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Top Definition
A person, place, thing or Idea that is far greater than just cool. Cosidered by many a compliment of the highest order. (Especially in Calvert County, Maryland)
That Kid Chris is totally rad.
I think may just be cool like pie.
I think may just be cool like pie.
লিখেছেন- ram a lama ding dong
1 de সেপ্টেমবার de 2007

subset: commoncrawl


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The new telescopic wand adjust fully from 22 inches to 39 inches in 1 inch increments. The latching mechanism is a positive ratchet giving a firmer lock into the desired height allowing the tool to be resized on the fly for the user. The latching system is internally sealed from the dirt control tube for perfect air-flow with no catches and the hose end features button-down collar for quick and easy connections. Imagine cleaning stairs with a compressed wand that does not require you to hold your arm up to vacuum - less fatigue and much safer. Cleaning overhead is also easier due to the lower weight, comparable to plastic with 10 times the strength.
Fits most button lock vacuum hoses, 1.25" size (32mm). Friction fit on tool end. Sold 1 each


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Added To Cart
Subtotal: $26.45
Items in Cart: 5
Simple yet stunning. Beautifully crafted from 14k rose, white or yellow gold, each drop earring features a round brilliant cut 7mm moissanite in a prong setting. The total moissanite weight is 2.2ct. and the total diamond equivalent weight is2.4ct. (both approximate). The earrings measures 7/8"L x 1/4"W x 1/4"H and secure with a French hook.
Part of the Forever Brilliant Moissanite Collection. Made in China. Limited lifetime warranty of Charles & Colvard. Warranty Support: 800-210-4367
Please Note: May be cleaned with any fine jewelry cleaner. May be cleaned in an ultra sonic cleaner as long as the setting is appropriate in an ultra sonic cleaner.
Moissanite has very high dispersion and displays 2.4 times more fire than diamond (0.044). Its inherent high refractive index gives Moissanite a dazzling sparkle, while its precisely calibrated and carefully hand-cut facet patterns intensify fire and maximize brilliance.
Moissanite is extremely durable. It is harder (more resistant to scratching) than ruby or sapphire – second only to diamond – and it is resistant to breakage.
Larger sizes of near-colorless Moissanite (6.5mm or 1 carat and larger) might appear to have a slight color. A variety of factors, such as dispersion, tint and the type of jewelry setting, can create and affect this unique color appearance. Moissanite aficionados enjoy the slight hue that results in a very natural-looking gemstone.
Moissanite's high dispersion produces flashes of rich rainbow (spectral) colors. The appearance and degree of these tints are less noticeable when Moissanite is set in jewelry. Jewelry set in gold (yellow, rose or white) and/or set in platinum will affect the face-up appearance of Moissanite.
Nobel Prize-winning chemist Dr. Henri Moissan discovered minute quantities of natural silicon carbide (later named Moissanite in his honor) while analyzing part of Arizona's Diablo Canyon meteorite crater in 1893. Upon close inspection, he noticed the tiny crystals shimmered with brilliance and dispersion, although they were too limited in quantity and not large enough to use in jewelry.
Almost 100 years after Dr. Moissan's amazing discovery, Charles & Colvard, with the aid of science, developed a way to create Moissanite. Appreciated for its overwhelming brilliance, Moissanite continues to take the jewelry world by storm.
Brilliance: The white light leaving a jewel, traveling upward, which is visible to the eye. Brilliance is sometimes referred to as "sparkle."
Dispersion: Flashes of rainbow colors. Also called "fire."
Hardness: Resistance to scratching. The higher the number, the more resistant.
Luster: The shininess of a jewel.
Toughness: Resistance to breakage.
Earring Back Types
Butterfly Back: A double looped piece resembling a butterfly that fits over a post. Variations on this design are called push back clasps. The basic post and butterfly back are usually used for stud earrings and lighter weight drop earrings.
Hinged Snap Backs: This clasp features a hinged post that snaps into a groove on the back of the earring. It is commonly found on hoops. Sometimes the hinged post is curved to provide more room to fit around the ear, sometimes called a saddleback.
Hook Backs: This earring backing is simply a long, bent post that fits through the piercing. Hooks have several variations, most notably the shepherd's hook and the French hook. While thin wire hooks reduce the weight of long earrings, making them more comfortable, they aren't as secure as other clasp styles.
Lever Back: A hinged lever snaps shut against the curved post to form a closed loop around the ear lobe. This clasp is very secure and good for large or medium sized styles that drop just below the ear.
Omega: Also called French clips, this clasp has a straight post and a looped lever. The hinged lever closes around the post and is held against the ear with pressure. The omega clasp is the most secure clasp, especially for the larger, heavier earrings.
Screw back: This backing is a slight variation of the standard post and butterfly nut back. Instead of pushing on the back, the nut twists onto the threaded post. A screw back post design is often preferred for expensive diamond stud earrings that require increased security.
About the Collection Experience fire, brilliance and beauty born from the heavens with Forever Brilliant® Moissanite Jewelry. Inspired by ancient stardust, the tale of moissanite began more than 50,000 years ago when a falling star crashed into the Arizona desert, scattering celestial fragments across a windswept landscape. Hidden in the meteorite's fragments was a brilliant gemstone waiting to be discovered. With an incredible sparkle and an intrinsic fire that reflects a women's inner elegance, Forever Brilliant® Moissanite is the full realization of this celestial gem's true potential for beauty.
Marrying Charles & Colvard's original classic Moissanite with new innovation and artistry, Forever Brilliant® is the company's brightest, whitest gem ever. Their exclusive process creates a near-colorless gem that is masterfully hand-faceted by a skilled gemstone cutter and carefully hand-polished to reveal its maximum brilliance and enhance its intrinsic fire.
Composed of carbon and silicon, moissanite is one of the strongest gemstones on earth, making it extremely resistant to scratching, chipping and breaking. Featuring classic jewelry designs set in 14K gold, each Forever Brilliant® Moissanite piece offers long-lasting and timeless beauty that's perfect for any occasion.
Discover Forever Brilliant® Moissanite Jewelry for fire and beauty born from the stars, perfected on earth and set in timeless jewelry designs.
About the Guest For more than a decade, Anita has worked for Charles and Colvard® in sales, training and special events. Her expertise has been relied upon by America's leading retailers to train their associates on how to market moissanite. She comes to EVINE Live to give viewers the confidence they need to find and buy the jewelry of their dreams.


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Company | Special Offer | Real Weddings | Main Office Location | Category |
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My desi home...front door revamp
Thursday, June 7, 2012
37 comments:
- Shannon said... [Reply to comment]
It looks fantastic!!!
- June 7, 2012 at 7:30 AM
- Adding the finishing touch said... [Reply to comment]
Wow, what a great transformation. I LOVE those doors and the paint colour!
- June 7, 2012 at 7:33 AM
- Supal said... [Reply to comment]
wow this looks great and you have such a beautiful entrance!!
- June 7, 2012 at 7:42 AM
- EJ @ Not A House, But A Home said... [Reply to comment]
Wow, the new doors look awesome! I really like the frosted pattern and that you went with black - it looks so sharp!
- June 7, 2012 at 7:46 AM
- Amy Walters said... [Reply to comment]
I LOOOOOOOOVE your new door colour. Stately, stunning and so pretty. xo
- June 7, 2012 at 8:25 AM
- Nette @ This Dusty House said... [Reply to comment]
I looks amazing! We need to paint our front door... For some reason, it's about the last thing I think about it terms of things to paint.
- June 7, 2012 at 9:57 AM
It would be best to replace weather stripping to black but a quick fix u could paint with the same paint. Aura sticks to anything!
- June 7, 2012 at 10:11 AM
- Luciane at HomeBunch.com said... [Reply to comment]
Insanely beautiful!!! :-)
I'm thinking of painting mine yellow.... Hello! Summer!!!
You have a beautiful blog.
Luciane at HomeBunch.com - June 7, 2012 at 10:21 AM
- Pam @ Cherish Toronto said... [Reply to comment]
Love the new doors. There's only one chance to make a first impression, and these doors make it a good one!!
- June 7, 2012 at 10:36 AM
- Designwali said... [Reply to comment]
@Tammy @paint_lady I didn't even know I could buy black weather stripping! thanks for the idea!
- June 7, 2012 at 10:44 AM
- Melissa Blake said... [Reply to comment]
I'm new to your blog, but this door is beautiful! xoxo
- June 7, 2012 at 10:50 AM
- Michelle @ AM Dolce Vita said... [Reply to comment]
Looking good! We changed our transom insert as well to get a more complete look.
- June 7, 2012 at 10:57 AM
- Michelle @ Sweetsuite10 said... [Reply to comment]
Wow! That new door is stunning! Love the full glass, but that it's frosted. Great choice!
- June 7, 2012 at 11:09 AM
- amy_sue said... [Reply to comment]
Love the change! We are just working up the guts to paint all of our windows and doors black.
- June 7, 2012 at 11:10 AM
Are the front doors steel? How did you cut out the larger opening? Any tips would help... this is a great idea to lighten up the foyer in my house. Love your blog...
- June 7, 2012 at 12:18 PM
- charmaine said... [Reply to comment]
What a great transformation!
Thanks for stopping by my blog. Can't wait to explore yours! - June 7, 2012 at 1:35 PM
- a Girl Called Kim said... [Reply to comment]
I love black doors! Yours looks great as it sort of makes the rest of the house pop as well! The sage before made everything a bit washed out. - June 7, 2012 at 1:38 PM
- Amelia @ House Pretty said... [Reply to comment]
It looks awesome! Painting our front door is definitely on my list this summer! Oh, and the peacocks and lions are making me laugh out loud...
- June 7, 2012 at 1:43 PM
- email@example.com said... [Reply to comment]
KILLER!!!!! I am so wanting to do that now to mine! PS - I think a simple pendant light hanging down from the overhang would look lovely!
- June 7, 2012 at 2:06 PM
- Stephanie Fazio (aka lealou) said... [Reply to comment]
These look amazing! I hate those ornate windows too! We have a similar door to your first pic only we had an ornate window and changed it out to just plain glass as soon as we moved in. Hoping for a really nice door system one day!
- June 7, 2012 at 3:32 PM
- How2home said... [Reply to comment]
this is my first time visiting your blog and i can't wait to learn more about you and your projects! I think you've chosen a fantastic front door color and the cast iron on your door is great! Did you do that yourself or you've hired someone to do it and what's the design of the door called? We have cast iron detail for our door as well and boy...it cost a lot ;(
- June 7, 2012 at 5:33 PM
- Lisa - A Room with A View said... [Reply to comment]
The new door will take the curb appeal of your house to another level - looks amazing. The flowers pop!
- June 7, 2012 at 8:17 PM
- Lisa said... [Reply to comment]
OOOOH!!!! I love it!
- June 7, 2012 at 8:46 PM
- Gaby [The Vault Files] said... [Reply to comment]
WHAT?? Amazing! LOVE it! And what a beautiful entryway you have Sundeep, the black looks gorgeous with the pink flowers, very very pretty!
- June 7, 2012 at 10:15 PM
- jessica {creative index} said... [Reply to comment]
LOVE! Looks fantastic!
- June 7, 2012 at 10:20 PM
very glamorous! chateau chic.
- June 8, 2012 at 6:48 AM
- Anu@My Dream Canvas said... [Reply to comment]
Looks lovely...very chic!
- June 10, 2012 at 2:25 AM
- Siobhan Kelly said... [Reply to comment]
Hey awesome post on your front door revamp. Feel like growing your readership? We can help you share your blog with fellow Torontonians who share your interest in Style. For more info or to get on board, email me email@example.com with "Style" in the subject line.
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Siobhan Kelly - June 15, 2012 at 2:29 PM
Nice door very chic, fab for a impromptu revamp - London N
- June 16, 2012 at 7:30 AM
- STYLE'N said... [Reply to comment]
- June 19, 2012 at 5:13 PM
- Mary Martin said... [Reply to comment]
That was an elegant transformation. Black is one of the classiest colors, wherever it is used. It brought out the interesting details on the glass part of your door. Your old door doesn't look so bad, but this is definitely a better replacement. Maybe you can add some spotlights near your door. That would leave a lasting impression on those who see it!
- July 3, 2012 at 5:34 PM
- solicitors specialist said... [Reply to comment]
- This comment has been removed by the author.
- July 27, 2012 at 7:32 AM
- solicitors specialist said... [Reply to comment]
its really awesome door and like window doors. i like it. i should be get this door for my shop. its impressive.Garage Door repair Crystal Lake
- July 30, 2012 at 5:14 AM
- bathroom renovation said... [Reply to comment]
The use of color, pattern and furniture style is the smartest part of the decor
- January 1, 2013 at 2:48 AM
- Terry Arnold said... [Reply to comment]
Actually, giving my front door a facelift is always on the top of my list. I'm always on the look for the perfect front door. Maybe because it's one of the things people see before they enter your house. It can also say a lot about you and what they will be expecting inside your house. By the way, your new front door looks more appropriate and neat than the gray one.
- March 13, 2013 at 5:59 PM
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Nice post. I used to be checking constantly this weblog and I am impressed!
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- April 7, 2015 at 10:12 AM


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Happy Friday, my lovely readers. Thank you to those who have answered the survey on my sidebar. If you have not, I would love for you to answer the one question about social media. Thanks so very much! You are in for a treat if you have not already downloaded the latest issue of House of Fifty. It is jammed packed with Eye Candy and wonderful pieces. My husband literally had to ask me to put down my iPad so we could actually talk. It's that good. I asked a group of bloggers to share with us how they beat the winter blues so if you need a pick me up, check out what they do to lift their own spirits.
I'm drooling over that lovely shade of pink as well as the cake above. And if you are familiar with Tobi Fairley, you will love what she has to say about color. She even dishes on her top ten favorite paint colors. Rachel Parcell also shows off how she infuses color into her amazing looks.
There are a few ways to read House of Fifty.
Visit the House of Fifty Website for a Preview
To read on your computer click HERE
To read on iPads and iPhones click HERE
To purchase a print copy or read on android devices, click HERE
And I might be on withdrawals from my Alt Summit crew. Last Friday we were being goofy at a photo booth at the Blurb mini party. This Friday I am playing Chutes and Ladders and eating pizza with the family. But I wouldn't change it for the world!
photo by Blurberati
photo by Blurberati
Enjoy House of Fifty and watching the big game!


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The Los Alamos Animal Shelter, 226 East Road, 662-8179, has a great selection of onsite adoptable pets waiting for their forever home.
Come find a companion that will give you unconditional love. Be sure to visit lafos.org, where you can get more information about volunteering, adopting and donating.
All adoptable pets are spayed or neutered, have their shots and are micro chipped. Visitor guides: Between 4-6 p.m. Friday, volunteers will be at the shelter to give potential adopters personal introductions to the adoptable animals.
Thank you, Los Alamos. The past couple weeks have seen numerous adoptions — hopefully this trend will continue and all the shelter pets will find homes for the holidays.
Axle — Don't let those sad-looking eyes fool you. Axle is a playful and affectionate neutered male. The shelter temperament testers describe this Pit-mix as a "total sweetheart." He would love a family that appreciates big, sloppy dog kisses.
Bagel — Very busy female Border Collie found on the Rim Trail, near Rover. She will need an active family to keep her happy.
Ciera — Spayed female Shepherd-cross who likes to get to know her human associates before she shares her story with them.
If you currently subscribe or have subscribed in the past to the Los Alamos Monitor, then simply find your account number on your mailing label and enter it below.
Click the question mark below to see where your account ID appears on your mailing label.
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Amanda Double Snap Wallet
Crafted from rich, pebbled Italian leather and finished with a tonal logo, the Amanda Double Snap Wallet is a classic way to store your essentials. The chic shape features plenty of slots for your cards, ID and money — and a tab closure ensures your belongings stay safe and secure.
Please note Black remains full price
Pebbled leather.
Foldoever closure with 2 pin snaps.
1 coin compartment with foldover flap.
2 interior currency compartments.
1 clear ID window.
Nylon and leather lining.
Amanda inset logo with knotched sides.
Light gold hardware.
Height: 4.75" (12cm)


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The Next Frontier: Patient Engagement
The Next Frontier: Patient Engagement
MANAGED CARE June 2012. ©MediMedia USA
Seeking the best return on shared-savings programs such as PCMHs and ACOs, health plans are investing cash and other resources to attract and hold patients' attention
Have health insurers taken a lesson from Yogi Berra? In a television commercial, the former Yankees catcher and manager outlines a certain insurer's strategy, saying, "And they give you cash, which is just as good as money."
Harvard Pilgrim Health Care (HPHC) and at least three plans affiliated with Anthem have been using cash to get members' attention. They are working with their employer groups to give financial rewards to members who choose low-cost providers.
So many patients do not follow physicians' recommendations that the need for a drastic measure to get and keep patients engaged in their care is obvious. Even if patients follow doctors' orders, health plans such as HPHC may want patients to choose different providers who deliver care at a lower cost or with higher quality — or both.
Patient engagement is the next frontier for managed care plans. After all, if patients are uninterested in following providers' or the plan's advice, then the strategies designed to keep costs down will fail. Failed strategies mean there will be no savings to share under shared-savings programs or new delivery structures such as patient-centered medical homes (PCMHs) or accountable care organizations (ACOs).
"The evidence shows that simply providing health information to people is not enough to engage or change people's health behavior — or any behavior for that matter," says Stephen Wilkins, MPH, a researcher and consultant in consumer health behavior and patient-centered communications.
"To engage someone, a patient must perceive your message as relevant — patient-centered, if you will. Too often, health plans and hospital systems take a one-size-fits-all, provider-centered approach to communicating information to people.
"The fact is that people each have different health beliefs and motivations that drive their health thinking and behavior, and a one-size-fits-all provider-centered approach doesn't work." Wilkins writes a blog on patient engagement called Mind the Gap (http://snurl.com/mindgap).
"It's true that one size doesn't fit all," says the consultant Peter Kongstvedt MD (P.R. Kongstvedt Co., http://kongstvedt.com). "Most payers that have a lot of presence where there are large non-English speaking populations — for example Chinese, Vietnamese, or Spanish speaking — will often have some specialized services for those folks. Medicaid plans understand the need for targeted communications very well, especially, for example, when there are problems with transportation or when even having a telephone is a problem for some of their members. This is an area that health plans are just starting to explore, but there is not one model and there probably won't be."
Clinical issues
Sue Lewis, MEd, executive vice president and general manager of the "payer channel" at Krames StayWell, a provider of consumer health information in Salt Lake City, agrees that health plans have always recognized the value of improving patient engagement, but they are getting very serious about member engagement. "In terms of investment, health plans are spending more on member health management and more effective, actionable consumer communications strategies than ever before.
"Health reform has propelled health plans to invest in health management because health insurers are now becoming disease and health managers and repositioning themselves away from insurance," Lewis says. "In addition to promoting health, they are driving consumer engagement by combining data analytics with communications and preparing to manage the risk pool of a new wave of members who will be entering the system." (Krames StayWell is owned by MediMedia USA, which also owns MANAGED CARE.)
Tailored engagement
"They already have the data they need to identify the risk profile of every member," she adds. "So now they are developing tailored engagement strategies that are multimodal, meaning they will be available on the Web, in print, and for delivery to cell phones or by mail. They are designing very personalized, data-driven strategies for members of every risk profile and for different populations, meaning every different ethnicity and education and income level."
Plans know that increased compliance helps them save money and that the investment in reaching consumers the right way is more than offset by improving levels of engagement.
"For health plans, delivering the right message to the right person at the right time in the right format really is the next wave of strategies because they know that they are entering the world of retail marketing to consumers," she says.
To address the deficiencies of the old one-size-fits-all approach, some health plans are using the Patient Activation Measure (PAM), a 13-question survey developed by Judith Hibbard, DrPH, a professor of health policy at the University of Oregon and an expert on consumer engagement in health care. The PAM assesses patients' levels of engagement, including their knowledge, skills, beliefs, and confidence in their ability to manage their own health and health care.
"Most health plans treat all members the same, not recognizing, for example, that some people may not be ready for in-depth information while others are well informed already," she says. "People who are not activated or engaged may not understand their role in the care process, and may feel overwhelmed with the task of taking care of their health."
Giving these patients lots of information may only overwhelm them, says Hibbard. On the other hand, patients who are engaged may find that one-size-fits-all information is not helpful, as they may already know the basics.
"Success for health plans will hinge on their ability to meet members where they are and help them to become better at managing their health and be more effective users of care," Hibbard says. "This means partnering with patients and helping them to develop the skills and confidence they need to take this on."
Health care should measure what matters, Hibbard says. The same is true when it comes to effectively engaging with patients. Measurement can enable health plans and providers to tailor communications, support, and education to a member's level of activation.
"Imagine that practices or delivery systems were rewarded at least partially on whether their patients were making progress in terms of patient engagement," she says.
Using the PAM, Medica, a regional health plan in Minneapolis with more than 1.6 million members, studied the effect of coaching in relation to members' activation levels, using a pre-post design and a control group, although the members were not randomized. Medica evaluated 1,051 participants over 3.5 years and reported in February that patient activation, positive clinical outcomes, and member satisfaction increased and costs declined.
Participants had a 6 percent weight reduction (11.6 pounds per participant) and a 7 percent improvement in body mass index. Inpatient and outpatient costs were lower, and total costs for all participants were lower, even though there were expected increases in medication use and visits to primary care physicians, Medica says.
Overall, Medica saved $19 to $22 per member per month, compared with costs for the controls, the health plan reported.
"PAM is valuable in determining where our patients are so we can tailor our coaching to their needs as well as determine how far they have come once they have completed the program," says Kevin Ronneberg, MD. At the time of the interview, Ronneberg was Medica's medical director for health management. He has since left the company on good terms, a company spokesman said.
Ralph Prows, MD, chief medical officer for Regence BlueCross BlueShield, views the Patient Activation Measure as an outcome measure and is considering rewarding physicians based on increases in patient activation.
Ralph Prows, MD, chief medical officer at Regence BlueCross BlueShield, plans to use the PAM later this year to help physicians in medical homes manage patients according to their activation levels. Regence has 2.2 million members in Oregon, Utah, Idaho, and parts of Washington.
"We have to be accountable providers, health plans, and patients," he says. "And patient accountability means they can do better self management by taking a more active role in their own health and disease management. That's why we're interested in using the PAM as our yardstick among the programs, tools, and techniques we use for how engaged patients are with their doctors.
"Based on the patient's activation level, we will match staff members to those who need the most attention," he says. "Primary care practices need to focus their most high-end resources on patients who are the highest risk and lowest activation level. Those are the patients you need to spend your time on, making sure their blood pressure and blood sugar levels are being checked, for example. Patients who are highly activated don't need as much resources devoted to their care. The PAM is a brilliant twist on care management."
Later this year, Regence will offer the PAM to primary care practices in all four states. Prows says the PAM can make managed care more effective at improving the health of populations. "This is about getting members to make decisions that are more informed and to play a much bigger and more responsible role in their own care," he says.
Prows views the PAM as an outcome measure and is considering rewarding physicians based on increases in patient activation.
Anthem and HPHC are not using the PAM, but they are paying members to use low-cost, high-quality providers. The goal is much the same as the Medica and Regence goals: Get patients more engaged in their care.
"We're trying to get the right information at the right time in a more usable form to members," says Harvard Pilgrim's Rick Weisblatt, PhD, senior vice president for provider network and product development. "When patients call seeking a referral, they are given information on where high quality, lower cost providers are. If they use them, there's a reward." Under the program, called SaveOn, HPHC contracts with Tandem Care, a company that offers consumers information on the cost and quality of health care providers and services.
"The health plan and the employer save money by using a lower cost provider," Weisblatt says. "It's aligned with the member because the member is getting a reward. But also that member could be in a high-deductible product and so would be interested in saving money toward the deductible.
"Besides engaging patients more closely, the SaveOn program also increases volume to our most cost-efficient providers," he adds.
HPHC's SaveOn program began in New Hampshire last summer and it will be offered in Massachusetts this year, Weisblatt says.
Anthem Blue Cross Blue Shield in New Hampshire offers a similar program, called Compass SmartShopper. In January 2010, the city of Manchester became one of the first employers to participate.
Under the program, Anthem targets high-volume elective procedures and tests such as carpal tunnel and ear-nose-throat surgery, colonoscopy, high-tech diagnostic imaging, hernia repair, knee and shoulder arthroscopy, mammograms, and upper gastrointestinal diagnostic exams. When a member gets care from a cost-effective provider, he or she can earn $15 to $500.
"There can be a broad variation in cost for some procedures — as much as 250 percent — based on where the services are performed," says Robert J. Noonan, regional vice president for provider engagement and contracting at Anthem.
In two years, 476 Anthem members have earned $35,650, almost $75 per encounter. In the same period, Manchester saved $258,309 for its workers and family members and $153,883 for school department staff and family members, Anthem says. These savings came after paying the incentives to employees.
Anthem health plans in Connecticut and Indiana have similar offerings.
Like Anthem and HPHC, Independent Health in Buffalo has several initiatives to improve patient engagement. "We think of it as relentless messaging," says Peggy Davis, RN, director of health promotion. "You have to reach out to people through multiple channels and on an ongoing basis because that moment when they are receptive to some type of change could occur at any time. It isn't just a one-time outreach. People respond to different types of programs, whether it's online, telephonic, or in-person coaching."
To date, the patient engagement initiatives health plans have used have been inadequate to the task, says Thomas J. Foels, MD, Independent Health's chief medical officer.
"There are three domains in which patient engagement can take place. From the health plan perspective, our relationship with our membership has historically been through servicing. That means when a member calls about an issue, we want to turn that moment into a bigger, broader opportunity to provide engagement. That's one domain.
"The second domain is what we do with wellness, which involves expanding on and leveraging what we have done in the employer venue. A lot of levers there have not been pulled yet.
"The third domain is the critical relationship between members or patients and their physicians, which is extraordinarily powerful."
Independent Health aims to support primary care physicians so they can engage patients more effectively in this third domain, he says. But also, the health plan is using value-based benefit design to provide incentives for patients to see certain providers.
In the meantime, Independent Health is engaging patients through a wellness incentive program that it developed at the request of Buffalo-area employers. "We think of it as rewarding the desirable behavior," Davis says.
During a visit to a primary care physician, the member would complete a 12-question health risk assessment.
"The program is designed to drive engagement with physicians," Davis says. "We want people to have a PCP and to see the doctor on an ongoing basis so they have an established relationship with someone who understands their beliefs and values about health care."
Making wellness work
In response to demands from employers, Independent Health allows members to use Internet social networks to track their progress toward fitness goals. In recent years, many employers asked Independent Health to offer social networking initiatives to improve patient engagement, Davis says.
"Employers want us to have innovative ways to engage their employees to help them be more productive and to retain workers," Davis says. "As a result of these programs, employers in our wellness programs had a 12 percent reduction in avoidable ER visits."
"Those employer groups also had high utilization of generic medications, which lowers costs, and physician visit rates rose. That means members in these programs were more likely to go in for an annual checkup than those who work in places where there isn't an emphasis on health promotion and wellness."
Aetna also is using social media and traditional communication to reach its members, says Carissa Caramanis O'Brien, Aetna's social media community and content director. "An engaged individual is going to be more successful in changing or maintaining healthy behaviors and in creating a healthy lifestyle," she says.
Social media
Some patients today — particularly those known as e-patients — expect their health plans to communicate with them via social media, O'Brien says. E-patients is a term used by the Society of Participatory Medicine to refer to consumers who go online to search for health information. "I have talked with many e-patients, providers, and health care industry folk, and e-patients are among the most engaged — and those patients include the very young as well as those 55 and older," O'Brien says.
"We know a large percentage of folks, regardless of age, turn to the Web first for health information and now they are very active in social networks and online health communities as well," says O'Brien, hired last year to support Aetna's presence on the Web, including social networking sites such as Twitter, Facebook, and YouTube.
Among the ways Aetna uses social media is to support patients engaged in substance abuse, says Hyong Un, MD, head of Aetna's employee assistance program (EAP) and chief psychiatric officer at Aetna Behavioral Health.
Mutual support
"Getting people engaged and into treatment and having them stay in treatment is what makes the work of OneHealth significant," Un says.
OneHealth uses social media and traditional forms of support to help Aetna manage patients being treated for alcohol and drug dependency. OneHealth has been working with Aetna patients for almost two years.
Use of social media is a growing trend in dependency treatment because this form of communication allows peers to support each other around the clock.
"There is a long tradition of peer support being effective in alcohol and drug abuse treatment, and now it's being used in behavioral health and health-related initiatives such as weight loss programs," Un says.
"Peer support may be as important as the support a patient gets from the health care system. And when peer support comes from family members, it may be the most significant. We are all social creatures and we respond to social support from others, particularly those who are important to us."
Last fall, Aetna had 386 members in treatment for alcohol and drug abuse who were using the social media tools of OneHealth, he adds. "We don't have data yet, but it looks like there have been some modest cost reductions so far as a result of using the social networking tools."
Laura Clapper, MD, OneHealth's chief medical officer, says the company uses the Web, e-mail, video chat, online games, and text messaging to connect with Aetna's members. Such interactions may be more effective than traditional support for these members, she adds.
Changing behavior is difficult, as health plans have learned over the years, and as patients have always known. That's why patient engagement is so important today, says James Rose, senior vice president for business development at Patient Engagement Systems. The company seeks to enhance communication between patients and providers by delivering guideline-based decision support to providers.
"Patient engagement is the next frontier for plans, and really all of health care," he says. "Returns have been diminishing for narrowing provider networks, redesigning benefits, and other top-down strategies.
"Getting and keeping patients engaged is vitally important when you consider that as much as 60 percent of all health care costs are influenced by an individual's behaviors and decisions."
60 percent of all health care costs are influenced by the behavior and decisions of individual patients, says James Rose at Patient Engagement Systems.
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Do you want the security of life insurance, but don't want to strain your budget? Now there's a way you can still give you and your family the protection you deserve, without breaking the bank. Whether you're interested in term life insurance or whole life, our site can help.
By using our free online comparison service, you can save huge on life insurance quotes for you, your spouse and your children. Simply select your state and you'll see a selection of local providers that offer the type of policy that you're looking for. Next, compare quotes and save. Within moments, you'll have the lowest life insurance quotes available from trusted local providers, helping you save on your next policy.
It's something many of us put off, but getting life insurance is one of the most significant things you can do for your family. Without it, people you love could be left financially devastated, as well as grieving. Forget superstitions and bad luck -- start looking for the best life insurance quotes now, before it's too late.
You may not have any control over when you die, but you do have control over receiving the best life insurance quotes. The two biggest factors that impact your rates are your gender and age. If you are female, you will automatically get a lower quote than males, as women generally have longer life expectancies. And the younger you are, the lower your quotes will be also. However, you should really only consider getting life insurance if you are married and have children.
Another factor that will keep quotes down is being a non-smoker. If you are currently a smoker – quit! Many insurance companies require you to have quit smoking for a minimum of a year, typically more. Your health, of course, can have a major effect on the kind of rates you qualify for. Having diseases like cancer, and sometimes high cholesterol, will cause higher rates. But high blood pressure or diabetes aren't usually considered major health issues that could increase your costs.
And there has never been a better reason to lose those extra pounds that have been nagging you. Many life insurance companies consider obesity to be a high risk factor and therefore will offer you higher premiums than someone who is at a healthy weight. Surprisingly, many people don't realize that their driving record can impact insurance quotes. But some insurers believe that you are a high risk client if you have had frequent accidents or have received tickets for anything illegal when driving.
Always shop around and compare rates from numerous companies, and take care of yourself. Life insurance is something to leave your loved ones after you go, but you should enjoy a healthy life until that day comes.
Aug 24, 2013
Many people think of life insurance as a monumental investment that is the same no matter how or where you purchase the policy – but the fact is, when getting life insurance quotes it pays to know the truth about the industry.
Jun 30, 2013
Getting life insurance quotes can feel confusing when you're trying to decide what kind of policy you should buy. This guide will help walk you through the process.
Jul 09, 2013
Some life insurance quotes are designed to just pay off your mortgage in the event of your passing, so your partner or spouse won't have to worry about making payments alone.
Jul 29, 2013
Life insurance quotes for adults over the age of 50 may seem hard to find, but you can definitely purchase a policy if you're looking in the right place. Here are some tips and tricks to help.
Jun 2013
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April 19, 2013 Great Lakes Christian College, Doty Center
What stops elders from providing leadership to congregations? Confusion over exactly what they are supposed to do, conforming our leadership model to the world rather than to Christ, and failure to address conflict in the church ALL stand in the way of elders being effective leaders. JustLead! is a seminar designed to help elders find more focus and direction in their leadership, and is brought to you by Great Lakes Christian College.
Attend for FREE if your church donates $400 to the Michigan Christian Convention
$40 per person (click here for family and group rates) Registration Deadline: April 8 Print a registration form or register online at MichiganChristianConvention.org
Join us for the Michigan Christian Convention Friday night and all day Saturday, April 19-20.
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Nebula NatTable
Primary tabs
NatTable is a powerful and flexible SWT table/grid widget that is built to handle very large data sets, real-time updates, dynamic styling, and more.
NatTable is a subproject of the Nebula Project, the home of further supplemental custom widgets for SWT.
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East Linear Double Handle Low Lead Compliant Wall Mounted Pot filler Faucet
Since 1989, Newport Brass has developed, designed and delivered classically constructed versatile suites of timeless kitchen, bath and shower products for the discerning customer. With over 20 years of commitment to well engineered solid brass designs and an undisputed reputation for performance and durability, Newport Brass continues to handcraft the finest fixtures with strict testing and quality assurance measures.
Faucet Features :
- Wall Mounted Installation
- Contemporary Style
- Double Handle
- ADA Compliant Lever Handles
- Brass Valve Bodies
- Quarter-turn Washer Less Ceramic Disc Valve Cartridges
- Solid Brass Construction
- Two-valve, Double Pivot Design
- Two Shut-off Valves
- Twin Knuckles
Faucet Specifications :
- First Arm Extends : 14-3/16"
- Full Extension (Second Arm) : 26-15/16"
- Height : 7-13/16"
- Spout Height : Dependent upon installation
- Number of Handles : 2
- Handle Type : Metal Lever
- Escutcheon Diameter : 2-15/16"
- Escutcheon Height : 5/8"
- Material : Solid Brass
*For a deck mounted version of this pot filler please see the Newport Brass 9486*
Additional Newport Brass Links
- View the Manufacturer Warranty
- Browse All Newport Brass Products
- Newport Brass Pot Fillers Collection
This Newport Brass item can also be referenced by the following color/finish specific model #:
- Newport Brass 9485/06
Antique Brass - Newport Brass 9485/08A
Antique Copper - Newport Brass 9485/65
Biscuit - Newport Brass 9485/07
English Bronze - Newport Brass 9485/56
Flat Black - Newport Brass 9485/01
Forever Brass (PVD) - Newport Brass 9485/24A
French Gold (PVD) - Newport Brass 9485/54
Gloss Black - Newport Brass 9485/14
Gun Metal - Newport Brass 9485/52
Matte White - Newport Brass 9485/10B
Oil Rubbed Bronze - Newport Brass 9485/ORB
Oil Rubbed Bronze (Hand Relieved) - Newport Brass 9485/26
Polished Chrome - Newport Brass 9485/08
Polished Copper - Newport Brass 9485/24
Polished Gold (PVD) - Newport Brass 9485/15
Polished Nickel - Newport Brass 9485/04
Satin Brass (PVD) - Newport Brass 9485/10
Satin Bronze (PVD) - Newport Brass 9485/26D*
Satin Chrome - Newport Brass 9485/24S
Satin Gold (PVD) - Newport Brass 9485/15S
Satin Nickel - Newport Brass 9485/20
Stainless Steel (PVD) - Newport Brass 9485/03N
Uncoated Polished Brass (Living) - Newport Brass 9485/VB
Venetian Bronze - Newport Brass 9485/03W
Weathered Brass (Living) - Newport Brass 9485/08W
Weathered Copper (Living) - Newport Brass 9485/50
*Discontinued model or finish
More Than Just a Store - Your Reasons to Shop
Discover the best online deals for the 9485 and everything else for your home from the leading online home improvement store.
We're committed to providing you with the best assortment of Newport Brass products with over 400 warehouses across the country.
Our knowledgeable product specialists work to bring you the best prices on every product and provide unmatched customer service. Your satisfaction is our highest priority!
Manufacturer Resources
Installation Resource Center
Whether you are installing the product yourself or hiring a professional, our installation Resource Center has everything you need to get your project done. Visit the Installation Resource Center to get started.


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Introducing the X009-GM, the only factory radio replacement with a 9" screen
ContinueA lot of speakers can sound loud. But very few speakers can handle an enormous amount of power and reproduce that sound with extreme clarity like the new and improved Type-R speakers. You get all the power handling without sacrificing clarity. Type-R speakers deliver solid performance, superior linearity, efficiency, and great bass response. Upgrade to Type-R speakers and hear the perfect balance of power and control.
Price: U.S. $230.00
(Now Available)
Professional installation available at authorized retailers.
The Type-R's class-leading excursion and stable structure offers real-world reduction in power compression. This provides increased bass performance output, as well as a consistent, clean, and distortion-free sound at nearly any listening level. The woofer cone is made of a multi-layered hybrid fiber that delivers powerful and uncolored vocal performance and musicality. These speakers perform with clarity and almost perfect balance under continuous power demands.
The new smaller Neodymium Magnet on the Type-R series allows the total speaker dimensions to be smaller. Not only do you get better performance and control, the compact size makes them easier to install in a wider variety of vehicles. Plus, they are much lighter than typical designs using standard magnet technology.
Traditional speaker frame designs rely on steel making them larger and heavier. The new Type-R series uses a revolutionary HD Polymer frame making the speaker stronger, lighter, and easier to install.
The Type-R series continues its legendary reputation for power handling capabilities. One reason is Alpine's patented Linear Drive Motor. It uses a square-wire voice coil that is a large 30mm diameter, driven by a small, powerful neodymium magnet. This unique design provides linear motion over an extremely wide excursion, efficiently turning your amplifier's power into great sound. At high volumes, when other speakers give up, Type-R's Linear Drive Motor keeps on producing high quality output.
Type-R speakers use Alpine's patent pending Multi roll HAMR surround, a technology developed for many of Alpine's legendary subwoofer designs. At higher volume levels, a speaker's suspension system typically loses control and becomes unstable. Alpine's HAMR Surround combines both large cone area and long linear cone excursion for deep, powerful bass response.
The Type-R tweeter is an entirely new design that provides crisp, smooth response engineered for the car environment. The 25mm diameter silk dome offers wide bandwidth and tremendous detail. Alpine's new EQ Ring improves the tweeter's dispersion characteristics, providing excellent off-axis response. The motor structure incorporates a special copper cap to minimize distortion and enhance vocal presence. You have to hear to believe how great these tweeters sound. Plus, you can swivel the tweeter up to 15 degrees to provide advanced custom sound tuning and directional control by focusing sound where it should be, not pointed at your feet.
The new Type-R line not only handles a lot of power, but it's also very efficient, making it the perfect match for built-in head unit power, the KTP-445 Power Pack, or a high-powered component amplifier like the MRX or PDX series.


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Circa 1950s 2-man Army sub. Huh? Army submarine?
That's what I said to myself when I stumbled upon it a few years ago while visiting the Space and Rocket Center in Huntsville, Alabama. While walking around the outside display grounds looking at all the giant rockets, there between two of them resting on a boat trailer, was this little sand colored submarine, small enough to fit in my garage.
I made my way directly to it like a moth to a flame, unaware of anything else around me, including my family. They wondered where I was going, and then they saw it. "Oh, no!" they exclaimed, "He found another submarine." As most of you have probably experienced in cases like this, I was the only one interested in this display.
That thing was cool! I took a bunch of pictures with the hopes of being able to build a miniature R/C version of it one day. Well, that day has arrived.
If you can't read the picture of the plaque, here is some sparse history I know of this submarine. The Space and Rocket Center is a museum where this sub sits, on the grounds of the Redstone Arsenal (Rocket range-www.redstone.army.mil/), where the U.S. ballistic missiles (ICBMs) and space program rockets were developed after WWII. When they tested them, firing them into the Pacific atolls, they used this little sub to hunt down the rockets and their pieces. I'm gathering it was sand colored to blend into the bottom of the ocean so it couldn't be spotted by roving Russian eyes in planes above.
The first place to start is with 4-view drawings and cross-sections that I can use to build it. So from the photos and some on-the-spot guessturements, I developed them. I wanted to make it big enough to capture the cool details of a machine from that era—screws, bolts, weld lines, etc., but small enough to handle and transport easily, and maybe even small enough to run in my above-ground pool. My 1/96 nukes can run across my pool, but that takes place in 3-4 seconds, and they can't turn. This thing is about 16 feet long, so I figure 1/8 scale, making it about 25 inches long, should be just right.
Here's a sample of the plan:
If there's enough interest, I may even produce this as a SubmarineWorks original kit for sale.
For those of you who are just getting started in submarine building, or don't have any of that fancy Computer Aided Drafting software and CNC equipment, I'm going to build this in a way that shows how almost anyone can make a model. This is a technique I learned from the great Steve Neill and Kevin McLeod. They've's posted a few of their builds here, and in The SubCommittee Report (great magazine), using the same technique. It's been called "The Lost Foam" technique, but I'm not going to lose the foam. I'm going to keep it inside and just use this method to build masters to make molds from.
I started with the spine-board I made to build my 1/96 Ohio model on. Then I spray-mounted loose cut-outs of the Xeroxed cross-sections from my plans onto cardboard to give them some rigidity. Then I cut them out to exact size. These cross-sections were taken in 2" sections to work perfectly with 2"-thick styrofoam. Here they are just placed along the spine-board.
You use the cross-section cut-outs as guides for a foam cutter. Place a chunk of foam between two successive cross-sections with a light coat of spray mount. Line up both pieces/side with the groove cut out to fit over the spine-board. I mount one section first. Then cut out the groove. Then mount the opposite section lined up with that groove. Then cut out the piece by pressing the cutter against the edges of both cross-sections.
Here you can see the successive sections taking shape.
Then you just sand them smooth while keeping the sections in place. I just use a little Bestine Brand Rubber Cement Thinner to remove the sections, then use the one needed on the next piece.
Multiple sections then glued (spray mount) together.
I left these pieces in larger sections, instead of gluing them all together for the full boat's shape, so that when I sanded them I could use a long, straight sanding board and sand right down to the edges of the cross-sections, using them as guides as was done for the foam cutter. This also kept me from over sanding down the foam, which can happen very easily. Then they will work the same when putting on plaster to fill in low spots and imperfections in the shape. I'll use a trowel across the edges and screed out the plaster. I use plaster first, before applying fiber glass, because it is easier to sand and less expensive than the bondo step on top of the plaster. Although I have to wait longer to let it dry, at this stage I feel it's worth it. Laying the fiberglass over the plaster-leveled foam will require much less and shallower layers of bondo on top of the fiberglass to get the final shape later.


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Rated5.0based on 2 reviews
Lot of 10 Sealed Bearing 5x11x4 Miniature
Price: $22.37
Code: Kit7079
Product Descriptions
Ball Bearings 5x11x4 Sealed Lot of 10 Bearings |
10 Sealed 5x11 Ball Bearings, this is a popular size that could be used in many RC wheel and motor applications that uses this size 5mm x 11mm x 4mm. Bearings are can rotate up to 55,000 rpm, each bearing has 2 Seals to protect the bearing from dust or any possible contamination, also bearings are pre-lubricated with grease, Bearings are packed 10 bearings in one plastic tube.
| |||


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Main Content
Your Saints aren't the only ones getting win after win. Your New Orleans style is just as victorious! Score another with these Victory performance pants from Nike. They have moisture-wicking Dri-FIT technology to keep you comfortable and a Saints logo on the right leg to display your devotion to the team!
- 100% Polyester gusset lining
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Special event items are produced by manufacturers only after the outcome of a game
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Manufacturer direct items are shipped directly from the manufacturer. These items
are not available for international or expedited shipping.
Customized items can be personalized with options such as your name, your favorite
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Federal Drive Interviews -- Oct. 30, 2012
Tuesday - 10/30/2012, 12:49pm EDT
This is the Federal Drive show blog. Here you can listen to the interviews, find more information about the guests on the show each day and links to additional resources.
Today's guests:
Steven Cooper — acting deputy director, National Weather Service
The National Weather Service has been keeping all of us informed about the weather. Now we're going to take an inside look at the agency's war room.
NWS ramps up to track Post-tropical Cyclone Sandy
Steven Musser — director of the office of regulatory science, Food and Drug Administration
It's hard enough to map the DNA of even one bacterium. But the Food and Drug Administration set out to create a database of 100,000 food borne pathogens. The thinking was, that would really help track and limit illness caused by food worldwide. Steven Musser, director of the office of regulatory science at the Food and Drug Administration, led the coalition that resulted in the Genome Project for Food Pathogens, and he won a Health and Human Services Innovation Award. He explained that FDA embarked on this work with some highly able partners.
Debra Katz — founding partner, Katz, Marshall and Banks
A new report to Congress says harassment and discrimination are on the rise ... In Congressional offices themselves, that is. But that finding is just part of the story. The report comes from the Office of Compliance, a small bureau that helps 30,000 legislative-branch staff with workplace issues. Its director is pleading for more resources and support from lawmakers. Workplace discrimination lawyer Debra Katz is a founding partner of Katz, Marshall and Banks in Washington. She's represented Congressional staff in discrimination cases, and gave us her reaction to the report.
John Palguta — vice president of policy, Partnership for Public Service
There's a silver lining in the Frankenstorm for federal employees. Whereas most of the time, feds hear plenty of calls for smaller government and cuts to their pay and benefits.
Lt. Cmdr. Jamie Frederick — Coast Guard
It's hard to imagine an agency busier during the Sandy episode than the Coast Guard. It even had to rescue people from a tall sailing ship which sank off North Carolina. Joining us for a review of Coast Guard operations in the last few days is Lt. Cmdr. Jamie Frederick.
Coast Guard kicks into high gear after Sandy
Col. Jeffrey Pounding — National Guard
As Sandy approached, Defense Secretary Leon Panetta appointed "dual status" commanders at the National Guard in six states. That allows them to integrate support operations from DoD at a governor's request.
Cybersecurity Update
- Sometimes the way to a child's heart is through pirated music, or so some U.S. diplomats might think. The Associated Press reported the U.S. Embassy in Vietnam is using Zing.yn to reach a younger audience. The site lets users download illegal copies of songs and Hollywood movies. While that's something the U.S. government staunchly opposes, the site provides it with a rare vehicle for public diplomacy in Communist Vietnam. Sometimes, U.S. diplomats use their social media account on the site to post news about copyright infringements, but their presence remains controversial. Coca-cola and Samsung pulled ads from the site earlier this month because of piracy concerns.
DoD Report
- Pentagon officials are asking China if it wants to share resources. U.S. officials said it a groundbreaking development for logistics. They have invited Chinese officials to visit Washington early next year. They'll discuss sharing fuel, food, supplies and even ship parts to support joint operations. Those include counter-piracy, humanitarian assistance and disaster-response missions. The Pentagon has considered the arrangement before but did not pursue it because of strained relations with China. Now may be different. Defense Secretary Leon Panetta recently visited China to promote closer cooperation.
- A Navy cruiser and submarine have collided off the East Coast. Both vessels are back in port so they can be examined for damage. The Aegis Cruiser USS San Jacinto and the submarine USS Montpelier were on routine training operations. No one was injured, according to the Navy. A spokesman said the nuclear propulsion system of the submarine was not damaged. The surface ship headed to Naval Station Mayport in Jacksonville, Fla., under its own power. The sub went to Naval Submarine Base Kings Bay in southern Georgia. The Navy is investigating the collision, which it called rare, but did not release more specifics.
- Federal installations and contractors outside of Washington spent yesterday monitoring headquarters. In Huntsville, Ala., the Redstone Arsenal and its contractors were told, Missile Defense Agency headquarters in Washington was shut down until further notice. Alabama.com reports, facilities in the Huntsville area operated without interruption. But it says the storm cut the vital lines between local agencies and contractors, and their headquarters in Washington or Northern Virginia. The Army Material Command, housed at Redstone, was working with U.S. Northern Command in case a help request came from Washington.
- Northern Command is offering help to FEMA, states and local governments responding to Sandy. Service members are on 24-hour "prepare to deploy" status. They've got helicopters, para-rescue teams and other responders at the ready. Military medical planners are also helping states. Bases in Massachusetts, New Jersey and Delaware are serving as incident-support bases for federal equipment and supplies. The Pentagon has directed all installations to offer support to local communities that request help.


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Made fresh at our Italian Food shop near Boston, our homemade Eggplant Parmigiano (no meat) has freshly sliced and breaded eggplant pan fried in virgin olive oil then layered with San Marzano tomatoes, Italian mozzarella and parmigiano cheese using our old family recipe, baked to perfection then frozen for shipping. Simply thaw, heat and serve for the perfect meal any time! Sold as one 12X10" pan, serves 6-10 but may be cut into as many as 12 small pieces. ♦ ♦ ♦ ♦ ♦
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Alright, so who lives and who dies? I'm betting on Oscar. He is basically the red shirt of The Walking Dead. I don't think we will see a major death because there are just too many stories lining up to be told.
And, Glen, he really stepped it up in this episode. No longer Short Round. He killed a walker strapped to a chair and he was willing to take a bullet up till the end. Great stuff.


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Marketing is the business function responsible for generating the ideas and connections that make money for the firm. You would be a good marketer if:
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How To Clean Satin Heels
When you wear wear satin heels, an evening on the town will go from grey to glamorous. But unpredictable weather and unexpected situations can leave mud or dirt spots on your satin heels. Since an invitation to a great party could come at any time, knowing how to clean your satin heels is a must. Satin is a delicate material that can damage easily, so follow these steps to ensure that your fashionable heels look their best for your next night out.


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There is 1 match that could be competitive for Mike and that is the legend that is Rhys Parker! Probably the worst 2 in the UK, he normally fights at FW but has fought at Bantam and up to Welter, I think?
If you didn't see it with your own eyes, or hear it with your own ears, don't invent it with your small mind and share it with your big mouth!
Must be true if Manchester Magic said it!
In all seriousness Ben is exactly right, Craig Allan is the example of a decent fighter with killer instinct who hasn't looked after career interests with some of the matches he has taken, but he is genuinely tough and a threat.
http://www.facebook.com/craig.st.clair666 ME
"That was how i got my first soapy titwank!
Listening is cool and shit." BlackdogMMA
I respect Ben heas a good writer and done the sport proud im just trying to keep this guys dream alive man 6 months proper training with the right team and im still very confident he could give Allen problems as you all know it only takes one timed strike to put somebody in trouble plus Allen seems to rush in which could leave him open for a hard strike as he is rushing. If mike tries to brawl with Allen then yes Allen would destroy him but if he fights a smart fight i think a few on here may become a bit more humble towards mike. My advise to you mike if your reading train hard for 6 months find yourself a team who accept you and will teach you things within your capability and maybe have 3 more fights then call it a day and be very very proud of yourself for not only stepping in that cage but for stepping in there against lads who are at full time gyms who some of which might go on to big things i take my hat off to you sir and think its about time some of the nasty sly comments stop towards you too. Im not here to troll i just refuse to stand and watch as a huge part of a respected forum tries to put you down. Last comment isn't aimed at the guys who refuse to ref him.
Edit Also the Manchester lads should invite him to train not call him names its guys like mike who keep food on the table for you.
Last edited by Babycakes; 06-12-2012 at 11:25 AM.


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Phoenix, AZ, United States | Member Since 2014
"Reliable Entertainment for Child Fans"
A talented author in his own right, Lincoln Child is at his best when he is collaborating with Douglas Preston on the Pendergast series. That being said, I enjoy both Preston and Lincoln's independent novels as well.
Most of Child's stand alone stories have a similar flavor and pattern to them. The Third Gate is no exception, and if you are a regular reader you will recognize the general situation the protagonist is put in, and the type of characters he is surrounded by. The fun comes by sitting back, and allowing yourself to be carried along on an enjoyable story.
I hovered between placing the narration rating between a 2 and a 3; it was fine, really, but there were times when it appeared that Mr. McClain didn't know what the next sentence would say; so you end up with situations such as the narrator saying at full volume, ' "It can't be true!" he whispered ' - and then, having finally read the word "whispered", he completed the phrase whispering - ' "how could it happen?"
There were several moments like that, and so it wasn't my favorite reading; but it's not anything that will ruin the story for you.
As mentioned before, the plot line will feel somewhat familiar to those who regularly read Child's work; but that can be a good thing; it means you know what you're getting, and you know you like it. The second half of the book had a fun twist, and all in all I ended feeling entertained. There was one aspect of the book I found baffling, but it was strictly a side note.
I don't anticipate this will be many people's favorite book of all time, but I think fans will generally be satisfied.
"Surprised by the Fanfare"
I'm taken aback by how emphatically enthusiastic the reviews of this book have been. As so many of the other reviewers here mention, I was pulled in by the comparison to Robert Jordan. The story was generally entertaining, but I did have specific issues. (1) I felt the characters lacked depth and pathos. There was no one I felt emotionally invested in. (2) The story was surprisingly and consistently violent. Whole leagues of bodies, some with the heads of the adults re-attached to children. Stabbing up into people's brains. Cutting people's private parts out while they are alive and screaming. It was difficult to listen to, and weighed more and more heavily on me as the story progressed. (3) I understand that there is nothing new under the sun, and the overall story was quite different than other books. That being said, some of the points echoed a little too strongly back to Wheel of Time: shadowy bad creatures with dark cloaks that don't move in the wind, a sword that is not a sword, core character(s) that are reincarnations of major historical legends. Laman (spelled here as Laiman) is not the king, but the king's chief advisor. I found these repetitions distracting. (4) The actions of some of the characters were extremely implausible.
During the majority of the story it was entertaining enough, and while I grew more disengaged as it progressed, it still kept me through to the end. I may even consider giving the second book a go, although right now I'm uncertain. If you're a fantasy fan and having trouble finding something to read, and can handle a fair amount of violent images, you may enjoy this; it certainly seems that the vast majority of readers are.
"How did this get published?"
I've enjoyed many Joseph Finder books before, but this one was so bad I'm honestly surprised that it made it to press as is. I definitely think that if this had been submitted to publishers without Joseph Finder's name, it would never have been accepted.
The plot is not very original and you know how it will end from the very start, but that's not what disappointed me. The problem was that the author repeated the same unnecessary information over, and over, and over again. How many times in the same story do you have to hear about the fact that the milk is Lactaid when it has no bearing whatsoever on the story? When it states that he received a message to meet at the ihop of x street at 7:30pm, is it really necessary to make the next sentence "The meet had been set. They would meet at the ihop, on x street, at 7:30pm". That's how bad it was, and it was constant. It almost felt like a prank book.
I hate writing negative reviews, but I only do it in the hopes of saving someone a credit they will be sorry to loose.
"How is it still not fixed?"
I love this book. I love this series. Mostly I like the 2 narrators; the format is great, but through the series they will often mispronounce names for many books and then change to the right name, and it can be confusing.
Anyway, I give this book 5 stars for the story, but the editing was all messed up. Over and over again chunks of the story will just loop back to repeat again. It's really irritating. That being said, I'd still 100% recommend the book - I just really hope at some point they fix the editing. It's a popular enough series that I think it's worth doing.
I've read all the other Royal Spyness mysteries, and have enjoyed every one of them. They are my cotton-candy books; meant just for fun fluff, but very good for that purpose. I've looked forward to this book ever since the last one came out, but I could not have been more disappointed. Katherine Kellgren, who I usually enjoy, went so far overboard with the dramatically effusive performance it was painful to listen to. The plot was so bad, and the character's actions so bizarre, that it was insulting to the reader. I'm sorry to say that while I tried to hang on, and listened to quite a bit of it hoping it would get better, I couldn't finish the book. It was just too terrible. I'm going to look into returning it now that I've written the review. If you get it, I really hope you enjoy it; but I could not.
"Recovery Rather Than Destruction"
The title of this novel, "A Constellation of Vital Phenomena" was borrowed from a Russian Medical Dictionary; it was the definition listed under the entry for the word "Life". The definition strikes me as inexplicably lyrical and poetic; making it a fitting title to this impressive work.
Marra's book is all about life; not just the lives of the main characters we follow throughout the book, but also of a full constellation of lives that orbit them. The lives of an embittered nurse, once jilted by an oncologist. A six year old in Manchester, England, who desperately wanted to avoid another hand-me-down. A neighbor; an elderly woman who believes she gets daily visitations from "ghosts, angels, prophets and monsters". A swarthy, opportunist smuggler who does good deeds for the doctor who saved her brother's life - explaining that even though the brother in question was most definitely his least favorite of six brothers, had remembered to feed his pet turtle once as a child; so a favor was still owed for his life. From these characters and countless more, the constellation is formed.
The last word of the title, phenomena, is defined as "a fact or situation that is observed to exist or happen". And with that, the story takes form; as we learn how the full constellation of characters came to either be where they are, or end up where they will, based on the vital facts and situations of their lives.
Other reviewers have discussed that the story was depressing, the torture brutal, the characters sad. They definitely have very valid points; but I somehow didn't find the book too depressing. I was struck by the flashes of normalcy despite the terrible circumstances, the unexpected humor, and the strong underlying current of innate goodness and dignity that ran through the main characters we followed.
In an interview, the author Anthony Marra shared, "I knew early on that though the novel was set against a backdrop of war, it would be a book about recovery rather than destruction, about surgeons rather than soldiers." That is the feeling the story left me with.
"Touching and Fragile - Once Untangled."
Having loved Rachel Joyce's original novel "The Unlikely Pilgrimage of Harold Fry", I dove into "Perfect" as soon as it was released. After a decent amount of time listening to the story, I had to admit to myself that I wasn't following the narrative at all - so I started over, right back at the beginning. After several more false starts, I decided to go online and find some reviews; was it just me that was confused? Luckily, there was a review on Amazon from a reader with an early release copy of the book, who mentioned that the chapters of the book alternate between the story of the two boys in 1972 (beginning with both the book's preface "The Addition of Time" and the first chapter "Something Terrible") and the story that takes place in our current year - a story of a man nearing 60,(beginning with Chapter Two, entitled "Jim"). From that point on, the chapters switch regularly, with each narrative getting every other chapter.
With that piece of crucial information, I began the book once again; and from that point on, I was entranced. Much like the author's first book, the story is both beautiful and sad; focusing on the cause and effect that relationships, actions, and experiences in our past have on our future lives.
I found this story very touching and honest. Sharing any more about the plot would be a disservice, so I'll leave it at that.
If you enjoyed "The Unlikely Pilgrimage of Harold Fry", I believe you'll enjoy this new tale; a very different story, but treated with the same respect and compassion by it's author.
"Honest and Funny"
I picked up this book as soon as it came to my attention because there was a time in my life when traveling was my favorite thing, and how I spent every spare penny I could squirrel away. India was always on the wish list, but never came to pass. On average, I tend to enjoy most travel memoirs or stories written by people who have really had the experience of traveling.
The author, William Sutcliffe, did in fact spend about 3 months traveling in India during his gap year, just as the protagonist in this story does. I have no idea if any of the events experienced by the character were shared by the author, but the general spirit of an adventure to a culture really different to your own was certainly very authentic, and told with the humor and affection that I think most people that travel for pleasure look back on their trips with.
Fair warning: there is some discussion/scenes of adult content. None of them are over the top, but it is an aspect of the story. While making the decision on if this selection is a good choice for you, include that in your decision making.
Overall however, I really enjoyed hitching a ride through India with our flawed hero. The level of humor, honesty and accuracy were spot on, and the description of how you look back on the trip after you're back at home could not have rung more true.
It's a quick read (or listen) that left me smiling and remembering my own adventures. The narrator, Tom Lawrence, could not have done a better job and certainly played a huge part in how much I enjoyed this experience.
"What's Real?"
Night Film was easily one of the best books I've read; not just for 2013, but ever. It has easily made it's way into my top 10 list of all time great books.
While I read Night Film at the end of August, I find it still haunting me as I write this review. This, for me, is one of the true tests of a great book. I can't quite get it out of my head.
Night Film is narrated by the gifted Jake Weber; currently best know for his role on "The Medium", but also credited with countless other movie and television performances. Mr. Weber plays the role of Scott McGrath flawlessly; and as the story is told in first person narrative, it takes on an especially personal tone as he tells the story. He allows the tale to shine through as it slowly, hauntingly, and sometimes terrifyingly weaves it's way through the mystery that is the apparent suicide of Ashley Cordova (the daughter of the legendary, reclusive, cult-horror-film director Stanislas Cordova) and the rebirth of McGrath's investigation into the director himself; an investigation that years prior ruined both his career and reputation.
Nothing is as it seems - or is everything exactly the way it seems? Does the truth, perhaps, lie somewhere in the middle? Your view may shift, as mine did, back and forth as I repeatedly had to question every assumption and belief I had formed, over and over again, as new information - sometimes truth, sometimes a lie - is layered into the disturbing file of interviews, experiences, and information we gather with McGrath.
The story makes you feel part of this haunting decent into uncertainty you spiral through. By the end, I was uncomfortable, disturbed, fascinated... and satisfied.
The book comes with countless old photographs, magazine articles, and other clippings from the past that make both the investigation and our belief in the mythology of the background all the more real. If you choose to experience the book via the audio version, please note that when you download the book from your library on Audible.com there is also a supplemental PDF Download link offered directly under the title of the book. This will be especially important for your enjoyment of the first small section of the story as it steps you through a New York Times article regarding Ashley's death, and a Time Magazine Photo Spread of historical photos of the Cordova family.
I hope that if you choose to read this book in any form, you enjoy it even a fraction as much as I did. I can tell you that I gave 4 copies as gifts, and all 4 people loved the book as much as I did. Again, I encourage you to experience the story as only Jake Weber can tell it - but no matter what format you choose, prepare to have the experience stay with you for the foreseeable future.
"Interesting, But Dark."
There were aspects to this novel I liked very much, and one I did not like as much. It was a very good thriller/mystery, and provided the reader with many different characters to follow, while always making it easy to keep track of them. The plot moved at a good pace, and always kept my interest.
What I did not expect (as it's not part of the book's synopsis) is that the book is primarily focused on Nazis and the holocaust, with some pretty dark topics and scenes. Some of the things described (types of torture done to the Jews in the concentration camps) are very graphic and dark. Some of it was too much for me, and I wish it hadn't gotten as graphic as it did.
Overall, a good mystery/thriller, as long as you can stomach the topics regarding the holocaust.
I am not a huge Sci-Fi fan. While I have (thanks to some recommendations from my brothers) read a few Sci-Fi stories in the past, it's never been an area I was that comfortable in or drawn to.
When I received notification that my pre-order for Atopia was in my library and ready for download, I was a little stumped; when had I ordered this? Why would I have? I read the synopsis and could see why I may have been drawn to it; dystopian undercurrents, with multiple narrators and points of view... The current senile me thanked the previous, unremembered me for having pre-ordered the story, and I began the book immediately.
As mentioned above, the story is told by multiple points of view with jumping and/or overlapping timelines. You may at times find yourself in the same conversation you've read before, but now from the other character's point of view. Each new section begins with a clear announcement of which character you are about to hear from. In the firsts half of the book, these sections are larger chunks and it takes a while to catch on to the intricate cobweb of shared history that connects all of these people (or perhaps I should instead say sentient beings) together. Then, as you become more comfortable with the format and players, these sections become shorter and faster as the narrative speeds up to it's final conclusion; or at the very least, the conclusion for now.
One of my favorite authors, Michael J. Sullivan, was discussing recently that one of the accepted, identifying qualities of the Science Fiction genre is that it provides us with a forum in which to look at, consider, and discuss moral and ethical ramifications of different choices and ideologies as they are extended into the future. I'd never considered that before, but between his recent Sci-Fi book (Hollow World) and this novel Atopia, I really see what he's talking about. This book gave us a great deal to consider regarding what we call "progress" and "technology" today, asking how far these ideas can be taken before they become something that controls us, rather than something we control.
I believe that for the great majority of people, this is a book that will greatly benefit a second reading; and I am greatly looking forward to mine. Now that I'm more comfortable with the players and the landscape, I believe I'll pick up on a lot of great stuff in the second read that I missed in the first one.
I recommend this book, regardless of what "genres" you typically listen to.


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Top Definition
Bitch Ball, a game invented at Hays kansas, fort hays state university, weist hall, floor 5. a game in which you sit in a small room with chairs across from one another and throw a ball at the wall bouncing it around. If the ball hits someone, if he does not get it then someone must chuck the ball at him, hitting his as fucking hard as he can. The official BITCH of the game is the first one to give up and leave, the beat up bitch is the one with the most welts. The game continues for as long as you can take it. ( This game MUST be played with a sky ball, or with multiple sky balls for more bitch making)
"NO fuck that!"
"dude dont be such a bitch"
"NO fuck that!"
"dude dont be such a bitch"
Beküldő: Weist 5th of 2011
2011. szeptember 8.
5 more definitions
an interjection showing great surprise that one uses when he/she discovers their mate is fucking another of the same sex.
Ahhh BitchBalls, last night i found out my girlfriend is fucking my sister.
Beküldő: _J-u-m-p-S-t-y-l-e_
2010. szeptember 15.
A person who goes along with plans to have fun until it involves commiting an immoral act, at which point thier balls shrink and they start preaching morality. Basically, someone who does not give in to peer pressure.
We were having a good time until the bitch balls qouted his mother, the bible and Karl Marx on why we shouldn't waste our time having fun at the expense of others.
Beküldő: Kung-fu Jesus
2004. július 28.
When a woman does something that takes a lot of courage to do
Wow, Jenny just slapped that guy, she's got some real Bitchballs!
Can also be used as a swear word, Ah, Bitchballs! I just smashed my finger!
Can also be used as a swear word, Ah, Bitchballs! I just smashed my finger!
Beküldő: Electrowelder
2012. február 25.
a bitch ball is a person, animal or thing which has so many bitch like qualities, that you would want to ball them up and throw it at their face.
Lola is a bitch ball.
Beküldő: Drako the Dragon Puppy
2009. május 24.
Audacity, as viewed by a feminist woman. A man who degrades women without shame and is being a bitch but cannot be called a bitch because the word bitch by itself is for females. Women Unite.
Can you believe the bitch balls on that dude... wanting anal on a first date?
Beküldő: peterpene
2011. június 3.


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Researchers at the University of California, Davis, found that withholding a horse's feed reduced his heart rate and increased his frequency of second-degree atrioventricular block (AVB,when the heart "misses" a beat).
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