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Sunday, December 2
AARC Annual Business Meeting
Toni Rodriguez EdD RRT, AARC President/Presiding
The official Annual Meeting of your professional association. The 2008 AARC Officers, Board of Directors, and House of Delegates officers are installed. Reports from the AARC leadership are presented. The meeting concludes with the address of the 2007–2008 President, Toni Rodriguez EdD RRT.
Sputum Bowl® Preliminaries
Jim Fenstermaker RRT FAARC
Placentia CA/Presiding
Teams from the AARC state societies compete in the preliminary competitions. The top 4 National teams will advance to the Finals on Monday evening, Dec. 3, along with the Student Sputum Bowl finalists.
J Randall Curtis
34th Donald F Egan Scientific Memorial Lecture
Supported by an unrestricted educational grant from GE Healthcare
This lecture provides an overview of in-depth information about dynamic aspects of pulmonary physiology, pulmonary medicine, or clinical respiratory care. The lectureship is extended to a recognized world-class participant in the area of interest—investigator, clinician or academician.
Caring for Patients with Life-threatening
Illness and for Their Families: The
Value of the Integrated Clinical Team
J Randall Curtis MD MPH, Seattle WA
Respiratory therapists provide care for many patients with life-threatening illness, whether in the intensive care unit or in caring for patients with chronic illnesses like COPD. In this context, all clinicians need an understanding of the principles and practice of integrating curative or life-prolonging care with palliative and end-of-life care. Furthermore, the integrated and collaborative clinical team has an opportunity to enhance many aspects of palliative care for patients and their families, including assessing and treating symptoms, enhancing communication and decision-making, and providing emotional and practical support. This lecture will make the case that the integrated and collaborative clinical team offers patients and families the best possible care when facing a life-threatening illness.
Roche 5-K Fun Run & Walk
Sunday, Dec. 2
7:00 am
Error Management of Respiratory Care Practice
John W Salyer MBA RRT FAARC, Seattle WA
The speaker will present what is known about how often errors occur, describe how errors are measured and categorized, review error data from respiratory care departments, and present design features of safer systems.
Professor's Rounds
Wet Lungs/Dry Lungs: Did the ARDSnet Trial Test This Hypothesis?
Professor: Neil R MacIntyre MD FAARC, Durham NC
Presenter: Charles G Durbin Jr MD FAARC, Charlottesville VA
Is there a definitive answer regarding fluid management in ARDS? The latest strategy and clinical trials will be presented.
Pediatric Clinical Cases
An Interactive Case-Based Approach
Ira M Cheifetz MD FAARC, Durham NC and
Tiffany G Mabe RRT-NPS, Chapel Hill NC
Infants and children present with very diverse illness and injuries. In this interactive audience response session, patient cases will be presented from the MD and RRT perspectives. Emphasis will be placed on management decisions and technological challenges as well as their effects on outcome. After each case, time will be allotted for open discussions with the audience.
Quality Control in Lung Function Testing: Basics of Data Management
The Basics of Statistical Quality Control
James O Westgard PhD, Madison WI
Are you confused by laboratory statistical control methods? The author of the Westgard Rules will discuss basic concepts that can be applied to lung function testing as well as clinical laboratory testing.
The Use of Quality Control Data in the Lung Function Laboratory
Susan B Blonshine RRT RPFT FAARC,
Mason MI
Proper and timely interpretation of quality control data may have a profound impact on the patients you test. This presentation will demonstrate the importance of data interpretation to a lung function testing quality control program.
Let's Get Fractaled Regarding Airways!
Defining Fractal Geometry in the Airways
April L Gochberg MA RRT, Clarksville TN
The speaker will define the difference between Euclidian and fractal geometry and introduce the language of fractal geometry. Included are a review of the anatomy of the airways using the paradigm that they are fractal, review of current literature and studies that have recognized the airway as a fractal system, demonstration of how fractal geometry can apply to the respiratory therapist, and a description of how this paradigm shift will help with diagnostics in the future.
Make valuable connections.
Fractally Speaking!
April L Gochberg MA RRT
Fractal analysis of the airways may help with early diagnosis of disease as well as monitoring the aging process. This presentation will review studies that demonstrate this. Using other recent studies we can gain an understanding of the chaotic mixing of gases (stretch and fold) in the airway, which will increase our understanding of particle deposition. In the course of this lecture several studies will be reviewed. This lecture will also cover the methods used to do the study and explain the conclusions that are being drawn from them.
Leadership: An Approach from the Heart and Soul
Leadership: An Approach from the Heart and Soul
Nikki R England MSM RRT,
Clarksville TN
This session will provide listeners with a "softer" approach to leadership, removing the "taboo" of caring for your co-workers and relationship building.
Pathway to the Future
Nikki R England MSM RRT
An approach for creating a "life plan" in regards to career and personal goals will be presented.
Devices/Techniques/Results—Part 1
Supported by an unrestricted educational grant from IKARIA
Clinicians present the results of their scientific studies. Abstracts with a similar focus are clustered into a symposium to encourage discussions and interactions among investigators and observers; posters expand on the information presented.
- An Alternate Apnea Test to Determine Brain Death: Capnography With Carbogen Administration—Mary Ann Couture RRT, Hartford CT
- Release Volume Comparison During Airway Pressure Release Ventilation in New-Generation ICU Ventilators—Kenneth Miller MEd RRT-NPS, Allentown PA
- End-Tidal Carbon Dioxide Monitoring in Patient Controlled Analgesia—Thomas McCarter MD, Bryn Mawr PA
- Effect of Tube Compensation on Alveolar Pressure in Different Inspiratory Flow in a Lung Model Study—Kumiko Hayashi CE, Kumamoto, Japan
- Transfer of Bacteria From the Intensive Care Unit to Respiratory Therapist Pens—David F Wolfe MSEd, Syracuse NY
- The Effects of Tubing Length on Pressure Delivery of Two T-Piece Resuscitator Circuits—Kathleen Deakins RRT-NPS, Cleveland OH
- The Effects of Flow, Frequency, and Pressure Settings on the Delivered Levels of Nitric Oxide and Nitric Dioxide During Manual Ventilation With the T-Piece Resuscitator—John T Gallagher, Cleveland OH
- Detection of Respiratory Depression Prior to Evidence of Hypoxemia in Procedural Sedation—Jean-Etienne Bazin MEd, Clermont-Ferrand, France
- Mask Ventilation in the Early Management of Congenital Central Hypoventilation Syndrome—Pavanasam Ramesh MRCPCH, Newcastle under Lyme, United Kingdom
- Impact of High-Flow Nasal Cannula on RSV Patients: A Retrospective Look—Patricia Ann Dailey, Springfield MA
- Mast Cell Stabilizing Activity of Glycyrrhiza Glabra Linn—Gajendra Choudhary MPharm, Indore, Madhya Pradesh, India
- The Effect of Altitude on End-Tidal Carbon Dioxide Measurement Using the Alaris ETCO2 Capnography Module in Normal Subjects—Jonathan B Waugh PhD RRT RPFT, Birmingham AL
- Performance and Clinical Efficacy of Extended Length Nasal Cannula Tubing in Conjunction With a Pulse Dose Oxygen Delivery Device—James P Stegmaier RRT-NPS RPFT, Lorain OH
- Disturbance of Breathing and Pulmonary Injury After Brief Inhalation of High Level Nitrogen Dioxide in Awake Rats—Zengfa Gu MD PhD, Gaithersburg MD
Community Education: Applying the Science of Respiratory Care
The Choking Game: What Respiratory Therapists Need To Know About the Games Kids Are Dying To Play
Douglas E Masini EdD RRT-NPS AE-C FAARC, Elizabethton TN
Kids are playing asphyxial games, specifically the "choking game," more frequently and dying more often than ever before. The presentation will discuss the magnitude of the problem and the epidemiology and variants of huffing, "choking games," and advanced practice techniques that RTs can learn to prepare for these cases.
Alcohol Without Liquid: The Status of Legalized Inhalation of Ethyl Alcohol in the United States
Douglas E Masini EdD RRT-NPS AE-C FAARC
The presenter will look at the new and international trend of alcohol without liquid (AWOL) in the United States. The presentation will specifically address both the science and hype of AWOL and better prepare the RT to address the issues associated with this growing problem.
Learn new technology.
The Evolution of Respiratory Care: Part I: 1947–1967
David J Pierson MD FAARC, Seattle WA
In 1947, IPPB was introduced, patients with previously lethal poliomyelitis were being saved by artificial ventilation in iron lungs, and a group of physicians and other dedicated professionals involved in oxygen therapy and other respiratory-focused activities founded an organization that would eventually become the AARC. This 3-part lecture (30 minutes each morning) traces the history of respiratory care—the subject area, the Journal, and the profession—and the AARC, which in 2007 marks its 60th anniversary.
Sleep Section Meeting
Tom Smalling MS RRT RPFT RPSGT/Chairing
Whether or not you are a member of the Sleep Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.
Chest Imaging: I Get the Black and White, but What Is That Gray Stuff?
Garry W Kauffman MPA RRT FAARC
Lancaster PA
This presentation is designed both to serve as a refresher for those who have had formal training as well as introduce those who haven't had formal training in the interpretation of chest roentgenograms. The first half of the presentation is an overview of techniques and various types of roentgenologic procedures that the respiratory therapist will encounter on a regular basis. The second half consists of a series of case studies that engage the audience interactively to walk through the clinical case presentation and determine what abnormality is demonstrated on the films.
Attend exceptional meetings.
New Scoring Rules for Polysomnographers
Daniel L Herold RPSGT, Rochester MN
The Rechtschaffen-Kales (R and K) rules have been tried and true for years; however, the AASM has determined that some rules for scoring respiratory events, arousals, and periodic limb movements in sleep were variable.
Respiratory Care of the Obese Patient
Physiologic Effects of Obesity
Michael A Gentile RRT FAARC, Durham NC
Obesity has become an epidemic. Obesity is both an individual clinical condition and is increasingly viewed as a serious public health problem. This presentation will discuss the physiologic effects of obesity.
Management and Mechanical Ventilation of the Obese Patient
John D Davies MA RRT FAARC, Durham NC
Mechanical ventilation and managing the obese patient present several unique challenges. This presentation will review strategies and available literature regarding obesity in the ICU.
Manager versus Employee: Wants, Needs, and Wish List
What Your Manager Wants and Needs from You as an Employee
William J Malley MS RRT FAARC,
Pittsburgh PA
Managers want and need more than just knowledgeable therapists. Desirable employee and professional characteristics will be explored as well as methods to evaluate them.
What Your Employee Wants and Needs from You as a Manager
Jackie M Heisler PhD MPH RRT, Greensburg PA
The examination of job satisfaction among RTs, accommodations of these needs and improvement of retention issues will be explored. Compiled data on job satisfaction will be integrated into the lecture.
Babies & Kids: They Are Different—Part 2
Supported by an unrestricted educational grant from IKARIA
Clinicians present the results of their scientific studies. Abstracts with a similar focus are clustered into a symposium to encourage discussions and interactions among investigators and observers; posters expand on the information presented.
- Prone Positioning of Extremely Low Birth Weight Infants During Mechanical Ventilation Results in Higher PCO2s and Lower pHs—Daniel Woodhead RRT, Ogden UT
- Car Safety Seats: The Implementation of Testing for Premature and High-Risk Infants Prior to Hospital Discharge—Darcy O'Brien-Genrich MPA RRT, Omaha NE
- 23 Year Old Male in Respiratory Distress With Late Sequelae of Bronchopulmonary Dysplasia of Infancy—H Jeannine Busick, Boston MA
- A Respiratory Care Simulation Experience—Patricia Achuff MBA RRT-NPS, Philadelphia PA
- Effect of Lung Impedance on Tidal Volume Output of Two High Frequency Ventilators in a Neonatal Test Lung Model—Robert Gillette MD, San Antonio TX
- Extubation to Nasal CPAP Improves Thoracoabdominal Respiratory Synchrony in Premature Infants—Melanie Stein, Columbus OH
- The Use of Deadspace to Tidal Volume Ratio (Vd/Vt) in Predicting Extubation Success in a Pediatric Critical Care Setting—Donna Hamel RRT, Durham NC
- Pediatric Home Safety: Assessment, Collaboration, Education—Rebecca Nielsen, Roseville MN
- A Case Series of Infants on APRV in the Neonatal ICU—Paulette Garcia RRT-NPS, Baltimore MD
- Accuracy of Displayed Vt During Mechanical Ventilation of a Very Low Birthweight Infant (VLBW) Lung Model—Robert Diblasi RRT-NPS, Seattle WA
- Sequential Bilateral Lung Lavage in a Child With Pulmonary Alveolar Proteinosus (PAP)—Dave Crotwell RRT-NPS, Seattle WA
- In Vitro and In Vivo Evaluation of a Neonatal High-Flow Nasal Cannula System—Brenda Plumm, St Paul MN
Mechanical Ventilation in Mass Casualty Scenarios
Supported by an unrestricted educational grant from VersaMed
Emergency Mass Critical Care
Lewis Rubinson MD PhD, Seattle WA
Review of surge strategies to provide adequate care to the greatest number of critically ill and injured victims of catastrophes will be presented. Emergency changes in the scope of critical care interventions, staffing, medical equipment, and treatment areas will be discussed.
Augmenting Positive-Pressure Ventilation Capacity
Richard D Branson MSc RRT FAARC, Cincinnati OH
Methods for augmenting the numbers of ventilators available to the hospital in a mass casualty scenario will be reviewed. This includes use of manual ventilation, portable ventilators, and existing hospital reserves.
Learn from the masters.
Augmenting Staff To Manage Large Numbers of Mechanically Ventilated Patients
Ray H Ritz RRT FAARC, Boston MA
Scenarios that will result in an overwhelming number of patients will not only exceed equipment inventories but will also exceed the number of respiratory therapists. Two solutions have been offered in this situation.
Oxygen Supplies During a Mass Casualty Situation
Ray H Ritz RRT FAARC
Oxygen systems at hospitals and logistics in mass casualty care will be discussed, as well as a review of other oxygen sources including cylinders and concentrators. How long will the current system last? How often is it filled? What are the issues regarding resupply?
Managing Information During a Mass Casualty Situation
Steve B Nelson MSc RRT FAARC
Overland Park KS
The importance of coordination and control during a mass casualty event will be reviewed, as well as the importance of tracking data and results.
Controversies in Respiratory Care
Only Registered Therapists Should Work in ICU
Pro: Donna Hamel RRT RCP FAARC, Durham NC
Con: Richard M Ford RRT FAARC, San Diego CA
This is a complicated issue. Due to the advances in technology, responsibility, and autonomy of today's respiratory therapists, the educational level of the CRT may not prepare them for today's ICUs. However, with the increasing shortages of RTs, it may not be an option to limit ICU care to only registered therapists. The objective of this session is to discuss these issues and possibly find an acceptable "middle" ground.
Take time to honor your peers.
Inhaled Nitric Oxide Should Be Used Instead of Inhaled Flolan in the Critically Ill Adult
Pro: GW Hamilton RRT, St Louis MO
Con: Lisa Cracchiolo RRT, St Louis MO
The use of one inhaled pulmonary vasodilator over the other is, many times, simply a matter of physician personal preference. The debate over the use of inhaled nitric oxide vs. inhaled Flolan is a sensitive subject and has triggered some heated debates between physicians and therapists. These speakers will present opinions for the use of one therapy over another, citing research and personal clinical experience as the basis for their arguments.
Rapid Response Teams Improve Patient Outcomes
Pro: Charles G Durbin Jr MD FAARC, Charlottesville VA
Con: David J Pierson MD FAARC, Seattle WA
Rapid Response Teams will soon be a Joint Commission requirement, but do they really work? Do they really cut down on the number of respiratory and cardiac resuscitation codes? Are they worth the cost? Do they really improve patient outcomes? You decide.
Spirometry Should Be Used To Screen COPD
Pro: Barry J Make MD, Denver CO
Con: TBA
Opponents of spirometry screening for COPD suggest that the majority of people tested would have normal spirometry and that result may grant them a license to continue to smoke.
NIH ARDS Network PEEP/FiO2 Tables Provide the Best Evidence-Based Guide to Balancing PEEP and FiO2 Settings in Adults
Pro: Richard M Kallet MS RRT FAARC, San Francisco CA
Con: Richard D Branson MSc RRT FAARC
The NIH ARDS Network has proposed and studied a PEEP/FiO2 table to guide management of the adult patient with acute lung injury. The presenters will debate whether this approach is truly the best for all patients. The arguments will be based on cardiorespiratory physiology and the available medical literature.
Devices/Techniques/Results—Part 2
Supported by an unrestricted educational grant from IKARIA
Clinicians present the results of their scientific studies. Abstracts with a similar focus are clustered into a symposium to encourage discussions and interactions among investigators and observers; posters expand on the information presented.
- Sub-Optimal Test Performance and Quality Control Practices Delay Pulmonary Laboratory Readiness for Clinical Trials—Susan Blonshine RRT, Mason MI
- A Bench Study of the Pneupac VR 1: A Resuscitation Device for First Responders—Jim Rebel RRT, Dallas TX
- Outcomes in Patients 65 Years of Age or Older Following Lung Transplantation—Dorothy G Biggar APRN BC ANP, St Louis MO
- Tidal Volume Accuracy on Bio-Med Crossvent 3—Rachel Blake, Rochester MN
- Immediate Extubation of the Cardiac Surgical Patient: The Role of Respiratory Therapy in the Perioperative Period—Jeff Gonzalez RRT-NPS, Lincoln NE
- Perceptions of Non-Rebreathing Mask FIO2 vs Estimated FIO2 Using the Reverse Alveolar Air Equation—Kendall Moody RRT, Buffalo MO
- Carboxyhemoglobin Levels in Smokers vs Non-Smokers in a Smoking Environment—Aaron Light BSRT RRT, Springfield MO
- Functional Residual Capacity Measurement Using a New, On-Airway Oxygen Sensor—Lara Brewer MS, Salt Lake City UT
- Evaluation of an On-Airway Oxygen Uptake Measurement System in Volunteers—Joseph Orr PhD, Salt Lake City UT
- 30 Days of Post Surgical OSA Identification and Treatment—Michael J MacAulay, Bellingham WA
- Evaluation of Accuracy of Displayed Tidal Volume With Three Airway Sensors in an Animal Model—Shirley J Holt RRT, Little Rock AR
- Comparison of Response Times and Work of Breathing Utilizing Three Flow Sensors—Shirley J Holt RRT, Little Rock AR
- Evaluation of the Bronchotron®-I on a 2.8 Kilogram Piglet Lung Model—Wesley Ware RRT, Little Rock AR
- Effect of Lung Mechanics on Pressure Amplitude Attenuation by the Endotracheal Tube in a Neonatal High Frequency Ventilator Test Lung Model—Robert Gillette MD, San Antonio TX
- Evaluation of Continuous Positive Pressure Devices With a Pressure Release Option—Lutana Haan, Boise ID
Use of Today's Technology To Improve Student Learning and Evaluation
Best Practices for Distance Education
Pat Munzer DHSc RRT, Topeka KS
The presenter will provide an overview of distance education, to include: the challenges and advantages of teaching online, how to create a community of online learners, qualities of a good online teacher, how a good online teacher can assist students and assessment of students in online discussions.
Techniques for Improving Student Learning
Rusty Taylor MEd RRT, Topeka KS
The presenter will demonstrate learning activities for distance education classes and ways in which faculty can develop teaching aids for online education.
Techniques for Improving Student Evaluation
Rusty Taylor MEd RRT
The presenter will discuss the importance of student self-evaluation and demonstrate the use of inter-rater reliability video and paperwork. Attendees will have access to this tool at the conclusion of session.
Hear top speakers.
Sleep Apnea…Not the Only Disease that Occurs at Night
Restless Leg Syndrome
William C Kohler MD DABSM
Spring Hill FL
This lecture will discuss the impact of restless leg syndrome. The presenter will discuss etiology, identification under PSG, and treatment of restless leg syndrome.
Impact of Shift Work on Sleep Patterns
Daniel L Herold RPSGT, Rochester, MN
This lecture contains designed information on how to identify and manage shift work and its impact on natural circadian rhythms.
Exploring Pediatric Sleep Disorders
Anstella D Robinson MD, Stanford CA
This lecture will focus on the unique characteristics
of pediatric polysomnography vs. adult polysomnography. It will focus on medical conditions leading to sleep and treatment strategies for children suffering from sleep disordered breathing.
Daniel L Herold RPSGT, Rochester, MN
A parasomnia is any sleep disorder such as sleep-walking, sleep sex, teeth grinding, night terrors, rhythmic movement disorder, REM behavior, restless leg syndrome, and somniloquy, characterized by partial arousals during sleep or during transitions between wakefulness and sleep. Participants will be able to determine when to stimulate a classic parasomnia event during record collection.
Anstella D Robinson MD
This lecture is designed to provide information on how to identify and manage the patient with insomnia.
Nebulization, Drugs, O2, and Devices—Part 1
Supported by an unrestricted educational grant from IKARIA
Clinicians present the results of their scientific studies. Abstracts with a similar focus are clustered into a symposium to encourage discussions and interactions among investigators and observers; posters expand on the information presented.
- Evaluation of Position of Aerosol Device in Two Different Ventilator Circuits During Mechanical Ventilation—Arzu Ari PhD CRT CPFT, Atlanta GA
- The Effect of MDI Position on Aerosol Bronchodilator Delivery in Simulated Mechanically Ventilated Patients—Hasan Aerabi RRT, Atlanta GA
- An In Vitro Comparison of Dosimetric and Constant Output Nebulizers—Douglas Gardenhire MS RRT-NPS, Altanta GA
- The Effect of Using a Time Limited Nebulizer During Mechanical Ventilation on the Amount of Medication Delivered From a Small Volume Nebulizer in a Simulated Adult Patient—Erin Italia, Wilmington DE
- The Effect of In-Line Medication Delivery in Regards to Patient-Ventilator Trigger Synchrony—Kenneth Barbarisi, Hampton VA
- Clinical Comparison of a High Efficiency Nebulizer vs Traditional Small Volume Nebulizer on Asthmatic Patients in an Urban Emergency Department—George Hamilton RRT, St Louis MO
- Comparison of Four Nebulizers for Treatment Time and Drug Delivery—Norm Tiffin RRT MSA, Midlothian VA
- Aerosol Characterization of a New Nebulizer for Heliox Source Gas—Norm Tiffin RRT MSA, Midlothian VA
- Efficiency of Humid-Flo, a Heat and Moisture Exchanger, When Operator Error Occurs—Maria Badescu RTS, Youngstown OH
- Rapid Delivery of Bronchodilator Medication Is Possible Using a Breath-Actuated Small Volume Nebulizer as an Alternative to Extended Delivery of Medication by Large Volume Nebulizer—Dominic Coppolo RRT, Syracuse NY
- Sustained Improvements in Lung Function With Formoterol Plus Tiotropium vs Tiotropium Alone During 12 Weeks of Treatment in Patients With Stable COPD—Donald Tashkin MD, Los Angeles CA
- Influence of MDI Timing on Aerosol Delivery During Mechanical Ventilation With Bias-Flow—Hui-Ling Lin MSc RRT, Rapid City SD
- In Vitro Comparison of 4 Continuous Nebulizers—Randy Willis RRT-NPS, Little Rock AR
Monitoring the Critically Ill Patient: Head to Toe
Ira M Cheifetz MD FAARC, Durham NC
The use of capnography in critical care settings continues to increase. This presentation will review the various applications of capnography, including its use in optimizing mechanical ventilation.
Oxygen Delivery and Consumption
Michael R Anderson MD, Cleveland OH
An understanding of the complex pathophysiology of a critically ill patient is essential to optimal clinical management. This session will provide a comprehensive yet entertaining discussion on optimizing the balance between oxygen delivery and consumption.
Share a meal with your peers.
Cerebral Oximetry
Michael R Anderson MD
Pulse oximetry has become a standard of care in the critical care setting. However, standard pulse oximetry does not provide the full story. A new approach involves the monitoring of cerebral oxygenation. This presentation will review the application of cerebral oximetry in the assessment of cardiac output in the critically ill patient.
Neonatal-Pediatric Section Meeting
Michael Tracy BA RRT-NPS/Chairing
Whether or not you are a member of the Neonatal-Pediatric Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.
Wanted: Front-Line Emergency Department Respiratory Therapist. Wimps Need Not Apply
Sandra Abberton RRT, St Louis MO
A very special breed of respiratory therapist is needed when it comes to working in a large, urban Level I trauma center. Our therapists quickly and accurately assess patients, independently implement critical therapy, and work smoothly as part of a well-coordinated health care team. This presentation will discuss how therapists use their critical thinking skills to advocate for patients and give tips on earning the respect of the emergency specialists they work with. Scenarios from personal clinical practice will be reviewed.
2007 Legislative Impact on Respiratory Home Care
Joan A Kohorst MA RRT-NPS, St Charles MO
This presentation will review the challenges faced by providers of respiratory home care services. Discussion will include the impact of federal, state and local legislation, reimbursement compression, accreditation, and CMS standards on the attainment of quality home care outcomes.
Home Care Section Meeting
Joan A Kohorst MA RRT-NPS/Chairing
Whether or not you are a member of the Home Care Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.
Industry Support Statement
The AARC is proud of the collaboration we have had with friends in industry for many years, and we wish to acknowledge our appreciation for their unrestricted educational grants for the International Respiratory Congress.
All sponsored sessions are identified by the program, handouts, and signage.
The AARC accepts support only on the condition that the Program Committee be the sole organizer of all sessions, including selection of speakers and topics.
Exhaled Nitric Oxide: Clinical Application, Measurement and Interpretation
Marshall Dunning PhD MS RPFT, Milwaukee WI
The listener will gain an understanding of the physiologic and pathophysiologic basis for measuring exhaled nitric oxide (FENO); become familiar with the methodology of FENO measurements, e.g., online versus offline; be able to describe the clinical indications for FENO measurements; and be able to interpret the results of FENO and its application to the patient.
Diagnostics Section Meeting
Charles McArthur RRT/Chairing
Whether or not you are a member of the Diagnostics Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.
From Sneakers to Skateboard Shoes: Optimizing Communication by Addressing Health Literacy
Julie A McDougal RRT MAE, Birmingham AL
Low literacy and health literacy are common and strongly linked to poor knowledge of disease condition, improper use of medication, and increased morbidity and mortality. This presentation will provide definition of terms, information on the prevalence and potential impact of low literacy and health literacy, and specific strategies to maximize the effectiveness of health communication.
The Broad Business of Respiratory Care from the Staff RT to the RT as CEO
Gene Gantt RRT, Livingston TN
The speaker will discuss the role of the RT from the business perspective in various settings, describe RTs from staff to management and the role they play, discuss the broad spectrum of opportunities for RTs in the business community, and discuss how the RT profession helps to prepare us for these opportunities.


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Snarkout Boys and Baconburg Horror - Daniel M. Pinkwater Horror Book Review
Horror books Review
Wow. I've read most of the Daniel Pinkwater books and this is one of my favorites. How can you go wrong with characters called Rat, Heinz, and Uncle Flipping? His obsession with strange names and chareacters and fast food definitely shows up in this book!
If you liked this book you would probably like the book Alan Mendelson, The Boy from Mars.
About Snarkout Boys and Baconburg Horror
Author: Daniel M. Pinkwater
Reviewer: Florita A.
Score: 2.5 / 5 starsPublished: April 22, 2009, 6:49 pm
Avg. Rating: 3.75/5 stars from 4 users. Reviews: 4.
What Do You Think of These Movies?

subset: commoncrawl


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Tuesday 22 October 2013
West Ham United regained top spot in the Barclays Under-21 Premier League table with a victory at Wolverhampton Wanderers on a busy Monday programme, while more than 6,000 fans turned up to see Everton's draw with Manchester United.
West Ham United went back to the top of the Barclays Under-21 Premier League after claiming victory in Telford on Monday night.
Kieran Sadlier put the visitors ahead after only six minutes when he fired home from George Moncur's pass but Wolves responded well and Jamie O'Hara curling shot's was saved by Raphael Spiegel, with the goalkeeper stopping O'Hara's penalty on 30 minutes.
Dylan Tombides and Carlton Cole both had chances for the Hammers before Dan Potts headed in on Sadlier's 67th minute corner.
Wolves report | West Ham United report
Everton hit the woodwork twice but had to settle for a goalless draw against Manchester United in front of a crowd of 6,004 at Goodison Park.
The Toffees had allowed fans to attend the match for free and they were rewarded with an entertaining encounter despite the lack of goals.
Everton included Tony Hibbert in their line-up while Brazilian internationals Anderson and Fabio featured for the visitors.
The Toffees hit the post for the first time in the final 20 minutes when Ben Amos stuck out a boot to divert Hallam Hope's low shot on to a post.
And then Chris Long tackled Michael Keane and hit the woodwork with his shot.
Everton report | Manchester United report
Blackburn hit back to equalise twice at Staplewood and climb off the bottom of the table.
Tadanari Lee put the hosts ahead in the 39th minute when he sidefooted home a rebound after Ryan Seager's shot cannoned off the post.
Rovers scored their first equaliser in the 52nd minute when Hugh Fernandez Molina shot home with the ball hitting defender Matt Targett on its way into the net.
The Saints regained the lead three minutes later when Lloyd Isgrove tackled Kellen Daly and pulled the ball back for Lee to slot in at the near post.
Blackburn captain John O'Sullivan won his side a point when he scored from the penalty spot after Jordan Turnbull fouled Brendon Daniels.
Southampton report | Blackburn report
Norwich City came from behind to claim victory over Middlesbrough, with Josh Murphy scoring two of the goals.
Luke Williams opened the scoring for the visitors on two minutes, when he curled a superb 25-yard free-kick past Mark Bunn in the Canaries goal.
Murphy equalised five minutes later with a fine free-kick of his own before the hosts took the lead with 25 minutes to go with Cameron McGeehan's glancing header. Murphy then sealed the win on 79 minutes when he finished off a superb move.
"The performance was really good. We had periods of play where we were on top but didn't take our chances, but in the second half we did that very well," Norwich City academy manager Ricky Martin told the club's website.
"The third goal was a different class – the one touch play, the give and go and then the cut-back from Jacob (Murphy), and it was a great finish at the near post from Josh."
Norwich report | Middlesbrough report
Kenny McEvoy earned a point for Tottenham Hotspur with a first half equaliser against Leicester City at the Spurs Training Centre.
The visitors took a 16th minute lead when Dominic Ball fouled Jeff Schlupp in the area and Joe Dodoo tucked away the penalty.
Schlupp had a chance to double the lead but substitute goalkeeper Lawrence Vigouroux, who replaced Jordan Archer in the 21st minute, dived to save his shot.
Three minutes later Spurs equalised when Harry Kane crossed from the right and McEvoy scored with a powerful shot from six yards which goalkeeper Conrad Logan could not quite keep out.
In the second half, Schlupp rattled the post with a fierce shot while Kane came close.
Tottenham report | Leicester report
Friday, 18 October
Fulham (Dembele 2) 2-2 Newcastle United (Campbell, Vuckic)
Stoke City (Shea, Thomas) 2-0 Reading
Saturday, 19 October
Sunderland (Watmore 2) 2-2 Chelsea (Feruz, Kiwomya)
Sunday, 20 October, 2013
West Bromwich Albion (Vydra, Thorne, Roofe 2) 4-2 Liverpool (Teixeira, Paez)
Monday, 21 October, 2013
Everton 0-0 Manchester United
Norwich City (Murphy 2, McGeehan) 3-1 Middlesbrough (Williams)
Southampton (Lee 2) 2-2 Blackburn Rovers (Molina, O'Sullivan)
Tottenham Hotspur (McEvoy) 1-1 Leicester City (Dodoo)
Wolverhampton Wanderers 0-2 West Ham United (Sadlier, Potts)
Monday, 28 October
Manchester United v Fulham, Salford City Stadium, 7pm
Friday, 1 November
Chelsea v West Ham United, The Electrical Services Stadium, Aldershot, 7pm Norwich City v Manchester City, Carrow Road, 7pm
Find out the full Barclays Under-21 fixture list here and view the table here.
To discover the Under-21 Premier League Cup draw, click here.
You can follow developments on Twitter with the Premier League's account @premierleague or via the hashtag #BU21PL


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German EmbassyKathmandu
Cultural exchange
A cultural agreement was signed between Nepal and Germany in 1992 as a framework for implementing numerous projects, some of them ongoing, largely aimed at preserving Nepal's cultural heritage. Following the closure of the Goethe Institute in Kathmandu, the Kathmandu Goethe Centre was set up in 1997, on the status of which an agreement was signed in October 2001. German is also taught at Tribhuvan University in Kathmandu.The Friedrich Ebert Foundation has its own office in Kathmandu. Other political foundations work together with partners in Nepal as part of their regional programmes for South Asia.Germany's image in the media is positive. A cooperation agreement between German broadcaster Deutsche Welle and Radio Nepal has been in effect since 1975. As a rule, several Nepalese journalists are invited to attend information programmes in Germany each year.
Bilateral cultural relations
Germany has much to offer as a place of study with more than 350 state and private universities and a wide variety of courses. About 250.000 foreign students currently study in Germany and more than 100 students from Nepal are starting their studies in Germany each year. Most of the German universities are sponsored by the state in order to keep study-fees affordable and the number of scholarships available increases steadily. Moreover, studying in Germany is not restricted to the German medium but over 500 International Degree Programmes (IDP) offer courses that are entirely or partly taught in English.
Studying in Germany
Information for people who want to take a front seat in the twenty-first century.
Millions of people around the planet speak German - a good reason to learn the language. Furthermore, German is gaining in popularity - even among German advertisers and pop stars. So, join millions of people around the world - speak and learn German.
Wednesday, 21 January 2015 at 2 pm for postgraduate and PhD studies in Germany.
Tuesday, 13 January 2015 at 2 pm for all interested studying in Germany in general.
Counselling sessions will be held at the Goethe Zentrum Kathmandu, Thapathali.
Goethe Zentrum Kathmandu
The new *Mediothek* (Media Library) inaugurated on 29 April 20011 offers a wide variety of books, CDs and VHS cassettes in German, with the help of which you can either improve your German language further or gain more knowledge about Germany.
GZK students an members can borrow books and other media materials against a deposit. The borrowed items will have to be returned within a week.
Please make use of this great opportunity! For more details please contact the GZK Reception.
©1995 -


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cold-drawnLine breaks: cold-drawn
Definition of cold-drawn in English:
(Of metal) drawn out into a wire or bar while cold.
Example sentences
- Initially used for fencing, these sheets of cold-drawn steel wire, held together in a crosshatch pattern, soon became widely used as reinforcement in slab-on-grade construction, particularly pavement.
- Numerous industries rely on Timken ® cold-drawn tubing for demanding applications, including automotive, energy and industrial markets.
- 1
cold-drawing noun
- Example sentences
- The following invention refers to an equipment for cold-drawing a metal wire.
- This appears to mimic the natural silk which is also extruded from the silk worm in a cold-drawing process. part of the nylon polymer molecule nylon polymer molecules cross-linked by hydrogen bonds after cold-drawing
Definition of cold-drawn in:
- US English dictionary
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Advanced Materials Programs & Projects
Advanced Materials Metrology
Last Updated Date: 12/12/2014
In this project we measure the fundamental electrical properties of materials from bulk to nanoscale from 1 MHz to 0.3 THz. Understanding the … more
Terahertz Imaging and Sources
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Imaging in the terahertz frequency range enables the detection of concealed weapons and other contraband (e.g., explosives under clothing) without … more
Nanostructure Fabrication and Metrology
Last Updated Date: 12/11/2014
Single photons are the fundamental particles for all optical measurements. Single photon detectors made from avalanche photodiodes or … more
Metrology and Synthesis of 3D Nanostructures
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Nanostructures are a critical component of innovations in electronics, energy conservation, renewable energy, biomedical research, and health … more
Quantum Materials and Devices
Last Updated Date: 12/11/2014
Quantum coherent materials have become important in magnetic sensors as well as information processing technology. For magnetic sensors, … more
Superconductor Electromechanics
Last Updated Date: 12/02/2014
The Magnetics Group's program in superconductor electromechanics has moved to the University of Colorado. Contact principal investigators … more
Nanoscale Stress Measurements and Standards
Last Updated Date: 12/01/2014
Our objective is to develop accurate measurement methods for the nanoscale stress distributions and surface defects that control device … more
Nanoscale Strength Measurements and Standards
Last Updated Date: 12/01/2014
To develop new mechanical test structures and methodologies based on microelectromechanical and nanoelectromechanical systems (MEMS and NEMS) … more
Genomics of Electronic Materials
Last Updated Date: 11/20/2014
Our goal is to develop the metrology to enable a materials genomic approach to the discovery and optimization of complex electronic and … more
Nanoelectronic Device Metrology
Last Updated Date: 09/30/2014
The Nanoelectronic Device Metrology (NEDM) project is developing the measurement science infrastructure that will enable emerging nanoelectronic … more
Thin Film Electronics
Last Updated Date: 09/23/2014
The Thin Film Electronics Project facilitates the commercialization of emerging and future semiconductor electronic device technologies by … more
Analytical Transmission Scanning Electron Microscopy
Last Updated Date: 09/02/2014
This project develops low-energy transmission electron diffraction, imaging, and spectroscopy in the scanning electron microscope, to enable … more
Optical Characterization of Advanced Thin Films
Last Updated Date: 04/16/2014
A wide range of technologies are impacted by the performance of thin (<100 nm) layers of advanced materials. This is particularly true in the … more
Single Photonics and Quantum Information
Last Updated Date: 03/24/2014
Quantum-based communication and measurement systems that use novel quantum states of light are being developed around the world. However, the … more
Laser Radiometry
Last Updated Date: 10/29/2013
Accurate characterization of optoelectronic equipment is important to applications such as optical telecommunications, medical devices, materials … more
ContactGeneral Information:
100 Bureau Drive, Stop 1070
Gaithersburg, MD 20899-1070


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About Me
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text: Quick View GeoPalz iBitz™ Unity - Blueberry by Geopalz In stock online $50.00 iBitz™ by GeoPalz® is a wireless family activity tracker. The new iBitz Unity activity tracker is a physical activity based device and game that wirelessly syncs to your iOS Bluetooth phone or tablet and allows adults to have their own unique experience with personalized apps. The iBitz Unity for… See Details $50.00 was $50.00


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Photo Credit: Getty Images
Toys are the last things parents should have to worry about, but they do. Sometimes products make it to the store shelves only to be recalled down the road. Others fall apart '- and become unexpected hazards '- with lots of loving use. And sometimes big-kid stuff makes it into the little guys' hands. Always adhere to the toy package's suggested age label '- for example, "Not recommended for children under three years." Such labels are there for safety reasons. Follow these additional tips to maintain a safe play environment as your child grows:
- Remove and discard plastic wrappings on toys immediately. The wrappings themselves can suffocate a child (as can uninflated or broken balloons).
- Remove large toys, bumper pads and boxes from inside play yards. An adventuresome child can use such items as a means of climbing, or falling, out.
- Set ground rules for play and supervise young children closely.
- Teach children how to use toys properly and safely.
- Instruct older children to keep their toys away from younger brothers, sisters and friends.
Maintaining toys and inspecting them regularly takes time and effort, but your attention to detail can go a long way toward keeping your children safe. Keep toys in good repair and fix broken toys immediately or discard them altogether. Be sure to:
- Look for jagged, sharp edges, splinters, weak seams or any broken parts that might present a choking hazard. Don't forget to examine toys used outdoors for rust.
- Check movable parts to make sure they're attached securely to the toys; pieces that are safe when attached to a toy can become a danger when detached.
- Check electrical cords and plugs for cracked or fraying parts.
- Sand any sharp or splintered surfaces on wooden toys.
- Use only paint labeled "nontoxic" to repaint toys, toy boxes or children's furniture.
Provide a safe place for children to store toys. Select a toy chest or toy box that is ventilated, is free of self-locking devices that could trap a child inside and has a lid and hinges designed not to pinch fingers or fall on a child's head. If containers other than toy chests are used for storage, ensure that the lids are hinged with spring-loaded support devices to avoid entrapment and suffocation. Teach children to store toys safely in order to prevent injury caused by stepping, tripping or falling on a toy. Playthings meant for older children and adults should be safely stowed away on high shelves, in locked closets or in other areas unavailable to inquisitive younger children.


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ATI® Talon Scorpion Recoil Rear Pistol Grip
Item # WX2-205751
- Google+
You must be 18 years of age to purchase this item.
This item is shipped directly from the factory. To see the expected shipping date, please add to your Shopping Cart. Sorry, no express shipping available. We are unable to ship factory direct items to Alaska, Hawaii, Puerto Rico or APO or FPO addresses.
Shipping restrictions apply to this product under some jurisdictions. Known age, state and local shipping requirements are applied at checkout and may result in changes to an order.
- Details & Specs
Get a grip on tactical supremacy! ATI® Talon Rear Pistol Grips for 12 - Ga. Mossberg, Winchester and Remington shotguns.
Precision-made in the USA, ATI®'s Talon Grips absorb recoil and help eliminate muzzle lift! Includes Pistol Grip and Triton Mount System. Mossberg model fits most Mossberg 500/535/590/835 and Maverick 88 shotguns. Winchester model fits most Winchester 1200 and 1300. Remington model fits most Remington 870.Pistol Grip:
- Absorbs energy wave regardless of load size
- Not affected by chemicals or extreme temperature
- Reduces time re-targeting by minimizing muzzle lift.
- Made from Military Type III anodized T6 aluminum
- Angled, self-aligning dovetail locking system for easy, secure installation
- Simple installation, no specialized tools required
- Limited lifetime manufacturer's warranty. Made in the USA.
State Model, as available in the Shopping Cart.
- Reviews
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text:
Monday, December 22, 2014
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HIGH POINT—The fall furniture market is in full swing in High Point.
The event began Saturday and thousands of buyers have have already descended on the showrooms, looking to add to their collections.
Attendance is usually around 75,000 and while some furniture executives say they were worried that the government shutdown could have had a negative effect, so far the week-long event has gone off without a hitch.
A recent Duke University study showed the High Point Furniture market is the largest economic event in North Carolina year-after-year. The study said the market has a $5.4 billion economic impact, creates 37,000 jobs and brings in nearly $198 million in tax revenue.
The event brings thousands of visitors to the area hotels, restaurants and other businesses, which creates some traffic problems for area residents.
"For people who live here day in and day out, we know that the market can be an imposition. I think we want to thank everybody for their cooperation and for their patience with us during the market and I think if they just realized how important the market is to this economy, I think their patience will be well rewarded," said High Point Market Authority president Tom Conley.
The fall furniture market runs through Thursday.
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When your contact center agents are able to move around without putting your customer on hold, they can confer with experts at other workstations, walk across the center to retrieve a file, or refer to test equipment in the next room – improving resolution time and customer satisfaction. Part Two: Consider, the most recent installment of our three-part white paper series, Cutting the Cord, will give you the information you'll need when considering how wireless voice would work in your own building and with the practices of your own contact center.
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If you're ready to consider the fit between wireless voice and your contact center, download Part Two: Consider.
All fields are required.
White Paper PART TWO:consider
Cutting the Cord: The Manager's Guide to Wireless Voice in the Contact Center


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Event Details
Date: Sat
April 20, 2013 6:00 pm
Title: American Cancer Society Relay For Life of Coral Springs
Description: Relay For Life is a true community event where people of all ages and from all walks of life come together for a common cause - cancer. Relay For Life represents the hope that those lost to cancer will never be forgotten, that those who face cancer will be supported, and that one day cancer will be eliminated!
Begins at 6:00 pm Friday April 19th - 9:00 am Saturday April 20th
7201 W. Sample Road
Coral Springs, Florida 33065
For more information contact:
Rachel O'Connell at 9545321567


text:
Realy protect against dust and scratches. Very honest relation price/quality. In the site was maked as matte, I don't know if mine came with error in packing or something else but was not matte. very hard to apply without bubles caused by dust, more than criterious, you will need luck, but I beleive ... Read more
Provides a good protection for dirt, stains and scratches on the screen of your favourite gear. Comes with a very minimal manual of how to put it on. And you need to perform this operation with surgical precision and in a room with barely any dust, otherwise it will come under the screenprotector while ... Read more
This screen protector was very easy to apply to my Samsung Galaxy Tab 2. The film fit perfectly - all corners were rounded for a nice fit. Using a credit card, I was able to remove about 98% of the bubbles. This brand was a snap compared to my previous purchase from another source. Fingerprints show ... Read more
I bought it to protect the screen of my samsung galaxy tab 2 5110. the price is very cheap considering the shippment costs. It delayed a little bit to send. The size and shape fits perfectly. I have some dificulty to place it in the screem, since it is very big and because of it is not easy to take of ... Read more


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Kan. man sentenced for killing woman, 2-year-old
A Kansas City, Kan., man has received to two life sentences for killing his girlfriend before starting a fire that killed the woman's 2-year-old niece.
The Kansas City Star reported that Curtis T. Horn, 37, will serve 40 years in prison before he is eligible for parole under the sentence imposed Thursday. Prosecutors said Horn strangled Brandi Johnson, 34, last February inside an apartment where she was babysitting her niece, Amiyah McClenton.
He then started the fire that killed the toddler and forced apartment complex residents to flee. No one else was injured.
Horn pleaded guilty in August in Wyandotte County District Court to two counts of first-degree murder.
Copyright 2013 by The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Tuesday, February 2, 2010
© Copyright 2014 Gwinnett Daily Post
The day is finally here.
High school football players have been mulling their college choices for months. Some decided last spring, like Collins Hill's Charles Perkins and North Gwinnett's Austin Shepherd.
Some have switched college choices, like Peachtree Ridge's Brad Roby from Vanderbilt to Ohio State.
Others just recently made college decisions. Those choices will become official today when more than 55 high school football players from Gwinnett will sign national letters of intent on National Signing Day.
Gwinnett County had 64 players sign last year on NSD, including 19 to Division I programs.
North Gwinnett is expected to have the largest signing class, with nine players already making commitments. Buford has eight and Peachtree Ridge has seven.
There are 14 players committed to Division I BCS schools and 12 of those are to SEC or ACC programs. The state of Georgia is well represented with players headed to six different in-state schools, ranging from Georgia and Georgia Tech to Georgia Southern and Valdosta State.
Freeman to pursue pre-med degree
Shiloh offensive lineman Bobby Freeman has committed to Davidson College, a highly regarded academic school in North Carolina. Freeman, who maintains a 3.62 GPA and has taken 10 Advanced Placement classes and honors courses, will pursue a pre-med curriculum.
Freeman was named the Generals' MVP last season and was selected to the Gwinnett all-star game.
Dixon commits to Buffalo
Cordero Dixon's junior season was derailed by injury, but the North Gwinnett receiver never it let hurt his college options. Dixon committed to the University of Buffalo, a Division I program that played in the International Bowl two seasons ago.
Dixon was among the county leaders in receptions last year with 47 catches for 539 yards and five touchdowns.
Justin Dickens (Mercyhurst, Pa.), Jon Gibson-Green (Carson-Newman), Cody Gower (Quincy College, Ill.), Ajo Ojolola (Murray State), David Park (University of Pennsylvania) and Trey Sims (South Alabama) are also expected to sign today.
Ja'Wuan James (Tennessee) and Austin Shepherd (Alabama) graduated early and have already enrolled in college.
Barker picks Brevard
Brookwood linebacker Donovan Barker has committed to Brevard College, a Division II school in North Carolina.
Barker posted 100 total tackles, including 11 for losses and 21/2 sacks last season for the Broncos.
Eagles' Bayer headed to Lenoir-Rhyne
Defensive tackle Jimmy Bayer, Gwinnett County's leading sacker last season, has committed to Lenoir-Rhyne.
The Collins Hill senior made 12 sacks and posted 46 tackles to earn first-team all-county honors. He is the son of Jim and Kate Bayer.
Bailey to sign with Tech
Loganville offensive lineman Morgan Bailey will sign with Georgia Tech today at 3 p.m. in the school's auditorium.
The 6-foot-5, 285-pound Morgan was rated one of the top linemen in the state and led the Red Devils to a first-round playoff appearance.
More like this story
- GWINNETT GRADS: Bayer, Botts lead Gwinnett's pipeline to Lenoir-Rhyne ( November 26, 2014 )
- School-by-school breakdown of area signees ( February 4, 2010 )
- Locals help North Georgia softball to World Series ( May 24, 2011 )
- Obscure big man ( December 16, 2009 )
- Collins Hill senior Bayer commits to Wofford College basketball ( September 13, 2014 )


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Take Two for January 8, 2013
California must move forward with No Child Left Behind
Pool/Getty Images
U.S. President Barack Obama visits with students in a classroom while at Kenmore Middle School to deliver a speech on reforming education March 14, 2011 in Arlington, Virginia. President Obama called on the Congress "to fix the No Child Left Behind before the start of the next school year."
This year marks the 11th anniversary of the No Child Left Behind program. California applied for a waiver to have some of the requirements relaxed but was denied.
KPCC's education reporter Adolfo Guzman Lopez explains how California schools will move forward in complying with the program.


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Home / Football / Arsenal V Reading
Arsenal against Reading has been a rare fixture over the years but Reading, back in the Premier League, will hope to make it a regular meeting in the coming season. They have never beaten the Gunners but you can find the latest odds for the next match between the two right here.
The pair met at The Madejski in the Capital One Cup in October, with the Gunners coming from 4-0 down to win 7-5 after extra-time in a thriller. They then played in the Premier League where Arsenal won 5-2 at the Madejski in December. Arsene Wenger's won the third meeting between the sides this season 4-1 at the Emirates.
|Arsenal Wins
|Reading Wins
|FA Cup:
|League Cup:
Last six meetings:
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Posted by Julie in Gift Presentation, Lists We Love | Comments Off
Lists We Love: FREE Holiday Party Decor Printables
Need a add a little sparkle to your holiday treats? Looking to spice up your next holiday party? We've gathered a few of our favorite FREE printables to get you started!
1. Merry, Mod and Bright Holiday Party (shown above), 2. Vintage Glam Holiday Party, 3. Preppy Holiday Party Invites, 4. Snowman Happy Holiday Printables, 5. Kawaii Gingerbread Man Holiday Goods Labels, 6. Peppermint Twist Holiday Printables, 7. Holiday Greetings Coupon Gift Printables, 8. Gingerbread House Printables, 9. Hanukkah Free Printable Set, 10. Kwanzaa Decor


text: Caterham: A very bad day for us, to say the least 10 June, 2013 Caterham team and drivers report from the Canadian Grand Prix, Round 7 of the 2013 Formula 1 World Championship, at Circuit Gilles Villeneuve in Montreal. Charles Pic: My start was ok but into the first corner I had to brake early to avoid hitting one of the cars ahead and lost a couple of places. We went onto the mediums for the second stint and they held up well. The car balance kept improving as we went through the race and we stuck to the plan, pitting for the last time on lap 37 so we could run a long final stint to the flag. With about ten laps left I caught and passed Chilton and was given the instruction to push to the flag. From that point I couldn't really gain on the car ahead so I just made sure we got to the end without any issues and finished the race 18th. Giedo van der Garde: Today wasn't a good day for me. I want to say sorry to Mark for the incident we had and I'll make sure I learn from the stewards' decision on the five-place penalty for the next race. Sometimes you make mistakes, but the important thing is to accept them, learn from them and move on. In the race itself I had a great start, passed four cars and was up to 17th by lap two. We'd started on the supersofts and the first set were done pretty quickly so we boxed on lap eight for a set of mediums and my pace on those for the first few laps was ok. I'm not sure why but not long into the stint the tyre temperatures started coming down and my laptimes dropped straight away. It was pretty frustrating as there was nothing I could do to get them to work so I just had to keep pushing on. On lap 33 I came back in for another set of mediums but then I had to box for the stop / go [penalty] I [got] from the contact with Mark. The temperatures went straight up after the penalty and I had to come back in almost immediately so we could check the car and they found a visor tear-off in one of the radiators which had been causing problems for most of the race. Shortly after that I was heading towards the hairpin with Hulkenberg alongside. I moved over for him but he turned in in front of me in the braking zone and we made contact and that was the end of my race." Cyril Abiteboul, Team Principal: A very bad day for us, to say the least. Since the start of the weekend we had a feeling that the race would be difficult for a number of reasons. First, in terms of aerodynamic setup, we never managed to find the right compromise between top speed and downforce with the parts available. We spent a lot of time on this issue, maybe losing sight of other important areas like the tyres and to what extent the very different weather conditions we had on the earlier part of the weekend and on Sunday and how dramatically that would affect tyre behaviour in the race. This is an area we must particularly investigate as our direct competitors went for a different strategy that clearly gave them an edge. The high tyre degradation, especially on Giedo's car, meant that he received his first blue flag very early in the race and that contributed to the unfortunate events in the race that we never want to see as a team. Today's race in Canada put a rather radical stop to the positive trend we have seen since Bahrain, and we have to reverse that for Silverstone and come back fighting there. We will have new parts for the British Grand Prix and we're running another aero test next week, so we hopefully have the chance to make amends. (Caterham) Subbed by AJN. Tweet Related NewsCaterham: A very disappointing weekendCaterham drivers report from Qualifying in MontrealCaterham: Everything worked as expectedRossi looking forward to FP1 duty in CanadaCanadian Grand Prix: Caterham preview Montreal weekendRossi to get FP1 action in Montreal and Austin with CaterhamCaterham: We know we have decent race paceCaterham: Looks like we've found a good directionVan der Garde: I am excited about my Montreal debutPic: Montreal is one of the best races of the year


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2014 Holiday Ordering Deadlines
Make sure your Spoonflower stuff arrives before December 24th!
I've been selling my batiks for 20+ years. Now I'm having a lot of fun scanning swatches and making new designs here.
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Simply connect with Facebook and kiss those password blues away,
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Hair Removal
Med Spa
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Maintain your clear skin via 5 sessions of 1-hr Signature Facial + 3 choices of Facial Mask (valued at P6000)
Some women are very fortunate to have naturally fair and smooth skin. Sadly, everyone else's skin, fair or not, will eventually age and be inevitably damaged. It's actually possible to keep facial skin healthy and glowing – but no, it's not through costly cosmetic surgery. Keep your skin naturally beautiful via affordable sessions of 1-hourr Signature Facial with a choice of Whitening Facial Mask, Skin Brightening Mask or Anti-aging Mask at Dermalosophy. With regular visits, maintain an enviable skin that's soft, smooth, and blemish-free. At Dermalosophy, the philosophy is simply to maintain beautiful skin in a healthy and holistic way. Visit them now and continue your good skin fortune the natural way.
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Reservation Phone no.: 570 - 0803
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Commander Keen: Aliens Ate My Babysitter!
Commander Keen Episode 6 - Bloogbase Recreational District (Easy)
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|| Email | Full Article (TrendHunter.com/id/91902)
President Barack Obama has officially become the only President to appoint a record number of openly gay officials in his office, thus mending the bridge between politics and homosexuals in the United States who now are happily supporting Obama. Approximately 150 appointees under Obama's running have been elected, regardless of the continuous anti-gay remarks that deem no value to him.
This collection pays respect to supporting Obama from his own personal endeavors to the creative and somewhat comical perspective the world's population had made. From increasing gay officials to presidential rockstars, Obama has impressed and will continue to embark on greater and better journeys to support the United States.


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How to identify safe and effective emergency eyewash – and the hidden dangers to avoid
The paper provides a general outline of eyewash solution components.
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Persons with hearing and speech disabilities can reach the above number through TDD and other specialized equipment by calling the Florida Relay Service at 711. Contact UsSend e-mailSearch jobs
THURSDAY, April 4 (HealthDay News) -- Injuries caused by sharp medical instruments are a major hazard for surgeons and other operating room staff, and put them at risk for infection with serious diseases, according to experts.
Nearly 400,000 "sharps" injuries occur each year in the United States, and about 25 percent of those injuries occur among surgeons, with their risk at the highest while in the operating room, said Dr. Kevin Chung and colleagues at the University of Michigan Health System.
Because fatigue and inexperience contribute to sharps injuries, residents and medical students are also at high risk, the study authors noted in their report, which is published in the April issue of the journal Plastic and Reconstructive Surgery.
"Despite health care policies designed to protect health care workers, [sharps] injuries remain common," the investigators stated.
The biggest concern for those at risk is the fear of getting an infectious disease from a patient. While HIV, the virus that causes AIDS, is commonly considered the most feared outcome, the risk of infection with hepatitis B is actually much higher, according to Chung and colleagues.
In addition, sharps injuries can have a considerable psychological impact on the medical professional and their family members, especially while they wait to confirm that the injured person is free of infection, a process that can take weeks or months.
After a sharps injury, there are standard guidelines to follow if a patient has an infectious disease, according to a journal news release. This includes antiviral medications for health workers exposed to HIV and hepatitis B or C virus, ideally starting within hours after the injury.
The average cost for testing, follow-up and preventive treatment after a sharps injury ranges from $375 for needlestick exposure from a patient with no known blood-borne infectious disease up to nearly $2,500 for injuries from a patient with HIV.
Chung and colleagues said they hoped their review would help increase awareness of the risks and potential harms of sharps injuries among those working in an operating room, and would increase efforts to reduce the risk.
More information
The U.S. National Library of Medicine outlines how to handle needles and other sharps.
SOURCE: Plastic and Reconstructive Surgery, news release, April 2, 2013
Health News Copyright © 2013 HealthDay. All rights reserved.


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Ed Brown Firing Pin Spring 1911 Extra Power
Product #: 440348 Ed Brown #: 908 UPC #: 800732908007
Product Information
Upgrade or replace your worn-out spring for more dependable performance. Fits all 1911 handguns. Drop-in.
Technical Information
Material: Steel
Features: Used for upgrade or replacement
Gunsmithing Required: No
Notes: Fits Series 70 and 80
Technical Information
Material: Steel
Features: Used for upgrade or replacement
Gunsmithing Required: No
Notes: Fits Series 70 and 80
Delivery Information
The total weight of the product, including the product's packaging as it sits on our shelf. Since some products ship directly from the Manufacturer, their weight may be unavailable. Because of variations in the manufacturing process, similar products may have differing weights. Unless the product is designated as "Ships Alone", Shipping Weight does not include the shipping box or packing materials associated with your order.
Product ships from MidwayUSA, separate from any other products on your order due to its size. Products that are Shipped Alone incur separate "Per Order" and "Per Pound" shipping charges.
Product is regulated by the US Department of Transportation (DOT) and cannot be shipped via USPS or air shipping methods. DOT-Regulated products must ship UPS Ground.
Product is restricted by shipping carriers and cannot be shipped to certain locations or via certain shipping methods.
Additional shipping charge for HazMat products. Carriers charge extra to ship packages with products they consider hazardous, such as reloading powder and primers.
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Ruger Magazine Ruger SR22 22 Long Rifle 10-Round Blue...


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"This was very good. It was a dish that wasn't too filling, but very satisfying on a very warm day. I didn't have mango, so I substituted jarred peaches instead. I also had canned red jalapeno chili's on hand and they made a nice, colorful and spicy addition the the salsa. I kept thinking that the salsa needed something else, maybe some choppe"
"This was delicious! To insure that it was fully cooked through, I browned both sides of the chops on the stove first, then stuck the whole pan into a 375 degree oven for about 10-15 minutes while I made the mashed potatoes. By doing this, the pork was fully cooked and the stuffing was hot. Make sure to cover the pan with foil while in the oven,"


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All first time undergraduate students entering the College receive a Math Placement Level (MPL) as part of the admissions process. The level is determined by previously taken mathematics courses and standardized test scores including NYS Regents Exams and SAT/ACT exams. College courses express math prerequisites in terms of the MPL. Students can raise their MPL by taking specific math courses or by taking Mathematics Placement Exams offered by the Math Department during the first week of every semester. You are encouraged to review the material in the sample exams posted below before taking an exam.
There are three levels of Mathematics Placement Examinations: Basic Algebra Exam (passing this exam gives MPL 3), College Algebra Exam (passing this exam gives MPL 4), and Precalculus Exam (passing this exam gives MPL 5). All three exams are offered at each testing date. Only one exam can be taken on one testing date. Any one level of exam can only be taken one time in your college career at New Paltz. Sign-up is not necessary to take this examination. Bring a No. 2 pencil and a picture ID. Calculators are not permitted. Results will be posted the following day. For more information call Melissa Cass (Math Placement Coordinator) at 845-257-3444 or e-mail her at firstname.lastname@example.com.
Exams will be scheduled 3 times during the first week of spring and fall semesters and one time during the summer, dates will be posted as soon as they are scheduled.
Mathematics Placement Examinations Scheduled:
|Start Time
|Wednesday, August 27, 2014
|Lecture Center Room 103
|Thursday, August 28, 2014
|Humanities Room 113
|Friday, August 29, 2014
|Lecture Center Room 109
Sample Exams:


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It always pains me to utter these words, but former Nationals general manager turned ESPN analyst Jim Bowden made a great point earlier this week. While discussing arguably the only interesting storyline left in this winter's offseason scuttlebut, Prince Fielder's future, Bowden pointed out that not only are the Nationals the All-Star first baseman's most logical landing place on paper, but that it also just makes sense for the club to sign him given where the team's front-office is in their ownership.
Here is a snippet of Bowden on his MLB Network Radio Show Inside Pitch, as transcribed by Federal Baseball:
"They have made offers, multiple offers to Prince Fielder, which they cannot deny. They know the difference that he would make in that franchise, making them an instant playoff contender. They know that. Ted Lerner, the owner, is 86-years-old, he wants to win, and he'd like to win now and the Lerner family would like to see him win. Here's the biggest problem: Mike Rizzo's prepared to step up and get this thing done, but this is Ted Lerner's baseball team, and they do everything by a vote with a board of directors and the board of directors are mixed."
I bring this up not to imply that the Nationals are desperate. In fact, it's quite the opposite. I have been shocked with how incredibly patient both the Lerners and Nationals general manager Mike Rizzo have been this winter. On one side Rizzo has been careful not to overpay for the tempting but overpriced players available on the market, even though he knows that the club is very close to its potential first ever playoff berth. And on the other, the Lerners have put their full faith behind Rizzo, allowing him to use his expertise and judgement without forcing the issue even though they can almost taste the playoffs.
While that may seem like a rather simple idea, for general managers to be patient and for owners to give them their full trust and support, the sad truth is that there are way too many owners and general managers that don't stick to their guns and do their job right.
I bring this up simply to point out the fact that if you are the Lerners, you have to believe that this is your time to capitalize on what the Nationals have built because so far the investment plan has gone almost exactly according to plan. The team took its bumps and bruises in the early going, but seven years into the franchise the club has their own state of the art baseball stadium, a top-of-the-line manager with a track record of World Series success, and a bevy of homegrown talent including arguably the best YOUNG starting pitching rotation in baseball. Heading into their eighth year as a franchise, the team is fundamentally strong from the bottom up, incredibly talented, and just one or two pieces away from being real competitors.
If you were the Lerners and you aren't going to pull the trigger now, when would you ever?
The time is right to make that investment in the team's future. Ted Lerner had to know going into this venture that given his age, if he wanted to truly enjoy the fruits of owning a winner, they would have to turn the team into a competitor within the team's first ten years of existence. They have bided their time and been incredibly patient, but they also got into this business for a reason and that is to win. And because of that, I think Bowden is completely right. The time to win is now. We all know it, Rizzo knows it, and the ownership knows it.


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Due to its greater rear head- and legroom, backseat passengers will be able to stretch out a lot more in the Porsche Panamera than the BMW M3. As far as headroom and legroom go, there's not much difference between the Porsche Panamera and the BMW M3 in the front seats.
With the Porsche Panamera you will definitely be making fewer stops at the gas station than with the BMW M3, due to its larger tank size and better fuel economy.
There are a lot of factors to consider when calculating the overall cost of a vehicle. The main consideration is Manufacturer's Suggested Retail Price (MSRP). The Porsche Panamera will definitely make more of a dent in your wallet than the BMW M3, which has a much lower MSRP. Another consideration is the Destination Charge, which is a standard charge for transporting the vehicle to the dealer from where it's built. The Porsche Panamera will cost more in transportation costs than the BMW M3.
Since the Porsche Panamera is much wider than the BMW M3, finding a wide enough spot in a parking lot may be a bit more challenging. If you go with the Porsche Panamera, you may be circling the block looking for a space large enough to park more often than with the BMW M3.
With somewhat higher torque, the engine of the Porsche Panamera transmits a bit more power to the wheels than the BMW M3.
The Porsche Panamera has a larger turning radius than the BMW M3, making it slightly more difficult to maneuver in and out of tight spots.
In terms of horsepower, it's basically a tie between the Porsche Panamera and the BMW M3.
In terms of seating you'll be able to fit the same number of people in both the Porsche Panamera and the BMW M3. With its significantly greater cargo capacity, the Porsche Panamera will be able to haul more equipment or luggage than the BMW M3.
The Porsche Panamera comes with essentially the same basic warranty as the BMW M3.
Compare the 2014 Porsche Panamera and the 2013 BMW M3.
2014 Porsche
|Cash Back Rebate:
|Visit Rebate Center
|Visit Rebate Center
|Low APR Loan:
|As low as 2.49%
|As low as 3.59%
|Lease Incentive:
|As low as 4.08%
|City MPG:
|15 - 18
|Highway MPG:
|24 - 28
|Seating Capacity:
|4 - 4
|4 - 4
|Basic Warranty:
|4 years/50,000 miles
|4 years/50,000 miles
Days on Lot measures the average number of days a model sits on a dealer's lot before it's sold. This is one predictor of a dealer's willingness to negotiate.
Monthly Trend for:
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*MSRP and Invoice prices displayed do not include applicable gas taxes or destination charges.


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MedHub is a web-based application designed to house, document, track, and monitor program requirements and educational experiences. MedHub's reporting function assists in the monitoring of individuals, groups, programs, and outcomes. It combines experiences, milestones, and artifacts with the portfolio function and facilitates collaborative communications. MedHub is used by all those invested in Graduate Medical Education at the University of Iowa.
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5th MARCH, 2014: Major announcement: We have today reached our upper limit of this current directory of 500 therapists, after which we are
As you might be aware, we have been testing a new map-based directory at www.hijamadirectory.co since the beginning of this year, and now that we have reached the limit of this directory format, we have no choice but to upgrade all entries to the new format of the directory, which we understand has no such limits. So please bear with us while we go through the upgrade process in the next few months, and in the meantime you might need to refer to both directories to find your nearest therapist, until the upgrade process is fully completed and this old directory is then shut down:
www.hijamadirectory.info >> is in the process of upgrading to >> www.hijamadirectory.co
This Hijama Directory consists of all therapists registered through the hijama blog at www.ahealth.co.uk and as of 1 January, 2014 is now being upgraded to a map based directory at:
If you are a therapist, and haven't upgraded your details yet, you can do so at the following link:
There is a nominal annual charge for entries at £15 per year (equivalent to £1.25 per month) to cover running costs of the directory
The Directory is for information purposes only and is not to endorse or otherwise reject any of the therapists registered with us, so prospective hijama patients / clients are advised to verify the therapist's qualifications, competence and suitability for themselves, as like with any profession, hijama therapists also come in varying degrees of competence.
So in brief, this Directory is just here to help you find your nearest available therapist. How good and experienced they are, we cannot currently say (as we currently would not have the resources to go round the world and test each one of them out!), so that will be your job to find out for yourself before you proceed with any treatments.
To proceed to the Directory, click here.
As of June, 2013 we now have a total of over 400 male and female therapists registered on the Directory, from the following 46 countries (the number of therapists listed in each country is shown in brackets) :
To proceed to the Directory, click here.
Sponsored Link


text:
free shippingon most orders over $49*
Get 3% Backwith AllModern rewards
Tech Lighting Cam 1 Light Track Head
3" Length
6" Length
12" Length
Tech Lighting Cam 1 Light Track Head
Additional Documents
Weights & Dimensions
3" Length
6" Length
12" Length
|Product Type: Track head
|Style: Contemporary
|Finish: 1: Chrome
|Finish: 2: Nickel
|Track Type: Monorail lighting
|Number of Lights: 1
|Bulb Type: Halogen
|Fixture Voltage Level: Low Voltage
|Shade Included: Yes
|Country of Manufacture: Imported
|Mounting Type (Two-circuit Monorail Mounting Type): Double or 2-Circuit
|Mounting Type (Freejack Mounting Type): Freejack
|Mounting Type (Monorail Mounting Type): Monorail
|Mounting Type (Wall Monorail Mounting Type): Wall Monorail
|Product Warranty: 1 year
|ETL Certified: Yes
Still have questions about this product? We're here to help
Tech Lighting Cam 1 Light Track Head
Tell us what you think!
Tell us what you think about this product. It will help us provide you with better products in the future and help your fellow shoppers make better purchases.Write the first review
About the ManufacturerTech Lighting started small – by manufacturing Kable Lite way back in 1988. Since then, they have added eleven complete systems, and launched two new brands to help service your lighting needs. The goal – build a company offering products and services based on timeless design, precision engineering and trust. Tech Lighting's sense of design and aesthetics led them to begin integrating beautiful, handcrafted Murano Glass into the most complete collection of line and low-voltage lighting systems in the world. This is where function and beauty intersect to produce lighting of undeniable attraction. Along the way they have received numerous design awards, including the 1988 Edwin F. Guth Memorial Lighting Design Award of Excellence and two Lightfair Design Excellence Awards.
OUR SKU # TLG1081Cam 1 Light Track Head is also sometimes listed under the following manufacturer numbers: 700FJCAM03C, 700FJCAM03S, 700FJCAM06C, 700FJCAM06S, 700FJCAM12C, 700FJCAM12S, 700FJCAM18C, 700FJCAM18S, 700FJCAM24C, 700FJCAM24S, 700MO2CAM03C, 700MO2CAM03S, 700MO2CAM06C, 700MO2CAM06S, 700MO2CAM12C, 700MO2CAM12S, 700MO2CAM18C, 700MO2CAM18S, 700MO2CAM24C, 700MO2CAM24S, 700MOCAM03C, 700MOCAM03S, 700MOCAM06C, 700MOCAM06S, 700MOCAM12C, 700MOCAM12S, 700MOCAM18C, 700MOCAM18S, 700MOCAM24C, 700MOCAM24S, 700MPCAM03C, 700MPCAM03S, 700MPCAM06C, 700MPCAM06S, 700MPCAM12C, 700MPCAM12S, 700MPCAM18C, 700MPCAM18S, 700MPCAM24C, 700MPCAM24S, 700WMOCAM03C, 700WMOCAM03S, 700WMOCAM06C, 700WMOCAM06S, 700WMOCAM12C, 700WMOCAM12S, 700WMOCAM18C, 700WMOCAM18S, 700WMOCAM24C, 700WMOCAM24S


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found a new home!
Plenty of my friends are looking
for one too. Find a pet to adopt.
Find a pet to adopt
My name is Ellaloya!
Facts about Ellaloya
- Breed: Arabian
- Color: Bay
- Age: Adult
- Size: Medium
- Sex: Female
Ellaloya's Info...
I am purebred, in need of an experienced adopter, and up to date with shots.
Ella is a 20 year old registered arabian mare. She is healthy, in good physical condition and does not require any special diet, etc. Ella is halter broke, however she can be difficult to catch in an open pasture. She takes a while to warm up to new people, but once she trusts you, she is friendly and likes attention and treats. She was most recently used as a broodmare in her previous home, and we have not evaluated her level of training, if any.
Other Pets at On The Right Trail Horse Rescue, Inc.
Why Adoption is a Great Option
Ellaloya, a Nowata Arabian was adopted! Here's how you can benefit by looking at adoption as an option to buying a Arabian for sale in Nowata, or seeking a Arabian from a breeder in Nowata.
- Rescues and shelter volunteers in Nowata already know the personality and tendencies of their pets. This means they can match you with the right pet. That will makes it much easier transition to owning a pet for yourself and your new pet.
- On average adoption fees are much less than you'd pay a Nowata breeder, or pet store. Plus most often rescue pets have already been to the veterinarian for a check-up, had a round of vaccinations, and are spayed or neutered. That is a lot of savings!
- You will become a hero, and give a needy dog or cat a loving home. In fact, there are even Arabian breeders who help with Arabian rescue. One puppy or kitten adopted in Nowata paves the way for another one to be saved.


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Keeping our nation's commitment to those who served and fought to keep America safe is a national priority.
Improvements must be made so that veterans' services work better for all our nation's veterans – and that starts with providing proper funding and making certain that it is used effectively and efficiently.
I have voted for responsible budgets that provided necessary funding for veterans' services, helped establish outpatient veterans' health clinics in Yakima and Wenatchee, and supported an historic expansion of concurrent receipt for disabled veterans, improvements to the GI Bill and the Wounded Warriors program.
I joined with Congressman Earl Pomeroy, a Democrat from North Dakota, to write a law protecting the survivor benefits of soldiers killed in action and wrote a provision making legal immigrants serving in the military eligible for U.S. citizenship after one year in uniform.
I am a supporter and cosponsor of proposals to enable the VA to partner with local hospitals, medical centers and clinics to serve rural veterans who are currently forced to drive too far and wait too long or even the most basic care.
Central Washington veterans are also encouraged to contribute to the Veterans History Project. Learn more about the Project by clicking here.
Helpful Links: