text:
|Name: _________________________
|Period: ___________________
This quiz consists of 5 multiple choice and 5 short answer questions through Part 2: Chapter 10.
Multiple Choice Questions
1. Why was one of Manya's classmates brothers hanged?
(a) Teaching the girls forbidden things.
(b) Speaking Polish.
(c) Refusing to follow the school mistress.
(d) Plotting against Russia.
2. What position does Monsieur Sklodovska accept after his retirement?
(a) Teacher of the poor.
(b) Assassin.
(c) Director of boarding house.
(d) Director of a reform school.
3. What is one of Manya, Aunt Lucia and Hela's favorite activities?
(a) Buying apples.
(b) Telling Polish stories.
(c) Going to Church.
(d) Reading from the Bible.
4. What does Manya find the discussion at her employers' home to be filled with?
(a) Russian loyalty.
(b) Gossip.
(c) Social change.
(d) Intellectual pursuits.
5. Why does Manya stay working as the governess with Casimir's family?
(a) She cannot bear to be away from Casimir.
(b) She wants to convince them to approve of the marriage.
(c) She cannot find another job that pays as much.
(d) The family asks her to stay to prevent scandal.
Short Answer Questions
1. Which of the children has gone to study medicine?
2. What did Mademoiselle Mayer catch Manya and her friend doing that caused a great conflict between the two of them?
3. Where does this story open?
4. Which of the following isn't one of the words Manya picks up on from overheard conversations?
5. What is Manya's personal ambition?
This section contains 254 words
(approx. 1 page at 300 words per page)

subset: commoncrawl


text:
ANIMATIONWorld Luc Chamberland Talks 'Seth's Dominion'
Headline News DreamWorks Animation May Push 'B.O.O.' Release Date
Directed by Tom Wheeler and featuring the voices of Bill Murray and Melissa McCarthy, 'B.O.O.: Bureau of Otherworldly Operations' was set to debut on June 5, 2015.
Headline News Butcher's David Henegar Designs Opening Titles for 'The Guilty Innocent'
BUTCHER's David Henegar collaborates with director Jamie Marshall to design the opening titles for the upcoming feature, 'The Guilty Innocent.'
Headline News 'Cinderella' Trailer Reveals Live Action Remake
Disney releases the first full trailer and a new poster for the live-action adaptation of 'Cinderella.'
Headline News iPi Soft Sponsors Machinima Expo 7
iPi Soft will sponsor Machinima Expo 7 on November 23; the just released iPi Motion Capture V. 3.0 software will be awarded to the grand prize winners of the filmmaking contest.
Headline News Disney Animation, Pixar Promote Andrew Millstein, Jim Morris to President
Jim Morris named President for Pixar Animation Studios; Andrew Millstein named President for Disney Animation Studios.
Headline News Len Uhley to Receive WGAW's 2014 Animation Writers Award
Veteran television animation writer is credited with over 200 television episodes and home videos for Disney, Hasbro, Cartoon Network Studios, Marvel, Warner Bros. and more.
Headline News TBS Orders New Season of 'American Dad!'
Since coming to TBS in mid-October, the animated series has ranked as one of basic cable's top three entertainment programs in the Monday 9 p.m. timeslot with adults 18-34.
Headline News Disney Junior Saddles Up for a Second Season of 'Sheriff Callie's Wild West'
Disney Junior announces a second season of 'Sheriff Callie's Wild West,' an action-packed western for preschoolers starring Mandy Moore.
Headline News PipelineFX's Qube! Brings Performance to Arch-Viz
John McAslan + Partners taps PipelineFX's Qube! to add speed and efficiency to creating captivating visuals.
Headline News PBS Distribution Named Licensing Partner For Baby Genius Brand
Genius Brands International names PBS Distribution as home entertainment licensing partner for the 'Baby Genius' library.
Headline News Three Hayao Miyazaki Films Now Available on Blu-Ray
Disney releases new HD masters of three of the most beloved films directed by the legendary Hayao Miyazaki on Blu-Ray and special edition DVD.
Headline News Meet Sadness and Disgust from Pixar's 'Inside Out'
Disney releases a peek at two of the emotions from 'Inside Out,' the forthcoming feature from Pixar Animation Studios due in theaters June 2015.
Headline News Glen Keane's 'Duet' Launches Globally on Moto X Devices
A celebration of life through the hand-drawn line, 'Duet' is the latest in a series of Google ATAP's Spotlight Stories, interactive short films made exclusively for mobile devices.
Headline News Good Grief! New 'Peanuts' Teaser Trailer Arrives
Headline News Mixtape Club Gets Animated for Google Creative Lab
Mixtape Club and Google Creative Lab celebrate Android's whimsical world in a new multi-platform animated campaign.
Headline News Disney's 'Big Hero 6' Gets Anime Short by Tekken
Disney introduces its latest animated feature, 'Big Hero 6,' in Japan with a music video animated by Japanese entertainer Takefumi Kurashina, known for his emotional flip-book-style anime shorts.
Headline News Turner Sets Sail With 'Toot the Tiny Tugboat'
Turner Broadcasting acquires Lupus Films' new series 'Toot the Tiny Tugboat,' which will premiere early next year on Cartoonito.
Headline News Pixar's 'Toy Story That Time Forgot' Airs December 2
Headline News Digital Domain Delivers Epic Trailer for 'Assassin's Creed Unity'
Digital Domain collaborates with the agency Mistress to create a stylized depiction of the historical action-adventure video game, 'Assassin's Creed Unity.'
Headline News Cubic Motion Appoints Andy Wood as Chairman
Headline News Vicon Tapped to Create Dancing Dinosaur for Live Stage Show
Vicon motion capture technologies help Henry Ford College's Virtual Theatricality Lab enhance the audience experience of its live stage performances.
Headline News Tony Millionaire's 'Sock Monkey' Gets Animated
Animator Matt Danner and comics writer/illustrator Tony Millionaire team up to create a first look at a CG/live-action hybrid film adaptation of 'Sock Monkey: Into The Deep Woods.'


text:
- Programming Language: Tcl ×
Compression Software
Showing page 1 of 1.
Tcl Trf
TclTrf is an extension library to the script language tcl, as created by John Ousterhout. It extends the language at the C-and Tcl-with ``transformer''-commands to encode and compress data. Based on the stacked channels of the tcl core (ability inter4 weekly downloads
MyBackupTcl is a software that allows users (or a system administrators) to create the backup of own files in easy and automatic way. It includes bzip2 compression,GNU PGP,dvd and cd ISO,FTP,e-mail,automatic dumping for mysql,SVN,Trac and much more.1 weekly downloads
Tcl compression driver
Tcl Channel drivers for gzip'd and bzip2'd files. Read and wirte compressed files directly from within TCL. This library allows you to use two new commands (openBzip and openGzip) in your tcl scripts. Since they take exactly the same Options as the st1 weekly downloads
DLD linux system build
to build and install linux and development tools into the DLD device,witch is a linux kernel with many AP (such as dictionary,....).The DLD is digital learning device.0 weekly downloads


text:
South Africa Act Amendment Act, 1958
From Wikisource
|South Africa Act Amendment Act, 1958
|Republic of South Africa Constitution Act, 1961.
(Afrikaans text signed by the Governor-General.)
(Assented to 3rd February, 1958.)
Be it enacted by the Queen's Most Excellent Majesty, the Senate and the House of Assembly of the Union of South Africa, as follows:―
Amendment of section 56 of the South Africa Act, 1909, as substituted by section 1 of Act 51 of 1926, and amended by section 4 of Act 21 of 1932, section 2 of Act 29 of 1933, section 1 of Act 43 of 1935, section 3 of Act 19 of 1940, section 24 of Act 20 of 1940, section 1 of Act 21 of 1946, section 2 of Act 66 of 1951, and section 1 of Act 2 of 1957.
1. Section fifty-six of the South Africa Act, 1909, is hereby amended by the addition at the end of paragraph (d) of sub-section (2) of the words "and not exceeding seven days on which he so fails to attend during any other session".
Short title and commencement.
2. This Act shall be called the South Africa Act Amendment Act, 1958, and shall be deemed to have come into operation on the seventeenth day of January, 1958.
This work is in the public domain because it was created and first published in South Africa and it is an official text of a legislative, administrative or legal nature, or an official translation of such a text.
According to the Copyright Act, 1978, § 12 (8) (a), "No copyright shall subsist in official texts of a legislative, administrative or legal nature, or in official translations of such texts."


text:
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Traveling with a Bad BackOh, my aching vacation. Survival tips for traveling with a bad back—pain-free.


text:
Neither love alone can do it - because it is too much trouble - nor meditation alone can do it, because without love, meditation becomes more like the silence of a cemetery, of a graveyard. It is no longer dancing, it is no longer flowering. Yes, there is peace, but the peace is deathlike - it is not alive. The peace is no longer breathing, the peace no longer has a heartbeat.
My whole life has been devoted to only one single program: how to bring love and meditation together - because only through that meeting a new humanity is possible. And only in the meeting of love and meditation, the duality of man and woman - the inequality of man and woman - disappears.
The women's liberation movement cannot deliver the goods. I am not directly concerned with women's liberation, I am concerned with the liberation of all - because if woman is not liberated, man is also not liberated. They are functioning with each other as the jailer and the jailed; they are in bondage to each other. Neither man is liberated, nor woman - both are living under a slavery imposed by each other in the hope that perhaps if they enslave the other, they will be free. But the other has its own ways of enslaving you.
Only in meditation, in silence, where love blossoms, there is - without any struggle, without any fight - a natural harmony, equality, a natural equilibrium. And when it is natural, it has a beauty of its own.
Dhyan John, you are asking, "Can men get pregnant?" The whole culture, all that is civilization, is nothing but the result of a few men getting pregnant. Every man has the capacity to be pregnant; but very few people take the challenge, move on the arduous path. The woman's pregnancy is only biological. Man cannot be pregnant biologically, but spiritually he can be pregnant. And woman can also be pregnant spiritually as well as biologically.
And you are asking, "Have you been visiting me in the night, Osho?" Dhyan John, do you think I am a holy ghost, making virgin girls pregnant - and now, getting tired of girls, I have started making men, virgin men like Dhyan John, pregnant? I am not a holy ghost - I am not a Christian at all. But it is true, you are pregnant. Feel blessed, rejoice in it! And allow it as much nourishment as possible. It is going to give birth to you - a new you!
Osho,I can sense some mysteries which you never speak of. Is it that we must come in the night and take them? Or are some mysteries simply revealed once we are drowned in them? Beloved, beloved Osho, what does understanding mean?
Devageet, it is true, there are mysteries which I never speak of. Not that I don't want to speak about them, but their very nature is - they cannot be spoken of. You will have to listen to them while I am silent. You will have to listen them between the gaps of my words. Words cannot indicate towards them, but silence continuously shouts about them. You just need the right way of listening - just as you understand a language because you have learned it.
Silence is also a language, the language of existence.


text:
What does PX mean in Astronomy?
This page is about the meanings of the acronym/abbreviation/shorthand PX in the Academic & Science field in general and in the Astronomy terminology in particular.
Planet Xtraterrestrial
Find a translation for PX in other languages:
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What does PX mean?
- post exchange.
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text:
Participate in This Event or find another event
Friday, April 24, 2015
The Church of Covington
PO Box 2539, Covington, GA Map it
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47 teams and 282 participants have raised $24,887.65
Total above may not reflect all participants, teams, and donations
If you have any Relay For Life fundraisers coming up and would like to get the info out please contact our online chair, Ken Galloway, at firstname.lastname@example.com or Chris Jones at email@example.com
Did you miss the Nationwide Volunteer Launch Party Telecast? View it online here!
The American Cancer Society Relay For Life is the world's largest and most impactful fundraising event to end cancer. It unites communities across the globe to celebrate people who have battled cancer, remember loved ones lost, and take action to finish the fight once and for all. Today, with the support of thousands of volunteers like you, the American Cancer Society is helping save more than 400 lives a day. And we won't stop until we finish the fight against cancer! Please join us!
Remember or honor a loved one who has battled cancer with a luminaria tribute bag >>
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text:
Interesting news today, McNulty stepping down,who will take over his 21st CD seat, Hillary's 60th birthday? Should we all be worrying about MRSA?
Have at it.
Interesting news today, McNulty stepping down,who will take over his 21st CD seat, Hillary's 60th birthday? Should we all be worrying about MRSA?
Have at it.
Excessive worry is not good for one's digestion or demeanor ….
And so …
I remember a dude who was worrying a real lot about whether he might catch cancer from breathing in all the bad air down in Albany and he got so caught up in thinking about catching cancer that he stepped off the curb at the wrong time and caught himself a greyhound bus, instead ….
And so ….
It's CHICKENHAWK reality check time ….
U.S. Deaths Confirmed By The DoD: 3835
Reported U.S. Deaths Pending DoD Confirmation: 2
Total 3837
The illegal oil grab like EVERYTHING gop continues to be a MISERABLE FAILURE!!!!!
Support the troops. Bring them home NOW!!!
Comment by 11thWardDem: John Galt ….
I would like you to notice something Mr. Galt.
Take a look at your posts, while usually well-founded in legal "fact†or legislative authority – you clearly don't have an applicable understanding of how institutions work amongst one another in real life.
Of course it would be nice to just pull out the rule book or constitution whenever a conflict arises – but the institutions (both official and unofficial) we have built up in this country don't correspond to all of that mumbo jumbo.
Yes, the rule of law is relevant and important, but doesn't come close to satisfying the populous in its ability to solve important social problems.
New and innovative discussion on how things work on the ground, and how we would like to see them work, applied in a practical manner is the path to resolving social inequities.
Having a sound understanding of the constitution, law, history, and regulations are vital to the goal of advancing society – but they alone do not promote positive change.
No, I would argue they are designed to uphold the agreed upon status quo – even when said status quo may have been illegitimately implemented in the first place.
Three men in a room does not representation make…
JOHN GALT RESPONDS: First of all, dude, I want to thank you for your candor ….
POSITIVE FEEDBACK in here is always a good thing, afterall, and I certainly appreciate it, when I can get some, as is the case right above here with your recent post ….
And yes, it is by design and with intent that my posts are as well-founded in legal "fact†or legislative authority as I can have them be, even though I really do know that here in NYS, the law and the state Constitution are really nothing but a bunch of **** or putty in the hands of the politicians and "institutions" who work amongst one another in real life here in NYS ….
Even though the law and the state Constitution are TOTALLY WORTHLESS here in NYS, still, I am an old-fashioned dude, and so I still cleave to them, much like the Romans who pined for their lost republic after Octavian became Caesar Augustus, and turned their world upside down by becoming their DICTATOR and doing away with the RULE OF LAW, just as Eliot Spitzer is doing here in NYS, right now today …
I have been at this game of politics for some time now, 11thWardDem …
Since the mid-1960′s, actually …
And I am not really naive as to HOW things really do work out there in public here in NYS …
Where the "LAW" you get depends on how much you have to give, as compared to the other person that you wish to screw over …
And if you have no coin here in NYS, the "LAW" you get is absolutely nothing at all ….
PROTECTION, 11thWardDem ….
If you are well-to-do and politically-connected here in NYS ….
You can hook up with a politically-connected lawyer …
And for a sum, you can "PROCURE" for yourself PROTECTION FROM THE LAW …
Or IMMUNITY ….
Not the same as a "get-out-of-jail-free" card …
But better …
A "never-have-to-worry-about-going-there-in-the-first-place" card, instead …
And a SUPERSTAR in that game just happens to be running for District Attorney in Rensselaer County right now as a fellow Democrat of yours, as well as an ANNOITED ONE of Congressman Mike McNulty, Assemblyman Ron Canestrari, and the Working Families Party of Eliot Spitzer and P. David Soares fame, that being Rich McNally, the former Chief Deputy Rensselaer County District Attorney who maliciously prosecuted former Rensselaer County Associate Public Health Engineer Paul R. Plante, P.E. back in 1990-1992 to PROTECT a political GOON out here who ran Plante down in a hit-and-run assault on Liberty Lane in the Town of Poestenkill, Rensselaer County on December 20, 1989 …
Rich McNally IS POLITICAL REALITY here in NYS, as you would see it, I think, 11thWardDem, and here I would have to agree with you …
The POLITICAL REALITY represented by Rich McNally and expressed by yourself so eloquently in here is that the "LAW" in NYS is on the side of those who can afford to buy the "LAW" …
And we countryfolks out here in Rensselaer County personally had that point made to us in spades by a federal court judge here in Albany in 2005, who ruled that "PROTECTED PEOPLE" in NYS, which is to say, those who could afford to "purchase" PROTECTION from the law in NYS, really were immune from prosecution for violating the law, IF THAT POLITICAL PROTECTION AFFORDED TO THEM BY POWERFUL PEOPLE SUCH AS ELIOT SPITZER WERE TO HAVE ANY REAL LASTING AND IMMUTABLE VALUE AS A MARKETABLE COMMODITY HERE IN NYS …
Here's the facts supporting that federal decision, 11thWardDem …
Read them and you will see what I mean, and why, in reality, I really do agree with you, that in NYS, the law and the Constitution really are nothing but a bunch of pure BULL ****, despite the fact that I still do post the law in here, as it was written ….
And so …
On May 22, 2001, Jeffey Pelletier was issued a sewage system construction permit by the County of Rensselaer.
On July 7 (2001), PLAINTIFF (Paul R. Plante, P.E.) conducted an investigation of defendants Aiken (engineer) and McGrath's "deliberate falsification of inspection data and fraudulent submissions†resulting in the issuance of the Pelletier permit.
During PLAINTIFF'S investigation, Pelletier assaulted him.
On August 9 (2001), defendant Reiter (Rensselaer County Director of Veterans' Services) warned PLAINTIFF (Plante) to "back off†the Pelletier investigation because he (Pelletier) was a "protected person†in the county.
On August 17 (2001), defendant Jimino (Rensselaer County Executive) allegedly phoned PLAINTIFF (Plante) threatening to harm him if he did not stop his investigation.
Thereafter, he claims that Jimino conspired with Cybulski (County Director of Community Services) to obtain a fraudulent involuntary commitment order and a medical certification from Samaritan Hospital.
end quotes
Jeffrey Pelletier was in fact a PROTECTED PERSON in Rensselaer County ….
And WHO guaranteed that FACT was none other than your man, Eliot Spitzer ….
Back when he was still "making his bones" as NYS AG …
And so …
YOU WIN THE POINT, dude …
I must defer to your superior knowledge of how REALITY really does function here in NYS ….
Despite any laws to the contrary ….
And despite OUR Constitution …
And so …
Let's have a discussion about The Thruway Authority, shall we?
Why are the Pataki hacks, like the CFO, John Bryan, still there?
Mr. Bryan has little if any credentials and only has that high paying job because of his work for the GOP Senate and the Pataki Hacks.
Mr. Bryan has NO transportation credentials or academic qualifications or even real experience, unless you consider running the ESDC MIS department real, which I don't.
So when you pay your toll or are stuck in traffic on the Thruway, think of John Bryan — and hope Spitzer replaces him and the Republican hold-overs ASAP.
21st CD is Chris Callaghan's district. He's probably already got enough votes to win.
You can't make this stuff up folks!!
****** CAUTION — Cheney going hunting this weekend. ******
The Poughkeepsie Journal in New York reports that "Vice President Dick Cheney is coming to Dutchess County again to go hunting.†On Monday, Cheney is "expected to leave Poughkeepsie and head to the Clove Valley Rod & Gun Club.†No word on whether the Vice President will be drinking beforehand this time.
Please lord please let there be a first time hunter from the city in the area that can't differentiate between a deer and bloated, drunken pig neocon!!!
crazy callaghan??? almost as asinine a pick as half-termer amadore!!!
It's dillweeds like this whackjob that will guarantee the gop NEVER WINS ANOTHER MEANINGFUL ELECTION for generations!!!
Check out this story. Can anyone name the service that Planned Parenthood regularly provides that the TU did not mention?
Planned Parenthood pays tribute to friend
Staff reports
First published: Wednesday, October 24, 2007
SARATOGA SPRINGS — Planned Parenthood Mohawk Hudson's new center on West Avenue has been formally named after former Republican Mayor A.C. Riley.
The 4,700-square-foot A.C. Riley Center opened in June, but a ribbon-cutting and grand opening with the three-term mayor, project donors and Planned Parenthood officials was held last month.
The facility offers gynecological and prenatal care, sexually transmitted disease screenings and contraception advice for men along with birth-control products for women. Nearly 200 donors contributed $775,801 toward the project's goal of $1 million.
The campaign concludes Dec. 31 and is expected to raise the remaining money. The total project cost $2.1 million and is also funded with proceeds from the sale of old property. The facility was named after the former Saratoga Springs mayor who served from 1990 to 1995 and was recognized as an advocate for women's reproductive health.
Callaghan's got a better chance of taking his singing act on the road.
The Wonkster needs to come out of his bunker.
Galt … C'mon guy ….
Nobody stands by the 1st amendment more than me and I encourage you to try to make as many points as you want but PLEASE shorten your rants a little and show some common courtesy already!!!!
"Please lord please let there be a first time hunter from the city in the area that can't differentiate between a deer and bloated, drunken pig neocon!!!"
This is a perfect reason why the kook-fringe left will never be given the reins of national governance. You can disagree with the VP all you want SJ, lets lay off the assassination talk if you please. Its not funny, even as a lame joke from a spineless, pre-programmed kook liberal.
Who's monitoring this blog anyways? How does that pass through the filter??
MRSA is a treatable condition. When Katie Couric led the CBS Evening News a a little over a week ago with the terror-inducing "New infection worse than HIV," I couldn't even believe it. HIV is NOT curable! MRSA is treatable, first with the antibiotic Bactrim, and, if that doesn't work, it's treated in the hospital with IV vancomycin. Is it pleasant? No. Does it need to be diagnoses correctly? Yes. But do we need the nightly MRSA count on the news? No!!! It's starting to panic people. Everywhere I go–the grocery store, the computer fix-it store, the gym, the gas station–everyone thinks they have MRSA! Wash your hands, people, and maintain good hygiene, and that's the best prevention. That's why so many high school kids have contracted it, because they don't wash their hands or the equipment they use. So it's great that the schools are being disinfected, but it's more important to make sure you tell your kids to wash their hands! This is nothing to panic about.
As you can see from reading the paper, there are bigger fish to fry, as in things we cannot change or cure…
#6… More good form from SJ and TU… making and allowing for a post that calls for the killing of a US Vice President… While my post of a few days ago with instructions on how to cancel your TU subscriptions is nixed… I guess one idea is good for the TU brand and one is not…
#4 – NYTransition
Unfortunately, we are not going to see any turnover at the Thruway anytime soon. Before Pataki left, he loaded the Thruway board (when it went from 3 to 7 members) with more Republican friends. And, all staff, pretty much, serve at the will of the board. So, of course they are not going to fire their friends who've served them well. I believe their board terms are 3 years, but I could be wrong.
There are a lot of Pataki Lackies at the Thruway. The woman (republican hack) who runs the Canal Corporation doesn't even have a college degree, let alone a stitch of engineering experience.
SmokinJoe is the Times Union.
#14 CapDist73
Yikes! It's worse than I thought. Not only is John Bryan a big-time GOP lackey boy, but the head of the scandal-scarred Canal Corp. is lacking even the most basic credential.
Spitzer must ACT NOW!!!
Is gary condit Joe Bruno?
You preach about how all GOP-ers preach hate, and then you write on here that you hope the United States VP gets killed! You are out of your mind!
JJ, Rick, and Odato,
I honestly can't believe that you guys would let that comment go on here!
Nobody called for anyones assassination …. But if dead-eye dick can shoot people in the face and get away with it, turnabout should be fair play!!!
How about Paul Tonko to replace McNulty? I think he would do a pretty good job given his history in the Assembly. He could also represent the rural, more Republican voters given that he is from Amsterdam. Anybody think he has a chance?
Hispanic immigrants are being targeted, often in gratuitously violent attacks by non-Hispanics, because they are thought to carry cash rather than use banks and to be reluctant to report crimes to police, the officials said.
The attacks are occurring with such frequency that police in Prince William County have created a task force, and Montgomery police have assigned a specialized unit to tackle the problem. The crimes are having profound effects in the neighborhoods where they occur, causing some residents to alter their routines…
…Policing experts expressed concern that attacks on immigrants, already believed to be under-reported, might be reported less and less as local police agencies become increasingly involved in enforcing immigration policy.
When did the tu inform bloggers that they would attempt to identify the by using ip addresses?
This was done in today's INSIDER column. I know of no other forums that use ip addresses to make newspaper stories especially since the paper never told users they would be outed. What's up with that?
Don't trick users,send users a notice to their e-mail address and at least disclose your policy.
From JJ: We normally do not check IP addresses or seek to learn the identity of people who comment on any of the Times Union's blogs. However, we do have a policy that people not misrepresent themselves. See the rules of this blog and the site rules. We do, for example, check IP addresses when we have reason to believe that someone is using sock puppets, or multiple identities, which we prohibit and which the blogging community frowns on as unscrupulous behavior.
When the fawning comment regarding Grimm was posted, it raised a similar red flag. Editors discussed this and our feeling was that it was deceptive for a candidate to try to pose as just another Joe Citizen to heap praise on himself, if that was what had happened here. Fundamentally, that is not very different from the problem with sock puppets: using alter egos to decieve the reader into thinking that other people support you or your position. We decided that looking into and reporting on this was a legitimate exercise of our journalistic responsiblity. As we wrote, Grimm says it was a campaign staffer, not him.
16 – NYTransition
Maybe you misunderstood. Spitzer cannot do anything until the current board's terms are up. Unless he wants to rewrite the public authorities law, and invalidate the charter of the Thruway.
Given his current and historic actions, I would not put that past him.
JJ says: "However, we do have a policy that people not misrepresent themselves. See the rules of this blog and the site rules. We do, for example, check IP addresses when we have reason to believe that someone is using sock puppets, or multiple identities, which we prohibit and which the blogging community frowns on as unscrupulous behavior."
The article accuses Grimm (must be a republican?) indirectly of writing the post as you can read below:
"The post by "truthsquad" was suspiciously fawning and reeked of political posturing.
"It was great to see such articulate and dedicated challengers as Mark Grimm and Warren Redlich. Their revelations about the current Town Board were quite interesting."
Turns out that message's "IP" address for that post — which identifies the computer server it came from — matches that of an e-mail sent by none other than Mark Grimm."
SO, WHAT DO WE HAVE HERE. The Times Union had NO evidence and Still has no evidence that Grimm misrepresented himself and he was not accused of being a sock-puppet or having mulitple identities yet the TU did not follow their own stated policy and investigated th IP address and falsely "accused" Grimm (by inference) as he admitted it was not him.
The TU has now tarnished his good name as they "inferred" he was deceitful. Sounds like the TU is inserting themselves into an election, something the media claims they abhor.
It's this kind of sneakiness by the media that the blogging community frowns on as unscrupulous behavior.
Perhaps you care to restate your policy as the editors did not follow their own policy and should NEVER publically OUT someone when they cannot prove their charges. It's slanderous. Instead of falsely accusing a candidate in the newspaper why didn't the "policy" as stated simply not allow the post as the editors can NEVER prove who is typing on a keyboard.
If you don't like the content of the posts ban the IP address from registering on the blog and send them an e-mail stating the concerns, but don't cast a shadow on a candidate – did you follow-up and ask Mr. candidate when he stopped beating his wife?
Tonko-Mayby/MCEnemy-BIG YES.
Paul Tonko would fit in very nicely in Washington D.C.
When he was head of the New York State Assembly Energy Committee he took campaign contributions from ENRON et. al.
A really nice fit indeed.
A long-shot but preferred candidate, however, is Jack McEnemy who was not even mentioned on the list presented in the TU.
Jack has that over-the-hill, out-of-touch City of Albany look that will be really beneficial in Washington.
His old fashioned sport coats will be a big hit on K Street also.
It's no surprise WHATSOEVER that the TU tried to embarass a Republican candidate, in the midst of a campaign.
All the while, rooting all that pesky bias from the newsroom.
Mr. J,
By my reading of the site rules, there is nothing about sock puppetry (puppeteers?). The rules of Cap Con say that it is not allowed.
Where have you, or anyone on this site, stated that IP addresses or identities may be released in a published piece?
Did those campaigns agree to your releasing that information?
Don't get me wrong. I think the real ethical screw up is on the campaign's part. They (OR ANY OTHER CAMPAIGN STAFFER OR REPRESENTATIVE, HINT, HINT) should identify themselves as a matter of ethics.
Having said that, it is pretty disturbing to see you (the TU) publishing this info.
Oh, spare me the phony outrage from the right wing crazies over the Cheney hunting joke. This is the same gang that had a bunch of yuks and har hars over catapulting human beings to Mexico and Cuba.


text:
in the whip rolling up, I don't give a fuck
Roll through my hood, say what's up, they know I'm coming up
Niggas hating all around me,
I keep the 40 tucked
Any problems with you niggas I'll just hit them killers up
We're chillin' bruh, yeah these hoes are feelin' us
You niggas got a shitty swag, that's why them bitches here with us
All black everything, clothes and my whips too
chili bowl
with a chipped tooth
I could still pull these hoes and they would choose me
Sippin' that Patron, blowing weed until I'm woozy
Niggas in the club who I don't fuck with trying to dap me up
Who is you?
Oh, you're doing what?
Oh, that's what's up
Fuck up out my face though
Ace by the case load
Just me and my nigga Pootie Tang and
38 hoes
Chillin' up in VIP, now we're on the balcony
I hold my own, I don't depend on no one to look out for me
Maintain, switch a couple lanes while I blow this tree
When I ride by, hope that ain't nobody notice me
Low key young nigga, yeah I'm livin' good
Low key nigga from the wild and crazy hood
Bitch you know just what it is,
coppin' whips, coppin' cribs
Young Cash baby came February twenty sixth
Extra good how we live, we ain't takin' no more L's
Shoutout to my nigga?
gettin' bread in jail
Gotta eat
, gotta be the nigga with the paper
And them brand new J's, fresh as hell,
I ain't lookin' for no favors
I get mine like a G, bitch I pay the whole fee
Ain't no haggling or trying to make a bargain with me
Got that 650 IR black sittin' good
Was a broke nigga, now I get this money like I should
Got my mama ridin' Mercedez,
send her money for the bills
About to cop another whip, I ain't got no record deal
My brother Cudder,
he just copped a house up in them hills
Stacks on deck, now I'm trying to get these mills
For the glory, and I want it all at one time
This is real shit, there wasn't no corny punch lines
Chip Tha Ripper Lyrics
Overview / Lyrics (see all) / Photos / Videos / News
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from Tell Ya Friends
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in the whip rolling up, I don't give a fuck
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text:
Today's Photo
06 Jan, 2014
By Loop Contributor
Davenport Park in New Rochelle is our favorite place to go sledding. You are starting at the top of the hill and looking down towards Long Island sound with the Throgs Neck bridge in the distance. You can see the Surf Club off to the left and multi-million dollar homes to the right.
Throughout the day families came and went. It is always great when the kids bump into friends on the hill. It is just great to have that much space and freedom, so close to home. Fresh air, exercise and family time. What could be better?
–submitted by Karen Hessel


text:
Co-starring: Not a lot of clothes.
Co-starring: Not a lot of clothes.
As another Tuesday rolls round it's time to bring out another brand spanking new Titty City for you. Get your hands on it after the jump.
There's more to WC than tits, booze and music – just kidding that's pretty much it. We're fucking ace. New titty city after the jump. BOOM!
No-one does Tuesdays like the Waste. Any website you go to in the world you know the Waste will be out-drinking, out-partying and generally out-titting those sissy bastards. So why not go in at the deep end this Tuesday and head after the jump for Titty City number eight eighty! WHAT MORE DO YOU WANT?!


text:
Adjacent to a man-made trout lake where old Hollywood celebrities like Clark Gable used to fish, this five-story, country-style hotel was built in 1962. Renovated in 2009, the property is comprised of...
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Defining Style
An award-winning designer and author of Houses and Rooms takes readers through her decorating inspirations and suggestions, providing guidelines for building, buying or renovating to create the perfect apartment home, in a book with plenty of full-color illustrations. 20,000 first printing.
The award-winning designer and author of Rooms and Houses returns with inspiring ideas for apartment interiors in this lavishly photographed book.
Step into a space designed by Mariette Himes Gomez and you're sure to notice the refined simplicity, clear architectural composition, and thoughtful attention to detail that have made her one of the most respected and sought-after tastemakers in the country. In Apartments, Gomez divulges the secrets of the trade to help you transform even the smallest pied-À-terre into a chic and airy living space. Filled with breathtaking photography, Apartments offers a stunning visual tour of her most elegant designs.
Gomez works with the natural composition of her clients' apartments to highlight each room's assets—such as a Central Park view—and address its deficits, such as the remnants of a previous owner's paint job. From the placement of an antique French cabinet in a 1920s Rosario Candela apartment in New York City to the replacement of mirrored walls in an oceanside deck in Palm Beach, Gomez provides practical suggestions for building, buying, or renovating to create the perfect space. Subscribing to the philosophy that less is more, she reveals how the elements of balance, color, and movement instill flow and harmony in any design.
Whether you are decorating a modest studio or a palatial penthouse suite, Apartments illuminates the world of possibility that unfolds when you let your apartment become your home.
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new to the forum. havent rode a bike in about 20 years.
i am 32 (33 in october) and i am 6' 1" and weigh in right at 300. going to look at bikes this coming weekend.
the two i am most interested in are the Specialized Hardrock Disc and the Trek 4300. Both are about the same in price - a little less the $500. however, having not sat on any bike in over 20 years, i am open to trying any bike.
looking forward to losing to pounds and hitting some trails!
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— filed under: dare:ancient=1, dare:major=1, polygonal masonry, dare:feature=major settlement
Creators: W.V. Harris — last modified Mar 13, 2014 11:57 AM
Contributors: DARMC, R. Talbert, Sean Gillies, Tom Elliott, Jeffrey BeckerCopyright © The Contributors. Sharing and remixing permitted under terms of the Creative Commons Attribution 3.0 License (cc-by).
Ameria, claimed by Cato the Elder as the oldest town in Umbria, was an important center that may have gained Roman municipal status as early as 338 BC, following the Latin War.
city wall, settlement
- See Further: BAtlas 42 C3 Ameria
- See Further: Maraldi 1997
- See Further: Wikipedia, Amelia, Umbria
- See Further: Becker, J. A. 2007. The building blocks of empire : civic architecture, central Italy, and the Roman Middle Republic. Ph.D. Thesis (Classics), The University of North Carolina at Chapel Hill.
- See Further: Plin. HN. 3.114
Barrington Atlas: BAtlas 42 C3 Ameria
The Barrington Atlas Directory notes: Amelia Given the evidence from Cicero's speech Pro Roscio Amerino, the town was still prosperous ca. 80 BC.
Harris, W., DARMC, R. Talbert, S. Gillies, T. Elliott, J. Becker. "Places: 413012 (Ameria)". Pleiades. <http://pleiades.stoa.org/places/413012> [Accessed: December 22, 2014 11:13 am]
{{cite web |url=http://pleiades.stoa.org/places/413012 |title=Places: 413012 (Ameria) |author=Harris, W., DARMC, R. Talbert, S. Gillies, T. Elliott, J. Becker |accessdate=December 22, 2014 11:13 am |publisher=Pleiades}}
- History
Edited by Jeffrey Becker on Jul 13, 2013 07:22 PMadded connection↑ Compare ↓Edited by Jeffrey Becker on Dec 18, 2012 11:13 PMedited description; added references↑ Compare ↓Edited by Sean Gillies on Oct 23, 2012 03:43 PMDARE feature tag fix.↑ Compare ↓Edited by Sean Gillies on Oct 20, 2012 07:37 PMLocation updates and tags from Johan Ahlfeldt's (jahlfeldt) Digital Atlas of the Roman Empire in October 2012↑ Compare ↓Edited by admin on Feb 14, 2012 11:46 PMGlobal migration and reindexing of citations and provenance, February 2012↑ Compare ↓Edited by Sean Gillies on Mar 09, 2011 02:37 PMNew locations, coordinates, and metadata from Harvard's DARMC project. See http://atlantides.org/trac/pleiades/wiki/PlaceUpgradesAndMigrations↑ Compare ↓Edited by Sean Gillies on Jan 14, 2011 02:40 PMDetail text updated from former modernLocation. See http://atlantides.org/trac/pleiades/wiki/PlaceDetailsUpgrade


text: > View Product Details Please select the size of the product. Please enter valid quantity. Gurhan gold and fancy sapphire charm necklace overview details Retail: $9,100.00 Bluefly: $4,549.00 $4,549.00 color : We're sorry. This style is sold out. Gold / Orange / Lavander For nearly two decades, Turkish designer Gurhan Orhan has reigned supreme in the creation of bold, exciting jewelry pieces hand made from pure 24k gold. Color: Gold / Orange / Lavander Fine jewelry 24k gold delicate chain Faceted orange and lavender fancy sapphire stone filled charm; 10 total stones with approximate 8.90cttw Push clasp 17�'' long 2�'' drop from front of neck Charm measures 1�'' wide x 2'' long All measurements are approximate 14 Day Return Policy; returns must be received within 14 days. No returns will be accepted on international orders. See FAQ for more details. 24k Gold / Fancy Sapphire; Imported; style#321157001


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Al-Tamimi, Yahia Z. MD*; Sinha, Priyank MRCS Ed*; Chumas, Paul D. FRCS (SN)*; Crimmins, Darach FRCS (SN)‡; Drake, James FRCSC§; Kestle, John. MD¶; and the British Pediatric Neurosurgery Group Audit Committee; Hayward, Richard FRCS (SN)‖; Solanki, Guirish A. FRCS (SN)#; Thomson, Simon FRCS (SN)*; Thorne, John FRCS (SN)**
*Department of Neurosurgery, The General Infirmary at Leeds, Leeds, United Kingdom;
‡Department of Neurosurgery, Children's University Hospital, Dublin, Ireland;
§Department of Neurosurgery, The Hospital for Sick Children, Toronto, Ontario, Canada;
¶Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada;
‖Department of Neurosurgery, Great Ormond Street Hospital for Children, London, United Kingdom;
#Department of Neurosurgery, Birmingham Children's Hospital, Birmingham, United Kingdom;
**Department of Neurosurgery, Royal Manchester Children's Hospital, Manchester, United Kingdom
Correspondence: Paul Chumas, FRCS (SN), Department of Neurosurgery, Level G Jubilee Wing, Leeds General Infirmary, Great George Street, Leeds, West Yorkshire, UK LS1 3EX. E-mail: firstname.lastname@example.com
Received March 13, 2013
Accepted September 25, 2013
BACKGROUND: With the need for transparency of surgical results, 30-day outcome measures have become increasingly important. Ventriculoperitoneal (VP) shunt failure is a substantial burden to patients and health care systems.
OBJECTIVE: This study introduces the 30-day VP shunt failure rate as a possible barometer of surgical outcome and demonstrates its use in a national (United Kingdom [UK]) study and makes comparison with 2 published randomized, controlled trials (RCT).
METHODS: A cohort study of all (except 1) pediatric neurosurgical centers in the UK and Ireland. All new and revision VP shunt operations were recorded for 2008 and 2009. Both newly placed and revised VP shunts were subject to Kaplan-Meier analysis, and 30-day failure rate was obtained. Data from 2 RCTs investigating new VP shunt technology were analyzed, and the 30-day failure rate was extracted for comparative purposes.
RESULTS: The overall 30-day and 1-year failure rates for new shunts were 12.9% and 28.8%, respectively. The 30-day failure rate from 2 RCTs was comparable (14% and 16%, respectively). The failure rate of the subsequent revision of those new shunts was 20.7% at 30 days and 40.4% at 1 year. According to these data, shunt survival appears to be better if performed by a consultant pediatric neurosurgeon for revision surgery only.
CONCLUSION: VP shunt survival in the UK is comparable to the published multicenter data investigating shunt survival. The 30-day failure rate may represent a better barometer of surgical outcome and should be used as a separate outcome measure in the design of future trials.
ABBREVIATIONS: CI, confidence interval
RCT, randomized controlled trial
UK, United Kingdom
VP, ventriculoperitoneal shunt
The treatment of hydrocephalus was revolutionized in the 1950s by the advent of ventriculodistal shunting through a one-way valve. Since then, surgeons and manufacturers have striven to improve the length of time these devices survive, but to date, no valve design has been shown to be superior in a randomized trial.1 Ventriculoperitoneal (VP) shunting remains the most common procedure undertaken by pediatric neurosurgeons, and in the United States, there are approximately 36 000 shunt-related procedures each year at an estimated cost of US$100 million and 400 000 hospital days.2,3 Revision procedures constitute a significant proportion of this. Review of the literature gives an estimate of the 1-year failure rate for new VP shunts of approximately 25% to 35%,4,5 although multicenter data suggest this figure to be as high as 40% to 60%.6,7 Much of the data available are based on single-institution experiences and trials investigating new shunt technology. The survival of shunts at the time of revision or the effects of one failure on subsequent failures are often not included.8
Factors associated with shunt failure can be broadly divided into those relating to the patient, the mechanical design of the shunt, and the surgeon/intraoperative events. Patient factors include the age at the time of shunt placement and the etiology and type of hydrocephalus.4,8-10 Perioperative factors that have been implicated include the number of manual contacts between the surgeon and the shunt prosthesis, duration of the surgical exposure, intraoperative breach of gloves, and accuracy of intracranial catheter location.7,9,11-15 Other surgical factors include postoperative cerebrospinal fluid leak and the case load of the operating surgeon/institution. Reasons for shunt failure include obstruction, mechanical disconnection, infection, and overdrainage.16
There are increasing requirements by regulators and patients/parents for transparency of surgical results.17 To date, there are no comparative national data investigating VP shunt survival. Although historically, shunt survival is assessed at 1-year, the 30-day marker is a time scale often used to judge the outcome of inpatient care but has not been applied to VP shunt survival.17 This could provide further insight into surgical causes of VP shunt failure and help to evaluate the individual causes of failure better, as well as potentially being used as a barometer of individual surgeon and institution standards of care.
The aims of this study were to report VP shunt survival over a 2-year period on a national scale in an unselected population (United Kingdom [UK]); introduce the 30-day failure rate for VP shunt survival analysis; and compare the 30-day failure rate from the national UK data with that from two international randomized, controlled trials (RCTs).
The study period was from January 1, 2008, to December 31, 2009. All pediatric neurosurgical units in the UK and Ireland were given the ability to prospectively upload data on all neurosurgical operations performed in each individual unit to a central database managed by the British Pediatric Neurosurgery Group through the Royal College of Surgeons of Edinburgh portal. Some units would do this monthly and others only at the end of each year before the annual audit held by the British Pediatric Neurosurgery Group.
Anonymous records for all VP shunt operations (insertion of new shunt and revision of preexisting shunt) were extracted from this database. The data from each unit were combined and analyzed. The data collected included the age of the patient, date of an operation, type of operation and subspecialty (pediatric neurosurgeon or not), and grade of the operating surgeon. As the analysis used anonymous data, no specific research ethics or information governance approval was required.
The analysis took 2 forms. The first analysis (new shunt analysis) was for those with newly diagnosed hydrocephalus requiring a new VP shunt during the study period. If no subsequent episodes of shunt failure were recorded during the remaining study period, this shunt would have been recorded as a survived shunt with a survival period to the end of the known follow-up period (December 31, 2009). If the shunt had subsequently failed, this would have been recorded as a failure event. The second analysis (all revisions) included all revision procedures, revision of those new shunts described earlier and those revision procedures on preexisting shunts placed before the study period. Any interim procedures performed between failure of the shunt and placement of another shunt (eg, insertion of an external ventricular drain to treat infection) were excluded. For the purpose of analyzing revision procedures (and in particular, repeated revision procedures on the same patients), all revision procedures were combined in this analysis. For the 30-day failure rate analysis, there is a separate group of revision procedures (labeled first-time revision) that describes the first-time revision of new shunts that were placed during the study period.
Data from two previously published RCTs was reanalyzed to calculate 30-day failure rates.1,18 These data were analyzed for comparative purposes with the current dataset. For the purpose of comparing individual units with the overall cohort, a funnel plot has been constructed for illustrative purposes. Because of the small number of patients available for this analysis when new and revision shunts are considered separately, all procedures were combined for this analysis. For the analysis of type/grade of operating surgeon, trainee neurosurgeons and consultant "adult" neurosurgeons were grouped together and compared with consultant pediatric neurosurgeons. Nine patients had received bilateral VP shunts. Because interpretation of subsequent survival was made difficult by a lack of reference to laterality, these patients were excluded from the new shunt analysis.
The survival analysis was performed using Kaplan-Meier graphs, and the log-rank test was used to test the difference in survival between different types of operating surgeons (P < .05 was considered significant). Survival tables were used to obtain 30-day and 1-year survival and comparisons between pediatric and nonpediatric neurosurgical operations tested for significance with Wilcoxon Gehan statistic (P < .05 considered significant). All patients had 30-day follow-up, whereas patients operated on in 2009 did not have 1-year follow-up because the study ended on December 31, 2009.
Of the 20 pediatric neurosurgical units throughout the UK and Ireland, all (except Belfast) contributed to this study. Table 1 shows the cohorts involved in both analyses.
Figure 1 compares the survival of new VP shunts with those preexisting shunts requiring revision. Mean (95% confidence interval [CI]) survival was 17.4 months (95% CI: 16.8-18.0 months) and 14.3 months (95% CI: 13.7-14.9 months) for new shunts and all revisions, respectively. There was a significantly higher survival rate of new shunts compared with revised shunts (P < .0001). Of the number of revision operations per patient, the mode was 1 operation with a mean of 1.6 operations per patient. There were 124 patients (13.5%) undergoing 3 or more revision operations.
Figure 2 compares the cumulative survival of procedures performed by pediatric neurosurgeons with nonpediatric neurosurgeons for new shunts and all revisions. Significant differences in survival are noted for all revisions only (P = .01).
Table 2 demonstrates 30-day and 1-year failure rates for all data and those comparing pediatric and nonpediatric neurosurgeons separated into the previously described categories of new shunts and all revisions. There is a third analysis (labeled first-time revision) that specifically looks at the first-time failure of new shunts that were placed as part of the new shunt analysis. Figure 3 demonstrates a funnel plot of 30-day failure rate for all procedures. This demonstrates that all units (except 1) were not considered as outliers to the complete cohort.
Table 3 demonstrates the 30-day failure rates from 2 RCTs.1,18
This study has demonstrated that the overall 30-day and 1-year failure rates for new shunts placed in the UK and Ireland during 2008 and 2009 are 12.9% and 28.8%, respectively. The same data for the subsequent revision of those new shunts are 20.7% and 40.4%, respectively. Shunt survival is better if performed by a consultant pediatric neurosurgeon for revision surgery only. The 30-day failure rates are comparable (albeit slightly lower) than the data extracted from two RCTs.
Outcome after shunt surgery has historically been measured by the number of shunt revisions per patient. What has had some impact on the design of trials investigating shunt technology is the introduction of Kaplan-Meier survival analysis to this type of data. Thirty-day mortality and readmission rates are being extensively used by policymakers and health care providers as a measure of outcome after hospital treatment and a potentially modifiable endpoint.17,19 Although reliance on such measures does have its problems, the 30-day endpoint as a barometer of surgical outcome has not previously been investigated in VP shunt analyses and may well be more representative of surgical technique. Nonsurgical factors likely to affect the 30-day shunt revision rate might include the indication for and timing of shunt insertion (eg, the continued presence of ventricular blood) or mechanical factors (eg, valve susceptibility to blockage by debris). The fact that 13% of new shunts and one fifth of revised shunts require further surgery within 30 days of insertion is worrying and warrants detailed analysis as to the cause. The fact that almost half of new shunt failures in the first year occur in this 30-day period also raises questions about the design of trials to assess new valve technology. The 30-day failure rate should be incorporated into the design of future trials investigating both shunt technology and outcome after shunt surgery as a barometer of outcome related to surgery and surgical decision making. One-year failure rate and overall survival analyses may be more relevant for investigating failure due to technical or mechanical failure of shunts (eg, disconnection).
Data from the ESIT (Endoscopic Shunt Insertion Trial) showed that the 1-year failure rate of newly inserted shunts was 34% and 42% in the nonendoscopic and endoscopic groups, respectively.18 This is higher than the 1-year failure rate in the current study. The same is true of the extracted 30-day failure rate (16%). The shunt design trial had demonstrated for newly placed shunts an overall 1-year failure rate of 39% with an approximate cumulative survival of 0.55 (range, 0.4-0.6 depending on valve type) at 2-years with approximately 51% of all children experiencing a shunt malfunction.1,6 The extracted 30-day failure rates are comparable to those of the current study, particularly for the nonstandard shunt valves (11% and 14%, respectively). Both of these international randomized studies had strict entry criteria, and the mean age at the time of new shunt insertion was lower than in the current study, which may explain the slightly higher 30-day and 1-year failure rates in these studies compared with this study. In addition, both of these trials were conducted approximately 15 years before the current study, and so the difference in failure rate may be a result of change in practice over this time. In support of this, the 1-year failure rate of 29.1% in the current study is comparable to that of a more recent large retrospective study (7399 patients) investigating VP shunt survival in a regional pediatric network in the United States (27%).8 Comparable findings were also reported in a comprehensive review of the literature published in 2008, incorporating pooled data from more than 33 000 cases, reporting a 31.3% (95% CI: 25.7-36.8) pediatric shunt failure rate for the first year and 4.5% per year thereafter.19 This meta-analysis looked to determine whether failure rates of shunts had decreased over the years as a result of experience or technical improvements. There were no significant changes in either rate over time, and the authors concluded that progress in preventing shunt failures had not been made over the past several decades (1960-2000).
There is evidence that mortality rates are lower when complex medical or surgical procedures are performed at high-volume centers.12 The same is true for VP shunts.12,13 However, because VP shunt procedures are not, in the large part, considered complex and have a low mortality rate, shunt survival rather than mortality has been used as a barometer of overall outcome.1,20 Supporting this is the observation that mortality is higher after a new shunt rather than revision procedures and so mortality is likely to be influenced by the underlying systemic or neurological disease rather than the hydrocephalus and shunt procedure per se.21 Reoperation is the most important determinant in establishing the true financial and clinical cost of a VP shunt. Although exact caseloads have not been determined in the current study, it would be reasonable to assume that pediatric neurosurgeons do have a larger caseload of pediatric VP shunts than other neurosurgeons (trainees and "adult" neurosurgeons). This is evidenced by the fact that half of the procedures in the current study were performed by pediatric neurosurgeons, despite their representing a minority of the total number of consultant and trainee neurosurgeons that may perform shunt procedures. Contrary to previous reports, the results of the current study suggest that shunt survival is not different for new shunts when pediatric and nonpediatric neurosurgeons are compared.13 Previous studies have given conflicting reports as to whether high annual turnover influences new shunt survival.8,13 In this study, benefits conferred by pediatric neurosurgeons are seen in the revised shunts, particularly those requiring repeated revision. This difference does appear to narrow on the survival analysis at 2 years, but it is difficult to determine whether this is a true narrowing of the difference or a result of the limited dataset at 2 years in the current study. Given that revision surgery constitutes a larger proportion of all shunt surgery (∼1:1.5), the true economic and clinical burden of shunt surgery lies here. This has bearing on the design of future trials that have traditionally focused on the survival of newly placed shunts rather than the effect of a particular shunt type on revision surgery.
A study in the United States demonstrated regional variation in shunt survival even after correction for social and demographic factors.8 Reasons for this are thought to be differences in clinical decision making and possibly access to health care. The results of the current study suggest that this variation does not exist in the UK, with most units lying within 2 SDs of the whole cohort (Figure 3). The single unit that was found to have failure rates lower than this limit did have an older cohort of pediatric patients (median age of all patients, 43.5 months vs 32.1 months for the whole cohort), which may account for the lower failure rate in this unit. With biological data, it is common practice to exclude data beyond 3 SDs of the mean as an outlier. For the purpose of this study relying solely on nonbiological self-reported data, this outlier was not excluded for the analysis.
There are limitations to the current study. Each individual unit supplied operative data, and so prospective collection of the data was not independently verified. An assumption has been made that on any individual patient, a second VP shunt operation after an original record of a newly inserted or revised VP shunt is due to failure of this shunt unless there is a specific reference to suggest otherwise. As is clear from the literature, the definition of shunt failure is not completely straightforward and for the purpose of this study was defined as requirement for further exploration/replacement.22 These are self-reported data from each individual unit, and in approximately half the cases, it was recorded that the surgery was not performed by a pediatric neurosurgeon. However, it is not possible to completely exclude the involvement of a pediatric neurosurgeon in these cases from this dataset. The difficulties in analyzing shunt survival data have already been clearly noted.23 There is evidence to suggest that new shunts behave differently with subsequent revisions, and each subsequent revision within certain timeframes is likely to exhibit different survival characteristics.24,25 This makes interpretation and analysis of such data more difficult. As a result of this, the current analysis separated new and revised procedures, and only the 30-day failure rate was used to analyze first-time revisions of newly placed shunts. Another difficulty is the interpretation of interim procedures such as external ventricular drainage that may have a bearing on subsequent failure rates. They have been excluded for the purpose of this study.
VP shunt survival in the UK is comparable to the published multicenter data investigating shunt survival. The 30-day failure rate may represent a better barometer of surgical outcome and should be used as a separate outcome measure in the design of future trials. A surprisingly high percentage of shunt failures occurs within this 30-day period and represents a significant proportion of the burden of VP shunt surgery.
The authors have no personal financial or institutional interest in any of the drugs, materials, or devices described in this article.
The authors thank all contributing departments of pediatric neurosurgery in the UK and Ireland. Units and data collator: Birmingham, Guirish A. Solanki; Bristol, Ian Pople; Cambridge, Helen Fernandez; Cardiff, Richard Hatfield; Dublin, Darach Crimmins; Edinburgh, James Steers; Great Ormond Street (London), Dominic Thompson; Glasgow, Jennifer Brown; Hull, Gerry O'Reilly; Kings College (London), Chris Chandler; Leeds, Darach Crimmins; Liverpool, Conor Mallucci; Manchester, John Thorne; Newcastle, Patrick Mitchell; Nottingham, Donald MacArthur; Oxford, Peter Richards; Sheffield, John MacMullan; Southampton; Owen Sparrow; St Georges (London), Simon Stapleton. They also thank Helen Forbes from the National Cancer Services Analysis Team for her help and advice regarding the dataset used. The authors thank Dr Richard Feltbower and Dr Roger Parslow (University of Leeds) for their statistical support.
This is an excellent report on pooled data from a large group of specialty centers in Britain and Ireland. The authors report on 30-day and 1-year shunt failure rates for new VP shunt placement and shunt revision operations. The shunt survival rates at 1 year are similar to those of previously published studies, but this article does serve to validate these previous reports. The finding that pediatric neurosurgeons have a lower shunt failure rate after revision surgery is interesting and is reminiscent of similar findings for specialty surgeons performing pediatric brain tumor resections.1
Cormac O. Maher
Ann Arbor, Michigan
1. Albright AL, Sposto R, Holmes E, et al.. Correlation of neurosurgical subspecialization with outcomes in children with malignant brain tumors. Neurosurgery. 2000;47(4):879–885. View Full Text | PubMed | CrossRef Cited Here... |
Hydrocephalus; Pediatric; Ventriculoperitoneal shunt
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"Passionate Read - Provacative"
This has to be one of the best non-fiction books I have listened to. The Devil's Teeth by Susan Casey is a story of unexplicable passion of a writer for her subject - great white sharks. Casey provides insight into her passion as well into the mysterious lives of the earth's largest carnivore. Her story is full of science and passion. Less than 100 miles off of the coast of San Francisco lie The Farallones - rocky crags that jut from the Pacific. These devil's teeth are the home to a breed of biologists whose passions are what most humans would consider evil - killer sharks. Kimberly Farr does a great job in reading, although sometimes a little too much emphasis is placed on some corney attempts at humor. What a subject (sharks). What a setting (the Farallones). What a read!
"World-wide Altruism"
A physician forsakes wealth, fame and love to do what he feels is right: bring medicine to the poorest of the poor. This is an amazing story of true altruism. This is the story of Dr. Farmer, a physician trained at Harvard, who spends every free moment while at school to treat people that could live if they only had a doctor or some medicine. His thought is always of what can he do to save lives and mitigate suffering - and to hell with cost effectiveness. Farmer sees his patients as individuals. He treats their bodies and their spirits. He sees a problem and continues to work to solve it, despite the problems. This book had me continually questioning whether what I am doing is the right thing, or whether I should be working with Dr. Farmer to alleviate tuberculosis in Haiti or HIV in Peru. This is an amazing book about not only the actions, but also about the thoughts of a true humanitarian.
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adios man
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|1 week 1 day ago
|Ten Ninety Imperial Black
Ten Ninety Imperial Black Saison. A 750 is definitely getting the job done.
|1 week 4 days ago
|Great. Now I feel dirty.
Great. Now I feel dirty.
|1 week 4 days ago
|As long as the ring is the
As long as the ring is the sound of $5M+, sure
|2 weeks 20 hours ago
|Losing out might kill Ace
Losing out might kill Ace
|2 weeks 2 days ago
|that's going to be a pretty
that's going to be a pretty epic binge
|2 weeks 2 days ago
|Exactly how I feel. It has
Exactly how I feel. It has been an incredibly interesting listen, but with every passing week, I become more certain that it's going to end with "well, what do you think?" instead a definitive "he's guilty/innocent!", at which point I will be devastated and angry.
|2 weeks 2 days ago
|Exactly how I feel. It has
Exactly how I feel. It has been an incredibly interesting listen, but with every passing week, I become more certain that it's going to end with "well, what do you think?" instead a definitive "he's guilty/innocent!", at which point I will be devastated and angry.
|3 weeks 1 day ago
|You're assuming he wants the
You're assuming he wants the full time gig
|3 weeks 1 day ago
|Samesies! I couldn't login on
Samesies! I couldn't login on the main page with Safari either.
|3 weeks 2 days ago
|Apologies for not making the
Apologies for not making the (admittedly terrible) joke more obvious. Next time I'll put it in neon.
|3 weeks 2 days ago
|Good? No. Goo? Yes. I'd
Good? No. Goo? Yes.
|3 weeks 2 days ago
|i dunno, i think a lot of B1G
i dunno, i think a lot of B1G hires have goo resumes. i'd probably throw hoke into that category.
|3 weeks 4 days ago
|^ spot on Just use the
^ spot on
Just use the references or external links section to find actual articles you can cite.
|4 weeks 4 days ago
|Are you implying that Taco
Are you implying that Taco and Mario are better than Frank Clark??
|4 weeks 5 days ago
|I was also appalled by that.
I was also appalled by that. "Look, I know you just got gang-raped, but telling people would really put a damper on our partying, so let's just keep it quiet, alright?" Great friend, right there.
|4 weeks 5 days ago
|Uh... what? Nobody is
Uh... what? Nobody is villanizing colleges guys for trying to get laid. It's the whole doing it without, you know, consent issue.
|4 weeks 5 days ago
|as of last monday, they
as of last monday, they hadn't even formed the search committee yet for the new AD, so this part seems pretty weird:
Michigan's board of regents met recently and Hackett told the board that he has not found a person or persons that he would recommend the board consider for the permanent athletic director post.
they're going to contract out the search process, like everyone else does these days.
|5 weeks 2 hours ago
|So if I'm reading this right,
So if I'm reading this right, he has no factual basis for knowing the results of a coaching search that isn't underway yet because we still have a coach (for another week or two)?
Oi. Thank god basketball season is underway.
|5 weeks 1 day ago
|I only regret that I have but
I only regret that I have but one downvote to give for this post.
|5 weeks 3 days ago
|While I appreciate his
While I appreciate his enthusiasm, the color guy was definitely taking his commentary to some weird places, capped off by him informing Coach B of his new pet name for Max. It was pretty damn awkward.
|6 weeks 4 days ago
|yup! but it's denard, so...
yup! but it's denard, so... worth it? worth it.
|7 weeks 21 hours ago
|i don't think you smoked
i don't think you smoked enough, actually
|7 weeks 2 days ago
|I'm on board the Movember
I'm on board the Movember train again. Hooray for a month of friends laughing every time they see me and strangers moving to the other side of the sidewalk (seriously, a lady crossed the street the other day when she saw me coming).
|7 weeks 2 days ago
|pretty much just what i said:
pretty much just what i said: that the gears were already turning in the presdient's office to fire DB, but the publication of the emails got them spinning a lot faster. nothing earth-shattering; i think brian has said something to that effect as well.
|7 weeks 3 days ago
|From what I've heard, it
From what I've heard, it doesn't sound like the emails are what got Brandon fired, but they very likely sped up the timeline.
|7 weeks 3 days ago
|jesus... you just showed up
jesus... you just showed up at a knife fight with a nuclear weapon.
|8 weeks 3 hours ago
|8 weeks 1 day ago
|I got into a fight with an
I got into a fight with an ohio fan tailgating before The Game in '05. I'm 5'9" and a buck fifty. It did not go well for me. After getting my face ground into the pavement (literally), I attempted to enter the game but was denied entry since there was still blood gushing from the wound that occupied half of my forehead. After much pleading (you can't make me miss the ohio game in my senior year!), they let me in on the condition that I head straight to the medical tent. Obviously I bee-lined to the student section. Like Shane Morris, I was not going to miss the game because of a probable mild concussion.
|9 weeks 4 days ago
|oh. i didn't realize that was
oh. i didn't realize that was fact.
|10 weeks 3 hours ago
|burn it to the ground. all of
burn it to the ground. all of it.


text:
RealD Appoints Williams-Sonoma CEO Laura J. Alber To Its Board Of Directors
RealD Inc. (NYSE: RLD), a leading global licensor of 3D technologies, today announced the appointment of Laura J. Alber to RealD's Board of Directors, as a Class I director. Alber currently serves as President and Chief Executive Officer of Williams-Sonoma, Inc., and has been a member of its Board of Directors since 2010.
Michael V. Lewis, Chairman and Chief Executive Officer of RealD commented, "Laura is the visionary leader responsible for establishing many of Williams-Sonoma's growth strategies, including expansion of the Pottery Barn brand and launching the Pottery Barn Kids, Pottery Barn Bed + Bath, and PBteen brands. Her proven expertise in brand management and marketing will provide valuable counsel to RealD as we further establish RealD's brand as a global leader in visual technologies."
"RealD is widely known for its premium visual experience in cinema and I see great potential applications for RealD technology across consumer electronics, retail and beyond," said Alber. "I look forward to working with Michael, the other members of RealD's Board of Directors and the senior management team to capitalize on the many growth opportunities ahead."
Alber, who was appointed CEO in 2010, joined Williams-Sonoma in 1995 as a Senior Buyer for the Pottery Barn brand, and since that time, has held numerous brand management and executive leadership roles, including President, Williams-Sonoma, Inc.; President, Pottery Barn Brands; Executive Vice President, Pottery Barn Merchandising; and Senior Vice President, Pottery Barn Catalog and Pottery Barn Kids Retail. Alber has led the company's global expansion as well as its rapid growth and profitability in eCommerce by combining lifestyle brand merchandising with powerful, data driven analytics.She received a B.A. in Psychology from the University of Pennsylvania. Cautionary Note on Forward-Looking Statements This press release includes forward-looking information and statements, including but not limited to: statements about RealD's expectations regarding the changes in its board of directors and management team; statements concerning anticipated future financial and operating performance; RealD's ability to continue to derive substantial revenue from the licensing of RealD's 3D technologies for use in the motion picture industry, as well as RealD's relationships with consumer electronics manufacturers and its ability to generate substantial revenue from the licensing of RealD's 3D technologies for use in the 3D consumer electronics market; 3D motion picture releases and conversions scheduled in the future, their commercial success and consumer preferences; our ability to increase the number of RealD-enabled screens in domestic and international markets and market share; our ability to supply our solutions to our customers on a timely basis; RealD's relationships with its exhibitor and studio partners and the business model for 3D eyewear in North America; the progress, timing and amount of expenses associated with RealD's research and development activities; market and industry trends, including growth in 3D content; RealD's projected operating results; and competitive pressures in domestic and international markets. These statements are based on our management's current expectations and beliefs, as well as a number of assumptions concerning future events. Such forward-looking statements are subject to known and unknown risks, uncertainties, assumptions and other important factors, many of which are outside management's control that could cause actual results to differ materially from the results discussed in the forward-looking statements. RealD's Annual Report on Form 10-K for the twelve months ended March 23, 2012, RealD's Quarterly Report on Form 10-Q for the third fiscal quarter ended December 31, 2012 and other documents filed with the SEC include a more detailed discussion of the risks and uncertainties that may cause actual results to differ materially from the results discussed in the forward-looking statements.
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The evening will feature favorite "gay" songs to which the audience can sing along, surprise guests, and the chance to interact with the boys both on and off of the choral risers. The "Make You a Star" segment of the show will feature audience members who will get complete makeovers and end up starring in the chorus' big production number from the musical Grease!
For more information, and to submit the title of your favorite sing-along songs, visit www.biggaysing.com.


text:
Gates Foundation
Washington State: Bill Gates Is Coming For Your GunsBy: Tim Brown | Freedom Outpost - Everyone knows how former Mayor Michael Bloomberg supports a push towards confiscation of Americans' guns. He's literally thrown millions of dollars behind various campaigns, started organizations and even gotten politicians onboard with going after guns across America. Now, Microsoft founder Bill Gates and his wife Melinda have given $1 million
The CDC, NIH, Bill Gates Own The Patents On Existing Ebola And Related Vaccines: Mandatory Vaccinations Are NearI have previously reported that Monsanto, or Monsatan as many call them, has partnered with the Department of Defense to use a proxy third party company to develop a vaccine against Ebola. The seed money began at $1.5 million. The value of the deal could grow to an estimated $86 million dollars. The company's name
Bill Gates Pledges Another $50 Million To Spread EbolaThe Bill & Melinda Gates Foundation pledged $50 million on Wednesday to support emergency efforts to contain West Africa's Ebola epidemic, which has already killed almost 2,300 people in the worst outbreak of the virus in history. The U.S.-based philanthropic foundation said it would release funds immediately to U.N. agencies and international organisations to help
Bill, Melinda Gates Donate $1 Million To Gun Control CampaignOLYMPIA, Wash. (AP) — Microsoft co-founder Bill Gates and his wife, Melinda, have donated $1 million to a Washington state campaign seeking to expand background checks on gun sales, bringing the total amount the campaign has brought in up to nearly $6 million. The donation to the Initiative 594 campaign was given Friday, but it
Scientists Warn Geo-Engineering Can Kill Billions Of PeopleGeo-engineering is an umbrella term for deliberate climate intervention that includes spraying the sky with aerosols to reflect solar radiation away from Earth in order to cool the planet and to save the environment and humanity from the effects of supposedly man-made global warming. There is evidence that this program has already been implemented for
Bill Gates-Funded Birth Control Microchip (VIDEO)Here's one more for the coming "Internet of Things" — an implantable birth control microchip could hit the U.S. market by 2018 thanks to funding by globalist billionaire and population control enthusiast Bill Gates. The new microchip implant reportedly lasts up to 16 years and can be controlled via wireless remote device, but don't worry;
Agenda 21 For Your Own Good: Global Health Security InitiativeThe genocidal maniacs are at it again. The usual suspects (WHO, UN, IMF, World Bank, US, Rockefeller and Gates Foundations, etc.) have concocted a new scheme which is, quite literally, nothing short of Agenda 21 at the end of a gun, for your own good, of course. It has lovely, soothing and safe-sounding name: the
NY State Hires Bill Gates Firm To Collect Data On All Children (VIDEO)New York state authorities are planning to step-up surveillance - this time, on school kids. The program, which is to be launched state-wide, is supposed to gather information on students starting from the age of five. And as RT's Marina Portnaya reports, the move is finding little support among parents. RT
Gates Foundation/CFR Propaganda Against 'Anti-Vaccine' Movement Backfires"It is well known that in war, the first casualty is truth - that during any war truth is forsaken for propaganda." ~ Harry Browne The war against so-called 'vaccine preventable' diseases has a new frontier: the internet, and most recently The Council of Foreign Relations (CFR) has entered the fray with the publication of
Vaccine Drone Strikes? (VIDEO)The Bill and Melinda Gates Foundation is donating large sums of money to deliver vaccines, via drones. ExperimentalVaccines
Bill Gates Funds "On-Demand" Nano-VaccinesAccording to a press release recently posted by the University of Washington, a new type of vaccine may soon be created that will allow for its immediate creation and application. This new vaccine, however, will be formed by using nanoparticles created from genetically engineered proteins. The researchers, who have already tested the vaccine in mice,
Drones To Forcibly Vaccinate The Public?Bill and Melinda Gates Foundation funds research into UAV vaccine delivery Many were alarmed to learn online retail giant Amazon was considering using drones to deliver products, however a proposed future use for drones is infinitely more sinister and concerning. In May 2012, a team of student researchers at Harvard-MIT Health Sciences and Technology scored
Deadly 5-in-1 Vaccine Kills At Least Eight InfantsBill and Melinda Gates Foundation is funding vaccination program In a press release issued on November 12, 2013, the human rights organization Peoples Union for Democratic Rights (PUDR) stated that between September and October 2013, eight infants had died and many more had been seriously injured after they had received the pentavalent (5-in-1) vaccination. PUDR
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Front passenger side tire shakes violently at high speed. Replaced the entire strut assembly on that side and problem got worse. What could be the more likely problem tie rod, ball joint or control arm.
View questions for:All Chrysler
1994 Chrysler LeBaron
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1994 Chrysler LeBaron Question: My passenger side front tire shakes badly when at high speed.
dwhooveriii, 3.0L V6, Blue Island, IL, March 12, 2012, 14:54
1 Answer
Answer #1VENOMSERVICES March 12, 2012, 18:03Technician
first move the tire to the rear,, see if thats moves the shake? maybe a bent rim.. otherwise, my bet is on the tie rod..
Replydwhooveriii, March 13, 2012, 07:55Rookie
Thanks thought about bent rim but wasn't sure.
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The smoky Cedar Plank-Grilled Salmon stands up nicely to the spicy sweetness of the tropical Mango Kiwi Salsa. Prepare the Mango Kiwi Salsa before the Salmon so the flavors have time to meld.
Cooking Light JULY 2012
1. Soak plank in water for 25 minutes.
2. Preheat grill to medium-high heat.
3. Combine mango and next 5 ingredients (through chile). Add 1/4 teaspoon salt and 1/4 teaspoon pepper; set aside.
4. Sprinkle salmon with remaining 1/4 teaspoon salt and remaining 1/4 teaspoon pepper. Place plank on grill rack; grill 3 minutes or until lightly charred. Turn plank over; place fish on charred side. Cover; grill 8 minutes or until desired degree of doneness. Place each fillet on a plate; top each with 1/3 cup mango salsa.
MyRecipes is working with Let's Move!, the Partnership for a Healthier America, and USDA's MyPlate to give anyone looking for healthier options access to a trove of recipes that will help them create healthy, tasty plates. For more information about creating a healthy plate, visit www.choosemyplate.gov.
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101 Delicious Chocolate Recipe
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America's Best City HotelsSee the sights and sleep well at one of the best city hotels in America.
Where to Eat in MadridWatch out, Barcelona! Anya Von Bremzen uncovers the best new places to dine in the Spanish capital.
Spanish Culinary RevolutionSpain has become a destination for travelers looking for culinary innovation. Anya Von Bremzen visits the restaurants where 10 visionaries are leading the charge
T+L Reports: Robuchon Hits VegasFrench chef Joël Robuchon finds big restaurants too ceremonial. So it's fitting that his first stateside venture, opening next month at Las Vegas's mammoth MGM...