text: Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD Attendees: Dr. Anthony Floyd, University of Washington/Alcohol & Drug Abuse Institute Dr. Thomas Hilton, National Institute on Drug Abuse Dr. Robert Hubbard, National Development & Research Institutes, Inc. Deann Jepson, ATTC National Office Mary Beth Johnson, ATTC National Office Dr. Hannah Knudsen, University of Kentucky Laurie Krom, ATTC National Office Cathy Nugent, Center for Substance Abuse Treatment Nancy Roget, Mountain West ATTC Dr. Michael Shafer, Pacific Southwest ATTC Dr. Anne Helene Skinstad, Prairielands ATTC (Day 1) Flo Stein, Department of Health and Human Services (Day 1) Dr. Jack Stein, Center for Substance Abuse Treatment Facilitator: Dr. Robert Atanda, Center for Substance Abuse Treatment Guest Attendees: Deepa Avula, Center for Substance Abuse Treatment (Day 1) Deb Trunso, Center for Substance Abuse Treatment (Day 1) Day One – Monday, April 8, 2008 Welcome and Introductions - 8:30 am – 9:00 am Cathy Nugent opened the meeting by introducing everyone in the room. She also defined the role of the Workforce Survey Expert Panel as advisory, offering insight and wisdom on how to move the National Survey forward. CSAT is looking for input on the demographics of the workforce; anticipated workforce development needs; and common strategies & methodologies to prepare, retain and maintain the workforce. Mary Beth Johnson reviewed who the ATTC Network serves, where the ATTC Regional Centers are located and the role of the ATTC Network. Ms. Johnson also described the layout of the meeting agenda and timetable. (See Welcome PowerPoint slides - Welcome.ppt) CSAT Vision – 9:00 am – 9:30 am After the day's agenda was reviewed, Jack Stein began the meeting thanking everyone for their participation in this project, and he was glad to have both representation from the research and research applications side. He talked about the CSAT vision for the national workforce survey and how it should help describe the workforce. He envisioned this group to have conversations about the target audience; who will be surveyed; where those surveyed will be working and what data needs to be collected. Dr. Stein first talked about the term Dr. Wesley Clark is using, Recovery-Oriented Systems of Care, which is a more strength-based approach and looks at addiction from a more comprehensive perspective. The substance abuse treatment experience is just one component in an ongoing continuum of care and 1 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD recovery services and is an integral part of that whole continuum. In addition, the workforce challenges are multiple and the ROSC approach is a paradigm shift. Dr. Stein stated, "For purposes of this project, the focus will be on the clinical treatment perspective, in terms of funding and providing support to the field." He continued by saying the workforce currently is in dire straights, at least from our best guesses. There have been quite a lot of snap shot views, including the extensive work done by the ATTC Network on state workforce surveys and the work by Thomas McClellan, which surveyed the needs of the treatment system. Dr. McClellan reported there was at least a 50 percent turnover in counseling staff. Dr. Stein stated, "We're not sure if this is still true." There was also a report/study on the lack of IT conducted a few years ago. One goal of this project is to have some good benchmarks/foundational milestones in order to get a good grasp of our understanding of the field. Dr. Stein looked at the US Department of Labor Occupational Outlook Handbook (2008-2009 edition). In this handbook there is a general category of counselors and a sub-component for substance abuse. According to this handbook, 635,000 people were identified as counselors and in the substance abuse category, there were 83,000 behavioral counselors. In addition, in the general counseling category, between the years 2006 through 2016, they're expecting to see 21 percent growth and in the substance abuse counselor category, they're expecting a 34 percent increase. The Department of Labor's reasoning was that more people are seeking treatment and there's a better attitude toward addiction treatment. Dr. Stein said CSAT typically talks about 13,000 treatment programs in the country. He also mentioned this is a field in which we need to be recognized from a strength-based perspective. The US Department of Labor is identifying substance abuse as an occupation possibility and those who are coming into this field should recognize there are a lot of opportunities here. CSAT wants to get a national picture of the workforce. Keeping in mind our limited resources, this project is for CSAT and the ATTC Network to use and develop our own appropriate training for the future. This is not a research study. It's not a large household survey which will answer every question. While working on the survey, we also need to keep in mind upcoming therapies, such as medication and behavioral therapies, incorporation of SBIRT, etc. We need to try and answer the following questions: 1. What are the basic demographics (Keeping it to a bare minimum while still remaining useful.)? 2. What are the anticipated training needs around the time this survey comes out (covering 2010-2015)? 3. What strategies & methodologies work best to train and prepare the workforce (Keeping in mind where technology is going.)? He further described our target focus, which includes direct or frontline providers and directors in treatment organizations. These organizations are the 13,000 listed in the SAMHSA Treatment Locator. They are both publically and privately funded. Most are licensed, but not all. Jack Stein opened the floor for comments and questions: Nancy Roget stated that the SSAs in her region would be very interested in salary information. Anne Helene Skinstad requested that we ask questions regarding clinical supervision. Aaron Williams recommended making the survey relevant at the state level. Review of ATTC Survey Activities – 9:30 am – 10 am Cathy Nugent thanked Jack Stein for his comments and then invited Robert Hubbard to the podium to 2 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD present his compiled report on the ATTC Survey activities. (See Review ATTC Activities PowerPoint slides – Review ATTC Activities.ppt.) Robert Hubbard made additional comments and posed some questions during his report. They are as follows: Dr. Hubbard commented that we need to understand the levels of care within the organization. Patients and staff float among different roles and treatment organizations. These organizations are linked with the SAMHSA Treatment Locator. In building the National survey, we need to know how well the sample represents the frame and get enough data for the sample. We must choose the sampling very carefully. As for the ATTC workforce surveys, they were extremely variable. The picture of the staff is limited. Dr. Hubbard also asked a few questions while he was presenting. The following questions were raised: 1. Are Agency Directors giving the survey to those who can fill it out? 2. Do we need to create a listing of all staff? Response rates would be labor intensive. 3. Are there resources already available? 4. What competencies are we looking for as a Network? 5. People will participate knowing what will happen after the survey. How can we help the workforce see this survey as valuable? 6. Should we consider training needs versus who are the workers? 7. Perhaps look at these sampling approaches. Can we extract some information from these databases? 8. How important is state buy-in? 9. What is the training at the state level? 10. What is our focus? He also stated there are good measures out there for treatment but not in recovery. Areas to consider include demographics, credentials, and job satisfaction. Overview of the National ATTC Evaluation – 10:00 am – 10:20 am Next scheduled was Deepa Avula's overview of the National ATTC Evaluation. She presented the information by PowerPoint. (See Overview of National ATTC Evaluation PowerPoint slides – Overview of National ATTC Evaluation.ppt) After her presentation, there was a 15 minute break. Workforce Survey Goal – 10:35 am – 11:30 am Jack Stein spoke about the Workforce Survey Goal. He began by introducing a workforce survey goal originally stated by the National Association of Social Works (NASW): To gather relevant data to support the development of effective workforce policies and strategies to assure the availability of adequate numbers of providers prepared to respond to the growing needs of individual's families and communities in need of treatment and recovery services. 3 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD Dr. Stein solicited comments regarding this goal. There was much discussion among the group and the following comments and suggestions were noted: Nancy Roget suggested that the goal needed to mention something about training. The thrust of training and technical assistance is not embedded there. Cathy Nugent interjected by saying she saw the training piece embedded by the way the providers are prepared to meet the needs of individual's families and communities. Furthermore, Ms. Roget commented she will have less buy-in from SSA's if CSAT asks what are the training needs rather than asking questions about where a worker plans to be working in the next 5 years, what is this person's academic level, what is their salary status, have they used tobacco, do they have access to computers and are they using computers at work; or other questions which will give a snapshot of the workforce. She said there are questions in her workforce survey inquiring about online/internet use and how familiar an individual is with TAP 21 and TAP 21-A. The findings told her there's more work to be done regarding TAP 21-A. She closed by saying her SSAs are interested in seeing any differences in, for instance Colorado's workforce compared to Wyoming's. They're also interested in trends such as are these nationwide trends or does this apply only to the east and west coasts? With these findings, CSAT and the ATTC Network can develop different workforce development activities. Mike Shafer asked, "What are the critical questions to ask about how do we get them into the field? How do we keep them in the field? What are the career ladder perspectives/opportunities for them?" He also said we should keep in mind those topical questions with a policy spin instead of just what are the training needs, given our limited funds. We should carefully consider the line of questioning. He mentioned the Arizona Provider Association (APA) Bi-Annual Salary Survey. This is a market adjusted salary survey done every 2 years. This helps APA see where their pay scale falls relative to their competitors. Seeing this data has been a huge driver toward recruitment and retention issues. Dr. Shafer would like to get a better handle on who is actually credentialed and licensed within each state too. Cathy Nugent added clarification by saying she needs information which will help her (CSAT) write an ATTC program announcement and RFA, keeping in mind this survey can also be useful to other audiences. Also, she needs information to answer what does the ATTC Network need to know in order to identify workforce needs and which strategies should be used. Hannah Knudsen stated she liked the idea of core competencies which address what we asking the counselor to do. Aaron Williams would like to trace the migration of the workforce. He asked if this is something we can use 5, 10 years from now and actually track the migration of the workforce. The discussion closed with a group consensus on the following questions 1. What are the demographics of the workforce? 2. What are the anticipated workforce development needs for 2010 – 2015? 3. What are the common strategies & methodologies to prepare, retain and maintain the workforce? 4 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD Break-Out Session Discussion – 11:30 am – 12 noon Following this discussion, Robert Atanda introduced the agenda for the Break Out sessions. He divided everyone in to three groups to answer each of the above questions. Instructions were given out as to the process and format of the groups. Then lunch was served. The I-SATS Data Set Presentation and Discussion – 12:45 pm – 2:30 pm Subsequently, Robert Atanda presented an overview of the Drug and Alcohol Services Information System's (DASIS) Inventory of Substance Abuse Treatment Services (I-SATS) data and National Survey of Substance Abuse Treatment Services (N-SSATS) survey. He also distributed a handout outlining the areas of the N-SSATS and what is collected. (see PowerPoint– N-SSATS_2.ppt.) In addition to the information on the PowerPoint, Dr. Atanda made some additional comments. They are as follows: In the I-SATS survey, 80% of the providers are approved. Those not approved are not licensed through the states. In comparison, the N-SSATS survey has a 96.5 % response rate and is very labor intensive. With the first mailing, DASIS receives about a 30% response rate, which is followed by more mailings and telephone calls. Those that are out of scope (half-way houses, sole practitioners, jails, etc.) are not included in the N- SSATS survey analysis. On March 31st annually, hospitals are asked how many clients are at their facility. Eighty percent surveyed are outpatient facilities and 60 percent are private/non-profit, and the facilities are evenly distributed throughout the Network regions. After his presentation, Dr. Atanda asked for questions and comments. Mike Shafer wanted to know the inclusion and exclusion criteria. Dr. Atanda answered by saying we need more clarification from Deb Trunso regarding the criteria. However, you can get I-SATs information through the state and updates are made through the state. This is a mail survey with follow-up. Facilities are also searched through the American Business Index and the American Hospitals Association. There was discussion on how many provider agencies were in the survey and in which state. To practice in North Carolina, you have to be registered. Flo Stein mentioned that there is access to this data. The following numbers were mentioned: NC– 537 facilities in the survey. DE – 49 MT – 77 CA – 2303 TX – 686 NY – 1200 MI – 612 FL – 1200 Every other state is under 500. CO – 533, inflated number. The rest are assessments and DUI facilities. The group then asked, "Do we go through agencies or licensing/certification boards and what constitutes a facility?" 5 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD Deb Trunso, CSAT staff member responsible for the ISATS and N-SSATS reports, came to the group to answer questions about the I-SATS data and N-SSATs survey. She said the survey covers specialty substance abuse units and every site where services are delivered. Within a site there can be more than one level of care. When asked about the definition of facility, she stated that it is difficult to come up with a definition of facility that suits every one's needs. The core most of us can generally agree on, but along the fringes it can present complications, depending on the objectives. In addition, Ms. Trunso explained the difference between I-SATs and N-SSATS. I-SATS is a master listing of facilities and N-SSATS is a survey of the facilities. There was also a question about how agencies record their numbers. She replied by saying some agencies with multiple locations will "roll up" their answers and combine their numbers. No effort has been made to have a non-duplicate account of agencies, especially because this list is always changing. Bob Hubbard asked if there is an identifier number. Ms. Trunso said it depends on the state whether there is an identifier number or linked to TEDs. She also stated that the survey is revised once every three years and there's an annual census. The response time allocated to do the survey is 35 minutes. Ms. Trunso quoted the cost of survey at $ 2 million plus $200,000 for maintaining I-SATS. She also explained the process of the survey. First there is a mailing which yields a response rate of 25 percent. Then a reminder post card is sent out and there's a second mailing. Reminder phone calls start after the second mailing and information is gathered over the phone at this point. It takes about six months to collect everything and there are approximately 13,000 facilities in the end. Dr. Stein asked Ms. Trunso if there was any reason why we shouldn't use the facilities listed in the survey. She replied that she didn't see any reason not to use the data. It is continuously updated and has been successfully used by a number of specialty surveys, CSAT, and OAS, which does the Alcohol & Drug Services study. She recommended starting with the 80 percent approved facilities in I-SATS. There are addresses and phone numbers in this survey and each location has an identifier. Deb Trunso subsequently asked for comments and questions. Some of the group's input is as follows: Mary Beth Johnson commented that staff in these facilities could be participating in ATTC activities. Then Bob Hubbard calculated the cost of an individual survey, which is about $150.00. Hannah Knudsen was asked how Paul Roman conducts his surveys. She said most of his surveys are done face-to-face. The agencies give names of counselors. Some, however, choose not to give these names. Each survey is addressed to the counselor at the agency address. The groups also discussed the issue of not having a list for every employee. We need to do the survey on a state or ATTC regional level, otherwise it is not useful. Factors to consider are, 1) Level of analysis, 2) How representative is the survey?, 3) Level of precision. It follows that the survey needs a balance, given cost constraints. A 10 minute break was given after this discussion. 6 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD Refining the Questions Break-out sessions Discussion and Report Outs – 2:40 pm – 4:45 pm Robert Atanda started by reviewing the group discussion process and questions. Then the Break-out sessions began. (See Refining the Questions Report-out PowerPoint slides – Refining the Questions.doc) The groups gave input to the leaders who rotated to each group asking for feedback to their assigned question. You can find these Discussion notes on the Word document labeled Discussion Notes from April 6&7.doc. Each leader reported on the discussion and thoughts regarding their assigned question. Question #1: Led by Nancy Roget What are the demographics of the workforce? The following are the compiled comments and questions of the group's discussion: Who are we surveying? Is it a Counselors or Directors survey? We need to differentiate between the two. We need to describe the frontline staff. We need to consider the following demographics: Recovery status – Is this the reason why they are entering the field? Tobacco usage Criminal background – Do they have an arrest record? Education level Credentialed?/Licensed? – What do you have? Are you looking to be licensed and/or credentialed? What supports do you need to go back to school? Degrees do you have? – Other educational goals? Age entering field Salary questions – annual vs hourly Benefits receiving (retirement, health insurance, vacation, sick leave, etc.) Benefits you would like to have? Tenure Part-time or Full time Marital status Dependents Income (total household) Where do you plan to be in five years from now? Technology questions: Do you have e-mail? Do you or will you have electronic records? Use web-based system? Telemedicine Agency demographics – annual budget/ unfilled positions/ marketing efforts 1st, 2nd or 3rd career? Contract or Employee Case load size Age Primary wage earner or secondary 7 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD How many jobs do you have? Primary place of employment Perception of labor market/other agencies Transportation issues: Commute? How many hours/miles? Where do you live/work? (setting – suburban, urban, or rural?) What does recovery mean? (12-step, came from a methadone program, etc.) Race How many agencies have you worked for? Does your agency do anything for those in recovery? Question #2: Led by Anne Helene Skinstad What are the anticipated workforce development needs for 2010-2015? She reported that the group wanted to define the key points. The following is her compiled list: We need to define the workforce: clinical directors, line staff and clinical supervisors What is the recovery/non-recovery status in terms of education needs? Are there needs for further education? For people in recovery – What is the training need? How flexible will the agency be if the employee wants further education? Is this a reason people leave if they don't get further education? How much education did they initially get? There is a need for three types of surveys. Clinical Directors may know more about future needs of the workforce. Are there HR Directors who oversee future/developmental needs in the workforce? Are we/the workforce working with primary care physicians? Ask about workload – not just caseload (paperwork, meetings, etc.) CEO & Clinical Supervisors take part in sustaining the org. & financially supporting the organization. We need to have questions related to this subject. Stigma of profession and clients – How does this affect the needs of training/support in the workforce? Recovery-Oriented area – how does this affect our training needs and for changing perception? How do our colleagues feel respected for what they do? Do they feel respected? How does this affect the workforce (stigma) We need to develop questions for clinical supervisors. How much training to clinical supervisors receive? How important are clinical supervisors? What are the Challenges? How to change expectations of caseload? How to change expectation for education and how does this impact the feeling of being overwhelmed? How to measure agreement between the various levels? Organizational size? -- How does this impact the support of educational needs, training needs, clinical supervision, etc.? If the clinical supervisor is also the CEO and HR person, how does this affect workforce needs? How do we measure core competencies? (TAP 21 used with performance appraisal) – Could we find out how counselors rate in these areas? 8 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD Educational background on program directors, those who had business degrees – seemed to enhance to use of evidence-based practices. There was greater likelihood that these practices would be implemented. Wrap-up - 4:45 pm – 5:00 pm The day ended before question #3 could be discussed. The meeting was adjourned for the day and question #3 was tabled for the following day. Flo Stein and Anne Helene Skinstad left for the airport. A de-brief meeting with Jack Stein was held afterwards and the most highlighted topic was the lack of funding available. This came about due to the researchers request for some kind of budget number. This discussion led to a new proposal, which is presented by Cathy Nugent at the beginning of day two. Day Two – Tuesday, April 9, 2008 Reconvene, Agenda Review and Discussion – 8:30 am – 10:30 am The Workforce Survey Expert Panel re-convened and Cathy Nugent began the day by thanking the group for yesterday's input and discussion. Mary Beth then reviewed the day's agenda. There was some initial discussion of how difficult, given the budget constraints, it will be to do a robust workforce survey. Cathy Nugent said that the ATTC Network is under-resourced to do a survey of the directors and the workforce, and we also don't have a list of the workforce. Per the debrief conversation with Jack Stein yesterday, it might be possible to do a survey of the directors of treatment agencies electronically, which would also facilitate the process. Ms. Nugent's proposal was to do some focus groups with providers. These groups would allow CSAT to get some qualitative information about maintaining and retaining the workforce and help inform some questions that would go on a director's survey. Then we can do a survey of directors, which seems to be more feasible. The survey would include questions addressing the universe of people providing frontline treatment and recovery services. Perhaps this would also lay the groundwork for a researcher to come with a proposal to NIDA to do a larger survey of the workforce. There were several comments from the group. To begin, Bob Hubbard thought that this seemed to be a very realistic approach. He said focus groups can help us define the questions. The following are the comments, questions and suggestions from this discussion: Don't underestimate the work done by part-time and volunteers. Don't miss this group. Ask salary questions. You can get an average salary from a director. What are the HR policies? How do you recruit? What are the standards for hiring? What approaches work? Include some items that would inform further studies of the providers (with more resources). Seems to be a more cost effective approach. Perhaps 1-$2,000 per group for travel and incentives and use 3-4 groups per region. Get some larger groups to "host" the group instead of trying to find a spot. Still have some leg work in identifying directors still to do. 9 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD Probably can get a little bit of individual data, but not much. What is the selection criteria/composition of the focus groups and how many per region? Where to do the focus groups? Summer Institutes, NAADAC, SAAS Need to identify the directors – which ones in an organization will we survey? This is a resource issue: follow-up with directors vs focus groups Is this a facility survey? We need to be clear about our research questions. This simplifies the process. Define terms of directors and clarify terminology. Much more manageable process/survey. This approach would help us define the work force more clearly and it would yield more reliable data then we currently have. SAMHSA can define the workforce systematically with limited resources. There's a need to bring the scale down given resources. Could we use the standard director's survey we already have? Need to explore all our resources (certification, etc.) Department of Labor – does a door to door survey. We should look at these resources. Directors only survey – define what we mean. This focus will cost more for certain regions. This may be difficult in some regions than others to do focus groups. Target only publically funded facilities getting block grant money. Build these groups on already planned trainings, etc. Who can answer the salary questions? Is it the directors? Directors can download the form and ask others to gather the information. Identify items where directors answer only. Highlight these. There is concern about the respondent burden. Do a facility survey similar to the N-SSATS instead of the Director Survey. Identify positions at the facility level. (I-SATS) Send out in tandem to N-SSATS survey. Conduct focus groups of frontline workers. Are phone interviews an option? Maybe a compensated interview? This is an opportunity to standardize questions. It cuts down on travel time. Does take some manpower. Identify Clinical Supervisors leaders to talk to for developing the survey. – Identify key informants. Maybe use a combination of focus groups, existing lists, etc. Look at how these things converge. Important to sample the domain properly. Maybe this is a three part study: 1. Review/use what is already available. 2. Focus groups/clinical supervisor interviews 3. Directors/facilities survey to compliment N-SSATS. Make this project smaller and tighter so that we can confidently answer some definitive questions. Cathy Nugent stated that the National registry goes way beyond scope of this project. Have this project as a separate project. Add questions to the N-SSAT survey. Need information about facilities in survey. 10 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD There is a need to be more grounded or familiar with N-SSATS data and the I-SATS survey. OEM clearance until 2010? Is there a different way to piggy back on N-SSATS? Suggestion: Review the Research Questions, given this new approach. There was a fifteen break given after this discussion and then Mike Shafer reported. Report-Out Continuation – 10:45 am – 11:30 am Question # 3: Led by Mike Shafer What are the common strategies & methodologies to prepare, retain and maintain the workforce? (See Refining the Questions Report-out PowerPoint slides – Refining the Questions.ppt) The comments and questions he reported are as follows: How do we model the movement within the agency? Within this loosely bounded system of agencies, there's potential movement within an agency; potential movement between the organizations; and movement in and out of the bounded system? There are also public and private distinctions. Where do you draw the line between these two? There's the Substance Abuse workforce vs the Mental Health workforce vs Behavioral Health Care Industry workforce which are serving a multitude of agency systems. The question becomes - How do we model this system? Compensation is not the driver for those to leave the behavioral health field. It is much more influenced by Workplace culture. The concepts of procedural justice, distributive justice, professional autonomy and professional self efficacy measures seem to be also influential factors. Try to tap into not only the frequency and quality of Clinical Supervision but Organizational Management, in which Clinical Supervision is just one aspect. How can we characterize the workplace culture? Aspects of Compensation, Benefits, and Leave policies are critical here. Performance Based Rewards. Talked about more privatized agencies such as in Arizona who offer rewards on billable hours. Simple Recognition (preferred parking) Are there interagency opportunities with organizations for bringing in the money or providing good quality care? These are all known to be drivers in retention. Are there organizational opportunities for advancement? Are there opportunities for incentives which are associated with career laddering? Example: If I would go back to school or obtain my certification, will this raise my base pay? What is the Workforce that we're studying? We need more clarity. We need to ask more questions about the primary client base. Ask individuals: Did you work primarily in a substance abuse agency or a mental health agency previously? What is the primary composition of your caseload and how does that compare to the job you had prior to this one? Comments: Summary: What does the workforce look like? How are they supported? What is the movement of individuals in and between organizations? 11 Workforce Development Expert Panel Meeting April 7 & 8, 2008 SAMHSA/CSAT Office, Rockville MD Opportunity for Network analysis. What kind of expected behaviors occur? Might be an opportunity to pinpoint the kind of trainings are created. Professional organization affiliation might be of interest to the field. – Professional organizations and provider organizations. What is the recovery status? What is the treatment approach? Questions related to their philosophy. Is there recovery support provided? Is there recovery community support for the workforce? Are there policies in place? What are your experiences, if you're in recovery, with recovery support? What might you find? What is the level of care agencies are providing? Are core functions provided? What services are provided? Are there policies for relapse? Are there wellness programs? Next Steps - 11:30 – 12 noon Discussion began regarding the next steps towards a National Workforce Survey. Comments are documented on the Word document labeled Discussion Notes from April 6&7.doc. Wrap-up – 12 noon – 12:30 pm Wrap-up comments are also included in the Word document labeled Discussion Notes from April 6&7.doc. Meeting Adjourned. Addendum: Welcome (Welcome.ppt) Review of ATTC Survey Activities (Review ATTC Survey Activities.ppt) National ATTC Evaluation (Overview of National ATTC Evaluation.ppt) Drug and Alcohol Services Information System's Inventory of SA Treatment Services (N-SSATS_2.ppt) Flip chart discussion notes (Discussion Notes.doc) Report Out – PowerPoint document. – (Refining the Questions.ppt) 12


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CCV Backpressure causing oil leak? CPO issues
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Originally Posted by
If anyone cares, they are replacing the CCV/valve cover to compensate the pressure issues.
I still don't understand why they will not cover the Oil feed line for the bank one turbo. Any ideas on why?
Trust me...I have been going thru this to...same thing I bet ya...they said mine was because of a CP
yeah sure! I have a oil leaking fron the oil line on the turbo and they still didn't investigate it....I had smoke coming out of my tailpipes when the car sat (oil dripping into housing of turbo)....took the car back but this time I actually set a trap...I but tape inside the hex bolts on the engine cover to see if they where even doing any thing to my car or just guessing. Got the car back and the tape was untouched...by bottom tray was never removed either. They basically saw my car and said this is what it is .......funny I got 3 different diagnosis for the same problem. They then said since I have a CP and no diverted valves it was screwing with crankcase pressure.....I said "funny the diverted valves vent into the the induction of the turbo....not possible". They are idiots in my book.......they dont know shit about these cars honestly....at least not over here lol!! I agree though...it could be your valve cover because they can get clogged...I would go see the PCV thread "rob beck" has and get one of his upgraded valves "AFTER" they install your new one. Keep us updated please, would like to know the outcome of this.
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Abby Wambach Is Now The Highest-Scoring Women's Soccer Player In History
Mia Hamm can suck on it. Just kidding, they're friends.
Mia Hamm can suck on it. Just kidding, they're friends.
Logan Rhoades a year ago 36 responses
The U.S. Women's National Team won gold today. This is how.
Kevin Lincoln 2 years ago 85 responses
Kicked in the face, KNEED IN THE FACE, and then someone scores between her legs. Just goes to show that the Olympics aren't all fun.
Kevin Lincoln 2 years ago 24 responses
Ridiculous and kind of awesome. After scoring her second goal in the US's first Olympic soccer match, announcer Arlo White used a common soccer saying that has finds meaning with the talented forward.
Jack Moore 2 years ago 3 responses
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BuzzFeed is currently working with select partners to help them track what's hot on their sites using the same advanced social tracking and analytics tools used on BuzzFeed.com.
If you're interested, contact us at firstname.lastname@example.com.


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Shuttle Run is currently on vacation, but expects to return in the Fall after Big Bear closes. We will post any new info as it develops. Have a great summer and look for me on my new 650B.
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It looks like Maxim magazine will be attempting to set up a photo shoot with AJ Lee, so that the WWE diva can be featured on the cover of an upcoming issue. They recently conducted a poll, and she managed to beat out more known female celebrities.
Mr Anderson was written off of television on Impact Wrestling, and he's also now the father of newborn twins, so that led many to believe that he was going to be skipping the current European tour that TNA is on. However, it has now been confirmed that he is overseas with the company.
Former TNA World Heavyweight Champion Mr Anderson revealed on Instagram that he is now a father after his wife gave birth to twins. His daughter is named Prescott Liberty Anderson, while his son is Pearce Remington Anderson.


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Sales Manager Jobs in Chantilly, Virginia
152 Chantilly, VA Sales Manager jobs found on Monster.Jobs 1 to 20 of 152
Multi-million dollar veterinary distributor seeks a professional and driven Territory Sales Manager in the Fairfax VA area. Successful candidates must have no less than 3 years of successful outside sales experience of tangible products. Candidates without this experience will not be considered. Veterinary related product knowledge desired. Veterinary technician background a plus. Must have except...
This is an outbound sales position, responsible for growing revenue by calling on prospective direct customers and channel partners. The role is responsible for all sales activities, from lead generation through close in an assigned territory that will be account name-based and is expected to develop and implement an effective sales strategy to meet personal quota goals and corporate revenue goals...
Overview: As a Sales Manager, you will support My Macy's by driving sales and selling with focus on the Macy's customer. All activities related to presenting a clean, neat and organized shopping environment for our customers are under your direction. With training, coaching and development, a team of Associates will grow following your leadership. Key Accountabilities: Sales - Drive and exceed...
SCOPE: Accountable for providing administrative, analytical, research, development, and marketing/technical support to the residential relocation, national account, government, and other household goods sales teams. Support may include coordinating promotional activities, support marketing initiatives, proposal response activities and construction; sending sales materials to potential prospects, ...
Overview: As a Sales Manager overseeing cosmetics & fragrances, you will drive sales and selling through focused execution of My Macy's, Omni-channel, and Magic Selling initiatives. Through training, coaching, and development, a team of Counter Managers, Beauty Advisors and Make-up Artists will grow following your leadership, and enable you to advance your business, leverage product knowledge, an...
TruGreen is committed to Diversity and Inclusion. We encourage diverse candidates to apply to this position. An Equal Opportunity/ Affirmative Action Employer EOE of Minorities/Females/Vets/Disability Position Overview: Responsible for the development and performance of all sales activities within an assigned TruGreen branch. Staffs and leads a sales team to boost sales volume and maximize pro...
Position Name: Sr. Offshore Solutions Sales Manager Location: Herndon, VA The candidate must have experience to sell these offshore technology solutions in the Financial Services, Higher Education, Media, and High Tech industries. In this role, the candidate will need to have a hunter mentality and be able to prospect for new business based on leads provided from our Marketing team or leads gene...
Fortessa Tableware Solutions LLC, is an integrated designer, developer and marketer of tableware serving the top 30% of the global market. We are looking for an aggressive Sales Manager to manage key accounts and drive new business development. Responsibilities include national account presentations, forecasting, business analysis, and working with our product management team. This position is av...
Sales, Team Management and Industry experience are a MUST. Please review the job description prior to sending resumes. Cogent Communications is a multinational, Tier 1 facilities-based ISP, consistently ranked as one of the top five networks in the world and is publicly traded on the NASDAQ Stock Market under the ticker symbol CCOI. Cogent specializes in providing businesses with high speed Inter...
K. Hovnanian Companies Chantilly, VA, 22022
K. Hovnanian has an exciting opportunity for a motivated General Sales Manager to join our dynamic team. You will be responsible for the overall sales success of multiple communities under your supervision. As General Sales manager, you will: • Help to insure incremental sales above and beyond community plan. • Help to ensure Sales Consultant meets and exceeds monthly, quarterly and yearly goals...
Food Lion, LLC Chantilly, VA, 22022
Job Title: FT Assistant Customer Service Sales Manager - Food Lion Job Location: Job Duties: Responsible for assisting the store team to build sales and achieve sales goals and for maintaining standards according to the Front End Standard Practice Manual, proper completion and maintenance of all store office functions and the training of Front End Sales Assistants on customer service procedures...
Overview: Serve as Senior Inside Sales Manager for the Capital Region Responsibilities: Oversees the application of the Company's Relationship Based Sales (RBS) Process. Refines and enhances sales processes to improve efficiency and effectiveness. Implement quality, safety, and Beyond Zero program to promote an incident and injury free culture. Collaborate with Sales Lead and Capture Manager/Op...
Overview: Outside Sales Manager III in the Capital Region for the Jacobs Technology Home Office Responsibilities: Responsible for developing, maintaining and advancing client relationships through sales strategies and client contacts in alignment with the Jacobs strategic business development plan. Conducts the research and analysis of business opportunities within an identified target market....
Wireless Advocates Chantilly, VA, 22022
Department: Field Office: NEC - 334 - Chantilly Location: Chantilly, VA S ERVICE. I NTEGRITY. D ETERMINATION. E NTHUSIASM. Shape the way we connect. Founded in 2004 and headquartered in Seattle, WA, Wireless Advocates is a third-party provider of wireless products, and services both online and in more than 1,000 retail locations nationwide. In partnership with Fortune 200 channel partners and...
Job Summary: Focus on the operations of the sales unit and the recruitment and development of sales agents to achieve established goals and objectives. Duties and Responsibilities: • Recruit and develop talented sales agents, reflecting equal opportunity guidelines. • Develop and manage sales activities. • Assure that Marketing Action Plan goals are met by all agents in the unit. • Develop ap...
Job Summary: Responsible for the entire sales office and the establishment and achievement of company and branch goals by successfully recruiting and developing new agents and managers and following acceptable branch procedures for operation. Duties and Responsibilities: • Develop Field Trainers to Unit Sales Manager and Unit Sales Supervisor roles. • Manage customer acquisition process for bra...
CutOn Power is looking for an experienced Sales Manager to manage sales, trade shows, and events for residential and commercial standby generators, portable generators, and equipment. • This position will place a heavy emphasis to identify, pursue, grow, and close new and existing client base of the following • Electrical, Design, and Consulting Engineers • Electrical Contractors • General Con...
Hyatt Herndon, VA, 20171
At Hyatt, we believe our guests select Hyatt because of our caring and attentive associates who are focused on providing efficient service and meaningful experiences. The Sales Manager is a fully competent individual who has experience in the sales process and function of a hotel. Responsibilities include selling guest rooms, meeting space and other Hyatt services to customer groups, managing acc...
Exelis Herndon, VA, 20171
Exelis C4i is a leading supplier of IP based voice communication solutions and radio dispatch consoles to Public Safety, Utility, Transportation and Government customers. Our SwitchPlusIP suite of products and integrated solutions provide strong growth opportunities for the right sales professional. We are looking for a Sales Manager with a background in selling and marketing integrated radio an...
Gold's Gym Herndon, VA, 20171
*Country:* US *City:* Herndon *Department:* Candidate *Location Name:* Clock Tower - 0702 *Postal Code:* 20171 *State:* VA *Location Address:* 2445 Centerville Road...
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Sales Career Tools
Sales Manager
$34,320.00 - $319,200.00
Typical Salary for Sales Manager in Chantilly
(18 Respondents)
Source: Monster.com Careerbenchmarking Tool
Education / Training
High School
Some College Coursework Completed
(12 Respondents)
Source: Monster.com Careerbenchmarking Tool
Sales Manager
Directs distribution of a product; sells products by implementing sales plans; supervises sales staff; analyzes sales statistics; forecasts future sales; manages customer relationships.
Rate of Growth
11.70 %
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Related Skills
Active listening
Building Relationships
Decision Making
Related Duties
Assess marketing potential of new and existing channels of distribution by considering statistics and expenditures.
Maintains sales volume, product mix, and selling price by keeping current with supply and demand, changing trends, economic indicators, and competitors.
Popular Sales Manager Articles
Sample Resume for a Sales Manager
Does your resume effectively sell your track record in sales? This resume sample for a midlevel sales manager will show you how it can.
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solar charger for Canon battery
Last response: in Digital Camera
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Small, single-engine plane crashes off Florida Keys near Marathon, boaters come to rescue
MARATHON , Fla. (AP) — Authorities say three people were rescued when a single-engine plane crashed into the water off the Florida Keys.
The accident happened Monday near Marathon.
Miami television station WPLG reports boaters helped rescue the people aboard the plane.
Officials say the plane's occupants were not injured. The television station reports they were taken to shore by a local fisherman while other boaters pulled the plane into shallow water.
The Federal Aviation Administration is investigating the crash. FAA records show the plane is owned by Conch Air Corp., based in Marathon.


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Athletics News |
Gretchen Waters
Gretchen Waters has been with NovaCare Rehabilitation, a partner with the University of Cincinnati athletics department since 2010. Named an associate athletic trainer in March 2012, Waters works primarily with the women's soccer, cheerleading and dance teams and has adopted an administrative role within the sports medicine department.
Waters is currently updating and revising department policies, procedures and emergency action plans for varsity facilities as well as serving as the department liaison for the athletic training education program.
In spring 2011 Waters was a member of the insurance reform committee. The committee was designed as an internal audit of the Athletic Departments Insurance Policy compliance. The creation of the Insurance Reform Committee lead to the development of the current insurance policy, the self- funded secondary insurance program currently employed by the department, and a more efficient health care system for UC Athletics.
Waters earned a bachelor's degree in health promotion and education from Cincinnati in 2008. She received a master's in biomechanics from the University of Kentucky in 2010. She worked as an athletic trainer intern at UC during the 2010-11 academic year.
Women's Sports Basketball Cross Country Golf Lacrosse Soccer Softball Swimming & Diving Tennis Track & Field Volleyball
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File:Pakkahuoneenkatu 21 Oulu 20100116.JPG
File:Merijalinranta Oulu 20130914.JPG
Apartment buildings in Etu-Lyötty neighbourhood in Oulu.
Kulma apartment building in Oulu, Finland. It was built in 1922.
An apartment building at Uusikatu street in Oulu.
An apartment house in the Pokkinen neighbourhood in Oulu. Completed in 1939.
The former digester plant of Toppila pulp mill in Oulu has been converted to apartments to be rented for young people. The factory was built in 1931, the modifications were completed in 1994.
The Nuottala apartment building in the winter night. The building was designed by architect Erkki Huttunen and completed in 1949.
Meritulli Apartment Buildings near the city centre in Oulu, Finland.
Tuiranväylä Bridge and Toivoniemi apartment buildings in the winter night.
Patosilta (Dam bridge) in Oulu. Toivoniemi apartment buildings in the background.


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Tiger 2
by Thefunctionalfox
Stationery Cards
Set of folded stationery cards printed on bright white, smooth card stock to bring your personal artistic style to everyday correspondence. Each card is blank on the inside and includes a soft white, European fold envelope for mailing.
Another digital tiger print
- 10Promote


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"Where do you want me to come?"If this is what passes for early-twentysomething relationships, I'm not surprised that DTMFA is the status quo on AskMeFi.
"Tell me..."
"What are the choices?"
"Those little tits?"
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« Older Luis von Ahn has spoken about the idea of Human Co... | Horacio Coppola has died aged ... Newer »
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text: Will IBM's Watson put your job in jeopardy? E-mail Tweet Facebook Google Plus Linkedin Share icons by Fortune Editors @FortuneMagazine February 15, 2011, 2:18 PM EDT If IBM's supercomputer outperforms some of Jeopardy!'s greatest minds, what does that spell for the rest of us working stiffs? As it turns out, workers may have some cause for concern. By Martin Ford, contributor This week's showdown between IBM's Watson supercomputer and the world's top Jeopardy! players raises several questions on the impact that artificial intelligence will have on the future job market. After all, if a machine can beat humans at Jeopardy!, will computers soon be competing with people for knowledge-based jobs? If IBM's IBM hopes for the technology are realized, workers may, in fact, have cause for concern. The company's website says that "Watson's first test will be on Jeopardy!, but the real test will be applying the underlying data management and analytics technology across different industries." In a video describing Watson, an IBM executive says the technology "will revolutionize industries at a level which has never been done before." Unlike other advanced software applications, Watson has a command of natural language, it can simultaneously launch hundreds of information-seeking algorithms, and, perhaps most importantly, it has the ability to learn and improve its performance over time. (more…)


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Take the weather with me:
Mostly sunny with temperatures warming rapidly into the mid to upper 70s. Winds SSW at 10 to 15 mph. Hourly Details
Plenty of sunshine. High near 85F. Winds SSW at 10 to 20 mph.
Clear skies. Low 64F. Winds S at 10 to 20 mph.
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martysimpson's Video ChannelLast Updated 2013-07-08T16:21:47
The Pregnidgerator by Marty Simpson
Never pay movie going gouger prices again! Sneak your food into the movies without getting caught... with THE PREGNIDGERATOR!
Check out http://pregnidgerator.com for the blog and details about all the shenanigans and to see a list of the Kickstarter backers.
The Pregnidgerator was invented and written by Marty Simpson.
Additional dialogue was provided by Jonnie W.
Original music by Allen Simpson.
Leading Lady: Vicky Saye Henderson
Special thanks to Tim Hawkins for playing along. If you don't know who he is then just type his name in the search bar at the top and watch any video that pops up (like 100 milion other people have already done.) The man is hilarious. He's even a better dude.
Posted 2013-07-08T16:21:47
387 viewsView comments, related videos & more
Uploads (1)RSS This PageSee all uploads
- The Pregnidgerator by Marty Simpsonmartysimpson00:02:58387 views
- The Pregnidgerator by Marty Simpsonmartysimpson00:02:58387 views


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When Danny Brown tells you to rub them titties at Bardot, you will motherfucking obey. That's because you'll be inundated with propaganda of the highest order. And when we say "propaganda of the highest order," we mean a VJ set from graphic art star Shepard Fairey. Yeah, Brown and Fairey are team ... More >>
Deep beneath the Shelborne Hotel, Studio is an underground haven for karaoke connoisseurs
Resilient chanteuse Faith Evans is coming to town, but don't test her!


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very very nicely done :)
Important News about the DBH Daily Contest »
30 Comments
nintendodude Human from
yeah i remember this. like it!
really awesome!
dandingeroz Artist from Philippines
awesome!! +
cool +1
ScarlettVeith Artist from United Kingdom
Great resub – I think I prefer this even more than the last one +1
thanks everyone for the comments and votes
Man, it really wonderful on the tee. +1
AgostoFilipino Artist from Manila, Philippines
even without the "print is dead"
Please log in to add your comment.


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The Orioles will face Yankees ace CC Sabathia today, and manager Buck Showalter's starting lineup offers a few tweaks from the one we're used to seeing against left-handed pitching.
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Also, second baseman Robert Andino, who usually bats ninth when he's in the starting lineup, will hit second. He's a career .400 hitter against Sabathia (8-for-20) with one home run and three RBIs.
Other Orioles who have had success against Sabathia include J.J. Hardy (.357, 5-for-14) and Adam Jones (.342 avg, 13-for-38, 3 homers, 10 RBIs).
"There's not many positive matchups with Sabathia out there and we only have three or four guys that have had much success against him, but I think there's a lot of clubs that can say that," Showalter said.
"And when you are dealing with a guy like him, you don't really think about how the eighth or ninth inning may play out of the bullpen because until you get him out of the game," Showalter added. "This guy is going to go 120 pitches, it doesn't really matter. You've got to figure out the best way to get him out of the game."
The top four hitters in Showalter's revamped lineup -- Nick Markakis, Andino, Hardy and Jones -- are a combined .309 (38-for-128) in their careers against Sabathia.
Showalter is also giving starting catcher Matt Wieters a day off. He's caught eight days in a row -- his last day off was Aug. 30 -- and Showalter says he's "really been pushing the envelope" with using Wieters. Taylor Teagarden will start and hit ninth.
"I think it makes us a better club and makes him a better player," Showalter said of giving Wieters a day off. "I don't want to take him for granted. I don't want to make that mistake."
Here's what else is going on:
-- Right-hander Chris Tillman (inflamed ulnar nerve in right elbow), who was slated to throw off a mound for the first time since coming out of a game after three innings Sunday, was moved back "a day or two" in order to allow the anti-inflammatory meds to take effect.
"[The doctors] thought it would be prudent to give him another day or two to make sure we get all that inflammation out of there if there is any left," Showalter said. "I don't think Tilly is real happy about it but it's the proper thing to do precautionary wise."
-- After Jones told the Sun on Friday that he wants to play all 162 games this season, Showalter said at this point in the season, it's expected he plays in every game.
-- Yankees first baseman and Severna Park native Mark Teixeira (Mount St. Joe's), who had been on the DL with a strained left calf, will return to the Yankees' lineup tonight, playing first and batting third.
-- Showalter, a huge college football fan, jokingly asked the score the Mississippi State-Auburn game several times during his pregame press conference. Showalter attended college at Mississippi State, which upset Auburn. 28-10.
Here are tonight's starting lineups:
Nick Markakis RF


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Bears Waive QB Enderle
June 14, 2012 4:09 PM
The Boers and Bernstein Show Read More
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(CBS) The Chicago Bears have waived quarterback Nathan Enderle.
Enderle was selected by the Bears in the fifth round (160th overall) of the 2011 NFL Draft. He was on the active roster during the 2011 regular season but did not appear in any games.


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Jefferson Farfan scored in the 82nd minute to give Schalke a 1-0 victory over Bayer Leverkusen at the BayArena in Leverkusen.
Schalke manager Huub Stevens stuck with young Lars Unnerstall in goal instead of throwing new signing Timo Hildebrand into the fire immediately. Unnerstall did well to keep the ball out of his own net and showed why he would fight to remain the Schalke number one over Hildebrand.
Leverkusen did breach the Schalke goal once, but Michael Ballack's strike was called back for offside. Ballack was also involved in a bust-up with Schalke midfielder Jermaine Jones, and Stevens made no bones about giving the former Germany international a piece of his mind.
The victory for Schalke moves them to third in the table just four points behind leaders Bayern Munich who are in action against Hannover 96 today. They also now sit just one point behind rival Borussia Dortmund. The loss keeps Leverkusen down in 9th place.


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Schmetterlinghaus im Palmenhaus Burggarten Hofburg Wien Austria,
Vienna butterfly house,
Dom motýľov Viedeň
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|By Liz McMillan
Article Rating:
|September 7, 2012 05:00 AM EDT
Cloud Expo Silicon Valley $500 Savings here!
Next-generation cloud service management software will offer service brokering capabilities. A broker allows the federation of resources across heterogeneous Cloud Service Providers and thus plays an important role in avoiding vendor lock-in.
In his session at the 11th International Cloud Expo, Jamie Marshall, CTO of Prologue (France), will provide an overview of the architecture of an open source cloud service broker that would allow for the description, provision, deployment and management of any type or configuration of cloud services delivered by heterogeneous cloud service providers in accordance with a consumer's SLA. He will end with a live demonstration showing how a federation of multiple OpenStack providers can be managed by CompatibleOne, an open source cloud service broker, in a multi-cloud environment.
Explore Cloud Expo Sponsorship & Exhibit Opportunities !
Speaker Bio:
Jamie Marshall is the CTO of Prologue (France), a renowned industry leader in the field of cloud computing. He is the author of the business application languages ABAL and ABAL++ based on virtual microprocessor technologies and precursors to Java. He has been working in this field for the past 25 years.
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Cloud Expo Silicon Valley will attract more than 10,000 delegates from 48 countries and over 200 sponsors and exhibitors!
All main layers of the Cloud ecosystem will be represented at the 10th International Cloud Expo - the infrastructure players, the platform providers, and those offering applications, and they'll all be here to speak, sponsor, exhibit and network.
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SYS-CON Media (www.sys-con.com) has since 1994 been connecting technology companies and customers through a comprehensive content stream at www.sys-con.com - featuring over forty focused subject areas, from Cloud Computing to Web Security - interwoven with market-leading full-scale conferences produced by SYS-CON Events. The company's internationally recognized brands include among others Cloud Expo (www.CloudComputingExpo.com), Big Data Expo (http://BigDataExpo.net), Virtualization Conference & Expo (www.VirtualizationConference.com), Government IT Conference & Expo (www.GovITExpo.com), Cloud Computing Bootcamp (www.CloudComputingBootcamp.com), and UlitzerLive! New Media Conference & Expo (http://events.sys-con.com).
Cloud Expo, Cloud Expo East, Cloud Expo West, Cloud Expo New York, Cloud Expo Silicon Valley, Cloud Expo Europe, Cloud Expo Tokyo, Cloud Expo Prague, Cloud Expo Hong Kong, Cloud Expo Sao Paolo are trademarks and /or registered trademarks (USPTO serial number 85009040) of Cloud Expo, Inc.
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Dave's Whine and Cheese -- Former elected officials of Bell, California were convicted of multiple counts of misappropriation of public funds.
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Who Will Be the Babe of the Month for September?
The cold months are coming but the foxy women are keeping things hot around here!
The cold months are coming but the foxy women are keeping things hot around here!
Alyssa Arce is a 21-year-old model originally from North Myrtle Beach, South Carolina.
Mayra Tinajero is a professional model from San Diego, California.
Erika Schwegler is a 22-year-old Brazilian girl living in sin...city. She currently calls Las Vegas her home.
Christen Dye is a model and actress from Dallas, Texas.
Nikki Blades is professional model and current Maxim Hometown Hottie Finalist.
Valeria Orsini is a 23-year-old model of Colombian, Italian, and Puerto Rican descent. She's originally from Miami, Florida but splits her time between her hometown, Los Angeles and New York City.
Alexis Augusto is a 24-year-old model and former Miami Dolphins cheerleader from Ft. Lauderdale, Florida.
Ayisha Diaz is a Dominican bombshell from New York.
Courtnie Quinlan is a recurring Page 3 girl in the UK newspaper The Sun. We can see those big, beautiful eyes from all the way over in America.


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11 jetliners 'missing' after Islamist takeover of airport
23 minutes ago
Under our Constitution, only Congress has the power of the purse. To formally delegate to the President the power to appropriate funds from the Treasury without stint or limit breaches the separation of powers in fact, if not in form.In short, Section 1311(a) of PPACA is a dangerous, irresponsible, and arguably unconstitutional delegation of money and power to the Executive Branch.Regardless of one's opinions about government-run health care, surely all Americans can agree that this slush fund gives the President -- any President -- too much power.The vote is next week. To learn more about this bill and related issues, visit our Obamacare Repeal War Room.Or go straight to our petition page to send an email to your Congressman.
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Read more here.
Washington (CNSNews.com) – In what the White House calls a push for transparency, a pending executive order would require companies doing business with the federal government to disclose political contributions to independent groups, but would not place the same requirement on public employee unions or federal grant recipients that typically donate to Democrats.Entitled the "Disclosure of Political Spending By Government Contractors," the order would implement parts of the DISCLOSE Act, which failed to get through Congress last year. The legislation sought to restrict campaign speech after the landmark Citizens United vs. Federal Elections Commission U.S. Supreme Court ruling that upheld the right of corporations and unions to donate to campaigns.White House Press Secretary Jay Carney confirmed Monday that work is underway on the draft order, and linked the move to President Obama's stated commitment to transparency.
"We fully acknowledge there is a process underway," he told CNSNews.com. "A draft is just that. It's a draft until it makes its way through the process. The president is committed to transparency and he certainly thinks American taxpayers should know where their money is going."Government contractors are already required to disclose contributions to political candidates. This executive order would require the disclosure of any donations to independent groups, where conservative groups outspent liberal ones in the 2010 election.Senate Minority Leader Mitch McConnell (R-Ky.) said the executive order would stifle free speech.
Rock Island and Mercer counties are two of 14 Illinois counties with more registered voters than actual eligible voters, according to a study by the State Board of Elections.
The report says the disparity was revealed by comparing the number of registered voters in each county to the number of people listed in the 2010 Census as being older than 18 and eligible to vote.
Rock Island County lists 125,875 registered voters, although Census numbers show the county has only 114,359 residents age 18 or older. That means 11,516 people may be deceased or no longer live in the county, according to Rock Island County Clerk Karen Kinney.
The report also shows Mercer County has 14,295 registered voters, while Census numbers show the county has only 12,714 residents age 18 or older.
"We have to purge our records sometime this summer," Mercer County Clerk Phyllis Bewley said....
Other counties with more registered voters than actual eligible voters are Alexander, Clark, Clinton, Hardin, Jasper, Massac, Menard, Ogle, Pulaski, Richland, Stark and Vermilion.
I was looking at the high resolution photos taken of the complex a few weeks ago, and looking at the shots of unit 3 in particular (the 2nd and 5th photos show it best) – because it was the one using the MOX fuel and was also the one most severely damaged by the hydrogen explosions. I'm sure you guys at UCS have already seen these shots, the link and photos are below:
A few days later I came across an article on the disaster over there that had a good cut away diagram of the reactor buildings:
I was struck by the location of the spent fuel pool on the third floor. (The spent fuel pool in the diagram is in the upper right corner of the building to the right of the top of the reactor, below the yellow beam, which is below the large orange girders.Part of the pool is cut away in the diagram, it appears to extend most of the way across about half of the building on the third floor) I went back to the site with the aerial photos and confirmed that the third floor was pretty much entirely obliterated in the explosion. The spent fuel pool is gone… see for yourself.
Today I had another look at the diagram, and noticed something else quite significant that I had missed before. I realized that the top of the primary containment vessel was flush with the floor level of the 4th floor, and that the top of the reactor itself was in the space between the 3rd and 4th floors, partially surrounded by the spent fuel pool.
Look at those photos again, particularly the 5th shot. At the top of the photo you see the skeletal remnants of the wall of the 3rd and 4th floors. It is easy to see the floor level of the third floor – there are two massive steam pipes running behind and below the building…the lower edge of the lower pipe is almost perfectly aligned with the floor level of the 3rd floor. Follow the floor line of the third floor down from that back wall along the right side of the building, then across the front side of the building near the bottom of the photo. That shows you the floor level of the 3rd floor very clearly, right? There is nothing but air remaining above that level, except for a bit of roof debris which you can see through. The top of the primary containment vessel, as well as the top of the reactor itself, is simply GONE.
Even to a layperson, it is obvious that this means that the huge hydrogen explosion at unit 3 must have occurred in the reactor itself, and that the entire top of the reactor containment vessel was obliterated, ejecting the contents of the core – as well as the spent fuel pool- into the atmosphere.
This means, obviously, that significant quantities of plutonium were released, and that the release of radiation from unit 3 alone must be many times higher than has been admitted for the entire
complex – Chernobyl pales in comparison.
It is apparent that Tepco, the NRC, and the Japanese and American government officials, among others, are participating in a coverup of the extent and severity of this disaster. This almost certainly applies to the blandly misleading assurances about the harmlessness of the fallout on US soil. The whistle must be blown, loud and clear.
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Prime Minister Benjamin Netanyahu has canceled his date with pop sensation Justin Bieber over the singer's refusal to meet with children living in communities affected by Gaza rocket fire, Channel Two reported on Tuesday.Even worse are the comments on the Haaretz website. A number of commenters say that Bieber is correct because "what about the children of Gaza". That makes no sense. Showing compassion for Israeli children does not take away from other groups of children. I am disappointed with Bieber. How hard is it to meet with Israeli kids?
The prime minister was scheduled to host the young singer at his office in Jerusalem on Wednesday evening, before Bieber's Thursday night concert....
The children had disembarked from a school bus just before it was hit by a Hamas rocket last Thursday, critically wounded a teen and moderately wounding the bus driver.
Bieber reportedly refused to meet the children, which led Netanyahu to cancel the meeting.
The military court issued the sentence against Maikel Nabil Sanad, 26, Sunday without the presence of his lawyers, according to a statement by seven Cairo-based rights groups.
It was the first trial of a blogger by Egypt's military rulers, who took charge of the country after former president Hosni Mubarak was ousted by anti-government protests Feb. 11 after an 18-day popular uprising.
Rights lawyers say the sentence has wide implications for freedom of expression in post-Mubarak Egypt, and could set a precedent for anyone seeking to expose wrongdoing or abuses by the military.
A member of the military council, Maj. Gen. Mohammed al-Assar told an Egyptian private TV station, ONTV, Monday, the armed forces is open to criticism - up to a point.
"There is a difference between criticism with good intentions from a citizen, a journalist or a broadcaster, who mean the public good. There is no problem with that," he said. "The problem is in questioning the intentions (of the army)."
Paris-based Reporters Without Borders said it was "shocked" by the three-year jail sentence, asking the authorities to review it and free him "without delay."
The case against Sanad, who was arrested two weeks ago at his home, was based on a blog post titled "The people and the army were never hand in hand," questioning the military's continued allegiance to Mubarak; as well as Facebook postings reporting allegations of abuse.
"Maikel was posting on his blog news published by rights groups, and newspaper clippings" among other things, said Adel Ramadan, Sanad's lawyer. "The danger extends to all bloggers, rights activists and journalists."
The California Legislature could soon pass a bill that would require school textbooks and teachers to incorporate information on lesbian, gay, bisexual, and transgender (LGBT) Americans into their curriculum.
getty images
The Fair, Accurate, Inclusive and Respectful Education Act, or SB48, which mimics a bill previously vetoed by then-Gov. Arnold Schwarzenegger, made it one step closer to becoming law Tuesday after being approved by the state's Senate Judiciary Committee.
The bill, introduced by state Sen. Mark Leno, could have a nationwide impact if passed because California is such a big buyer of textbooks that publishers often incorporate the state's standards into books distributed to other states.
Supporters say that's a good thing because it will help prevent gay students from being harassed or bullied by their classmates.
But critics say SB48 is just an attempt to brainwash students into becoming pro-gay political activists and ensure that government, not parents, has the final word on teaching kids about moral values.
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Visit msnbc.com for breaking news, world news, and news about the economy
It is a stupid, false choice to say that the Republicans in the House have either to accept the split-the-difference compromise proposed by the Senate on the Continuing Resolution battle or shut down the entire federal government. Nonsense!
Instead, the Republicans should refuse to accept less than $61 billion in cuts and -- if the Senate and Obama refuse -- should target for shutdown a handful of specific and highly unpopular programs and agencies. Why shut down the entire government? Zero fund the State Department or Agency for International Development, thereby suspending all foreign aid. Zero fund the Bonds for America program where the feds pick up the local debt service payments for states and cities. Zero fund the Highway construction program. Any combination of some of these cuts can easily generate $61 billion in cuts (less the $10 billion already cut).
The Obama Administration and the Democrats are posing two false choices for the Republican Party and Speaker John Boehner shows every sign of falling into both traps:
1. The Democrats want to pretend that the choice is between a total government shutdown and compromising on the budget cuts. It's not.
2. They want to sell the notion that you cannot cut the deficit without fundamental changes immediately in Social Security and Medicare. Not true either. Block granting Medicaid and rolling it back to 2008 levels, continuing with cuts in discretionary spending, and limiting deployment in Iraq and Afghanistan to 60,000 troops by 2015 will immediately lower the deficit to less than 4% of GDP from its current perch of 10%. See our book Revolt! for details.
Please! Write your Republican Congressman and ask him or her to stand firm. You got them elected! Don't let them sell us out on a split-the-difference compromise. Don't let them tell us that the Democrats can't find $61 billion of cuts in a $3.7 trillion budget or even in the $750 billion of nondefense discretionary spending. That proposition is laughable.
And tell them not to shut down the government, just shut down the parts we don't like. If the Democrats want to shut down the government in retaliation, a kind of lock-out in retaliation for a strike, let them be our guests!


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5588 results for "heisman"
Heisman Watch
Heisman Watch
Each week, ESPN.com's panel of experts casts its votes for the top Heisman candidates. The panel consists of analysts, former players, former coaches and ESPN.com's college football staff.
Heisman Watch
...SpecialFeature | Conversation | September 02, 2014
Oregon-Michigan State laden with meaningTed Miller
There will be no "real" Rose Bowl on Jan. 1, 2015. The "real" Rose Bowl, whose purity previously had been diluted by the BCS, is a casualty of the College Football Playoff this season. While that will make many of us old fogies wince, the only constr...Blog | September 01, 2014
Video results for "heisman"
Drive Through: Alabama, FSU LacklusterSeptember 01, 2014
College Football MinuteAugust 30, 2014
Todd Gurley's Big Night Leads GeorgiaAugust 30, 2014
The Winston DilemmaAugust 29, 2014
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Audio results for "heisman"
Championship Drive - Recapping Week 1September 01, 2014
Danny Kanell, CFBAugust 29, 2014
The Freddie Coleman ShowAugust 24, 2014
Best of Mike and MikeAugust 15, 2014
Baylor Bears unveil Robert Griffin III statue at new McLane Stadi...
RG III in bronze and boats on the water at Baylor.Story | Conversation | August 31, 2014
Video: Georgia's Gurley punishes ClemsonESPN.com staff
Todd Gurley showed why he is a Heisman contender with a huge night for Georgia against Clemson....Blog | August 30, 2014
Todd Gurley gains Georgia-record 293 all-purpose yards in 45-21 r...
Todd Gurley ran for 198 yards and three TDs, returned a kickoff 100 yards for another score, and No. 12 Georgia routed No. 16 Clemson, 45-21.Recap | Box Score | Conversation | August 30, 2014
Bears waive RB Jordan LynchMichael C. Wright
The Chicago Bears announced they waived running back Jordan Lynch on Friday, in addition to terminating vested veterans Armanti Edwards, Jeron Mastrud, Dennis Roland and Robert Turner. A Heisman Trophy finalist as a quarterback at Northern Illino...Blog | August 29, 2014
Bama battle, LSU phenom key Week 1Chris Low
A lot of us were probably guilty of anointing Jake Coker before he'd ever graced the Alabama practice field. We heard the stories about his bazooka arm, how he pushed eventual Heisman Trophy winner Jameis Winston in the Florida State quarterback r...Blog | August 29, 2014
Johnny Manziel of Cleveland Browns willing to share nickname with...
Johnny Manziel's ready to hand off his nickname. Or at least share it.Story | Conversation | August 29, 2014
Mike & Mike on ESPN Radio: Making a Statement
• ESPN CFB analyst Danny Kanell discusses Kenny Hill's performance against South Carolina, the Josh Shaw situation and Jameis Winston's chances to repeat as Heisman Trophy winner. Kanell -Championship Drive »...Blog | Conversation | August 29, 2014
Johnny Manziel of Cleveland Browns films Snickers adDarren Rovell
He has been called Johnny Football and Johnny Cleveland, but on Thursday, Browns quarterback Johnny Manziel will get a new nickname: Johnny JamBoogie.Story | Conversation | August 28, 2014
Are we too jacked up for Myles Jack?Kevin Gemmell
By the time the 2014 season has come to an end, UCLA's Myles Jack will have tallied 20 sacks and eight interceptions, run for 25 touchdowns, won a Heisman, a national championship, dropped a Grammy-winning album, rescued 17 kittens from trees, cracke...Blog | August 27, 2014
College Football Shootaround: 2014 Predictions We're Bound ...Grantland Staff
The 2014 college football season is rapidly approaching. Are you excited? We're excited! We're also here to help you prep for the impending campaign with a steady stream of preview content. So check back daily (well, not on weeken...Blog | August 26, 2014
QB Curve, Preseason Edition: Can Penn State's Christian Hac...Matt Hinton
The 2014 college football season is rapidly approaching. Are you excited? We're excited! We're also here to help you prep for the impending campaign with a steady stream of preview content. So check back daily (well, not on weeken...Blog | August 26, 2014
Coaches reveal their playoff picksTravis Haney
As we count down 50 days until the start of the 2014 college football season, ESPN Insider Travis Haney is answering at least one big question a day until South Carolina and Texas A&M's kickoff Aug. 28. Heisman contenders, breakout freshmen, con...Blog | August 26, 2014
Betting guide for 2014 season, including playoff, Heisman and sea...Phil Steele and Will Harris
Phil Steele and Will Harris offer up their best value bets for the 2014 college football season, including picks for the College Football Playoff, conference titles, win totals, individual games/lines and the Heisman Trophy.Story | Conversation | August 26, 2014
2014 Preseason Heisman Watch: The Front-runners, Dark Horses, and...Matt Borcas
The 2014 college football season is rapidly approaching. Are you excited? We're excited! We're also here to help you prep for the impending campaign with a steady stream of preview content. So check back daily (well, not on weeken...Blog | August 25, 2014


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Search for Weng Weng, The by Jay Seaver
Creep (2014) by Jay Seaver
Kundo: Age of the Rampant by Jay Seaver
Guardian (2014) by Jay Seaver
As Above, So Below by Jay Seaver
November Man, The by Jay Seaver
Hana-Dama: The Origins by Jay Seaver
Creeping Garden, The by Jay Seaver
Seventh Code by Jay Seaver
Me and You by Peter Sobczynski
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Washington Papers Consolidated Index | O | Observations in Husbandry
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Manatee Diagnostic Center300 Riverside Dr E, Bradenton, FL 34208
(941) 748-8077 Additional Contacts
Manatee Diagnostic Center was organized in 1985 and purchased by Dr. Angus Graham in 1988. Manatee Diagnostic Center West opened its doors in 1993. In 1994, the MRI at Manatee Diagnostic Center was added to the complete our state-of the-art practice. In 1999, the Open MRI Downtown was added to the services provided by Manatee Diagnostic Center, and in 2009, our Parrish and Arcadia offices opened their doors.Manatee Diagnostic Center is committed to the highest standard of excellence and professionalism, with dedication to quality, protection of patient confidentiality and the ability to provide services by means of contractual or other arrangements to all patients without regard to age, race, creed, color, religion, national origin or handicap.Commitment to Quality and Accreditation.We are committed to the highest standards of professional medical practice. Manatee Diagnostic Center was the first medical imaging practice in Manatee county to be fully accredited by the American College of Radiology (ACR). We are also FDA approved and ACR accredited in mammography. Our Ultrasound Department is also accredited by the ACR and by the Intersocietal Commission for the Accreditation for Vascular Laboratories (ICAVL). We are accredited by the Joint Commissions of Accreditation of Healthcare Organizations (JCAHO). Manatee Diagnostic Center was the first medical imaging practice in Manatee County to be fully accredited by all three of these organizations.Manatee Diagnostic Center provides Manatee County's Only Superconducting Open MRI facility, featuring the Toshiba OPART MRI. The OPART uses the same technology originally available only in closed conventional MRI systems, designed for the best image quality and patient comfort.Whichever of our 6 locations you visit: Manatee Diagnostic Center, MRI at Manatee Diagnostic Center, The Open MRI, Manatee Diagnostic Center West, Manatee Diagnostic Center Parrish or Manatee Diagnostic Center Arcadia, be assured that we will treat you with respect while providing the highest standards of professional medical practice.


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Source: Journal of Media Practice, Volume 11, Number 3, 1 November 2010, pp. 300-300(1)
Publisher: Intellect
Document Type: Research Article
DOI: http://dx.doi.org/10.1386/jmpr.11.3.300
Publication date: November 1, 2010


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DIY Furniture
We are quite excited to share a new book from Laurence King Publishing called DIY Furniture: A Step-by-Step Guide by Christopher Stuart of Luur Design. The real coup in this book, however, is not that it comes with a bunch of ideas for desks, and sofas, and chairs, but that they tell you how to make objects by established furniture designers. New York stars Rich Brilliant Willing make an appearance, as do Peter Marigold and Lindsey Adelman and Bec Brittain. The book is well laid out, useful, and inspiring, with projects that even a novice such as I am tempted to try. The furniture itself is on the inexpensive side, and best of all, nothing is made from milk crates. DIY Furniture is out this month and costs $25. Read on for an exclusive look at what's inside.
@current / @total
Peter Fehrentz DIY ProjectsGerman stylist and designer Peter Fehrentz presentes Made by Yourself, a step-by-step book comprising 48 do-it-yourself projects.
The Best of DIY DesignWhen it comes to modern design, we can't all be award-winning, but we can all take on a little DIY now and then. Here, we present some of our favorite DIY supplies and projects from over the years.
Homemade Cookie Stamp
This adorable stamp puts the age-old question to rest, "did you make these from scratch?" Skip the pre-made cookie aisle and pull out Grandma's famous sugar cookie recipe, because you were born to bake, baby.
Sarah PeaseSarah Pease (Rhode Island School of Design), T12 Light, 2011: The T12 light is a shining example of simple, premade materials deployed in an elegant fashion.
DIY Furniture Ideas for Modern MakersDIY Furniture 2 offers instructions and inspiration for furniture making.
Pure and SymbolSteeped in the past but firmly grounded in the present, the designs of Satyendra Pakhalé merge futuristic shapes with centuries-old crafting techniques.
Behind the Scenes at Cosentino's FactoryBeginning in the 1950s, photographers Bernd and Hilla Becher traveled Europe documenting the architecture of industry.
Recycled Road Map Corkboard
It's true, foldout road maps are on the way out. Clean out your glove box and put those old maps to use. Recycled road map corkboards are a quick DIY gift idea for the beloved traveler, geography buff, or your college road trip partner-in-crime.