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"A Governor's Perspective on Health Care Reform"
11th Annual AcademyHealth National Health Policy Conference
Washington, District of Columbia
February 8, 2011
Thank you for the opportunity to speak today at the end of such an interesting, and well timed, national health policy conference. I am Anthony Brown, the lieutenant governor of the state of Maryland. This really is an important conversation and I'm honored to be a part of it. I'm also glad to see at least a handful of familiar faces in the audience.
Before I get too far along, I want to acknowledge and thank AcademyHealth Board member and Maryland's former Secretary of Health and Mental Hygiene John Colmers.
Four years ago, Martin O'Malley and I took office and we set ambitious goals to improve public education, lower violent crime, create new job opportunities, and expand and improve health care for all Marylanders. Before taking office, Governor O'Malley asked me to lead our administration's health care portfolio; and what an exciting and challenging four years it has been. I've had the privilege of leading change in Maryland's health care system. I have learned quite a bit through this experience, but of course I don't bring the level of knowledge and expertise that you do. My role, rather, is to provide you with a governor's perspective on health reform: What governors are focusing on; what many governors are doing in response to the enactment of federal healthcare reform.
The Patient Protection and Affordable Care Act (ACA) offers states an unprecedented opportunity to change the face of our health care system to better support the vitality and strength of our families, businesses and communities: Opportunities to expand wellness and prevention; opportunities to reduce hospital readmissions and preventable complications; opportunities to expand health IT; and opportunities to address health disparities and chronic disease management. And the ACA provides an opportunity to save states money and reduce the number of uninsured.
Still, there are challenges. Challenges that indicate, if we do nothing, we do so at our own peril. There's the challenge presented by the exponential increase in the overall cost of healthcare and what that means for state budgets and for the quality and cost of living within our respective states.
Success will require sustained and collaborative efforts on the part of all public and private stakeholders to bend the cost curve. And if we can rise to this challenge, we can change the face of health care in America.
Outline of Discussion
My focus today will be a broad perspective on how one state – Maryland – has approached health care reform. We know that each state is unique in its approach to health care – just as each state will implement and benefit from federal reform in a unique way. The ACA recognizes that we are all different, whether it's our Medicaid eligibility system, our state population and its diversity, the current level of uninsured residents, the number of providers in our insurance markets, or our budgets.
Now, my remarks are divided into three parts: First, I'll put the Affordable Care Act in the context of states' efforts to make care more accessible and affordable, and what Maryland has accomplished. Second, I'll discuss three of the many key challenges facing states in implementation, and how Maryland is addressing these challenges.
- How to set up the health benefit exchanges;
- How we strengthen our public assistance programs and systems, including most immediately a new eligibility system that recognizes that people's income can be volatile, which might cause them to move in and out of Medicaid based on their income and the economy; and
- How we develop our health care workforce to deliver care to the 100s of thousands of Marylanders who will gain access to coverage.
And third, I'll talk about how Maryland is planning to seize this historic opportunity to address the long-term challenge of bending the cost curve by improving the quality of healthcare and health, by focusing on wellness and prevention, hospital readmissions and preventable complications, health IT, and reducing health disparities.
Reform in the States
The Affordable Care Act arrived in state capitols last spring, after years if not decades of states taking individual approaches toward comprehensive health care reform, some successfully, others not as successful.
By mid 2009, three states – Maine, Massachusetts and Vermont – were implementing reforms that sought to achieve near universal coverage of state residents. Governors and legislators in 14 other states had announced comprehensive reform proposals or had established commissions charged with developing recommendations on how to expand coverage. Perhaps most notably was Massachusetts' individual mandate and Health Insurance Connector.
For years, states have considered, and either adopted or rejected, proposals ranging from the creation of statewide purchasing pools, expansion of public programs, premium subsidies for individuals at certain income levels, and insurance regulations, to wellness and prevention programs.
Early in this decade, Maryland established a waiver program that provided primary care access and prescription drug benefits to low-income individuals. We were among more than 30 states to establish a high risk pool – the MD Health Insurance Plan, and we also created a subsidy – through tax credits – for small businesses to offer employees coverage at a reasonable cost. In 2007, we expanded Medicaid coverage to parents and strengthened the package of benefits in our waiver program. We also allowed young adults up to age 25 to stay on their parents' insurance and took steps to close the donut hole for seniors. And finally, after a tragedy in Prince George's County where a young boy died from a tooth infection, Maryland took a number of steps to dramatically expand access to timely dental care, including increasing reimbursement, so that we are now considered a national model.
I mention these efforts to make the point that many states, including Maryland, were innovating in health care long before the federal government enacted the ACA. And also because many of the potential savings to be realized by states from the implementation of the ACA will be the result of shifting the costs associated with these earlier reforms to the federal government. For that reason, and others that I will touch upon in my remarks, Governor O'Malley and I believe that this law gives states the tools and a historic opportunity to take the next big step towards improved health for our citizens.
ACA in Maryland
The morning after President Obama signed the ACA into law, Governor O'Malley established the Health Care Reform Coordinating Council to develop recommendations for state implementation – a Council I was honored to co-chair with John Colmers. Twenty five states and the District of Columbia have established similar entities to coordinate, implement, and oversee reform.
Over the last 9 months, we held more than 30 public meetings and received hundreds of comments from stakeholders, including physicians, hospitals, payers, unions, public and mental health advocates, brokers, patients, and lawmakers. We also partnered with a non-partisan healthcare think tank – to provide an independent analysis of reform's impact on Maryland's bottom line. This analysis found in part that because of the reforms already in place in Maryland, the implementation of the Affordable Care Act will save the state $850 million and cut the number of uninsured in half by 2020.
The major components of Maryland's savings include an increase in federal assistance for children's health insurance programs, revenue from phasing out Maryland's high risk pool, an increase in revenue from existing premium assessments on commercial insurance products and partial reductions in direct state funding for state safety net programs. (And I emphasize partial because safety net programs will be needed for those that continue to go uninsured).
Last month, we presented Governor O'Malley with a final report covering the exchange, entry into coverage, safety net, workforce, and bending the cost curve. These 16 recommendations will help guide our state through the most critical aspects of implementation.
The first implementation challenge that I want to discuss is setting up the health benefit exchanges and making them self-sustaining by 2016. This is a challenge for government because we're used to regulating markets, not operating them. Questions in the discussion of Maryland's exchange include: Should we use an existing government agency? Establish a new independent government entity? A non-profit?
Other questions are not far behind. Should the exchange employ selective contracting? Should different insurance rules apply outside the exchange? How can states best utilize the resources we already have at our disposal, be it, insurance brokers and producers, third party administrators, or existing IT systems?
Following the recommendation of our Coordinating Council, the Governor and I have proposed legislation to establish a framework for the exchange as an independent governmental entity. Massachusetts, California and Utah chose the independent governmental entity route as well.
We believe this structure will provide the state with greater flexibility, more transparency, and allow better coordination among existing programs such as Medicaid and the provision of federal subsidies. This new entity will study the specific details of an exchange, and the key decisions that will have to be made to effectively implement the new law. This will be done in an open and transparent process and next winter they will come back to the Governor and the Legislature with proposed regulations and statutes to build out the exchange. This stepwise approach will give us time to review key federal actions (many of which have not yet been taken) – such as defining what are "essential benefits" – that will have an important influence on the exchanges and other aspects of implementation.
A second challenge to implementation is how we address entry into coverage in time for the 2014 implementation of the major reform provisions: the individual mandate, the federal individual subsidy, and Medicaid expansion. During our work group sessions, stakeholders identified a number of encouraging options and strategies that could be part of an overall approach to entry into coverage: An approach that achieves the goals of simplifying the eligibility process; making eligibility integrated and seamless; embracing a culture of insurance; advancing no wrong door efforts; connecting eligibility and plan enrollment.
Many of these issues are inter-related and will depend largely on federal guidance and state decisions related to the goals and functions of an exchange.
The challenge for Maryland and all states is that many implementation activities require significant IT systems changes which have long lead times in planning, procurement and implementation. Achieving all of these goals by 2014 is a tall order. Given our current information on federal rules, potential federal systems and more detailed technical analysis, it is premature to decide which of these strategies should be implemented. But over the next several months, Maryland will use the federal grant resources that we recently received to evaluate what is technically feasible to accomplish by 2014. With this assessment we will better understand how far Maryland can progress towards achieving these goals and how immediate system changes could be a part of a longer-term strategic vision for improving entry into coverage.
A third important challenge facing states that I'll highlight, and not necessarily as an implementation issue, is how to develop our health care workforce for the increased number of insured and the need for enhanced capacity, particularly within the primary care community. In other words, how do we solve for the workforce shortages? While more individuals will have health insurance when federal reform is fully implemented, their coverage will be meaningful only if they have access to health care providers able to meet their needs.
We could simply let the law take effect and watch the health care system adapt – or struggle to adapt. Some states may choose this approach, but Maryland is going to be proactive.
Shortages in Maryland's health care workforce already exist. These shortages will be exacerbated in the future by the increased demand for services resulting from reform and the increasing need for health services by an aging population. There are also trends in the health delivery system attempting to shift from acute to primary care, and from institutional to community-based settings, which will likely affect future workforce needs.
Our workgroups asked to what extent should Maryland use a broad range of tools to increase capacity and assure an adequate workforce and they looked at certain solutions, including:
- Fostering educational and training programs designed for the workforce of the future;
- Such as loan assistance and repayment (of course a budget constrained strategy);
- Changing and streamlining credentialing and licensing policies;
- Supporting recruitment and retention strategies; and
- Changing liability laws and regulations.
It would seem that there are more questions than answers at this time and with assistance from a federal grant to Maryland's Workforce Investment Board we have started to create a comprehensive workforce planning strategy.
Bending the Cost Curve
Lastly, let's talk about bending the cost curve.
The Affordable Care Act presents a tremendous opportunity for states. The opportunity may not be easily seen by those pressed so close to all the individual points and details, which as I just discussed above may readily be seen as challenges. But when I take a step back and look at the whole painting, it is inspiring.
The favorable savings forecast that Maryland and many other states anticipate must not be permitted to weaken our commitment to reduce the overall cost of health care. We know that net savings to states begin to decline toward the end of the decade as the ACA shifts a greater share of the financial responsibility for Medicaid expansion to the states. As such, our public assistance programs, as well as the entire health care system, will soon be unsustainable, regardless of these savings, unless we succeed in improving quality while reining in the runaway growth in costs.
So, in addition to realizing the projected savings, states must reaffirm and strengthen their commitment to begin serious and sustained efforts to bend the cost curve and align incentives toward quality, safety, and efficiency. We must expand and leverage initiatives such as increasing access to primary care and improving chronic disease management through patient-centered medical homes; building a health information technology infrastructure; and reducing hospital acquired infections, preventable complications, and readmissions. And we must address the moral and financial responsibility to reduce health disparities associated with poverty, race and ethnicity.
Everyone – consumers, employers, providers, businesses, insurers, and taxpayers – has a stake in promoting quality and access while improving efficiencies and incentives to reduce costs.
In Maryland, we established a Patient Centered Medical Home program to strengthen primary care. Maryland is not alone in this approach. Other states, including Minnesota, Pennsylvania, and Vermont are using medical homes to improve the primary care experience and patient outcomes. We've also decided to do more than watch health information technology from the sidelines. One of our 15 statewide strategic goals – and they range from creating more jobs to reducing violent crime – is to establish the best in the nation statewide health information exchange and electronic health records adoption by the end of 2012. In partnership with hospitals, doctors and other providers, we are moving quickly to increase the use of HIT. In 2009 we passed legislation that leveraged the incentives and penalties under the HI-TECH Act, by requiring state payers to also offer incentives for early adoption of EHRs in their practices. We have also established our health information exchange by creating a non-profit dedicated to connecting hospitals and providers around the state.
We're making progress, yet we still have challenges in health IT – small to medium hospitals continue to struggle with the capital investment necessary to establish robust IT systems and small practices struggle with the infrastructure and operational costs of new IT systems.
We're also improving quality by reducing preventable complications. Maryland is using the only all-payer hospital rate system in the country to collect reliable data on every hospital admission. In fiscal year 2010, there were nearly 50,000 potentially preventable complications that cost our system approximately $522 million. And we are now analyzing and using this data to drive financial incentives and improvements in quality. The hospitals were ranked by rates of complications, and through our rate setting commission we redistributed $4 million from the hospitals with more preventable complications to those that had fewer. Maryland's approach focuses on incentives for hospitals to reduce the rate of 49 potentially preventable complications, not on punishment for a few specific events. And as we anticipated, since starting this process, rates of preventable complications have declined substantially across the board – approximately 12% for an annual cost savings of $62.5 million – benefiting our payers, our hospitals, and of course, our patients.
We are also using the state's all-payer system to rethink how health care is reimbursed. For example, using the state's unique all-payer rate setting system, we now have 10 community hospitals under global budgets – providing an incentive for hospitals to reduce unnecessary admissions, readmissions, and emergency department visits and to provide care efficiently. The hospitals with global budgets are enthusiastically looking for ways to improve care while lowering cost. For example, one is expanding its outpatient program for diabetes by hiring another endocrinologist. Another is planning to create multidisciplinary teams to plan for discharge and post-discharge care. As hospitals innovate, we will capture their best practices and share throughout our system. All told, $1.4 billion of the system's $14 billion of revenue are under these global payment arrangements.
In addition, the agency in charge of this system is working collaboratively with other hospitals to adopt an episode based payment structure that includes both admissions and all readmissions. These initiatives, coupled with our pay-for-performance quality initiatives places Maryland at the cutting edge of bending the cost curve and improving quality in the United States.
We will be tracking the impact of these efforts publicly by developing a dashboard for health care quality to include as part of our state accountability program – State Stat – with new data coming each quarter. I invite each of you to follow these efforts online.
Finally, let me touch on one important effort that will help bend the cost curve and is a moral imperative – health disparities: a national problem that strikes at the heart of America's promise.
In Maryland in 2004, estimates of the hospital cost – excluding the physician component, emergency room and outpatient care costs – of excess African American hospital admissions for all diagnoses cost Medicaid $59 million and all other payers $481 million.
Reasons for Healthcare disparities abound. As we advance the reform agenda and expand access to coverage, we should take extra steps to make sure we are not leaving people behind. We need to ensure that geographic barriers are eliminated by providing incentives for primary care providers to deliver care in our poorer communities and our communities of color. We can not forget that unacceptable disparities in the delivery of health care are the very definition of poor quality care. We should use health reform to improve access to care, including proximity to care, for underserved populations.
And as we strengthen our data systems, we will be able to identify those health care providers with inexplicable and unacceptable gaps in quality between groups, and use financial incentives and penalties fairly and appropriately to drive progress.
Because in the end, health care reform is not just about reform – which has been going on for many years. It is also not just about care, which is a means to an end. It is about health. Health is why we're all here. If we cannot change the paradigm of the health payment system, toward a value-driven health care system, we will fail to bend the cost curve and all of our best efforts to implement the Affordable Care Act will be jeopardized.
Health reform will not be sustainable if we continue to pay for volume rather than value; if we do not address the crushing burden of chronic disease; if we do not reduce preventable complications and re-admissions and disparities; if we do not improve quality while reining in the runaway growth in costs.
Maryland intends to seize the moment and use the tools provided by the Affordable Care Act to build a better future for our state.
Thank you very much.
- Maryland Awarded $15M Grant to Expand Access to Pre-K Programs 10.10.14
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In the News
- Md. receives federal grant to set up health exchange
Washington Examiner 8.14.11
- Maryland gets $27M to build insurance exchange
Baltimore Sun 8.12.11
- More Funding Available for Md's Energy Rebate Program
University Park Patch 8.04.11
- Signs of life in Prince George's health-care system
Washington Post 7.22.11


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Definitions for omiyaˈɔ miˌyɑ
This page provides all possible meanings and translations of the word omiya
Random House Webster's College Dictionary
O•mi•yaˈɔ miˌyɑ(n.)
a city on E Honshu, in Japan, NW of Tokyo. 404,000.
Category: Geography (places)
Princeton's WordNet
a city of east central Honshu; a suburb of Tokyo
Find a translation for the omiya definition in other languages:
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"omiya." Definitions.net. STANDS4 LLC, 2014. Web. 22 Dec. 2014. <http://www.definitions.net/definition/omiya>.

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Use code HA9MWXdetails >* To Save 10% on orders $249 or more. Use promotion code HA9MWX during checkout. Discount does not apply to shipping charges, delivery surcharges, duties or customs fees and cannot be combined with any other offer. Promotion cannot be used on previous orders. This promotional offer may be modified or terminated at any time. Offer expires 12/27/2014 at 11:59pm ET.
Add some fun to your party with these Silver Twirly Whirls!
These Silver Twirly Whirls are perfect for hanging from the ceiling or tables. Each package of silver metallic plastic Twirly Whirls includes four 2 foot long and two 3 foot long danglers. Silver Twirly Whirls are great for any occasion!


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Super-Affordable and Exotic…Plus Full of Adventure and Discovery
In many places, Thailand is beautiful, from the misty mountains to the pristine beaches. A would-be retiree would have no trouble enjoying life here…there is a large and established expat community, plenty of golf courses, excellent medical and dental care, and all the services and amenities that an expat could want.
The kicker though, is the price. Thailand is arguable the cheapest place on Earth to live well. While affordable luxury is available, you have the option to live on a very modest budget…thanks to US$1 Pad Thai lunches and US$11-a-night hotels (including breakfast and free Wi-Fi).
One thing to keep in mind: Foreigners can own apartments and condos in Thailand but, unless they go through hoops, not real property.
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- Urlesque Staff
Happy Groundhog Day! Rodents Rock Today on Urlesque
Whether you will receive a text message from Punxsutawney Phil this morning to receive 2010's extended weather forecast, or will find out if Phil saw his shadow via an "old fashioned" way like Twitter, Groundhog Day is in full swing IRL and on the web. We think that Punxsutawney Phil's moment always moves too quickly -- that it's over before it even begins.
So today, on the hallowed pages of Urlesque, we will be celebrating Phil, his fellow groundhogs and their extended family members from the rodent family ALL DAY. Remember our day of all-bunny blogging? It's like that, but more rodenty.
Aside from groundhogs, which rodentia will we be featuring today, you ask? Squirrels, groundhogs, mice, rats, guinea pigs, and more.
Also, much like our bunday we want to see YOUR rodents, dear readers! Send us pictures of your rodents either via e-mail, Facebook or drop a link in the comments below and we'll feature reader rodents on the site today.
Happy Groundhog Day, and here's to an early spring!
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The Teacher's Attention Empowering Children's Math Learning With Computers PROCEEDINGS
Ni Chang, University of Wisconsin-Whitewater, United States
International Conference on Mathematics / Science Education and Technology, Publisher: Association for the Advancement of Computing in Education (AACE)
This paper reports the findings of a study, a pilot study, conducted in a childcare center in Whitewater, WI. Eight children were involved and divided into two groups: control and experimental groups. Quantitative and qualitative methodologies were used to analyze the data collected from pre- and post tests and interactions of a child with a computer. Findings show that children who are observed and helped by a teacher gain mathematical concepts faster and more efficient than those who are completely left alone at the computer. This pilot study implies that the teacher needs to pay attention to children at computers while working with or supervising children doing other activities. An extended study is suggested to replicate the findings of this pilot study.
Chang, N. (2000). The Teacher's Attention Empowering Children's Math Learning With Computers. In Proceedings of International Conference on Mathematics / Science Education and Technology 2000 (pp. 112-117). AACE.


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Get help from a costume expert Monday-Friday
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Go in peace this year, or to conquer! We stock a fantastic supply of extraterrestrial and alien costumes for all ages and sizes.


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Criminal Minds Review: Time for a Blitz Attackby Douglas Wolfe at . Comments
"The Pact" featured Mackenzie Phillips as Ellen Russell and Kim Wayans as Darlene Beckett, a pair of mothers whose children were victims of killers.
Ellen's child was hit by a drunk driver and Kim's little girl was murdered by a sex fiend... actually a group of them. The mothers were out for blood and agreed to swap vengeance in the manner of Hitchcock's Strangers on a Train or the more recent Throw Momma from the Train, directed by Danny Devito. Only one of them happened to enjoy the process a little too much, while the other could barely keep from blowing chunks after each episode of their vigilante justice.
This partnership, or pact, formed the theme for the episode, summed up with the BAU's profile of them when it was stated they felt the "justice system has gone wrong and it's up to them to set it right."
Overly lenient court sentences were at the core of this story and served as catalyst for the vigilante moms. At one point, Darlene tearfully shouted "my baby's life is worth more than 10 years!" It seems many parents have often said the same in real life. This, of course, set us up: their outrageous vengeance - which we saw when a few of their targets were taken out for a drag - was at least marginally understandable, though we could never fully sympathize.
As the BAU sat to discuss the case, we again got to see Reid being Reid - although, frankly, I would have enjoyed seeing just a bit more of him. Still, his joyful yet gruesome description of historical acts of vigilantism was a treat to watch.
It's so hard to fathom a guy who gets so caught up in the details of those acts that he forgets entirely about his audience. A while later, you just had to grin at Blake and J.J.'s reaction to him as he quickly computed the distance and time it would take for two of the murders to take place, hundreds of miles away from each other, and finally concluding that yes, it could be done. Genii are like that. ("Genii" by the way is three syllables. Reid would be the first to agree.)
As this is my first published review of Criminal Minds, let me just state one thing at the outset, never to be mentioned again. I love Garcia but am absolutely aghast at her computer skills. Tippitty-tap and presto - multiple windows come up with photos and texts pulled from multiple databases and everything. That stretches credulity to the breaking point. Nevertheless, in the interest of proper story flow within the hour limit, we have to let it go don't we? If the time she took was as realistic as it is in real life, most of us would change the channel out of boredom. So, never mind.
The sweet relationship she has with Derek, who calls her "Baby Girl" all the time is endearing and compelling. I find that I always wait for that phrase in each episode. (We sure heard it last episode, when Derek objected to her abrupt manner on the phone: "Let's try this again. Ring. Ring. Looking for my baby girl.")
Tonight's episode didn't hit any of the two major story arcs introduced to us from the premiere. We didn't find out more about the mysterious photographer who seems to have taken an unhealthy interest in the BAU team. We don't know anything more about the origins of Alex Blake's career, or why it went into a temporary dive as a result of Strauss. We don't know why it took those extra years to build up enough cred to allow her into the BAU and we don't know exactly how Strauss betrayed her.
But that's okay. We have those unanswered questions to anchor us a bit.
A few final notes:
- Mackenzie Phillips is best known for her role as Julie Cooper Horvath on One Day at a Time (her TV sister Barbara was played by Valerie Bertinelli). She is also the daughter of John Phillips who was one of the singers in the 1960's group The Mamas and the Papas.
- Kim Wayans is the sister of Keenan Ivory Wayans and Damon Wayans.
- Tonight's new term: "blitz attack."
So what did you think of tonight's episode? Will the police or the BAU ever catch up with Darlene? Would there be reason to? Do you think Ellen is a psychopath? And how cool was it that Rossi decided to give up most of his vacation days to BAU staff who have spouses that are in the military?
Douglas Wolfe is a staff writer for TV Fanatic Follow him on Twitter. Tags: Criminal Minds, Reviews
Was a great episode! Made you root for the un-subs. Would probably do the same thing if something like that happened to my daughter. Cannot wait for rest of the season!
I don't care for the new girl that took Emily's place. Her persona doesn't fit with the rest of the cast.
I did not like this episode. I am tired of the "baby girl stuff" and I don't think that Alex Blake adds anything useful to the show. I hated to see McKenzie Phillips looking so bruised and worn. She was a fine actress and it nice to see her working again.
I just had a stormy brain. Blake said that she arrested the wrong person. They never said if they arrested the right person. I think the photographer is the wrong person she arrested who is trying to get revenge on the BAU. Another hypothesis I have is that since they never said if they got the right person, it could be the right person who's out to keep it a secret by getting rid of the BAU agents who are working with Blake along with Blake
If I remember from the end of the season premier, the basics of what happened between Blake and Strauss is that Blake was on a highly public case and arrested the wrong person. Strauss didn't back her up and let her hang out to dry.
That was McKenzie Phillips? Really? I had no idea until I read this review..lol...Love the show.
I liked it. Alex isn't making much of an impression yet but presumably they'll give her some more depth as time progresses. I like the actress. I was confused though-I understood the two women met through the online support group but how were they able to lure the victims into responding to the texts ? I didn't see where they were part of the support group.
How rude people can be! I think you did a great job of reviewing. A minor typo is not a big deal. I enjoyed the episode, although I do always have to close my eyes at the "gruesome" bits. Thanks for reviewing and keep it up.
When Darlene hit that man with the shovel I just rooted her on! He deserved it and I'm glad she got away
Ellen was the boy's aunt not his mom. She committed suicide according to her husband


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Smoking Everywhere Electronic Cigarette www.SmokingEverywhere.com.
Electronic Cigarette Free Trials and Information
by Mike Ward
Smoking Everywhere Electronic Cigarette www.SmokingEverywhere.com.
by Mike Ward
Just a quick ( long ) video going over the few tanks I have used and enjoyed / not enjoyed as much. I'll always be a "dripper" at heart, Dripping with an LR3…
Video Rating: 4 / 5
by Mike Ward
The e-cig is the new health craze that is capturing people's attention. This can be smoked indoors and is also better for you, according to studies. This product is a water vapor that does not cause as much harm as a traditional cigarette. Electronic Cigarette is a product which was lunched to give smokers the freedom and pleasure of smoking anywhere without actually smoking. This provides the satisfaction of the traditional cigarette without the 4000 harmful chemicals like tobacco, tar, carbon monoxide etc. that are associated with the traditional cigarette..
Electronic Cigarette looks like a traditional cigarette. There are lots of companies that launch the electronic cigarettes kits. Finding the electronic cig is not easy as walking into store but they can be found online.
An electronic cigarette does not produce second-hand smoke and should be allowed under most smoking bans. The device has no flame and no tobacco .The cigarette comes in two parts, the longest part contains micro electronic technology and a rechargeable battery and the shorter part is the flavored cartridge. Each cartridge is the equivalent of 20 cigarettes. The tip of the cigarette lights up as you inhale. Simulated smoke is emitted as you exhale. This is only vapor and evaporates in seconds. A full charge will last for approximately one day. Suitable for those strictly over the age of 18
You can also find them in your specialty shop; these companies offer many styles of electronic cig. When you purchase an e-cig starter kit, you will receive an electronic cig, 1 cartridges pack, 2 reachable lithium batteries and 3.6 volt battery charger. The starter kit for an electronic cig can cost you about $ 45.95 and up to $ 95.65.
Most places offer a 1 year warranty that will protect your electronic cig. There are many benefits of using the e-cig; it will reduce the amount of tar, and carbon that is deposited into your lungs. Many studies show that e-cig is healthier, the users who switched to e-cig have noticed improved lung functioning and reduction in throat irritation, if you are looking for a healthy alternative then e-cig is meant for you .
For more information regarding E Cigarettes UK, please visit Volcano-ecigs.com
by Mike Ward
Question by Taylorcl313: Where can I buy Smoking Everywhere Electronic Cigarettes in Hawaii that is not online?
I live on Oahu and am looking for the "Smoking Everywhere" Electronic Cigarette Brand, but I would prefer to buy it in person then online. Is there a location on the island where I can go and pick one up? Any help would be great…
Best answer:
Answer by rh
yikes those are coffin nails in a box!!!
Give your answer to this question below!
by Mike Ward
Electric cigarette – what distinguishes good e-cigs from ordinary ones? Detailed explanation (free) PDF: bit.ly Part-2 of the video at: bit.ly
Electric Cigarette: Smoking Everywhere E Cigarette on ABC News WFAA-TV Channel 8


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Storm Alert
Humidity 89%
Winds 5.8mph
Humidity 89%
Winds 5.8mph
Nov 19, 2012 8:05 PM by Nathan O'Neal
TUCSON - Tucson Unified School District released their options for school consolidation and closures, which is on the agenda for the board's meeting scheduled for Tuesday evening.
Fifteen schools are on the chopping block, according to the consolidation options posted on TUSD's website.
The board is set to discuss the options at tomorrow's meeting at Catalina High School.
See the link here to find out which schools are involved:
6 hours ago


text: Ray Rice told NFL commissioner Roger Goodell on June 16 that he punched his then-fiancee in a casino elevator, four sources have told "Outside the Lines," an assertion that contradicts Goodell's statement this week that "when we met with Ray Rice and his representatives, it was ambiguous about what actually happened." Goodell made the statement Tuesday during an interview with CBS News, saying the latest video released by TMZ Sports about the incident was "inconsistent" with what the former Baltimore Ravens running back had told him. But four sources close to Rice say that during the disciplinary meeting in the commissioner's office on June 16, Rice told Goodell he had hit Janay Rice, then his fiancee, in the face inside a Revel Casino Hotel elevator in Atlantic City, New Jersey, and had knocked her unconscious. "Ray didn't lie to the commissioner," a source with knowledge of the meeting told "Outside the Lines." "He told the full truth to Goodell — he made it clear he had hit her, and he told Goodell he was sorry and that it wouldn't happen again." "He told the truth," a second source said. "This is a public lynching of Ray." A third source with knowledge of Rice's discussion with the commissioner said: "There was no ambiguity about what happened [in the elevator]." A fourth source also confirmed how the information was relayed at the meeting; however, a fifth source with knowledge of the meeting said Rice told Goodell he had "slapped" his fiancee. The accounts given by the sources, who spoke on condition of anonymity, contradict Goodell's statement that he did not know precisely what had happened inside the elevator until he watched the TMZ Sports-released videotape on Monday morning. After The Associated Press reported Wednesday that a copy of the in-elevator video was sent by a law enforcement official to an unnamed NFL executive last April, the league announced former FBI chief Robert Mueller would lead an independent inquiry of the Rice matter, overseen by New York Giants owner John Mara and Pittsburgh Steelers owner Art Rooney. The discrepancy raises additional questions about Goodell's decision to give the former Ravens running back a two-game suspension on July 24 for hitting his now-wife. In his letter explaining the reasons for the two-game suspension and financial penalties of $500,000, Goodell wrote to Rice, "As you acknowledged during our meeting, your conduct was unquestionably inconsistent with league policies and the standard of behavior required of everyone who is part of the NFL. The league is an entity that depends on integrity and in the confidence of the public, and we simply cannot tolerate conduct that endangers others or reflects negatively on our game. This is particularly true with respect to domestic violence and other forms of violence against women." Rice's alleged "ambiguity" during his meeting with Goodell may also emerge as an issue in Rice's expected appeal of the league's decision on Monday to suspend him indefinitely. A league disciplinary letter outlining the reasons for Monday's…Continue reading


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Updates and support Agreement
95% of our customers sign up for the iText updates and support agreement, even if only to get the latest versions of the software and take advantage of new functionality, bug fixes, etc. When extending the updates and support agreement every year, you can rest assured that if you ever do have an issue with iText, you'll have direct access to our support system and developers.
Customers are invited to provide e-mail addresses for their identified support contacts to their iText sales representative. We will create user accounts in our online support system for these support contacts. They will receive an automated mail from the support system, allowing them access to http://jira.itextsupport.com/.
The updates and support agreement requires commercial licensing of iText, and is not available to AGPL users. The yearly fee is 20% of the standard commercial license price, billed annually. Capacity Rental licenses include all updates and support fees.
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We loved this deal too, but it's no longer available. Check out our other cool deals here.
Evergreens Day Spa
$35 for a 30-Minute Microdermabrasion Facial Treatment, $49 for 40 Minutes or $79 for One Hour (value up to $160)
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A diamond microdermabrasion facial is a professional treatment that may be able to help combat dull, lifeless, oily skin, reduce the appearance of pores, pigmentation, fine lines and clear blockages in the skin. This effective and highly popular facial has taken the world by storm and is a great way to feel fresh and rejuvenated. The oxygen facial on the other hand is a great option those needing help with clearing acne and softening and brightening skin. However, if you want to tighten the skim, reduce fine lines and wrinkles and improve collagen levels, then the radio frequency facial may be the best option for you.
Evergreens Day Spa
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Seven days 9.30am - 7.30pm
Reception Hours: 9.30am - 6.30pm
ConditionsValid from Nov 21, 2012
Expires Feb 21, 2013
Not valid Dec 25th - 28th 2012. Bookings essential. Subject to availability. 24 hour cancellation policy applies or coupon is void. Must be used in one visit by one person. No refunds or cash back. Not for use with any other offers.
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Getting more bang for your buck
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GrabOne FaceValue gives you another three months after your coupons expire, making it even easier to enjoy businesses all over New Zealand.
How does it work?
- A coupon is valid up until and including the expiry date printed on the coupon.
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- This means you can turn up to the business up to three months after the coupon has expired and put the money you spent to buy that coupon towards the service or experience printed on your coupon.
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Close-up Insects
Presentation of close ups on insects. They are so tiny yet stunning.
Tags: insect, Insects, Insects up close, Insect bthkriv, Macro, Sexuality up, Macro shots, Photo macro, Insect presentations, Presentation of insects, Beautiful insects, Amazing insects, Insect shots, Insect photography, Insects photos
Date added: 17.03.2011
Posted by: hadarb
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Federal Work-Study | 10.23.08
Did you know under the federal work-study program you can work part-time to earn money for your education? So what are the primary benefits of the program? See below.
- Provides part-time employment while you are enrolled in school
- Helps pay your educational expenses
- Is available to undergraduate and graduate students
- Is available to full-time or part-time students
- Is administered by schools participating in the FWS Program
- Encourages community service work and work related to your course of study, whenever possible
So how do I know if I qualify?
Your school will inform you. It's is all linked to your FAFSA and will be on your Awards letter. That said it's important to get your FAFSA completed ASAP. The federal government provides only a certain amount of work-study funds to each qualified school and when those funds have been exhausted no additional work-study awards may be issued for the year.
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"force feeding" residents - page 2
I recently watched as a CNA who, because she truely cared for the resident, adamantly insisted a (confused)resident eat dinner. She held the spoon to her lips and told the resident she would not remove it until she took a bite.... Read More
- 0Mar 17, '13 by ixchel, BSN, RNWhen I did my CNA, we were at a nursing home and the CNAs there did stuff like this ALL.THE.TIME. It was cruel. And then when they were out of time, the ones who actually WERE eating would be wheeled away from the food. I can't believe my school actually chose to use that place as a place to learn CNA skills. It was awful. I literally cried my eyes out several times because I felt like the patients were neglected and abused.
- 0Mar 17, '13 by mstearns09We had an aide from agency do this to a resident this week along with verbally abusing him in the process. Five other staff members witnessed it and turned her into our DON and administrator. She was asked to leave and will likely loose her certification.
- 0Mar 31, '13 by krissy.tanhas she tried allowing other NA's to attempt to feed the rt? if i cant get one of mine to eat, i try to get another NA to attempt it. does she speak to the rt in a calm, soothing voice? sometimes that helps too.
- 1Mar 31, '13 by PRNketamineI just wanted to say when I first saw the title of this topic. I was thinking resident as in MD. And my visual image was pretty funny.
- 0Apr 3, '13 by mintygirlI dunno.. I mean I'd have to see it with my own eyes, but often times I've had LVN's and Rn's push me aside to push the food in or "tricking them" by touching their lips w/ a straw, when it opened, put the food in.
You see otherwise the pt won't eat, which that in itself is a world of trouble. I dont condone the verbal abuse or mishandling, but you definitely have to "encourage" a pt to eat! Otherwise the end result if a feeding tube through the nose, stomach, etc and those risk surgeries can leave a pt with multiple infections and death.


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Willowlink - Business Support
Providing links between your business, willowbrook hospice and the local community
Willowbrook Hospice is proud to be celebrating its 15th anniversary this year and we would like to thank all of the businesses who have supported us over the years. Your support has meant that we have been able to care for more patients, provide support for their families and grow to cope with increasing demands. You are all amazing!
To help us plan for our future we need our community to continue supporting Willowbrook Hospice and there are many ways in which you can get involved and get your business name out in the local community for a fraction of the cost.
We produce a twice yearly newsletter, with a circulation of 20,000, and a lot of literature and leaflets to promote our events and appeals. We reach deep into the heart of the community that we serve. You could have an advert in two editions of our newsletter for just £5 a month, or how about sponsoring the printing of our leaflets and have your logo clearly displayed for all of our supporters to see.
All of our events carry costs that could be offset by sponsorship, which means that more money can be raised to help our patients. As an event sponsor your business name would be included in all of the event literature and promotion. An example would be the Moonlight Walk – the most successful fundraising event for Willowbrook Hospice which has raised over £340,000 since 2007. Other examples would be our Corporate Golf Day or Annual Ball. We have a fantastic Christmas event in the pipeline which you may also be interested in.
You may not be able to help out this year but we have started to look at our 2013 events calendar so there are plenty of opportunities in the future.
Please take a few minutes to read our Willowlink Business Leaflet which includes opportunities available and how you and Willowbrook Hospice can work together for mutual benefit. Association with Willowbrook Hospice will help to promote your business as one to be trusted, as we are trusted within the community.
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Around 8 p.m. on a recent Monday, about 35 people of disparate ages were sitting on the marble steps of the public atrium inside Two World Financial Center, listening to a 25-year-old in baggy jeans named Jordan Phoenix talk about Living. "This is the class where we figure out who we are and what we want to do with our lives," he told his audience, a range of artists and professionals, employed and unemployed, 20-somethings and middle-aged divorcees who, like me, were drawn in by Mr. Phoenix's aggressive pitch on the website Meetup.com.
As the post had put it: "This group is for you if you know you are capable of greatness, but are unclear and frustrated about how to get there." The group, "Start Living in 2012," had picked up more than 100 members in three days, which made it a very fast-growing meetup group indeed.
"I love that everyone here showed up," Mr. Phoenix said. "Sixty-eight people RSVP'ed. Thirty people didn't show up. Guess what? They're not invited to the next meetup, because they're bullshit artists."
I had no intention of going to the next meetup. As much as I want to start living in 2012, I was merely a tourist.
Meetup is a website where strangers with common interests can organize get-togethers. In New York, where it started, it has become a compendium of microsubcultures. I have a small habit of peeking at Meetup every once in a while, just reading the descriptions and marveling at how nudists, Dungeons & Dragons players and "male cat lovers" talk when they're speaking just to one another. ("We celebrate and cherish our cats. We are male. Sometimes we feel like no one understands us when you show them pictures of your cat or share stories about its adventures in your apartment.") There are meetups for Satanists and ukulele players, swingers and "deep thinkers," as well as a wealth of groups for people "just doing their daily shit," as one Meetup employee put it. Voyeuristically, it's richer than Craigslist's missed connections and more authentic than New York's sex diaries.
Meetup is a strange world for the average ironical urbanite. For me, socializing revolves around drinking, primarily with people I already know. And as much as I grouse about both of those facts, I had the same feelings about Meetup that I did about online dating: it's something other people do.
My attitude was common, Scott Heiferman, the co-founder and CEO of Meetup, told me in a recent phone interview. "Anyone can look at Meetup and say 'Oh, that's really wonderful,'" he said. "And you say 'what about you?' And they say, 'Well, that's not for me. I'm not that kind of person. I don't have those kinds of needs.'" Mr. Heiferman, of course, believes Meetup is for everyone. Recently, a misanthropic photographer dismissed Meetup as being "not for him." "I don't really like people," he told Mr. Heiferman. But after joining a professional meetup group to trade leads, share vendors and collaborate on projects, the photographer admitted he'd been wrong. It was great for business, he said, and the people were great too.
"When people hear about Meetup for the first time and it's outside the context of a tech meetup or moms meetup, they think it must be some dating thing," Mr. Heiferman said. "Because why the hell would you want to meet people, if not to hook up or get money? Like, why on earth would you want to talk to anybody that you don't already know, if not for sex or money?"
But about six months ago, my curiosity spilled over into the real world. I was scouring the site for a book club for my overworked mom; instead I came across the NYC Freegan Meetup, which was hosting a dumpster diving tour in my neighborhood that evening. My motivation was mostly anthropological. I didn't mind taking home a few scavenged bagels, but really I wanted to meet these freegans and study their ways. But as my fellow dumpster divers and I delighted over an intact box of Godiva chocolate bars and passed around sleeves of perfectly good saltines, I found myself wondering, could Meetup work for me?
On Tuesday around 8 p.m., a companion and I walked into West 3rd Common, a low-lit bar with red banquettes where about eight people were playing cards on low cherrywood tables. This was the East Village Euchre Club.
The card players, all in their 20s and 30s, included students, a pair of engineers, a Rochester native who was also a member of the Brooklyn Euchre Club, and a long-haired martinet named James, who had brought the cards and made sure conversations didn't distract players from the hand.
Meetups need at least four attendees to be a good experience, according to Meetup, the company. The norm is for a meetup to start really, really small, with one or two people, and either grow slowly or die out. Occasionally meetups will catch fire, like Start Living in 2012, and attract a bunch of members all at once.
The East Village Euchre Club had 15 people at its first game in September, and has hosted more than a game a week since then, enough to qualify it as a a SMUG, or Successful Meetup Group, in Meetup parlance.
Most of the talk was of euchre, a trump game popular in the Midwest, interspersed with rote introductions. What do you do? When did you move to New York? Three hours later, and we still knew very little about each other, but it was after midnight and the four players at my table were the last patrons in the bar.
Mr. Heiferman started Meetup as a lonely midwestern transplant himself. Quiet, political, and smart, he moved to New York in part to be near his favorite band, Luna, a punk collective with a cult following. "My entire experience of going out to see this band was, I would grab a bite to eat by myself and I would go to the show, and I'd stand there, and I wouldn't talk to anybody," he said. "Then I'd filter out, staring at my shoes. Maybe it's just being shy, or I don't know what, but there was no context for being allowed to talk to anyone."
Then in September of 2001, everyone in New York suddenly had permission to talk to each other. The introverted Mr. Heiferman found himself having conversations with his neighbors, and he liked it. A few weeks later, he bought a copy of "Bowling Alone," a chronicle of the disappearance of bowling leagues, church groups and other social clubs, and the accompanying effect on our health and democracy. Every new employee at Meetup is given a copy of "Bowling Alone." In the book, the author cites the Internet as one of the causes of rifts between Americans. Mr. Heiferman and a friend, Matt Meeker, thought the Internet could be a solution.
Start Living in 2012 (157 Social Innovators)
This group is for you if you are sick and tired of working (or searching) for a job in a field you have no passion for that expects you to be a politically correct, PG-13 kiss ass for most of your waking life
Young Naturists / Nudists of America (349 Nudies)
Can you believe that there is no reall naturist group on meet-up? It is time for a change. This group is for people who are interested in nudism / naturism. You dont have to be a full blown nudist to start but you probably will over time :) Lets get together and set up cloting optional meet-up's. Please do not post any explisit pictures and nothing sexaul - I will delete it and give you the boot.
The NYC Dungeons & Dragons Meetup (1,430 DND Players)
Dungeons and Dragons is the most popular tabletop role-playing game of all time. The game is played with about 6 players. One person takes the role of storyteller, AKA the Dungeon Master, and narrates the story in a medieval fantasy world filled with magic, monsters, romance, intrigue, and adventure. The rest of the players take on the roles of individual fictional characters and explore that world, often becoming heroes in the story.
NYC Satanists, Luciferians, Dark Pagans, and LHP Occultists
The NYC Satanists Discussion Group, also known as New York City Satanists, Luciferians, Dark Pagans, and LHP Occultists, holds open discussion meetings and informal social gatherings in Manhattan (and occasionally in Queens)... Please note also: This group is not a dating service.
The New York City Ukulele Meetup Group (482 Ukulele Players/fans)
Let's meet, play, teach, learn and talk story! Let's hear some ideas on where, when, etc. and go to ukulele events!. Also, please post your ukulele experience and musical interests. Check out who's performing and where. No experience? Come to our jams anyway. Best way to learn is by playing (or trying to play) with others!
"Hedonism" (1,184 Hedonists)
"Meet and socialize with other local Hedonists from the Tri-state area. To organize and meet, All those who are devoted to the idea's that pleasure the mind and body. We will hold events and parties that will celebrate and encourage open mind sexual dimension in many forms. Attending and participate in alternative styles of eroticism. While promoting a safe and conscious environment for all"
Deep Thinkers Round Table (65 Thinkers)
You know who you are. You're the one who sees big things in 'little' things; the one thinking all the time. For many, thinking amounts to work. For a few, thinking is fun. For you though, thinking is food.
NYC Freegan Meetup (1,079 people)
Do you want to reduce your consumer impact on the earth, humans, and animals? Are you concerned about the wastefulness of our consumer society? Learn how to find useable goods in the refuse of our throw-away culture, to identify wild edibles, to repair and rebuild bikes, clothing and more.
East Village Euchre Club (67 Players)
This is group is dedicated to all of the Midwest transplants to New York who spent the better part of their collegiate years living and breathing the brilliant game of Euchre.
NYC Hoarders-No-More meetup group (81 Future Neatniks)
Do you keep things (empty boxes, old magazines, out of print sheet music, business cards, pens that don't work anymore, shopping bags) because you or someone else "just might need them someday" or you have an emotional attachment to them (someone special gave them to you, or you got them in a memorable place)?
(photo: moxie-girl.com)
NYCDSG: The NYC Depression Support Group Meet Up (937 Meetup Group Members)
A Meet Up of discussions, treatments, experiences and support with others who are dealing as well as coping with depression. A Meet Up Support Group atmosphere that can empower us from feeling trapped, in a rut, overwhelmed or tied down. We must be prepared for whatever life decides to throw at us.
New York City Beekeeping (1,342 Bee Lovers and Beekeepers)
Want to bring bees or other pollinators to your garden or rooftop, looking for honey from your neighborhood, or beekeeper seeking assistance?
(photo: Colm O'Molloy)
New York City Atheists Meetings (925 Atheists)
NYC Wingmen (1,357 Wingmen)
NYC Wingmen.com is the biggest wing men meet/pua up in NY. We have monthly meetings, where you get a chance to meet wingmen, get advice on meeting and dating women and meet someone who can become your wingman. We host outings, where you can go out and meet women with wingman/pua by your side.
We have skill ranking, that allows you to choose wingmen close to your skill level, and Day time / Night time pua options, in case you prefer to meet women in day time, night time, or both. Best part, NYC Wingmen is totally free. (pua)
NYC wingmen is hosted by mpua and dating coaches from http://www.NewYorkDatingCoach.com .Get your up to date advice on meeting and dating women, and then apply knowledge the very same day with wingman by your side. PUA.
Psychedelic and Entheogenic Society of New York City (586 Entheogenic Explorers)
Our group is a safe place to discuss Entheogens and the expansion of consciousness. We discuss the work of such luminaries as Hofmann, McKenna, Pinchbeck, Abraham, Grey, Sheldrake, Leary, Grof, Lilly, the Shulgins and so much more. **Our group doesn't engage in or promote illegal activities during our Meetups. Don't join this group to get "hooked up" because you'll be removed if that's your sole intention. We are a mature, safe group.**
Exciting Mandarin Chinese Learners (147 Mandarin Chinese learners)
Welcome!! My goal is to help you learn and practice authentic and successful Mandarin Chinese with fun and ease while you are enjoying a great experience of Chinese culture with someone who care for your progress, who understand your challenges, and who are authentic and genuine with the best knowledge of Chinese culture, arts, film, music, history, business, economics and so on. With my infectious energy to inspire you, even if you are just a beginner, you will gain your skills rapidly with a happy smile on your face every week!
New York Parkour Meetup (716 Parkour Enthusiasts)
Meet other local Parkour Enthusiasts. Gather for discussion, to plan practice sessions, and to learn more about this form of 'urban gymnastics,' also known as Free-running, emphasizing speed, flow, and grace.
Any real nudists here ? Nudistkiss com I would like to recommend you to the world's best and largest nudist dating site for world wide nudists , naturists and naked people to share nude photos and experiences and chat with real nudists
Lots of fun on Nudistkiss com
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Sale Items
Plantable Sweet Joy Christmas Card Set: Green & Pink
Show your sweet side this holiday season by sending these sweet, sweet eco Christmas cards. The fun and festive designs of the seed Christmas cards include plantable seed paper pieces that grow cinnamon basil when planted. It is eco-friendly and the plantable green Christmas cards leave no waste. Talk about a sweet and seeded gesture!
Set of eight cards. Comes with matching white envelopes made from recycled material. Card is printed on 100% recycled paper. Read about how plantable paper works.
Card size: 4 1/2 x 6 1/4 inches
Inside message reads: "May the holiday season bring you sweet, sweet joy."


text: DIGITAL TREASURES : Search Results home : browse : advanced search : preferences : my favorites : about : help Search results for End Refine your search SubjectHistoric Buildings -- ... (1)Hospitals -- Massachus... (1)Litchfield Shuttle Com... (1)Southbridge (Mass) -- ... (1)CreatorPease, a H, Commercial... (1)Pease, Aaron H (1)Date1931? (1)Pre-1903 (1)Pre-1920 (1)Pre-1923 (1) results 1-4 of 4 item(s) page 1 of 1 : ( << 1 >> ) :: previous : next select all : clear all : add to favorites Image: Title: Subject: Description: 1. Hamilton Street Southbridge Massachusetts Southbridge (Mass.)--History; Historic buildings--Massachusetts--Southbridge; Historic buildings--New England; Central business districts--Massachusetts--Southbridge; Architecture--United States--20th century; Southbridge (Mass.)--Pictorial works View of the residential and commercial buildings on the west side of Hamilton Street, Southbridge, in the early 1900s. John Underwood's residence is on the left, built in 1820's or thereabouts. Mr Underwood... 2. Litchfield Shuttle Works, Southbridge, Mass. Litchfield Shuttle Company--history; Litchfield Shuttle Works--Southbridge (Mass. Southbridge (Mass.)--history; Textile industry--Massachusetts--Southbridge; Factories--New England--pictorial works; Mills and mill work--New England--pictorial works; Historic buildings--New England; Historic buildings--Massachusetts--Southbridge; Textile workers--Massachusetts--Southbridge Litchfield Shuttle Company located in the Shuttleville district (off South Street) in Southbridge, Massachusetts. View taken from the upper road way, looking down on the plant. The brick building has three... 3. Harrington Memorial Hospital Southbridge Hospitals--Massachusetts--Southbridge; Hospitals--history; Southbridge--Massachusetts--Pictorial works; Historic buildings--Massachusetts--Southbridge; Historic buildings--New England Built during the Depression, the Harrington Memorial Hospital was opened on Labor Day, September 7, 1931. The first facility had 34 adult beds and 6 children's cribs. The brick structure was constructed... 4. The Pines Southbridge residence of Ebenezer Ammidown and the Dresser family Historic buildings--Massachusetts--Southbridge; Historic buildings--Massachusetts--New England; Southbridge (Mass.)--Pictorial work; Southbridge (Mass.)--History; Historic districts--Massachusetts--Southbridge; Central business districts--Massachusetts--Southbridge Located on Main Street near the Oak Ridge cemetery, The Pines was built by Ebenezer Ammidown. Later this building became the residence of the Dresser Family. View is provided of the barn, in the rear.... select all : clear all : add to favorites results 1-4 of 4 item(s) page 1 of 1 : ( << 1 >> ) :: previous : next powered by CONTENTdm ® | Contact: June Stokoe ~ Digital Initiatives ~ C/W MARS ^ to top ^


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Special Price: $39.99
A great gift idea for the athlete or sports fan in your life. Created in durable Stainless Steel, this satin finish dog tag features a polished dangle basketball charm. Personalize with your 2 digit team number and one name up to 12 letters. Pendant is suspended on a 20� link chain. Tag is 1 5/8" tall and 7/8" wide.
Stainless Steel is hypoallergenic and resists tarnish.
Item ships in 3-7 days. Sorry, this item may not arrive before Christmas


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Museum InfoMedia Room
North American Indian Art And ArtistsFocus Of DIA Curator's New Book
Tuesday, July 27, 2004
North American Indian Art, a new book by David W. Penney, Detroit Institute of Arts (DIA) curator of Native American art, provides a fascinating introduction to the history of Native American art and artists from ancient times to the 21st century. The book is part of the popular World of Art series, published by Thames & Hudson, and is available at the DIA's museum shop for $16.95, and at area bookstores.
North American Indian Art was written to inform a general readership about the history of North American Indian art with lively descriptions complemented by photographs of compelling works, many of which are from the DIA's collection. Penney's book stands apart from other historical accounts of Native American art in that he focuses on the individual artists, their roles in society and the cultural and social contexts of the objects they created. He dispels a common misconception that Native Americans created art as tribal groups, with the artists being unknown. While the book gives a comprehensive overview of North American Indian art over time, readers will also learn about many contemporary Native American artists. The last chapter highlights many of these artists and their works, such as Joe Herrera and Lloyd Kiva, who communicate their artistic self-expression while maintaining a sense of cultural tradition. The book is organized geographically and takes information from the oral tradition of storytelling, Native American history and the latest research in North American archaeology.
"I wrote the book with the general public in mind, but I think experts in the field can also learn something," said Penney. "It benefits from a tremendous growth in the past 20 years in the study of American Indian art and builds upon the work of countless friends and colleagues."
Penney has worked at the DIA for 24 years, developing a strong collection of Native American art. Penney has consulted for other museums such as The National Gallery of Art, The Minneapolis Art Museum, The National Museum of the American Indian and The Art Institute of Chicago. Penney has written other books including, Great Lakes Indian Art, Art of the American Indian Frontier: A Portfolio and Art of The Native North American.
Support the DIA
Your membership and donations are critical to the museum's success.
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text:
State of the Union Address Calls for Energy Security Trust
Published: 13-Feb-2013
WASHINGTON -- President Obama on Tuesday called for the creation of an "Energy Security Trust" that would fund the development of new vehicles "to shift our cars and trucks off oil for good."
The proposal, outlined in his State of the Union address and coming at the start of Obama's second term, suggests the White House will redouble its support for electric vehicles and biofuels, which received significant government funding and tax credits during the president's first term.
Jobs in alternative energy and sales of plug-in hybrids and battery-electric vehicles have lagged behind the Obama administration's early hopes, though combined U.S. sales of EVs and plug-in hybrids tripled in 2012 to about 53,000.
IMPORTANT NOTICE: To read this Auto News news story, click the READ COMPLETE ARTICLE link above. This will launch a separate window to the original news source. To comment on this story use the Reader's Comment form below.
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Roses for Mother's Day!!
$20 per dozen in a box
Prepaid Orders by Friday, April 18th
Order Soon!!
No orders can be accepted after the 18th. No exceptions.
Pickup Thursday, May 8th
at East Syracuse Free Library
(4990 James St., East Syracuse, NY)
To order contact:
Ernie Wass at (315) 458-3475.


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Rural Ky. Town Readies For Private Prison Closure
As coal production slowed, the area's economy went with it. Businesses closed or struggled to stay open.
The prison brought nearly 200 jobs to one of the poorest regions in the South when it opened in 1981. CCA paid employees $8.25 an hour â¿¿ low pay by prison standards but welcome cash for the area.
"It helped the few businesses that remain here," said Goeing, who used to deliver medications to the prison.
Without the prison jobs, Wheelwright Mayor Andy Akers says people will lose their steady income and stop spending money in the area."It's going to hurt the grocery stores, the restaurants â¿¿ just everything where they guards are used to spending their money," Akers said. The prison once housed women from Hawaii and Kentucky. In January 2010, after the scandal broke, Gov. Steve Beshear ordered the women removed from Otter Creek. The state transferred 400 female inmates to Western Kentucky Correctional Complex in Fredonia and moved men into Otter Creek. Hawaii removed 168 female inmates in 2009, sending them to a prison in Arizona. Multiple lawsuits were filed over the sex accusations. Most were dismissed. None of that slowed CCA down. In the last five years, the company announced contracts to build new private prisons or expand existing state and federal facilities in more than a half-dozen places ranging from Mississippi to Nevada. CCA spokesman Steve Owen said the company, through Otter Creek and other private prisons, "drives economic growth in any community where it operates." Alex Friedmann, a convicted armed robber turned inmate advocate, spent six of his 10 years in prison at CCA facilities. He said the closing of Otter Creek is part of a shift by some states to lower incarceration rates and save money on prison costs. Friedmann noted that CCA recently closed a facility in Appleton, Minn., and hasn't found a new client for it. He said they also stopped building a prison in Tennessee for want of a client.
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Main navigation | Main content
Search : People
Hint: Looking for someone with an apostrophe in their name? Try searching without the apostrophe if you aren't able to find them.
| Communications Dept Director
Research, Vice President for (office: Office of the VP Research)
UMN Twin Cities
| Continuing Education
Twin Cities
Spring 2014
|Email Address:
|Internet ID:
|Office Address:
| Office of the VP Research
413 JohH
101 Pleasant St SE
Minneapolis, MN 55455
|Campus Mail:
| Graduate School
Room 321 JohH
3773A (Campus Delivery Code)
101 Pleasant St SE
Minneapolis, MN 55455
|Office Phone:
|+1 612-624-2609


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Rose Delight And Miyuki Son
Release Year: 2013
Studio: WakeUpNFuck
Cast: Rose Delight And Miyuki Son
Genres: Oral, All Sex, Anal, Cumshot
Video language: English
Video with participation of seductive Rose Delight And Miyuki Son is submitted to your attention.
Format: mp4
Duration: 1:29:25
Video: 720x408, AVC (H.264), 1351kbps
Audio: 125kbps
File size: 969.8 MB
read more / Download
Miyuki Son - Licking miyuki
Release Year: 2013
Studio: MikesApartment / RealityKings
Cast: Miyuki Son
Genres: 1on1, asian, blonde, blowjob, facial, masturbation
Video language: English
A blonde spanish speaking asian in Europe. Where else would this unique and gorgeous girl stay but at Mikes apartment. As JJ tries to make her feel at home and explain the stay for sex idea he realizes she doesn't speak much English. He calls his friend Tony and hands the phone to Miyuki. Miyuki returns the phone and as JJ is asking Tony if she understood James has his throat halfway down her throat. With James assistance we are provided a pleasant view of her lovely body. Miyuki's firm ass and large, natural tits are given a thorough inspection by James hands. Miyuki gives us a playful show as she rubs her clit and pussy lips. James watches until he can no longer resist to plunge his tongue into her pussy. Miyuki goes on to make sure the rent is paid proper as she fucks James from every position. She does such a great job James rewards her with a large, mouth-filling facial, most of which Miyuki swallows. The rent is paid.
Format: mp4
Duration: 38:14
Video: 768x432, AVC (H.264), 1468kbps
Audio: 31kbps
File size: 421.1 MB
read more / Download
Miyuki – Ep. 227
Release Year: 2013
Cast: Miyuki
Genres: All Sex, Casting
Miyuki (36 mins) have a special casting with Miyuki because she was my first ever casting where I have eaten food off a woman's body. And it seemed only fitting that the food would be sushi as...
Format: mp4
Duration: 36:04
Video: 852x480, AVC (H.264), 2650kbps
Audio: 114kbps
File size: 764.1 MB
read more / Download
JK Gakuensei Haru Hakusho - Kamen Yuutousei Miyuki
Pulchritude , Bunburyodo , besides , bright personality to be liked by anyone in the talented woman of " one school . "
That was the evaluation of Matsuzaka Miyuki ( Miyuki Matsuzaka ) in school .
And Miyuki honor student of such a flawless , myself accustomed to the same class as early admission was fortunate . And , this sweet and sour love to her what 's the youth .
Living alone who suddenly decided in early spring . I had thought so ...... momentum with even school life by having doing the day-to-day busy that , a day-to-day smooth sailing will begin .
That day , come home from school in , I picked up the student handbook of the school out on the street . When you open the cover of whom or what , picture and name that Miyuki .
In addition, the address you have previously described therein , was close to the apartment I had just moved .
While I think ...... and if it becomes a chance to become friends with her , was determined to deliver the notebook to her house .
However, as such a break light expectations , showed up by pressing the bell was Miyuki person who dressed sloppy different from the figure in the ...... school .
Still , when I tried to Omoikomo might just missed the mind happens because she 's home , student notebook page of her eyes.
There had been described scoring comments and dry for teachers and students of the school , was the real intention of the memo Miyuki .
So , ... travesty , honor student of faultless I was a honor student mask .
When you pull in to the house to me astonished that fact in , she began to excuse .
Because it does not have acquaintance I entered far much trouble ...... school said , I wanted to build up their own ideal . You and I was working hard gaze that will look at such myself with joy .
And to me that does not hide his shock , Miyuki come demanded that I do not want you to talk to other people about this .
But shock you know opponent who was hugging love yourself said it was sham was larger than I expected .
Miyuki from the words you put in the mouth unintentionally in that shock , I knew that I had the favor , come to the one proposed .
- I may be in love with me ...... If you do not divulge to others this secret .
You can like her body to take this opportunity ? Or make friends with her in the wake of this?
...... The opinion of angel and devil in me is divided into two . So what lets make up as you like of me her opinion according to which ?
It 's the choice up to me.
Genre: bondage, group, paizuri, harem
Censorship: Is in game (games) of distribution
Edition type: License
Tablet: It isn't required
File size: 330.4 MB
read more / Download
Rose Delight And Miyuki Son - Tight Anal Surprise
Release Year: 2013
Studio: WakeUpNFuck
Genres: Oral,Anal, Hardcore
Two young bitches fucked in their tight anals, hard sex with a fat hairy guy who just mocks the beauty of these girls.
Format: mp4
Duration: 1:29:25
Video: 720x408, AVC (H.264), 1351kbps
Audio: 125kbps
File size: 969.8 MB
read more / Download
Kristina Rose Interracial Black Anal Cowgirl
Release Year: 2011
Studio: JulesJordan
Cast: Kristina Rose
Genres: Anal, Brunettes, Blowjobs, Small Tits, Natural, Pornstars, Latin, Gaping, Cowgirl, Cumshots
Video language: English
Kristina Rose is the dirtiest cowgirl in the west! She loves to ride the big, black pony. Nothing feels better then black cock up your ass. Giddyyup!!
Format: lavfpref
Duration: 42:34
Video: 1280x720, AVC (H.264), 4004kbps
Audio: 127kbps
File size: 1.3 GB
read more / Download
Ava Rose
Release Year: 2010
Studio: Video Team
Cast: ava rose
Genres: one on one, interracial, facial cumshot, brunette
Video language: English
Get ready to come eye to brown eye, with the lovely, glasses wearing brunette teen, Ava Rose as her panties are off, while she's bending over, letting you watch a close up of her black, interracial boyfriend licking the warm juices from her shaved pussy. Soon, you'll see her belly piercing and tattoo, when she's getting screwed for a messy facial cumshot.
Format: mp4
Duration: 25:21
Video: 960x540, AVC (H.264), 2539kbps
Audio: 62kbps
File size: 501.0 MB
read more / Download
Miyuki Son, Penelope Crunch
Release Year: 2013
Studio: PutaLocura
Cast: Miyuki Son, Penelope Crunch
Genres: Natural Tits, Cumshot, Orgy, Bukkake
Video language: English
21 pollas para esta dos bellezas, la española Penelope Crunch y la japonesa Miyuki Son. Por fin tenéis aquí el ansiado Bukkake de Barcelona, ¡uno de los más cerdos! Se desnudan la una a la otra, tienen unos tipazos alucinantes, ¡tetazas y culazos! Están deseando chupar pollas duras, aquí todos tienen un buen rabo para alimentar a las cerdillas. Ellas se las comen todas a la vez, tragándoselas hasta el fondo, las pollas golpean sus caritas y entran y salen de sus boquitas constantemente. Litros de lefa por sus cuerpazos, sus caras y sus bocas, ¡se lo tragan todo!
Format: Windows Media
Duration: 20:57
Video: 1280x720, Windows Media Video 9, 2734kbps
Audio: 125kbps
File size: 445.4 MB
read more / Download
Riding the Rails (2013)
Starring: Rose
Categories: BDSM
Geddy-yup! I love the horse. Maybe I should say I love inflicting the horse on lovely ladies, and Rose is certainly that and more. With a little breast bondage, Rose, in her beautiful white stockings, is stretched up onto her toes for a spell of caning. This leads into a little experimental suspension, with her vulnerable foot just above the electric mat. From there we set Rose onto the horse, with a vibrator strapped just so.
Format: wmv
Resolution: 520x392
Total size: 62.2 MB in 2 files.
read more / Download
Slave Miyuki Majima
Release Year: 2011
Genres: Bondage, Bdsm
Video language: English
Home made japaese bondage shibari action humilated of slave Miyuki Majima.
Format: avi
Duration: 1:54:31
Video: 640x480, XviD, 2012kbps
Audio: 250kbps
File size: 1.9 GB
read more / Download
Blonde MILF takes hard anal
Video language: English
Sativa Rose, Shannon Kelly and Kaila Lynn go for their first interracial anal taking black cocks deep in the ass and getting showered with cum like dirty fuck sluts in part 7 of �I Like It Black & Deep In My Ass� from Ethnicity Films. This time interracial action is not limited to black and white with Asian and Latin beauties getting their fair share of dark manmeat. Big tits, MILFs, stockings, cumshots and more - this video delivers 2,5 hours of hardcore interracial action the way it's meant to be.
Format: Windows Media
Duration: 31:34
Video: 720x404, Windows Media Video V8
Audio: 62kbps
File size: 585.5 MB
read more / Download
Wife Next Door
Release Year: 2013
Studio: Ruby
Cast: All sex, Mature, Big tits
Genres: Miyuki Matsushita
Video language: Japanese
Wife Next Door Screaming H Cup Beauty Busty Wife Miyuki Matsushita
Format: avi
Duration: 1:55:39
Video: 852x480, AVC (H.264), 1936kbps
Audio: 89kbps
File size: 1.7 GB
read more / Download
Triple Ecchi - 03
Genres: comedy, straight, blowjob, titfuck, students, school,
Video language: Japanese
In Miyuki is a very bad secret. Even at this age, she takes a bath with his father. And today, after her mother out of the house, Miyuki and her father together again. She pomylas and goes to the bathroom, where the father is waiting. As soon as she touches his chest, his hands did not hesitate, like snakes begin to fondle her breasts ...
Format: mkv (Matroska)
Duration: 16:34
Video: 1280x720, AVC (H.264)
Audio: 187kbps
File size: 379.3 MB
read more / Download
Miyuki Son (3er Bukkake) "¡Nipona tragalefas!"
Release Year: 2013
Genres: bukkake,
Third bukkake cute Japanese is Miyuki Son. I guess she really liked it, and she is popular.
Format: Windows Media
Duration: 29:58
Video: 1280x720, Windows Media Video 9, 2734kbps
Audio: 125kbps
File size: 637.3 MB
read more / Download
Sofia Rose in the scene Black Rose Banging
Release Year: 2013
Cast: Sofia Rose
Genres: BBW, Big Tits, Big Butt, Hardcore
BBW fan favorite Sofia Rose is bringing her voluptuous figure back to Plumper Pass for some mandingo cock. Our man Asante has been dying to get a taste of the lovely Sofia. It's happens to be at the top of his to-do list so we made it happen. This gorgeous BBW beauty gets her belly, tits and ass played with as Asante rams his hard, black cock into Sofias wet plumper pussy. This is some top notch hardcore BBW interracial action. Enjoy.
Format: mp4
Duration: 49:25
Video: 854x480, AVC (H.264), 1597kbps
Audio: 101kbps
File size: 658.1 MB
read more / Download
Kristina Rose: Unfiltered
Release Year: 2012
Cast: Kristina Rose, Michael Stefano, Belladonna, Jon Jon, Nat Turnher, Alex Gonz
Genres: Gonzo, Anal
Video language: English
Kinky performer/director Belladonna is renowned for her on-camera sexual prowess as well as the naturalistic style of revealing, unscripted reality porn she helped invent. In "Kristina Rose: Unfiltered," Bella is able to merge both of these roles in an explosive portrait of her petite Latina pal, Kristina, whose sassy personality is as irrepressible as her libido. Part documentary, part behind-the-scenes interview and part wall-to-wall hard-core marathon, this epic double-disc release focuses on young Kristina both as a woman and as the insatiably horny fuck slut her fans know and love. The director follows Kristina as she showers, cleans, primps and prepares for an upcoming sex scene. Every aspect of her pre-porn regimen is covered in detail, and in-depth discussions of adorable Kristina's sexual history and desires are totally unfiltered. The all-natural beauty enjoys an intimate session with stud Michael Stefano, who plunders all of her various holes and shoots his load onto Kristina's toes, which she licks clean. She takes on three raging cocks in a ferocious interracial anal gang bang and joins Belladonna for a smoke session and a sensuous lesbian lickfest. Kristina even shows us her art portfolio and paints a watercolor while on camera! This outspoken young lady is the real deal. "Kristina Rose: Unfiltered" is a rare look into a unique starlet's true life: uncontrolled, untamed and unleashed.
Total size: 4.4 GB in 2 files.
read more / Download
Great Rubbing
Cast: Miyuki Son
We have another hot steamy scene waiting for you this week. Miyuki came into the room all smiles with her new client. She gave him the run down and told him to take his clothes off to get comfortable on the bench. She soon came in and started rubbing him down all over with some oil. She was working him all around and got to his crotch area and started tugging at his cock. He of course loved this so she offered to do more for a tip. After they figured it out she got right to work giving him some awesome head then hopping right on for a nice ride. Dont miss out on this Asian hottie going off on the dick and showing off her skills.
Format: mp4
Duration: 40:56
Video: 768x432, AVC (H.264), 1468kbps
Audio: 31kbps
File size: 450.8 MB
read more / Download
Studio: 18stream
Cast: Groupsex
This party just got a lot more interesting. These two teen friends were home alone so they invited a of couple boys over. They invited them over to watch a movie, but it wasnt long before they were making their own movie. A wild home video featuring some intense teen group sex.
read more / Download
case 02
Release Year: 2013
Genres: oral sex, group
Video language: English
Returning home Masaru calls his mother and asks poputi go to her friend and something to take away. Masaru accidentally catches girlfriend mom masturbating in front of a TV with a porn film. He tries to leave, but Miyuki sees it, trying to persuade to stay and entices. When Masaru (girlfriend Miyuki) catches them in the act she can not resist his lust and Join them. In the meantime, the case in a small diner-as-usual.
Format: mkv (Matroska)
Duration: 10:01
Video: 640x480, AVC (H.264)
File size: 104.4 MB
read more / Download
Sperm aspiration vacuum fellatio
Release Year: 2011
Cast: Miyuki Yokoyama
Genres: Asian
Video language: Japanese
The Yakitsukero eyes fellatio with her technique of the industry's highest mountain! Vacuum Blow private house by car in the field! I squeeze in the mouth with sperm obscene Jubofera! "Blow Miyuki-chan is really dangerous. It. Which became so off by accident many times it is too pleasant"
Format: avi
Duration: 1:59:42
Video: 720x420, DivX 5, 1172kbps
Audio: 187kbps
File size: 1.2 GB
read more / Download
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