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GreatSchools Rating
Teacher quality
Principal leadership
Parent involvement
My daughter loves this school. We were blown away when we found out that she'd be able to start Kindergarten because we knew she was ready! She loves her teacher and it blows my mind how much she has learned in such a short amount of time. The individual learning that happens is beyond what I expected. They keep her challenged, yet know where that very fine line is. I myself, have learned so much from the teachers there!
We have loved this school from the start. We didn't know what a wonderful place of learning we had found and we are grateful for it. The help for my daughter has been above and beyond every time. Teachers here are caring and put more time and effort into the children than is expected. I would have a hard time moving out of our home simply because we would be losing an excellent place of learning for our children.
Amazing staff, very attentive and caring. My kids absolutely LOVE the school, and the principal Mrs. Spearnak is wonderful! The school is always clean and beautiful. We feel so lucky that our children attend there!
I love this school! My autistic son has attended for the past 3 years and has grown in ways I never imagined. The staff is wonderful and they have an amazing leader in Mrs. Spearnak, the principle. We are leaving the school district sadly and I hate to take him from this incredible school!
I'm the parent of a kindergartener at Coyote and we have had a wonderful first year experience. Our child has learned things we never even dreamed he would learn in kindergarten. He loves going every day. His teacher is kind, patient, and caring.
I am the mom of 4 beautiful kiddos and we love our school! My oldest child is 23 and I can say without hesitation that Coyote Ridge is the best school my children have ever attended. There is such a sense of community and a genuine atmosphere of caring and concern for our childrens' educaton and well being. Ms. Spearnak sets a phenomenal standard that is echoed throughout the school. We would recommend Coyote Ridge to everyone we know!
Great principal, dedicated staff. Educational needs are assessesd and met by all. Top Notch school!
Fantastic staff, great programs! We are excited to be a part of this school.
Coyote Ridge has had a great first year! Beautiful, high-tech school! The students are always actively engaged in their learning. Top notch teachers!
Community ratings and reviews do not represent the views of GreatSchools nor does GreatSchools check their accuracy or verify the reviewers' identities. Use your discretion when evaluating these reviews.
The Community Rating is the school's average rating from its community members (e.g., parents, students, and school staff). The highest possible rating is five stars; the lowest is one star.
7115 Avondale Rd
Fort Collins, CO 80525
Phone: (970) 679-9400
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manishsawankar Started The Discussion:
Dear All,
All the time we say that Strengths and Weaknesses must be identified in our employees to take various HR decisions.
But how we can differentiate between strength and weakness? Sometime a perceived strength is a weakness and a weakness is a strength overlooked. E.g. a person who is calm and cool in the tense situation may be perceived as resilient, but when that person is storing, supressing all the negative emotions arising out of the tense situation then it can later burst out and then we have to say that oh! I misunderstood this person!
Now the point is, can we really identify a person's strengths and weaknesses or they are contextual, change according to the situation?
Dinesh Divekar - Member Since: Nov 2006
Dear Manish,
Strength or weakness are not contextual. These are seen over a period of time. Anything that changes with the situation is not a strength at all. Exceptions are always there. Consistency in responding to a situation determines whether person has a strength or weakness.
Suppose you have a requirement to draft a long agreement? Why would you like to approach some person? Because you perceive drafting skills of that person as strength. Why you do not approach any other person? Because you perceive it as his/her weakness.
To assess, strength and weakness there is a perfect questionnaire. You circulate that questionnaire to other team members. This 360 degree feedback will give more accurate opinion. However, perceptions play here prominent role. Please make a note of this.
By the way, you need to have end result of this SWOT analysis. Knowledge of one's weakness is the biggest strength but then you need to have action plan to take care of your employee's weaknesses. This action plan is nothing but HR intervention.
Few HR interventions are instituting mentoring programme in your company, doing career planning for each and every employee etc. However, both the interventions requires lot of organisational maturity in general and maturity of HR professionals in particular. Lest these may do more harm than good.
Dinesh V Divekar
Management Training Consultant
Bangalore - 560094
Beware of false knowledge; it is more dangerous than ignorance.
manishsawankar - Member Since: Apr 2006
Dear Dinesh,
Thanks a lot for your response! :)
Do you have such questionnaire? 360 degree feedback mechanism?
Also you said that strength and weakness can be seen over the period of time. But what if we see something as strength and take decision on that basis about that person and later we realized that actually it is weakness?
mukeshhr1986 - Member Since: Apr 2011
hello dear, pls attached herewith attached 360 degree performance appraisal method. I hope its importance for you.
drmasq - Member Since: May 2011
Dear Mr. Dinesh V Divekar, many thanks fr yr valued comments and clarity..Same to Mr. Mukesh too, for the PPT
jkavitha22 - Member Since: Jul 2008
Dear Manish
I just want to say that soemtimes it is too early to judge the strengths/weakness of a person.One has to have good skills to judge people from their actions and behaviour and for this they need to watch them very closely. Such people do not need much time to know about others. When you interact with more and more people you will notice that you are in a better position to judge ones strengths/weakness.
Sunny Kim - Member Since: May 2011
Dear Manish,
Practiclly, you could use some assessement which easily identify strengths vs, weakness of your people.
But don't belive this could be your all answer cause these are cognitive concept thought sometime it's too difficult to
distinguish. But current HR only can use a certain type of assessment tool.
payarygarima - Member Since: Jun 2008
Dear Friends,
SWOT analysis is most important and essential requirements of HR now days , its important start from recruitment and selection, Role assignment, Performance appraisal, training and development , even for grievance handling and team working.
New and very successful concept in this field for SWOT Analysis is Graphology (Handwriting analysis). Through handwriting analysis you can not even identified the strength & weakness but also, his personality type, Hobbies, Like Dislike, attitude Behavior. Also when find some GAP or Any negative are, they can be very well counseled with the Help of Graphology.
If you need any support in this field you can call me anytime.I'm a Graphologist.
All the Best
Garima Gupta
9321170484, 9967718178
I agree strengths and weaknesses are contextual. They are dependent on role, industry and culture of the company. Being forthright and open with your ideas can get you fired in one company and get you noticed in another company.
We have to differentiate between the Skills and Attitude in strength and weaknesses. Skills can be unlearned and learned. However attitude is much more difficult (and take time, which is not a priority for most organizations)
So as the old adage goes, hire for attitude and train for skills! (Unfortunately too often the reverse happens, leading to attrition :P )
Hi Navratna Firms like Educomp are already implementing it in schools with their EduIgnite programs
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CAPE CORAL, Fla. - A Cape Coral business is fighting back. Mary Ann Evans, the owner of Leapin' Lizard put up a sign outside her restaurant reminding people of their First Amendment right: Freedom of speech.
Evans spoke out last week in support of pay cuts for city workers.
She says the city is going bankrupt and city workers need to understand. Since she spoke out, she said city workers are telling everyone to boycott her restaurant.
"The city workers sent around a boycott my business because I dared to speak out. The first right in this country is freedom of speech."
Evans is looking into legal action if the so called boycott continues. She also says all tax payers are entitled to a discount at her restaurant until election day since they are the one's who aren't getting break.


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If you're new to programming in iOS and are coming from a .Net background (like myself), you may be wondering where all the dlls are. Well, instead of dlls the platform works in terms Frameworks, which are basically folders thats contain public header files and a binary. Unfortunately, XCode doesn't natively support the creation of your own Frameworks.
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Feb 07 2013 / 09:21


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Save big on earbuds, headphones, phone accessories and more with Monoprice's Black Friday and Cyber Monday deals! Check them out now!
Save big with these Black Friday / Cyber Monday deals from Monoprice
by Kristofer Wouk 1 day ago
Kristofer Wouk is a tech writer, gadget reviewer, blogger, and whatever it's called when someone makes videos. In his free time, he likes to make music, read and write short fiction.
Save big on earbuds, headphones, phone accessories and more with Monoprice's Black Friday and Cyber Monday deals! Check them out now!
It's not even Black Friday, and we're already spotting sweet deals on headphones from Sony and Beats.
We've teamed up with our partners at Sound Guys to take a look at some of the best headphones of the year!
We're taking a look at some of the best Bluetooth speakers available from small and tough to big and loud!
The Bose QuietComfort 25 outshine their predecessors in every way, making them an instant recommendation for anyone looking at active noise canceling headphones.
Android Authority's pals over at Sound Guys are giving away a Bose SoundLink Mini Bluetooth speaker, and it's incredibly easy to enter!
The Samsung Level Over are a very nice pair of headphones, especially if you use other Samsung devices, but the price is steep for what they offer.
The Beats Powerbeats2 are a solid pair of sport-friendly wireless earbuds that hold up to the competition in everything but price.
Android Authority's partners in crime over at Sound Guys are giving away a pair of Beats Solo 2 headphones, and it's super easy to get in on it!
The Beats Solo 2 are an updated version of a popular pair of headphones, but do they sound good enough to justify the asking price?


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30 cm of snow expected to hit Edmonton
It's a blizzard out there -- with 30 cm of snow expected to hit Edmonton streets by day's end Friday.
It's a blizzard out there -- with 30 cm of snow expected to hit Edmonton streets by day's end Friday.
A thin-stretched capital budget wasn't enough to scare away the hopefuls who got in line to petition Edmonton council for capital dollars in day two of the budget process Thursday.
Alberta's Child and Youth Advocate is calling on Alberta Human Services to improve training for frontline staff in the wake of a 10-month-old baby that was abused by an occasional caregiver.
A lawsuit filed by a former city cop who resigned after claiming he was being harassed for making an excessive force complaint against three officers has been resolved.
Premier Jim Prentice plans to introduce legislation to "strike a balance" between students who want to start a gay-straight alliance (GSA), parents who want to choose what their child learns at school and a school board's ability to make decisions.
A badly burned body found in Langley, B.C.Tuesday morning has been identified as a 34-year-old Edmonton man with a lengthy criminal history.
It's Essential: The NAIT Campaign to raise $100 million.
The city police chief's lofty budget goals for a new helicopter may not be entirely grounded, but he may have to settle for a more down to earth option.
Members from Edmonton's African community took time to let their voices be heard and direct questions towards Edmonton Police Service (EPS) members at a town hall meeting Wednesday.
Innisfail-Sylvan Lake MLA Kerry Towle says she felt bullied and intimidated by her former party after a senior Wildrose staff member smashed her coffee mug and sent her photos of the pieces.
A Tory MP who waded into the sexual harassment on the Hill scandal with eyebrow-raising guidance to parliamentarians that they wear recording to devices at all times to guard against allegations has withdrawn his advice.
An Edmonton criminal who committed two violent home invasion robberies avoided being tagged a dangerous offender and ordered locked up indefinitely Wednesday.
Edmonton council took its first look at the capital budget Wednesday after hearing of $16.9 million to come from federal gas tax and investment income.
Though the city's waste management budget passed with few issues Wednesday, the discussion uncovered a substantial shortage -- that is, the trash plant needs more trash.
It's time for Edmontonians to brace for Old Man Winter.
You're in a hurry. You just need that one thing at the mall and you know exactly where it is.
Ratepayers may be thinking a bit more before they flush in 2015 as the city's drainage budget, passed unanimously Wednesday, will mean more dollars will be going down drains along with waste water.
A vehicle driving with no headlights lead police in Spruce Grove to a loaded sawed-off rifle, ammunition, cash and cocaine.
Janet Riopel will be the Edmonton Chamber of Commerce's new president and CEO.
Alberta's highest court set aside the conviction of a former Edmonton teacher found guilty of sexually abusing an autistic 14-year-old female student on Wednesday.


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WARRENSBURG - Taking a break from a wrestling practice this last week, Coach Mark Trapasso stepped out of the windowless cave-like room where Warrensburg High School wrestlers practice their moves and conduct conditioning drills.
Steam from the sweating wrestlers condensed on the walls as he talked.
"We're working really hard, and though we have no super-stars, our chemistry is sharp right now," he said.
In 2008-09, the team's lineup featured a wide variety of styles of wrestling that brought the team considerable success.
Beyond individual achievement, the team finished fourth out of 12 D schools in the region.
In addition, four team members who are returning this year were finalists in the Section II Class D tournament: Abby Roth, Donovan Santisteban, Logan Winter and Cole Tennant.
Roth, who not only out-thinks, but out-muscles many of her opponents, will be wrestling in the 112-pound class. The fast and savvy Santisteban, who's had some remarkable off-season success, is wrestling at 119. Cole Tennant, who emerged last year as a contender, will be at 152. Kendall Converse, who showed his power and skill last year, will be grappling at 189.
They're joined by the promising 7th grader Aiden Szabo at 96, the ever-improving Jon Vaisey, a strong standout at 103, ninth-grader Beecher Baker, son of the former Mr. Plattsburgh contender also at 103, and a trio of skilled wrestlers, Masyn Morey, Jessie Hayes and Chris Cupp at 125.
Ninth graders Jericho Converse and Brendan Rounds, both showing promise, will be wrestling at 135, and Veterans Charlie Giknis and Zack Baer will be competing at 140.
Tenth Grader Andrew Fish and Freshman Chris Robinson will be contending for 145, Lucas Nelson will be contributing at 160, and Jeremy Barber is representing the team at 171.
Fans and coaches alike have high expectations for Chris Turner, a Senior who took a year off from wrestling last year, has returned to wrestle at 215. Holding down the heavyweight slot is Tony Aurrichio, an 11th grader.
Trapasso looked at his roster and smiled as tired wrestlers emerged and headed for the showers.
"We'll have a good year," he said.
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Annual Report 2013
A comprehensive description of Digital Green's activities throughout the calendar year 2013
A not-for-profit which brings together technology and social organisations to improve agriculture, health and nutritionRead our story
We build innovative platforms to enable rural communities to create and share videos for wider adoption of locally relevant practicesKnow our work
A network of development organisations in South Asia and Sub-Saharan Africa use our approach to amplify their impactMeet our Partners
A comprehensive description of Digital Green's activities throughout the calendar year 2013
A quick introduction to Digital Green's process, approach and field of activities across South Asia and Sub-Saharan Africa.
A compilation of stories of some of the many lives Digital Green has touched in different ways.
The 4 Ideas That Melinda Gates Thinks Are Changing The World
MIT Technology Review: Innovators under 35 Educating farmers through locally produced video
Digital libraries for the poor - facilitating bottom-up Innovation through a video-based learning platform
Digital Green catalyses a quiet revolution in India
Where YouTube meets the farm


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November 26, 2014
Posted: Friday, January 24, 2014 --- 6:50 p.m.
MADISON, Wis. (AP) -- A company looking to dig a huge iron mine near Mellen has closed off public land surrounding the site's roads.
The state Department of Natural Resources announced Friday that Gogebic Taconite has closed a 600-foot strip on each side of each private road running through the site.
About 3,500 acres around the site is open to the public through the state's managed forest program. Gogebic Taconite fears protesters could take advantage of that access to harass mine workers as they conduct tests. Republican Gov. Scott Walker signed a law in December that allows the company to create 600-foot restricted zones around private roads on the site.
DNR officials say the public can still venture onto the land to fish and hunt during the November gun deer season.
Copyright 2014: Associated Press
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- Publisher: Ubisoft
- Release Date: Mar 6, 2007
- Also On: PC, PlayStation 3
- Summary: Tom Clancy's Ghost Recon Advanced Warfighter 2 builds off of the events in the first game and places gamers in control of the U.S. military's elite fighting unit, the Ghosts. In the year 2014, the rising conflict between Mexican loyalists and insurgent rebel forces has thrown Mexico into full-scale civil war. Under the command of Captain Scott Mitchell, the Ghosts are called upon to face an imminent threat to the United States. The fate of two countries now lies in the hands of the Ghosts as they fend off an attack on U.S. soil. Equipped with the most cutting-edge weaponry and technology, the Ghosts must battle on both sides of the border to neutralize the escalating rebel threat. The Ghosts will battle enemies in mountain terrains, barren deserts and even on their home turf in El Paso, Texas. Each environment presents its own benefits and challenges and will call for fresh tactical approaches. Vastly Improved Artificial Intelligence (AI): Watch your back as rebels send their own team members to flank your position or gain vantage points by utilizing vertical gameplay to pick you off from the rooftops above. Improved squad-mate AI will now feed you more of the information you need with descriptive commands. The revolutionary new Cross-Com 2.0 will give the player more information than ever before. You will be able to see what your friendly forces see in the top left display and the click of a button will expand that to full-screen view for a clearer and more precise picture. Command lethal air strikes with jet fighters, gain mobile cover for otherwise impassable situations and replenish armaments on the battlefield using an unmanned artillery MULE. Players can now heal their team on the battlefield, including squad leader Scott Mitchell, with an all-new Medic class of soldier. [Ubisoft]… Collapse
- Developer: Red Storm Entertainment, Ubisoft Paris
- Genre(s): Modern
- # of players: 16 Online
- Cheats: On GameFAQs
- More Details and Credits »
Score distribution:
Positive: 52 out of 58
Mixed: 6 out of 58
Negative: 0 out of 58
The graphics are incredibly fantastic and you'll be shooting South Americans right up until Bungie release "Halo 3" in the autumn.
The single-player campaign features a bunch of new gameplay mechanics, improved A.I., and some spiffed-up visuals, and while the multiplayer is largely the same, it's still an absolute blast to play. Our only hope is that Ubisoft doesn't decide to make this a yearly tradition.
Spectacular visuals, ruthless opposition and gritty, tactical gunplay make this intense entertainment for solo soldiers and a hoot to play online with friends.
It's been a long time since I played a game that literally kept me on the edge of my seat from start to finish and left me wishing for more, actually wanting to play through it all over again.
GRAW1.5? Yeah, I don't have any problem calling it that. But that shouldn't stop anyone from suiting up for battle again. GRAW2 is still tremendously fun despite its all-too-familiar design.
As a full-priced offering, though, the goal posts have moved, and it's hard not to feel a little short changed by the short-lived single player campaign and how similar the whole thing feels. In many ways, GRAW 2 is the classic quick-fire sequel - short on new ideas, but big on polishing what we know and love. But these days, isn't that what people want?
It doesn't look like it's limping, but underneath all the cybernetic equipment and flash, GRAW 2 is unbalanced and awkward. The game looks smart to nerdy; it sounds decent—the soundtrack is far above average for this kind of game; and it has the polish of a next-gen shooter. However, the actual gameplay staggers from bad interface decisions and the weight of its cumbersome support features.
Score distribution:
Positive: 22 out of 24
Mixed: 2 out of 24
Negative: 0 out of 24
MilesD.Mar 12, 2007Better than Vegas, better than graw1, better than gears... it's flat out the next gen shooter to date. i'm pretty sure it has the most weapons and accessories of any game ever made, and that alone makes it rock... but the levels are extremely advanced, the frags, sniping opportunities... everything... just makes the game addicting and vastly enjoyable. 10 out of 10!… Expand
Aug 24, 2012After purchasing GRFS and feeling hugely disappointed and well cheated out of my £40 I couldn't help but feel nostalgic about the countless hours, days and alas years my friends and I spent at the helm of the ghost recon franchise. The days when you could actually speak to most people playing and issue warnings of a looming sniper or vocalise strategy's, when a game actually felt realistic almost like you were there. I remember sprawling in the thick undergrowth actually raising my head for real, in a vane attempt to look over the grass. The game throughout the franchise had a real community spirit and with so many configurable options and a ridiculous amount of amazingly atmospheric diverse maps you were never far away from the next great online battle . You were also part of a team and you treated the maps strategically as such and that atmosphere and team spirit is what's missing from the modern shooters. Have you noticed how all the new breed of so called strategy shooters, advertise the fact you should play as a team ? But how many games do you jump into where people actually do? GRecon was the kind of game that didnt need to try and coax you into such.
Well I played Graw 2 again the other day after selling GRFS and you know what? it still hasn't lost that original charm, after all those years it still feels fresh compared to all the modern shooters, GRFS included. The community might be a lot smaller but you can generally always find a a decent game where people still talk and have a laugh with one another. After playing this again, I realised that GRFS would have been far more successful, just updating on the previous formula. Instead what we got was a game selling its soul and providing us with yet another COD clone, albeit a 3rd person view and a Gears of war cover system tagged on. What a shame!!… Expand
FPSMasterMar 8, 2007Everything from last year returns but just a little better in every category from controls, to graphics, to A.I., to gameplay, to weapons, to vehicles. Online has even more modes, but the spawn and base camping are still there so be ready to be himmed in and killed over and over if you don't practice for hours everyday. The skating animations are back online too but seem even more silly looking than last year and the slowgrenade throwing with it's slow, terrible animation and no cover system online ruins what could be the equivalent to an outdoors Rainbow Six Vegas. A nice follow-up, if only a tweaked expansion. Next time though, it better either be ghostly again like the original Ghost Recon or they need to chnage the name because there's hardly anything ghostly about this series anymore with airstrikes and battles going on in every direction. Tom Clancy's Advanced Land Warrior would be a better fitting title.… Expand
MickFlaniganFeb 21, 2008Game was very very good, had a long play time for me. I was a bit disappointed in the feel this was just an expansion pack, but with the short turnaround from GRAW 1, it is to be expected. Maps were good, lighting was sometimes tough, especially washout. I still don't like the track speed of sniper rifles, but for team play, it is tops. COD4 has beeter graphics, more real game play, but features in GRAW2 like waypoint parkers and map call up are awesome. Played this game for a good year before shelfing due to online team moving to COD4. Would love to go back though.… Expand
Jun 6, 2013After having Future soldier for some time I decided to play GRAW 2 again just to bring back past memories. The game has a great since of motion to it's controls for a game back in the day. AI lacks, but I bet it was the best it could do in it's day. But the game makes up for gameplay. As you get ambushed by enemies that make you think twice, loosing teammates makes for a good panic and change in firefights. This something you rarely see today.… Expand
Oct 23, 2013[7.9] Another exciting challenge from the Tom Clancy series is always a welcome release (though of course I am writing this several years after its release). GRAW 2 really works well in atmosphere, in mechanics, in strategy, and in appearance. The game meets somewhere in between Battlefield 3 and Rainbow Six Vegas 2, and the result is quite good. The game requires you to be cautious, which all good games should do, but isn't so difficult that it should lose your attention. It isn't hard to become immersed in this game, but some glitches, relatively linear gameplay, and lack of interesting game modes prevent this game from being the best of its kind.… Expand
AlexL.Mar 20, 2007I was dubious about buying this after playing the original, but was convinced by the reviews claiming it had made massive improvements to the gameplay. However it seems pretty much the same to me. Events often seem out of control, resulting in things working out fine by themselves or otherwise coming to an abrupt end with little warning. Quite frustrating really. Mind you I'm playing on "severe" difficulty as I realised I was flying through the game without barely breaking sweat on "normal". I'll try the online multiplayerm but something tells me I'll be trading it soon and going back to Rainbow 6 for my multiplayer action.… Expand
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Published: April 13, 2010How does the newest Splinter Cell game compare to previous titles in the series, and to other Tom Clancy games? Check out our rankings.


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Several Friends of Unfair Park have pointed our attention this a.m. to Mitch Albom's column in the Detroit Free Press, previewing the previously unfathomable Stars-Red Wings Game Six tonight at the American Airlines Center. Albom, the favorite sports columnist of every mother in America, writes that ... More >>
For the Stars to keep playing, he needs to stop slashing and start scoring, eh? Good news: Dallas Stars catalyst forward Mike Ribeiro will play in tonight's Game 3 of the NHL's Western Conference Finals at 7 p.m. in American Airlines Center. Bad news: Lose tonight and the Stars might as ... More >>
Red Wings' fans throw octopi on the ice when their team scores. How very SpongeBobby of them. And stupid. The Dallas Stars' bandwagon – so desolate three months ago that team president Jeff Cogen was bending over backward to win back fans – is suddenly more congested than the complaint li ... More >>


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Bladder Cancer
Topic Overview
What is bladder cancer?
Cancer is the growth of abnormal cells in the body. These extra cells grow together and form masses, called tumors. In bladder cancer, these growths happen in the bladder.
The bladder is the part of your urinary tract that stores your urine until you are ready to let it out. See a picture of the female urinary system or male urinary system.
Bladder cancer can usually be successfully treated if it is found and treated early. And most bladder cancer is found early.
What causes bladder cancer?
We don't know what causes bladder cancer. But smoking cigarettes or being exposed to certain chemicals raises your risk. And like other cancers, changes in the DNA of your cells seem to play a role.
What are the symptoms?
Blood in the urine is the main symptom. Other symptoms may include having to urinate often or feeling pain when you urinate.
These symptoms can be caused by other problems, including a urinary tract infection. Always call your doctor if you see blood in your urine.
How is bladder cancer diagnosed?
To diagnose bladder cancer, your doctor will:
- Ask about your medical history and do a physical exam, including a vaginal or rectal exam.
- Test your urine to look for blood or abnormal cells.
- Do a cystoscopy, a test that lets your doctor look into your bladder with a thin, lighted viewing tool. Small tissue samples (biopsies) are taken and looked at under a microscope to find out if there are cancer cells.
How is it treated?
Treatment choices for bladder cancer include:
- Surgery to remove any cancer. Sometimes lasers or other methods can be used to get rid of tumors.
- Chemotherapy, which uses medicine to destroy cancer cells.
- Immunotherapy, which causes your body's natural defense system to attack bladder cancer cells.
- Radiation therapy, which uses high-dose X-rays to kill cancer cells.
The treatment depends a lot on how much the cancer has grown. Most bladder cancers are treated without having to remove the bladder.
Sometimes doctors do have to remove the bladder. For some people, this means having urine flow into a bag outside of the body. But in many cases, doctors can make a new bladder—using other body tissue—that works very much like the old one.
Bladder cancer often comes back. The new tumors can often be treated successfully if they are caught early. So it's very important to have regular checkups after your treatment is done.
It's common to feel scared, sad, or angry after finding out that you have bladder cancer. Talking to others who have had the disease may help you feel better. Ask your doctor about support groups in your area.
What increases your chances of getting bladder cancer?
Anything that increases your chances of getting a disease is called a risk factor. The main risk factors for bladder cancer include:
- Smoking. Cigarette smokers are much more likely than other people to get bladder cancer.
- Being older than 40, being male, or being white (Caucasian).
- Being exposed to cancer-causing chemicals, such as those used in the wood, rubber, and textile industries.
- What you eat. A diet high in fried meats and fats increases your risk for bladder cancer.
- Parasites. There is a parasite that causes schistosomiasis, which can increase your risk. This condition is sometimes found in developing countries and rarely occurs in North America.
Frequently Asked Questions
Learning about bladder cancer:
Being diagnosed:
Getting treatment:
Ongoing concerns:
Living with bladder cancer:
End-of-life issues:
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The cause of bladder cancer is not known. Changes in the genetic material (DNA) of bladder cells may play a role. Chemicals in the environment and cigarette smoking also may play a role. And when the lining of the bladder is irritated for a long time, cell changes that lead to cancer may occur. Some things that cause this are radiation treatment, having catheters in place for a long time, or having the parasite that causes schistosomiasis.
Bladder cancer is twice as likely to develop in smokers than in nonsmokers. Experts believe that smoking causes about half of bladder cancer in men and more than one-fourth of bladder cancer in women.1
Exposure to chemicals and other substances at work—including dyes, paints, leather dust, and others—may also cause bladder cancer.
The most common symptoms of bladder cancer include:
- Blood or blood clots in the urine (hematuria). Hematuria occurs in 8 or 9 out of 10 people who have bladder cancer and is the most common symptom. Usually it is not painful.
- Pain during urination (dysuria).
- Urinating small amounts frequently.
- Frequent urinary tract infections (UTIs).
Symptoms that may indicate more advanced bladder cancer include:
- Pain in the lower back around the kidneys (flank pain).
- Swelling in the lower legs.
- A growth in the pelvis near the bladder (pelvic mass).
Other symptoms that may develop when bladder cancer has spread include:
- Weight loss.
- Bone pain or pain in the rectal, anal, or pelvic area.
- Anemia.
The symptoms of bladder cancer may be similar to symptoms of other bladder conditions.
What Happens
Bladder cancer is the rapid, uncontrolled growth of abnormal cells in the bladder. Cancer usually begins in the lining of the bladder. The cancerous cells may spread through the lining into the muscular wall of the bladder.
Invasive bladder cancer may spread to lymph nodes, other organs in the pelvis (causing problems with kidney and bowel function), or other organs in the body, such as the liver and lungs.
Your treatment will depend on how far the cancer has spread.
Most bladder cancer is found early, before it has spread into the bladder wall. Surgery can usually remove these tumors. But bladder cancer often comes back, so you may also get other treatments, such as chemotherapy or immunotherapy, to lower the chances of that happening.
What Increases Your Risk
The main risk factors for bladder cancer include:
- Smoking. Smokers are twice as likely to get bladder cancer as nonsmokers.1
- Chemical exposure. Bladder cancer has been linked to chemicals called aromatic amines. These chemicals are found in many products, including dyes, paints, solvents, inks, and the dust from leather. This risk may also depend on how much and how often a person was exposed to these chemicals.
- Being older. Your risk goes up as you get older. Most people who get bladder cancer are close to their 70s.
- Being a white male. Men are 4 times more likely to get bladder cancer than women. And white men are twice as likely to get it as African-American men.1
- A diet that is high in nitrates or rich in meat and fatty foods.
- Schistosomiasis, which is an infection caused by a parasite. It's sometimes found in developing countries and rarely occurs in North America.
When To Call a Doctor
If you have been diagnosed with bladder cancer, be sure to follow your doctor's instructions about calling when you have problems, new symptoms, or symptoms that get worse.
Call your doctor if you:
- Have blood in your urine.
- Feel pain when you urinate.
- Are urinating small amounts frequently.
- Have back or flank pain.
Watchful waiting
If you are concerned about your symptoms or about your risk for bladder cancer, make an appointment with your doctor. Watchful waiting is not appropriate if you have symptoms that do not go away.
Who to see
Health professionals who can evaluate your symptoms and your risk for bladder cancer include:
- General practitioners.
- Family medicine doctors.
- Nurse practitioners.
- Physician assistants.
- Internists.
- Urologists.
Doctors who can manage your cancer treatment include:
To prepare for your appointment, see the topic Making the Most of Your Appointment.
Exams and Tests
To find out whether bladder cancer may be the cause of your urinary symptoms, your doctor will:
- Do a physical exam. This may include a rectal exam, a prostate exam for men, or a pelvic exam for women.
- Ask questions about your medical history,
- Your smoking history.
- Your possible exposure to cancer-causing chemicals.
- Your family history of cancer.
- Order a urine test and urine culture to check for the presence of blood, infection, and other abnormal cells.
You will have a cystoscopy, a test that allows your doctor to look at your bladder with a thin, lighted tube. The doctor can use the same tube to take small tissue samples (biopsies) of any abnormal areas. The samples will be looked at under a microscope to find out whether cancer cells are present and what the cells look like.
Tests to determine stage and grade
Bladder cancer is classified by stage and grade. The stage is determined by the cancer growth in the bladder wall and how far it has spread to nearby tissues and other organs, such as the lungs, the liver, or the bones. The grade of bladder cancer is determined by how the cancer cells look in comparison with normal bladder cells.
Your doctor finds out the stage and grade of your bladder cancer by gathering information from several tests, including:
- Biopsies from the cystoscopy.
- CT scan or MRI. These help find out if the cancer has spread to lymph nodes, the lungs, the liver, or other abdominal organs.
- Chest X-ray. This finds out if the cancer has spread to the lungs.
- Bone scan. This finds out if the cancer has spread to the bones.
The stage and grade of your cancer are important in choosing the right treatments.
Other tests
Other diagnostic tests that may be done include:
- A complete blood count (CBC) to find out if you have anemia.
- A chemistry screen to evaluate kidney, liver, and bone functions.
- An intravenous pyelogram or computed tomography (CT urogram) to look for a mass near the kidneys, ureters, or bladder.
Early detection of returning cancer
Bladder cancer often comes back, so it's important to have regular checkups. Then, if the cancer does come back, you have a better chance of finding it early enough for successful treatment.
Treatment Overview
The choice of treatment and the long-term outcome (prognosis) for people who have bladder cancer depend on the stage and grade of cancer. When deciding about your treatment, your doctor also considers your age, overall health, and quality of life.
Bladder cancer has a better chance of being treated successfully if it is found early.
Treatment choices for bladder cancer may include:
- Surgery to remove the cancer. Surgery, either alone or along with other treatments, is used in more than 9 out of 10 cases.1 For more information, see Surgery.
- Chemotherapy to destroy cancer cells using medicines. Chemotherapy may be given before or after surgery. For more information, see Medications.
- Radiation therapy to destroy cancer cells using high-dose X-rays or other high-energy rays. Radiation therapy may also be given before or after surgery and may be given at the same time as chemotherapy. For more information, see Other Treatment.
- Immunotherapy. This treatment causes your body's natural defenses, known as your immune system, to attack bladder cancer cells. For more information, see Medications.
When you first find out that you have cancer, you may feel scared or angry. Or you may feel very calm. It's normal to have a wide range of feelings and for those feelings to change quickly. Some people find that it helps to talk about their feelings with family and friends.
If your emotional reaction to cancer gets in the way of your ability to make decisions about your health, it's important to talk with your doctor. Your cancer treatment center may offer psychological or financial services. And a local chapter of the American Cancer Society can help you find a support group.
For more information about specific bladder cancer treatments, see the topics:
- Bladder Cancer–Health Professional Information [NCI PDQ]
- Bladder Cancer–Patient Information [NCI PDQ]
Side effects of treatment
Most treatments for bladder cancer cause side effects. Side effects may differ, depending on the type of treatment used and your age and overall health.
- Side effects of chemotherapy may include loss of appetite, nausea, vomiting, diarrhea, mouth sores, or hair loss. There is also an increased chance of getting a serious infection during chemotherapy treatment. Mitomycin may cause skin peeling or a rash.
- Side effects of surgery depend on how extensive your surgery was to treat the stage of your cancer. Men may have erection problems after surgery if the bladder is removed (cystectomy). If you choose a surgeon who does many of these procedures, you will have fewer side effects and you will recover faster.
- Side effects of radiation may include nausea, vomiting, diarrhea, pain or discomfort when urinating, and bladder inflammation and scarring (radiation cystitis). You may also have an increased risk of infection.
- Side effects of immunotherapy vary depending on the medicine. Bacillus Calmette-Guerin (BCG) is a tuberculosis vaccine used in countries outside the United States. With BCG, the side effects may include fever, joint pain, inflammation of the prostate, or disseminated tuberculosis.
Home treatment measures may help you manage the side effects. For more information, see Home Treatment.
Body image and sexual problems
Sexual problems can be caused by physical or psychological factors related to the cancer or its treatment. You may experience less sexual pleasure or lose your desire to be sexually intimate.
- Women who have the bladder removed (radical cystectomy) will also have the ovaries and uterus removed. They cannot become pregnant and may experience menopause soon after having the cystectomy.
- Men who have their prostate glands and seminal vesicles removed may have erection problems and will no longer produce semen.
Your feelings about your body may change following treatment for cancer. Managing body image issues may involve talking openly about your concerns with your partner and discussing your feelings with your doctor. Your doctor may also be able to refer you to groups that can offer support and information.
Bladder cancer that comes back
After initial treatment for bladder cancer, it is important to receive follow-up care, because bladder cancer often comes back (recurs). Your doctor will set up a regular schedule of checkups and tests.
Bladder cancer may recur in the bladder, or it may spread (metastasize) to other parts of the body. Recurrent bladder cancer may be treated with surgery or chemotherapy to slow cancer growth and relieve symptoms.
Participation in a clinical trial may be recommended if you have been diagnosed with recurrent bladder cancer.
Palliative care
Cancer treatment has two main goals: curing cancer and making your quality of life as good as possible. Palliative care can improve your quality of life by helping you manage your symptoms. It can also help you with other concerns that you may have when you are living with a serious illness.
For some people who have advanced cancer, a time comes when treatment to cure cancer no longer seems like a good choice. This can be because the side effects, time, and costs of treatment are greater than the promise of cure or relief. But this isn't the end of treatment. You and your doctor can decide when you may be ready for hospice care.
It can be hard to decide when to stop treatment aimed at prolonging your life and shift the focus to end-of-life care. For more information, see the topics:
Bladder cancer cannot be prevented, but you may be able to reduce some of your risk for getting it.
- Stop smoking. Cigarette smokers are much more likely to get bladder cancer than nonsmokers. For help on how to quit smoking, see the topic Quitting Smoking.
- Avoid exposure to industrial chemicals, such as benzene substances and arylamines. Occupational exposure from working with dyes, rubbers, textiles, paints, leathers, and chemicals raises your risk for bladder cancer.
- Avoid exposure to arsenic. Have your drinking water tested. Drink bottled water if you think that your water is contaminated with arsenic.
- Eat healthy foods. Experts believe that what you eat and
drink may help prevent bladder cancer.
- Choose a low-fat, low-cholesterol diet that includes plenty of fruits and vegetables. For more information, see the topic Weight Management.
- Avoid dehydration. Increase your fluid intake, particularly water. Water dilutes cancer-causing chemicals.
Home Treatment
The side effects of bladder cancer treatment can be serious. Healthy habits such as eating a balanced diet and getting enough sleep and exercise may help control your symptoms. Your doctor may also give you medicines to help you with certain side effects.
- Home treatment for nausea or vomiting includes watching for and treating early signs of dehydration, such as having a dry mouth or feeling lightheaded when you stand up. Eating smaller meals may help. A little bit of ginger candy or ginger tea can help too.
- Home treatment for diarrhea includes resting your stomach and being alert for signs of dehydration. Check with your doctor before you use any nonprescription medicines for your diarrhea. Be sure to drink enough fluids.
- Home treatment for constipation includes making sure that you drink enough fluids and eat fruits, vegetables, and fiber every day. Do not use a laxative without first talking to your doctor.
Other problems that can be treated at home include:
- Sleep problems. If you have trouble sleeping, some tips for managing sleep problems may help.
- Fatigue. If you lack energy and become weak easily, try ways to help your fatigue.
- Hair loss may be unavoidable. But you can decrease irritation of your scalp by using mild shampoos and avoiding damaging hair products.
- Stress. Cancer and its treatment can be stressful. But there are many steps you can take to manage stress.
- Pain. Bladder cancer rarely causes pain, and not all forms of cancer treatment cause pain. But if you do have pain, there are many home treatments that can help.
Medicines may be used to control the growth of bladder cancer cells and to relieve symptoms. These medicines may be taken by mouth, injected into a vein (intravenous, or IV), or delivered directly into the bladder using a catheter.
- Chemotherapy uses medicines to destroy cancer cells.
- Immunotherapy, also called biological therapy, uses medicines that cause your body's immune system to attack cancer cells in your bladder. It is most often used for early-stage bladder cancer. It may also be used after a transurethral resection (TUR) to help keep cancer from coming back.
Most chemotherapy causes some side effects. Home treatment may be all that is needed to manage your symptoms. But some people may need medicines to control nausea and vomiting.
Medication choices
Chemotherapy medicines
- Gemcitabine and cisplatin.
- MVAC, a combination of methotrexate, vinblastine, doxorubicin, and cisplatin.
- Mitomycin. This medicine may be used to help keep cancer from coming back.
Immunotherapy medicines
Surgery is used to treat most stages of bladder cancer.
- Transurethral resection (TUR) is surgery done through the urethra. A thin, lighted tube called a cystoscope is used to remove or destroy tumors in the bladder.
- Cystectomy is surgery to remove the bladder.
- Partial cystectomy removes only part of the bladder. It is used to treat cancer that has invaded the bladder wall in just one area.
- Simple cystectomy removes all of the bladder.
- Radical cystectomy removes all of the bladder as well as nearby lymph nodes, part of the urethra, and nearby organs that may contain cancer.
- Urinary diversion is surgery that makes a new way for your body to store urine. This can be done with a pouch created inside your body from part of your intestines, called a continent reservoir. Or the surgeon may make an artificial opening, called an ileal conduit, and you will wear a flat bag to store urine outside your body.
What to think about
Side effects from your surgery can include bowel problems such as constipation or diarrhea. Your ability to have or enjoy sexual intercourse may also be affected.
Adhesions may develop after surgery. And a bowel obstruction may occur as a complication if surgery was extensive.
Other Treatment
Radiation treatment
Radiation treatment for bladder cancer uses high-energy X-rays to kill cancer cells and shrink tumors. It may be given after surgery. It may be used along with chemotherapy. Sometimes it is used instead of surgery or chemotherapy.
- External beam radiation comes from a machine outside the body. The machine aims radiation at the area where the cancer cells are found.
- Internal radiation uses needles, seeds, wires, or catheters that contain radioactive materials placed close to or directly into the bladder.
Which treatment you receive will depend on the type and stage of your cancer.
Clinical trials
Your doctor may talk to you about joining a research study called a clinical trial if one is available in your area. Clinical trials are research studies to look for ways to improve treatments for bladder cancer. Experts are doing studies on:
- Chemoprevention for early-stage bladder cancer. This is the use of medicines or vitamins to reduce the risk of getting cancer or having cancer come back.
- Photodynamic therapy. This uses medicine and a special light to treat the cancer.
For some people with bladder cancer, clinical trials may offer the best treatment available.
Complementary therapies
People sometimes use complementary therapies along with medical treatment to help relieve symptoms and side effects of cancer treatments. Some of the complementary therapies that may be helpful include:
- Acupuncture to relieve pain.
- Meditation or yoga to relieve stress.
- Massage and biofeedback to reduce pain and ease tension.
- Breathing exercises for relaxation.
These mind-body treatments may help you feel better. They can make it easier to cope with treatment. They also may reduce chronic low back pain, joint pain, headaches, and pain from treatments.
Before you try a complementary therapy, talk to your doctor about the possible value and potential side effects. Let your doctor know if you are already using any such therapies. They are not meant to take the place of standard medical treatment.
Other Places To Get Help
|American Cancer Society (ACS)
|1-866-228-4327 toll-free
|Web Address:
The American Cancer Society (ACS) conducts educational programs and offers many services to people with cancer and to their families. Staff at the toll-free numbers have information about services and activities in local areas and can provide referrals to local ACS divisions.
|National Cancer Institute (NCI)
|6116 Executive Boulevard
|Suite 300
|Bethesda, MD 20892-8322
|Web Address:
|www.cancer.gov (or https://cissecure.nci.nih.gov/livehelp/welcome.asp# for live help online)
The National Cancer Institute (NCI) is a U.S. government agency that provides up-to-date information about the prevention, detection, and treatment of cancer. NCI also offers supportive care to people who have cancer and to their families. NCI information is also available to doctors, nurses, and other health professionals. NCI provides the latest information about clinical trials. The Cancer Information Service, a service of NCI, has trained staff members available to answer questions and send free publications. Spanish-speaking staff members are also available.
Related Information
- American Cancer Society (2010). Cancer Facts and Figures 2010. Atlanta: American Cancer Society. Available online: http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-026238.pdf.
Other Works Consulted
- National Cancer Institute (2010). Bladder Cancer PDQ: Treatment—Health Professional Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/bladder/healthprofessional/allpages.
- National Comprehensive Cancer Network (2010). Bladder Cancer. NCCN Clinical Practice Guidelines in Oncology, version 1. Available online: http://www.nccn.org/professionals/physician_gls/PDF/bladder.pdf.
- American Cancer Society (2010). Bladder Cancer. Available online: http://documents.cancer.org/acs/groups/cid/documents/webcontent/003085-pdf.pdf.
- American Cancer Society (2010). Lasers in cancer treatment. Available online: http://www.cancer.org/Treatment/TreatmentsandSideEffects/TreatmentTypes/lasers-in-cancer-treatment.
- American Joint Committee on Cancer (2010). Urinary bladder. In AJCC Cancer Staging Manual, 7th ed., pp. 497–505. New York: Springer-Verlag.
- Cancer of the bladder (2007). In Cancer Stat Fact Sheets based on SF Altekruse et al., eds., SEER Cancer Statistics Review, 1975–2007. Bethesda, MD: National Cancer Institute. Available online: http://seer.cancer.gov/statfacts/html/urinb.html.
- National Cancer Institute (2010). Bladder Cancer PDQ: Treatment—Patient Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/bladder/patient/allpages.
- U.S. Preventive Services Task Force (2010). Screening adults for bladder cancer: A review of the evidence for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 153(7): 461–468.
|Healthwise Staff
|Primary Medical Reviewer
|E. Gregory Thompson, MD - Internal Medicine
|Specialist Medical Reviewer
|Christopher G. Wood, MD, FACS - Urology, Oncology
|Last Revised
|May 2, 2011
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Author: Healthwise Staff
Medical Review: E. Gregory Thompson, MD - Internal Medicine & Christopher G. Wood, MD, FACS - Urology, Oncology
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Long before light industry's varnish and diesel fumes flavored the air of the South Platte neighborhood, truck farms utilized the area's fertile river bottom soil to grow the aromatic vegetable used to flavor the dishes of Denver dinner tables...
The illustration above appeared as the third panel of my "Predictions 2011" Worst-Case Scenario comic in the December 30, 2010 issue of Westword. I was predicting that the success of the Denver County Fair would turn all loft and apartment residents into rooftop and balcony farmers. But, in ... More >>
Throughout its history, Globeville has been separated from Denver by the South Platte River, the railyards and two interstate highways. Consequently, the isolated residents have created a kingdom with a unique urban-farming culture. Globeville eggplant, a member of the tobacco family, is the ... More >>
In Greek mythology, Prometheus stole fire from Zeus and stored it in the hollow stalks of Athmar Park fennel to free mankind from the brutish ignorance of the gods. Today, the plant grows wild in the yards of neighborhood bungalows and is eaten raw as a natural treatment for glaucoma and to c ... More >>
Built in 1887, 1906 and 1955 respectively, Capitol Hill Basins Numbers one, two and three were built in Congress Park to hold a three-day supply of water for the 105,000 Denver residents who lived downtown. Consequently, Congress Park Cauliflower has always thrived in the cooler, moister atmo ... More >>
Commuters passing Federal on 6th Avenue on their way into Denver may have noticed construction on what is shaping up to be an epic new mountain bike and BMX skills park, designed by Gravity Logic and pro rider John Cowan. The park will be operated by Winter Park's Trestle Bike Park crew in pa ... More >>
To know 16th Street Mall Swiss chard is to love its tender and delicious, if somewhat meaty, flavor. Originating in large, mallside Downtown Denver planters, this big-city bright lights strain of chard is a celebration of all that is colorful in the capital city of Colorado...
Originally found along the banks of Bear Creek, the vitamin-rich medicinal qualities of Bear Valley watercress attracted seniors in search of better health to settle the neighborhood in the mid-1960s. Now grown in water gardens across the city, Bear Valley watercress is highly prized for it' ... More >>
Valverde is a historic west side neighborhood that is a complex blend of light industry and single-family housing. It is the perfect place to grow Valverde tomatillo. A member of the tomato family, the Valverde tomatillo plant bears bright green fruits with a taste that is a complex blend of ... More >>
Dating back to the 1911, the Elyria-Swansea heirloom tomato was developed by stockyard workers who wanted to create the perfect beefsteak tomato. It has since become a Mile High favorite that is undoubtedly destined to be the first blue ribbon winner at the Denver County Fair...
Clayton sweet potato is a North American native that was cultivated in Polynesia long before western exploration, and was ranked highest among all vegetables in nutritional value by the Center for Science in the Public Interest. It's no wonder that the Clayton sweet potato is considered more ... More >>
Developed by hippies in the early 1970s, Baker green peas have been specially adapted for the cooler climate of the Baker neighborhood lifestyle. Guaranteed to produce a diversity of sustainable and nurturing pods, gardeners in all Denver neighborhoods are encouraged to give Baker green peas ... More >>
By 1904, West Colfax Avenue, originally the southern road from Denver to Golden, had become the main street of the Denver Jewish community. A longtime favorite of the "Mile Chai" West Colfax neighborhood is chicken vegetable soup made with Sloan Lake turnip, U-Hills parsnip and West Colfax K ... More >>
Lincoln Park asparagus can be grown from seeds or crowns, but the latter method respects the prestige of Lincoln Park. Home to the Santa Fe Arts District, Denver Health Hospital, West High School, Xcel Energy Zuni Generation Station and the 105-year-old Buckhorn Exchange, Lincoln Park is the ... More >>
Don't let this weekend's Cinco de Mayo and Mother's Day party schedule keep you from digging in your garden. Summer weather blazes into town today and the heat is on -- especially for urban gardeners who plant electric-red Ruby Hill Habaneros from the Denver Neighborhood Seed Co....
Colin BaneOpening day at the Ruby Hill Rail Yard Terrain ParkDon't feel like sitting in ski traffic to ride the rails? The Ruby Hill Rail Yard Terrain Park at South Platte River Drive & Florida Avenue opened on Saturday with rails, slider boxes, jumps and open slopes for sledding and learning ... More >>
Dave Watson Photography, courtesy Winter ParkSnowmaking under way at Ruby Hill's Rail Yard terrain park in DenverRuby Hill Rail Yard sponsors Winter Park Resort, Denver Parks and Recreation and Christy Sports took advantage of the new snow and cold temperatures this weekend to fire up the sno ... More >>
Ruby Hill runaway may be in search of a new name. They may be the raggedy-pant-tramp of the dog world, but even an American Bulldog has too much dignity to tolerate being called "Dorkus." While it may sound cute while playing fetch, the name starts to sound like Bulldog bullying when used wit ... More >>
Figure 81a. West Highland: You can lead a horse to water, but you can't make it wash. Denver residents don't need to pay the $134-$240 Cavalia ticket price to see a "multimedia extravaganza of unprecedented magic and emotion" when innovative equestrian artistry can be viewed in nearly every n ... More >>
railyarddogs.orgRailyard Dog Park construction.Students returning to East High School today can look forward to a lesson in community involvement over the next two years, courtesy of Denver's parks department. By the end of September, the city plans to demolish the former Safeway/Church in t ... More >>
Denver's Ruby Hill Rail Yard, like, forever ago.Here's the best thing about living in Denver in the winter: Snowy and cold up in the mountains, sunny and warm down in the city. Snow/Sun ... Wet/Dry ... see how that works? Then, in 2007, Winter Park and the City of Denver's parks department ... More >>
The study of neighbors through their lawn decoration ... click image to enlarge Figure 37. Ruby Hill: Mixing themes gives yard art a new slant The Ruby Hill neighborhood is unlike any other in Denver. Ruby Hillers seem to have a different perspective on life than most other Denverites. Per ... More >>
In 1996, Westword published its thirteenth Best of Denver issue, a celebration of the city that saluted everything from Best Yuppie on a Harley (then-senator Ben Nighthorse Campbell, who posed for a Banana Republic ad) to the Best New Public Art (Mark di Suvero's still-controversial "Lao Tzu") ... More >>
For residents of southwest Denver who oppose the plan by Xcel Energy to replace electrical lines with taller towers, the issue is as much about the marring of Ruby Hill Park's scenic view as what they perceive as a double standard in policy. Neighborhood groups want the new lines buried or relocat ... More >>
Ruby Hill-area residents want to protect their views from eleven-story utility poles, but Xcel thinks it has the juice.
For La Liga Latina, baseball is more than a game. It's a way of life.
Better late than never
A camp for the homeless works in Portland. Can it work here, too?
Cheesman neighbors worry that their park is going to the dogs.


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Tuesday, November 16, 2010
SmartSynch GridRouter Performs Successfully During Duke Energy Pilot Program
SmartSynch, a smart grid technology company utilizing standard IP communications via cellular networks, announced that its GridRouter™ universal communications solution has performed successfully in energy management pilot programs conducted by Duke Energy at businesses and universities.
With the aid of a custom software application developed by Duke Energy for this project, the GridRouter enables distribution of energy efficiency data, demand response and pricing information from Duke's corporate information systems back to the customer's building automation systems. Duke Energy designed the software application, which resides on the GridRouter, using a software development kit that SmartSynch built into the solution to allow utilities to design custom software applications to meet specific smart grid needs.
Launched in December 2009, SmartSynch's GridRouter is one of the industry's first universal smart grid communications solution. With the GridRouter, utilities can seamlessly and easily communicate with every possible device on the smart grid regardless of make, model or communication protocol.
For the complete article, please click here.
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04/13/12 - Mr. Maus makes his classes so insanely hilarious, it's the best period of my day. His extra help can get crowded if it's the week a project is due, but usually he's always available quickly and he helps you in the best way possible. Sometimes class goes a little haywire, but we always learn. And if he throws chalk at you, shoot a rubber band as soon as his back is turned! Show More Show Less
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Estevan City Council narrowly approved the annual tax abatement for the Pure Energy Early Learning Centre and Estevan Day Care Cooperative, during council's meeting on August 25.
The day care will be taxed as a residential property instead of a commercial entity this year, but council has members said this will be the final year that the day care will enjoy that luxury.
Council first debated the issue at their August 11 meeting. The council members were deadlocked as to how to tax the day care, due to the City's current fiscal challenges.
Councillor Trevor Knibbs wasn't at the August 11 meeting, and he voted in favour of the abatement. Those who backed the abatement said that the day care didn't receive enough advanced notice about the pending change.
The day care said that if they were taxed as a commercial property, it would cost them more than $7,500.
Other highlights from the meeting were:
*A total of 36,350 kilograms (or more than 40 tonnes) of materials were recycled in Estevan in July, according to a report from Regens Disposal. The average weight of the 3,646 carts was 9.97 kilograms.
*The sign corridor east of the city will be relocated. The corridor has to be moved due to construction of the new truck route.
*The bylaw enforcement officer handled 165 infractions in July. Eighty-one were for parking violations.
*The City will enter into a five-year agreement with Connect Energy Partnership for natural gas at the City of Estevan's facilities. The cost will be $4.62 per gigajoule annually. Many members of the Saskatchewan Urban Municipalities Association also receive natural gas from Connect.
*Council approved a $55,000 cost overrun on a temporary sanitary sewer lift station and force main that will be located at Wellock Road and Sister Roddy Road. The total cost will be $255,000.


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The Pink Floyd man will tour The Wall in 2011, the first time that the band's album has been performed in over 20 years.
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- 7-Keto
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Customer Reviews
Great Product
10 people found the following review helpful
Posted by Reviewer1909395 on Jan 18, 2009
Purchased at iHerb
This has been a great find!! I am border line in need of dialysis. By using this product for thre last few months it has helped me to AVOID dialysis. I can really tell when I don't use it. You must follow the directions & drink plenty of water.
Nice product
8 people found the following review helpful
Posted by Reviewer3106857 on Mar 17, 2009
Purchased at iHerb
I bought it to strengthen kidney function, but was told by herbalist that in Chinese herbalism language, kidney fortifier means more general immune system, not kidney specifically
Great Detoxer!
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Posted by Reviewer2442510 on Sep 15, 2012
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This is also a wonderful detoxer! After many years of systemic candida infection, I needed a serious detox. When I started drinking this tea, I was pleasantly surprised by its powerful detoxing effect: constipation gone, detox from facial skin greatly increased (even with some break-outs), water retention much decreased, gum swelling much decreased, etc. etc. I made plenty of iced tea with it and some green tea and drank 2 to 4 glasses a day so I can also take in fluid. Continued for a few months. I think you need to use at least 2 tea bags a day to see significant effects. I took a few months break and feeling great, and I am starting another cycle again! Really works.
Works for me!
6 people found the following review helpful
Posted by MikeMember on Jan 08, 2009
Purchased at iHerb
Seems to be helping with the lingering affects (cloudy, strong-smelling urine) of a kidney/UT infection. For best effect, I recommend following directions and drinking it several times a day.
4 people found the following review helpful
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Purchased at iHerb
I stumbled upon this for kidney fortifying purposes, but I had started it with a bad chest cold and this cleared me up in one day!! I read up about Eleuthero, and this has it in it and must be very good quality - My energy is better and overall mood - Great Stuff!


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November 22, 2014
NAIROBI, Kenya (AP) - An oil spill from a crashed truck erupted into flames Saturday in Kenya, killing at least 50 people who were trying to scoop up free fuel, officials said.
Abbas Gullet, secretary general of the Kenyan Red Cross, says "more than 50" people died after a crowd gathered around the crash in search of free fuel.
The crash was in Molo, several hours outside the capital, Nairobi.
Local newspapers have criticized the government for poor safety. On Wednesday, a massive fire swept through a supermarket in downtown Nairobi, killing at least 25 people.
After the supermarket blaze, the Daily Nation said Nairobi's 3 million people are served by just one fire station situated close to a traffic-choked business district.
"Ours is a modern city with an 18th-century firefighting infrastructure," the newspaper said in an editorial.
(Copyright 2009 by The Associated Press. All Rights Reserved.)
Click Here to access the online Public Inspection File
Viewers with disabilities can get assistance accessing this station's FCC Public Inspection File by contacting the station with the information listed below. Questions or concerns relating to the accessibility of the FCC's online public file system should be directed to the FCC at 888-225-5322, 888-835-5322 (TTY), or email@example.com.


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ECKANKAR World Wide Seminar Oct 25-27
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"Singing HU has been practiced for thousands of years in one form or another for inner attunement. In the same way a musician can use a tuning fork to find the right pitch, the person singing HU tunes in to a higher spiritual awareness."
−Harold Klemp
HU The Most Beautiful Prayer, p. vii
Dover−Second Sunday of each month, 10:00 a.m., Comfort Inn, 10 Hotel Drive
Exeter−Fourth Wednesday of each month, 7:00 p.m., Exeter Public Library, 4 Chestnut Street
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Hear the heart-opening sound of thousands of Souls singing
this beautiful, powerful love song to God at www.HearHU.org.
Harold Klemp, the spiritual leader of Eckankar, speaks Soul-to-Soul. His stories of everyday experiences and simple, practical techniques will guide you to a deeper relationship with God. Click the link to hear more. Eckankar on You Tube
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text: CA Assemblyman Withdraws Sons from Public School Over Transgender Law Print article Send a Tip by Breitbart News 19 Aug 2013 post a comment Assemblyman Tom Donnelly (R-CA) is withdrawing his children from public school over the new bill signed by Gov. Jerry Brown (D-CA) that would allow transgender students to use whichever bathroom and join whichever sports team they see fit. "While trying to address a concern of less than 2 percent of the population," wrote Donnelly at WND.com, "California is now forcibly violating the rights of the other 8 percent." Donnelly's 13- and 16-year-old sons attend Rim of the World Unified School District in the San Bernardino Mountains, and were "horrified" to learn about the new law. "If it doesn't change his school experience," Donnelly admitted, "he may still stay."


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Modification of the Auditory Feedback Loop-Effects on Hearing and Speech Production
The aim of this research was to compare various methods of the modification of the auditory feedback loop to their effects on hearing and speech articulation. DSP technology was used to enable the application of three different signal processing methods. A small portable DSP device was constructed, allowing one to organize some tests outside the laboratory environment. Some interesting effects were discovered. Results of the tests are discussed, and some conclusions are derived.
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Tuesday June 21, 2011
In the run up to the summer, we're all hard at work trying to shake off those extra kilos so we can do justice to our new bikinis.
But once the holidays actually start, it's all too easy to let the discipline slip, and we find we've put the weight back on before we get back to the office: all that pre-summer effort simply goes down the drain.
Dr. Pierre Dukan, author of the hugely popular Dukan diet, offers five keys to keep your weight down over the summer, with a special emphasis on "how to eat."??
Read full story
The latest news and pictures of the hot young Hollywood actress and star of Silver Linings Playbook
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Love the simplicity of this :)
Thank you so much! x
– S. Raja
Love the presentation here…nicely done .
Truly unique design – I love it!
Thank you so much- that's absolutely lovely of you to say!
– S. Raja
Love this, great work, buying a T for my hubby :-)