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CMS tests ways to help sickest patients
From the November ACP Observer, copyright © 2006 by the American College of Physicians.
By Yasmine Iqbal
Christopher K. Pollick, MD, a San Clemente, Calif.,-based family practitioner, knew before he saw his 80-year-old patient for the first time that she'd been plagued by multiple chronic illnesses, including severe osteoporosis. What he didn't know was that her osteoporosis was almost certainly brought on or exacerbated by a powerful steroid she had been ordering from Mexico for almost 20 years in an attempt to control her debilitating asthma symptoms.
"She'd been too afraid to tell anyone, even her primary care physician," said Dr. Pollick. He discovered it indirectly during a visit to her home while conducting a thorough review of her medications.
Dr. Pollick is a Personal Visiting Physician (PVP) with Care Level Management, one of six organizations participating in CMS' three-year "Care management for high-cost beneficiaries" (CMHCB) initiative. According to CMS, 15% of Medicare fee-for-service beneficiaries, the ones who have multiple costly conditions, account for almost 75% of total Medicare expenditures in any given year. The CMHCB project is testing various care models to see if they can help increase adherence to evidence-based care, reduce unnecessary hospital stays and emergency room visits, and help beneficiaries avoid costly and debilitating complications.
The program has been a great boon for Dr. Pollick's patient, who stopped taking the Mexican steroid and has stayed out of the hospital, despite experiencing various health scares over the past year. Dr. Pollick also keeps in touch with her primary care physician, Raymond Chang, MD, who said he appreciates the help. "I don't have to worry about her as much," he said. "I know there's another pair of expert hands and eyes looking out for her."
CMS is hoping that the CMHCB project, which is currently active in eight states (California, Texas, Florida, Oregon, Washington, Nevada, Massachusetts, and New York), produces other similar success stories.
"CMS has a number of initiatives that are disease management programs and demonstrations, but for the CMHCB project, the agency wanted to test provider-based models that would offer 'high-touch, on-the-ground' care management," said CMS spokesperson Amy Knight, PhD.
While the government has not yet released any hard data, physicians involved with the various projects are speaking up about what's working, what isn't, and how these models might be expanded to benefit a broader range of patients. Here's a look at the projects so far.
Providing care in the home
Care Level Management
As of last month, about 7,600 patients were enrolled in the Care Level Management project (more than 25,000 are eligible to participate). All are beneficiaries who have at least two chronic illnesses and a history of at least two hospitalizations within the past 12 months. Participants have 24-hour access to a PVP employed by Care Level Management, whom they can call or ask to come to their homes at any time.
"All of the medical profession will tell you that they wish they had more time to spend with patients," said Henri Becker, MD, founder and chief medical officer of Care Level Management. "PVPs have this time to deal with not only the physical issues, but the social and economic problems that are happening in the home."
Michael S. Smith, FACP, an internist based in San Pedro, Calif., became a PVP in December 2005 after 30 years of private practice. "I got very tired of seeing 25 to 30 patients a day," he said. "Now I have the opportunity to spend much more time with them and go into greater depth."
He typically visits six patients a day in their homes and is responsible for about 75 in total (he noted that he eventually expects to see seven to eight patients a day and have 175 patients in his pool). A visit can last anywhere from half an hour to over an hour if he's seeing a patient for the first time or a new issue has cropped up. He sees almost all his patients twice a month on average, and at least once a month; he also coordinates with a Care Level Management nurse who checks in with his patients several times a month.
In addition to performing exams, routine bloodwork and monitoring, Dr. Smith spends time with the patient's family, examines the home environment for fall risks and other safety issues, and helps educate patients about their health issues. "I really get to know these patients - they become like family," he said.
Almost all of Dr. Smith's patients have primary care physicians with whom he keeps in close contact. "I make it clear to both the patient and the physician that I'm serving in a complementary role," he said. "If I think significant changes need to be made in a patient's care, I'll always discuss it with the patient's physician first, sometimes while I'm in the patient's home, which puts both parties at ease."
"A few primary care physicians have refused to work with PVPs, perhaps because they think that we're looking over their shoulders and taking business from them," he noted. "Most, however, have more to do in one day than they can handle, and they're grateful for the help."
He's also run into some resistance from patients themselves, even after they've agreed to participate in the program. "Many Medicare patients are fiercely independent and loyal to their own physicians, so you have to tread lightly and gradually build up trust." He recalled one patient who had lost both legs to diabetes and was also suffering from alcoholism. It took months of working with this patient (who only spoke Spanish) and his family to start to turn things around.
"Its cases like these that convince me that we're providing a very high level of care to our patients," he said.
Final results on costs savings from this project won't be available for a while, but Care Level Management claims that PVP delivery systems implemented to date have reduced acute hospital admissions by an average of 60%, resulting in an average net savings of 30% to managed care payers.
RMS Key to Better Health
The Key to Better Health program, which focuses on patients with chronic kidney disease (up to 5,000 beneficiaries are eligible to participate) aims to show how home visits and other interventions can enable patients to delay the progression of their disease and, in some cases, avoid progression to renal replacement therapy.
"Our goal is to try to prevent or retard the progression of chronic kidney disease and help ensure that patients who start dialysis start as an outpatient when possible," said Steven Fishbane, MD, regional medical director for the program. A team of nephrologists, nurses, pharmacists, dieticians and social workers proactively monitor patients and intervene early when there are problems to avoid hospitalizations.
During home visits, field nurses also check for medication compliance, look for safety issues, answer questions about medical bills and manage other aspects of patients' overall healthcare.
Using technology
Health Buddy
Up to 1,500 patients with congestive heart failure, COPD, or diabetes are eligible for the Health Buddy Program at Bend Memorial Clinic in Bend, Ore., and Wenatchee Valley Medical Center in Wenatchee, Wash. The Health Buddy is a user-friendly communication and monitoring appliance that connects to a patient's phone line.
It asks patients a series of daily questions about their vital signs, symptoms, and behaviors; patients respond by pushing one of the blue buttons on the device. After the session, which typically lasts a few minutes, the Health Buddy appliance automatically dials a toll-free number to send the information to a secure data center, where healthcare professionals review and monitor it.
Peter D. Rutherford, ACP Member, an internist at Wenatchee Valley who has about 25 patients using the appliance, said he's been seeing clear benefits.
Peter D. Rutherford, ACP Member, uses a "Health Buddy" to monitor elderly patients in their homes.
"Health Buddy has been very helpful in picking up things like unexplained weight gains or a sudden onset of shortness of breath that might indicate problems in patients with heart failure," he said. He recalled an 85-year-old patient with heart disease and restrictive lung disease who recently recorded a three-pound weight gain in her daily session. After that data was transmitted, a case manager immediately called and asked her to come into the office, where her diuretic medication was adjusted.
"This patient never would have thought to call anyone," said Dr. Rutherford. "As it happened, we were able to catch a problem before it progressed to something much more serious."
He added that the Health Buddy appliance has helped many patients improve their health habits. "I've had patients tell me that they're exercising more, monitoring their blood sugar more regularly, and watching what they eat more carefully. They're more aware of the global effects of their disease, and they're grateful for the extra attention."
Dr. Rutherford noted that Health Buddy hasn't been as helpful with patients with cognitive dysfunction whose caregivers have to answer the questions for them. "It just becomes one more thing on the caregiver's already overloaded plate," he said. However, he said, the system should prevent unnecessary hospitalizations for compliant patients. According to Health Hero Network, the appliance's manufacturer, this technology has reduced hospitalizations by up to 63% in similar programs.
Institution-based programs
Massachusetts General Care Management, Montefiore Care Guidance, and Texas Senior Trails
Selected beneficiaries with multiple chronic conditions who are already seeking care from the Massachusetts General Healthcare System, Montefiore Medical Center, and Texas Tech Physician Associates are eligible for these three programs. All three involve using RNs and other trained healthcare professionals to proactively reach out to patients via phone calls and home visits to help them navigate through the healthcare system and catch potential complications early on.
The Massachusetts General Care Management project is modeled on a pilot program that ran from 2002 to 2005 and involved 119 patients and six physicians, including internist Sandra M. Sweetnam, MD, and one case manager, Susan Lozzi, RN (both Dr. Sweetnam and Ms. Lozzi will be participating in the CMS demonstration, as well).
Dr. Sweetnam had high praise for the project and for Ms. Lozzi's work. "Many of my patients have overwhelming needs that are not only physical, but financial, legal, and emotional," she said. "Ms. Lozzi understood all of these issues and where to locate all possible resources that might help. She was like a fairy godmother to my patients."
"I had one 86-year-old patient with multiple chronic conditions whose memory was starting to fail," she recalled. "Ms. Lozzi worked with a visiting nurse to provide care in the home, and when that wasn't enough, she was able to convince the patient's daughter that her mother needed to live with her."
According to project director Eric M. Weil, ACP Member, the pilot trended toward fewer hospitalizations and shorter lengths of stay among patients who were hospitalized, although the results were not statistically significant. While the pilot produced encouraging results, project organizers realized that an even more comprehensive approach was needed.
The CMS project, which includes 2,500 prospective patients and 11 case managers, combines the successful elements of the pilot with other clinical resources, such as psychiatric and social work evaluation, pharmacy, palliative care, and geriatrics, said Dr. Weil.
The Montefiore program, with a potential patient population of 6,800, and the Texas Senior Trails program, with a potential patient population of 8,200, also incorporate care managers, although each program has unique features. Montefiore, for example, makes use of in-home monitoring equipment, and the Texas project focuses on developing individualized care plans based on participants' specific circumstances.
Keeping physicians at the center of care
Although the College hasn't had any specific involvement with choosing or monitoring the individual projects in the CMHCB program, it approves of the overall goals, according to Brett Baker, Director of ACP;s Regulatory and Insurer Affairs Department. "On a macro level, the goals of the College and CMS are aligned," he said. "We know that care is fragmented, patients don't always get the care that evidence-based guidelines would dictate, and reimbursement systems are broken, so we applaud CMS's decision to try different approaches.
"Our main concern is keeping the physician as the leader of the team effort to best care for patients," he continued. "Physicians will ultimately make most decisions about a patient's care, so we want to make sure that all the professionals working with the patient, especially those that are providing services outside the office, continually report back to the physician in order to provide the most patient-centric care."
Yasmine Iqbal is a freelance writer specializing in health care.
Pilot participants take different tacks
In attempting to improve care for frail elderly patients, participants in CMS' Care Management for High-Cost Beneficiaries initiative are employing three basic strategies: home visits, innovative technologies and expanded services.
CMS chose the eligible patient population for each project and is giving each care management organization (CMO) engaged in a project a monthly fee per beneficiary to cover administrative and care management costs. The agency is also monitoring claims data, hospital admissions and a variety of clinical metrics on a monthly basis and comparing them to control groups of patients. Each CMO has agreed to assume financial risk if it doesn't achieve a certain percentage of cost savings; for example, according to Dr. Knight, who is the CMS project officer for the Key to Better Health Project, that particular project must demonstrate cost savings of at least 5% of net costs. CMS has not released any data on results. Its final report is due in 2010.
Here are the six CMO awardees and the areas they are focusing on:
Home visits using a distributed network of providers:
- Care Level Management (launched October 2005; based in California, Texas, and Florida)
- RMS KEY to Better Health (launched November 2005; based in New York)
Innovative technologies that monitor and educate participants:
- Health Buddy (launched February 2006; based in Oregon, Washington, and Nevada)
Expanded services beyond traditional institutional care:
- Massachusetts General Care Management (launched August 2006; based in Massachusetts)
- Montefiore Care Guidance (launched June 2006; based in New York)
- Texas Senior Trails (launched April 2006; based in Texas)
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I knew Roberto Miguel (amaro) from camp san pedro many years ago I heard he died I would like to know when and how he died and if he married and had a family. He did become a family physician I heard Thank you

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I'm looking back and y'all look the same
Troy, Mark, and little what's his name
from The Roots – I Remember Lyrics on Genius
Red is remembering his fallen brothers as they were in life. Also, the line is a continuation of the records memory theme, "Yeah that hindsight, 20/20".
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Top Teachers: Debbie Waldenmaier
Colonial Trail E.S., third grade
As a sixth-grader in Brentwood, N.Y., Debbie Waldenmaier struggled with reading and had difficulty grasping some concepts that didn't involve visual or audible elements. But her teacher spent extra time with her and helped create new ways for her to learn that eventually allowed her to thrive.
As a third-grade teacher at Colonial Trail Elementary School, Waldenmaier prides herself upon her ability to do the same for her students.
Because so many students learn in different ways, she has spent extra effort developing unique lessons for individual students, taking their strengths and weaknesses into account as she does so.
"Her classroom is a hands on, challenging learning environment," one nominator wrote of Waldenmaier. "Her enthusiasm and love of what she does is clear."
To Waldenmaier, her teaching style is a natural extension of who she is.
"I think it comes naturally because of the way that I learn," she said. "I was a very eclectic learner – I needed to touch, see, hear it."
To help her students understand the larger world around them, she has arranged for pen pal partnerships with students in Italy and Niger, Africa – students with whom her own class communicates in writing and through video conferencing.
"We sent candy canes to them for Christmas, we've exchanged DVDs. The experience is so real for them," Waldenmaier said of her students.
Moments of recognition and clarity excite Waldenmaier, who feels at home with third-graders and relishes her role assisting in their transition from students who are learning how to read to students who are reading to learn.
"It's just a wonderful transformation over the course of the year," she said. "They become much more independent."
Last year, Waldenmaier – a 16-year teaching veteran who has spent the past four years at Colonial Trail – earned teacher of the year honors at her school. In November, she was one of several recipients of the REB Award, which is given annually to a select few teachers in Metro Richmond. The $10,000 award will help fund a trip to Greece and Italy this summer, during which she plans to document her visits to the historical sites her students can't quite fathom.
"It's really difficult for them to make the connection that a building was built 2,000 years ago and still exists," she said.
Her trip, she hopes, will make the connection a real one for students in the future. Her classroom message is not unlike her favorite quote from Mother Theresa: "Speak kind words, and you will hear kind echoes."
"We teach them to be good citizens and about the differences between people and accepting people for who they are," she said.
Celebrating 106 years
Former Sandston resident Mildred Taylor celebrated her 106th birthday Aug. 9. Taylor, who now lives in Powhatan, is still a member of Sandston Baptist Church. She was visited the day after her birthday by several members of the church, who played for her a recording of the entire church membership singing happy birthday to her during worship. > Read more.
YMCA breaks ground for aquatic center
YMCA officials gathered last week to break ground on the new Tommy J. West Aquatic Center at the Shady Grove Family YMCA on Nuckols Road. The center, which will featured 7,600 square feet of competitive and recreational space, including water slides, play areas for children and warmer water for those with physical limitations, is the fourth phase of a $4 million expansion at the facility. West was president and CEO of Capital Interior Contractors and a founding member of the Central Virginia Region of the Virginia Chapter of Associated Builders and Contractors. > Read more.
Rotary donates to 'Bright Beginnings'
The Sandston Rotary Club recently donated $1,000 to the Sandston YMCA for its Bright Beginnings program, which helps provide children in need with school supplies for the new school year. > Read more.
Page 1 of 116 pages 1 2 3 > Last ›
Journey to mediocrity
'The Hundred-Foot Journey' fails to capitalize on tasty concept
The Hundred-Foot Journey is a curious little Romeo and Juliet of a film. A family, forced out of their native India, begins a trek across Europe.
The family's sole mode of transportation sputters and dies in a sleepy little French town, but the town's food culture is high, and that's a perfect place for a family of restaurateurs to settle down. There's only one problem – the family's rustic "Maison Mumbai" is right across the street (a hundred feet away, if the title didn't clue you in) from a prestigious French bistro with a Michelin star, run with an iron fist by the dreaded Madame Mallory (Helen Mirren, pictured).
It's here that a particular Romeo and Juliet story begins to develop, with Hassan (Manish Dayal) on the Indian side and Marguerite (Charlotte Le Bon) on the French side. > Read more.
Weekend Top 10
Enjoy the final days of summer with comedian Guy Torry, the Sam's Club National BBQ Tour or mystery writer Mary Miley Theobald at Twin Hickory Library. Another great way to welcome the beginning of fall is to check out the UR Spider Football season opener with man's best friend. For all our top picks this weekend, click here! > Read more.
Bottoms up
Short Pump brewery offers more than just beer
I am still (happily) thinking about my entire experience at Rock Bottom Restaurant and Brewery last week. Knowing nothing about this new brewery out of Denver, I was leery of brew-pub in the heart of Short Pump Town Center – this is not what I'd usually think of as a perfect fit, and yet, it was.
The restaurant and craft brewery opened in early June and features 10 beers made by female brewmaster Becky Hammond (pictured). This is the restaurant's second location in Virginia; the first is in Arlington. Behind glass walls, customers watched the beer brewing in massive steel barrels. For our up-and-coming beer region, it makes sense that Short Pump would jump on board.
As I walked up to the back of the mall near the comedy club, I was taken aback by what I saw: at the top of the stairs was an overflowing restaurant with outdoor seating, large umbrellas and dangling outdoor lights. > Read more.
Henrico County property transactions, Aug. 4-10
Fairfield, Varina meeting Sept. 8 to spotlight upcoming Civil War reenactments
Just winging it
Business in brief
Board approves Walmart, Wegmans, microbrewery
- More News
Print Edition
Aug. 21, 2014Click here to read the print edition.
Journey to mediocrity
Weekend Top 10
Bottoms up
Cultural Arts Center announces 2014 fall class schedule
Restaurant watch
- More Entertainment
Obituary – Helen S. Davis
Obituary – Betty Davis Greene
Obituary – Susan Amy Hayik
- More Obituaries
Celebrating 106 years
YMCA breaks ground for aquatic center
Rotary donates to 'Bright Beginnings'
- More Community
Let's all go back to school
The death of a journalist
Henrico supervisors erred in reviving public prayer
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Down to the wire
Babe Ruth 13U World Series arrives in Glen Allen
RIR September race tickets go on sale May 23
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Mercedes-Benz CLA: Driven
Downsized CLS lookalike for posh Golf money - genius or niche fakery too far?
Downsized CLS lookalike for posh Golf money - genius or niche fakery too far?
Harris finds that, despite its trackday aggression, the C63 Black makes the perfect road-trip companion
Bank holidays are rubbish, right? Riggers attempts to prove otherwise, with help from an SLS
As quantifiably bad as it is extremely cool, the 'new' twin-turbo G63 proves life really isn't fair, but Harris loves it all the same
Harris drives the new twin-turbo SL63 and starts pondering finance options - nuff said? Not quite...
Chris Harris drives the all-new Mercedes SL and discovers the old cruiser has a few new tricks up its sleeve
The progenitor of the 'sporty SUV' gets a third iteration. We find out what the latest 5.5-litre biturbo version is like
Loads have never been lugged so quickly but can the turbo 5.5 match the old 6.2?
Does a big V8 make the SLK a credible driver's car?
AMG gets serious with the C-class coupe. We find out what it's like


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Review Details
Product Review (submitted on January 28, 2014):
Gentle, effective and pampering
I'm not one to write reviews but I do scroll through them when purchasing products. I've been using a few of Kate's products for the last few months and I am blown away with how effective yet gentle they are. Therefore, I feel obligated to return the favour and discuss my experience. My obsession started with this cleanser that I purchased after forgetting my trusted Ole Red Tea foaming wash on a trip to the US. Long story short I have never looked back. This leaves my skin clean, fresh and supple- no dryness or irritation in sight. I love the texture and smell. I've recently tried Kate's Detox wash and I'll be alternating the two. Great products!
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Would You Recommend? Yes
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Co-owners Roger Duarte and chef Sam Gorenstein expand My Ceviche from South Beach to Brickell on Friday with the opening of their second location at 1250 S. Miami Ave., Miami.
In addition to the namesake ceviche, the 32-seat counter-service restaurant will serve stone crabs, Caribbean-style tacos and burritos, salads and a rotating menu of craft and local beers.
Delivery ($3-$5) is planned beginning next month in downtown, Brickell, Coconut Grove, Coral Gables, Key Biscayne and Midtown. Online ordering will be available opening day; 305-960-7825, myceviche.com.
Also expanding
• Denny's celebrates its grand opening at 7 a.m. Monday at 97630 Overseas Hwy., Key Largo. Regular hours will be 6 a.m. to 2 a.m. daily; dennys.com.
• Serafina Dream, 1111 Collins Ave., Miami Beach, has added brunch service from 11 a.m. to 4 p.m. Saturday and Sunday with an a la carte menu of frittatas and other Italian dishes plus bottomless bellinis; 305-534-8455.
• Bloom Restaurant Wynwood, 2751 N. Miami Ave., Miami, is adding lunch service beginning Monday; 305-576-5443.
Book report
• Miami's Ingrid Hoffmann, host of the Cooking Channel's Simply Delicioso and Univision's Delicioso, has a new cookbook to her credit: Latin D'Lite: Delicious Latin Recipes with a Healthy Twist, due out next week in English ($29.95) and Spanish ($19.95, paperback) from Celebra.
• Miami Herald food columnist Maricel E. Presilla has collected another accolade for her Gran Cocina Latina: The Food of Latin America (Norton): a James Beard Award nomination in the international category. Winners will be announced in May.
Short orders
• Duffy's Sports Grill locations will sell $1 red velvet cupcakes through April, with 50 cents from each purchase going to the Florida Panthers' Foundation, a nonprofit dedicated to children's health, fitness, education and cultural needs; duffysmvp.com.
• Nilton Castillo, a native of Peru who has cooked at The Bazaar by Jose Andres and DB Bistro Moderne, is the new executive chef at The Dome Restaurant & Caviar Bar in Coral Gables.
• The Las Olas Sunday Market is back in business from 9 a.m. to 3 p.m. each Sunday in front of YOLO, 333 E. Las Olas Blvd., Fort Lauderdale.
Compiled by Food Editor Kathy Martin. Send news to firstname.lastname@example.com by noon Monday for consideration in next week's column.


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Saturday, January 18 through Monday, January 20, 2014
Sign up to volunteer for the 12th annual Decatur Martin Luther King Jr. Service Project and do home repairs and yard work for Decatur senior citizens to help them live safely, comfortably and affordably in their homes. Volunteers may work one or more shifts:
Saturday, January 18, 9am to 1pm and 1pm to 5pm
Sunday, January 19, 1pm to 5pm
Monday, January 20, 9am to 1pm and 1pm to 5pm
Please sign up in advance. Volunteers meet 30 minutes before the start of each shift at the Solarium at the Community Center of South Decatur, 321 W. Hill St.
Volunteer positions include home repairs, yard work/landscaping, cleaning gutters, transporting materials, monitoring and organizing tool inventory and more. Donations of sandwiches and desserts are also appreciated. Volunteers must be at least 12 years old, unless volunteering with an organization such as Boy Scouts or Girl Scouts. All volunteers must complete a waiver and release (volunteers under 18 must have form signed by parent or guardian). You may download as a Word or PDF documents and bring it with you to the Project.
Please help us be environmentally friendly and bring your own reusable water bottle. If possible, bring your own home repair and yard work tools and work gloves. Please be sure to dress for the weather.
Decatur's Martin Luther King Jr. Service Project embodies the teachings of Rev. Dr. King and the spirit of the King Holiday, the only federal holiday observed as a national day of service. For more information on the Project or to donate, go to www.mlkserviceproject.com. To find out how you can be involved, contact Lee Ann Harvey, at email@example.com or 678-553-6548 (office) or 770-652-8593 (cell).
Successful 2013 Martin Luther King Jr. Service Project
Health. Safety. Affordability. Partnerships. Community. These are the first words that come to mind regarding the impact of the Decatur Martin Luther King Jr. Service Project. This is the 11th year of the three-day weekend project to help Decatur's senior citizens by providing home repairs and yard work. It sounds like a simple idea but it takes a complex structure of people to make it happen. This year's project was a year in planning and approximately 60 people had leadership roles in development of the project and directing over 1,100 volunteers who worked one or more shifts throughout the weekend. This year's project was extremely ambitious and included repairs on 26 homes (17 standard projects and 9 "Small Projects" that never turned out to be as small as originally thought). All but one of those homes plus 9 additional homes had extensive yard work resulting in a total of 35 senior citizens' households benefitting from the project.
There is a lot of overlap of health, safety and affordability in many of the repairs and yard work done by the volunteers, from youth groups doing yard work to skilled tradespeople who do plumbing and electrical work. Some of the many tasks done by the volunteers who donated their time include:
• Constructed 4 handicap ramps
• Corrected a water pressure problem that caused the bathtub to take one hour to fill up
• Made countless electrical and plumbing repairs
• Performed numerous carpentry projects, including replacing rotted wood in subfloors, replacing rotted deck boards, and replacing floor boards
• Fixed broken door hinges and repaired and replaced doors and windows
• Installed handrails and other handicap accessibility retrofits
• Replaced front porch roof
• Installed ceiling fans
• Contributed to our environment through our relentless attempts to eradicate invasive plants at these homes, especially in the removal of privet, English Ivy and more
• Removed "former treasures" (AKA junk) from attics, basements and back yards
• Dramatically improved the energy performance and indoor air quality of 3 homes by sealing and insulating ductwork and eliminating drafts in attics and crawl spaces.
• Assessed the safety of combustion equipment to ensure poisonous gases like carbon monoxide don't enter the living space
• Insulated 5 homes with a generous donation from Green Day Energy Company
• Brought flues at two homes to code to prevent the homes from being condemned
• Made major renovations to a bathroom, including widening the doorway, to make it accessible for the senior homeowner's son who is confined to a wheelchair.
Partnerships abound in this project. In addition to the partnerships with organizations like Southface Energy Institute, the Project has developed a phenomenal partnership with the Edgewood Lowe's for a number of years. The majority of supplies are purchased at Lowe's a couple of days before the project (at a store discount). Once work begins, projects tend to change and new materials are necessary. Edgewood Lowe's allowed the Project to station volunteers at the store to take calls from House Captains requesting additional materials. Volunteer drivers then took materials to the House Captains. Through a partnership with Decatur Fire Department, firefighters and Fire CAPS (Citizens Assisting Public Safety) installed smoke and carbon monoxide detectors or replaced the batteries with 10-year batteries. Tools, including a seemingly endless supply of rakes, were borrowed from the nonprofit Atlanta Community Tool Bank.
Community is at the heart of the project. Volunteers included six different groups from Decatur High School; three colleges (Agnes Scott College, Oglethorpe University, and Morehouse College); and numerous places of worship. Professional electricians and plumbers donated services, including Bray Electrical Services and M. Cary and Daughters Plumbing, for weeks leading up to the project and throughout the weekend. Volunteers were fed breakfast and lunch on Saturday and Monday and snacks all three days thanks to donations from various places of worship (including an amazing breakfast on Saturday from All Souls Fellowship), restaurant (including a substantial donation from Downtown Decatur Chick-fil-A), individuals, book clubs, neighborhood associations and grocery stores. A favorite partnership is with the Decatur area Girl Scouts who have made sack lunches over the last several years for all of the Monday volunteers. Lunches included a sandwich, chips, fruit, and dessert. The bags were individually decorated with drawings, stickers, and words of encouragement and carried a label that stated:
We appreciate all your hard work! Made with love by Decatur Girl Scouts.
You can't get any better motivation than that during the last hours finishing up a multitude of repair tasks and trying to fill one more yard waste bag and pull out that last bit of ivy. The weekend concluded with a celebratory dinner donated by the Community Center of South Decatur (CCSD). The Project is extremely grateful to our partner CCSD's continual support by also allowing the use of the Solarium in Oakhurst as the base of operations throughout the weekend.
Decatur's senior citizens are the foundation of what our community is today. The Project leadership and volunteers are honored to join the community in showing our appreciation and giving back to them. Decatur's Martin Luther King Jr. Service Project embodies the teachings of Rev. Dr. King and the spirit of the King Holiday, the only federal holiday observed as a national day of service. Mark your calendars to join the volunteers next year, Jan. 18-21, 2014. For further information, contact Lee Ann Harvey at email@example.com or 678-553-6548 or go to www.mlkserviceproject.com.
509 N. McDonough St. Map
P.0. Box 220
Decatur, GA 30031
Fax: 678-553-6518
Contact Us | Site Map | Internet Policy
©2011 City of Decatur


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Sunny throwbacks, or songs that sound as though they're straight out of the 50s and 60s. Get your happy on! Sixteen tracks including music by Belle & Sebastian, The Beatles, and She & Him.
396 (view stats) 40 (view latest) 54min (16 tracks)


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Movie Roundup: 'Godzilla' Brings Monstrous $93.2M to Top Weekend Box Office
Music, Movies & Entertainment, Hot Spots & Night Life, Seasonal & Current Events
Moviegoers this weekend were running to see the monstrous lizard 'Godzilla.' It tops the weekend box office and takes the number two spot for biggest ...
'Godzilla' brought in a monstrous $93.2 million to the weekend box office, topping the chart and even bumping 'The Amazing Spider-Man 2' from the ranking of second biggest debut film of the year. 'Captain America: The Winter Soldier' continues to hold the top spot with $95 million.
Over 51 percent of revenue generated for 'Godzilla' came from its 3D and IMAX screenings. The film offered scenes of destruction to major cities – buildings, subways and more!
Taking second place at the weekend box office was 'Neighbors,' bringing in an additional $26 million on its second week out.
'The Amazing Spider-Man 2' came in third place at the weekend box office with an additional $16.8 million for its third week out.
New release this weekend, 'Million Dollar Arm' took fourth place at the weekend box office with a disappointing $10.5 million.
As we approach Memorial Day weekend, excitement builds for the X-Men superhero flick and a comedy flick starring Adam Sandler and Drew Barrymore.
Check out what's coming out this week!
New Movie Releases This Week: May 23, 2014
For those looking for a sci-fi action adventure film:
X-Men: Days of Future Past (PG-13)
Cast: Patrick Stewart, Ian McKellen, Hugh Jackman, James McAvoy
Wolverine is sent to the past to desperately try to change history and prevent an event that would mean doom for the world of humans and mutants.
For those looking for a comedy flick:
Blended (PG-13)
Cast: Adam Sandler, Drew Barrymore, Wendi McLendon-Covey, Kevin Nealon
A single mom and single dad end up in a bad blind date together. They later find themselves stuck together again at a family resort, but this time attraction grows as their respective children benefit from the burgeoning relationship.
Come back each week for the latest information on new movie releases and upcoming releases at the theaters! To check out all movie flicks playing at Long Island theaters, visit LongIsland.com's Movie Times!
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Home ⋅ New Years Cards & Happy New Year Greeting Cards with Photo ⋅ 1 Photo ⋅ 7.00x5.00
"As usual with Tiny Prints cards, this one exceeded our expectations. My husband and I put a photo of the two of us on the front (we used a black & white photo like the example, which looked great with the reds, purples & pinks of the card) and on the inside of the card, we put various photos of our six grandkids. We used the timeline labeling feature to identify each grandchild including the new addition that was born this past year. We finished up by putting a small photo of us with our two four-legged children (canine variety) on the back. No need for a Christmas letter -- the whole card looked great and told the story of our year! I love dealing with Tiny Prints. Their quality and service are the best."
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First Midwest Bank Amphitheatre
19100 S Ridgeland, Po Box 189, Tinley Park, IL 60477
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First Midwest Bank Amphitheatre: Country Megaticket
First Midwest Bank Amphitheatre, Tinley Park, ILMultiple Dates and Times
Details: Country Megaticket, Brad Paisley, Rascal Flatts, Tim McGraw, Toby Keith, Jason Aldean, Miranda Lambert
All tickets will not be received at once; there will be multiple mailings.
The first Country Megaticket mailing occurred on 5/8/14.
The first mailing includes tickets for the following events:
Brad Paisley - May 31, 2014
Rascal Flatts - June 14, 2014
Tim McGraw - June 27, 2014
Toby Keith - July 13, 2014
Jason Aldean - August 9, 2014
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Miranda Lambert - August 15, 2014
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Event Info
**PLEASE NOTE: The First Midwest Bank Amphitheatre Country Megaticket is now off sale and is NO LONGER AVAILABLE! Each package includes one (1) ticket to the following events taking place at First Midwest Bank Amphitheatre:
Brad Paisley - May 31, 2014
Rascal Flatts - June 14, 2014
Tim McGraw - June 27, 2014
Toby Keith - July 13, 2014
Jason Aldean - August 9, 2014
Miranda Lambert - August 15, 2014
Platinum Package includes one (1) 100-level reserved ticket for each of the 6 shows and an invitation to participate in the 2015 Megaticket presale. Also includes one (1) VIP Parking pass for every 1-4 tickets purchased or two (2) VIP Parking passes for every 5-8 tickets purchased.
Silver Package includes one (1) 200-level reserved ticket for each of the 6 shows and an invitation to participate in the 2015 Megaticket presale.
Bronze Package includes one (1) general admission lawn ticket for each of the 6 shows and an invitation to participate in the 2015 Megaticket presale.
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Philip, 27, Irish guy who probably watches too much TV for it to be good for him. I make gifs of a lot of stuff.
Posted February 8, 2013 at 3:47 am
6119 notes
#parks and recreation#parks and rec#ben wyatt#Tom Haverford#adam scott#Aziz Ansari
Kristy and I were eating Chipotle tonight and we both at some point found HAIR STRANDS in our meals. For obvious reasons...
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hey, remember that this kid is under a bunch pf pressure as well. He's trying his best out there, and it's hard for anyone to adjust to a new surrounding.
Type: Posts; User: Cody73
hey, remember that this kid is under a bunch pf pressure as well. He's trying his best out there, and it's hard for anyone to adjust to a new surrounding.
Gallinari would be starting in our lineup instead of Ross, and you're forgetting Bruno and were he'd be placed. Not a fan of all the trades, but the 1st proposal is a good idea.
In other words, he'll be the new Peja Stojakovic of the league with a bigger wingspan. Not bad if he does reach that potential.
Loving this trade..... so line-up for next season will be looking like this?
Looks good to me.
Fuck Phoenix and Philly! (They got the two guys I wanted.... :( )
Repeating what I already said:
Caboclo is the Giannis Antetokounmpo of the draft. He is a mix of a few players (Peja/Gallo/Ginobli all come to mind for me via videos) and I think he'll be more...
Caboclo is the Giannis Antetokounmpo of the draft. He is a mix of a few players (Peja/Gallo/Ginobli) comes to mind for me via videos) and I think he'll be more ready then people think. I feel like...
Ennis and Saric here we come! (I hope)
Williams is basically a perfectly healthy Fields.
Lowry on the heat makes no sense. The team is older than the Spurs. Everyone is either going to opt out or stay for another year just for the heck of it. No need for Lowry to go there.
It's not as far fetch as you guys seem to think. He has stated to love TO in the past. He was one of the reasons Defoe signed with TFC. And him and Drake are buddies. So why not TO? If we give him...
I know it sounds like a long shot, but I feel Trevor Ariza would be a great guy to pick up. He's 28 and seems to have everything this teams needs: A good 3-point guy (.347 in his career), he can...
I love looking at how Denver has done without Melo, a great example of what Yabadabayolo would like to see here. Then again, Masai was involved with Denver, so perhaps that's his plan here too.
We need that three point shooter though.... you guys cannot deny that. Unless Fields regains that shot of his somehow.......
Just give Fields more playing time, and I'm happy. He doesn't need to be a starter unless Ross falls off a cliff or something.
I just want to get a good three-point shooter. I don't know much about Aminu, is he any good for that?
First off, FYP.
Second, I'm no fortune teller. Just observing what I see in players. Back issues tend to linger. It's not something that goes away quickly. I've experienced back issues while...
Tanking doesn't work. If it did, Philly would've gotten the 1st overall pick. Instead they're going to get Embiid, who will be a bust. Trust me. Those back issues aren't going away. Cleveland gets...
I meant with Landry taking over as the 6th man, Vasquez's spot. Not him playing PG. You read my post way wrong.
Can I say something?
Landry Fields.
Surprised I brought up a guy who people hate? I think if Lowry does go, he'll step up (Showed good play in the playoffs, and that will most likely...
LAC - Griffin
MEM -Curry
OKC -Harden
SAC - Gibson
MIN - Holiday
MIN -DeRozan
Saric maybe more all around, but both can put up big numbers, and Saric can play both the 3 and 4 himself. Whcih is why I like him, and want him. Ujiri, make it happen.
If Ennis drops, I'm game. If not, I hope we go after Saric (Denver and him? He's too much like Gallo people!) or maybe GR3.
He played in Puerto Rico on Leones de Ponce. I don't know his stats, but he does look quite good.
I like him. I feel he is what we need but I wish he was better at shooting the 3-ball. Other than that, maybe he'll compete with Ross for the starting job?


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Use a lightly oiled 8-inch square grill pan to make this bread-free sandwich even healthier. When chopping the garlic, adding salt will help break it down, making it easier to chop.Open-Face Grilled Portobello Mushrooms with Rosemary White Beans recipe


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Vibrating machines have long claimed to help people lose weight. Even today, in some old gyms in India, you will find those machines with the belt that you tie around your waist, and it vibrates the daylights out of you. Believers claim that vibrating machines are supposed to help fat los...Read More
Squats with Belt works your Thigh. Squats with Belt can be performed at your gym and it is advisable to carry this out under the supervision of a trainer. Watch the video to know how to perform the Squats with Belt. ...Read More
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A sold out @SeattleProAm in a few hours notice. U can't tell me WA is not ready to get our NBA franchise back— Will Conroy (@CHILLCONROY) August 23, 2014
@SonicsRising FanShot: Seattle? Not a basketball city at all..no, no, not at all.
Owners looking to sell high?
After leaving behind an almost-great team 10 years ago, Heat veterans and old friends Ray Allen and Rashard Lewis find themselves competing again for the championships that eluded them in Seattle
Short answer: nobody knows, publicly at least. Would he have been better off going to college? Maybe. A college coach and team and campus might've provided the safety net of having something useful to do each day when injuries knocked him out of basketball for a year. But he might've lacked the maturity and grit to stick to a college team.
I found this to be really fascinating, especially given the wild swing in outcomes depending on whether or not a player eventually proves he was worth the max contract (or not).
Reminding us that sports franchises are different from business/restaurant franchises, Michael McCann and Larry Coon walk through the steps of how the NBA can remove Donald and Shelly Sterling from NBA ownership, assume the Clippers team as an asset, and sell it off.
I don't blame any Sonics fan who chooses to ignore the NBA. But this year's first round has to be one of the most interesting and exciting ones ever, with close games, upsets, and surprising outcomes aplenty. The Grizzlies are #7 in the west, but have taken a 3-2 lead against the team that we want to see lose -- with the last four in a row all having gone into overtime, which must surely be an NBA playoff record. As I write this, the Grizzlies are losing game 6 but if there was ever a case of justifiable schadenfreude, it is this one, seeing the Grizzly foes get unsettled and point fingers at each other.
Grantland's Zach Lowe on the Sterling decision aftermath and the tone of the NBA playoffs
by Peter Keating, ESPN The Mag... ... This story ran in the June 1, 2009 issue of ESPN The Magazine.
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AVENGERS Assemble Splatter Art by Melissa Smith
Here are some Avengers fine art prints by Melissa Smith. You can buy these and more of her work at society6. Check out other art she has done on DeviantArt, Flickr and Threadless. Check out two other Avengers related pieces of hers below:
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Tel: (704)365-4658
Grades: K - 12 | 268 students
The Fletcher School creates bright futures for students with specific learning disabilities and/or attention deficit disorders by offering a structured, individualized, college preparatory curriculum that prepares them to reach their full potential.
School Overview
|School Type
|Special Education School
|School Membership(s)School Assoc.
|Other associations(s) for exceptional children
Other special emphasis association(s)
State or regional independent school association
Learning Disabilities Association of America (LDA)
National Association of Independent Schools (NAIS)
|Religious Affiliation
|Grades Offered
|Grades Kindergarten - 12
|Learning Difference Programs
|Learning Programs Supported
|Language based and ADHD
|Year Founded
Student Body
|Total Students
|268 students
|Student Body Type
|% Students of Color
State avg.: 17%
|Students by Grade
Academics and Faculty
|Total Classroom Teachers
|59 teachers
|Student : Teacher Ratio
National avg.: 13:1
|Average Class Size
|6 students
|List of Courses Offered
|Link to List of Courses
Finances and Admission
|Admission Deadline
|May. 31 / rolling
|Yearly Tuition Cost
|Tuition Notes
|2012-2013: Grades K-5 tuition $20730 Grades 6-12 tuition $21810
|% on Financial Aid
|Average Financial Aid Grant
|Admissions Director
|Susan Culp
|Admissions Associate
|Elizabeth Ashe
|Total Sports Offered
|9 sports
|Basketball, Cheering, Cross Country, Flag Football, Golf, Soccer, Swimming, Ultimate Frisbee, VolleyballBasketball, Cheering,
Cross Country, Flag Football,
Golf, Soccer,
Swimming, Ultimate Frisbee,
|Total ExtracurricularsTotal Extra-curric.
|5 extracurriculars
|Art Studio, Beta Club, Chess Club, Girls on the Run, Karate Art Studio, Beta Club, Chess Club, Karate, Girls on the Run,
School Notes:
- Multisensory instruction using Orton-Gillingham methodology; college preparatory curriculum; six to one student-teacher ratio
Profile last updated: 10/05/2012
Nearby Schools:
All Schools |High Schools High Schools |Elementary Schools Elementary Schools |Preschools Preschools |Public Schools Public Schools
Show me:
- School Location Miles Students Grades
Matthews Carmel Christian School
1145 Pineville Matthews Rd
Matthews , NC , 28105
(704)849-9723(Baptist)1.1 mi | 717 students | Gr. K-12
Charlotte Charlotte Christian School
7301 Sardis Rd
Charlotte , NC , 28270
(704)366-5657(Christian)1.2 mi | 993 students | Gr. PK-12
CharlotteMonroe Road KinderCare
9500 Monroe Road
Charlotte , NC , 28270
(704)847-2542Early Childhood / Day Cares1.3 mi | students | Gr. NS-PK
CharlotteCyzner Institute Day School & Therapeutic Center
7022 Sardis Road
Charlotte , NC , 28270
(704)366-8260Special Education School1.4 mi | 24 students | Gr. PK-8
CharlotteCharlotte Preparatory School
212 Boyce Road
Charlotte , NC , 28211
School Reviews
Area Statistics
Recent Articles
Updated August 17, 2014
Getting involved with your child's school benefits both you and the school. It's a win-win for all concerned.
SAT test prep takes time to do properly. We explore some of your options here.
Choosing the right private school for your child involves comparing schools as opposed to ranking them.
More ArticlesChoosing a Private School, Paying For It, Pre-elementary, Running a Private School, Opinion


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happy with it but it was more spectacular than technically perfect. I've made better stops but that one was pretty dramatic. Obviously, it came at an important time in the game because it could have been 2-2. I've made technically better ones, though. Two stand-outs are a save in the World Cup final against Brazil and one against Italy in the European Championship, when Alessandro Del Piero went through one-on-one in added time and I managed to keep him out. As a goalkeeper, it's part of your job to make saves so I don't really like to go on about it. It's just something I should be doing.
United are well covered in the goalkeeping department now. Can you describe the different styles and attributes of Ricardo and Roy Carroll?
I think Roy's really come on in the last two years - in various aspects of his game - his positioning, how he comes out to catch the ball, even down to his kicking. When he's been called upon, he's proved he has what it takes to perform in the important matches. On the other hand, Ricardo's style is different. He's more of a dynamic, explosive type of player - very different to Roy's style of play. I think one of the reasons we're making so much progress is because the three of us are working well together. They are both great people to work with. We work very hard in training but can also have a laugh together, which helps.
Will you see out your career with United?
I can certainly see myself staying until the end of my contract. I don't really have any plans after I've finished playing. You have enough time to think about the future in the future - I'm getting as much as I can out of the present.
You played up front in the Singapore pre-season friendly in 2001. Are you a frustrated outfield player at heart?
Not really but whenever I get the chance, I like to play outfield. It doesn't happen very often though.


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Get free shipping on your next order when you spend over $100. The discount will be automatically applied to your purchase; no promo code required. The subtotal of your purchase must be $100.01 or greater after any promotional discounts have been applied. Additional fees such as tax or shipping and handling do not apply toward your minimum subtotal requirement of $100.01. Offer applies to standard shipping only. Certain items that require additional shipping and handling are excluded from this promotion and do not apply towards your $100.01 subtotal minimum. Offer subject to change.
Give a special couple the world with this custom wedding/anniversary globe. Each globe is hand-decoupaged with recycled materials onto a 12" vintage globe and transformed into a one-of-a-kind piece of art. This globe is customizable and can be printed with couple's names.
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Mobile Healthcare Apps Slated for Federal Oversight
Federal government steps in
But that's starting to change. In May 2012, the FDA approved the first iPhone-enabled blood glucose meter for sale at retail. The iBGStar Diabetes Manager allows users to analyze blood glucose levels and insulin injections and share that information with healthcare providers. Another company called Philosys recently filed for FDA approval for its GMate Smart app, a blood glucose monitor that works with the iPhone and iPad.
Mobile apps for diabetes management are a hot spot in the app world. A 2012 study from the eHealth Initiative found that diabetes management apps for diabetes have increased by nearly 400% over the past three years—from 60 smart phone apps to more than 260 in 2012—making it "the fastest-growing sector of the patient-centered tools industry."
With the floodgates now open, the FDA is working to craft a framework for regulating and approving mobile healthcare apps. In July 2012, the FDA issued a draft guidance document for Mobile Medical Applications as part of its effort to "help clarify the types of mobile apps to which the FDA intends to apply its authority."
In its draft guidance overview, the FDA noted that "as is the case with traditional medical devices, mobile medical apps can pose potential risks to public health" but that they may pose "additional and different risks due to the unique characteristics of the platform."
For example, it noted that "the interpretation of radiological images on a mobile device could be adversely affected by the smaller screen size, lower contrast ratio, and uncontrolled ambient light of the mobile platforms" and that it intends to "take these limitations into account in assessing the appropriate regulatory oversight."
Comments are moderated. Please be patient.
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text:
Andhra Pradesh State Eligibility Test Results 2014, APSET 2014 Results, AP State Eligibility Test Result, APSET 14 November exam result, apset 2014 exam result, apset 2014 cut off marks, www.apset.org
Osmania University recently conducted Andhra Pradesh State Eligibility Test (APSET) successfully on 14th November 2014. This Entrance Test is one the biggest test across Andhra Prades state. APSET conduct at various exam centers in the state of Andhra Pradesh. This year there were large number of applicant who applied for the exam.
Today i am writing this article because there were many candidates asking me about APSET 2014 results so i decided to write on the same topic. There were lots of candidates eagerly waiting for their Result to know. As Government of AP said that they are going to announce APSET 2013-14 Results very soon in the month of January 2014, so that means Result is very near to declared. So candidates be ready with your Admit Card / Hall Ticket, with Result AP Govt going to announce Cut off marks and publish Answer key so that candidates can check their answers.
APSET 2013 Exam Results
Candidates who all appeared in AP SET 2013 examination will very soon able to check their Results. We have no exact idea when APSET Result going to announce but as per our prediction APSET 2013 Result going to declared in the last week of January 2014. Here below we are sharing the simple & easy steps follow them and check your Result.
Good News APSET Results 2014 Declared Click here for Result
1. You need to visit official site www.apset.org
2. Click on APSET 2013 Exam Result
3. Enter your roll number and date of birth
4. Click on submit button and check your Result
5. If you think your score eligible to sit for next round then take print out.
All the best for your Result. For more latest updates on APSET 2014 Results stay tuned with www.indiaresults2014.in, also join our Google+ page.


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PSU For Budget build
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text:
On the trail...
By Jojo Norris
A beautiful wordless picture book featuring two foxes on the trail of each other's scent. Two books in one: the foxes emerge from opposite ends of the book when they meet the book turns over and the other story begins.
About the Author
Publish Date April 07, 2011
Dimensions Standard Portrait 28 pgs
Standard Paper
Category Children
Tags children's book, vulpes vulpes, red fox, arctic fox, smell, white, red, autumn, pattern, trail, fox
Sign in or create an account to post a comment.
Start your own book today from US $3.99.
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Digital Home & Smartphones Help
It's free to register, to post a question or to start / join a discussion
Browser War
Likes # 0
Posted January 9, 2011 at 11:26PM
Which comes out on top of the browser war between IE8, Google Chrome, Firefox, Safari and Opera?????
Likes # 0
Posted January 9, 2011 at 11:38PM
There's no easy answer to that since it depends on how you segment the market.
In Europe, Firefox is on top, but that's probably because of Chrome taking market share from IE.
click here
Likes # 0
Posted January 10, 2011 at 5:50AM
It's really a matter of personal preference.
My default browser of choice is Chrome, I use Firefox for the PCA forums (because it's better with a touch screen and for colours), and Opera on my mobile.
I never used IE and have not yet tried Safari.
Likes # 0
Posted January 10, 2011 at 9:18AM
Always used IE, never seen any reason to try the others.
Likes # 0
Posted January 10, 2011 at 11:54PM
The one that you prefer using.
Each browser has its strong points and its faults, and to be honest there's no single browser that ticks all the boxes.
Try them all, and find one that suits you.
Likes # 0
Posted January 14, 2011 at 5:12PM
I don't think any will come out on top as they will always be competing with each other.
I was once a fan of Netscape Navigator but then switched to IE for a while before trying Firefox. I have tried Chrome but Firefox for me does everything that I need it to so is the browser of choice on all my machines along with a few plug-ins.
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Ladybird Boys Fashion Joggers (2 Pack)
- In Stock
0 review
- Delivery
- Next day delivery available
Ladybird Pack of 2 Jogger Bottoms in Navy and Grey – fab value!
Give his casual clothing a varsity vibe with these cool collegiate-inspired joggers by Ladybird.
Made from comfy cotton, this pack includes one navy and one grey pair of jogger bottoms. The right side is detailed with a Ladybird logo for a retro sporty style, while the stripy cuffed ankles allow him to show off his fashionable footwear. Finished with an elasticated waistband and practical pockets, these joggers look great with polo tops for a preppy outfit.
Matching hoodies are available separately (see item number 47VEE).
Useful info:
- Ladybird boys jogger bottoms
- Great value pack of 2
- Quality cotton
- 1 navy and1 grey pair
- Ladybird logo to left leg in contrasting colour
- Stripy cuffed ankles
- Side pockets and single back patch pocket
- Elasticated waistband
Ladybird Boys Smiley All-in-Ones (2 Pack)
- In Stock
4 reviews
- Delivery
- Next day delivery available
Ladybird Pack of 2 Boys All-in-Ones with Smiley Face Prints - great value!
Perfect for little boys who love to lounge, this set of 2 all-in-ones from Ladybird lets him move from the bed to the sofa in quirky head-to-toe comfort.
The pure cotton fabric is soft against his skin, and a pack contains two colours, each with its own moustache-wearing smiley face design!
Both sleepsuits are finished with contrasting cuffs, ankles and plackets, while popper fastenings make them easy to take off when he finally decides it's time to get dressed on the lazy weekend mornings!
Available separately are a set of 3 Smiley vests (see item number 46NVP) and a set of 5 Smiley boxer shorts (46NVR).
Useful info:
- Ladybird boys smiley all-in-ones
- Pack of 2
- Cotton
- Smiley face prints
- Contrast cuffs, ankles and plackets
- Popper fastenings
Ladybird Boys Hooded Sweat Tops (2 Pack)
- In Stock
0 review
- Delivery
- Next day delivery available
Ladybird Pack of 2 Boys Hoodies - Grey and Navy – brilliant price!
Keep him stylish and snug this autumn in these cool hoodies by Ladybird, every parent's favourite quality kidswear brand since the late 1930s!
Made from pure cotton, these sporty hoodies have a varsity vibe with their Ladybird logos. The grey hoodie zips up at the front, so it's great for wearing open when it's still a bit warm, and the navy one can simply be pulled on. The kangaroo pockets come in contrasting colour and stylishly match the hip hoods, while ribbed hems and cuffs are extremely comfortable.
Matching joggers are available separately (see item number 47VEA).
Useful info:
- Ladybird boys hoodies
- Great value pack of 2
- Quality cotton
- 1 grey zip-up hoodie
- 1 navy pullover hoodie
- Contrast coloured kangaroo pockets
- Contrast coloured hood
- Blue Ladybird 'L' logo to left chest
- Ribbed cuffs and hems
Ladybird Boys Basic T-Shirts (5 Pack)
- In Stock
3 reviews
- Delivery
- Next day delivery available
This great value Multipack of Boys T-Shirts from Ladybird features 5 fabulous colours!
With their unmistakable blend of fun designs and low prices, Ladybird have long been a favourite of parents everywhere - and never more so than with this colourful set of T-shirts.
The set contains 5 short sleeve tees, all made from soft, comfy cotton that's perfect for summer. And where other multipacks often contain several tops in the same colour, Ladybird have splashed them in a range of fun hues, including blue and green.
Making these basics extra special, two of them feature a printed '7' design containing 'Ladybird' detail, and they're all finished with a subtle Ladybird logo.
Useful info:
- Ladybird boys T-shirts
- Set of 5
- Pure cotton
- 5 different colours
- 2 feature large '7' print
- Short sleeves
- Ladybird logo detail
Ladybird Boys Pirate Pyjama Set (6-Piece)
- In Stock
2 reviews
- Delivery
Ladybird Boys 6-Piece Pirate Pyjama Set - hearty value!
Less aww and more arghhh, this cute boys PJ set by Ladybird is a real treasure trove of comfort and affordability - 6 pirate-themed pieces can be mixed and matched to create a range of swashbuckling styles.
The season-spanning set features two short sleeve tops for warmer nights, plus a long sleeve version to keep his timbers from shivering when the temperature drops.
Matching bottoms have elasticated waists for pull-on ease, and all the pieces are crafted from super soft cotton.
Useful info:
- Ladybird boys pirate pyjamas
- 6-piece set
- Cotton
- Pirate-themed prints
- 2 short sleeve tops; 1 long sleeve
- Elastic waist pull-ons
- Great for mixing and matching
Ladybird Boys Woven Pull Trousers (2 pack)
- In Stock
8 reviews
- Delivery
- Next day delivery available
Ladybird Pack of 2 Boys Woven Pull-On Trousers - great value!
Slightly smarter than jeans, this set of 2 casual trousers from Ladybird's latest range of kids clothing will give him all-day comfort thanks to a stretchy ribbed waistband.
The pull-ons are made from soft cotton and come in a pair of stylish colours, while knee seams and trendy flatlock stitching bring out their fashionable side.
With front and back pockets, they're finished with embroidered Ladybird logo to the right leg and a drawcord for adjustable ease.
Ladybird loves these trousers with T-shirts for a dressed down look or, for a touch more smartness, a long sleeve casual shirt.
Useful info:
- Ladybird boys woven trousers
- Pack of 2
- Woven cotton
- 2 different colours
- Ribbed waistband with drawcord
- Knee seams and flatlock stitching
- Pockets front and back
Ladybird Boys Sweat Shirt and Jeans Set (2 Piece)
- In Stock
0 review
- Delivery
- Next day delivery available
Boys long sleeve top with print front detail with fashionable denim jeans.Colour: Multi. Cotton. Machine washable.
Ladybird Boys Skull and Stripe Briefs (5 Pack)
- In Stock
0 review
- Delivery
Ladybird Pack of 5 Boys Skull and Stripe Briefs - great value!
More fashionable fun at fantastic prices from Ladybird, this pack of 5 boys briefs gives him a set of fresh and funky underwear from Monday to Friday.
Made from smooth cotton, they come in five different colours and a mix of skulls and stripes.
Looking for more great value for his essentials drawer? Try the pack of 7 Ladybird skull socks (see item number 476CV).
Useful info:
- Ladybird boys skull and stripe briefs
- Great value pack 5
- Cotton
- Skull and stripe designs
- Range of funky colours
Ladybird Boys Grandad Tops (3 Pack)
- In Stock
0 review
- Delivery
- Next day delivery available
Ladybird Pack of 3 Boys Grandad Tops - 2 Short Sleeve; 1 Long Sleeve
This triple pack of boys grandad tops from Ladybird is the latest example of the brand's fashionable affordability for kids.
Made from soft cotton, a set contains 2 plain coloured short sleeve tops, as well as a stripy long sleeve style with elbow patches. Each one has the characteristic round neck and reinforced placket with button fastening. Finished with embroidered Ladybird logo to the chest.
Ladybird loves these with jeans on laid-back days or chinos for a slightly smarter look.
Useful info:
- Ladybird boys grandad tops
- Great value pack of 3
- Cotton
- 2 short sleeve in plain colours
- 1 long sleeve with stripes and elbow patches
- 3 different colours
- Button placket and round neck
- Neck tape prevents chafing
Ladybird Boys Crest Polo Shirts (2 Pack)
- In Stock
0 review
- Delivery
- Next day delivery available
Ladybird Pack of 2 Boys Crest Short Sleeve Polo Shirts with Contrast Collar Detail - great value!
Your little one can get the cool collegiate look with this set of 2 crest polo shirts from Ladybird - every parent's favourite since 1938.
Made from purest cotton, the pack contains a pair of colours (blue and red), each of which features sporty '8' and '3' printed detail to the cuffs, as well as contrast coloured woven collar. A large printed Ladybird logo at the chest is complemented by a reinforced placket with multi-coloured branded buttons.
Ladybird loves these tops with chinos and shoes to complete the campus style.
Useful info:
- Ladybird boys crest polo shirts
- Great value pack of 2
- Cotton
- Blue and red
- Contrast coloured woven collars
- Printed '8' and '3' to sleeves
- Printed Ladybird logo at chest
- Placket with 3 branded buttons
- Short sleeves
- Neck tape prevents chafing
Ladybird Boys Denim Shirt and Chinos Set (2-Piece)
- In Stock
1 review
- Delivery
- Next day delivery available
Ladybird 2-Piece Boys Denim Shirt and Chinos Set - great value!
Your little man will look every bit as trendy as his dad when he puts on this Ladybird boys shirt and chinos set - every bit as high in fashion as it is in affordability.
The long sleeve cotton denim shirt features cool contrast stitching, elbow patches and bold blue colour to the buttons, neck tape and embroidered 'C 38' detail that sits on one of the chest pockets.
It comes complete with a pair of soft cotton chinos, which have pockets front and back, plus button fastened waist.
Ladybird loves this set with a pair of mid-hi trainers for a laid-back collegiate look or brown shoes for a slightly smarter appearance.
Useful info:
- Ladybird boys denim shirt and chinos
- Great value 2-piece set
- Cotton denim shirt
- Bright blue stitching to buttons, neck tape and 'C 38' embroidery
- Elbow patches
- Button fastened chest pockets
- Cotton chinos
- Pockets front and back (back pockets are button fastened)
Ladybird Boys Clever Fox Jumpers (2 pack)
- In Stock
0 review
- Delivery
- Next day delivery available
Ladybird Boys Pack of 2 Clever Fox Sweaters - great value!
Every clever parent comes to Ladybird for quality kids fashion at reassuringly low prices, and this pair of boys jumpers are their latest example.
A set contains two fun styles in soft cotton to keep him snug on cooler days - red with 'Clever Fox' typographical design, and grey with a super smart, spectacle-wearing fox who's all about the geek chic!
Both feature contrast coloured stitching, hem and sleeves, and are finished with an embroidered Ladybird logo to the right arm.
Ladybird loves these sweaters with his favourite jeans for a quirky casual style.
Useful info:
- Ladybird boys Clever Fox jumpers
- Pack of 2
- Cotton
- Red with typographical design
- Grey with printed cartoon fox
- Contrast cuffs, hem and stitching
- Embroidered Ladybird logo


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Stage 1&2
Stage 2&3
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Challenge level:
What do the numbers shaded in blue on this hundred square have in common? What do you notice about the pink numbers? How about the shaded numbers in the other squares?
How have the numbers been placed in this Carroll diagram? Which
labels would you put on each row and column?
Can you complete this jigsaw of the multiplication square?
Investigate the smallest number of moves it takes to turn these
mats upside-down if you can only turn exactly three at a time.
Investigate which numbers make these lights come on. What is the smallest number you can find that lights up all the lights?
Arrange the four number cards on the grid, according to the rules,
to make a diagonal, vertical or horizontal line.
Can you put the numbers from 1 to 15 on the circles so that no
consecutive numbers lie anywhere along a continuous straight line?
Is it possible to place 2 counters on the 3 by 3 grid so that there
is an even number of counters in every row and every column? How
about if you have 3 counters or 4 counters or....?
Start by putting one million (1 000 000) into the display of your
calculator. Can you reduce this to 7 using just the 7 key and add,
subtract, multiply, divide and equals as many times as you like?
Here is a chance to play a version of the classic Countdown Game.
This 100 square jigsaw is written in code. It starts with 1 and ends with 100. Can you build it up?
Our 2008 Advent Calendar has a 'Making Maths' activity for every
day in the run-up to Christmas.
An environment which simulates working with Cuisenaire rods.
Try out the lottery that is played in a far-away land. What is the
chance of winning?
This was a problem for our birthday website. Can you use four of these pieces to form a square? How about making a square with all five pieces?
Mr McGregor has a magic potting shed. Overnight, the number of
plants in it doubles. He'd like to put the same number of plants in
each of three gardens, planting one garden each day. Can he do it?
Hover your mouse over the counters to see which ones will be
removed. Click to remover them. The winner is the last one to
remove a counter. How you can make sure you win?
Use the interactivity to find all the different right-angled
triangles you can make by just moving one corner of the starting
Place the numbers 1 to 10 in the circles so that each number is the
difference between the two numbers just below it.
This problem is based on a code using two different prime numbers
less than 10. You'll need to multiply them together and shift the
alphabet forwards by the result. Can you decipher the code?
There are nine teddies in Teddy Town - three red, three blue and three yellow. There are also nine houses, three of each colour. Can you put them on the map of Teddy Town according to the rules?
Starting with the number 180, take away 9 again and again, joining up the dots as you go. Watch out - don't join all the dots!
You have 4 red and 5 blue counters. How many ways can they be
placed on a 3 by 3 grid so that all the rows columns and diagonals
have an even number of red counters?
Place the numbers from 1 to 9 in the squares below so that the difference between joined squares is odd. How many different ways can you do this?
Can you find all the different ways of lining up these Cuisenaire
Try to stop your opponent from being able to split the piles of counters into unequal numbers. Can you find a strategy?
If you have only four weights, where could you place them in order
to balance this equaliser?
An interactive game for 1 person. You are given a rectangle with 50 squares on it. Roll the dice to get a percentage between 2 and 100. How many squares is this? Keep going until you get 100. . . .
Can you put the 25 coloured tiles into the 5 x 5 square so that no
column, no row and no diagonal line have tiles of the same colour
in them?
Use the interactivities to complete these Venn diagrams.
NRICH December 2006 advent calendar - a new tangram for each day in
the run-up to Christmas.
Have a go at this well-known challenge. Can you swap the frogs and toads in as few slides and jumps as possible?
Can you put the numbers 1 to 8 into the circles so that the four
calculations are correct?
Using angular.js to bind inputs to outputs
Use the interactivity to create some steady rhythms. How could you
create a rhythm which sounds the same forwards as it does
A generic circular pegboard resource.
How many different triangles can you make on a circular pegboard that has nine pegs?
Can you find all the different triangles on these peg boards, and
find their angles?
Practise your diamond mining skills and your x,y coordination in this homage to Pacman.
A train building game for 2 players.
A game for 1 person to play on screen. Practise your number bonds
whilst improving your memory
A card pairing game involving knowledge of simple ratio.
The idea of this game is to add or subtract the two numbers on the dice and cover the result on the grid, trying to get a line of three. Are there some numbers that are good to aim for?
Choose 13 spots on the grid. Can you work out the scoring system? What is the maximum possible score?
First Connect Three game for an adult and child. Use the dice numbers and either addition or subtraction to get three numbers in a straight line.
This article gives you a few ideas for understanding the Got It! game and how you might find a winning strategy.
Find out what a "fault-free" rectangle is and try to make some of
your own.
Can you see why 2 by 2 could be 5? Can you predict what 2 by 10
will be?
A game to be played against the computer, or in groups. Pick a 7-digit number. A random digit is generated. What must you subract to remove the digit from your number? the first to zero wins.
Train game for an adult and child. Who will be the first to make the train?


text:
FootMates Sherry (Infant/Toddler/Little Kid)SKU: #7636405
Product Information
- It is recommended that you order a half size down for this item. If your child is a size 10, you would order a size 9.5.
- A fun and classic look for your sunny day sweetheart.
- Leather upper with decorative perforations across the toe.
- Buckle closure at the ankle for a secure fit.
- Pigskin leather lining and a cushioned leather insole.
- Durable rubber outsole.
- Measurements:
- Weight: 4 oz
- Product measurements were taken using size 9 Toddler, width M. Please note that measurements may vary by size.


text:
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An increase in multi-family mortgage insurance premiums (MIPs), part of the current administration's fiscal 2013 budget proposal, will slow down construction of apartments in secondary markets, a National Association of Home Builders (NAHB) representative told Congress on June 7.
Bob Nielsen, the immediate past chairman of NAHB and a multi-family home builder from Reno, Nev., testified before the House Financial Services Subcommittee on Insurance, Housing and Community Opportunity on the proposal to raise the MIPs in order to reduce defaults. The U.S. Department of Housing and Urban Development has failed to provide an analysis on how higher MIPs would affect borrowers, lenders or renters who live in properties insured under the programs.
"The proposed increases will not provide a buffer against future FHA losses because there is no segregated fund and excess income is simply returned to the U.S. Treasury each year," Nielsen said. "Increases will only add to property owners' costs, thereby affecting rents and discouraging the production of rental housing."
Nielsen also pointed out that MIP increases would hurt market rate rental properties in the secondary markets where credit is limited because private capital currently is focusing lending activities in the strongest markets and for well-capitalized large developers.


text:
Tap This Dress
Beer Tap Dress Adult Womens Costume
There will be plenty of fun on tap when you arrive in this Beer Tap Dress adult womens costume. The 100% polyester, keg-inspired dress of this funny womens costume comes complete with a matching tap headpiece. Tap into a great night - keg stand anyone?
Black and White Adult Mens Loafers
Tap your feet to some blues or whatever music you choose in these Black and White Adult Mens Loafers. These classy shiny shoes are a great addition for rock stars, 1920's gangsters, or another personality of your choice.
Toe Tappin' Flappa Adult Womens Costume
Revive the roaring twenties in this fun and flirty Toe Tappin' Flappa adult womens costume. Dance the night away in the microfiber, strapless dress that features a drop waist shape, draping sequin trim, complete with sequin neckband, feather and sequin headband and cigarette holder.


text:
|For Sale: 10
|New: 1
|Recently Sold: 5
|Reduced: 2
|Average Home Price
|Average Sold Price
|Property Records: 1,006
|Foreclosed: N/A
The average home price in 29038 is $224,373, which is 92% lower than the average sold price in 29038 ($116,857) . The average home price per square foot in 29038 is $95 and about 0% of all homes in 29038 sold in the last 6 months. For 29038 home values, real estate prices, and city market trends, research the 1,006 property records or search our 5 recently sold or 10 homes for sale listings. Listing counts, 29038 home prices and home values in 29038 are sourced daily from listing and property data on realtor.com®, which is the most up-to-date and accurate aggregation of real estate listings in the industry and includes approximately 800 regional MLSs and is the official website of the National Association of Realtors®.
|Median Age
|Median Household Income


text: ESPN Feed: tyler seguin http://assets.espn.go.com/i/tvlistings/tv_espn_original.gif ESPN en-us 10 ESPN Inc. http://espn.go.com/ Copyright 2010 ESPN Inc. The Dallas Stars re-signed center Vernon Fiddler to a two-year contract Wednesday.]]> July 02, 2014 13:20:37 PDT Maybe you wondered if Jim Nill, who spent all of those years working behind the scenes with the Detroit Red Wings, would have the stuff to be a big-ti...]]> July 01, 2014 09:25:10 PDT The Ottawa Senators have traded center Jason Spezza and prospect Ludvig Karlsson to the Dallas Stars for forward Alex Chiasson, prospects Nicholas Paul and Alex Guptil and a second-round draft pick in 2015, a source told ESPN.com.]]> July 01, 2014 05:34:37 PDT Physical play gets ratcheted up come playoff time, but the Anaheim Ducks thought things got a little out of hand with how the Dallas Stars poked, prodded and punched captain Ryan Getzlaf in Game 3 on Monday.]]> April 22, 2014 05:06:42 PDT Matthew Coller and Ryan Wagman of Hockey Prospectus identify one key stat for every NHL playoff series, weighing in with their prediction on whether the trend will continue as well as picking a winner in each series.]]> April 15, 2014 04:42:21 PDT Tom Awad of Hockey Prospectus shares his final installment of the regular season player power rankings. Sidney Crosby finishes the season as the top skater while Tuukka Rask is the league's top netminder.]]> April 14, 2014 04:09:04 PDT Stars earn 3-2 shootout win over Predators]]> April 08, 2014 17:37:35 PDT Tom Awad provides an updated set of NHL Player Power Rankings through March 30. Dallas Stars forward Tyler Seguin moves up the list, but Sidney Crosby maintains his lead.]]> April 07, 2014 07:25:03 PDT Tyler Seguin scored his 33rd goal, Dustin Jeffrey got his first two of the season and the Dallas Stars routed the Washington Capitals 5-0 on Tuesday night in a game between a pair of ninth-place teams trying to leapfrog into a playoff spot.]]> April 01, 2014 15:41:33 PDT The message delivered by the Minnesota Wild was numbingly familiar as rookie netminder Darcy Kuemper allowed five goals on 24 shots en route to a 5-1 loss to the league-leading St. Louis Blues, writes Scott Burnside.]]> March 31, 2014 05:36:56 PDT Tom Awad provides an updated set of NHL Player Power Rankings through March 30. T.J. Oshie surges, bumping a pair of Blackhawks down the list of skaters, while Ben Bishop is dethroned for the top goalie spot.]]> March 31, 2014 03:49:52 PDT The Dallas Stars had seven players score goals in a 7-3 victory over the Nashville Predators on Friday night.]]> March 28, 2014 17:23:18 PDT Sharks 5, Oilers 2 * Joe Pavelski (SJ): Third hat trick of the season; Pavelski and the Stars' Tyler Seguin are the only players with three this seas...]]> March 26, 2014 06:49:26 PDT Stars edge Jets for 2-1 victory]]> March 24, 2014 17:33:07 PDT