Helena Bonham Carter does the ALS Ice Bucket Challenge
↳ Your Favorite Action/Adventure Movie - Jurassic Park
Tina Fey (daughter Alice Richmond) does the ALS Ice Bucket Challenge [x]
"For me, The Dark Knight Rises is specifically and definitely the end of the Batman story as I wanted to tell it, and the open-ended nature of the film is simply a very important thematic idea that we wanted to get into the movie, which is that Batman is a symbol. He can be anybody, and that was very important to us." - Christopher Nolan
Adele Exarchopoulos wearing some Marc by Marc Jacobs sunnies


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PD: 1 killed in crash near Franklin Township
Victim's identity not released
INDIANAPOLIS - One person was killed in a crash early Sunday in Franklin Township, police said.
The crash was reported just before 4 a.m. in the 11000 block of Marlin Road on the city's southeast side
The victim's name was not released and the cause of the crash remained under investigation.
Watch RTV6 and refresh this page for updates.
Man convicted of killing ex-girlfiend's father
Jurors have recommended a sentence of life in prison without parole for a southwestern Indiana man they convicted of fatally shooting his…
Underride crash backs up I-465 on SW side
A driver was taken to the hospital Wednesday morning after a car crashed into and under the trailer of a semi.
Lafayette police find missing 12-year-old girl
Lafayette police were searching for a missing girl who did not come home from school Tuesday, and they announced Wednesday morning just…
Reserve deputy resigns after Indy 500 incident
A Marion County sheriff's reserve deputy resigned after he was caught on camera using a stun gun on an Indy 500 race fan.
Ind. schools postpone sports events amid heat
Some Indiana schools postponed athletic events as a precaution while stifling heat continues its hold across the state.
Democratic candidate: Statehouse lacks ethics
The Democratic candidate for Indiana auditor says he would work to crack down on public corruption if elected in November.


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project manager electrical jobs near Escondido, CA
Sports Equipment - Manager of Infrastructure
WorkInSports- Carlsbad, CA
and Technology Management) IT Project Management: • Lead project governance ... prevent project teams from delivering on project objectives. • Ensure all project...18 days ago from WorkInSports.com
Electrical Project ManagerNEW
Global Power Group- Lakeside, CA
Description: Job Description: Electrical Project Manager Global Power Group, Inc, a ... with five or more years experience in electrical project management. Applicant must...3 hours ago from ZipRecruiter
Project Manager, Strategic SourcingNEW
Djo Global- Vista, CA
Summary: Primary roles of the Procurement Project Manager include identifying and ... accountable for assigned initiative tasks. Project Manager will partner with Category...2 days ago from CareerBuilder
Facilties New Construction Project Manager
Viasat- Carlsbad, CA
Job Title Facilties New Construction Project Manager Classification Exempt Job ... * Bachelor's Degree in Mechanical, Electrical or Facilities Engineering. * US...7 days ago from A Mighty River
System Project ManagerNEW
Intel- San Diego, CA
## Description System Project Manager will be responsible for ensuring program execution ... continuous improvement * Management of the project deliverables and project milestones *...3 days ago from IHispano
Verification Technical Project Manager
Intel- San Diego, CA
(target test, host tests etc.) * Controlling project timeline, budget, quality, and ... and Quality Center * Familiar with Agile Project Management * Experience of managing...6 days ago from IHispano
PTE Project Manager I.
Power Engineers- San Diego, CA
for our success. We are currently seeking a Project Manager for our San Diego, CA office. ... employer. *Position #:* 2558 *Title:* PTE Project Manager I. *Location:* San Diego, CA...10 days ago from A Mighty River
IT Technical Project Manager - SNEI - SD
Sony Electronics- San Diego, CA
searching for an IT Technical Project Manager . The Project Manager will support ... project manager with experience developing project plans and delegating and tracking...9 days ago from IHispano
RS Firmware Project Manager 2
Djo Global- Vista, CA
We are currently seeking a Firmware Project Manager 2 for our Recovery Science BU ... therapy systems and compression garments, electrical stimulators used for pain...17 days ago from CareerBuilder
Project Manager
Brantner & Associates- El Cajon, CA
in our Project Management Department as a Project Manager. We offer competitive ... activities of the project.Manage project staff on day-to-day operations.Review...18 days ago from TheJobNetWork
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*white person shoots up movie theater* oh he probably maybe had a mental disorder and rough childhood, i feel bad for him we should have seen the signs and gotten him help….
*black person gets shot unarmed* oh he probably was walking around like a gangster thug, i want a full toxicology report and i'm def gonna ignore the eye witness accounts of the incident because they are all…you know…black…and probably biased and lying.
today this guy told me that my dress made my ass look fat (he sad it as a 'compliment') and obviously since it was 8:30 I was too tired for that shit and I replied with 'saying my ass is fat wont make your dick any bigger' and when he tried to defend himself saying his dick was big enough I told him that it doesn't count if he shoved two thirds of it in his personality and he just looked at me completely defenseless AND BASICALLY I STOLE THAT LINE FROM HERE BUT I SLAYED


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Iman Shumpert excited to play in triangle offense because he w...When in Atlanta, coach Mike Woodson was rightly criticized for just running too much "iso Joe" offense for Joe Johnson. In New York it was better, if only because injuries forced him to put Carmelo Anthony at the four (which worked better) but one ... NBC Sports, 17 hours ago
Iman Shumpert: New triangle offense will suit my game - New York Post, 1 day ago
Shumpert bids adieu to 'standing in corner' - ESPN.com, 1 day ago
6 images for mike woodson
2014 Camp Countdown: W.T. Woodson Cavaliers
New Woodson football Coach Mike Dougherty addresses his team after Thursday's practice. (Brandon Parker/The Washington Post) With the kickoff of the 2014 high school football season quickly approaching, our reporters will be out at local ...Washington Post, 2 weeks ago 2014 Camp Countdown: Friendship Collegiate Knights Washington Post, 1 week ago Woodson gets new gig as assistant with Clippers New York Post, 1 month ago Report: Clippers add former Knicks coach Mike Woodson to staff SI.com, 1 month ago
With Woodson fired, Knicks now Jackson's mess
Photo: (3) Phil Jackson now has full control of the Knicks with Mike Woodson out and James Dolan stepping aside. Knicks coach Mike Woodson was fired on Monday . This is, officially, all Phil Jackson's mess. Say this about Woodson: He ...SI.com, 3 weeks ago Knicks fire coach Mike Woodson SI.com, 3 weeks ago Photos: The many faces of Mike Woodson SI.com, 3 weeks ago Derek Fisher Knicks will compete for playoffs Big News Network, 1 month ago
Report: Larry Drew on his way to becoming Cavaliers assistant
Larry Drew . Instead, the Clippers hired Mike Woodson and Sam Cassell. The recently fired Bucks coach has another shot at finding a landing spot. Gary Washburn of The Boston Globe: It appears that former Bucks coach Larry Drew, fired in ...NBC Sports, 3 weeks ago Larry Drew On Bucks Firing: "No Hard Feelings" Dime Magazine, 1 day ago
WR Mike Davis Fights For Roster Spot (VIDEO)
WR Mike Davis Admires Charles Woodson, has 'always been a Raider fan', and more importantly, isAustin American Statesman, 3 weeks ago
Mike Woodson joining Los Angeles Clippers' coaching staff
LOS ANGELES -- Former coach Mike Woodson will join the ' coaching staff as an assistant, sources confirmed. Woodson, who coached the Knicks for the better part of the past two seasons and was the coach of the Atlanta Hawks from 2004 to 2012, will ...ESPN.com, 1 month ago Woodson joining Clippers' staff, sources say ESPN.com, 1 month ago
Woodson to Join Rivers as Assistant Clippers Coach, CBS Says
Mike Woodson will join the Los Angeles Clippers as an assistant to Doc Rivers, CBS Sports reported, citing a league source it didn't identify. Woodson was fired in April as coach of the New York Knicks after the team finished with a 37-45 record ...BusinessWeek, 1 month ago
Doc Rivers pursuing Mike Woodson and Lawrence Frank as Clippers assistant coaches
, and Kevin Eastman moved to the front office as part of the Clippers recent shakeup. Doc Rivers needs reinforcements on his bench. Marc J. Spears of Yahoo Sports: LAC is considering ex-NBA head coaches Mike Woodson and Lawrence Frank as asst ...NBC Sports, 2 months ago
Dion Jordan of Miami Dolphins suspended four games for violating NFL's policy on performance-enhancing substances
Ryan Clark and Darren Woodson react to the news that Dolphins DE Dion Jordan has been suspended four games for violating the NFL's policy on performance-enhancing substances.Tags: NFL, Dion Jordan, Miami Dolphins, Suspended, PEDs, PED Policy, ...ESPN.com, 1 month ago
Raiders' Maurice Jones-Drew faces his uphill battle head on
"Maurice is no-frills. He doesn't need anything fancy," said Mike Blasquez, Jones-Drew's trainer, who is the strength and conditioning coach at Cal, and held the same position at Concord De La Salle High when the running back was a star there. "He ...Los Angeles Times, 2 months ago Raiders' Jones-Drew faces his uphill battle head-on Miami Herald, 2 months ago
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Journey: The Prophet - by Nimtz
Journey: The Prophet - by Nimtz
"Prophet" - Ryan Nimtz
Just please visit this website: http://unitedwayvideochallenge.com/vote/
and vote for team NIMITZ!
This was a part of a filming program myself, and a few others from Nimitz did and other schools. We all made a PSA and now it's on for voting with three other schools who made one in the Dallas area! We need to win, because the winner gets their commerical/PSA played on TV! Please help us out it will mean A LOT. please reblog. please take a few seconds to VOTE. (you can vote as many times as you want!) thanks everyone!


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Find the Marjorie Oakey you are looking for with our people search tools. PeopleFinders.com has an information database to help you locate a person based on age, past residences, relatives, aliases, and more. Marjorie Oakey was born in 1934 and is 80 years old. Known relatives include Naureen H Mason, Katherine E Oakey, Denise R Pelletier, James A Oakey, Matthew W Oakey, Michael G Oakey, Joanne E Oakey, S Oakey, Suzanne Gearhart.
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text:
Alone in the dark
Last Activity: 2008-10-01 06:45
About Me
- About SolarNova
- Gender
- Male
- Biography
- I love anime, I like making Sig's for forums though i use rather simple progs to do so, PSP & PP8
- Location
- England, would rather not be specific
- Interests
- Hobies and interest = ANIME ! Japan, PC & consol games, about it rly lol oh and girls of course :D
- Occupation
- Trainee Sales Executive - not exactly my prefered Job but hey ..its job right :)
- PC Configuration
- One that really really needs upgrading ..custom built 1.6g processor 256mb gfx 756mb ram 120gb hdd + standard equip: sound card, dvd etc
- Currently Watching
- Girls Bravo,Black Lagoon, Sorcerer Hunters.
Now searching for more anime to watch :D
- Favourites
- Girls Bravo, Black Lagoon, Burst Angel, Tenchi Muyo, Macross,Dirty Pair Flash, GTO!,Bubblegum Crissis.. have seen more than this but cant remember all of hand tbh since i havnt actually got them all....yet >:)
- A justice rage for all to feel...With innocent cries and hatred squealsThe gore of evil seems to satisfy...When slain an maimed and pacified.


text:
Posts tagged Game-Flier
Bless heads overseas, but stays in the East
The good news is that Bless is traversing the seas to open up in new markets. Yay! The bad news is that said markets are not out here in the West. Sorry folks. The fantasy game known for its visually stunning screenshots and trailers is keeping to the other side of the globe; it will be available...
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Posted on Aug 27th 2014 3:00PM


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My Account
Enter or verify that code LABORDAY is in your cart at checkout, and a 10% discount will be applied to your order over $100, a 15% discount will be applied to your order over $200, or a 20% discount will be applied to your order over $300. Your savings will be based on the merchandise total only, excluding shipping, handling, additional freight, and taxes. This offer can not be combined with any other offer. Other restrictions and exclusions may apply. Offer expires at 11:59pm ET on 9/1/14. Click here for full offer details >
Buck Wear Men's Seek Strike Destroy Reversible Full-Zip Hoodie
Key Features
Heavyweight 100% preshrunk cotton fabric
Reverses from solid color to vibrant camo
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Kangaroo pouch pockets (solid side only)
Availability: Sold Out
- Shipping restrictions apply. Details.
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NEW DELHI: It is trying to rebuild itself after two electoral debacles in quick succession, but the city Congress could get mired in a power... ...http://timesofindia.indiatimes.com/city/delhi/Her-return-may-start-turf-war-in-Congress/articleshow/41046083.cms
The Pakistan Cricket Board (PCB) has said that time constraint was one of the main reasons for cancelling the process to award wholesale rights of... ...http://www.business-standard.com/article/pti-stories/psl-bidding-process-would-resume-in-two-to-three-months-114082701224_1.html
Sheila Dikshit addresses a press conference following her resignation as Kerala governor in New Delhi on Tuesday. (Photo: PTI) Political observers... ...http://archivev.asianage.com/delhi/sheila-dikshit-set-fresh-political-innings-482
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Black Friday hours and ads
Story | Nov 16, 2012 | 8:04 AM
Black Friday hours and ads
Story | Nov 16, 2012 | 8:04 AM
Don't be a couch potato!
Story | Aug 30, 2010
PayPal shuts down accounts of online retailers selling pirated DVDs.
Story | Jun 22, 2011 | 9:34 PM
PayPal is cracking down on Chinese retailers who are using the company's online pay service to sell bootleg movies.
Netflix revenue and guidance disappoints Wall Street
Story | Jul 25, 2011 | 4:33 PM
Netflix Inc.'s recently announced and much-reviled price increase will bring weaker third-quarter financial results than Wall Street had expected, contributing to a 10% drop in the company's stock in after-hours trading Monday. Revenue in the three months...


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- Tickets >
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Dallas Mavericks vs. New Orleans Hornets
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Dallas , TX
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(October 8, 2011: White Lake, MI 48383) Bedford Kicking Mules (Temperance, MI) supporters left the game in high spirits Saturday as they observed their volleyball squad top the host Lakeland Eagles (White Lake, MI), 2-0 in a non-league match.
Next up, the Kicking Mules clash with the St. Mary Catholic Central Falcons/Kestrels (Monroe, MI) in a non-league match, on Saturday, October 8. Bedford will attempt to advance on its 48-8 season record.
With the loss, Lakeland drops to 22-6 on the campaign. The Eagles host Kettering (Waterford, MI) to clash with the Captains in a Kensington Lakes match on Tuesday, October 11. The Captains come into the match with a record of 2-7. Kettering lost 2-0 in their recent non-league match against Marian (Bloomfield Hills, MI)
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