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» News
Seal's Family
ht. merle
» 13 Comments
How do you put into words, how much your heart breaks for the families of these fallen heroes? I am so greatful for men and women who will put themselves in the gap between us and the 'wolves'. May their values continue to encourage us. May God bless and strengthen these families as they grieve and work to go on without their loved ones.+8
Matt Lauer and NBC should go fuck themselves!
While I respect the family of Aaron Vaughn and their apparent desire to share their grief with the world, I agree with a YouTube video I saw recently concerning the premature disclosure of info pertaining to special ops and the deaths in Afghanistan.
As a nation at war, I don't believe we should be telling our enemies that they killed our best fighters. I also don't believe the special ops guys' families should be having "Oprah" moments on NBC. Yes, they have a right to grieve, but their loved ones chose a career that deals with life, and death, from a very specific point of view. That is what makes Spec Ops guys 'special'!Noteworthy Comment +12
The brave young men and women in our Military have more courage, conviction, and love of Country in thier pinkies than all of the winey progressive – liberal asswipes put together.+8
My heart goes out to the family of Aaron Vaughn; my thoughts and prayers are with them. I believe their message was best summed up by Billy Vaughn telling Matt about the sheep dogs, sheep and wolves, and referring to sheep in high places blowing the team's cover after the Bin Laden raid leading to this attack. Their exemplary son was the antithesis of those who are in power and "leading" our Republic down a path of ruin.+7
I must agree with geofraz. This war is ongoing. The families of these great men should not be exposed. The terrorists will stop at nothing. I'm surprized this interview happened.+4
C'mon, they needed a plausible excuse to have all that classified information handed over to hollywood so they can reenact how awesome obama was in making that ever so tough choice to say kill him!
Live, of course, with Obama handing out live orders as the Seals landed and made their way through the compound hahahaha+8
Sheep in high places. Well said Sir, well said. My condolences and appreciation to your and your family for the sacrifice of your son and husband. God Bless.Noteworthy Comment +10
What part of no does obama not understand:
America's hottest export (to the MidEast): ARMS
"There's an Obama arms bazaar going on."
I agree with Dan, something about this is just not right. Why are they doing an interview at all…yes, there is a movie coming up about Bin Laden and you know how many times they mentioned God in there. Good ole Obama will definitely use that to his advage right before the election even though we all know he is a fradulent muslim. Thank GOD Perry announced today.+2
I noticed the father of Aaron clearly asked not to make it political,a movie to promote a campaign has that political sound to it.
Sounds like a straight up disrespect for this familys grief and to the military Seal Team ?+3
I'm surprised Matt Lauer didn't end the interview as soon as Aaron's dad said, "He loved his country, he loved God…"+2
So much good stuff in there, but yes weird that Matt Lauer was the conduit. The 3 people, well 4 if you include the actual guy they were talking about are head and shoulders above that Lauer clown.0
It makes honest Americans so fcuking angry that Obozo the clown would use this as a tool to moviemaking and releasing right before the Nov 2012 elections…. most of us would impeach him and imprison him for life… the only ones who will be impressed by his "leadership" hahahah, are the stupid jerks who elected him to begin with and plan to vote for him again…0


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The Human Rights Online Information Centre
The Icelandic Human Rights Centre is currently constructing an online information centre on human rights law and related matters. This website is intended to provide easily accessible, extensive information on human rights law and pertinent issues for those who are interested in learning more.
This online information centre will cover, amongst other:
- answers to FAQ on human rights;
- information for individuals who seek justice for human rights violations;
- articles and academic writing about human rights;
- an overview of various human rights that belong to a certain group of individuals, such as women, disabled persons, foreigners and children;
- Icelandic law that is relevant to human rights;
- international human rights law, conventions and treaties;
- reports and related documents from various UN human rights monitoring committees;
- reports and related documents from the Council of Europe;
- reports and related documents from the European Union; and
- selective case-law of regional and international human rights courts.
(Please note that this information centre is currently under construction).

subset: commoncrawl


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25 U.S. Code § 556 - Reversion of interest in property on death without heirs or devisees
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If any enrolled member of the Klamath Tribe dies without lawful heirs or devises, [1] all interest which such member has in any restricted or trust property within the Klamath Reservation shall revert to and become part of the common tribal property.
[1] So in original. Probably should be "devisees,".
Source(June 1, 1938, ch. 310, § 6,52 Stat. 606.)
The table below lists the classification updates, since Jan. 3, 2012, for this section. Updates to a broader range of sections may be found at the update page for containing chapter, title, etc.
The most recent Classification Table update that we have noticed was Tuesday, August 13, 2013
An empty table indicates that we see no relevant changes listed in the classification tables. If you suspect that our system may be missing something, please double-check with the Office of the Law Revision Counsel.
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Newegg.com - A great place to buy computers, computer parts, electronics, software, accessories, and DVDs online. With great prices, fast shipping, and top-rated customer service - once you know, you Newegg.
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Categories > Pneumatic Nails & Staples > PORTER-CABLE > Porter Cable DA250 Driver Maintenance Kit # 903762
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Official Vanessa Links
001. Tumblr
- Vanessa's Official Tumblr Page.
002. Facebook
- Vanessa's Official Facebook.
003. Twitter
- Vanessa's Official Twitter Page. 004. Instagram
- Vanessa's Official Instagram Page.
005. YouTube
- Vanessa's Official YouTube Page. 006. Pinterest
- Vanessa's Official Pinterest Page.
007. Google Plus
- Vanessa's Official Google Plus Page. 008. Bloglovin'
- Vanessa's Official Bloglovin' Page.
Site Information
• Site Name: Vanessa Anne Online
• Domain: Vanessa-Anne.org & Vanessa-Hudgens.us
• Owner: Holly
• Previous Owners: Jessie, Jamie, Sophie, Nicole, Jen, Vas
• Opened: February 23, 2007
• Hosted by: Fan-Sites.org
• Visitors: + 1,851,249 unique hits
1 User Online
Vanessa Hudgens Surprises a 17-Year-Old With Cancer at Prom
Posted on Aug 30th, 2014 • Posted by Holly in News Articles • 0 Comments
Vanessa Hudgens Confirms New Music is Coming!
Posted on Aug 27th, 2014 • Posted by Holly in Interviews ,News Articles • 0 Comments
Photos: Bongo Adverts, Photoshoot and Behind the Scenes
Posted on Aug 21st, 2014 • Posted by Holly in Gallery Updates ,Photoshoots • 0 Comments
Photoshoots > Endorsments/Spokesmodel > Bongo > Advertisements
Photos: Vanessa Hugens at the 16th Annual Young Hollywood Awards
Posted on Jul 28th, 2014 • Posted by Holly in Appearances/Events ,Gallery Updates • 0 Comments
Last night Vanessa was out and about at the 16th Annual Young Hollywood Awards (sadly without Austin at her side) and I have added images from the event to our gallery. Thanks to Claudia for a lot of the images!
Gallery Link:
The Frozen Ground HD Captures
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I have added hd captures of Vanessa from her role in The Frozen Ground to the gallery.
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Vanessa Hudgens Sounds Off About Spring Breakers 2 Movie
Posted on Jun 20th, 2014 • Posted by Holly in News Articles ,Projects • 2 Comments
Vanessa Hudgens Attends the SVEDKA`s Summer Samba
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I have added 93 high quality images of Vanessa at yesterday's SVEDKA`s Summer Samba to our gallery!
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The Newark City Council will meet at 7:30 p.m. Thursday in the City Administration Building, 37101 Newark Blvd. Among items on the agenda:
Public hearing:
- A public hearing to consider a use permit for a children's day care facility at 39768 Cedar Blvd.
- A public hearing to consider adoption of a Master Fee Schedule for the 2012-2013 fiscal year.
City Manager's Report:
- Second reading and adoption of amending an ordinance on domestic animal permits in the city.
- Adoption of the East Bay Economic Development Alliance's "Open For Business" pledge.
- Authorization for the mayor to sign an agreement with HF&H Consultants, LLC for technical assistance with recycling efforts.
- Authorization for the mayor to sign a lease agreement with Alameda County for lease of the Newark Library facility.
The meeting will be televised live over local cable channel 26. Agendas and minutes from past meetings are available for download by clicking here. For details, call the City Clerk at 510-578-4266 or send an email to: email@example.com.
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After Thursday's surprising announcement that longtime coach Gary Williams is retiring, Robert Ehsan will become Maryland Terrapins basketball's acting head coach, according to a tweet by the Washington Times' Patrick Stevens. Ehsan has been a member of Williams' staff for six seasons, last year holding the position of assistant coach. There's no telling how long he'll hold the position for.
Much of Ehsan's experience on the Maryland staff was directly involved with recruiting and scouting. He also helped coordinate off-court activities like Williams' summer camps. He's a former UC-Davis starting point guard who graduated college only six years ago with an economics degree. As a senior, he proved to be a sharp free throw shooter, so all right!
Ehsan's first two years in College Park were spent as a graduate assistant before he moved up to become assistant recruiting coordinator.
For more on Maryland sports, join Testudo Times and SB Nation DC.


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The Steelers have always been know for defense and it is time to get things going so they can return to the glory days. Injuries have hurt them over the past few years. The linebacker battles in camp is going to come down to see who makes this roster.
check out the article:
Losing James Harrison will be a blow but you can believe me when I say that they will still find a way to replace his performance.
Keep an eye on Brian Rolle......


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CeBIT Open Source Project Lounge -- Perl
Perl -- the high-level programming languageBy
Perl is among the 15 projects that will present their work at CeBIT, the dynamic programming language.
In a nutshell: Describe your project in one or two sentences.
Perl is a modern, dynamic, high-level programming language that lets you work more quickly and integrate your systems more effectively.
When did the project begin?
Perl was created by Larry Wall back in 1987 and has been growing and evolving ever since.
How many active members does the project have?
Several thousands: The core language is developed by a team called "Perl 5 Porters" that amounts to about 40 active members. In addition
almost 20,000 open source extensions can be found on CPAN enhancing the core language. Currently over 7,900 authors are listed on CPAN.
Why was the project created?
Originally Perl was created to make reporting tasks easier. But the language has evolved to a tool that can be used for nearly everything
you want. Today it is still often used to create reports, but it is also used for web development, system administration, test automation,
bioinformatics and almost any area in software development.
Why should a CeBIT visitor come to your booth?
We will feature several Perl based Open Source projects. Three of them: Foswiki, OTRS and Padre will have their own specific days but other projects will be shown if requested.
Visitors can have a look at these projects and they can learn how powerful Perl and the projects are. We will also discuss ways to introduce Perl or any of the Perl based solutions to the companies and organizations represented by the visitors.
Who do you make your software for?
Each extension serves to solve a different problem.
Foswiki is a wiki for flexible information management both for corporate and private use. Many plugins exists, for example to create charts or spreadsheets.
OTRS is an Open source Ticket Request System (also well known as trouble ticket system) with many features to manage customer telephone
calls and e-mails.
Padre is for software developers and a framework for desktop application development.
We will be able to show several new platforms based on the language and solution for creating dynamic web applications, setting up testing
frameworks or improving the work of system and network administrators. Both on Windows and Linux based networks.
Where do you see your biggest current challenges?
Promoting to mid and upper management.
If you could hire a full-time project developer now, what problem should he or she be ready to solve?
Creating awesome web design for our projects.
Under which license is the software currently offered?
Perl itself and most of the extensions are under Artistic or GPL license though there are extensions with various other open source licenses.
Internet address:
The central page of Perl is http://www.perl.org/
CPAN is at http://search.cpan.org/
Padre is at http://padre.perlide.org/
Foswiki is at http://foswiki.org/
OTRS is at http://www.otrs.org/
Issue 166/2014
Buy this issue as a PDF
Tag Cloud
Knoppix 7.4 Released
Klaus Knopper announces the latest version of his iconic Live Linux system.
PHP Attack Puts WordPress and Drupal at Risk
All websites that use these popular CMS tools could be vulnerable to denial of service attacks if users don't install the updates.
Heartbleed Bleeds On
According to a report, many potential victims of the Heartbleed attack have patched their systems, but few have cleaned up the crime scene to protect themselves from the effects of a previous intrusion.
Drone Brain Goes Open Source
DARPA and NICTA release the code for the ultra-secure microkernel system used in aerial drones.
Password Management Services Vulnerable to Attack
Should you trust an online service to store your online passwords?
New Raspberry Pi Adds Two USB Ports
New B+ board lets you build cool things without the complication of a powered USB hub.
Microsoft Grabs No-IP.com Domains
Redmond rushes in to root out alleged malware haven.
Firefox Steps into 3D
New initiative will bring futuristic virtual reality effects to the web surfing experience.
New Trojan Targets Online Banking
Dyreza malware launches a man-in-the-middle attack that compromises SSL.
HP Rolls Out Massive Cloud Network
New cloud combines worldwide access with local attention to data security.


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CRESCENDOhCREATES :: Tip #1
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Regardless of the 6 o'clock news, at FLUX we're looking at our Aftermarket Practice in 2009 with cautious optimism.
Unquestionably many of the current economic indicators could spell a favorable outlook for the automotive aftermarket. But let's get realistic– many businesses will see complete collapse while our sector could only modest gains. This year, even flat sales would be considered respectible in this climate.
The macro-mix of issues has already been identified:
Collectively companies who have the ability to aggressively pursue new customers, without alienating their existing ones will be noticed. Many will retreat into silence fearing budgeting crisis, but the brave have a unique opportunity to shine very very brightly. As advertising wanes, chances to negotiate and reduced "clutter" could make it easier to capture mindshare.
So what's your branding budget look like in 2009?
How you respond could impact your sales for the next decade. Deals we are seeing are intimate, connecting distributors and suppliers into super tight partnerships. With mechanisms the have costly termination ramifications. The relationships that form now could be long lasting.
Finally, with OE reputations plunging maybe this is the time for a collective aftermarket brand assault. Logically, why would anyone replace a failed OE part with another one from the same company... and even prefer to do it?
Buy low and sell high is what I'm thinking. And were seeing an opportunity in the aftermarket to invest in brands at pennies on the dollar.
Lance_Boldt, 5 years ago | FlagRight on!
Aftermarket_PR, 5 years ago | FlagGood points. As a firm that parallels your customer/c
lient base, we are seeing the mid-sized companies spending money while the larger corporatio ns are staying on the sidelines. Small companies appear to be straddling the 2009 budget issue. I also agree that now could be the time for an aftermarke t brand assault. AM mfgs. should now lay claim to the premium replacemen t product(s) category. Once you are establishe d as the lead, it becomes difficult for other companies to knock you out. I look forward to more conversati on withyou.
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Quincy Latimore tearing it up down under!
I've only just realised that he's playing for Adelaide who were in town back in November. Perth Heat is on top of the ladder so I might go along if both teams face off in the finals and have an IRL gander. (Adelaide is in 3rd). He's leading the league in AVG, SLG, HR & RBIs.


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The Mountaineers met the Jayhawks in Lawrence, Kansas for another Big 12 match-up. The Jayhawks behind running back James Sims throttled the Mountaineer's hopes of becoming bowl eligible. Kansas defeated West Virginia 31-19.
It would be Paul Millard getting the start for the Mountaineers after questions were swirling all week as to who would be under center against Kansas. Millard would finish the day 23 for 42, 242 yards and a pair of touchdowns and interceptions.
Millard and company came out and right away handed the ball off to Charles Sims. Sims busted through the Kansas line and picked up 27-yards. Millard then found a short pass to wide receiver Mario Alford who took it for 30 more yards down the field. Millard then threw a screen pass to Sims, who took the ball into the end zone for a 12-yard touchdown. It took only 6 plays for WVU to find the scoreboard. The Mountaineers would lead 7-0 early in the first quarter. The Mountaineer's running back would finish the day with 16 carries for 99 yards, one rushing touchdown and once receiving touchdown.
Kansas was also searching for a quarterback coming into this match-up. Montell Cozart, the true freshman would come out for Kansas' first drive. Cozart went 5 for 12 for 61 yards on the day. The Jayhawks also looked to J.Sims to pick up yardage. J. Sims who picked up 28-yards after 4 carries while Cozart threw his first pass for a 19-yard completion to wide receiver, Andrew Turzilli. The West Virginia defense would hold the Jayhawks in the red zone, surrendering only a field goal. Kansas kicker, Ron Doherty would cut into WVU's lead making it 7-3.
The Mountaineers' offense would return to the field as Millard found success with a few more screen passes. The Jayhawks defense was able to force WVU to go three and out for the first time in the game.
The defense for the Mountaineers would return the favor as the Jayhawks would punt it away. The Jayhawks caught a break as Jordan Thompson would muff the punt and set WVU up at their own 5-yard line.
Dana Holgorsen's offense would continue to give the ball to Sims while mixing in various screen passes but that wasn't enough as the Jayhawks' defense caused WVU to punt once more to begin the second quarter.
The rushing attack for Kansas found an early boost from running back Brandon Bourbon who picked up a 17-yard gain to begin Kansas' first drive of the second quarter but the West Virginia's tight defensive front kept the Jayhawks in check as Kansas went three and out.
Alford would pick-up a big play on the Mountaineers next series as he caught a pass from Millard that went for 46-yards. After offensive pass interference was called on Kevin White and a sack by Kansas' Kevin Young, the offense would be unable to continue their drive, stalling just past midfield. Nick O'Toole would be brought on to punt, O'Toole managed to pin Kansas just outside their 10-yard line.
Cozart would fire a 17-yard strike to Justin McCay on the Jayhawks' next possession while J. Sims took a handoff for a big 62-yard gain setting Kansas up on West Virginia's 10-yard line. The Jayhawks would continue to pound the ball as J. Sims punched it into the end zone on a 3-yard rushing touchdown. This capped off a 5 play, 85-yard scoring drive. Kansas would take the lead, 10-7 midway through the second quarter.
The offense for the Mountaineers faced heavy pressure from the Jayhawks' defense as another sack for a 4-yard loss was taken by Millard. The Mountaineers had to punt from their end zone and the Jayhawks were set up with excellent field position at the 50-yard line.
Nick Kwiatkoski and Kyle Rose for the WVU defense displayed tremendous effort as Kansas did nothing with their field position. Kansas would punt the ball landing just past the Mountaineer's 20-yard line.
The Mountaineer's would look to gain some momentum back as the offense strung together a few good plays but the Jayhawks' defense continued to look stout as the Mountaineers sent O'Toole out once again.
J. Sims would continue his dominance as it took only one play for Kansas to make it 17-7 right before the half. J. Sims scored a 68-yard touchdown as the Mountaineers defense struggled to keep up with Kansas' rushing efforts. J. Sims would finish the game with 22 carries, 211 yards and three rushing touchdowns.
WVU would attempt to get some points on the board before the half. After a good pick-up from Thompson, WVU would be in field goal range. The Mountaineers would send out Josh Lambert for the kick but the attempt was blocked as Kansas carried all of the momentum into the locker room at the half.
The Jayhawks would start the second half with the ball but would do nothing with it. A 10-yard punt from Kansas set WVU up on the Kansas side of the field for their first possession of the second half.
Millard was intercepted on the Mountaineers first drive of the second half. Millard threw a poor pass as Goodman picked it off and returned it for 54-yards down the field. The interception would set Kansas up deep in Mountaineer territory.
Kansas would capitalize on the turnover. J. Sims ran the ball in from two yards out, his third rushing touchdown of the day. A five play, 14 yards scoring drive gave Kansas a 24-7 lead early in the third quarter.
After the two teams exchanged three and outs, Millard and company would turn the ball over on downs after four consecutive deep balls were unable to connect. The Mountaineer's offensive struggles rolled on as the third quarter came to a close.
To start the fourth quarter, Travis Bell for the Mountaineer's defense would come up with a big stop. Kansas attempted to go for it on a fourth and two but thanks to Bell the Jayhawks turned it over on downs.
The Mountaineers would try to find some kind of answerer but the only thing they'd found is another turnover. Millard threw his second interception of the day. Ben Henney was able to return the pick to the one yard line.
From the one yard line, Kansas would hand it off to Bourbon who scored Kansas' fourth rushing touchdown of the day. Kansas would increase their lead to 24-7.
Back-to-back pass interferences allowed West Virginia to move the ball down the field on their next possesion. Millard found Kevin White in the end zone as West Virginia tried to narrow the deficit. After a failed two point conversion attempt, Kansas would lead 31-13 late in the fourth quarter.
The Mountaineer's defense came up with a fumble recovery late in the fourth quarter. Kwiatkoski recovered the ball in an effort to find some late game heroics. The Mountaineer offense would find the end zone once more; Sims would go in untouched from 6-yards out. A second failed two point conversion attempt left the score at 31-19, Jayhawks.
However, there just wasn't enough time for Holgorsen's team to dig themselves out of a large hole. The Mountaineers struggled to contain Kansas' running game while Millard and the offense couldn't get anything going all day. West Virginia's post season hopes are now gone as they are no longer in the hunt for a bowl game. WVU drops to 4-7 on the season.
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Volunteers needed at Ronald McDonald House
After spending the day at the hospital, meals at the Ronald McDonald House are the time for family members dealing with a child's serious illness to nourish their bodies, unwind, and regroup. It takes the efforts of many volunteers and food donors to make mealtime special for these families, and more help is needed year-round as more and more families take advantage of meals at the house.
In 2011, the number of meals served is expected to rise to 50,000.
"Our need for volunteers to serve as dinner providers is ever-present as is the need to raise funds for groceries to feed our families each day,"
said Sandy Camarillo, COO for Ronald McDonald House Charities.
To offer your help, visit rmhcsd.org and type in the keywords: dinner program or call (858) 467-4750. For more information about the volunteer program, visit rmhcsd.org/get-involved/volunteer-opportunities/cook-a-meal.html
Related posts:
- Fashion Benefit 'Dressed to the Nth Degree' set for Nov. 6 is canceled
- Two volunteers honored for La Jolla Art Festival work
- Harry Potter 'premiere' raises $14,000 for kids fighting cancer
- Evening with Dave Dravecky on Dec. 4 at UCSD
- Upcoming social events
Short URL: http://www.lajollalight.com/?p=31091


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Ian Stephens@ians active 1 year, 5 months ago
Ian Stephens commented on the post, Hamilton's arrival puts Mercedes in the spotlight but 2014 is their focus 1 year, 5 months ago
Wasn't Mike Elliott at McLaren until the end of 2008, when they won the drivers championship? In fact, Mclaren have not won a championship since then. And by coincidence Lewis Hamilton was the driver who won […]
Ian Stephens became a registered member 1 year, 5 months ago


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Previously, on The Vampire Diaries
VDVO: Mystic Falls, wretched hive of scum and villainy. Race for the cure. Stop at nothing.
We open in the Mystic Falls High School gym where Sheriff Liz, the last remaining adult in Mystic Falls, is leading a mandatory memorial service for poor drowned Mayor Carol.
Because forced grief is the best grief
They're calling her death an accident, which since her blood alcohol level was somewhere between "legally drunk" and "Everclear" means her legacy will be roughly the same as Lupe Velez's. She calls for a moment of silence. Tyler can't deal and leaves.
Liz introduces the new interim mayor, Rudy Hopkins.
Oh dear, he's an adult, black and not Bonnie. He's a dead man. Why are they doing this at the high school and not City Hall or the Lockwood place?
Elena spots an un-daggered Rebekah lurking around the edge of the assembly and slips out. She hears crying and rounds a corner to find April. April says that the Mayor's memorial is dredging up memories of her blown-up pastor daddy and also that she knows Elena's a vampire. Elena's half-assed attempt to deny it is rudely cut off by Rebekah's snapping her neck. April: "Was that necessary?" Rebekah: "No, but it was fun."
Caroline reaches out to Stefan after the assembly and is appalled to find that he's drinking at the Grill. I don't know why she would be; it's rarer that someone isn't drinking on this show. She does not have the patience to deal with Stefan on top of Tyler and urges him to snap out of it.
Elena comes to in the school library and finds April standing over her, pissed about Elena's compulsions and lies. Elena tries to warn April that the owls Rebekah is not what she seems but before she can make any headway Rebekah compels her to sit down and shut up. For once I agree with Rebekah.
Up at the Gilbert lake house Jeremy is poured into one of his signature wife-beaters, sparring with a similarly attired Matt.
Damon is nearby listening to saved voice mails from Elena and being generally drippy. Jeremy puts Matt down with a hip toss and looks to Damon for approval. Damon is not impressed so Jeremy challenges him to something harder. Damon tosses him a stake and Jeremy flails at him with it like a crazy person. Damon easily evades the "attack" and takes Jeremy from behind.
He's about to put the sleeper hold on him when they're interrupted by a delivery from Lakeside Pizza. It's the third pie in as many days and the unnamed delivery girl who will be dead by the end of the episode (SPOILER) wonders if they ever eat anything else. Damon wonders if she's offering then slips her a few bills not to make another delivery for a few days. Jeremy howls in protest that Damon's starving them. An unsympathetic Damon orders Jeremy to take two laps of the lake and orders Matt to follow. Matt says he doesn't have to do what Damon says but Damon says he does if he wants to eat. Or he could just, ya know, leave. Matt runs off and Damon goes back to his saved voice mails, the sap.
Stefan fields a call from Rebekah and wonders who would be so monumentally stupid as to undagger her. Stefan, you've met April. Rebekah informs him of Elena's hostage status. Stefan calls Caroline and offers her the chance to drive the super-stake into Rebekah. She's so in.
Sheriff Liz and Interim Mayor Rudy review Mayor Carol's falsified autopsy report as Rudy's welcome to the wonderful world of cover-ups. He has ideas about the true cause of death and Mayor Rudy figures that involves pointy teeth and bad manners. OK, so are the Hopkinses a Founding Family all of a sudden that Rudy knows about the Vampire Problem? Sheriff Liz double-checks that Rudy's really up for the mayor gig, noting that six people declined before he accepted. He confirms he's in and his reason for being in, daughter Bonnie, joins the table as Liz exits. So he's an adult, black, not Bonnie and he's a core character's parent. He has the life expectancy of a mayfly.
Rudy comments that some of Bonnie's friends missed the mandatory assembly and she protests that he can't come into town and start making rules. Um, yes the interim mayor can, Bonnie. He replies that a few rules would do the town good and she reminds him that she can help protect the town. Rudy is aware of Bonnie's "gifts" but being her father means she gets to protect him. Which is why this is the first we've seen of him in three and a half seasons.
Caroline and Stefan search the high school while Rebekah zips around the halls. Stefan texts Bonnie that he has her on the first floor; he'll distract her so Caroline can super-stake her. Rebekah zips up to him and they throttle each other hello. She hopes he's not waiting for Caroline, because Rebekah found her first. She has the super-stake.
Rebekah leads Stefan into the library where a compelled Elena and Caroline are waiting. After telling April to take notes she spends a few minutes recapping the whole Hunter's Mark/Map/Sword/Key thing and just as she's about to ask the money question she sees that April is actually taking notes. She rolls her eyes but then decides she wants a flow chart and sends April to fetch index cards and push pins. Snerk. Back in interrogation mode, Rebekah learns about the breakup and that Elena slept with Damon.


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Sunday School Board officials meet with NIV-related reps
No statements, however, were issued after the meeting by officials from the Southern Baptist agency or the three organizations -- Zondervan Publishing House, the International Bible Society (IBS) and the Committee on Bible Translation (CBT). Zondervan, IBS and CBT are embroiled in objections by numerous evangelicals to a "gender-neutral" NIV planned for the U.S. market in 2001.
The Sunday School Board uses the current NIV text in many of its Sunday school and discipleship resources and in various Bible texts and commentaries. First published in 1978 and revised in 1983, the current NIV holds a 45 percent share of all Bibles sold in the United States.
Ted Warren, BSSB executive vice president and chief operating officer, said in a statement several days before the meeting, "We are concerned about the proposed gender-neutral version. We are in the process of gathering facts and identifying their implications before we consider options about the continued use of the current NIV."
Warren and Gene Mims, BSSB vice president of the church growth group, were among board officials at the meeting, held at the board's Nashville, Tenn., headquarters. R. Albert Mohler Jr., president of Southern Baptist Theological Seminary, Louisville, Ky., also was in attendance. BSSB President James T. Draper Jr. was out of town.
Bruce Ryskamp, Zondervan's president and chief executive officer, and Ken Barker, CBT secretary, were among the NIV-related representatives at the meeting.
Zondervan, the NIV's U.S. publisher, is based in Grand Rapids, Mich. The IBS, the NIV's copyright holder, is based in Colorado Springs, Colo. The CBT, meanwhile, is a 15member group of scholars with authority over the NIV translation and the revision now under way of the text into gender-neutral language.
An evangelical magazine, World, based in Asheville, N.C., highlighted the NIV gender-neutral issue in articles in its March 29, April 19 and May 3 issues.
A gender-neutral NIV already had been published in Great Britain, titled the "NIV Inclusive Language Version," World reported, promptly stirring theological objections among a number of U.S. evangelicals to changes in various passages where the words "he," "man," "brothers" and "mankind" typically are replaced by "people," "person," "brother and sister" and "humankind."
Also, World reported, Zondervan already is publishing an NIV-related gender-neutral translation, via its U.S. release of a devotional Bible for children last year. Zondervan's introduction to the New International Reader's Version (NIrV) says it wanted the text to say "just what the first writers of the Bible said," utilizing the best and oldest copies of Hebrew and Greek texts for reference. Nowhere, however, in the children's Bible or the promotional literature is reference made to the genderneutral language it uses.


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The 5 Stages of a Relationship
A couple should hang onto those rosy feelings, though if they want to survive the next, rocky stage.
2. The Power Struggle
Consider this the reality check. Our bio-chemistry has returned to its normal state, so we are able to see a partner's shortcomings. It's the period when a couple begins to deal with (now apparent) differences and adjusts to reality, which begins to set in as euphoria wears off. This can often become a time of disillusionment and conflict.
Here is where the real work of a relationship begins. The couple may begin to have more minor arguments that escalate into blown-out warfare or a person becomes more withdrawn and isolated. Yelling may appear, often with blame and accusation close behind. Both partners dig in their heels and protect their turf and positions. Bradshaw writes that this early conflict is healthy and perhaps even necessary as both parties are instinctively jockeying for position in the new status quo, and it helps the couple separate a bit from the over-connectedness of courtship.
Feelings of ambivalence toward the other person may emerge, and each may wonder if he or she is still "in love." Both want the other person to change, while they remain the same. There is a fear of loss of control, and there may also be a fear about the loss of interest in the partner.


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Family and friends rally to support injured Rory (From Western Telegraph)
Get involved: send your pictures, video, news and views by texting WT NEWS to 80360, or email us
Family and friends rally to support injured Rory
3:02pm Tuesday 7th January 2014 in News
MORE THAN 70 family and friends of a Saundersfoot man who was seriously injured in an incident in the village have started the new year by raising money for the hospitals who are helping him on the road to recovery.
Rory Rogers, 26, has been a patient in the intensive care unit of Withybush Hospital since November 16th, when he was the victim of an assault. It is hoped that he will soon be transferred to the Neuro Rehab Unit at Neath Port Talbot Hospital.
Dressed as Red Indians, the group took part in Saundersfootãs New Yearãs Day Swim and raised over ôÈ3,000 for the two units.
ãWe felt that it would be good to do something positive,ã said Roryãs partner, Stacey McKeown.
ãThe amount of love and support that Rory has received since November has been overwhelming and so many people want to be able to feel they can do something to help.
ãI would just like to say ãthank youã to everyone who has donated money or given sponsorship.ã
*Police are still appealing for further witnesses to the incident in Saundersfoot. A 22-year-old man is currently in custody awaiting Crown Court trial on a charge of causing grievous bodily harm.
Comments are closed on this article.


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Arrived in Athens yesterday. I'm here with others for the B-Fest "Freedom Strikes Back" conference hosted by the Athens Anti-Authoritarian Movement. One of the organizers picked us up from the airport and drove us to our hotel in Exarhia. We are staying at the Museum Hotel right across the street from the Athens Polytechnic. Exarhia and the Polytechnic were central locations for last December's social uprising here and also in 1973 when students rose up and were brutally suppressed by the military.
We were met at the hotel by Nikos Raptis, a long-time friend of Z and regular writer as well. We went around the corner for some beer, food and discussion.
I spent most of the day walking around, absorbing my surrounds, and dealing with technical matters like the 3 times I blew the power in our hotel room due to poor power adaptors from the U.S. While walking around I also chatted with movement people leafleting on the streets. I was told that the occupations movement has grown, with about 40 occupied spaces in Athens alone and serving diverse purposes such as becoming centers for meeting and organizing.
Later in the evening we went to visit Nosotros, a key anti-authoritarian movement building center and very nice social space in Exarhia square.
Our hosts took us for dinner in a wonderful restaurant just around the corner. We sat on a very nice open-air patio and ate souvlaki, salad, halva, and drank locally made wine.
We were introduced to some of the other organizers of the B-Fest and learned more about the anarchist and anti-authoritarian movement in Athens. They are very well organized, with weekly assemblies, with weekly agendas, a diverse constituency, and have organized this conference which they expect thousands of people from all over Greece, and some internationally, to attend.
The combined friendliness, hospitality, and many shared political perspectives among those I met made me feel very welcome.
This is the first week of three for me here in Greece. My first week is dedicated to the conference. The second week is more filming, meeting with movement people, interviewing and seeing more movement spaces. The third week will be a sort of vacation for me and as of yet, so far, completely unplanned. However, I am warm to the idea of seeing some islands.
The conference will begin today and last till Sunday with many local and international speakers. Vandana Shiva, Michael Albert, Andrej Grubacic and Howard Zinn will all be presenting as well as people from Italy and, of course, folks from here in Greece. I will be giving my talk on "Participatory Society: Urban Space & Freedom" on Friday. There will also be many workshops and aside from doing our own documentation of the event many interviews are scheduled with local media. Additionally, a number of bands and self-organized film showings will also take place. Posters for the event are everywhere I go.
Today Andrej will deliver his talk on direct action, so must eat something now, and prepare the video cameras!
Above: Lydia Sargent of ZMag


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Our Science – Mackall Website
Crystal L. Mackall, M.D.
Gallery Pictures
|Hua Zhang PhD, Cancer Research Training Fellow
|Hua Zhang received medical training at the Shanghai Second Medical University in China and earned a PhD in Microbiology/Immunology at the University of Arizona in Tucson in 1995. His initial postdoctoral work focused on discovery and generation of single chain Fv molecules at the University of Maryland and then at the University of Texas. In 1998, he began to focus on T cell based therapies for cancer starting with a postdoctoral fellowship at Cedars-Sinai in Los Angeles and continuing in his current position in the Pediatric Oncology Branch which he assumed in 1999.
Hua's work focuses on human immunology and he has extensive experience in human dendritic cell culture and characterization as well as generation and maintenance of long term human T cell lines and expansion of human T cells using artificial APCs. He has a particular interest in the 4-1BB mediated costimulation for expansion of tumor reactive CTL and in the study of human CD4+CD25+ T regulatory cells.
|Martin Guimond PhD, Cancer Research Training Fellow
|Martin Guimond received his Bachelor of Science in Microbiology (1993) and his PhD in Biomedical Sciences (2001) from the University of Montreal where he undertook graduate work focusing on transplantation biology under the direction of Dr. Denis-Claude Roy. He then undertook a postdoctoral training program at Ohio State University under the direction of Dr. Michael Caliguiri where he developed a focus on the biology of flt3 ligand as it relates to NK cell homeostasis. Dr. Guimond's joined the Mackall laboratory in April 2004 and his current focus is on the interface between T cell regeneration and host tolerance and identification of the biology of antigen presenting cell derived cytokines in T cell homeostasis. Dr. Guimond has extensive experience in mouse modeling.
|Aviva Krauss, Clinical Fellow
|Aviva Krauss graduated from Albert Einstein College of Medicine of Yeshiva University in 2001 and completed a Pediatric Residency at the University of Medicine and Dentistry of New Jersey/New Jersey Medical School in 2004. She is Board Certified in Pediatrics and is currently in her second year of a the Pediatric Hematology/Oncology Fellowship at Children's National Medical Center in Washington DC. Aviva will be performing the research portion of her fellowship training in the Mackall laboratory. She initiated work here in July 2005 and she plans to undertake studies of tumor immunology using mouse models, with a particular focus on pediatric solid tumors.
This page was last updated on 9/24/2008.


text: Panoramic View home on the Hill. This charming Seal Beach, California home at 1005 Crestview Avenue is situated in the most desirable and exclusive "Top of the Hill†location. It features endless 180 degree panoramic views of the wetlands, mountains, and gorgeous sunsets, including peek-a-boo Catalina Island and ocean views. This is truly a one-of-a-kind corner location of a lifetime, backing up to a 10 acre eucalyptus nature grove and birding area. The interior of the home is nicely remodeled, with an open floor plan, hardwood flooring and tons of natural light bathing the interior from the expansive windows. This home will truly inspire you, with 3 bedrooms, 2 bathrooms, and 1,305 square feet of interior living space, extending by way of spacious redwood decking to a backyard paradise on a large 7,076 square foot lot. The landscaping consists of award winning California Native planting and Certified Wildlife Habitat, with the rear yard featuring a waterfall/pond, flagstone pathways, patio area, trellis and Star of Jasmine enclosed Hot Spring spa and permitted, gated RV parking. With only a short stroll to charming Main Street shops and restaurants, and being located in the top rated Los Alamitos School district, you will be welcomed by the community that Forbes Magazine recently designated as the "4th Friendliest town in America.†Panoramic Catalina Island and ocean view potential exists should a second story be added to further enhance and expand upon the existing structure and views.


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Webinar to discuss what's new in Medicare and Medicaid payment in 2013
With the Medicare payment cliff averted for now, Medicare payments should be fairly stable for a while. However, that does not mean there are no changes in store for Medicare and Medicaid this year.
From Medicare adding two new codes for transitional care management to Medicaid payments for some primary care services rising to the level of Medicare to the continuing use of Physician Quality Reporting System (PQRS) bonuses, it's going to be a busy year for family physicians understanding and taking advantage of the new payment rules.
My colleague Debra Seyfried and I will be covering these and other aspects of Medicare payment in 2013 during a live webinar at 1:00 p.m. (Central Standard Time) on Jan. 23, 2013. I would invite you to join us by registering online. It could make a difference to your bottom line this year and in years to come.
– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians
Posted at 03:42PM Jan 07, 2013 by David Twiddy, Associate Editor | Comments[0]
Medicare's impending fiscal cliff for physicians
If the federal government does go over the "fiscal cliff" in a little more than a week, don't expect those overseeing physician reimbursements to pad the fall.
The Centers for Medicare and Medicaid Services (CMS) on Dec. 19 announced in an email and conference call with physicians that Medicare claims filed after the first of the year will be processed as normal, which means likely including a planned 26.5 percent reduction in the Medicare physician services conversion factor.
Physicians are also facing an additional 2 percent cut in the Medicare physician payment rate because of the Budget Control Act's sequestration provision.
Under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt. In similar past situations, CMS has taken advantage of that provision to have its contractors hold claims for up to 10 business days before processing them, in order to give Congress more time to act and to avoid processing claims twice when the conversion factor is in flux.
"The negative update of 27 percent under current law for the 2013 Medicare Physician Fee Schedule is scheduled to take effect on January 1, 2013," CMS wrote in the email. "Given the current progress with the legislation, CMS must take steps to implement the negative update."
CMS did say that it would notify physicians on or before Jan. 11, 2013, about the status of Congressional action to avert the negative update and next steps. Claims with dates of service on or before Dec. 31, 2012, will be unaffected in any case.
Ongoing efforts to avoid the cliff and override the planned rate reduction have so far failed and won't resume until after Christmas at the earliest.
In the meantime, you are advised to start taking steps to mitigate the disruption and meet your own financial obligations in January, in case the cuts actually take effect. This includes re-assessing your Medicare participation options and the extent to which you can continue to afford to care for Medicare beneficiaries. If you decide to limit your involvement with the Medicare program, notify your Medicare patients promptly, so that they, too, can explore other options to seek health care and medical treatment. Finally, you are encouraged to contact your Congressional representatives about this matter, and the American Academy of Family Physicians has provided a convenient means to do so.
–Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians
Posted at 04:10PM Dec 21, 2012 by David Twiddy, Associate Editor | Comments[0]
New rule would let more family physicians treat veterans
While many family physicians want to treat the military veterans in their communities, the Department of Veterans Affairs (VA) hasn't always made that easy. Thankfully, the VA recently began taking steps to loosen its regulations in such a way that family physicians could have greater ability to serve veterans and get paid by the VA for doing so.
Under current law, private physicians can provide certain hospital care and medical services to eligible veterans when VA facilities either are not accessible or aren't able to provide the necessary care. These services are provided under the Non-VA Care program. However, the program allows that non-VA care only if the veteran initially received treatment during a period of hospitalization.
Last month, the VA published a proposed revision to this regulation in the Federal Register. The change would enlarge the list of eligible providers where the veteran initially received care to include nursing homes, domiciliary care, or other medical services. The VA could authorize non-VA treatment under the program for up to 12 months, with the option of additional reauthorizations as needed.
The American Academy of Family Physicians (AAFP) enthusiastically supports this step since it improves health care access for veterans and will allow the VA to better utilize community resources. Separate from this proposed regulation, the AAFP is encouraging the VA to identify and remove additional barriers that inhibit the way community-based family physicians are able treat their patients who also happen to be veterans. Specifically, the AAFP is urging the VA to reexamine a burdensome regulatory requirement that in order for a veteran to obtain a prescription at the VA's discounted price it has to be written by a VA-affiliated provider. Instead, AAFP believes the VA should recognize the validity of a community-based physician's prescription.
The VA's recent proposal won't eliminate all of the barriers that community family physicians face in trying to serve veterans. However, it appears to be a step in the right direction for both veterans and their family physicians.
–Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians
Posted at 11:29AM Dec 18, 2012 by David Twiddy, Associate Editor | Comments[0]
AAFP responds to proposed rule on 2013 Medicare physician fee schedule
On Aug. 22, 2012, the American Academy of Family Physicians (AAFP) responded to the proposed rule on the 2013 Medicare physician fee schedule. As promised, I am sharing that response with you. Here are some of the highlights; the AAFP:
- Supports the Centers for Medicare & Medicaid Services' (CMS) proposal to create a code for post-discharge transitional care management as a short-term payment strategy; however, the AAFP urges CMS to limit the use of the code to the patient's primary care physician,
- Supports CMS's intent to investigate potentially misvalued codes, especially in regard to the number and level of post-operative evaluation and management services assumed to be included in global surgical services,
- Urges CMS to not implement the Institute of Medicine recommendations pertaining to geographic practice cost indices, and instead asks that CMS refocus it's efforts on ensuring a properly distributed healthcare workforce that is meeting the demands of a growing beneficiary population,
- Agrees with the proposal to add coverage of ''additional preventive services'' and supports the proposal to add them to the list of Medicare telehealth services for 2013; however, the AAFP questions several of the proposed payment amounts for these services,
- Supports the CMS proposal to create new criteria for being a successful electronic prescriber for groups of two to 24 eligible professionals,
- Strongly supports CMS's proposal to streamline the implementation of the Physician Quality Reporting System incentive and reporting programs within the context of the Medicare Shared Saving Program,
- Mostly supports the CMS proposal to begin applying the value-based payment modifier only to groups of 25 or more eligible providers in 2015, so the agency can begin learning how to properly fulfill the statutory requirements; however, the AAFP remains concerned with CMS's inability to specify the exact amount of the upward payment adjustment because of budget neutrality considerations,
- Fully supports the agency's proposal to begin Medicare Part B coverage of the Hepatitis B vaccine for high-risk groups, specifically persons with diabetes.
The full text of the AAFP response is available online.
The comment period for the proposed rule ends on Sep. 4, 2012. After that deadline, we will have to wait for the final rule to see what CMS decides to do on all of these issues. CMS is expected to release the final rule on the 2013 Medicare physician fee schedule on or around Nov. 1, 2012.
Posted at 08:42AM Aug 31, 2012 by Kent Moore | Comments[0]
Medicare physician fee schedule redux
In a previous blog, I posted about the proposed rule on the 2013 Medicare physician fee schedule. I subsequently received questions regarding whether or not the American Academy of Family Physicians (AAFP) had any involvement in the creation of the proposed 2013 fee schedule and what impact the fee schedule might have on family physicians. To the best of my knowledge, AAFP was not directly involved in the creation of the proposed 2013 Medicare physician fee schedule. The Centers for Medicare & Medicaid Services (CMS) essentially reserves sole responsibility for its creation.
AAFP advocates with CMS throughout the year on elements of the physician fee schedule, and the results of that advocacy can be seen in CMS's estimate of the proposed rule's impact on family medicine. Specifically, CMS estimates that family physicians will experience approximately a 7 percent increase in Medicare allowed charges in 2013, based on what is in the proposed rule (see page 12 of the AAFP's summary of the proposed rule). That percentage is higher than any other specialty listed. So, although AAFP can't take responsibility for creating the proposed rule, it can certainly take some credit for the estimated positive impact on family physicians.
AAFP is preparing a response to
the proposed rule in advance of the Sep. 4, 2012, deadline for comments, and I look forward to sharing that with you in a future post. In the meantime, thanks for the questions, and please let me know if you have more.
Posted at 10:05AM Aug 16, 2012 by Kent Moore | Comments[0]
Shields and swords
What is the difference between a shield and a sword? Sometimes, it's hard to tell and may depend on where you sit. This point was driven home to me recently in an exchange of correspondence between the AAFP and Wisconsin Physician Services (WPS), the Medicare contractor that processes Part B claims in several Midwestern states.
Earlier this spring, the AAFP submitted comments to WPS regarding a draft local coverage determination (LCD) that WPS posted regarding home and domiciliary services (PDF download). The AAFP expressed at least four concerns with the LCD, and it was clear from our comments that our primary concern was that WPS would use the LCD as a sword to unfairly penalize physicians who do home visits.
Although WPS does not typically respond individually to comments made regarding draft LCDs, it did choose to respond to the AAFP comments in this case. In doing so, it noted that a review of medical records for claims submitted by Part B providers in place of service "home" when the beneficiaries were also concurrently being seen by a home health agency showed that the service billed by the Part B provider was seldom, if ever, the service actually rendered. WPS also shared statistics showing that utilization of home visit codes paid under the Medicare physician fee schedule was significantly higher in WPS's service area as compared to national averages, with financial implications for the Medicare trust fund. From the letter, it was apparent that WPS viewed the draft LCD as a shield designed to protect Medicare and its beneficiaries.
So, is the LCD a sword or a shield? The answer clearly depends on whom you ask and, ultimately, how it is used. In any case, the point of the story is that, when dealing with Medicare (and, likely, other payers, too), it is important to remember that there are often legitimate differences in perspective that must be acknowledged and addressed if true dialogue and progress is to occur.
Posted at 02:46PM May 09, 2011 by Kent Moore | Comments[0]
Facing the new face-to-face requirement for Medicare home health services
Did you know that Medicare will soon begin enforcing a requirement that a physician who certifies a patient as eligible for Medicare home health services must see the patient either within 90 days prior or 30 days after the start of home health care? If not, read on. If so, you may still want to read on for more information.
As an outgrowth of section 6407 of the Patient Protection and Affordable Care Act, the Centers for Medicare and Medicaid Services (CMS) is requiring that a physician who certifies a patient as eligible for Medicare home health services must see the patient. The law also allows the requirement to be satisfied if a non-physician practitioner (NPP) sees the patient, when the NPP is working for or in collaboration with the physician. The provision was effective as of Jan. 1, 2011, but CMS agreed in December to delay enforcement until April 1, 2011.
The provision requires that, as part of the certification form itself, or as an addendum to it, the physician must document that the physician or NPP saw the patient, and document how the patient's clinical condition supports a homebound status and need for skilled services. As noted, the face-to-face encounter must occur within the 90 days prior to the start of home health care or the 30 days after the start of care. When a physician orders home health care for the patient based on a new condition that was not evident during a recent visit, the certifying physician or NPP must see the patient within 30 days after admission.
The new requirement includes several features intended to accommodate physician practices. In addition to allowing NPPs to conduct the face-to-face encounter, Medicare will allow a physician who attends to the patient but does not follow the patient in the community, such as a hospitalist, to certify the need for home health care based on their face-to-face contact in the hospital and to establish and sign the plan of care. Medicare will also allow such physicians to certify the need for home health care based on their face-to-face contact with the patient, initiate the orders for home health services, and "hand off" the patient to his or her community-based physician to review and sign off on the plan of care. Finally, in rural areas, the law allows the face-to-face encounter to occur via telehealth, in an approved originating site.
The American Academy of Family Physicians and others are advocating with CMS to extend the enforcement date to no earlier than July 1, 2011, based on confusion with and resistance to the paperwork obligations for physicians, still evolving policy interpretations and guidance on the part of CMS, and the simple need for more time to ensure that physicians and NPPs understand the rule. A decision by CMS on this request is still pending, so as of now, April 1, 2011, remains the key date.
CMS has made additional guidance available via an article (PDF download) on the Medicare Learning Network web site. Additionally, CMS has posted frequently asked questions and answers regarding this requirement in the Spotlights section of the Home Health Agency Center section of the CMS web site.
Posted at 04:29PM Mar 11, 2011 by Kent Moore | Comments[4]
The 2011 Medicare physician fee schedule is here
This week, the Centers for Medicare and Medicaid Services (CMS) unveiled its final rule on the 2011 Medicare physician fee schedule.
An initial review shows positive news with respect to the primary care bonus that is effective in 2011. CMS apparently responded positively to comments from the American Academy of Family Physicians and others to change the primary care incentive payment implementation rules to make it more inclusive. As a result, CMS estimates that, under the new, less restrictive rules, about 80 percent of family physicians will qualify for the bonus.
On the downside, the final rule with comment period announces a reduction to payment rates for physicians' services in 2011 under the sustainable growth rate (
The final rule will appear in the Federal Register on Nov. 29, 2010, and CMS will accept comments on certain aspects of it until Jan. 2, 2011.
Posted at 11:02AM Nov 05, 2010 by Kent Moore | Comments[1]
A familiar tune
The end-of-year holiday season is upon us. I can always tell it is because of the displays in the stores, the songs on my radio, and the phone calls I receive asking about the status of next year's Medicare physician fee schedule.
Each year about this time, I start getting phone calls from anxious physicians and their staff members asking if the Medicare fees really are going down in January or whether Congress will intervene as it has in the past. This year is no different. Under current law, the Medicare conversion factor (which converts relative value units (RVUs) to Medicare payment allowances) is scheduled to decrease by approximately 21 percent for services provided on or after Jan. 1, 2010. That decrease will be partially offset by RVU increases announced for office visits and other evaluation and management services that family physicians frequently perform, but Medicare fees will still decline significantly if the conversion factor goes down.
For the past several years, Congress has intervened at the last minute (or sometimes after the last minute) to either freeze the conversion factor or increase it slightly (although the increase is always less than the rate of inflation, so physicians still lose). The expectation and hope is that Congress will do so again this time around. For instance, as I write this, the U.S. House of Representatives' Rules Committee has produced a Defense appropriations bill that includes, among other things, a provision to extend the current Medicare physician payment rates through the end of February, with the expectation that this extension will give Congress enough time to enact health reform legislation that includes a longer-term fix to Medicare's Sustainable Growth Rate (SGR) and physician fee schedule issue. It's probably appropriate that the extension is attached to a Defense appropriations bill, since physicians would likely be up in arms if Medicare rates actually fell 21 percent.
In the meantime, the fact remains that Medicare fees will drop in January unless Congress intervenes, which it has not completely done yet. So, what's a physician to do? Well, the good folks at the Centers for Medicare and Medicaid Services have given you until Jan. 31, 2010 to decide. That's when the current period for changing your Medicare participation status for 2010 will end. For more information, I would encourage you to visit the Medicare participation options web page on the American Academy of Family Physicians' web site.
And with that, I'll return to listening to the radio, where I can almost hear the Congressional Tabernacle Choir singing:
God rest ye merry gentlefolk; let nothing you dismay.
We plan to patch the SGR, and not to cut your pay.
Then do it all again next year, lest you should go astray.
So our tidings of comfort to the annoyed, to the annoyed.
So our tidings of comfort to the annoyed!
Posted at 05:57PM Dec 23, 2009 by Kent Moore | Comments[0]
CMS issues a temporary cease fire
As a follow-up to my last posting ("Medicare shoots first and asks questions later," Nov. 19), I wanted to let readers know that the Centers for Medicare and Medicaid Services (CMS) announced on Nov. 23 that it would delay implementation of new rules that give Medicare the authority to reject claims for services or supplies when the ordering physician or health care professional is not enrolled in the Medicare Provider Enrollment, Chain, and Ownership System, or PECOS. The agency is delaying implementation of the new policy until April 5, 2010. According to CMS, an extension of the implementation date will give physicians and other health care providers sufficient time to enroll or, if necessary, re-enroll in Medicare. CMS has indicated that more detailed information about the rules delay will be published soon in MLN Matters, an online publication that is part of CMS's Medicare Learning Network.
Interestingly, CMS's announcement came just a week after the American Academy of Family Physicians, the American Medical Association, and more than 50 other medical organizations sent a letter to CMS Acting Administrator Charlene Frizzera expressing concerns about the policy. Among other things, the letter asked for an indefinite suspension of CMS's plans. While April 5 does not constitute an "indefinite" suspension, it does suggest that CMS is listening and that collective advocacy on the part of organized medicine can have an impact. When it comes to Medicare, one must take comfort where one can find it.
So, if you or other health care professionals who refer to you are not yet in PECOS, you have been granted a reprieve. Just remember that a reprieve is not a pardon, and CMS will resume shooting on April 5, 2010. In the meantime, to quote an old adage, "Forewarned is forearmed."
Posted at 12:15PM Dec 03, 2009 by Kent Moore | Comments[0]


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Wonderful work Anne!
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Lincoln-Way Central's Matt Schneider (left) took second place in the 160 pound championship match against Sandburg's C.J. Brucki at Joliet Central, Saturday January, 19, 2013. | Ray Luna ~ For Sun-Times Media
It might be the most formidable conference in all of Illinois, but the SouthWest Suburban Tournament still belongs to reigning state champion Sandburg.
The Eagles summoned eight wrestlers to the finals Saturday in Joliet and captured five titles behind Alante Walker (145 pounds), C.J. Brucki (160), Colin Holler (170), Ricky Robertson (182) and Bill Gore (220).
Holler, a three-time state medalist, bookends his career with SWSC tournament titles. He won the 119-pound title as a freshman but finished second his sophomore and junior year.
"The last two years I wrestled some tough guys in the finals," Holler said. "I figured I might as well go all out my last year and wrestle like I have nothing to lose; I couldn't let it get by me."
Sandburg took home the unofficial team title with 269 points. Lincoln-Way Central finished as runner-up with 230 and received a second SWSC championship from senior Robbie Mikenis (138). Lockport placed third in the 16-team field at 173.
"Something felt different about this week" Mikenis said. "I felt like this was the best I've wrestled all year. We had great team practices all week."
In one of the most star-studded matches of the event, Thornton's reigning state champ Kris Williams downed Lockport state medalist Brian Rossi for the 113-pound title. Williams, a sophomore, displayed uncanny quickness on his first takedown and went on to win his second SWSC title by a 9-5 decision.
"Rossi's definitely the toughest guy I've faced all season," Williams said. "He came out aggressive. I'm used to being the aggressor so I had to put him back on his heels."
Lincoln-Way East and Joliet Central notched two individual champs apiece, and East's Kyle Langenderfer (152) and Central's Trayvon Zabala (120) became three-time titleholders in the process. Nick Allegretti won at 285 for the Griffins and Sharod Wilson repeated as the 182-pound titleholder for Joliet Central.
Homewood-Flossmoor's Mike Burke (106), Bradley's Jacob Igartua (126) and Lincoln-Way West's Kyle Rodriguez (132) rounded out the podium toppers.
Tag(s): Featured Top News Featured Top News Lincoln-Way East Sandburg Lockport Township Top Headlines Featured


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text: Homes Under the Hammer Series 14 - Episode 58 Share: About this programme 58/80. Developers Lucy Alexander and Martin Roberts visit a three-bedroom bungalow in Plymouth, a London flat and a property in Birmingham. Cast and crew Cast Presenter Lucy Alexander Presenter Martin Roberts Crew Executive Producer Jeremy Mills Series Producer Caroline Davidson Categories Property Share:


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User Reviews & Ratings - Implanon subdermal
Read user comments about the side effects, benefits, and effectiveness of Implanon subdermal.
Overall User Ratings435 Total User Reviews
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User Reviews
Reviewer: Implanon79, 25-34 Female on Treatment for 5 to less than 10 years (Patient)
Ease of Use
This is my third round with Implanon. I have been on it for 9 years. I really like the medicine, its wonderful not having to worry about remembering to take a pill. There are some effects of weight gain but if you are active it should balance out. First time I had it inserted I only had a monthly cycle for the last 3 mths out of the 3 year term. The second time I had it inserted I didn't have ... Show Full Comment
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Reviewer: Winchester89, 25-34 Female on Treatment for 2 to less than 5 years (Patient)
Ease of Use
Burned like hell going in.. Was great for a short while.. no periods for the remaining 8 months my Depo was slowly getting out of my system.. then BAM my period was heavy, irregular, no warning sign of it happening, and it would last 5-7 days.. every other week for 2 months.. disappear for 2 months.. then come back.. it was awful. the insertion site was itchy a lot.. my breast hurt like a mofo all ... Show Full Comment
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Reviewer: pinklady72191, 19-24 Female on Treatment for 1 to 6 months (Patient)
Ease of Use
I had the implanon inserted in September 2012. I have a job where I travel a lot, and would forget to take the pill, and was terrified of weight gain from the shot. The effects were almost immediate. I was diagnosed with severe depression in October 2012. My sex drive completely disappeared, which is insane because I would have sex daily with my fiancée, now husband. I had the device removed ... Show Full Comment
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Reviewer: The_Ginger_Doctor, 25-34 Female on Treatment for 2 to less than 5 years (Patient)
Ease of Use
i got this right after my daughter was born, and i love not having to take birth control pills, i really wish i hadn't now, because i went from having a system that didn't really cycle at all to cycling every 16 days for 9 days, yeah i don't recommend this to anyone. i really like the not getting pregnant part and not having to take birth control pills but other than that it's not ... Show Full Comment
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Reviewer: Avoss, 19-24 Female (Patient)
Ease of Use
I've had mine in for 3 years now. I got my period for about a week after first getting the implanon. After that over the 3 year corse I have not had my period at all. I will be due to get it removed in a few months and now have small spotting. This is a great product. I will get another put in too. I did not have trouble with side effects either.
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Have a Giving Heart!
"I lived and worked at several agencies throughout Baltimore that assist the poor and homeless in many ways, including providing them with legal aid, she says, adding, "The trip taught me a great deal about poverty, prison recidivism, and the unique challenges facing segmented populations in urban communities.
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Wakefield Police are searching for a 15-year-old girl who was first reported missing from the Department of Children and Families group home on Lafayette Street on April 9th.
The girl, Angella McArdle, is described as a white female, 5'3" tall, 115 lbs, blonde hair and brown eyes.
Police said McArdle is originally from Boston, and may be in the Boston area. She has run away from the Lafayette Street group home several times in the past.
She was last seen by her mother in the Boston area.
"Her mother reported that Angella recently visted her in Boston and was in good health," said Wakefield Lieutenant Craig Calabrese.
If you have any further information on McArdle's whereabouts, contact the Wakefield Police Department at 781-246-6321.


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Finally, a meaningful Thanksgiving game
Finally, a meaningful Thanksgiving game
Associated Press
21 Nov. 2006
Get your facts first, and then you can distort them as much as you please. Mark Twain
Re: Finally, a meaningful Thanksgiving gameThe Cardinals have won more recently than the Vikings.
The streaks stop here.
Vikings = 19 points.
I am actually looking forward to the Cheifs/Broncs game.
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Re: Finally, a meaningful Thanksgiving game
Gotta like their prediction for Sunday:
Arizona (plus 6) at Minnesota
The Cardinals have won more recently than the Vikings.
The streaks stop here.
EDIT: Dang it snow, you beat me to it!Zeus wrote:
When are you going to realize that picking out the 20 bad throws this year and ignoring the 300 good ones does not make your point?
Re: Finally, a meaningful Thanksgiving game
The vikings better fricken win on Sunday!
I get the most pissed off looks from people with my VKG 4 LFE Wisconsin license plate, and I LOVE IT!!
Re: Finally, a meaningful Thanksgiving gameIt's usually easy to avoid Thanksgiving games, especially the early one. That's because Detroit is always involved and the Lions are what might be called "traditionally challenged" on a traditional day.
[size=13pt]Thanksgiving and the NFL[/size]
Thanksgiving Day football, once a tradition among the high schools and colleges of America, has more or less faded into oblivion in most sections of the country.
But it is still alive in the National Football League in two franchise cities, Detroit and Dallas, where Thanksgiving Day football has become a normal, expected way of life.
Beginning in 1966, Dallas has missed playing on the holiday only in 1975 and 1977.
However, when it comes to Thanksgiving Day football, NFL style, most fans first think of the Lions and the tradition that was started in 1934. It was their first year in Detroit after a local radio executive, George A. Richards, had purchased the Portsmouth (Ohio) Spartans and moved the team to Detroit. The Spartans were members of the NFL from 1930 to 1933.
[size=11pt]Thanksgiving Day results, 1920-2005[/size]
With the Spartans, not only was Richards bringing a proven, quality team to Detroit, he was also bringing at least one super-star, Earl "Dutch" Clark, one of the most versatile backs ever to play the game. Clark had an outstanding supporting cast in the Detroit backfield with a big, talented line anchored by Frank Christiansen.
Even though he knew there was some risk in scheduling a game on Thanksgiving Day, Richards also recognized that his Lions were taking a back seat to the baseball Tigers on the sports pages. So as one way of attracting Motor City fans during the team's first season, he opted for the Thanksgiving Day contest.
The matchup between the Lions and the World Champion Chicago Bears proved to be an all-time classic. The 1934 Lions had not allowed a touchdown until their eighth game and entered the game with the Bears with a 10-1 record. But with 11 straight wins, Chicago had an even better record. Still a win would put the Lions into a first-place tie with the Bears with only a game left, a repeat clash with the Bears in Chicago, just three days later on December 2.
The 26,000 tickets for the Turkey Day clash in the University of Detroit Stadium, were sold out two weeks in advance of the game. It was estimated that another 25,000 would have attended had there been seats available.
The Bears edged out the Lions 19-16 in the classic holiday struggle and then prevailed 10-7 three days later to clinch the NFL Western Division crown.
Not despondent over the last two losses, Richards reasoned that his team had done well in its first year in Detroit. His confidence was rewarded the next year when the Lions won the 1935 NFL Championship. The key game in the title drive came on Thanksgiving Day, when the Lions defeated the Bears 14-2 to clinch the West championship.
Thus the football-on-Thanksgiving tradition became firmly established in Detroit. With the exception of a six-season gap from 1939 to 1944, the Thanksgiving Day game has been played with no interruptions.
The Detroit Lions Thanksgiving Day heritage gained national attention in another way, starting with the very first game in 1934. Knowing the publicity potential of radio, Richards along with NBC Radio, set up a 94-station network to broadcast the Lions-Bears showdown. The famous announcing team of Graham McNamee and Don Wilson described the action.
"If at first you don't succeed, parachuting is not for you"
Re: Finally, a meaningful Thanksgiving game
Didn't want to start another thread.
THANKSGIVING DAY Game Talk!
Harrington got his TD pass at Ford Field.
Re: Finally, a meaningful Thanksgiving game
The Lions aren't holding Brown to minus 3 yards that is for sure.
Roy Williams is looking good.
11-23-2006, 12:37 PM #8Jersey Retired
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Re: Finally, a meaningful Thanksgiving game
Roy Williams were the player of the 1st quarter for sure.
Thanks to PPE for the sig.
11-23-2006, 12:43 PM #9Jersey Retired
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Re: Finally, a meaningful Thanksgiving game
The Dolphins receivers needs to learn how to catch balls. (Also...)
Thanks to PPE for the sig.
Re: Finally, a meaningful Thanksgiving game
27-10 Dolphins
Joey actually looked good today.
He was 18-37 as the starter in Det.
If he wins today, he will be 4-3 as a Dolphin starter.
Things are looking up.
I am not a Daunte Hater, but wouldn't it be kind of funny if Daunte was the back up in Mia next year.
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NEW YORK (MainStreet) We've been waiting since spring for the big "taper," with all the smart money betting it would come Sept. 18. Now that the Federal Reserve has decided to hold off, what does it mean for borrowers, savers and investors?
The taper was to be a cutback in the Fed's $85 billion-a-month bond-buying program, which has helped keep interest rates low. The Fed said last week that the economy had not improved enough to start winding down the program.
Though the Fed had not intended for the taper to cause interest rates to rise, mortgage rates and bond yields had been drifting up as the market anticipated the long-term effects of a new Fed policy. The Fed's announcement made it fairly clear that the length of the taper delay depends on the economy, so the delay could last some time, probably keeping rates from rising much further if at all.
Mortgage shoppers would probably be wise to sit back and watch for a week or so. It seems unlikely rates will rise, and they could drift down a bit, though probably not to the sub-4% level of spring.
People thinking of putting their homes on the market, or of adjusting the asking prices of homes already for sale, should likewise watch the market a bit before making big decisions. The threat of rising mortgage rates had caused some buyers to rush to buy, while it drove others to the sidelines.
It's impossible to predict buyers' reactions to the new situation, but it seems unlikely that flat or lower rates will dampen demand for homes. If demand perks up, as it has been recently, sellers might get higher prices.