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The overwhelming evidence of human-caused climate change documents both current impacts with significant costs and extraordinary future risks to society and natural systems. The scientific community has convened conferences, published reports, spoken out at forums and proclaimed, through statements by virtually every national scientific academy and relevant major scientific organization — including the American Association for the Advancement of Science (AAAS) — that climate change puts the well-being of people of all nations at risk.
According to the NRC and the USGCRP, changes in the earth's climate--including higher temperatures, changes in precipitation, rising sea levels, and increases in the severity and frequency of severe weather events--are under way and expected to grow more severe over time. These impacts present significant risks to the nation's energy infrastructure.
This landmark report demonstrates the carbon sequestration benefits of restoring tidal wetlands in the Snohomish estuary in Puget Sound, Wash. The report was prepared by Restore America's Estuaries, Ecological Science Associates (ESA), Western Washington University, and EarthCorps. Lead funding for the study was provided by NOAA's Office of Habitat Conservation. The Boeing Company and the Wildlife Forever Fund provided additional financial support.
This report presents the findings from a national climate change adaptation survey conducted by eight Sea Grant programs across the U.S. (Connecticut, Hawaii, Illinois-Indiana, Louisiana, Maryland, Minnesota, Oregon, and Washington). The survey was developed to understand the opinions, current phase of planning, and information needs of coastal/resource professionals and elected officials regarding climate change and adaptation to it.Results from the survey indicate that most coastal/resource professionals seem to believe climate change is occurring in their area.
Livestock production systems in the LMB range from traditional smallholder livestock-keeping systems to large highly productive commercial enterprises. Traditional systems are small-scale, low intensity, low-input, low-output systems, typically raising stock of local genetics and with limited market orientation. They contribute well over 90% of total numbers of producers in the LMB, and over 50% of total production. These systems dominate the higher elevation forested and more sloping ecozones and typically are associated with low-income, vulnerable households.
This report presents the results of the fisheries component of the USAID Mekong ARCC Climate Change Impact and Adaptation Study. It first provides an overview of the current state of the important capture fisheries and aquaculture systems in the LMB, focusing on those elements that are threatened by climate change. This report then presents a methodology and results for vulnerability assessments, carried out using a CAM approach, for six climate change hotspots (Chiang Rai, Khammoun, Gia Lai, Mondulkiri, Kien Giang, and Stung Treng).
Growing conditions for agriculture are diverse in the Lower Mekong Basin (LMB), from the mountainous areas of Lao PDR and the Central Highlands in Vietnam to the lowland plains in the Mekong Delta. Farming systems range from traditional shifting agriculture systems dominated by upland rice through industrial plantations, including smallholder intensive rice farmers.Rainfed agriculture is the dominant type of agriculture in the LMB. Rainfed rice is the dominant crop, representing 75% of the agricultural area within the LMB.
The USAID Mekong ARCC project is a five- year project (2011-2016) funded by the United States Agency for International Development (USAID) Regional Development Mission for Asia (RDMA) in Bangkok and implemented by Development Alternatives Inc. (DAI) in partnership with International Centre for Environmental Management (ICEM) and World Resources Institute (WRI).
Small and medium-sized businesses (SMEs) in Turkey are increasingly concerned about the scale of the climate challenge facing their operations. In a country where water scarcity is a growing problem, their anxiety is not unfounded. SMEs also struggle to decide on the most effective strategies to reduce climate risk, according to a ground-breaking study, funded by the European Bank for Reconstruction and Development (EBRD) and the International Finance Corporation (IFC).
EcoAdapt, in collaboration with the U.S. Forest Service and California Landscape Conservation Cooperative (CA LCC) hosted the Adaptation Planning Workshop for the Sierra Nevada June 4-5, 2013 in Sacramento, California. The goal of the workshop was to identify management strategies that will help regionally important ecosystems and species adapt to changing climate conditions and to lay the groundwork for adaptation action.


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Rolls-Royce has won a £12 million order to provide design, integrated power and propulsion systems and equipment for a highly advanced multipurpose service vessel
Classification society DNV GL recognised that E.R. Schiffahrt has retrofitted seven ultra large container vessels to meet the highest energy efficiency standards
Norwegian ship builder Kleven has secured a new contract for a high specification, 116-metre long Expedition Support Vessel. The order is placed by Mr Graeme Hart,
CSCL Globe, the world's largest containership and the first of a series of five 19,100 TEU containerships ordered by China Shipping Container Lines (CSCL) in 2013,
State-controlled Exportadora de Sal SA de CV of Mexico ("ESSA"), one of the world's largest salt exporters with a 10-million-ton annual production, has strengthened
Japan's highest-ranking military officer on Friday urged an early start to a "crisis management" mechanism with China amid conflicting claims to a group of tiny East China Sea islands.
A new series of six Anchor Handling Tug Supply vessels to be built at the Kleven Verft AS in Norway for the Danish based Maersk Supply Service A/S - part of the A.
Keppel AmFELS LLC, a wholly owned US subsidiary of Keppel Offshore & Marine Ltd (Keppel O&M), has delivered the jackup rig, Coatzacoalcos, to Mexico's Central Panuco S.
Arctech Helsinki Shipyard started production of the new icebreaking multipurpose supply vessel
The production of the icebreaking multipurpose supply vessel
After a very fast and successful 17-day drydocking the cruise ship MSC Magnifica left Damen Shiprepair Rotterdam (part of Damen Shiprepair & Conversion) for

subset: commoncrawl


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- Freeport murder suspect Damon Dixson taken into custody in Rockford
- Local gas station employee arrested for selling liquor to minor
- Renewable Fuel Standard delay 'a mixed blessing,' Bustos says
- Rockford delegation presents inaugural 'Rockford Award' to Norwegian Air
- Education in Illinois making slow progress, according to report
- Illinois GOP Congressional delegation: Obama's immigration plan undermines rule of law
- Suspect, 17, charged in Halloween hit-and-run in Roscoe
- Saint Anthony College of Nursing president to retire
- Man found guilty in deadly August 2013 crash at Mulford and Garrett Lane
- 'The Price is Right Live!' at Coronado March 1; tickets on sale Nov. 21
Midway Village profiles historic gardens, landscapes July 30-31
Online Staff Report
Enjoy the Heritage Gardens and Natural Areas while in full bloom from 11 a.m. to 4 p.m., Saturday and Sunday, July 30-31, at Midway Village Museum, 6799 Guilford Road, Rockford.
Bring the family and join the museum for this unique event centered on historic gardens and landscapes. Activities will be led by local Illinois Extension Master Gardeners, Midway Village Museum education staff and other area garden and prairie experts.
Four presentations will include "Why Plant Natives?," "A History of Food Preservation," "Herb Lore and Legend" and "Attracting Birds to Your Garden."
Other activities during the two-day event are herbal tea tasting, Victorian crafts and demonstrations from the garden, garden tours and prairie walks, birding tours, Grandma's Rhubarb Wine, heirloom plant sale and children's activities.
Cost is $8 adults; $5 children and museum members are free. For more details, www.midwayvillage.com or call (815) 397-9112.


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Claiming that current rules on pilot rest date back to "the propeller era," FAA Administrator Randy Babbitt on Wednesday criticized a "one size fits all" federal standard that fails to account for commuter pilots' more stressful workday. Stakeholders from across the aviation spectrum are currently studying the issue, and their findings are due by Sept. 1. "We will close the gap, and we will have a rule," Babbitt vowed in Wednesday's speech before the Air Line Pilots Association.
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- 멀티 미네랄
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Customer Reviews
Dr. Oz. recommended
2 people found the following review helpful
Posted by Reviewer3049502 on Dec 25, 2010
Purchased at iHerb
This product helps control my blood sugar and IHerb.com is the only place I will shop for any supplements. The prices are low, the quality is excellent and I recieve my orders quickly and accurately.
shoulder pain
2 people found the following review helpful
Posted by Reviewer1812110 on Jan 05, 2011
Purchased at iHerb
I had read on the internet about the benefits of nopal cactus for the relief of pain from nerves in my shoulder. I have taken the one per day and it has done some good.
this is the best for my knee pain,two months agoe i could not bend my knees with pain,after two months on 4 pills a day i can clime stairs without pain. thanks
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great product
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Posted by Reviewer1441515 on Aug 07, 2010
Purchased at iHerb
I learned about the curative elements of Nopal in Mexico. I have type 2 diabetes and the ladies in the village heard about it and brought me nopalito tacos and gorditas to eat. We bought nopal at the mercado and my sweetie prepared it as the curandera suggested. It takes a little getting used to but with enough chili and tomato it is tasty. The Huitchol in the village were great herbalists and there are many other plants that I could recommend. It is hard to find nopalito when I travel so I take tabs. Better if they were caps but they are good when there are no tacos available.


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Mecca Twp. ANNUAL SOUP SALE November 19, 2014
will be held on Wednesday, November 19th, 2014, 3 to 6pm at:West Mecca U. M. ChurchCorner of St. Rt. 88 & Bazetta RdSoup Sale monies to benefit church projects.Some Soups available: Wedding, Chili, Spaghetti, Stuffed Pepper, Chicken Noodle, Cabbage, Veg. Beef Veg. more »
Dining Out
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Twitter Profile: Matthew Shepard (laramieproject)
In memory of Matthew Shepard December 1, 1976 – October 12, 1998
BlinkX Video: Town still struggling with Matthew Shepard's death
Oct. 11: The community of Laramie, Wyo., was appalled after 21-year-old Matthew Shepard was been beaten, tied to a fence, and left to die in Oct. 1998. Ten years later NBC's... - 10.11.2008, MSNBC
Thema – Matthew Shepard - YouTube
Matthew Wayne Shepard war ein US-amerikanischer Student der University of Wyoming, der im Oktober 1998 in Laramie das Opfer eines vorsätzlichen Tötungsdelikt...
BlinkX Video: Elton John speaks about Matthew Shepard 4/09 Laramie, WY
10 years later, Elton John speaks during his solo concert benefiting the Matthew Shepard Foundation in Laramie, Wyoming on April 3, '09 about Matthew Shepard... - 04.06.2009, Veoh
BlinkX Video: Investigator: How Matthew was found
Oct. 11: David O'Malley was the chief investigator for the Laramie Police Department. He describes how authorities found Matthew Shepard in the outskirts of Laramie. (Nightly... - 10.11.2008, MSNBC
Google News: Art in Paradise: The Verse of It
29.05.2012 [Valley Advocate] - Leslea Newman's latest volume, October Mourning, takes on the hate-crime killing of Matthew Shepard in Laramie, Wyoming, in the '90s. Its poems are straightforward explorations and imaginations based on the real events, often presented as odes to
Bergen County Players perform 'Laramie Project'
23.05.2012 [NorthJersey.com] - The Laramie Project tells the story of Matthew Shepard, who in 1998 was kidnapped by two men from a Laramie, Wyo. bar, bound to a fence, beaten and left to die. Joseph and Jane Clementi, Tyler's parents, participated in last Thursday's post-play
Google News: The Laramie Project - 10 Years Later | Red Stitch
20.05.2012 [Australian Stage Online] - In 1998 in Laramie, Wyoming, Matthew Shepard (a young gay man) was the victim of a violent hate crime. He was beaten and tortured and left to die; tied to a fence on the outskirts of town. He sat there for six days until being found by a passerby and
Calabasas High's Michael Lewis Stands Up for Gay Rights
15.05.2012 [Patch.com] - He ended up with four roles in the play written about the life and death of 21-year-old Matthew Shepard, who died tragically in 1998 after being severely beaten and tied to a fence for six days in Laramie, Wyoming. "I really wanted to send the message
Google Groups: A face of Blood: Mathew Shepard's Last Night
20.11.1998: LARAMIE -- Matthew Shepard's tears cleared blood from a small part of his ... Matthew Shepard's parents, Dennis and Judy, attended the preliminary hearing ...
'Ten Years Later,' The Matthew Shepard Story Retold : NPR
The 1999 play The Laramie Project explores the true story surrounding the death of Matthew Shepard, a young gay man who was beaten and left to die in Laramie,...
Mass Media: Laramie Project Reflection Assignment
05.12.2010 by Mass Media Matthew Shepard did not deserve this and he is getting punished for his lifestyle. Could you imagine getting beaten to death because you like a certain television show or movie? Its a dumb reason right? Well so is the reason Matthew ...
Matthew Shepard
Matthew Wayne Shepard (December 1, 1976 – October 12, 1998) was an American student at the University of Wyoming who was fatally attacked near Laramie, on the night of October 6 – ...
Durham Bulls split doubleheader with Norfolk Tides: Risk and Reward
07.05.2012 [The Independent Weekly (blog)] - But instead I will leave you with the song with which Amy Ray and the Butchies closed out their rally concert last night, a rousing protest anthem in memory of Matthew Shepard. "Laramie": "What we need is a little addition / Ounce of prevention and the
What Happened in Laramie | The Weekly Standard
Read conservative news, blogs and opinion about Book, Ferguson, Jiminez and Shepard from The Weekly Standard, the must read magazine available in online...
Jorge Steven Lopez and Matthew Shepard: Two Crimes, One Motive | The...
11 Jun 2010 ... Matthew Shepard was a 21-year-old student at the University of Wyoming, located in the city of Laramie. On October 7, 1998, ...
The passion of Matthew Shepard | Theater | Indy Week
Raleigh's Burning Coal Theatre takes part in a worldwide Web premiere of a revised Laramie Project.
The Crucifixion of Matthew Shepard
The motivations behind the torture and public display of Matthew Shepard on a fence outside Laramie, Wyoming, have much in common with the reasons ...
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Alex, Marty, Melman and Gloria are back in the 4th part of the successful animated series!
With the spin-off Penguins of Madagascar to be released in 2015, another Madagascar movie seems inevitable, with Alex, Marty, Melman and Gloria again enchanting young and old alike.
Read More
Penguins of Madagascar Do Mission: Impossible in International TrailerSamuel James Harries ⋅


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Federal agency finds fault with Harmony schools admissions, services
Top Stories in Local
In Peru, whip-cracking vigilantes serve up justice
Top Stories in US & World
Live coverage: Black Friday 2014 in San Antonio
Top Stories in Business
Eagles roll over Cowboys 33-10 for NFC East lead
Top Stories in Sports
Sopapilla cheesecake tops list of most Googled in Texas
Top Stories in Food
S.A. movie deserves a holiday toast
Top Stories in Entertainment
S.A. has full holiday calendar
Top Stories in Lifestyle
Broadband merits utility classification
Top Stories in Opinion
2015 Dodge Challenger 6.4L Scat Pack — Seventies muscle car redux, especially the color.
Top Stories in Cars
Weak consumer, business demand may slow US growth
Top Stories in Jobs
Real Estate
Giant Wimberley country home going for $2.8 million
Top Stories in Homes
Marvin Pfeiffer, San Antonio Express-News
Kenneth Cruz (left) with Lackland/Air Force blocks a punch by Advocates Boxing's Angel Garcia during their open Bantam bout on opening night of the 2013 San Antonio Regional Golden Gloves tournament at Woodlawn Gym on Tuesday, Feb. 19, 2013. Cruz came away with the decision in the bout.
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Sunrise at Notre Dame by Cap Pannell
#15 of 29
university of notre dame greeting cards, notre dame greeting cards, sunrise greeting cards, college greeting cards, campus greeting cards, alma mater greeting cards, school greeting cards, higher education greeting cards, dawn greeting cards, yellow greeting cards, orange greeting cards
This is a painting of the Notre Dame campus as viewed across the campus lake at dawn.
A writer, designer, and painter for over 35 years, Cap Pannell works in both oil on canvas and a multi-media printmaking technique. He lives in Dallas with his wife, a writer and singer. His interest in imagery encompasses expressive realism in portraiture, still lifes, and conceptual pieces.
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Syrian rebels have recently obtained up to 40 shoulder-fired antiaircraft missiles, the Washington Post reported Thursday, citing Western and Middle Eastern intelligence officials.
Some of the missiles were supplied in the past weeks by Qatar, the newspaper reported, citing two unnamed Middle Eastern intelligence officials with knowledge of the matter.
"It should be worrying to everyone," one of the officials said. "When (Syrian President Bashar al-) Assad is finished, terrorists could end up with these, and commercial flights would be at risk."
The US government has opposed arming Syrian rebels with such weapons, fearing that they could eventually land in the hands of terrorists. US intelligence officials declined to comment on the report.
The report comes after the Syrian Observatory for Human Rights said Tuesday that the Syrian rebels downed an army helicopter with a ground-to-air missile.
"It is the first time that the rebels have shot down a helicopter with a surface-to-air missile," Observatory director Rami Abdel Rahman told AFP.
The Britain-based Observatory said the missile was part of a consignment newly received by the rebels that had the potential to change the balance of forces in the 20-month conflict.
More than 40,000 people have died since the conflict erupted in March 2011, according to the Observatory.
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Find records of Roscoe Edingburg
Find birth, death, marriage, military, and other records of Roscoe Edingburg at Ancestry.com.Search for records
Biography & Family History Add details
Roscoe Edingburg (1896 - 1962) was born on September 25, 1896. He was born into the Edingburg family.
Roscoe had no marriages. Roscoe died in December 1962 at age 66.
Roscoe Edingburg's last known residence is at Illinois.
The data on this page comes from the official record for Roscoe Edingburg in the SSDI (United States Social Security Master Death Index). What is the SSDI?
This genealogy of Roscoe Edingburg's past was created by AncientFaces users Contribute what you know to connect to the people who know him. Some things we would like to know about Roscoe's genealogy:
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Pre- K And Kindergarten Registration In Calcasieu Parish
Pre-K and kindergarten registration is in full swing and you can get the details here.
Pre-K and kindergarten registration is in full swing and you can get the details here.
Good news for parents, starting this fall students at 19 schools in Calcasieu Parish will get free breakfast and lunch.
The first day of school is just around the corner. Are you ready? Look here for school supply lists, first day dates and 2014-2015 school calendars.
New Orleans Saints tight end Jimmy Graham has been in negotiations with the Saints on a new contract and this morning the star tight end took to his twitter account to announce that a deal has been done.
Imagine this Sulphur, La., family's surprise when this duckling hatched with four legs! Little Donald has twice the webbed feet and 100 times the cuteness.
We're more than half way through the year and this is were people start slacking on their exercise. Stay motivated and remember getting healthy is a life style, not a fad.
Who are you and where are your people from? Here's your chance to find out. Take part in the free genealogy workshops at the Carnegie Memorial Library in Lake Charles.
If Chess is your game or something you've always wanted to learn how to play, don't miss Chess Camp at OLQH this weekend!
The 45th Annual State Horse Show will take place at the Burton Complex July 8-12, 2014 in Lake Charles. Get the list of scheduled events here.
Imperial Calcasieu Museum and C itgo are giving kids in our community something new to discover this summer. The Branch Out Summer Arts Camp is in full swing and this year it's based on the study of Asian art techniques.
The Calcasieu Parish Sheriff's Office is set to conduct a boating education course on Tuesday, July 15 in Lake Charles.
The 19th annual Red, White, Blue & You Celebration is in full swing. Get the scheduled events here and be a part of the fun.


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Despite losing her vision three years ago, Kathryn Webster entered Wake Forest last fall with the goal of pursuing a dual degree in mathematics and business. Faculty and staff found a novel suite of technologies to help her see math clearly.
Evening the odds
October 20th, 2014 | Faculty, Staff, Student
Building community
October 10th, 2014 | Admissions, Alumni, Campus Life, Faculty, Staff, Student, Thrive / well-being
More than 50 years after Martin Luther King Jr. spoke at Wake Forest, universities across the country are making headlines related to race and identity. At a time when Wake Forest has a more diverse study body than ever, the campus community is addressing these challenges together.
Wake Forest "Hits the Bricks" for cancer
October 3rd, 2014 | Alumni, Campus Life, Community, Events, Faculty, Staff, Student, Thrive / well-being, University Announcement
A Wake Forest tradition, Hit the Bricks is an eight-hour relay race along the brick pathways of Hearn Plaza in honor of Brian Piccolo, a Wake Forest alumnus and Chicago Bears running back who died of cancer at age 26.
Internship on the world's stage
September 26th, 2014 | Faculty, Personal and Career Development, Staff, Student
David Hughes ('15), a computer science major, spent the past five months working on Intel's Connected Wheelchair Project, which was unveiled at Intel's annual development conference held mid-September in San Francisco. The Connected Wheelchair Project received international attention as a result of an endorsement from world-renowned physicist Stephen Hawking.
A new home for Campus Kitchen
September 17th, 2014 | Campus Life, Community, Events, Staff, Student, Sustainability
On Friday, Sept. 19, the Campus Kitchen at Wake Forest University will hold a grand opening for its new home in the heart of campus. Officially opening its doors in 2006, the Campus Kitchen at Wake Forest has continued to grow every year since.
Seeking higher ground
September 3rd, 2014 | Campus Life, Events, School of Divinity, Speakers, Staff, Student
The School of Divinity's convocation address was given by the Rev. Dr. William J. Barber II, which was the inaugural event of the Mac Bryan Prophetic Preaching Series that honors the late George McLeod "Mac" Bryan, Sr., who was a professor of religion for 37 years.
A dynamic hub for wellbeing
August 26th, 2014 | Admissions, Alumni, Campus Life, Staff, Student, Thrive / well-being, Wake Will
On Sept. 5, Wake Forest will break ground on The Sutton Center, a two-story addition to Reynolds Gym that marks the first of three planned phases to transform the historic building into a dynamic hub for campus-wide wellbeing.
Pictures worth a thousand words
August 4th, 2014 | Arts & Culture, Campus Life, Events, Staff
In his 18th year of documenting life at Wake Forest, award-winning University Photographer Ken Bennett has a unique, but long-term perspective of the University.
#MyTopCollege is Wake Forest University
July 17th, 2014 | Alumni, Campus Life, Staff, Student
From educating the whole person to Pro Humanitate to studying abroad, Wake Foresters have been sharing their black and gold spirit across social media to show that #MyTopCollege is Wake Forest University.
Welcome to college (almost)
July 10th, 2014 | Admissions, Campus Life, Community, Staff, Sustainability
From lectures to team building to serving in the community, 51 students from 15 states get a taste of college life at LENS@Wake Forest, a three-week pre-college sustainability program.


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November 29, 2014
Clean up is underway for parts of south central Wisconsin, after strong storms blew through the area Thursday morning.
There are reports of significant damage in Lafayette County, including a number of buildings, powerlines, and trees that are down in the area.
There are also reports of trees down in Green County, but no major damage.
No reports of damage in Grant, Rock, Dane, Columbia, and Sauk counties.
We'll have more on the damage tonight on NBC 15 News at 5 and 6.
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Now that the shows have begun, we invite you to find all that Fringe has to offer! Check out the maps and schedules below.
We've got some treats in store for you this year. An expansion into a new neighborhood, a special-release Fringe Beer by our friends at The Brewer's Art--the hits keep coming, folks!
This year we've started a new Audience Choice Award to be delivered to the artist or company that receives the most votes on this survey: AUDIENCE CHOICE AWARD
Find information on all of our artists, including when they'll be playing and how to buy tickets, on our Artists Page!
Remember to check out our news section for our monthly updates and, of course, follow us on The Facebook for festival news and other cool happenings around Monument City (that's Baltimore, folks!).
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Dri-Air Industries Inc. focused on dryers for small-output machines, during NPE2012. Dri-Air's Compact MicroDry-Convey eliminate floor-mounted drying equipment on small injection presses and extruders. The dryer, hopper and conveying system fits on the back of most vertical injection molding machines.
The annual recap of top trends and future outlook for the plastics caps & closures market features interviews with industry thought leaders and Bill Wood�s economic forecast of trends in growing end markets. You will also gain insight on trends in caps design, materials, machinery, molds & tooling and reviews of mergers & acquisitions.Learn more
This report is a review and analysis of the North American Plastics Recycling Industry, including key trends and statistics based on 2013 performance. We examine market environment factors, regulatory issues, industry challenges, key drivers and emerging trends in post-consumer and post-industrial recycling.Learn more
This report analyzes the $20 billion plastics industry in Mexico including sales of machinery & equipment, resins and finished products.
Our analysts provide insight on business trends, foreign investment, top end markets and plastics processing activity. The report also provides important data on exports, production, employment and value of plastics products manufactured.
January 14, 2015 - January 14, 2015Plastics in Automotive
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[With a growing buzz courtesy of new records like "The Opposition," R&B newcomer Parker Ighile speaks to SOHH readers about being the first artist signed to rap star Nicki Minaj and what his experience has been like.]
Signing to Nicki [Minaj] was something I didn't need to think twice about, she flew me down to Atlanta while she was on tour and when we met she was as cool as they come. I'd met quite a few different teams that were interested in taking on my project, TyTy (Roc Nation) showed interest in me while I was working on Rihanna's single "What Now."
I get on really well and I see him as big brother but he had already started his roster and I need 100 percent attention on my project. I genuinely felt like TyTy and Nicki were the only people that really understood what I represent and being an island girl raised in the city, Nicki's got an understanding of my culture and what I'm about.
That's the most important thing to me. I have been blessed enough to have a godfather like Quincy Jones who tells me to think about music production from a global perspective.
Honestly besides her craft itself, it is Nicki's efficiency, her work rate, her drive [that impresses me]. I've spent the past five years as a producer working with various artists and honestly Nicki's hunger is unparalleled. I turned down a lot of other opportunities because wherever I went I wanted to have their full attention and that was the only risk of signing to a household name or major, with Nicki that isn't an issue.
Despite the current pace of the music industry I've never wanted to rush my project and I'm a strong believer that if you take your time when creating music its more likely to captivate people.
I've been with Nicki for just over a year now and she's given me the space and time I need to make material I really believe in, music that is the perfect representation of my life and also enough time to juggle my commitments as a producer. What more could I ask for?


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Our Newest SUV is a Tenacious Track-Star: 2015 Porsche Macan
Here at Performance Porsche, we are positively smitten by our all-new SUV, the 2015 Porsche Macan. This compact crossover is a truly rare breed, indeed; it offers the versatility of a utility vehicle and the prodigious performance of a sports car. Who said you can't have your cake and eat it, too? Clearly, not Porsche. Take a peek at the video to witness this marvelous model on the move:
For the Macan, there are?


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- Publisher: Nintendo
- Release Date: Apr 6, 2012
User Score
Generally favorable reviews- based on 466 Ratings
User score distribution:
Positive: 416 out of 466
Mixed: 13 out of 466
Negative: 37 out of 466
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Jun 8, 2012This is one of the best games of the 2010's so far. Its advanced combat system, gameplay, music, story, visuals, and sidequests can keep you entertained for 100+ hours. Its the best wii game available.
Apr 10, 2012Xenoblade Chronicles, is one of the most amazing games that I can play, the story is fantastic, the characters interesting, and the graphics are beautiful, the gameplay, OMG! I feel like an excellent RPG, this game is a biggest sorprise and the better game of the year.
May 7, 2014One of the best games I have played. It has everything you would expect from a jrpg. Great story, interesting characters you come to care about, a ton of quests (and yes some are annoying). The only issue I have is that you can't buy advanced skill books (not that you need them that much once you level up considerably). If you haven't played it I definitely recommend you do. The game also works on Dolphin emulator without any significant problems (Only a little audio issue here and there).… Expand
Jun 24, 2013Xenoblade Chronicles is the best JRPG I've played in years. Every aspect of the game shines, offering a unique and amazing experience.
The gameplay is top notch, boasting a new and interesting combat system that never seems to get old, even 60+ hours into the game. The characters, too, are very well done. All of the characters in the story are interesting, well voiced, extremely British, and not annoying (except Riki, who is the embodiment of annoyance).
The story of the game is great mainly due to the game's setting atop two massive titans called the Bionis and the Mechonis. It is full of plot twists and character development which keeps the it interesting.
The very best aspect of this game is its music, which is nothing short of masterful. The very best memory I have of this game involves entering a grand and expansive location, only then to be greeted by the best song in game. Every track suits the scenery it accompanies.
The only fault people have with this game are the graphics. However, as far as Wii games go, the graphics aren't half bad. When looking at things up close, they might seem to be rather ugly. However, when viewing giant new areas, the game looks gorgeous.
Take all these aspects and combine them with a nonlinear and lengthy experience, and you get an excellent JRPG and one of the Wii's best games.
9.4/10… Expand
May 25, 2013Xenoblade is definitely one of the most interesting RPGs of this generation and for many several good reasons that in most RPGs nowadays are either removed, not present, or just forgotten. For starters, we HAVE exploration! YES, we can finally explore areas once again, even though there's no real world map but it is still a great thing to have, with extremely huge areas with details, enemies to fight, and add also that we get sub quests (which can be either annoying, or simple, but they are there!), this game has already a lot of stuff to give. We also get a very nice relation system that even though I don't remember exactly doing much (it was more useful for later part of the games), it's nice to have...but I'll go back to it later. The combat also is pretty good and, ACTUALLY, mix the turn based and action based combat pretty well: infact you actually have a good control over the combat, with hotkeys like in an MMORPG (skill trees included), and your compagnion work and act properly well, because they usually have a role; for example, Melia is the mage (and the only one not very good with an AI, for me at least), Reyn is a "tank", and Sharla is a healer, and so forth, and that even makes combination with your team mates pretty interesting, since they are all pretty unique in their way. And for last, but not the least, a detail that I really really liked of this game...the armors actually CHANGE your appearance, and the armors are extremely detailed and good looking! "Applauds" Bravo, I was really stunned by this, since that in 99% of RPGs (not including Western RPGs), the armor customization is literally zero. I'm pretty sure I'm being vague on the game details, combat and stuff, but it's because these are extremely good and well made, with few flaws that barely are remarkable. Except for the story. While the game itself is great...the story is flatout one of the worst I've ever seen but for ALL the wrong reasons. One of these reasons is that...it's SO predictable! I'm not kidding when I say that even the GAME COVER is a spoiler (just analyze the name Xenoblade...yeah, it's what you think. Yeah, it's a vital part of the game later on). But what about the story itself? It's not bad but I was able to predict any kind of twist, plot devices, character motivations....ANYTHING! I'm not saying this game is bad because the story is not original, but PLEASE at least tell it properly and without being too predictable: the only unpredictable thing of the story, was the the ending! Infact, I mentioned about the relation between characters, which usually means that behaving accordingly with certain characters usually will lead to a different ending: in this game, it serves only for getting either achievements and other stuff, and that's it...and that was such a waste because, actually, the game gives you ways to make up friendship with your team mates, and that helped me to like certain characters because they had their motivations. But then, if the game will have one ending, why giving us a fake trace of multiple endings by giving us the chance of interacting with the people of the game! Perhaps I'm overreacting over it, but that to me was a major flaw, because the ending is also weak and left me unsatisfied. But still...this is a good game and I honestly encourage to try it out, because it's both fun to play and very long to complete, due to the explorations, the skill trees to unlock, the subquests, the relationship building (even if not that great), the combat being fun and smooth (still, we can't dodge by moving away...), and so much more. But the story really didn't get me and I was really disappointed by it. Definitely a game to play and try, especially if you have a lot of time to spare.… Expand
Aug 22, 2012Xenoblade Chronicles is by far and away one of the best RPGs of this generation, one of the best games on the WII and even one of the best I've played since RPG's like Dragon Warrior 8 and Rogue Galaxy. Graphics wise this game isn't good, no question. For what it can do however it is not terrible. Landscapes and areas are designed well. It's just the power of the WII holding back what would truly be a great vision. Character models are not terrible either, they have a strong resemblance to Final Fantasy 12's characters. Controls I have no complaints either. Having the controller that came with Monster Hunter Tri makes so many games more playable for me on the WII. I'm no fan of motion controls. The voice acting is a little annoying at first but after a while you do get used to it. Sounds and music are fantastic. The quests did eventually get a bit redundant and just downright annoying. In barely a week I had 60 hours into the game and I had completed more then 250 side quests. Now this wouldn't be bad normally but this game requires you to do these side quests to level up... If you decide to skip them you could end up being vastly under leveled. Killing normal enemies did not seem to reap much reward so leveling up on normal monsters I felt was out of the question, you are basically left with not much option. This does eliminate the traditional grinding that so many people find annoying, but searching for rare collectable items and killing so and so unique monsters that have conditions to spawn is just as bad if not worse then mindless button mashing to kill enemies. It's not all bad - the story does keep you strapped into the game and leave you wondering what happens next. Exploring areas is fun as well. This games only flaw I feel is the amount of side quests put into the game. I play more PS3 and 360 games then I do WII and I can honestly say I wish this game was on either console. Xenoblade's only major flaw is that it is being constrained by the WII's specs. Overall though it's a great game and should be picked up for RPG fans.… Expand
Mar 24, 2014This game will consume your soul for approximately 100 hours, it's like going on a journey to heaven, if heaven was a JRPG. Cheesecakes are at stake here (not really). Mmm cheesecakes...
Jan 14, 2013Xenoblade is the greatest RPG of this generation and one of the best games on the Nintendo Wii . An epic adventure, beauty and there is still plenty of magic and fantasy. I hope we'll see more from this game in the future.
Jan 25, 2013This game has a ridiculously high metacritic score. You will find tons of adoring reviews. Every one of these is utter garbage. Xenoblade is tripe. The game is deeply, deeply, deeply flawed. Its just bad. Where to begin? Firstly, most people go to RPGs for the story. This game has a terrible story. The SETTING is cool - indeed, it is a major selling point for the game - but sadly, while the WORLD is cool... the characters inhabiting it are not. The game commits the cardinal sin of having a deeply boring cast. Shulk and Reyn are boring generic characters whose quest is driven by revenge, Melia is a generic princess who is coming to see what the other people see, and Riki is just an annoying little thing. Dunban and Sharla are okay, but they're unexceptional. The other characters in the world are mostly quite boring, with only a handful holding any real interest.
Worse still, there is a ridiculous amount of filler. Indeed, the game is mostly filler. There are sidequests galore, which are necessary to unlock many skills, but if you do them you end up hilariously overlevelled - I often was 10-15 levels above the level of the area after the start of the game. If you skip them, some of them are timed lost forevers, and the rest are even more tedious once you've left the area as there's just no reason to run around for them. This also spaces out the time it takes to actually get through the story - you do some story, then A BILLION SIDEQUESTS, then another hour of story, then A BILLION MORE, ect. Its terrible pacing.
The areas are nicely designed, but even there the game falls down. The areas look decent (though the graphics are not great - and it isn't just that it is on the Wii) but the areas are ENORMOUS. This sounds like a good thing, but it is actually really terrible as it takes a very long time to simply cross the areas. Oh, and the game rewards you for exploring, with better rewards than the quests, so you'd better do it - and worse still, there are teleporters which let you quick travel back through the areas, which are mandatory for making doing the sidequests tolerable, but you can miss some of them, meaning you end up finding them later while on your way back from some inconvenient to get to area. Joy.
The combat is bad. The AI is not very smart - in fact, it is quite dumb - and there's no control over it. Some characters are just useless under AI control, while others work quite well, so its clearly just incompetence. Unfortunately this also means you never want to control some characters, as their AI is good enough, and other characters you can't put in as NPCs in your party because they don't behave intelligently. The only good thing is the "changing the future" thing, which adds in some actual interactivity.
So yeah. The game is huge, extremely long, but a very empty and not terribly fun experience. Avoid it.… Expand
Aug 4, 2012The best jRPG in years, maybe the best RPG of this generation (still haven't played Last Story and Skryim is too different for comparison), and one of the best Wii games to date. 'nuff said.
Apr 15, 2012This is exactly what the genre needed. It toes the line between being respectful to the conventions of the genre, whilst tweaking said conventions to create a game which feels undeniably modern. From an engaging plot with a unique setting (the corpses of two titans!) to the exciting battle mechanics which combine real-time combat and turn-based strategy... Xenoblade is a blast to play. About the only knock on this game is the technical aspects of the visuals. Limited by the Wii's horsepower, this is to be expected. Thankfully, inspired art direction serves to mask these flaws. If you own a Wii... you need to play Xenoblade Chronicles.… Expand
Nov 11, 2011Xenoblade is one of the greatest JRPGs ever made. It takes everything that we love in JRPGs, the epic stories, crazy characters, and unique art and merges it with all the latest positive aspects of modern RPGs and MMOs. Gone is the tedium and grinding of old-school RPGs, rather, the combat puts you in control, and the travel system helps keep things moving. Plus this game is open-world, so you get a fantastic story combined with free roaming. ++++ It's just a dang shame so few people will play this game, because at the risk of speaking blasphemy, it's superior to Xenogears and just about any other JRPG. A must-play if you like RPGs.… Expand
Nov 2, 2013I played about 25 hours and I have to say that this is the pinnacle of Wii games. I will not finish due to being a week away from the PS4 release. But what I have played is a jrpg at its best. Story, gameplay, graphics and sound are all top notch for the Wii. Just play this with the pro controller and not the nunchucks like I did. This is a 75+ hour game so just be warned.
Sep 12, 2014Simply the best rpg for the Wii. The story is pretty good and far away from the familiar (standard) rpg settings. Most plot twists will surprise you but fell never fake / factitious. The characters always bring a smile on my face. Especially Shulk and Fiora are deep characters outside off beaten tracks (Honorable mention: Melia and Dunban). The character development in this game is done very well. The graphics are O.K for me. Some will say the graphic looks dated but the game world is really nice. The soundtrack is in the top 10 for the Wii. Overall a must own game for the Wii.… Expand
Nov 22, 2011A fantastic game. The environments are stunning even though the graphics are pretty awful even for Wii. The gameplay is interesting and will keep you occupied for a long time in its length.
Apr 9, 2012Xenoblade Chronicles can go toe-to-toe with such JRPG classics as Chrono Trigger, Suikoden, and Lunar: Silver Star Story Complete, and there's no denying that it fills a major role-playing void on the Wii. But to get my one and only gripe out of the way, let me just say this - by no fault of the game itself, players won't be able to shake the feeling that Xenoblade should have been made on an HD-capable console. While Xenoblade Chronicles is an astounding technical achievement that makes use of every ounce of processing power it can squaeeze out of Wii's hardware, it still doesn't look much better than a decade-old PS2 RPG. As jaw-dropping as some of its environments and sweeping set pieces may be, the game's blurry textures and low-polygon models are a constant reminder of the platform's limitations. That being said, good gameplay should always trump graphical prowess, especially in the RPG genre, and Xenoblade delivers some major innovations in that department. The game successfully mixes the best parts of Japanese and Western development while bringing a few new concepts to the table. At first, it may strike the player as an offline MMO, with its real-time auto-attacks and a skill bar that lines the bottom of the screen during combat, but it's not that simple. There are a ton of ways to interact with enemies, whether it's instigating a battle, evading more aggressive mobs, dodging attacks that would automatically land in a typical MMO setup, or strategically positioning characters to exploit enemy weaknesses and distractions. Aside from combat, exploration and party management features are equally impressive. Equipment changes are visualized, enhancement slots allow you to constantly evolve the armor and weapons you like, crafting is deep yet intuitive, and even questing has been drastically streamlined over the MMO contemporaries that inspired its basic structure. The world itself is massive and very original in its design, as sweeping landscapes are interwoven in a way that makes every vista and cliff face recognizable, thus eliminating a constant reliance on maps and objective pointers. I also thoroughly enjoy the addition of social elements, which allow for relationships between party members, unlock special scenes, and even track the interpersonal connections of NPCs. Xenoblade impresses on a lot of fronts, and it's all highly intuitive. Also, unlike a majority of JRPGs that have been released in recent years, the story is almost immediately engaging and enjoyable, and despite the strength of its narrative, the entire experience remains non-linear and highly customizable. Japanese development has seemed reluctant to let go of its past conventions and typically linear storytelling techniques, so Xenoblade is solid proof that innovation is not only still possible, but now highly encouraged by the instantly classic and commercially successful precedent of Xenoblade Chronicles. While I could certainly go into greater depth with the game's individual systems, the points I have already made should be more than enough to convince RPG fans to buy the game as soon as possible. Play it for yourself, and as long as you can get over the fact that the game only exists on the technically limited and aging Wii, Xenoblade will almost certainly gain a permanent place in your RPG collection.… Expand
Aug 4, 2014Took me awhile to rate this game and write a review because the game is literally 100+ hours to complete fully. This is an epic Wii title and also one of the rarest games to obtain as well. Im still baffled that this game is on Wii; didn't know that the Wii had the power to handle it. This game is massive with amazing areas to explore, beautiful soundtrack that i actually downloaded on my music list personally, characters that are awesome, and the battle system that lives up to Final Fantasy standards with an added intensity boost. This game has so many things to do, that you will find yourself lost in the game figuring out what to do next. A must buy(if you can afford/find one) for the Wii. Excellent Game!!… Expand
Aug 7, 2013This game is the best JRPG I've played in a long time! It's story, dialogues, gameplay, graphics and also it's music (which is made by Yoko, who made the music for Kingdom Hearts, too) are all really good!
I recommend it to you, if you have a Nintendo Wii!
May 24, 2013A pretty good game overall, and one of the best RPGs i've played in some time. The story is great, the gameplay is pretty good, and most of the characters are pretty awesome. However the reason this game doesn't get a 10/10 is that it simply includes too many small flaws.
First of all one of the things that annoyed me quite a bit about the game is the difficulty: The enemies and bosses actually have a fine difficulty to keep the game challenging without being to hard there's just one problem: If you don't stay and farm in each place you won't be able to keep on the same level as your opponents and then the game gets far too hard. This wouldn't be so much of a problem if the game actually had a decent side-quest system, but unfurturnately it doesn't. The sidequest are repetetive, boring and aren't very rewarding.
Another big flaw with the game is with building your team. The characters simply aren't properly balanced with some of them being almost useless. And if you want to keep your team as strong as possible there's only like 2 combinations that work. There's quite a few other flaws like some enemies having way too much thorns when toppled and some other stuff, but i didn't want to write it all here. But it's a pretty fine game anyways so if your not the type that goes to much into the details, but simply wants a good story and decent combat, then this is a game for you.… Expand
Oct 28, 2014There's a reason (or many) for ALWAYS owning the nintendo console of the moment, and this is one of them, alright ps3 had more rpgs (which i loved) but wii got the best one of its generation!
The main point of this game is the story, specially the ending which is mind blowing, the soundtrack is also epic and a must have on cd. Battles are incredible too, never got bored of them after 90 hours of playing!
The only downside i see to this incredible game is that it gets repetitive a little bit after a while, the dungeons have no imagination, you just walk and battle thats ALL you're going to do in them, no puzzle element at all. So why did they made them SO big! So many in this game is big for the sake of being big!
Both the organic world and the machine world are a joy to behold, and the game's filled with amazing characters, LOVE the choice of british voices for the characters, they should do that always, american dubbing has ruined great games like the tales series (which i rather put in mute!).
You cannot go wrong with xenoblade chronicles, is the rpg fan wet dream.… Expand
Jul 16, 2012Xenoblade takes the Wii and really makes it work! The graphics are solid(though definitely not the best such as Metroid Prime 3 or Galaxy) and the music is among the best soundtracks I have ever heard. The gameplay is fast and interesting and overall the package is just great. But despite all these factors, it just doesn't feel particularly memorable. The quest system feels like a skeleton, often asking you simply to kill some monsters or gather materials on the field. These are not Zelda side quests with interesting back stories or lots of unexpected twists and turns. The first 15 or so hours can leave one wishing for more interesting characters, and the cutscenes, while nice, don't feature lip syncing which is a real letdown. This is balanced out by the amazing British accents in the game though :) Overall, a solid JRPG that simply doesn't standout too much to this weary gamer who has probably played a few too many JRPGs in his life.… Expand
Nov 27, 2012This is quite possibly the best RPG of this generation, and in my own eyes a contender for the best RPG of all time. The fact that this game looks as good as it does, sounds as good as it does, and has such an epic scale on such limited hardware is truly awe-inspiring. This game is massive! The combat system is fluid and dynamic, the characters and story are well rounded, the soundtrack hits all the right notes. The Wii maybe the laughing stock of a lot of gamers, but this achievement is proof that hardware does not make the game. The games make the hardware.… Expand
Oct 24, 2011Awesome game and I hope the US get this game. Have not finished it yet but I see that there are many hours ahead of me with this game!!! RPG mechanics are awesome and story is pretty good so far. Tons of sidequests as well.
Oct 13, 2014Not only is this game the best RPG I have ever played, but it is overall the best game I have ever played. It features an expansive world, a long storyline with many plot twists. The characters are likeable, there are DOZENS of quests and things to do, such as item hunting and raising affinity among party members or within the world itself.
Mar 25, 2014To this day I am simply dumbfounded by how impressive this game's open world is. Contrary to the "corridorization" of recent RPGs, Xenoblade Chronicles opts to immerse the player in a beautifully designed world.
Oh, it also has one of the best soundtracks to ever grace this medium.
Jul 27, 2014this overrated tittle... The story isn't any special to me , good music , good graphic but worst fighting system in this kind of game ... it isn't worst game i ever played , but it just disappointed me because the game play really somehow boring and isn't fun to me
Jul 4, 2012This game is ridiculously magnetic, and unlike many jrpgs has left me craving for more. From the sprawling locales, the beautiful skylines, and the amazing soundtrack to the wonderful gameplay and accessibility, this game is stunning. However it's not without its faults, including bad lip sync and repetitive questing. Don't let those deter your decision to buy this game, since that would be a bad mistake.… Expand
Dec 1, 2012Masterpiece JRPG overworld that describes this game. I will play this game over and over again Killing those little buggers. This a video game and developers should take note because you want your game to be like this. The con could be graphics and texture, but it is not because it is more than that. I have played this for over 200 hours and more.
Apr 19, 2012Xenoblade Chronicles will immerse you in an imaginative, epic world begging to be explored.
Aesthetically, it's an incredibly evocative, beautiful game; you'll often feel as if you're playing
an Impressionistic painting. Combat is fun and strategic---- shared with charming companions.
Innovative as well as nostalgic RPG elements create an engrossing, captivating experience.
Feb 26, 2013Xenoblade Chronicles is one of the best RPGs I have ever played. Monolith Soft created a wonderful gameplay environment that is one of the best I've ever experienced. The story was good but not great but when added to the wonderful gameplay, massive environments, fun characters and interesting settings of the game it definitely deserves a 10/10.
May 24, 2012Xenoblade may not be the greatest JRPG ever, but it's certainly one of the best games on the Nintendo Wii.
Apr 19, 2012There's a lot more to recommend Xenoblade Chronicles. The dialogue, the humor, the artwork, the prophecy system, the music, the variety of environments, the character progression, the crafting system, the crazy quest density, the quest quality, the memorable characters, the collectibles, the secrets, and so on. This is a landmark achievement in the genre. As of its release, you can no longer talk about great RPGs, or maybe even great games, without also talking about Xenoblade Chronicles.
Apr 12, 2012Xenoblade Chronicles is the sort of precious jRPG that this recent console generation has sorely lacked. Despite some missteps and over-complication, the game stands out as one of the best in recent years. Xenoblade creates a world simply begging to be explored.


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"Great entrance into corporate world "
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I worked at Ericsson-Worldwide
great people
good pay
interesting tasks
green initiative
had issues with IT people
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4 people found this helpful
"Under-utilizes their employees and lots of micro-managers "
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I have been working at Ericsson-Worldwide full-time (less than an year)Pros
Benefits, paid time to volunteer, medical, dental, vision, but those are getting worse each year, giving employees a little less and a higher co-pays in exchange for no premiums.Cons
Lots of organization structure changes! Trying to make things more efficient when in turn changing a group's dynamic or job function without consulting or thinking of the damages of that group.Advice to ManagementAdvice
Require managers to get training on being a manager. Micro-managers and tyrants don't realize how they are asking.Doesn't RecommendNegative OutlookNo opinion of CEO
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"Offshoring and lack of trust lower morale "
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I worked at Ericsson-Worldwide full-timePros
The benefits are phenomenal. Highlights include: No premiums for Medical & Dental; Dental, Vision, Tuition Reimbursement; Stock Purchase Plan w/company match and 401k. Communication from executive leadership is good with regularly scheduled all-hands meetings.Cons
Ericsson drives as much work as they can offshore to reduce costs as many corporations do anymore. This unfortunately eliminates positions in the U.S. further increasing unemployment levels. Work units are fragmented from the core business so executive communications are often meaningless to work units that support other work.Advice to ManagementAdvice
Challenge the offshore trend and look for alternatives to become more cost efficient. Nothing alienates a team faster than training someone to take over their work. Some senior leaders micromanage their teams rather than having trust that they can do the work. Trust your people.Doesn't RecommendNegative OutlookApproves of CEO


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OCEANSIDE, Calif. - The head of a San Diego County hospital says he plans to fire five nurses for discussing patient information on Facebook.
Larry Anderson, chief executive of Tri-City Medical Center, said Monday that no patient names, photos or identifying information were posted.
Max Carbuccia of the California Nurses Association says if any information was shared it was to seek advice in handling cases. He says the nurses were put on leave three weeks ago and all deny posting information about specific patients.
Health workers are subject to strict patient privacy rules enacted in 2003.
Information from: North County Times, http://www.nctimes.com
California Nurses In Trouble Over Facebook Post
Head of San Diego County hospital plans to fire five nurses
OCEANSIDE, Calif. - The head of a San Diego County hospital says he plans to fire five nurses for discussing patient information on Facebook.
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Reading Programs & Storytimes
Library Branch
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Saturdays, September 27 - December 20. Stories, songs, rhymes and fun for children 5 years and under with their parents/caregivers....
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Stories, songs, rhymes and fun for children 5 years and under, in French, with their parents or caregivers. Drop-in. No registration required.
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Combining cardiac magnetic resonance and computed tomography coronary calcium scoring: added value for the assessment of morphological coronary disease?
- Paul Stolzmann,
- Hatem Alkadhi,
- Hans Scheffel,
- André Plass,
- Sebastian Leschka,
- Volkmar Falk,
- Sebastian Kozerke,
- Christophe Wyss,
- Olivio F. Donati
- … show all 9 hide
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To investigate prospectively, in patients with suspicion of coronary artery disease (CAD), the added value of coronary calcium scoring (CS) as adjunct to cardiac magnetic resonance (CMR) for the diagnosis of morphological coronary stenosis in comparison to catheter angiography (CA). Sixty consecutive patients (8 women; 64 ± 10 years) referred to CA underwent CMR (1.5 T) including perfusion and late gadolinium-enhancement imaging as well as CS with computed tomography. Diagnostic performance was evaluated for CMR and CS separately, and for both methods combined, with CA as reference standard. Best CS threshold combined with a specificity >90% to predict significant stenosis in patients without abnormalities on CMR was determined from receiver operator characteristics (ROC) analysis. Abnormal CMR results were considered to indicate significant stenosis regardless of CS; CS above threshold reclassified patients to have CAD regardless of CMR. CA identified 104/960 (11%) coronary segments with coronary artery stenosis >50% in 36/60 (60%) patients. ROC revealed an area-under-the-curve of 0.83 (95%CI: 0.68-0.99) with the best CS threshold of 495 Agatston score (sensitivity 50%). CMR depicted 128/960 (13%) myocardial segments with abnormalities in 31/60 (52%) patients. Sensitivity, specificity, negative (NPV) and positive predictive value (PPV) of CMR were 78, 88, 72 and 90%. When adding CS to CMR, sensitivity and NPV increased to 89 and 83%, while specificity and PPV slightly decreased to 83 and 89%. Accuracy of the combined approach (87%) was significantly (P < 0.05) higher than that of CMR (82%) alone. Adding CS to CMR improves the accuracy for the detection of morphological CAD.
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- Title
- Combining cardiac magnetic resonance and computed tomography coronary calcium scoring: added value for the assessment of morphological coronary disease?
- Journal
The International Journal of Cardiovascular Imaging
Volume 27, Issue 7 , pp 969-977
- Cover Date
- 2011-10-01
- 10.1007/s10554-010-9738-5
- Print ISSN
- 1569-5794
- Online ISSN
- 1573-0743
- Publisher
- Springer Netherlands
- Additional Links
- Topics
- Keywords
- Coronary artery disease
- Calcium scoring
- Cardiac magnetic resonance imaging
- Coronary catheterization
- Industry Sectors
- Authors
- Paul Stolzmann (1) (2)
- Hatem Alkadhi (1) (2)
- Hans Scheffel (1)
- André Plass (3)
- Sebastian Leschka (1)
- Volkmar Falk (3)
- Sebastian Kozerke (4)
- Christophe Wyss (5)
- Olivio F. Donati (1)
- Author Affiliations
- 1. Institute of Diagnostic Radiology, University Hospital Zurich, Zurich, Switzerland
- 2. Cardiac MR PET CT Program, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
- 3. Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland
- 4. Institute for Biomedical Engineering, ETH and University of Zurich, Zurich, Switzerland
- 5. Department of Cardiology, University Hospital Zurich, Zurich, Switzerland


text:
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Have you ever seen a so beautiful beetle! Well, this is a Rosalia Longicorn and despite its brave look is a perfectly friendly and inoffensive insect you will be proud to have on your apparel or stickers! Unfortunately, it's one more in the endangered species big list!
Good one!!! Love the "pinching effect" lol lol
Thanks Eva! BR
– Zoo-co
No worries! :D
– Zoo-co
she is a beauty!
Thank a lot, much appreciated vampvamp!
– Zoo-co
Your style has a great deal of humor in the line, but also a lot of care, as if you are illustrating a museum specimen. Really fine work.
Thanks for your nice comment Pete. Much appreciated! The goal was to put an eye on the details for these insects!
– Zoo-co
This is lovely!!!
Thanks a lot HardyT-shop!
– Zoo-co


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An object-oriented, very simple programming language I've been using since 2006, (and still, even after 3 years, haven't posted any pages, even plain HTML on the web).
I can't believe it, I actually made a Tic-Tac-Toe environment out of a tiny bit of HTML and a deuce load of JavaScript!
লিখেছেন- amazing JavaScript programmer 23 de অগাস্ট de 2009
A powerful, object-based, interpreted scripting language, created by Brendan Eich, most commonly embedded directly into HTML web pages to manage client-side interaction.
JavaScript is so beautiful and elegant it brings tears to my eyes. I love using it. It completes me as a person.
লিখেছেন- Dan Fox 24 de জুন de 2003
Programming Language, written to sit on a web server but be run on an unknown web *client*. Hence it often doesn't.
If people start writing it to meet w3c standards, and browsers contimue to try to implement w3c standards, there may be some hope for it in the distant future.
If people start writing it to meet w3c standards, and browsers contimue to try to implement w3c standards, there may be some hope for it in the distant future.
JavaScript error #2345432, Object expected. Do you wish to debug?
লিখেছেন- nit-pick 9 de ফেব্রুয়ারি de 2004
Scripting language derived from Java (actually it has nothing to do with it); usually a javascript can be found embedded into a HTML page (it is the default client side scripting language) and can be used to implement dynamic features in a webpage .
লিখেছেন- Uc@Nap 27 de ডিসেম্বার de 2004
Only useful for hiding stuff. That's pretty much it.
Javascript is like a bad version of white-out
লিখেছেন- Rie 11 de নভেম্বার de 2003