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Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool
Objective To determine the inter-rater reliability of the Institute for Healthcare Improvement's Global Trigger Tool (GTT) in a practice setting, and explore the value of individual triggers.
Design Prospective assessment of application of the GTT to monthly random samples of hospitalized patients at four hospitals across three regions in the USA.
Setting Mayo Clinic campuses are in Minnesota, Arizona and Florida.
Participants A total of 1138 non-pediatric inpatients from all units across the hospital.
Intervention GTT was applied to randomly selected medical records with independent assessments of two registered nurses with a physician review for confirmation.
Main Outcome Measure The Cohen Kappa coefficient was used as a measure of inter-rater agreement. The positive predictive value was assessed for individual triggers.
Results Good levels of reliability were obtained between independent nurse reviewers at the case-level for both the occurrence of any trigger and the identification of an adverse event. Nurse reviewer agreement for individual triggers was much more varied. Higher agreement appears to occur among triggers that are objective and consistently recorded in selected portions of the medical record. Individual triggers also varied on their yield to detect adverse events. Cases with adverse events had significantly more triggers identified (mean 4.7) than cases with no adverse events (mean 1.8).
Conclusions The trigger methodology appears to be a promising approach to the measurement of patient safety. However, automated processes could make the process more efficient in identifying adverse events and has a greater potential of improving care delivery and patient 'outcomes'.
- medical errors
- adverse events
- reliability
- hospitals
Attempts to address the growing costs of health care in the USA have brought increased attention to the issue of safety in medical care, with policies aimed at reducing hospital complications, readmissions and adverse events. Actions have been taken by the Center for Medicare and Medicaid Systems to eliminate payment for selected hospital acquired conditions [1], while some states require that providers publicly report the incidence of the National Quality Forum's list of 28 'never' events [2]. Patient safety advocates have stressed that identifying and reporting adverse events with harm rather than all errors in care would lead to safer environments for patients [3].
The Institute of Medicine defines an adverse event as always associated with 'unintended harm to the patient by an act of commission or omission rather than by the underlying disease or condition of the patient' [4]. Not all adverse events are preventable, nor are they always the result of medical errors. Medical errors are mistakes or failures in the process of care. While they have the potential of being harmful, often they are not linked to patient injury [3]. Moreover, when medical errors do lead to adverse events, many are minor in terms of patient harm.
In December 2006, the Institute for Healthcare Improvement (IHI) leadership announced the '5-million lives campaign' to foster prevention of adverse events. More than 70% of US hospitals committed to active participation, including regular measurement and transparent reporting of their institution's adverse event rates [5]. Voluntary reporting is known to undercount the number of hospital adverse events [6]. Therefore, IHI Global Trigger Tool (GTT) was developed to provide a measurement tool to determine the degree of campaign success. While many hospitals in the USA are employing the GTT, there is a dearth of data regarding actual utility of this tool. The GTT appears to identify more events than other methods, but requires substantial manual effort. Using a combination of Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) and provider-reported events, we reported that 4% of hospital discharges had adverse events. However, when using the GTT on a sample of discharges, over 27% had adverse events [7].
In this study, we set out to evaluate three aspects of utility for the GTT: (1) inter-rater reliability for identifying triggers and adverse events in large academic institutions in geographically distinct areas of the country using the published IHI GTT methodology [8, 9]; (2) frequency of trigger identifications and (3) the predictive ability of the individual triggers to identify adverse events. Academic hospitals of Mayo Clinic in Arizona, Florida and Minnesota were included in this assessment. The project primarily involved physician and nurse reviewer efforts with additional support from research and information technology.
Mayo Clinic, existing in three main practices: Rochester MN, Scottsdale AZ and Jacksonville FL, is a large multispecialty academic health care institution which provides primary care, specialty and subspecialty care, including hospital services, to large patient populations in three geographic regions as well as to nationally and internationally referred patients. This research was approved by the Institutional Review Board covering all three study sites.
Study population
Every 2 weeks at each of the three practices, 10 hospitalized patients were randomly selected utilizing electronic administrative databases. Only patients with complete charts (discharge summaries and coding completed) who had been discharged in the previous 14 days were eligible. Inpatient admissions were included from the psychiatric, physical rehabilitation, obstetric, general medical, specialty and surgical units. Pediatric patients were not included.
Study procedures
A brief review of the medical records of the sampled patients, lasting no more than 20 min, was conducted independently by each of two trained nurses available from a dedicated pool, for the presence of any of 55 'triggers' using the IHI GTT [9]. The GTT review form is attached as Appendix [10]. For the purposes of this study, 'triggers' were defined as sentinel conditions believed to be associated with the occurrence of an adverse event. The identification of a 'trigger' by each of the nurse reviewers led to a further, more exhaustive review of the care delivery near the time the 'trigger' occurred. The occurrence of an adverse event was determined and in cases where an adverse event was identified, the level of harm to the patient was assessed. A physician reconciled the independently recorded triggers and adverse events by each nurse, after assessing the presence of the identified triggers, occurrence of adverse events and the level of harm.
An example of the use of one such trigger is the presence in the patient's chart of an international normalized ratio (INR) greater than 6, which might indicate a blood clotting abnormality. Further review is then performed to determine whether this condition is caused by improper anticoagulation management or by disease progression.
Complete results for chart reviews by two nurse reviewers and a final reconciliation including a physician were required for inclusion in the study. The reviews began in August 2004 and ended in March 2008. The first 5 months of reviews were treated as training cases to establish a working process for ongoing reviews. At two of the three sites reviews were captured for inclusion in the study for an approximate 2-year time period between August 2005 and September 2007. For the third site, reviews were captured between August 2006 and September 2007. Analysis included over five hundred cases at each of two sites and less than two hundred at the third.
Adverse events and harm
The IHI GTT detects adverse events defined as harm to the patient as a result of medical diagnosis or therapeutics, irrespective of error or preventability. Adverse outcomes caused solely by underlying disease or by the intended consequences of treatment were not considered adverse events. Each adverse event was categorized for harm to the patient according to the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) categories [11]. The NCC MERP categories range from A (near miss, no event) to I (adverse event directly contributed to death). For the purposes of this study, we were concerned only with events categorized as E or higher. (See Appendix 2 for definitions of each level of harm.)
Data sources
The data used in this study came from reviews of medical records collected through two main sources: (1) a decision support system (DSS) used to provide demographic, diagnosis and procedure information for each patient hospitalization and (2) a specifically designed web-based data capture tool (Mayo Global Trigger Toolkit) developed not only to allow the uniform collection of data between each of the three sites, but also to streamline the review workflow, reconciliation process and data capture of all evaluations performed by reviewers. 'Cases selected for review were identified for each 2-week period from the DSS.'
Statistical analysis
The unit of analysis for this study was the patient hospitalization. The Cohen Kappa coefficient was used as a measure of inter-rater agreement for all of three groups consisting of each of the nurse reviewers, both with each other and with a physician reviewer. Agreement between reviewers on the presence of a trigger was defined in one of two ways: (1) either both reviewers indicate the presence of the trigger event during their independent review of the patient's chart or (2) both reviewers fail to indicate the presence of the trigger event. All else was considered disagreement. Similarly, agreement on events was considered present if both reviewers determined either: (1) one or more adverse events occurred or (2) no adverse events occurred. Agreement on harm to the patient was determined at the granular level of NCC MERP categories E through I and was considered agreement when both reviewers indicated the same category of harm. In cases with multiple events per hospitalization, the highest level of harm for any of the events was utilized in the analysis.
Kappa statistics were calculated for two-level categorical data (Yes, No) for detection of 'triggers' and adverse events, and weighted Kappa, with weights for degree of disagreement for five-level data (E–I) for level of harm caused by adverse events. Similar analyses were performed overall and for each of the three institutions. It was believed that the same pairs of reviewers would increase consistency in the analysis of agreement between each of the nurse reviewers and the physician reviewer. It was possible, due to low staff turnover and high review volume per reviewer, to designate specific groups of reviewers as reviewer one and reviewer two at one site. This method was impossible in the other two sites due to budget and staffing constraints. At these sites reviewers one and two for each case were based alphabetically on reviewer identification.
Out of 1138 randomly chosen cases from three distinct geographical areas of the country, 307 (27.0%) hospital stays were identified with adverse events after the final review. The percent of cases with adverse events differed significantly between institution (A: 23.1% 95% confidence interval (CI): 19.4%, 27.1%; B: 27.2% 95% CI: 23.4%, 31.4% and C: 37.9% 95% CI: 30.4%, 45.9%) but did not differ significantly by year (2005: 23.9% 95% CI: 20.2%, 27.8%; 2006: 26.7% 95% CI: 20.1%, 34.1% and 2007: 30.4% 95% CI: 26.3%, 34.8%).
Frequency of trigger identification
When comparing the triggers themselves, the frequency of individual trigger selection by reviewers varied substantially with some triggers being relatively common ('anti-emetic use' was identified by at least one reviewer on 364 (32.0%) cases), while other triggers were quite rare. 'Change in anesthetic during surgery', 'intra-op or post-op death', 'maternal/neonatal transport/transfer' and 'pathology report normal or unrelated to diagnosis' were never identified. Additionally, the yield, or the positive predictive value, of individual triggers (the rate at which a trigger was associated with an adverse event) varied. For triggers identified on at least 20 cases, the trigger with the highest yield was 'Return to surgery', where 80.6% of cases with the trigger had an adverse event, while 'X-ray intra-op or in PACU' was identified on 145 cases overall but was associated with only 37 (25.5%) cases with an adverse event. Table 1 provides the frequency and yield for the triggers with 15 or more occurrences. Of the 18 triggers seen from 1 to 14 times, pneumonia onset (11 out of 13), INR greater than 6 (7 out of 11), in-hospital stroke (3 out of 4) and removal/injury or repair of organ (3 out of 4) had positive predictive values greater than 63%.
Association between triggers, adverse events and level of harm
The average raw number of triggers identified per case was higher for those who suffered an adverse event. A total of 3361 unique triggers were identified in the 1138 cases of this study. A total of 1465 (43.6%) of these were identified in the 307 (27.0%) cases with an adverse event. More than 15% of cases with an adverse event had more than seven unique triggers identified versus less than 1% of cases with more than seven triggers among those with no adverse event. In addition, more than a quarter of cases with no adverse event had zero triggers. The mean number of uniquely identified triggers per case with at least one adverse event was 4.7 (median 4) versus cases with no adverse event having a mean of 1.8 (median 1) uniquely identified triggers (P < 0.001). This relationship between the presence of more triggers among cases with adverse events was observed overall for all sites collectively (Table 2), as well as in each site independently.
Of the 307 cases with adverse events, 156 (50.8%) were categorized with E level harm according to the NCC MERP Index for Categorizing Medical Errors. E level harm is classified for events that result in temporary harm that require intervention. A further 126 (41.0%) cases were categorized with F level harm (temporary harm which required hospitalization) and the remaining 25 (8.1%) cases were distributed among G, H and I levels of harm (events that result in permanent harm, require intervention to sustain life and result in death, respectively). Events with E level harm had a mean of 3.75 (median 3) uniquely identified triggers per case, whereas events with F and G or higher levels of harm had a mean 4.83 (median 4) and a mean 10.00 (median 9), respectively, further demonstrating the trend noted above of cases with greater adversity having more triggers.
Inter-rater reliability
Table 3 provides the level of agreement between nurses on the presence of any trigger and the agreement between all reviewers on the presence of an adverse event, both overall and by site. Agreement between nurses was good on both triggers and adverse events with the mean Kappa ranging across sites from 0.53 to 0.73 for triggers and from 0.40 to 0.60 for adverse events. The agreement between each nurse and the physician assessment was higher ranging from 0.65 to 0.77 for the presence of an adverse event. A change in procedure occurred in one of the three institutions in May of 2007. This resulted in a switch from the use of a large group of rotating float nurse reviewers to a smaller group of more highly trained, dedicated nurse reviewers. The result of this was only a small change in the level of agreement between the engaged parties, with all Kappa results different by less than 0.05 before May 2007 and after the change.
The agreement between nurses on individual triggers varied by the type of trigger, with lower levels of agreement on more subjective assessments, like abrupt medication stop (Kappa = 0.23 95% CI: 0.12, 0.34) or over-sedation (Kappa = 0.11 95% CI: −0.02, 0.25) than more objective findings, such as INR > 6 (Kappa = 0.90 95% CI: 0.76, 1.00). Findings were consistent across years (Table 4).
In the subset of cases where both reviewers of each pair of reviewers agreed that there was an event and that there was some at least temporary harm to the patient (NCC MERP Category E harm), agreement on the level of harm to the patient varied. Harm was grouped into three categories as noted above: E, F, G and higher harm. Between nurse reviewers the agreement was low across sites with the Kappa ranging from 0.26 (95%CI: −0.09, 0.62, N = 26) to 0.42 (95% CI: 0.22, 0.61, N = 56), but between nurse and physician reviewer agreement was higher, the Kappa ranging from 0.48 (95% CI: 0.33, 0.64, N = 95) to 0.76 (95% CI: 0.61, 0.90, N = 72).
The GTT was originally developed to provide an easy-to-use method for accurately identifying adverse events (harm) and measuring the rate of adverse events over time [5]. In our experience with the GTT across three geographically disperse locations for up to a 3-year time frame, good levels of reliability were obtained at the case-level between independent nurse reviewers for both the occurrence of any trigger and the identification of an adverse event. The agreement between nurses and a physician reviewer was very good (Kappa = 0.70 95% CI: 0.66, 0.76); however, the physician review was based on the nurse's findings rather than an independent review of the medical record. This level of agreement seen in practice at the three sites over 3 years was actually higher than that reported by reviewers involved with the IHI using records for standardized training, where the Kappa statistics between primary reviewers and physician viewers ranged from 0.35 to 0.60 on their testing records [9]. Interestingly, the good level of agreement in our study persisted even at the site when the reviews were done by a large group of rotating float nurses. With a change in the process to a smaller dedicated group of nurse reviewers, there was only a slight change in the level of agreement between the two groups.
Nurse reviewer agreement for individual triggers was much more varied with the Kappa coefficient ranging from a high of 0.90 (95% CI: 0.76, 1.00) for the INR > 6 to a low of −0.02 (95% CI: −0.03, − 0.02) for other medication issues. The latter is a generic write-in field allowing nurses to add anything else they may have found related to medications. Higher agreement appears to occur among triggers that are objective and consistently recorded in selected portions of the medical record, such as laboratory values, medications given by nurses on the floor and blood products. While triggers with lower agreement tend to be more subjective (over-sedation or procedure complication), harder to detect within a time-limited review (abrupt medication stop or readmission to the emergency department) or recorded in different locations (use of epinephrine/norepinephrine during surgery found in the anesthesia record rather than the medication administration record).
Individual triggers also varied on their yield to detect adverse events. Some triggers were associated with adverse events over 70% of the time (mechanical ventilation over 24 h), while other triggers, although frequent, were not associated with the occurrence of adverse events (use of anti-emetics). The performance of individual triggers is not a focus of the GTT. In fact, due to the likelihood of multiple triggers on cases with adverse events, the GTT may not be affected by the variability of detecting individual triggers. However, to be effectively used as a screen to detect adverse events in an automated fashion, electronic triggers should have high yields with relatively few false positives.
There have been a few reports of use of portions of the total IHI GTT [8, 12] or other adverse event screening efforts [13] Using a computer screening of free text discharge summaries to look for 'trigger words' representing adverse events, Murff et al. [14] found almost 60% of discharges included trigger words, but after a review of medical records, only 45% of trigger words indicated an event. A similar tool used by Brennan et al. [15] resulted in a positive predictive value of 21% after the physician reviewer. These tools were able to increase the number of potential problems identified over voluntary reporting; however, too many false positives make currently published e-tools infeasible for routine screening.
As evidence of the latter, Bates et al. [13] published an evaluation at one hospital over a 4-month period of the 18 criteria which have been used for screening medical records in the Harvard studies to assess the occurrence of adverse events in hospitals. They found that positive predictive values ranged from 15% for hospital readmission to 78% for treatment criteria because of damage subsequent to an invasive procedure. Furthermore, they were able to improve specificity by evaluating combinations of criteria. Szekendi et al. [16] reviewed 493 triggers among 327 hospital discharges in a 3-month period at one hospital and found that the percent of triggers with adverse events identified upon review ranged from less than 10% for four triggers to over 95% for elevated INR values. This study also identified the variable positive predictive value of individual triggers for predicting adverse events.
The GTT appears to identify more events than some other methods. Among 235 randomly selected hospital patients reviewed with the GTT, while 65 (27.7%) discharges had an event with the GTT, only 11 had provider-reported events with harm and three had AHRQ PSI. Additionally, only three discharges had provider-reported events or PSI not found by GTT [7]. A further refinement of the tool may produce a higher yield of adverse event identification and possibly save time in performing the review by allowing it to become more focused. The current methodology involves a random review of completed charts to identify any of the 55 triggers. This study demonstrates that certain triggers are more closely associated with adverse events than others. Rather than a random review of charts, a more focused review on charts known to contain the triggers with high yield (outcomes) could provide greater insight into potential problems with the delivery of care (processes). Developing an automated way to identify triggers combined with chart review would facilitate not only the identification of adverse events, but also permit nurse and physician reviewers to focus on the potential cause of the event rather than the identification of the event itself. Approximately 13% of cases with one identified trigger had an adverse event; the percentage of cases with adverse events increased to 28% with two identified triggers. In general, the more the identified triggers, the greater the number and harm of adverse events. This additional finding indicating a relationship between the presence of more triggers among cases with adverse events requires further research to determine if certain combinations of triggers are more likely to identify an event.
Our study has several potential limitations. The study was performed only at academic hospitals. Generalizations from our study may not apply to community hospitals or other institutions. However, the study was performed by independent teams of reviewers at three hospitals in the Midwest, Southeast and Southwest parts of the USA. Although our medical record review process used two nurses, each case was only reviewed by one physician. Other physicians may have disagreed with the conclusion that an adverse event occurred on a specific case. All nurses and physician reviewers did attend consistent training. It was of note that although the three institutions had significantly different rates of adverse events, they had similar yields of adverse events for triggers and similar inter-rater agreement rates. Third, although we had cases reviewed over 3 years and three sites, sample sizes were insufficient to detect changes in types of adverse events. Fourth, although the GTT process detected a high rate of adverse events, the process required a high level of reviewer resource. Owing to the expense involved, we were limited from further collection. Finally, our study is also subject to the potential bias associated with retrospective chart review.
The GTT process shows promise of consistently identifying many adverse events that may currently go unreported. However, the current process is highly resource intensive and the identification of individual triggers appears inconsistent. With more information captured in electronic records and with bigger, more powerful computers, the time appears ripe for incorporating a trigger process into the hospital electronic environment. However, administrators, physicians and information technology professionals should be sobered by the low yields observed for many of the triggers. Too many false positives in automated systems will result in unnecessary distractions, extra costs and work-arounds to override what providers may believe are superfluous warnings.
With adequate training, standardized processes and collaboration between reviewers, it appears using a trigger methodology can provide a fairly reliable assessment on the occurrence of adverse events among hospitalized patients. However, we found it to be very resource intensive. Automating the process of identifying individual triggers would allow a greater number of records to be screened for possible adverse events. Focusing review on triggers more predictive of an adverse event would be a better use of resources and has a greater potential of improving care delivery and patient safety.
We would like to thank all the nurses and physicians who reviewed the medical records and used the GTT over the 3 years at all the practice locations. We also would like to acknowledge Sara Hobbs Kohrt for the preparation and management of the manuscript.
Appendix 1. Global trigger tool worksheet
Cares module triggers | + | Event description and severity E–I | Medication module triggers | + | Event description and severity E–I |
Transfusion or use of blood products | C. difficile positive | ||||
Any code or arrest | PTT > 100 s | ||||
Dialysis | INR > 6 | ||||
Positive blood culture | Glucose < 50 Mg/dl | ||||
X-ray or doppler studies for emboli | Rising BUN/S.Creat > 2X base | ||||
Abrupt drop in Hct > 4% or Hg >gms | Vitamins K administration | ||||
Patient fall | Benadryl (Diphenhydramine) use | ||||
Decubiti | Romazicon (Flumazenil) Use | ||||
Readmission within 30 days | Narcan (Naloxone) use | ||||
Restraint use | Antiemetic use | ||||
Infection of any kind | Over sedation/hypotension | ||||
In hospital stroke | Abrupt medication stop | ||||
Transfer to higher level of care | Other | ||||
Any procedure complication | |||||
Other | ICU module triggers | ||||
Pneumonia onset | |||||
Surgical module triggers | Readmission to ICU | ||||
Return to surgery | In unit procedure | ||||
Change in procedure | Intubation/reintubation | ||||
Admission to ICU post op | |||||
Intubation/Reintub/BiPap in PACU | OB module | ||||
X-ray intra-op or in PACU | Apgar < 7 at 5 min | ||||
Intra or post-op death | Maternal/neonatal transport/transfer | ||||
Mech Vent > 24 h posst op | Mg sulfate or terbutaline use | ||||
Intra-op epi or nor epi use | Infant serum glucose <50 | ||||
Post-op Troponeim level > 5 | 3rd or degree lacerations | ||||
Change anesthetic during surgery | Induction of delivery | ||||
Consult requested in PACU | |||||
Path report normal or unrelated to dx | ER module | ||||
Insertion of art or CVP during surgery | Readmission to ED within 48 h | ||||
Operative time > 6 h | Time in ED > 6 h | ||||
Removal/Injury or repair of organ | |||||
Patient Identifier ———— | Total Events ————— | Descriptions of the events in greater detail | |||
Total LOS ———— |
Appendix 2. MERP harm classification
Category E: temporary harm to the patient requiring intervention;
Category F: temporary harm to the patient requiring or prolonging hospitalization;
Category G: permanent patient harm;
Category H: harm which required intervention to sustain life;
Category I: harm contributed to death.
- © The Author 2010. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved


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Senior BJP legislator Sitasharan Sharma was on Thursday unanimously elected as the Speaker of Madhya Pradesh Assembly.
The proposal to elect Sharma, who represents Hoshangabad seat, was moved by Chief Minister Shivraj Singh Chouhan and seconded by Parliamentary Affairs Minister Dr Narottam Mishra.
From the Opposition bench, the proposal was supported by senior Congress MLAs, Mahendra Singh, Satyaprakash Sakhwar, Dr Govind Singh, newly-nominated Congress Legislature Party (CLP) leader Satyadev Katare, besides Independent MLA Kal Singh Bhabar.
BJP MLA Sitasharan Sharma appointed as Speaker of MP Assembly
Sharma's appointment was announced later by pro-tem Speaker K D Deshmukh.
After the announcement, Chouhan and other senior leaders accompanied Sharma to the Speaker's Chair as per the convention.
Congratulating Sharma for becoming Speaker, Chouhan said it was important for the Chair to act in an impartial manner.
Katare also greeted Sharma on the occasion and urged him to ensure that at least 75 sittings of the House take place in a year so that Opposition gets ample opportunity to raise issues of public interest on the floor.
Expressing his gratitude, Sharma assured the House that he will not only protect rights of its members but also ensure that it will function as per the rules and traditions.
Vishwa Hindu Parishad says it will arrange reconversions in Goa if people want
Rape videos on WhatsApp; Supreme Court orders CBI probe, issues notice to Centre
Jaitley presents Economic Survey, states India an attractive destination for long-term investment

subset: commoncrawl


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Jeffrey Blair Kopp
Position: LB
Height: 6-3 Weight: 244 lbs.
Born: July 8, 1971 in Danville, CA
High School: San Ramon Valley
College: USC (school history)
Drafted by the Miami Dolphins in the 6th round (194th overall) of the 1995 NFL Draft.
Weighted Career AV (100-95-...): 4 (9744th overall since 1950)
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1998 Game Log: Regular Season · Playoffs · vs.


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These adorable heart muffins are going to do double duty come this Valentine's Day! February is American Heart Month as well as home to my favorite love-filled day, February 14. But this year I'm doing things a little differently. Instead of fussing over special restaurants and fancy dresses, I'm dreaming of how I can surprise my littles with something sweet and fun on Valentine morning.
These oat muffins are a tried-and-true recipe of ours that I got from a good friend. They are slightly sweet, filling, full of fiber and free of fat (good things for the heart!). All they needed was a little Valentine flair- a heart shaped cookie cutter, pink sugar for dusting the top and some heart shaped sprinkles just for fun!
If you've never done any vegan baking, it's really not a stretch from regular baking with eggs and milk and oil. Here are some details about the ingredients used in this recipe.
- Oat flour is used exclusively. If you don't have any, you can grind up whole grain oats in your (cleaned) coffee grinder to make a flour. (Look for gluten-free whole grain oats to make gluten free oat flour).
- 1 mashed ripe banana replaces the 2 eggs usually called for in muffins.
- Unsweetened applesauce replaces the oil. You can easily replace the oil in any recipe with applesauce with a ratio of 1:1.
- Any non-dairy milk replaces cow's milk. I used soy milk. I like the thickness and creaminess of soy milk as opposed to almond milk. I don't recommend coconut milk if you are trying to protect your heart. Even though coconut milk is vegan, coconuts are full of saturated fat. (I realize there are quite a bit of disagreement on the healthfulness of saturated fats, but I steer clear of them).
- One half cup of diced strawberries are included. You can omit them, but they add a wonderful pink color and added fruitiness!
- One quarter cup of white sugar is all this recipe calls for. Use whatever kind of sugar or sugar substitute (like honey) you prefer that would replace white sugar.
- Instead of greasing an 8 x 8 pan with oil I lined it with parchment paper and poured the batter right on top. When it's done cooking and cooling, you can simply lift the parchment paper out of the pan and the muffins come right off.
Strawberry Banana Oat Heart Muffins
Makes about 12 2″ heart muffins
- 2 1/4 cup oat flour
- 1 TB baking powder
- 1/4 cup white sugar or honey
- 1 1/4 cup non-dairy milk
- 1 mashed ripe banana
- 2 TB unsweetened applesauce
- 1/2 cup diced fresh strawberries
1. Preheat oven to 425 degrees and line an 8 x 8 baking dish with parchment paper.
2. In one bowl, combine the oat flour and baking powder. In another bowl, combine the rest of the ingredients, except for the strawberries, making sure they are all incorporated well.
3. Pour the wet ingredients into the bowl with the dry ingredients and combine. Fold in the strawberries. Do not over mix.
4. Pour batter into prepared dish. Sprinkle top with pink sugar. Bake about 15 minutes or until toothpick inserted comes out clean.
5. When it is finished baking, remove from oven and let cool for 10 minutes. Carefully cut out the muffins with a heart shaped cookie cutter. (Save the scraps- it's still yummy!) Arrange them on a plate and toss heart shaped sprinkles over them. Enjoy!
Be warned…you might have little muffin stealers sneaking bites before you are even done!
What are you baking this Valentine's Day?


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21 results for "dick vitale"
First Cup: Wednesday
Nick BorgesBenjamin Hochman of The Denver Post: Dick Vitale whispers louder than Andre Miller screams. But in the pregame locker room, the Nuggets' veteran guard delivered a powerful, passionate speech, channeling the oration of, say, Jesse Jackson, who just ha...
Blog | March 20, 2013 -
Dick Vitale: This and that
Dick VitaleEach week Dick Vitale talks about the world of sports. This week, he discusses the NBA conference finals and the possibility of Notre Dame joining the Big Ten.
Story | Conversation | May 17, 2010 -
Dick Vitale: Los Angeles Lakers in seven
Dick VitaleThis is not the marquee mano-a-mano matchup everyone craved but it should still be a doozy of a series
Story | Conversation | June 02, 2009 -
Dick Vitale: This and That
Dick VitaleEach week Dick gives his thoughts about the world of sports
Story | Conversation | June 01, 2009 -
Daily Dime: Banged up Jazz beat Hornets
Marc SteinWith Deron Williams fighting off cold-like symptoms, the Jazz slowed down Chris Paul and the Hornets, writes Marc Stein.
SpecialFeature | Conversation | January 07, 2009 -
Roundball Chatter
Dick VitaleDick Vitale talks about the sport he loves.
PackageStory | May 02, 2008 -
Westhead to the NBA?
Dick VitaleDick Vitale talks about offensive wizard Paul Westhead.
PackageStory | September 19, 2007 -
Donovan leaves for the Magic
Dick VitaleDick Vitale discusses Billy Donovan's decision to coach the Magic.
PackageStory | June 01, 2007 -
Undrafted free agents
Dick VitaleVitale discusses the big name undrafted free agents and which summer leagues they are on.
PackageStory | July 06, 2006 -
Kudos to Okafor, Gordon, Calhoun
Dick VitaleTwo stars from UConn's 2004 national championship team have nabbed two key NBA honors.
PackageStory | May 05, 2005 -
Hamilton rips Pacers
Dick VitaleHamilton Rips Pacers Richard Hamilton came through with a dynamite performance in Game 5 against the Indiana Pacers.
PackageStory | May 31, 2004 -
Hard work rules now in NBA offseason
Dick VitaleYears ago, NBA players used training camp to get into shape. Not anymore.
PackageStory | August 25, 2003 -
NBA draft: Carmelo could make Pistons pay
Dick VitaleThe Pistons may end up regretting not taking Carmelo Anthony with the No. 2 overall pick.
PackageStory | June 26, 2003 -
Duncan goes back-to-back
Dick VitaleStock Down: Larry Eustachy Iowa State coach Larry Eustachy exhibited poor judgment and displayed a lack of responsibility and leadership.
PackageStory | May 05, 2003 -
Predictions for NBA conference semifinals
Dick VitaleExpect the Lakers-Kings in the Western finals and the Nets-Pistons in the East.
PackageStory | May 05, 2003 -
Predictions for first round of NBA playoffs
Dick VitaleDickie V makes his predictions for the first round of the NBA playoffs.
PackageStory | April 18, 2003


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COMMERCIAL DESCRIPTION This is a rich, robust porter, cleverly crafted to integrate the aromas and flavors of espresso coffee malt and bitter-sweet chocolate malt. Inspired by owner Brendan Moylans daughter Chelsea, this is an American-Irish Style Porter that dark beer drinkers will love
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The Invercargill City Council is overhauling one of its departments in an effort to take a tougher stance on wandering dogs.
The environmental health department restructure has resulted in one role being axed and the creation of two new roles as the council tries to manage escalating problems with dogs.
Council environmental health manager John Youngson said most of the emphasis would be put on controlling dogs in the city, and the department would have a new focus on being proactive, rather than reactive.
Youngson said complaints about dogs were increasing every year and it was no longer acceptable.
Figures show that from July 1, 2013 to May 31, 2014, the council received 747 complaints about barking dogs, 214 about aggressive dogs and 1397 about wandering dogs.
"It costs a fortune and the ratepayers are not happy and it has got to change."
Animal controllers would now patrol the streets and hotspots, provide advice at dog parks, and monitor barking dogs in an effort to decrease the nuisance created by animals in the city, he said.
One staff member would also be based at the pound to ensure the council met Ministry of Primary Industry standards.
When the dogs reached the pound, they would be photographed, checked for health and temperament and the council would look at publishing the dogs' profiles online.
But owners would not get their dogs back easily, with property inspections likely to be carried out, he said.
Despite being tougher, Youngson said the focus was on providing a better service, working with the community more and responding more quickly.
The regime would cost the council but Youngson expected to get a return in income once the system was up and running.
"We hope to get more income, a lot more income, because we will be out there impounding more dogs and getting more dogs registered."
Council regulatory services committee deputy chairwoman Karen Arnold said the changes would be positive for the department and ensure Invercargill was a safer place in which to live.
"I think people are going to be receptive, instead of staff being enforcers or heavy-handed with rule breakers and stuff . . . the vision is that council staff will be more approachable."
- The Southland Times
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Look of the Day: Playing With Proportions
by Fashion
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GemV purchased a new feather belt, but what I'm particularly drawn to is her playing with proportions. Notice that her leather jacket is cropped, while her gray sweater is hip-length, and her yellow cardigan is slightly longer. Way to pull it off effortlessly.
Here's what she has on:
- Jacket: Ya-Ya
- Sweater: Express
- Tank: C&C California
- Cardigan: FashionQ
- Jeans: Urban Outfitters
Congrats to GemV!
Everyone else, submit your looks and I might feature you on FabSugar!
6 years
Not a fan either - this could have been fixed by keeping it more simple - whats with the sparkly white shirt under the yellow one. The shoes are bad too. And yes - she should get some help with the make up. But she is really pretty!
6 years
Nice outfit. I definately agree with the statement regarding proportions. Great job GemV.
6 years
The look is okay, kind of typical in my opinion. I think she needs to work on her make-up, though. I can see the bags under her eyes really well! Eep! -_-
6 years
not a fan at all.
the yellow is just too random and is just makes the outfit all wrong.
Link Love
- Lacoste and J.Crew teamed up to make the polo shirt of your dreams — InStyle
- Put some pep in your step with this wear-now Spring trend — Lucky
- These rules prove that fashion really is a way of life — Who What Wear
- We'll be counting down the days until this Uniqlo capsule collection — The Cut
- Style books aren't just for coffee tables — HuffPost Style
- You'll never guess what Kate Spade's making now — Racked
- You may want to leave the pastels at home this Spring — SheFinds
- This must-have street-style accessory is something you already own — Style.com
- Here's what the fashion term "modern" means once and for all — Man Repeller


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Originally published 03/22/2014
Obama library gets going
Illinois, New York and Hawaii are all expected to compete for Obama's library.
Originally published 02/21/2013
Putin's idea to house Jewish collections rejected
A U.S.-based Jewish group Thursday rejected Russian President Vladimir Putin's suggestion to house disputed historical collections of books and documents at a Jewish museum in Moscow.Nathan Lewin, a lawyer for the Jewish group Chabad, said in a statement provided to The Associated Press that Chabad is the rightful owner and Putin's proposal is not acceptable.
- Biographer of a Progressive reformer says it's odd reading stories about inequality in the news every day
- Dutch sociologist says that what is new about mass killing is that we're embarrassed by it
- NYT History Book Reviews: Who Got Noticed this Week?
- Convicted felon Conrad Black has a new book out
- German Historian: Rich Greeks Evade Taxes Since 1830


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PORTLAND, Ore. (AP) -- Oregon has long been written off as irrelevant to this year's presidential election: too young, too labor-friendly, too blue.
But that's a short-sighted take on a complicated place.
A quick scan of results from the last four presidential contests produces a predictable lineup of Democratic victories: Clinton, Gore, Kerry, Obama. But look closer, and those results aren't as clear-cut as they first appear.
Democrat Bill Clinton won in 1996 by 8 percentage points, in a year when third-party candidate Ross Perot took 9 percent of the vote and Ralph Nader earned 4 percent.
Al Gore slid by on about 1 percent of the 2000 presidential vote — 7,000 voters, or the population of Umatilla. His opponent, George W. Bush, lost to John Kerry in 2004 by just 4 percentage points.
In 2008, Barack Obama became the first presidential candidate in state history to take 1 million votes. So while Obama's 2008 win may make Oregon seem an unfriendly place to Republicans, recent history shows the state trends more conservative — and, at times, libertarian — than it is given credit for nationally.
And the tide that swept Obama into office has weakened since 2008, said Pacific University political science professor Jim Moore.
"This is a state that began to look bluer during the 2000s, but with the 2010 legislative election, it looked more purple," Moore said.
Moore notes that nationally, 2008 drew more than 40 million more voters than did 2010, and Oregon turnout mirrored that trend, though not as drastically: 1.8 million people voted in 2008, and 1.4 million in 2010.
So, Moore asks, is the nation getting more conservative, or are Republicans just better at getting out the vote? This year will be an important yardstick.
That Obama will win Oregon's seven electoral college votes is a near-certainty, though likely by a smaller margin than his victory here in 2008.
But a number of lower-level races are expected to be close, and Democrats looking to latch onto Obama's coattails include incumbents for secretary of state and labor commissioner, who face tough challenges from well-funded Republicans. In the Legislature, Republicans hope to break a state House tie and end Democrats' control of the Senate.
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Patricia Arquette's GiveLove to Those Who Need it Most Experience
Patricia Arquette is going to one of GiveLove.org's global project sites this summer to do humanitarian work, and she wants you to join her. Make a donation to GiveLove and you may be the lucky winner who gets to do this work side-by-side with her.
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WASHINGTON (AP) -- Reports on the economy, pending home sales and foreign holdings of securities are due out today. The Commerce Department releases fourth-quarter gross domestic product at 8:30 a.m. The pending home sales index come out from the National Association of Realtors around 10 a.m. And the Treasury Department is to release its preliminary report on the June 2014 annual survey of foreign holdings of U.S. securities.
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WEST PALM BEACH, FL -- (Marketwired) -- 03/21/14 --
Companies that pride themselves on being eco-friendly may have conflicted
ideas between marketing with ad specialties and maintaining their green
reputation. ...
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LUPITA NYONG'O's OSCAR DRESS STOLEN
LOS ANGELES (AP) -- It looked hot when Lupita Nyong'o (loo-PEE'-tuh nee-YONG'-goh) wore it Oscar night.
Get This
SOMERVILLE, Mass. (AP) -- It's awfully cold in the Boston area to go without pants.
Science/Tech News
WASHINGTON (AP) -- For many people, having Internet access is about as important as access to telephone or electric service.


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LAPD Officers Shoot Man Five Times in Broad Daylight in Real World News |
Just got a Surface Pro 3. Tips & Suggestions? in Microsoft (Windows) Discussion & Support |
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Posted 23 April 2013 - 16:26
Posted 24 April 2013 - 00:46
my great grandfather taught me about pine nuts....we used to go collect pine cones just to crack them open for the nuts. We even gave our dogs pine cones, gave 'em something to do...they were after the nuts in them. They are quite tasty, though!
Posted 24 April 2013 - 11:35
http://www.imdb.com/...ref_=fn_al_tt_1did he not think to climb the highest tree to try and spot the road?? no smoke signals? use the rising and setting sun to direct him self? ... follow the direction of traveling water?.... HOW DO U GET LOST FOR 8 DAYS
Posted 24 April 2013 - 12:26
Why didn't the blithering idiot just follow the road instead of cutting through the woods?
Brains. This guy has none.


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With the recent beheadings of Coptic Christians and the kidnapping of Assyrian Christians, it's urgent that people understand the serious threat that ISIS poses.
An organization that assists persecuted Christians worldwide is encouraged to hear that ISIS has released some Assyrian Christians from captivity, but still finds the situation troubling.
The abduction of hundreds of Christians by the Islamic State in Syria underscores the need for the U.S. to put an end to the war against Christians by radical Islamic jihadists.
As ISIS increasingly continues to kidnap Christians in Syria, the families of the victims fear the worst.
According to the Baptist World Alliance, at least 68 churches have been burned in Niger since the beginning of the year, killing some Christians.
An organization that assists persecuted Christians worldwide has reached out to the families of the 21 Egyptian Christians who were beheaded by ISIS last weekend.
The family of a Pakistani Christian woman who is facing the death penalty for blasphemy is experiencing threats as they await her fate by a court.
A religious freedom watchdog group is calling on the Egyptian government to rescue Christian citizens who have been kidnapped by radical militant groups in Libya.
You can help people impacted by violence in Africa.
Many American Christians are unaware of the persecution of Christians taking place around the world.
As if life wasn't hard enough being a Dalit in India — the lowest rung in the nation's caste system — the government just made it tougher by forcing believers to convert back to Hinduism if they want to receive government benefits.
Christians in China need your prayers in the new year.
A writer and speaker predicts the new international religious freedom ambassador will do well in his new job.
An international ministry says it has been quite a year across Africa, most infamously when the Muslim terrorist group Boko Haram kidnapped more than 270 girls, most of them Christians.
It looks like Pastor Saeed Abedini will spend another Christmas away from his family.
Proclaiming invective words before a crowd at the Al Aqsa Mosque — built right on top of the Temple Mount (orthodox Jew's holiest site) — a Muslim cleric sounded off a foreboding sermon threatening Jews, telling them "the time to kill you has come."


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Upcoming Events
Thu, 05/03/2015 - 7:30pm
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Sun, 08/03/2015 - 9:30am to 4:00pm
East Herts Council has up to £9,000 available to cover the costs of summer outings for elderly people, community events, ... more |
We are seeking an enthusiastic, part time, customer service assistant/receptionist to join our team. For full details please... more |
Members of the public are invited to join their Town Councillors at Rhodes on Tuesday 31 March 2015, at 7.30pm for the Annual... more |
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The ink cartridges were exactly as they are described. They were received In excellent condition in the box.
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BigOven Pro required (try it free)
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Dirty Risotto
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Sauteed Kale, Mushrooms, and Cranberries Salad
Pasta with Mushrooms and Turkey Sausage
Stuffed Mushrooms with Rice, Slivered Almonds & Parmes...
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Penne rosa with mushrooms/shrimp
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Hot Spinach Dip with Mushrooms
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Cornfed Chicken with White Wine And Mushroom Sauce
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As Purim approaches, thousands of Israeli children and families grapple with poverty
A new poll released at an international conference on Justice for Jewish Refugees from Arab Countries shows that a great proportion of Arab Israelis (54%) than Jewish Israelis (48%) believe issues pertaining to Jewish refugees from Arab countries deserve as much attention as those pertaining to Arab refugees from Israel's war of independence.
Prime Minister Binyamin Netanyahu told attendees, "The Arab world has neglected Arab refugees for decades and has used them as a battering ram against Israel, while Israel, which was just born as a nation-state, has absorbed and resettled the Jewish refugees from Arab countries and turned them into productive citizens."
About the Author: Malkah Fleisher is a graduate of Cardozo Law School in New York City. She is an editor/staff writer at JewishPress.com and co-hosts a weekly Israeli FM radio show. Malkah lives with her husband and two children on the Mount of Olives in Jerusalem.
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Poll: Israeli Arabs Believe Jewish Refugees Deserve Attention.
By: Malkah Fleisher.
Comments are closed.
"Today, we are no longer silent; today, we have a voice. Tomorrow, as prime minister of the only Jewish state, I plan to use that voice."
Former Consul Alon Pinkas charges Prime Minister Netanyahu is "injecting Israel into the American political arena – he loves doing that."
Former Israel Ambassador to the UN Dore Gold says PM Netanyahu's speech to Congress "will have substance no one has heard before."
Want to know who are the Bibicotters and how you can tell them what you think?
Prime Minister Binyamin Netanyahu told a packed room at AIPAC on Monday the US-Israel alliance is "sound." But on Iran: "No one makes alliances with the weak," he warned.
IDF soldiers, reservists and local security units participated in a massive training drill in the town of Efrat, Gush Etzion, reenacting an infiltration of terrorists into the settlement, on March 02, 2015. The IDF's central command called a surprise training exercise in the West Bank to test reservists' alertness and to prepare for the possibility […]
Yehuda Glick won in court against the police.
I'm not going to get into timetables. It will happen.
American like Netanyahu by a 2-1 margin, with Obama probably in the minority.
Girls, ages 10-13, from Efrat in Gush Etzion will square off against girls from the Galilee Arab village Sakhnin tonight in a playoff game that will determine which group will advance to the semi-finals in the girls' league. "We are involved with soccer and not politics," one of the Efrat girls said. "We really want […]
Jew Wars: Episode 7 – Revenge of the White House
The suspect denied he knew he was sending Hamas material that could be used to kill him and his neighbors.
The PA plans to destroy Israeli products found in Arab-owned stores, but the Arab population will probably just buy them from Rami Levy instead.
He told CNN 'God gave the US military power" that should be used to stop genocide.
Israel's Prime Minister Netanyahu arrived Sunday in Washington DC ahead of appearances at the AIPAC conference and before the US Congress, to discuss the Iran nuclear threat.
Israel's military Central Command decides to spring a surprise 2-day "readiness" drill in Judea and Samaria.
A green bell pepper affectionately dubbed "Godzilla" by the children of Moshav Ein Yahav in the northern Arava desert has won a place in the Guinness Book of World Records.
Though the permissibility of watching hired sports players go to battle in a large stadium is a source of controversy amongst Torah observant Jews, the food being served at the upcoming Super Bowl games in New Orleans is not.
Rabbi Yitzchok Moully, youth director at the Chabad Jewish Center in Basking Ridge, New Jersey, will be introducing a new art installation in honor of Tu B'Shevat, the Jewish New Year of Trees, inspired by the destruction of Hurricane Sandy.
More than 2,000 people have made contributions in memory of the young victims of the school shooting in Newtown, Connecticut to plant a grove of trees in Israel.
Shoshana Hebshi, a half-Jewish, half-Arab woman from Ohio is suing Frontier Airlines, the FBI, TSA and other governmental agencies after she says she was forced off a flight, strip-searched, and imprisoned on the tenth anniversary of the World Trade Center attacks.
Women may enter military combat in the United States, following the lift of a military ban on women in combat by defense secretary Leon Panetta.
The Jewish National Fund will reconsider a plan to forest parts of the Arava desert, following the request of environmental organizations to consider the impact of trying to alter the native ecosystem.
Russian Foreign Minister Sergei Lavrov warned Israel and western countries not to attempt to stop Iran's nuclear program through military means.
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Time to mark your calendars for October 15-16, 2015, for the 33rd Annual St. Louis County Health & Human Service Conference at the Duluth Entertainment Convention Center (DECC). This year's theme "The Dance of Compassion."
Conference information:
Our Conference draws together 2,500+ health and human service practitioners and 150 exhibitors from the public and private sectors for two days of training and networking. Conference offerings include one hundred and sixteen (1 1/2 hour) Workshops and eleven (3 1/2 hour) Institutes. Participants can attend Workshops and Institutes of their choice throughout the conference. Note: parking is available at the DECC at $5.00 rate.
Our 2015 conference will feature Judge Floerke who will address the conference theme "The Dance of Compassion" Thursday October 15th at 10:30 in the Duluth Entertainment Convention Center (DECC)Symphony Hall. Nothing is ultimately effective without healthy human connection. In his keynote, Calling: Our Work and Our Lives, Judge Floerke will share a vision of an integrated understanding of addiction, recovery, alliance, and mindful practice to fortify and sustain us. Through sharing the rapidly expanding body of research surrounding brain development, trauma, and resiliency, he will present a moving depiction of addiction. He will articulate the compassionate presence, an essential component of recovery, and encourage us to see ourselves as part of that compassionate presence for those who are struggling. Finally he will challenge us that in order to vibrantly walk out our vocations, each of us (admittedly strugglers ourselves) must grapple with our own need for renewal. Judge Shaun R. Floerke is the chief judge of the 6th District, chambered in Duluth. An innovator, Judge Floerke leads a high risk felony DWI Court; he is Co- Chair of the Minnesota Drug Court Initiative; he pioneered a community restorative circle model working with domestic violence offenders; and he is piloting a new approach to screen, educate and refer first-time offenders in order to prevent repeat offending. He serves with several teams of dedicated professionals and community members seeking to bring accountability and restoration for those in the judicial system. He focuses on people struggling with addiction and mental health concerns. He trains judges and other professionals throughout Minnesota and across the nation and has received awards and commendations for his passionate efforts to work out justice effectively and with care, dignity, and respect.
Adult Services Children Services Community Services
DECC MSSA Hapa Project 2012 HHS Conference Welcome video


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Buffy the Vampire Slayer 2001 | TV Show
A cheerleader is chosen to battle the forces of evil as she weathers the storms of young adulthood in an imaginative series that blends killer writing and performances. The show put WB on the ratings map and spawned the successful `Angel' before moving to (more…)
Premiered: October 2, 2001
Rating: TV-14
Season 4, Episode 7 The Initiative
First Aired: November 16, 1999
The agenda of the black-masked commandos is revealed after they ensnare the baddest vamp of them all...Spike---who blames the Slayer for his capture and escapes to hunt her down. Meanwhile, Riley tries to put the moves on Buffy. Tom: Mace Lombard. Harmony: Mercedes McNab. Spike: James Marsters. Riley: Marc Blucas.
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Why Buffy Matters: The Art of Buffy the Vampire Slayer
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Turkey City Lexicon: A Primer For Science Fiction Workshops
I lost my mind in San Francisco
Somewhere near Turkey City Lexicon: A Primer For Science Fiction Workshops I got lost in:
Isaac Asimov Off Armageddon Reef invisible guttersnipe Moxyland How to lessen fantasy cover clichés Clarion sesquipedalian The Milford System (or, the Modern Science Fiction Workshop) H.G. Wells Brian Aldiss Cyberpunk shaggy dog story Movie clichés Finding or Creating a Writers' Workshop Group Take a Thief The day on the New Planet Pacific Rim Nancy Clue: lesbian girl detective Unicorn In The Garden James P. Blaylock Kate Wilhelm novel writing Eternal now Fridge Logic Twilight Zone Fortean Conceit Bruce Sterling mystery The Tough Guide to Fantasyland John W. Campbell Secret Me-Meta-Node Challenge Kraken Can Heironymus Merkin Ever Forget Mercy Humppe and Find True Happiness? Time Out Film Guide Bathos A ninja's favorite drink Mary Sue Weak and desperate from decades of commuting the djinn would barter all for coffee and a friendly ear Writing and publishing Writing horror: the devil's in the details BBC Picaresque Peter Roget Mark Twain's Rules of Writing Nonconformist Hero grandstand IN THE GRIM FUTURE OF HELLO KITTY, THERE IS ONLY WAR. Walk Hard Science fiction clichés Bomb Theory Austin, Texas detective assumption SciFiQuest 2010: Odyssey Two Vonnegut's Rules of Writing Ursula K. Le Guin Astounding Science Fiction passel Kudzu Squid on the Mantelpiece exposition Apocalypse creeping Jordanitis generic books Diction fait accompli Greg Egan The Affinity Bridge Critters Vitrine Shattered Light ---Section 1, Subsection 1 The Atrocity Archives Interzone Freelancing Rejected science fiction ideas, part one My Other Life MacGuffin The 4400 Howard Waldrop Fortean Phenomena Pardoning of the presidential turkey rule of nines Before they were the Science Fiction Greats copyleft Rudy Rucker background storytellerBird feeder Ports of CallCall a rabbit a smerp 10 commandments of bad writers Dialogue How to Write a Generic Fantasy Novel The Rules of Attraction If cryptography is outlawed, bayl bhgynjf jvyy unir cevinpl There is life after virginity Barrington J. Bayley SciFiQuest 2106 characterThe 2008 financial crisis, and why it failed clunky Idiot Plot Writing (how to) The Galactic center point-of-view Document Exoticism central casting Serenity Chekhov's Gun We're not coming home. I love you. Said Bookism A moment of extreme unreality Yes Minister Heroes of Destiny Fallout science fiction convention Dennis Hopper ODTAA Lexicon Damon Knight Tom Swift space war George Orwell Writing for a wider audience SciFiQuest 3008 Black Phoenix Alchemy Lab insurrection Ouroboros pernicious Coding for E2: Finding the Code Accelerando new species of man novice Christopher J. Priest gratuitous human Star Kingdom: Alpha Year didactic For you see, we are all living in a jar of Tang! Ichorous erudite Trope George R. R. Martin January 6, 2009 Science fiction Michael Moorcock Fortean skeptic Tenebrous Robert Heinlein Thomas M. Disch Generic Fantasyland Planar array notation August 25, 2010 Advice to young science fiction, fantasy, and horror writers Show, don't tell Clarion West tabloid mass driver Lewis Shiner handwavium gimmick How to improve your chances of having sex Slipstream Connie Willis IBM Henry Kuttner George Washington's 1793 State of the Union Address Rounders idea Tim Powers Numbers Station ontological present participle Expository lump Kevin Wong Night of the Living Dead Apologize TurkeyPanning Stewart Brand Expository Vertiginous American Argo - a science fiction novelette The Epic Epic of Erik 'The Epic' Killblood Designing a Fantasy World For Us, The Living Portent Kill your darlings James Blish Harlan Ellison J. R. "Bob" Dobbs Eight Deadly Words Sasquatch Virginia Woolf Apheresis protagonist Hack forsooth Ailment fireworks author As you know, Bob desktop publishing


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Photos reveal spacious interior of second Paris Apple store
(ifoAppleStore) While Apple's first planned retail out in Paris was recently revealed as a window-less underground cavern, a second location under construction near the citys Opera House is shaping up to be amongst the company's most impressive shops yet.The location at 12, Rue Halévy comprises a light-filled, soaring interior space tucked behind arched windows, all facing onto an unusually large intersection that provides a view of the façade from many angles.
A large posting on the exterior of the building notes that a building permit was issued February 23rd for the reconstruction of a hotel and shop, the latter space of which is confirmed to have been leased by Apple. The project stretches some 81,300 square-feet on a 13,200 square-foot lot, according to the permit.
A panoramic photo of the interior of the future Apple shop is available, showing the use of protective materials on the walls and columns during the ongoing construction process. You can also check out the intersection outside the store using Google Streetview.
The Apple store will occupy the right two-thirds of the 112-foot buildings ground level, or address #12 — a space defined by the five left-most arches in the first photo, below. For photos of the cavernous space under construction as the site of Paris' first Apple store, please see this earlier report.
Gary Allen is the creator and author of ifo Apple Store, which provides close watch of Apple's retail initiative. When Gary isn't busy publishing news and information on Apple's latest retail stores, he finds himself hanging out at one.
On Topic: General
- Race to beat Apple Pay picks up, as PayPal buys CurrentC-linked Paydiant
- Google to launch own 'Nexus'-like carrier network to push innovations in wireless
- Tim Cook discusses Steve Jobs, personal privacy, and Apple's role as a social leader
- Apple's next Chinese Apple Store to open in Chongqing on March 7
- Shuttle drivers at Apple, other Silicon Valley tech companies vote for Teamsters representation


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Tap Here to view the Mobile Optimized TFLN
normally I beat off every night before I go to bed even though my little brother sleeps in the same room. So I was starting to last night, and he jumped out of bed and said "Fuck, Im not listening to this shit again" We havent talked since. fuck me
sometimes i wish i was the girl in a porno. that way if i couldn't get any, i'd just order a pizza and do him.
he said he wanted to butter my pancake. i thought it was sexual, but he went downstairs and made pancakes. i need to stop dating fat guys.
Sucks about the cops last night
to be honest when I first looked up I wanted to know who was coming from a costume party..
It's official. I am the proud owner of his very own sex tape. Amateur awesome porn or awful delete-me-now porn? Come over help me decide.
They poked me and kept screaming "LAUGH DOUGH BOY" it's like 3rd grade all over again.
Its official. Girls from Indiana do not give rim jobs.
He's. Duct. Taping. His. Phone. To. The. Wall.
I'm gonna do some tripping... In the direction of balls
The lady sitting right behind me on the bus has baby birds in her purse. Shes feeding them bugs from a cup with a pair of tweezers... I love san francisco!
I'm pretty sure the guy in front of me at Walmart doesn't have good plans. It's one am he is buying a flash light and black bandanna
Vodka and Jamison is not a mixed drink
I thanked him for the booty call offer but told him I'd rather just do it myself
Someone has big plans this weekend. Just went to throw away the trash and saw packaging for 3 different vibrators on the top of the stack
Finding an empty bathroom to shit on campus is like the quest for the fucking Holy Grail. Except with more stench and humiliation.
Follow @tfln


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Property For Sale in Glenavy
Page 1 of 4 (39 properties)-
39 Tullynewbank Road, Glenavy BT29
C72Marketed by Reeds Rains (Lisburn Branch)
Offers around £289,950
4 Bed Detached house For Sale
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83 Lyngrove Hill, Glenavy, Crumlin BT29
D61/D67Marketed by Morton Pinpoint (West Belfast)
Offers around £139,950
4 Bed Semi-detached house For Sale
Added 23 hours ago
10 Dun Eden Grove, Glenavy, Crumlin BT29
D66/C71Marketed by McGranaghan Estate Agents.com
Offers over £119,950
3 Bed Town House For Sale
Added 2 days ago
"Alma Cottage", 8 Belfast Road, Glenavy BT29
G1/G17Marketed by Norman Morrow & Co
Offers around £65,000
2 Bed Detached house For Sale
Added 3 days ago
14 Meadowside, Glenavy, Crumlin BT29
D56/C74Marketed by Morton Pinpoint (West Belfast)
Offers over £122,500
3 Bed Semi-detached house For Sale
94 Tullynewbank Road, Glenavy BT29
Marketed by Falloon Estate Agents
Offers around £550,000
4 Bed Detached house For Sale
8 Main Street, Glenavy BT29
E49/D60Marketed by Aria Property Solutions
Guide price £64,950
2 Bed Terrace house For Sale
Updated 1 day ago
17 Old School Court, Glenavy BT29
D57/D65Marketed by Fred Dalzell & Partners
Offers over £205,000
4 Bed Detached house For Sale
30 Old Forge, Glenavy BT29
E54/D67Marketed by Global Properties (Crumlin)
Offers around £105,000
3 Bed End-terrace house For Sale
39 properties found for Property For Sale in Glenavy


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Flood hit farmers can apply for £35,000 grant
From today farmers can now apply for the larger grant under phase two of the Farming Recovery Fund. The deadline for applications is 27 June 2014.
We have already been taking bids for grants of up to £5,000 as part of phase one of the £10 million fund which was announced in February.
However, we have kept money in reserve for the worst affected farmers who needed longer to assess the extent of flood damage once the land had dried out.
Farmers who have already applied for the first grant can also apply for the second larger grant, up to a collective total of £35,000.
Environment Secretary Owen Paterson said: "Our farming industry contributes billions of pounds to the UK economy every year. We want to see those farmers affected by flooding get back to business as soon as possible."
"We have simplified the application process, making it quicker and easier for farmers in need of support to receive up to £35,000 to get their land back into production."
The intention to increase the fund was announced by Owen Paterson on a visit to a flood affected farm on the Somerset levels earlier this month.
Among the changes made to improve the process is scrapping the need for three quotes for a number of commonly requested items, such as grass seed and fencing, and a list of maximum guide prices will be used instead.
We have been turning around all application forms within two weeks of them being received and will continue to offer this rapid turnaround.
NFU President Meurig Raymond said: "This funding is essential to help cover the costs of restoring damaged land following the unprecedented storms this winter, which have also had an enormous impact on so many people's livelihoods.
"We are especially pleased to see that a list of standard costs will be used and that Government is committed to and is delivering such a fast turnaround so communities – both of which will speed up the help provided."
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With AMD reporting huge losses for the fourth quarter of 2006, it may not regain its competitive edge until the launch of the Socket AM2+ platform and K8L architecture based CPUs in the third quarter 2007. Read on to find out more...
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Next in the long line of Maxwell-based graphics cards is the range topping GTX980 Gaming from MSI.
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Circuit d'une journée aux châteaux de Neuschwanstein et Linderhof au départ de Munich
Marion Bridge looking back to Neuschwanstein Castle
Jane O, décembre 2014
My husband and I standing on the Marion bridge. This view took our breaths away. Fantastic day.
This castle was used by Walt Disney as a model for his Disney properties!
Jim P, novembre 2014
The palace was commissioned by King Ludwig II of Bavaria as a retreat and as an homage to Richard Wagner and was completed in 1886.
This castle has a great deal of history...being secluded was not affected by the war, so the Nazis hid their and quot;bounty and quot; stolen from France here.
Swans by the Villa
Jim P, novembre 2014
One of his favorite animals was the swan...so was surprised to see two swan swimming in the pond below his Villa.


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Welcome. Lie down, and let your spine unwind. We'll take care of the rest.
Meet Dr. Stephanie
Clinic Director, The Health Loft
Dr. Stephanie is a big-hearted, energetic, and compassionate healer dedicated to changing lives through chiropractic. read more
Why Choose The Health Loft?
Our practice is based on one thing that we are certain of: every human being has the potential to be brilliant. This potential is mediated through your health, and your health is a direct mirror of the function of your nervous system.
The Health Loft exists to maximize you and your family's health potential, from preconception, pregnancy, birth, and beyond through bespoke chiropractic care, education, and self-empowerment. We optimize your nervous system's function which allows you and your family to enjoy extraordinary health. This will necessarily spill over into every aspect in your life – so that you can live the way you were originally designed to.
Our clear goal for every patient is to assist in achieving a breakthrough in their health. We deliver uncommon excellence in our service and care by using space-certified technology including the specific evaluation and testing of neurological function, posture, gait analysis, and lifestyle coaching. Our doctors are dedicated to the understanding and application of the philosophy, art, and science of chiropractic which is incorporated into every aspect of patient care.
Our chiropractic clinic is in downtown Toronto, at King & Bathurst. We have been serving the king west community since 2003.


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Surprising Cleaning New Uses - Real Simple.
Code of Conduct. Lifehacker, tips and downloads for getting things done. Business. Music Festivals. PhoneBook. - StumbleUpon. Hunts for Healing: healing wounded soldiers with outdoor challenges. 50 Lessons I wish I had learned earlier. Welcome to our blog! Here you'll find bits and pieces of wisdom learned from cycling 17,000 miles from Alaska to Argentina together as a family. Hope it inspires you to live your dream! My book about our journey, Changing Gears, is now released! Read a preview here Now that I'm old and gray (but not quite in my rocker yet!) You're stronger than you think you are.Mistakes teach you important lessons. What lies before us and behind us are tiny matters when compared to what lies within us.Don't pray when it rains if you don't pray when the sun shines.It's not about getting a chance, it's about taking a chance.If it were easy everyone would do it.Be vulnerable.A problem is a chance for you to learn.Regardless of the situation, life goes on.
If you enjoyed these inspirational quotes and feel they would be beneficial for others, we would appreciate it if you would take a moment to share it with your friends via Twitter, Facebook, Pinterest or email. Interested in our journey? Official Kelley Blue Book New & Used Car Values. 100 Websites You Should Know and Use. Entertainment Meet David Peterson, who developed Dothraki for Game of Thrones There are seven different words in Dothraki for striking another person with a sword.
Among them: "hlizifikh," a wild but powerful strike; "hrakkarikh,"a quick and accurate strike; and "gezrikh," a fake-out or decoy strike. But you won't find these words in George R. R. Culture My Year of TED: How 54 talks changed a life By Kylie Dunn What do you get when you cross a 39-year-old perfectionist with 54 TED Talks and far more honesty than any person probably needs to experience?


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Little Giant Ladders 15710-001 MicroBurst Fiberglass 8-ft Step Ladder
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Product Description
Available while supplies last.
MicroBurst Fiberglass 8' Step Ladder
It may look like a traditional A-frame ladder, but that's where the similarities end. The all-new Little Giant MicroBurst™ is designed to be versatile and durable–yet folds down to a super-slim 3-1/2 inch storage and carrying profile.
- Super-Slim 3.5-inch storage profile
- Unique, pivoting top cap
- StableLock Spreader System for added stability
- Wide-flare sides for lateral stability
- Made in China
- ANSI Duty Rating: Type 1A
- A-Frame Max Height: 8'
- Storage Depth: 3.75"
- Storage Height: 8' 3"
- Width at Base: 2' 5"
- Spreader System: Stable Lock Spreader System
- Rung Size: 3"
- Highest Standing Stepladder Level: 6'
- Max Reach: 12'
Materials: | Fiberglass | |
Weight: | 31 Pounds | |
Warranty | Lifetime |
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Posts tagged Bloggers-Lounge
GDC08: The PlayStation Bloggers' Lounge
Click on that enormous PlayStation logo above – seen watching over the swank lobby of the swank W hotel in swanky San Francisco – for our guided tour of Sony's gift to us (and, by extension, you!): the PlayStation Bloggers' Lounge. We're simple machines: When you put Wi-Fi, power, and ...
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Off the Grid: The Witcher Adventure Game and Star Wars Imperial Assault
Posted on Feb 3rd 2015 2:15PM