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Recent eLetters
Displaying 11-20 letters out of 569 published
Cardiac assessment using echocardiography in the sick neonate - An unmet need for a training syllabus for aspiring neonatologists
In the UK speciality training through the grid scheme has been in existence for about a decade with a well-defined syllabus of knowledge and skills deemed necessary for the qualified neonatologist. Although much emphasis is laid on various aspects of neonatal care and the acquisition of procedural skills including cranial ultrasound, cardiac assessment using echocardiography is still considered to be an optional skill (1).
There are many reasons why this position should now be challenged. Not least the greatly enhanced armentarium of the neonatologist when considering therapy, coupled to the relative ease of access to the equipment necessary to undertake such an evaluation.
Hence our question 'Should cardiac assessment using echocardiography be considered an essential skill for the neonatologist?'
The recent article by Kluckow (2) highlights the value of clinician performed cardiac ultrasound in neonatal practice. The ability to undertake a timely competent functional cardiac assessment - even of limited parameters - might help optimise therapy, reduce morbidity and potentially mortality. Yet this ability is not yet deemed essential in the training of those looking after the most vulnerable babies.
A syllabus in functional cardiac assessment for the neonatologist needs to be developed as a matter of priority, with access to structured training in order that all those aspiring to be neonatologists learn the potential of these techniques and are able to acquire the skills during their time as a trainee. It might be argued that it would be advantageous for those already working in the field but who lack these abilities to do likewise.
1. http://www.rcpch.ac.uk/training-examinations-professional- development/postgraduate-training/sub-specialty-training/neonatal
2. Kluckow M. Use of ultrasound in the haemodynamic assessment of the sick neonate. Arch Dis Child Fetal Neonatal Ed. 2014 Apr 15. doi: 10.1136/archdischild-2013-30492
Conflict of Interest:
None declared
Decision-making during preterm birth in Italy
Dear Dr. Gallagher,
We read with great interest your paper "European variation in decision-making and parental involvement during preterm birth". We would like to point out that in Italy there are not national guidelines for the resuscitation of infants at 22 to 25 weeks of gestation as reported in table 1. In 2008 the Italian National Committee of Bioethics published, with the endorsement of our Government, a document on the bioethical questions regarding the resuscitation of extremely preterm infants 1. Briefly, the document states the following recommendations: 1. The resuscitation of extremely preterm infants must be made without considering the gestational age, using criteria similar to that adopted for children and adults; 2. The sole high probability of severe disabilities does not justify a decision not to resuscitate an infant in the delivery room; 3. Neonatologists can discontinue the assistance (starting palliative care) when it appears futile and inappropriate; 4.Parental opinion is central, but when it is in contrast with that of Neonatologists, this late must prevail. The Italian Society on Neonatology, the most important Italian association of Neonatologists, substantially agree this document. Thus, in the majority of Italian Hospitals extremely preterm infants are resuscitated in the delivery room on the basis of their viability and not merely evaluating their gestational age.
Prof. Carlo Dani, Division of Neonatology, Careggi University Hospital of Florence, Italy. Prof. Costantino Romagnoli, Division of Neonatology, Sacred Heart Catholic University of Rome, Italy. President of Italian Society of Neonatology Prof. Giovanni Corsello, Department of Sciences for Health Promotion and Mother and Child Care, University of Palermo President of Italian Society of Pediatrics.
Conflict of Interest:
None declared
Response to the two letters regarding tongue-tie, from Dr Essex and Mr Mercer
Dr Essex and Mr Mercer highlight many of the reasons why we undertook the Bristol Tongue Tie trial. Ankloglossia is a spectrum condition, which overlaps with 'normal' variation in anatomy, and milder forms do not result in feeding impairment. There is very limited evidence of the need for frenotomy in mild-moderate degrees of tongue tie. However, it is also true that at the severe end of the spectrum infants can be limited in their ability to breastfeed efficiently because they are not able to latch effectively.
We agree that it is easy to blame a visible tongue tie for breast feeding difficulties which may be due to other factors, and entirely support the view that good breastfeeding support is essential in helping mothers with feeding difficulties.
The inequity in the use of frenotomy worldwide and within the UK is exactly why well conducted trials are needed, to clarify which babies should be offered frenotomy and when. The widespread use of social media, and campaigning by some pressure groups, has resulted in an increase in demand for the procedure. Good quality evidence from randomised trials is needed to inform evidence- based clinical practice and the rational commissioning of services.
Conflict of Interest:
None declared
Banked donor human milk: more research is needed
We thank Dr. Verd and colleagues for their comments [1] on our review of the use of human milk for preterm infants. Our aim was certainly not to discourage the use of donor human milk, but rather to look objectively at the evidence base that currently exists for its use.
The authors of the letter refer to a 1984 study by Narayanan et al [2] which appeared to show a reduction in the risk of infection in infants fed pasteurised human milk. This study, which looked at 226 low birth weight infants, randomised them to receive unpasteurised human milk or pasteurised human milk, with or without formula. Many of the anti- infective factors in human milk are preserved after pasteurisation, and we therefore do not dispute the potential of donor breast milk (DEBM) to protect against infection. However, deductions from this paper about the benefits of pasteurised DEBM have to be made with caution because (a) no distinction was made in the analysis between mothers' own milk (MEBM) and DEBM, (b) there is no description of anti-infective precautions in reconstituting and feeding formula in a study carried out in a very different setting to a modern NICU, and (c) there is no suggestion of masking of analysis to study group. The second study referred to, the R?nnestad study [3], is a national survey of late onset sepsis which relates to babies who were predominantly fed unpasteurised human milk, and thus does not have direct relevance to our practice -we are aware of only one country in Europe (Norway) in which unpasteurised donor milk is routinely used. A Cochrane review which we cited in our article [4] looked at whether donor human milk might be better than formula in terms of rates of invasive infection. They found only one study that they judged to be of sufficient quality to include in their analysis, the final study quoted by Verd and colleagues, that by Schanler et al [5]. This study found no statistically significant difference in the incidence of one or more episodes of invasive infection when donor milk, rather than formula, was used to feed preterm infants. Babies were randomised to receive DEBM or PTF to make up any shortfall of MEBM in preterm infants. Although there was a (barely statistically significant) lower rate of chronic lung disease in infants fed DEBM as opposed to PTF, the authors rightly state that this is one of several outcomes assessed which the study was not designed to look at, and requires more research.
We welcome an open discussion of the evidence base for the use of DEBM. Currently, the use of DEBM varies from not at all to extensive use in preterm infants in place of formula milk. If we over-interpret the current data, there is the very real risk that we may discourage the funding of research studies which have the potential to measure the cost- effectiveness of DEBM more fully and thus the potential to benefit the care of a larger number of infants by allowing the development of evidence -based guidelines.
References 1. Verd S, Porta R and Ginovart G. Human milk feeding. Arch Dis Child Fetal Neonatal Ed, 2014. 99(2): F172-3.
2. Narayanan I, Prakash K, Murthy NS, et al. Randomised controlled trial of effect of raw and holder pasteurised human milk and of formula supplements on incidence of neonatal infection. Lancet 1984;2:1111-13.
3. Ronnestad A, Abrahamsen TG, Medb? S, et al., Late-Onset Septicemia in a Norwegian National Cohort of Extremely Premature Infants Receiving Very Early Full Human Milk Feeding. Pediatrics, 2005. 115(3): p. e269- e276.
4. Quigley MA, Henderson G, Anthony MY, et al. Formula milk versus donor breast milk for feeding preterm or low birth weight infants. Cochrane Database Syst Rev 2007;(4):CD002971.
5. Schanler RJ, Lau C, Hurst NM, et al. Randomized trial of donor human milk versus preterm formula as substitutes for mothers' own milk in the feeding of extremely premature infants. Pediatrics 2005;116:400-6.
Conflict of Interest:
None declared
The child has rights!
The tongue remains with in the boundaries of the mandible during suckling and so it is difficult to see the anatomical or the physiological basis for how a frenulectomy works in reducing breast and nipple discomfort during feeding. This randomised trial does not seem to assess the potential, positive psychological impact of the mother being told their child has had a frenulectomy. That is the question that must be answered before a procedure performed on the most sensitive organ in the body, with out anaesthesia is undertaken routinely.
Tongue tie is not proven to impact upon speech and if a release is performed in a child with a small chin, with or without a cleft palate, it can cause airway obstruction. A significant tongue tie causes social embarrassment in later life but it has no other proven physical impact on the child and so more concrete evidence of benefit for the procedure being performed upon a neonate, with out anaesthesia, must be provided before the practice is offered routinely. Every surgical procedure has complications and surely there must be greater proof of benefit than relieving nipple pain in the mother? When else is a procedure inflicted on any patient, let alone a child, for the benefit of reducing discomfort in a third party? With out this additional proof, practitioners may well be performing unnecessary procedures on a defenceless infant.
With out a "sham" group, the psychological impact on the mother cannot be excluded.
Nigel Mercer
MB ChB ChM FRCS FRCPCH
Conflict of Interest:
None declared
Most tongue tie is the medicalisation of childhood
Lawson's editorial and Emond and colleagues' article exposes potentially bad medicine: lack of knowledge of normal and variations of normal; lack of knowledge of the natural history of a condition; a desire to do something - Ulysses syndrome (1); medicalising the child by giving the condition a name; and then ascribing any improvement to the intervention, forgetting that association does not mean causation.
This writer did many years of community child health clinics seeing babies with a variety of problems that never went near a hospital: a W- shaped tongue [M-shaped from the baby's perspective] is a normal finding. To describe it as tongue tie and to intervene are medicalising normality in the majority of cases. As Illingworth says in The Normal Child (2) [which should be required reading for all health professionals involved with children] "The tongue is always short at birth but as the infant grows the tongue becomes longer and thinner. Many mothers [and health professionals - my insertion] ascribe their children's feeding difficulties and lateness in speaking to tongue tie".
Unfortunately blaming tongue tie becomes self-perpetuating. The fact that parents want subsequent children to have a frenotomy after their first child has had one and doctors acquiesce to this or lactation experts believe it is the cause of breastfeeding difficulties does not represent proof nor does it justify performing the operation. Countries with initial and sustained high breastfeeding rates such as New Zealand, where this writer worked for several years, do not have high rates of frenotomy to ensure that breastfeeding is successful. Rather it is good breastfeeding support.
Recently a tongue-tie service was set up in my local area. I can predict the outcome. In 12 months' time those who promoted and run the service will announce how many tongue tie operations they done, how parents are pleased and feel the baby is feeding better and how "successful" the service is. The specious conclusion will be that tongue tie was a significant problem for these babies which frenotomy cured. I consider this is 21st Century charlatanism.
Dr Charles Essex Consultant Neurodevelopmental Paediatrician Suite 115 41 Oxford Street Leamington Spa CV32 4RB
1. Essex C. Ulysses syndrome. BMJ 2005; 330: 1268.
2. Illingworth RS. The Normal Child. Churchill Livingstone, Edinburgh 1983.
Conflict of Interest:
None declared
Re: Strengthening the evidence base on frenulotomy
Dear Editors:
We read Val Finigan's letter with interest, and agree with her experience that most mothers do report an improvement in the comfort and efficacy of breastfeeding after their baby has had a frenotomy. The difficulty is in showing objective improvement in breastfeeding after division of less severe degrees of tongue tie.
In the Bristol Tongue Tie Trial, the median age of the babies at recruitment was 5 days, and the median age at follow-up for the primary outcome was 11 days. We are now planning a larger trial of frenotomy, involving all degrees of tongue tie, with a primary outcome 2 weeks after recruitment, using a more detailed tool to assess breastfeeding. For more information on the proposed trial design, please contact firstname.lastname@example.com
Yours sincerely,
Alan Emond
Jenny Ingram
Centre for Child and Adolescent Health, University of Bristol
Conflict of Interest:
None declared
Concerns regarding statistical presentation and interpretation
I am writing to express my concern regarding the discordance between the results and conclusions of this paper. The paper compares a point of care glucose measurement with a laboratory "gold standard". The results are presented in a number of forms (and with no consistency regarding units of measurement). The error-grid analysis is unhelpful as high levels will be high and low levels will be low for both methods and the scale of the graph is too large to see what the real differences are. The "accurate estimate zone" includes potential values 4mmol/l above and below zero in the lower glucose range. Whilst the authors are to be applauded for inserting a Bland Altman plot, this plot demonstrates "limits of agreement" which are around 0.5mmol/l above and below the line of zero. 6 points lie outside the limits of agreement with the extremes being 0.7mmol/l above and below zero. Therefore the plot demonstrates that in an unpredictable manner the glucometer may be over reading or under reading by a value as great as 0.7mmol/l. This is not of clinical significance in the normoglycaemic or hyperglycaemic range, but acquires clinical significance when blood glucose levels are low. For example if a glucometer reading is 2.0mmol/, the accurate level (at the extreme) could be 1.3-2.7mmol/l which will result in over diagnosis and treatment or under diagnosis and treatment. The authors state in the results section that the plot shows "good correlation", but the plot does not represent correlation, and the agreement between the values is not good. The conclusion that there is good "correlation" between the glucometer and the laboratory measurement draws on the wrong statistical method. Correlation does not provide accuracy data. Under "what this study adds" it is stated that the glucometer provides accurate results and is suitable for measuring glucose levels in premature infants. I suggest that the results as plotted on Bland Altman plot are directly counter to this conclusion.
Conflict of Interest:
None declared
Strengthening the evidence base on frenulotomy
Randomised controlled trial of early frenotomy in breastfed infants with mild-moderate tongue-tie. Edmond et al (2014)
Dear Editor, I read this report on frenotomy to support breastfeeding with great interest as currently there is limited evidence to support this procedure. The outcomes contrast considerably with my own experience and audit data, particularly with regard to persistence of breastfeeding for more than 5 days with painful breast and objective improvement in breastfeeding at 5 days. Of course, it is not uncommon for mothers and babies to attend for frenotomy after 5 days as time is needed to learn the art and skill of breastfeeding before intervention, but that was not the scope of this report. That mothers report improved self-efficacy after frenotomy certainly fits with my experience and data, but I find that most continue to breastfeed as their babies can latch, and both enjoy breastfeeding post -frenotomy. I have run frenulotomy clinics for the north west region of England for six years, using validated assessment tools for frenulotomy , latch, self- efficacy and pain. The women's experience of feeding is assessed pre- operatively and immediately post-frenulotomy, and then by telephone at 24- 48 hours and again at 3 months. Of 2048 babies that were in need of frenuotomy (November 2008 to January 2014), 62.7% of had 100% tongue-tie (to the tip of the tongue), 12.2% had 75% tongue-tie, and 15.7% had a posterior tongue-tie. All were referred for assessment and division by a person skilled in infant feeding and following support with positioning and attachment to improve breastfeeding. If the baby was formula milk-fed by bottle, the referring practitioner had provided support with the technique. Assessment carried out by two International Board Certified Lactation Consultants indicated that the babies referred with notable feeding challenges had limitations when extending, lifting and lateralising their tongues. Following frenotomy, 96% of mothers reported an immediate difference with feeding. For example, breastfeeding mothers reported reduction in pain, improved latch was noted, and later improved contentment and in some cases weight gain. Bottle-feeding mothers suggested improvements such as baby not chomping on the teat, no spurting of milk from the sides of the baby's mouth, and more controlled and faster feeding. At 48 hours, 71% of mothers who responded continued to experience improved feeding, 29% of the sample either did not answer the phone, or were already managing problems such as fungal infections, sore nipples or low milk supply that would take time to resolve. At 3 months the sample size was poor: only 21% of mothers answered the call. Yet 43% of this group were continuing with exclusive breastfeeding and suggested that without frenulotomy they would not have achieved this. A study to provide stronger evidence of these outcomes is being submitted for funding, and a comparison of results will be interesting. The reasons for differences in outcomes will be important in enhancing frenulotomy and breast-feeding support services.
Dr Val Finigan MBE Consultant Midwife infant feeding Pennine Acute NHS Hospitals Trust Rochdale Road Oldham OL1 2JH
Conflict of Interest:
None declared
Neonatal rotavirus immunisation, and breast feeding friendly hospitals
Sirs, we were surprised to read that11 out of 56 units in the resource rich UK did not administer Rotavirus vaccine to their babies. (1) Thirty years ago, one of us described a neonatal rotavirus outbreak that had a considerable morbidity (2). Although these outbreaks continue(3.), some low resource units like ours (Birth rate 3000/year) are accredited as Breast Feeding Friendly and have adopted a very enthusiastic breast feeding friendly initiative. See Compliance with the Baby-Friendly Hospital Initiative and impact on breastfeeding rates (4) In comparison to the high resource US units of Summer Sherburne Hawkins's study, our units have 100% compliance. Probably because our initiative was spearheaded by the pediatricians in charge (RT). All the students and staff in the nursery and maternity unit endorsed it. All babies irrespective of birth weight (700 g upwards) and gestation (27 weeks) get exclusively breast fed, or expressed raw breast milk from birth onwards. No artificial milks or fortifiers are used. There are no bounty boxes, advertising, or free samples endorsing bottle feeding. And no rotavirus immunization. Since then, there have been no outbreaks of diarrhoeal disease or necrotising entercolitis in either unit. So, a UK neonatologist faced with the choice to immunize or not, may have a cost effective and low resource alternative.. Dr John Dearlove, paediatrician, Dr Rosemary Taun, Director of paediatric services, Port Vila Central Hospital, Port Vila, Vanuatu. References
1. Jaques S, Bhojnagarwala B, et al Slow uptake of rotavirus vaccination in UK neonatal units.Arch Dis Child Fetal Neonatal Ed 2014 March 4, 2014 as 10.1136/archdischild-2014-306067
2.Dearlove J C,.Latham P. Et al. Clinical range of neonatal rotavirus gastroenteritis Br Med J (Clin Res
Ed) 1983;286:1473
3. de Villiers FP , Driessen M. Clinical neonatal rotavirus infection: association with necrotising enterocolitis.S Afr Med J. 2012 Jun 6;102(7):620-4.
4. Summer Sherburne Hawkins, Ariel Dora Stern et al2, Compliance with the Baby-Friendly Hospital Initiative and impact on breastfeeding rates. Arch Dis Child Fetal Neonatal Ed 2014;99:F138-F143 doi:10.1136/archdischild-2013-304842
Conflict of Interest:
None declared
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One Home, Many Religions: Ask Noah
NEW YORK ( TheStreet) -- Q: My husband and I have an eight-year old daughter. He was raised Jewish and I grew up Catholic. Neither of us is traditionally religious. However, after deciding to raise our daughter in a non-sectarian fashion, she's now bringing home religion-based questions from school. In response to her inquiries, we now want to bring her awareness of the faiths she's inherited. How can we best do this?
A: This is a very common question for mixed-faith parents of young children.
I suggest engaging your daughter in a conversation to seek out the origin of her questions. Perhaps it was a lesson in school centered on religion, or a classmate sharing a faith based custom with her. Get interested in what she's interested in and what prompted her line of inquiry.
Start an age appropriate discussion of other world religions. It is never too early to learn tolerance. Your eight year old daughter may eventually practice Catholicism, Judaism, or another religion altogether. She may choose to not identify with any organized religion. The important part is that she begin to understand her options.Remember, there is beauty that comes with a very young person becoming curious about matters of faith. She is questioning what she knows and what she doesn't. Smart girl. Don't be afraid to educate her on your own experiences related to faith. Don't worry this will not be Hebrew school or Bible study (not that there is anything wrong with that!). It is simply a matter of putting something as abstract as religion into something she can understand. Focus on family history including stories regarding grandparents and great grandparents. Don't be afraid to explain why you are Catholic and your husband is Jewish. It does not matter that you do not practice the faith. It is about where you both come from. Let her education teach both of you. If her present line of questioning came from a school lesson, involve yourselves in this exploration. If she is learning religious traditions from around the world, jump in and learn with her. You may have the facts already, but learning through the eyes of inexperience can truly reflect back to us our own biases and resistances. You may actually find your world education needs sharpening, too. We never want to deny a child the chance to explore faith. I admire your willingness to promote her exploration and nurture her curiosity. Good luck to you both!
Send all questions to Ask Noah at email@example.com. Have a profitable and peaceful week, Noah
This article is commentary by an independent contributor, separate from TheStreet's regular news coverage.
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subset: commoncrawl


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December 22, 2014
KNOXVILLE, Tenn. (WVLT) - You can help out Knoxville's HIV non-profit, the Hope Center with an evening of fashion and entertainment.
Twisted Scissors Salon and The Edge are hosting The Fashion Ball "A Fashion Forward Event!" It is Saturday, October 20 from 8:00 p.m. and going until 2:00 a.m.
It's at the EDGE at 7211 Kingston Pike in Knoxville.
Proceeds from the event go to Hope Center located at Fort Sanders Regional Medical Center. They are open Monday through Friday from 8:30 a.m. To 5:00 p.m. The hope center works to to address the unmet needs of patients & families affected by HIV in Knox & surrounding counties.
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text:
December 20, 2014
LAS VEGAS (AP) - Las Vegas is giving up its responsibility to license and regulate child care centers as part of a cost-saving plan to cope with budget problems.
Officials say the city expects to save about $700,000 each year under the plan.
The plan was recommended by the city's recent fundamental service review, which examined the budget in hopes of finding ways to fix a projected deficit of $150 million over the next five years.
Responsibility would go back to the state if the city decides to give it up.
A Health and Human Services spokesman says the state has built the costs into its budget for the next two years.
The city council is expected to vote on an ordinance soon; the plan would take effect in May.
Information from: Las Vegas Sun, http://www.lasvegassun.com
(Copyright 2008 by The Associated Press. All Rights Reserved.)
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LOS ANGELES -- The Hebrew Union College-Jewish Institute of Religion has received a commitment from the Kalsman Trust to establish and endow, the Kalsman Institute on Judaism and Health. Dr. Lewis M. Barth, Dean, HUC-JIR Los Angeles School announced the gift and named Dr. William Cutter Director of the new Kalsman Institute. Dr. Cutter is Professor of Education and Hebrew Language and Literature, and instructor in chaplaincy.
Lee Kalsman and Peachy and Mark Levy will serve as trustees of the gift on behalf of the Kalsman Trust.
"We are grateful to Lee Kalsman and Peachy and Mark Levy for their dedication to HUC-JIR's programming in the areas of health and healing. Their generous support will enable the College-Institute to convene meetings and conferences to continue the discussion on topics that bring religion and health together," said Dr. Norman J. Cohen, Acting President, HUC-JIR.
"The College-Institute is profoundly appreciative of the generosity of the Kalsman and Levy families. The Kalsman Institute is an innovative and important program of the HUC-JIR Los Angeles School, and the overall College-Institute, and it is vital to our innovative and creative training for rabbis, educators and communal professionals in the area of religion and health," said Dr. Lewis M. Barth.
The Kalsman and Levy families became involved with the College-Institute's Chaplaincy Program in the early 1990s when the late Irving Kalsman was a patient at Cedars-Sinai Medical Center. Mr. Kalsman was visited by a young rabbinic student named Judith Schindler. Her rabbinic internship at Cedars-Sinai was part of HUC-JIR's Chaplaincy program. Mr. Kalsman felt that his meetings with now Rabbi Schindler were a critical part of his healing process. In appreciation, the Kalsmans created the Lee and Irving Kalsman Scholarship Fund in Hospital Chaplaincy, funded a major conference at HUC-JIR, Los Angeles and now have established the Kalsman Institute on Judaism and Health.
"The Kalsman Institute is founded on the principle that health and healing are a fundamental part of the Jewish religious experience. We began exploring the connections between Judaism and modern efforts to provide care and held our first national conference in April of 2000. We will now work towards integrating health and healing with religious themes and serve as a 'think tank' and center for theological and philosophical discourse on Judaism and health," said Dr. William Cutter. He noted further that, "We will work ever more closely with Jewish Family Service agencies, Union of American Hebrew Congregations and a number of healing centers that have opened throughout the country, such as the National Center for Jewish Healing."
The Kalsman Institute on Judaism and Health intends to serve as an intellectual center of the healing movement. In addition to sponsoring conferences, the Kalsman Institute will provide a meeting ground for discourse dealing with the medical and patient provision aspects of health care; participate in the advocacy around issues involving health care provisions and ethics; train future religious and professional leaders in the complex issues of health provision and ethics and develop new models of training for the broader field of heath care in the United States.
Founded in 1875, Hebrew Union College-Jewish Institute of Religion is North America's first institution of higher Jewish education and the academic, spiritual, and professional leadership development center of Reform Judaism. HUC-JIR educates men and women for service to North American and world Jewry as rabbis, cantors, educators, and nonprofit management professionals, and offers graduate programs to scholars and clergy of all faiths. With centers of learning in Cincinnati, Jerusalem, Los Angeles, and New York, HUC-JIR's scholarly resources comprise the renowned Klau Library, the American Jewish Archives, research institutes and centers, and academic publications. In partnership with the Union for Reform Judaism and the Central Conference of American Rabbis, HUC-JIR sustains the Reform Movement's congregations and professional and lay leaders. HUC-JIR's campuses invite the community to cultural and educational programs illuminating Jewish heritage and fostering interfaith and multiethnic understanding. www.huc.edu


text:
Let's make some noise!!
Ene 22
Let's make some noise!!Posted by eugh on January 22, 2012 at 12:09 am
<hi everybody !!
let's put some action to this forum community, the year has just started we have too many time to wait for the strokes , dont go to felt asleep ...
fear of sleeeeeeeeeeeeeeep!!!
Make some noise strokers!" we can show the band , that we are here to support them!!
peace - love & Music
1 comentario


text:
One of the sales girls came very close to trading blows with an ex customer outside the store today.
Being the only guy (not to sound sexist, just the way its looked at), I was asked to go out and make sure everything was ok.
My first thought is I've got a gun on my hip, not a good thing. Second thought was, " I don't want to get in between 2 women fighting"
Luckily, the ex-customer left before it actually came to blows.
My question is how do you handle it if a fight breaks out between people if you actually give a damn about one or both of them and you're armed?
If I wasn't friends with either of them, I'd not interfere at all. (while carrying anyway) but what if it's a friend etc.


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Mitt Romney has a new economic goal, one that ostensibly backtracks from the benchmark he set for himself earlier this month. The presumed GOP presidential nominee told Time magazine's Mark Halperin on Wednesday that he would get the unemployment rate down to 6 percent in his first term.
Just a few weeks ago, Romney said he would not be satisfied with an unemployment figure of anything less than 4 percent.
Speaking at a warehouse in O'Hara Township, Pa., [on May 4], Romney said there is no reason to be pleased with the morning's April jobs report.
"Just this morning there was some news that came across the wire that said that the unemployment rate has dropped to 8.1 percent," he said. "And normally that would be cause for celebration. But in fact anything over 8 percent, anything near 8 percent, anything over 4 percent is not cause for celebration."
There's also another fact that makes Romney's prediction less than impressive: The unemployment rate is already projected to fall below 6 percent by 2016, near the end of what would be Romney's first term if he is elected.
In other words, by what is essentially Romney's own admission, his presidency would have little impact on job growth. —TEB
Think Progress:
Though 6 percent unemployment is significantly lower than the current 8.1 percent rate, the feat isn't all that remarkable. In fact, it is exactly where multiple government agencies project unemployment will be at the end of that time frame. The Congressional Budget Office predicts that unemployment will average 6.3 percent in 2016; the Office of Management and Budget, meanwhile, projects unemployment will hit 6.1 percent and ultimately fall below 6 percent the same year.
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A Progressive Journal of News and Opinion Zuade Kaufman, Publisher Robert Scheer, Editor-in-Chief
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"Isn't ALL Gaming Social?"
2010 SXSWi Panel with Sebastien de Halleux, Omar Abdelwahed, Gareth Davis, Eric Todd, Jon David< read all 2 reviews
What did you think of this review?
Use Trust Points to see how much you can rely on this review.
Panelists include:
Sebastien de Halleux
Omar Abdelwahed (twitter.com/appleweed)
Gareth Davis (twitter.com/garethdavis)
Eric Todd
John David


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Pinewood Derby Authority
Pinewood Pro is a leading pinewood derby supplier
Welcome to Pinewood Pro,
the pinewood derby experts since 1999!
Why do we consider ourselves experts, or a pinewood derby authority?
Well, we are proud to have helped so many people and proud to have supported, and donated to, the pinewood derby community for over 10 years that we humbly consider ourselves an authority.
But you can be the judge of that as you scan our accomplishments, read our customer reviews, donations, our picture gallery and view some of our 1000's of pinewood derby winners over the past 12+ years.
And we would love to hear from you with your comments, feedback or suggestions...God Bless and Happy Racing!
We wrote the book!
Winning Pinewood Derby Secrets was released in 1999 and has helped thousands learn how to build a car and make it fast.
Check out some of our winners and read some of over 40 customer reviews!
We are Scouts
I built my first pinewood derby car with my Dad in 1966. When my son joined scouts in 1995, I volunteered to lead the pinewood derby for his Pack and we've been actively involved with the cub scouts and boy scouts ever since.
Products Designed by Engineers
As an engineer, I take my work very seriously. I don't claim to be perfect, but I've worked hard to design the best products I can.
Many of my products were invented by me or my fellow engineers such as my PRO Super Speed Axles, Graphite-coated Axles, and Graphite-coated Wheels.
track tested for speed
All of our products have been track-tested to prove that they are fast.
3D Car Design plans
Pinewood Pro offers the only 3D Car Design Plans, that feature 3D AutoCAD images so you can see your car taking shape step-by-step.
We even animate your car in 360 degress so you can see it from all angles. You won't find anything better, or cooler.
Proven Results
Don't take our word for it, read what others say, and check out our Picture Gallery.
Over 500 Product Reviews
We do our best to make the best products, offered at a fair price.... read our Customer Reviews.
We Give Back
We are happy to have donated part of our profits back to the Cub Scouts and Boy Scouts every year since we started Pinewood Pro in 1999.
In addition, we continue to volunteer for pinewood derby fund raiser events or simply help support our local Packs.
Pinewood Pro is also proud to donate back to our Military, help with disaster relief along with other organizations such as the MS Society and American Cancer Society.
Exclusive Seller of Don Murphy's (inventor of Pinewood Derby) book
Pinewood Pro is the exclusive seller of the book written by the inventor of Pinewood Derby, Don Murphy.
Please pick up a copy of Pinewood! The Story of the Pinewood Derby to support pinewood derby racing and honor the founder.
Pinewood Pro donates all proceeds back and is happy to honor the inventor of pinewood derby racing.
Exclusive Interview with Donn Murphy
Joe Gargiulo interviews Donn Murphy, son of the inventor.
In this exclusive interview, Donn talks about his father, the Cub Master of Pack 280c and how he invented the Pinewood Derby in 1953.
Pinewood Pro is the proud sponsor of the Pinewood Derby Museum in El Segundo, CA, which opened in April 2011. The museum features the only known car that raced in the very first race at the Scout House in Manhattan Beach in 1953.
There are four displays of memorabilia, one of which contains a Pinewood Pro Indy F1 racer, honoring 100 years of scouting.
Helping Pinewood Derby Racers
...for over 15 years.
Pinewood Derby
Tips & Hints
Looking for more cool car design ideas? Our free Pinewood Derby Car Design Guide has over 100 cool pinewood derby car design ideas.
Pinewood Derby
axles Tip
Many of the BSA "nails" that come in your kit are crooked. Chuck each axle in your drill and spin them. If the axle looks blurry as it spins, that axle is crooked. Replace crooked axles or consider getting an Axle Press Tool to straighten crooked axles.
Pinewood Derby
building Hint
Crooked axle slots are perhaps the number one reason cars crash into the lane guides. Drill the axle slot with a drill press or the PRO Driller to be sure your axles go in straight and are square to the block.
My son, won his pack derby today on our first attempt! He won 9 races in a row and none of them were even close. Thanks for your assist in this father & son memory.
- Kevin from VT
Jacob had a blast seeing his car fly! Thanks for the tips!
- Matthew and Jacob
This will be my 3rd year ordering from you. This year I have an 8 year old son, a ten year old son, and my 12 year old daughter's young women group is also doing the pinewood derby. We are still undefeated – Last year we purchased your wheels and axles and won 1st place again, 2 years running!
- Kirk from UT
- FREE Derby Help
- Designing Your Car
- Building Your Car
- Making Your Car Fast
- Finishing Touches
- Pinewood Pro...
- Information
- Blastcar for Boy Scouts
Thank you for the great Pinewood Derby tips! My son was so excited when he got the 1st place trophy!
- Kevin from AZ
As soon as he got home, he ran up stairs to his room to put his trophy of his shelf. I will defiantly be buying from you. Thanks for the Winning Secrets!
- Phil from NV


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Feb 172013
With any purchase at participating Subway shops Presidents' Day, receive a free treat.
The offer is valid February 18, while supplies last.
The free freshly baked cookie deal, one per customer, is not valid with any other discounts or offers.
Sorry, the comment form is closed at this time.


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NAMIWalks 2012 by N'siders - about 2 years ago
"The picture was taken at our fundraiser, NAMIWalks this past weekend at Turner Field in Atlanta. NAMI Northside Atlanta is one of over 1,500 affiliates in communities across the country made up of..." view full details
Thirteen hour night shift!! by Thirteen hour night shift!! - about 2 years ago
"The fall back Saturday nightshift on our nursing unit at Beth Israel Deaconess Medical Center in Boston is the most dreaded of the year (Saturday 11/3). This year we decided to add some fun with c..." view full details
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Bos Still Runs the Marathon by Team Bos - about 2 years ago
"My friend, Meghan "Bos" Boswell was all set to run the NYC Marathon until Sandy had other plans for the city. Even though the marathon was cancelled, she still ran 26.2 miles in Central Park - doin..." view full details
Everyone loves a 3c Girl by Everyone loves a 3c Girl - about 2 years ago
"We created t-shirts for our friends wedding after being roommates for 2 years. We filled the t-shirt with some of our favorite hobbies. We surprised her with the t-shirts and danced like crazy arou..." view full details
Waiting in line for rollercoasters by STAC Youth - about 2 years ago
"Taken at Life Teen's Inspiration Tour held every year at Six Flags Magic Mountain" view full details
pink at sunset by pink out at sunset! - about 2 years ago
"The T shirts were made for our dart league, But everyone wanted in! Pink out for Breast Cancer at Sunset! The lovely lady in Front was in remission, but is again going through Kemo to fight breast ..." view full details
State Team messing around by AHS Girls Swim and Dive - about 2 years ago
"Customink was so easy to work with. Very professional. Shipped quickly. Will work with Customink again." view full details
Making Strides Against Breast Cancer by AJC & Friends - about 2 years ago
"This is only part of our group, because the event was so large we lost some! It was a Making Strides Against Breast Cancer we did In Mizner Park, Florida. The weather was perfect and our shirts cou..." view full details
Micki's Militia by Micki's Militia - about 2 years ago
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Alvin & the Chipmunks: Munk to the Beat (AD)
Match the corresponding arrow key to the falling notes.(AD)
Alvin & the Chipmunks: Chipwrecked (AD)
Click here to Munk Yourself! (AD)
- Nicktoons: Dance Off, Clash On!
Baddies are crashing the Nicktoons par-tay. Dance them back out the door!


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Friday, May 02, 2014
After serving 24 years on the Alvin Community College Board of Regents, Brenda Brown will be leaving her position, deciding not to run for reelection.
As a regent, Brown said she gained a full appreciation for the college and what it has to offer to the community.
"I like what the college stands for," she said. "I always liked what I saw out there and I wanted to be a part of it."
Brown is a former educator who was first elected to the board in 1990. Before that she had long been a board member of the ACC Foundation, joining two years after it was created in 1976.
"Brenda Brown was the second woman to serve on the College Board and has worked tirelessly to see the College grow and prosper," ACC President Dr. Rodney Allbright said. "Her legacy will be a college ranked in the top 10 percent nationally."
As a member on the Foundation Board, Brown has contributed a lot of her time to help raise funds for student scholarships, college programs and staff development.
"While she is leaving the Board of Regents, we are grateful that Ms. Brown will remain on the Foundation Board, which is a testament to her dedication to ACC," said Wendy Del Bello, Foundation executive director.
Brown has a bachelor's degree in business education from Southwest Texas State University, taught at Brazosport High School in the 1960s and served as a substitute teacher throughout the years.
In addition the college, Brown has also devoted time to the American Association of University Women, Alvin Mothers Club, Alvin Library Board and the Aglaian Study Club.
Brown said she ran for the Board of Regents because she wanted to serve her community and support the mission of the college. She said ACC provides so much to local students who need an education.
"It is not so expensive that it is prohibiting," she said. "This college caters to students and gives them a chance to work with a schedule."
Since the time she's been on the board, Brown has participated with several projects including the creation of Dual Credit, construction of the new Communications Building, passing of the 2005 bond issue for the Science/Health Science Building and more.
"There's been a lot of changes in 24 years," she said.
Brown said she plans to travel more and spend more time with her children and friends.
December 2, 2014
The Alvin Community College Foundation will host the 15th Annual Christmas Gala on December 2 starting at 6 p.m. in the Nolan Ryan Center. The event will feature a meal along with live and silent auctions. For tickets please call 281-756-3600.
December 6-13, 2014
The ACC Drama Department will begin performances of the musical A 1940s Radio Christmas Carol on December 6 at the Theatre. Performances on December 6 and 11-13 will be at 8 p.m. There will be a 2:30 p.m. performance on December 7. Purchase tickets at www.alvincollege.edu/drama/theatreseason or call 281-756-3606.
December 9, 2014
The ACC Community Chorus will host its first performance with Handel's Messiah on December 9 at 7:30 p.m. at the Alvin First United Methodist Church, 611 W. South Street. For more information call 281-756-3587.
December 14, 2014
The ACC Wind Ensemble will have a Christmas concert on December 14 at 3:30 p.m. in the Theatre. For more information call 281-756-3588.
December 15-16, 2014
Auditions for the Drama Department production for The Fantasticks will be December 15-16 at 7 p.m. in the Theatre. Callbacks will be the following day. For more information call 281-756-3607.
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Posts from Coffee & Espresso Machines
What Is the Best Replacement for My Senseo Coffee Maker?
Good Questions
The Most Over-the-Top Coffee Maker in the World
Keurig, Schmeurig. Apparently what you really needed to buy that coffee lover on your holiday list was one of these Royal Coffee Makers. Once only available to European aristocracy (who, clearly, have ample countertop space to store them), these elaborate, whooshing specialty brewers are now available to commoners. Want to guess how much they cost?
Help Me Find a Good Yet Inexpensive Drip Coffee Maker
Good Questions
Q: Please help me pick a automatic drip coffee maker! The fall is here and my early morning work schedule (out the door before 7!) is back in full swing. My lovely French press is no longer going to cut it. I desperately want a coffee maker that I can set up the night before so I can wake up to a pot brewing.
The numerous options are leaving me a bit overwhelmed with coming to a decision and I was hoping for some good advice as to brands or particular models I should consider. I was told that cone shaped vs flat bottom filter areas are better?
I'm on a budget (under $100) and obviously taste is of the upmost importance.
Sent by Anna
K-Cups and Coffee Pod Systems: Love Them or No, Thanks?
Bialetti: The Classic Italian Coffee Maker
Store Profile
Even if the brand name Bialetti doesn't ring a bell, you probably recognize the little aluminum stovetop coffee maker shown above. Included in the Museum of Modern Art's permanent collection, the 'Moka Express' was originally designed in 1930 by Alfonso Bialetti and it remains in production today. The Bialetti company proudly states, "You will find this little stovetop coffee maker in 90 percent of Italian homes."
Good Question: Help Me Replace My Espresso Machine!
Here's a question from Melodie, and we need your help on this one.
I'm hoping the AT crowd can give me some recommendations for a home espresso machine. For years we've been using these two little (Krups and Melitta) steam espresso makers. [Pictured above.] (Why two? Because my husband and I had them and don't have the patience to wait to make a second while the little thing cools down.) This morning, the Krups, well, krupped out. So, it's time for a decent pump machine.
I don't want to spend a fortune, because I generally drink tea during the week and coffee occasionally - mostly coffee on weekends. Oh, and I need it to be easy. I do have a good burr grinder so would prefer not to use pods.
Video: The Handpresso in Action
International Home and Housewares Show 2008
Nomadic Espresso: The Handpresso
Have you seen the Handpresso? It's a marriage of a bicycle pump and an espresso machine - two very functional items that obviously belong together. Right? OK, maybe not. It's a portable espresso machine that works through a hand-pump. Can you really make a good espresso with a perfect crema with a modified bike pump?
Breville's Die Cast Espresso Machine
We've been talking a lot about coffee since this Bittersweet Baking thing got underway. To celebrate, to keep us awake, and to keep us in our chairs blogging and not running out for lattes, we started brewing our own espresso drinks in the office.


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December 20, 2014
NASHVILLE, Tenn. (AP) -- Tennessee Education Commissioner Kevin Huffman says the Metro Nashville school board's decision to put off approval of a charter school application is a violation of state law.
On Tuesday night, the school board discussed the effort by Great Hearts Academies to open a school on the city's affluent west side. The Tennessean reported that after two hours, the board decided to postpone a vote.
The board earlier denied the application. The State Board of Education then ordered the city to reconsider and approve the charter school.
On Wednesday morning, Huffman issued the state's response, saying the board was now operating in violation of state law and state officials will take appropriate action to ensure that the law is followed.
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Book your room at Asbach Appartements Weimar
Please enter your travel dates.
Weimar apartment with an outdoor pool
Situated in Weimar, this apartment is close to Congress Centre Neue Weimarhalle, Bauhaus Museum, and German National Theatre. Also nearby are Schiller House and Goethe House.
Property Features
Asbach Appartements Weimar provides a train station pick-up service and complimentary wireless Internet access. Other amenities include laundry facilities and conference space.
Room Amenities
Televisions come with cable channels. Guestrooms also feature kitchens, refrigerators, and climate control.Information missing or incorrect? Tell us!
At your hotel
At your hotel
Asbach Appartements Weimar features an outdoor pool, tour/ticket assistance, and an arcade/game room. High-speed wireless Internet access is complimentary. This Weimar apartment also offers multilingual staff, concierge services, and laundry facilities.
- Total number of rooms - 4
- Breakfast available (surcharge)
- Concierge services
- Conference space
- Tours/ticket assistance
- Free Wi-Fi
- Express check-in
- Babysitting or childcare
- Laundry facilities
- Arcade/game room
- Parking (limited spaces)
- Multilingual staff
- Train station pickup (complimentary)
- Outdoor pool
Stay connected
Available in some public areas: Free Wi-Fi
Park your car
Parking (limited spaces)
In your room
- DVD player
- Balcony
- Kitchen
- Refrigerator
- Minibar
- Coffee/tea maker
- Hair dryer
- Hair dryer (on request)
- Desk
- Iron/ironing board (on request)
- Television
- Rollaway/extra beds available
- Cable TV service
- Climate control
- Complimentary newspaper
- In-room safe
- Hypo-allergenic bedding available
- Room service (limited hours)
Eat and drink
Room service (during limited hours) is available.
The fine print for Asbach Appartements Weimar
When you arrive
Check-in time starts at 1 PM
Check-in time ends at 6 PM
Special check-in instructions:
Guests expecting to arrive outside standard check-in times should contact the hotel using the contact information on their reservation confirmation received after booking.
When you leave
Check-out time is 11 AM
How you can pay
Your pets
Pets allowed, Only dogs are allowed
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
- A tax is imposed by the city: EUR 1 per person, per night. This tax does not apply to children under 18 years of age.
- Breakfast fee: EUR 9.5 per person (approximately)
- Self parking fee: EUR 10 per day


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A gunman robbed OK Tobacco store in Mesa about 11 a.m. Wednesday and then fled the scene, police said.
The victim told police the robber displayed a handgun and demanded cash at the shop at 1720 W. Southern Ave. She said the gunman fled in a green or blue Dodge Neon.
Police describe the robber as black, in his mid-20s, about 6-foot-3 and weighing 200 pounds.
He had a distinctive large burn or scar on the top of one of his hands, and wore a light brown hooded sweat shirt and blue jeans.


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The Horny Elves— Futanari fantasy story about a young woman visiting her aunt
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Read the Literotica Story Tag FAQ for more information on these tags.


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- Home
- Government
- Departments
- Parks & Recreation
- Senior Services & Vesper Hall
- 50+ Day Trips
- The Arrow Rock Lyceum Theatre
+myConnections: Engage your community - connect to news, events and information you care about. View more information...
Personalize your online experience to stay up-to-date on news, events and other information.View My Dashboard
Cotton Patch Gospel
Friday, September 26
9:30 a.m. to 6 p.m.
A joyous, musical adaptation of the Gospels of Matthew and John! A gem of musical theater, the story of Jesus is translated into the mid-20th-century American South and considers what might have happened had Jesus been born in Georgia. The Life, death and resurrection are presented with foot stomping fun and exuberant inspiration.
A Christmas Carol
Friday, December 19
9:30 a.m. to 6 p.m.
On Christmas Eve Ebenezer Scrooge undergoes an incredible transformation as he is guided through his past, present and the possibilities of his future. A Christmas Carol's timeless and heartwarming message, dazzling scenery and costumes, and delightful holiday music will get you and your entire family in the Christmas spirit.
Where: 114 High St, Arrow Rock, MO 65320


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Easy to use. The cutting mateiral is great. The potato made ??with it is the biggest hit with the kids. Great also for you to make a potato for hours to watch a movie or see his football team. I'm thinking of buying some more to give to my friends, so I can go to their house and eat batats chips. Small ... Read more
It is so easy as it can be. Great chips in 4 minutes, without any oil and with tase you want. It is not a disadvantage (maybe it is :-) ) but there is space just for chips from one medium pottato. When you close the bowl it is not easy to open it again...but the question is..who cares? :) There is no ... Read more
The chip maker is nicely packaged and, after some experiments, works very nicely! Unspiced potato chips are already tasty, but we added some salt, and paprica powder, which results in 'better than the real thing at home'. The instructions in english are missing - it takes some trying and some repeating ... Read more
Very sharp blade, very easy to slice something (especially potato). It takes about 30 seconds to completely slice one into small chips. It's kinda small, so it's possible to make chips from one potato a time only. While you are preparing the next portion - first one usually already got eaten. Also, after ... Read more
Oh!!! This is a very tasty, simple, and so quickly!!! Different tastes and so helpful (less oil and not to fry). Well that is the knife and Cup, so you can and mix with spices A little bit of melted plastic with strong power ?????????????. should be reduced power, and then just a little longer It is ... Read more
- Excellent healthy chips at home! - great cutter (that thing is SHARP!) - all the parts go together very well, the cooking 'rack' is good, the cutter is good (again, SHARP!) and the little bowl works well too. - very easy to use, and can invent your own flavoured chips! - can be used for foods other ... Read more
- You can make not only potato chips, but chips from anything you want, like apple, mushrooms etc. - Easy to use. There are lots of instruments in the pack. - Cheeps really yummy, especially if you put lot of spices. - It is take too much time to cook one portion of chips. - One load gives you small ... Read more
I was skeptical at first that one could make potato crisps in the microwave, but having used this device for a while now I am impressed. The small mandolin slices the potato and then you microwave in the rack. For a full rack (about 40 chips) I have found that you need to microwave for 10 minutes to ... Read more
The chips are delicious and are much healthier than regular chips it will take some time to find out how long and hot your microwave should be. Don't put in big chips because they will stick together and melt the plastic a bit. The chips are so delicious that this item is to small. You only want more ... Read more
- Easy to use - The build is good enough. I especially love the sharpness of the blade, although I wonder how long it could last - The potato chips are edible and quite good with sauce... but it's rather different than the fried ones. Healthier, though, so it's good for me. - The price could be cheaper ... Read more


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- Study at Deakin
- Life at Deakin
- Research
- Alumni
- Industry and community
- About Deakin
Note: The 2012, 2013, 2014 publications have not been audited.
Jump to: Publications | Grants and Consultancies | HDR completions
2003 External
Blackmore, Jill and Thorpe, Stephen* (2003) Media/ting change: the print media's role in mediating education policy in a period of radical reform in Victoria, Australia, Journal of education policy, vol. 18, no. 6, pp. 577-595, Taylor & Francis Inc, Abingdon, England [C1]
ERA journal ID: 19916 – Scopus EID: 2-s2.0-1642540424
Citation counts: Scopus - 21, Thomson - 14
DRO entry for this publication
1998 External
Kelly, Peter and Thorpe, Stephen* (1998) Parvenu, pariah and tourist : the PhD as a process of becoming in uncertain times, in Lee, Alison and Green, Bill (eds), Postgraduate studies : postgraduate pedagogy, pp. 147-156, University of Technology Sydney, Sydney, N .S. W. [B1.1]
DRO entry for this publication
Blackmore, J., Hodgens, J., Laskey, L. and Thorpe, S.* (1998) "Mediating Change: Self Managing Schools, the Media and Reform", Research in Education Does It Count: AARE 1998 Annual Conference, AARE, Adelaide [E3]
no DRO entry yet for this publication
1996 School of Social and Cultural Studies in Education
Alexander, K.*, Taggart, A.* and Thorpe, S. (1996) A Spring in Their Steps? Possibilities for Professional Renewal through Sport Education in Australian Schools, "Sport, Education and Society", vol. 0, no. 0, pp. 23-46, Journals Oxford Ltd, London [CN]
ERA journal ID: Not matching ERA journal list
no DRO entry yet for this publication
No grants and/or consultancies found or audited – the 2014 HERDC financial return has not been completed or loaded as yet.
No completions found or audited.
DRO to publications collection last synchronised: Saturday 27th December 2014 10:04pm


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.....the personal commitment to Integrity means: Speaking the honest truth at all times, even though it might hurt the listener, and create conflicts for you personally. It also means never to settle for anything less than what you deserve in your relationships with others. Living with Integrity is not easy, because she demands your total commitment to your personal values that must be higher than ordinary. She also expects you to make choices based on what you believe, and not what others tell you to believe. All being said, living with Integrity even for a day is million times better than countless years of life without her. A life with Integrity is the only life well lived, in my view. So go ahead, take that bold step, and live the life with Integrity.
A man who gives his children habits of industry provides for them better than by giving them a fortune.
Absurdities and Anomalies of Life always amaze and amuse me. Shared here are my favorite 21 mind-boggling dichotomies: (i) Only Certainty in this world is that there is nothing Certain, except death and taxes off course, (ii) Only Constant is the Change, (iii) The more you try to impress folks, the less impressed they will be, (iv) The more afraid you become of death, the less likely you wll enjoy life, (v) The more afraid you are to fail, the more likely you will fail, (vi) The more you fail, the more likely you will succeed, (vii) The harder you push for anything, the harder it will be to achieve, (viii) The more available anything is, the less likely you will want it, (ix) The more you learn, the more you realize your ignorance, (x) The more you argue with spouse or boss, the less likely you will win, (xi) The more you try to come close, the farther you will get pushed, (xii) The more choices you will have, the less satisfied you will be with any of those, (xiii) The more connected you get in social network, more isolated you will become, (xiv) The more you talk about your flaws, the more perfect you become in society's eyes, (xv) Peace is the only battle worth fighting for, (xvi) In order to better understand the world, you will have to turn away from it, (xvii) The more the people talk about something, the less they know about it, (xviii) The less someone cares about others, the less he cares about himself, (xix) the more you hate a trait in others, the more likely you are avoiding it in your own self, (xx) Those who can't trust others can't be trusted, and finally (xxi) No matter what it is, at the end of the day, the less is always the more.
And I said to the one who stood at the gate of the year, 'Give me a light that I may tread safely into the Unknown.' And he replied, 'Go out into the darkness and put your hand into the hand of God. That shall be to you better than light and safer than a known way.'
Associate yourself with men of good quality if you esteem your own reputation for 'tis better to be alone than in bad company.
Being a child is horrible. It is slightly better than being a tree or a piece of heavy machinery but not half as good as being a domestic cat.
Blade You better wake up. The world you live in is nothing but a sugarcoated topping There is another world beneath it. And if you want to survive it you better learn how to PULL THE TRIGGER
Brooklyn and Jersey have a lot in common. People make fun of both and those who know better let them.
Business strategies can interestingly be assimilated with medicinal drugs. There are no better or worse strategies. There are only adequately adopted business strategies or inappropriately selected and implemented strategies.
Class has a sense of humor. It knows that a good laugh is the best lubricant for oiling the machinery of human relations. Class never makes excuses. It takes its lumps and learns from past mistakes. Class bespeaks an aristocracy unrelated to ancestors or money. Some extremely wealthy people have no class at all, while others who are struggling to make ends meet are loaded with it. Class is real. You can't fake it. Class never tries to build itself up by tearing others down. Class is already up and need not attempt to look better by making others look worse. Everyone is comfortable with the person who has class because he is comfortable with himself. If you have class, you've got it made. If you don't have class, no matter what else you have, it won't make up for it.
Creation and cultivation of Beauty doesn't happen without tremendous Endurance. True Beauty is often emerged out of Chaos and Turbulence. Look at the eruptions of Volcanoes and shaking of Earth that give birth to beautiful mountains and scenic lakes. Think of those amazingly attractive Stalactites formed only after continuous erosion by slow dripping water. Something far superior, magnificent, better and beautiful always appears out of otherwise ordinary - only after enduring the colossal Chaos, frightening Fury, traumatizing Turbulence and disturbing Disorder within the stagnant Status Quo. That's the reality of life! So, accept and endure the changes, no matter how chaotic, stormy and irrational they may seem to you today. You are chosen by Supreme Powers to Create and Cultivate the Beauty, something that never existed before – only through your exceptional Endurance. And I am sure that you will, my friend, pass this test with flying colors. You've done it before, and you'll do it again. Go on, and break a leg!
Creativity is so delicate a flower that praise tends to make it bloom, while discouragement often nips it in the bud. Any of us put out more and better ideas if our efforts are truly appreciated.
Day does not forestall nightmares - Night is not needed for dreams - There is no better time than here - No better place than now -
Difficulties in life are opportunities to better things; they are stepping stones to greater experience. Perhaps someday you will be thankful for some temporary failure in a particular direction, When one door closes, another always opens
Documentation is like sex: when it is good, it is very, very good; and when it is bad, it is better than nothing.
Donnie Brasco Forget about it is like if you agree with someone, you know, like Raquel Welsh is one great piece of ass, forget about it. But then, if you disagree, like A Lincoln is better than a Cadillac Forget about it you know But then, it's also like if something's the greatest thing in the world, like mingia peppers, forget about it. But it's also like saying Go to hell too. Like, you know, like Hey Paulie, you got a one inch pecker and Paulie says Forget about it Sometimes it just means forget about it
Far better it is to dare mighty things, to win glorious triumphs, even though checkered by failure, than to take rank with those poor spirits who neither enjoy nor suffer much, because they live in the gray twilight that knows neither victory nor defeat.


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Workshop Critical Issues in Mathematics Education 2007: Teaching Teachers Mathematics
Show All Collapse May 31, 2007
Thursday01:25 PM - 02:15 PM
Learning Mathematical Knowledge for Elementary School Teaching at the University of Michigan
Mark Hoover (University of Michigan), Laurie Sleep
Workshop The Mathematical Knowledge for Teaching (K-8): Why, What and How?
Show All Collapse May 26, 2005
Thursday05:25 PM - 05:50 PM
Consolidation in Whole Group--What Mathematical Knowledge or Skill is Required to do this Work?
Mark Hoover (University of Michigan), Laurie Sleep
Personal Profile of Dr. Mark Hoover
Dr. Mark Hoover
Research Scientist
Department of Mathematics
|Start Date
|End Date
|Educational Advisory Committee
|Jun 25, 2014
|Mar 01, 2018
|Start Date
|End Date
|No Memberships


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- Posted August 22, 2014 by
- luxedesign Follow
This iReport is part of an assignment:
Tech talk
verizon fios customers experiencing odd outages in nyc, nj, baltimore, dc, dallas, florida, la, atlanta, n. carolina
The problem is basically part of a larger more dramatic problem with Verizon's FiOS network. Did you have a server or website go away, and not come back for a while? Thanks to another network operator, I have been able to piece this all together, and it's not good for Verizon customers.
The issue lies within a larger issue, apparently back in May, Cogent / L3 pushed a new routing table to all network operators / providers which accidentally exceeded the memory size footprint acceptable to most routers, causing a router meltdown and an alert from Cisco among other things. The same issues I was and still am experiencing with timeouts and fails on my traceroutes happened to people on nearly all Internet services, however most providers repaired their routing tables immediately. Apparently, large numbers of specifically FiOS / Verizon users, who live in several large geo-specific regions are still having severe and ongoing problems relating to the issue specifically –Baltimore, NYC, NJ, DC Metro, Los Angeles, Florida, Dallas, Atlanta and North Carolina.
It seems that my ticketing the issue, helped Verizon to identify one of the affected routing issues within their own networking that was still un-repaired, that said the issue still was and is occurring on Verizon's network. It has nothing to do with trace or latency or ftp timeout or my modem or whatever else – it's basically that a large amount of routers on the FiOS network are experiencing routing issues, but Verizon doesn't know which routers need table updates, and which ones don't seemingly, and those routers being spread across the nation is another factor.
The result of this problem, for me was I was being forced to wait, and wait, and wait until finally the network operation times out, hopefully bumping my IP transaction over to an unaffected router. Often, that did not happen - resulting in massive packet loss and minimally high latency time but more like total disapparance of an outside world - the internet.
Now, I am debating if I want free and clear out of my FIOS contract, but I am worried about what happens if I cancel it because so far, Verizon support refuses to admit that they failed to provide me internet – I'll end up in collections with a balance and it will be on my credit. Many people are locked in this situation, and because it's a ridiculous situation to have a contract of service violated by the provider, we should all be allowed a legal out is my guess.
It's part of the larger Net Neutrality thing that Verizon probably does not wish to disclose that they've got a problem publicly to it's customers - given ongoing support of anti-net neutrality, it looks really bad to me, that you support something in interest profit wise like market-value rates for faster speed of an IP transaction, meanwhile at the same time you know you're failing to provide your customers internet access in many markets, much less internet at a speed acceptable to consider internet access at all.
If you believe you are affected by the problem, please note the contact points I am providing: For Customer Service, Debbie Blong in Verizon Executive Customer Care at (855) 319-5955 extension 444-0620 and for support and ticketing of the issue please e-mail the email@example.com - Make certain that you identify the issue as being related to issues ongoing with ALTER.NET - I note that your issue may or may not be ALTER.NET related ultimately so ask questions for a reply if you are unsure on determining if an issue you are having is this issue BEFORE you contact these people please - but I want Verizon support to be able to find a way to document all users reporting a problem finally and this helps Verizon.
I received a partial credit for internet service for three months, I believe it should be more, but my concern is for everyone else too, it's crazy how big the brownout is compared to how many individuals are aware of it at all.
- technology,
- ces,
- trends
- Tech and science
What do you think of this story?
iReport welcomes a lively discussion, so comments on iReports are not pre-screened before they post. See the iReport community guidelines for details about content that is not welcome on iReport.


text:
Well this post is about seven days late, but not a dose-of-ab-inducing-awesomeness short. Don't you worry.
My colleague and fit-buddy, Melissa, brought me onboard for her November "Abs Challenge", and you know I can't turn down a monthly goal. The first week's focus: the kitchen & the cardio workout.
It's a pretty common misconception to think that you're 1,000 crunches away from a six-pack. Rather, those abs may never been seen if you don't tackle nutrition and cardio, too. Core strength can be achieved in a variety of ways, but if you want visible results you have to take it a few steps further.
Exhibit A: the interval workout.
I've spent more time with the 6-lane oval in the past 6 months than I have in the past six years. (But it's worth noting that you certainly don't have to run in ovals to get in a quality interval workout!) With any interval/speed workout, make sure you give your muscles a proper warm-up with some walking, jogging, strides and/or plyometrics (depending on how much/fast you intend to whomp yourself). Then, hop to it!
If you're training for a race, have your goal-pace in mind (goal race pace = GRP). If you're just out working on your fitness, go by feel and your level. Ex: recently raced a 10K for the first time? Go for that 10K pace by feel. Turn the hurt up a notch for the 800s (GRP – 30 seconds). Something comfortably hard. Don't be all chatty during that 1 mile or any of the 800s, but don't reach that finish-line-puke-threshold level.
Cool-down. Recover. Refuel!
Now that we're in the kitchen, we have Exhibit B: Quality Carbs.
Newsflash: most people eat plenty of carbohydrates! Rather, most people eat them in excess. And the body is so used to this that is has plenty of mechanisms in place to put the extras away for later. In case we, you know, randomly go into starvation mode or suddenly find ourselves with NO FOOD ANYWHERE or maybe decide to hibernate. All of which are such unlikely circumstances today that what actually happens is we store layer upon layer upon layer of extra carbs. Some of it can be found in the liver and muscles for quick use, but because those stores are pretty full, too, guess what's next? Your belly!
And your abs don't take precedence here. They hide in the shadows.
So, rather than pile on the extras, let's hop on nature's carb party! If your goal is to build lean body mass (muscle), shift your focus to natural sources of carbs and leave it at that. They happen to also be full of fiber and water, so you fill up pretty quickly! We're looking at things like squash, potatoes, fruit, beans and legumes. And did you know some nuts have carbs, too? YEP. See, plenty of nutrient-dense options!
These are just a few of my personal favorites:
Ready to join? It's okay if you're late, too. Check out Melissa's posts for some more food & workout ideas, and let us know if you're in!


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Recent articles and videos from news sources that mention the California Chamber of Commerce (CalChamber.)
Lawyers Work OT on Lawsuits
The business community, in general, has opposed PAGA from the outset, said Jennifer Barrera, a California Chamber of Commerce policy advocate for labor and employment issues. "Certainly California is unique with its labor code requirement anyways, but PAGA itself is detrimental to businesses," she said. "For our members, one of the most consistent complaints is PAGA."(Los Angeles Business Journal 11/10/14)
California Enacts Changes to State Rainy Day Fund
Allan Zaremberg, president of the California Chamber of Commerce, said that much like the inevitability of death and taxes, "in California we can talk about droughts and economic downturns."
"We get shortages of water and shortages of government revenues for necessary programs," Zaremberg told The Associated Press in a phone interview.
(The Associated Press 11/05/14)
Proposition 2 Will Prevent Boom-and-Bust California Budgets
Boom-and-bust revenues have led the Legislature to expand ongoing programs with one-time revenues. When the inevitable economic downturn hits, those programs are cut – and enormous pressure builds to raise taxes. Fortunately on Nov. 4, California voters can reboot the budget process by approving Proposition 2.
(Allan Zaremberg in The Sacramento Bee 10/10/14)
2014 CFO of the Year - Nonprofit/public agency: Larry Dicke, executive vice president/CFO, California Chamber of CommerceLarry Dicke loves to tell his employees at the California Chamber of Commerce that Cash is King. (Sacramento Business Journal, 08/01/14)Gov. Brown To Chamber Of Commerce: 'California Is Definitely Back'
Gov. Jerry Brown presented a robust defense of his record over the last three-and-a-half years during a speech to California business leaders Wednesday, promoting his efforts with education, pension reform, workers' compensation, criminal justice and the economy. "California is not sitting on its laurels. We're building," the Democratic governor told about 1,300 guests during an annual California Chamber of Commerce breakfast. "I don't want to sugarcoat our liabilities or our diversity or disagreements. There are plenty. But still, this is an incredible place in which to live."
(Associated Press 05/21/14)
Capitol Alert: Jerry Brown Calls California 'Job Creation Engine'
Gov. Jerry Brown said Wednesday that California is a "job creation engine," defending his administration's handling of the economy and state budget in a forceful election year speech. "California is definitely back," Brown told about 1,300 people at the California Chamber of Commerce's annual Host Breakfast in Sacramento.
(The Sacramento Bee CapitolAlert 05/21/14)
Fresno Business Owner Wins CalChamber Award
Scott Miller, owner of Gazebo Gardens Nursery in Fresno, was awarded by the California Chamber of Commerce for his advocacy on behalf of businesses.
(Fresno Business Journal 05/20/14)
Dem Duels Echo an Old Conflict
Each year, the California Chamber of Commerce publishes a list of several dozen bills it calls "job killers," targeting them for defeat or severe amendment.
(Dan Walters in The Sacramento Bee 05/19/14)
Two Assembly Democrats Announce Plan to Close Proposition 13 Loophole
An unlikely duo of Democratic Assembly members -- one a business-friendly moderate, the other a stalwart of the far left -- will unveil a proposal Tuesday to close one of most notorious, and legal, tax loopholes associated with Proposition 13. "When real property truly has a change of ownership, it should be reassessed in accordance with Prop 13 and these amendments will bring clarity and certainty to commercial real estate transactions and ensure compliance with Prop 13," Allan Zaremberg, president and chief executive of the chamber, said in a statement.
(Los Angeles Times 05/13/14)
New Law Supports Job Creation in California's Space Industry
Recently, Gov. Jerry Brown signed AB 777, by Assemblyman Al Muratsuchi, D-Torrance, a bill that will help ensure that California creates a competitive environment and jobs within the emerging multibillion dollar space travel and supply industry.
(Allan Zaremberg in the Los Angeles News Group 05/10/14)
Editorial: More 'Job-Killer' Bill
Jobs and economic growth continue to be the public's clarion call, but you wouldn't know it by looking at the legislation being pushed in Sacramento. The California Chamber of Commerce has released its annual list of job-killing legislation, which includes 15 bills from this year and 11 holdover bills from 2013.
(The Orange County Register 04/28/14)
Civics and Business: Business Relies on Population Educated in Democracy
Why should business leaders and innovators care about civics education? After all, consumers don't need to be voters to engage in the economy. A worker's aptitude for the job won't be measured by knowledge of the Constitution.
(Allan Zaremberg in the San Jose Mercury News 04/26/14)
Chamber of Commerce Targets 'Job Killer' Bills
"The economic recovery is still the No. 1 issue for Californians," said Allan Zaremberg, the chamber president. "These bills pose a serious threat to our economy and, if enacted, would dampen job growth."
(Los Angeles Times 04/13/14)
State Chamber Lists Job-Killer Bills
The bills, which range from a paid sick-leave mandate to an oil extraction tax, would each place excessive burdens on businesses in the state, the chamber said.
(Los Angeles Business Journal 03/09/14)
California Oil Extraction Tax a Bad IdeaWe must make protecting California jobs, the state's fragile economy and our way of life top priorities. An oil extraction tax will drive up consumer prices, push jobs away and upset a fragile economy that is showing strong signs of life. (Allan Zaremberg in the San Francisco Chronicle 03/11/14)
Long-Serving Cal State University Trustee DiesHauck used his experience in the public and private sector as a platform to promote better public policy, said California Chamber of Commerce President and Chief Executive Allan Zaremberg, a friend and close associate of Hauck's for many years. "He had a passion to improve and make government work better for everybody," Zaremberg said. "No place was that more evident than his dedication to improving the California Sate University system and have it deliver the best product and best value for students." (Los Angeles Times 03/11/14)
2014 Looking Tough For Employers: Calif. Chamber GCCalifornia employers are facing an increasingly complex legal and regulatory environment that adds to their compliance burden and raises the likelihood that they will, at some point, face litigation, the California Chamber of Commerce's general counsel told Law360 in an interview Monday. (Law360 03/04/14)
How Businesses Can Defend Against Cyber Risks"Prevention is the best medicine. Not only does the guide provide useful information to reduce the threat of cybercrime, it highlights the need to be proactive in preventing data breaches. This is good for California businesses and consumers," Allan Zaremberg, CEO of the California Chamber of Commerce, said in the news release. The Chamber helped produce the report. (Sacramento Business Journal 02/27/14)
State Sen. Evans Proposes Oil Extraction Tax for California"We just raised California taxes by $7 billion a year for seven years. We now have a projected $5-billion surplus," Zaremberg said in a statement. "To create a new tax on oil only extracted in California will drive up the price of California oil, which constitutes about 40% of the California gasoline market. " (Los Angeles Times 02/19/14)
Hong Kong Trade Commissioner Makes Sacramento Pitch Hong Kong has become "an ideal showroom for…American companies to raise the profile of their goods to an increasingly affluent and brand-conscience Mainland middle-class," said Leung during a luncheon hosted jointly by the California Chamber of Commerce and San Francisco's Hong Kong trade office. (Sacramento Business Journal 02/17/14)
Justice Delayed: The High Cost of Court CutsDelays affect both employees and employers, said Allan Zaremberg, president and CEO of the California Chamber of Commerce. (Sacramento Business Journal 01/17/14)
Obama Names L.A.'s Maria Contreras-Sweet to Head SBAAllan Zaremberg, president of the California Chamber of Commerce, said Contreras-Sweet "has a lot of experience in both government and the private sector about what it takes to make a business succeed." (Los Angeles Times 01/15/14)


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Rincon Puerto Rico
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Kauai Deals: Fall 2014 Specials
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Instant Getaway Package: A Romantic Travel Deal to the Hilton Marco Island Resort
WEBSITE Instant Getaway Package: A Romantic Travel Deal to the Hilton Marco Island Resort is a vacation deal that gives you perks like romantic meals, complimentary dinners, late check-out and more! It's discount honeymoons offer that gives you Marco Island's best from the gorgeous Hilton Marco Island Beach Resort & Spa. MORE
Explore Honeymoon Packages in Aruba
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Special Offers at the Jewel in Jamaica
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text:
Viewing entries tagged with 'smith'
Player news - Gasnier and Smith
GASNIER set to return; Smith to captain Storm for the remainder of the season...
GB squad v France - Smith names new faces
EIGHT debutantes and eleven Tri-Nations tour survivors in Tony Smith's first GB squad for the match against France to be held at Headingley on Friday 22 June.
Morley to captain Great Britain on 22 June
GB coach Tony Smith hands Adrian Morley the captaincy for the mid-season test against France to be held at Headingley on Friday 22 June - will name the rest of his squad on Tuesday.
Tony Smith press conference
RFL makes Press Conference footage announcing Tony Smith as new GB/England coach available online.
Smith told to aim high
RFL boss Richard Lewis tells new GB/England coach Tony Smith to aim for the top of the world.
GB Lions turn to Tony Smith
LEEDS' Tony Smith appointed Great Britain coach for the next two and a half years, and will guide England during the 2008 World Cup.
Knights name side to face Bulldogs
KNIGHTS duo, James McManus and Terence Seu Seu will make their NRL debuts this Sunday when Newcastle hosts the Bulldogs at EnergyAustralia Stadium. Coach Brian Smith announced a 19 man squad for the season opener today, featuring seven new faces in the
« Previous 1 2 3 4


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5 Dumbest Things on Wall Street This Week: March 15
3. Best Buy's Bandwagon
Congratulations Best Buy (BBY). Now that your stock has eclipsed $20 a share, Wall Street thinks it's a "buy" again.
Too bad they didn't come to that epiphany two months and eight points ago.
Shares of the electronics retailer popped 1% to $20.25 Tuesday after Goldman Sachs became the latest investment bank to jump on the Best Buy bandwagon. Goldman analyst Matthew J. Fassler upgraded his rating on the company to a "buy" from "neutral," slapping a one-year $25 price target on the stock."BBY remains in a challenged position, selling big-ticket commodities against lower-cost online competition. That said, we expect cost controls to aid profitability, and our estimates are now positioned above the Street for 2013-2014, even assuming ongoing gross profit declines," wrote Fassler. Yeah, it's hardly a glowing review. Essentially Fassler is saying he expects the new management's austerity program to work at Best Buy, even if something similar is causing a revolution in Southern Europe. Actually, what he is really doing is kicking himself for not pulling the trigger at the start of 2013 when the heavily-shorted stock (about 14% of its shares) was trading below $12. Now that it's been squeezed higher, he's also probably pissed that some of his competitors including analysts at Piper Jaffray and Jeffries beat him to the upgrade in the past week, making his own grand declaration look like a me-too call. "Like other retail turnarounds we have seen, we are at the point in Best Buy's turnaround story where we don't have all the information we would like to understand the reinvention of Best Buy, but nonetheless we sense an inflection point," wrote Jeffries analyst Daniel Binder last Wednesday when he boosted his rating to "buy" from "hold" and his price target to $24 from $13. Come again, Daniel? You "sense an inflection point"? That's hilarious. You sense nothing of the sort. You looked at a stock chart and realized you had to play catch up. Don't worry though. You made your point with us and ahead of Goldman. We suppose that's all that counts.
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text: > View Product Details Please select the size of the product. Please enter valid quantity. Armani white cotton two-button blazer overview details Retail: $695.00 Reduced: $408.99 $408.99 color : White If you're looking for a blazer to make you look dapper and hip, throw on this Armani style for a look that's casually cool. Color: White Mid-weight cotton knit Notched lapel with two-button closure Dual patch pockets at waist and single chest patch pocket Long sleeve with decorative four-button cuff Self-lined Modern fit 100% Cotton; Machine Wash or Dry Clean; Imported; style#323882301