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Back from lengthy absence, Carrasco faces Pettitte
Indians righty opposes Yankees veteran in return from surgery
Indians right-hander Carlos Carrasco was supposed to be headed for Triple-A Columbus to begin the season. Instead, he will make his 2013 debut for the Indians on Tuesday night at Progressive Field against Andy Pettitte and the Yankees.
This start has been a long time coming for the 26-year-old Venezuelan, who missed all of last season while recovering from Tommy John surgery on his right elbow. Carrasco lost out to Scott Kazmir for the final spot in the Indians' rotation but now is filling in for Kazmir, who hit the 15-day disabled list with a right rib-cage injury.
Carrasco was activated on Sunday after serving a suspension stemming from a 2011 incident against the Royals.
"I just feel happy," Carrasco said. "I went to Columbus, and on Friday afternoon I received a call from the manager; he told me I was going to pitch on Tuesday. I'm just so excited and got surprised when he told me I was coming to Cleveland to pitch against the Yankees. The most important thing is I served my suspension and everything. Now, I can be here. I'm just getting ready for my start."
Carrasco, one of the pieces the Indians acquired for left-hander Cliff Lee in 2009, is 10-15 with a 4.93 ERA in 33 career starts. He went 8-9 with a 4.62 ERA in '11.
"I feel healthy," Carrasco said. "Really, everything is coming together. I thought I was going to Columbus, but now everything is different. I can't wait to pitch [on Tuesday]."
Carrasco will face a Yankees lineup that is dealing with injuries to the likes of center fielder Curtis Granderson, shortstop Derek Jeter and first baseman Mark Teixeira.
"They're a little beat up right now," Indians manager Terry Francona said. "To be totally honest, I hope they stay beat up until Friday. They have some injuries. Some of the veteran guys that aren't healthy are a big part of what they do."
A depleted lineup didn't stop the Yankees from pounding out 13 hits in Monday's 11-6 win, the opener of a four-game series. Robinson Cano went 3-for-4 with two home runs, and Travis Hafner homered and drove in four.
Pettitte will hope for more support like that as he takes the hill for his second start of the season. On Thursday, the lefty began his 18th Major League season by beating the Red Sox for his 246th career win, easily the most among active players. He held Boston to one run on eight hits in eight innings, walking one and striking out three.
Yankees: Plenty of chances for Stewart, Cervelli
• Chris Stewart started his third game at catcher on Monday, going 1-for-4. On the season, he's 4-for-16 (.250), and he's been splitting time with Francisco Cervelli, who has started four games thus far. Cervelli is 4-for-13 (.308) with a home run and five RBIs.
"Just keeping them both involved, I think that's important," manager Joe Girardi said. "As I said, the first month, I'll play it out. Stewart's at-bats have been pretty good, too. Stewie's hit the ball pretty hard, too. This first time through, I'm kind of giving them the same guys twice so there's some consistency and you can build off that."
• Eduardo Nunez returned to the starting lineup, playing shortstop, and went 0-for-4 with an RBI and two strikeouts on Monday. He had missed two starts with a bruised right bicep after being hit by a Doug Fister pitch in Detroit on Friday.
Indians: Santana nursing thumb bruise
• Catcher Carlos Santana exited Monday's game in the ninth inning after suffering a left thumb contusion when a fastball from closer Chris Perez hit him above his glove. X-rays taken after the game revealed that the thumb was merely bruised, leaving Santana day to day.
Santana went 1-for-2 with two walks on Monday and is hitting .500 with a .750 on-base percentage this season.
• Cleveland is expected to activate Jason Giambi from disabled list before Tuesday's game, filling an open spot on the 25-man roster.
Giambi signed with the Indians as a free agent during the offseason but has been recovering from a back injury. He likely won't start against the left-handed Pettitte but could get an opportunity on Wednesday or Thursday, with the Yankees scheduled to start right-handed pitchers.
Giambi struggled last season with the Rockies but in only 152 plate appearances in 2011, he blasted 13 home runs and slugged .603 for Colorado. He also has eight career pinch-hit homers.
Worth noting
• Despite Pettitte's long tenure, no Indians player has faced him more than 11 times. Pettitte has a 3.84 ERA in 11 starts at Progressive Field but hasn't pitched there since 2009.
• Carrasco went 1-1 with a 4.92 ERA in two starts against the Yankees in 2011.
Andrew Simon is a contributor to MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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Sheffield Vacation Home with Pool in Kissimmee
- Pictures
- Floorplan
- Area Map
Select your arrival and departure dates by clicking on the calendar to the left. The dates you select will be placed below. Once dates are selected calculate your rental cost before proceeding to the booking process. | ||
- Overview
- What's Nearby
- Extras
- Reviews
The Sheffield vacation home in Kissimmee boasts over 2700 square feet of living space across two levels. Two master bedrooms are perfect for extended families vacationing together. A private swimming pool enclosed within a screened patio is perfect outdoor fun. Enjoy a small picnic pool-side or set a blanket down on the front yard while enjoying the Central Florida weather. As with numerous popular restaurants and shopping centers, Walt Disney World, Universal Studios, and SeaWorld are just a short drive away!
Fourteen guests can comfortably sleep within the Sheffield home. The two master bedrooms each are furnished with king sized beds and lead to attached private bathrooms. A third bedroom includes a queen sized bed, while the other three bedrooms each feature sets of twin beds. There is a sleeper sofa located in the living room for additional sleeping space. Wi-Fi internet access is provided to keep in touch with relatives and friends while on vacation.
A large, fully-equipped kitchen is a big money-saver. Cook meals in-house a few nights during your visit. Entertaining is easy as cookware and place settings are all included! Catch family movies on the 50" Plasma TV and DVD player in the family room. Foosball and an air hockey game are provided in the game room. Keep clothes fresh with complementary use of the clothes washer and clothes dryer.
Property Assets Vacation Home
Private Pool Screened Patio 6 Bedrooms 4 Bathrooms 2 Master Bedrooms 2 Floors 2,718 Square Feet Sleeps 14 Family Room Sofa
Love Seat 50" Plasma TV DVD Player Pool View Vaulted Ceilings Ceiling Fan Tile Flooring Vertical Blinds Dining Table
Chairs Placemats Tile Flooring Bedroom 4 2 Twin Beds
Closet Dresser Mirror Ceiling Fan Carpeted Flooring Vertical Blinds Bathroom 2 Master Bathroom
Shower & Tub Double Sinks Vanity Mirror Hair Dryer Vent Fan Towels Wash Cloths Laundry Room Washer & Dryer
Shelving |
Pool Area Pool
Screened Enclosure Table & Chairs Lounge Chairs Pool Safety Fence Patio Ceiling Fan Patio Lighting Pool Lighting Lake View Bonus Room Loft
Sofa Master Bedroom King Bed
Pillow Top Mattress Walk In Closet TV Clock Radio. Armoire Dresser Mirror Ceiling Fan Carpeted Flooring Vertical Blinds Bedroom 5 2 Twin Beds
Closet Dresser Mirror Ceiling Fan Carpeted Flooring Vertical Blinds Bathroom 3 Walk In Shower
Sink Vanity Mirror Medicine Cabinet Hair Dryer Vent Fan Towels Wash Cloths |
Bedding Master Bedroom - King
Master Bedroom 2 - King Bedroom 3 - Queen Bedroom 4 - 2 Twins Bedroom 5 - 2 Twins Bedroom 6 - 2 Twins Kitchen Electric Stove
Microwave Ice Maker Dishwasher Pantry Breakfast Bar Blender Tea Kettle Tile Flooring Bedroom 2 Master Bedroom
King Bed Pillow Top Mattress Closet Dresser Mirror Clock Radio Ceiling Fan Carpeted Flooring Vertical Blinds Bedroom 6 2 Twin Beds
Closet Dresser Mirror Ceiling Fan Carpeted Flooring Vertical Blinds Bathroom 4 Walk In Shower
Sink Vanity Mirror Medicine Cabinet Hair Dryer Vent Fan Towels Wash Cloths |
Living Room Sofa
Love Seat TV Vaulted Ceilings Ceiling Fan Tile Flooring Kitchenette Table
Chairs Pool View Tile Flooring Bedroom 3 Queen Bed
Pillow Top Mattress TV Closet Dresser Mirror Clock Radio Ceiling Fan Carpeted Flooring Vertical Blinds Master Bathroom Tub
Stand Alone Shower Double Sinks Vanity Mirror Hair Dryer Frosted Privacy Window Towels Wash Cloths Game Room Foosball Table
Air Hockey Table Love Seat Coffee Table Chairs Carpeted Flooring |
Attractions Disney WorldGatorland Old Town Sea World The Holy Land Experience Universal Studios Orlando Wet n' Wild Grocery PublixTarget Wal-Mart Super Center |
Formal Dining ColumbiaFulton's Crab House Kobe Japanese Steakhouse Seasons 52 Wolfgang Puck Retail Shopping Lake Buena Vista Factory Stores Orlando Premium Outlets The Florida Mall The Loop The Mall at Millenia |
Casual Dining Applebee'sBB King's Blues Club Bubba Gump Shrimp Company Buca Di Beppo Hard Rock Cafe Margaritaville Rainforest Cafe T-Rex Cafe UNO Chicago Grill Pharmacy CVSTarget Pharmacy Wal-Mart Pharmacy Walgreens |
Fast Food Burger KingMcDonalds Subway Taco Bell Wendy's Gas Stations 7 11Hess Shell Wawa's |
You may choose from the additional options below to add to your vacation rental experience.
We do recommend Pool heating between the months of October - April. Pool heating is available for an additional $35.00 per day for the length of your stay.
All properties are self-catering, cleaned before your arrival and cleaned once you depart. You may choose to have a Mid Stay Clean for an additional fee during your stay to freshen the property back up.
Check-in begins at 4:00pm on the day of arrival. You may choose for an Early Check-in, which begins at 12:00pm on the day of arrival, for an additional fee. An early Check-in may not always be available, and may become unavailable after purchase.
Check-out ends at 10:00am on the day of departure. You may choose for a Late Check-out, which ends at 2:00pm on the day of departure, for an additional fee. A Late Check-out may not always be available, and may become unavailable after purchase.
Personal Chef Services are available at all of our vacation rentals. Meals are customized to your nutritional needs and can be ready any time of day. The cost is usually less than what you would spend for your family to eat at a nice restaurant. Return from a day of adventure to a hot meal prepared just the way you like it, or wake up and start the day with a great breakfast.
The Shilla Spa is a great place to get pampered while on vacation! Enjoy deep massages, skin wraps, pedicures and manicures, or get your hair styled for a night out on the town. Schedule a visit at the spa to add to your pleasurable stay in the Orlando area.
The Medical Concierge has Board-Certified, Florida-Licensed physicians available 24 hours a day, 7 days a week, 365 days a year. Whether you are on vacation or business you can rest assured that their physicians will provide thorough, compassionate, and personalized care in the comfort of your home away from home. Specialty Care is easy to arrange, doctors carry a mobile pharmacy and basic lab tests, providing you with one-stop, convenient health care.
The Vacation Home Store can help you find the second home you have always dreamed about in Orlando, FL. Select their information request box during the reservations process to receive more information on purchasing real estate near Disney.
Please read our Reservations Terms during the online reservations process to confirm that you are aware of our policies.

subset: commoncrawl


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Published in poster size exclusively for SportsPosterWarehouse.com, this Cooperstown-quality print will add a rare historical dimension to your wall, and will hold extra-special meaning for anyone who witnessed the legendary career of Sweet Swingin' Billy from Whistler first-hand. Printed in crystal-clear quality from original photographic sources, and authorized with an official MLB Authentic serialized hologram, this classic is perfect for the wall of any true fan!
Product Specifications:


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Discover renovated luxury rooms and suites with city views, designed for ultimate relaxation in the heart of downtown.
The Ritz-Carlton Club® Level
Reserved for those who seek the finest experience possible, The Ritz-Carlton Club Level is exceptional in every way. With a unique set of services and amenities, the Club Level ensures an added measure of excellence at every moment during your stay.
Our spacious luxury suites are reflective of your need to spread out, to entertain, to be wholly comfortable within superior surroundings.
Discover elegant details within every corner of your spacious accommodations, stylishly appointed with everything you need for a relaxing and memorable stay in San Francisco.


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Specially designed cold weather goggles.
Robert in WA
I have about ten rides with these goggles. so far I have had very little fog. I have a lot more confidence on the tight NW singletrack.
Read All ReviewsROD & CARA in SK
these work great for reducing fogging and fit and feel great. But the foam has channels molded in to the foam at the nose so they move a lot of air! but if it is a cold day, you then have a very cold face. I live on the Canadian prairies where temps reach -40'C so these goggles end up staying at home most days.
Read All Reviews


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Kohler K-1121-RW-96 Biscuit Underscore 60" Soaking Tub with Right Drain and Bask Heating Technology
Contact us for best available pricing on all Kohler!
We want to help make your remodel easy and affordable! Please call or chat during business hours using the links at the top of our site to take advantage of this special offer.
Offer Ends 5/6/2015
Technical Specs
Installation Guide | |
Specification Sheet | |
ADA | No |
Amperage | 1.1 |
Apron Front | No |
Basic Controls | Yes |
Basin Bottom Length | 42.44 |
Basin Bottom Width | 20 |
Basin Depth | 19 |
Basin Length | 54.31 |
Basin Top Length | 54.31 |
Basin Top Width | 24.25 |
Bask Heated Surface | Yes |
Blower | No |
BubbleMassage | No |
CSA Approved | Yes |
CSA Code | B45.5 |
Capacity (Gallons) | 59.8 |
Chromatherapy | No |
Controls | Electronic |
Drain Assembly Included | No |
Drain Placement | Right |
Frequency | 60 |
Heater Included | Yes |
Height | 20.25 |
Installation Type | Three Wall Alcove |
Length | 60 |
Lighting | No |
Manufacturer Warranty | 1 Year Limited |
Material | Acrylic |
Number Of Bathers | 1 |
Overflow | Yes |
Overflow Height | 15.125 |
Product Weight | 75 |
Self Leveling Base | No |
Slip Resistant | No |
Theme | Modern |
Tile Flange | Yes |
Tub Shape | Rectangular |
Tub Size | 60 Inches |
UL Listed | Yes |
VibrAcoustic | No |
Voltage | 120 |
Walk-In Tub | No |
Water Depth | 15.125 |
Width | 30 |
This product has additional required/recommended options. To configure, add to your cart.
Drain Assembly Required
- Kohler tubs are fully covered under warranty for up to a year after installation
- Tub constructed of acrylic, a strong and flex-resistant material that is chip-resistant and easy to clean
- Soaking tub - provides the user with a soothing and relaxing bathing experience
- Streamlined for simplicity, baths from the Underscore collection exude refined style and contemporary flair
- Installs in a three-wall alcove configuration
- Tub comes standard with molded lumbar support, furthering the user's comfort
- Equipped with an overflow assembly, permitting the user to enjoy a deep soak without worrying about spillage
- A built-in heater keeps the water at the desired temperature as the user enjoys a long soak without the water getting cold
- Product Meets or Exceeds the Following Codes/Standards: CSA B45.5; UL 1795
- Material - Acrylic: A strong, flex resistant material with a smooth finish that is easy to clean and resists chipping and cracking.
- Bask: Bask heated surfaces warm the neck and back in addition to the bathwater, creating a spa-like environment. Three temperature settings allow for the ultimate in bathing relaxation.
- Overall Height: 20-1/4" (measured from top of tub rim to bottom of basin)
- Overall Width: 30" (measured from back most to front most point on outer rim)
- Overall Length: 60" (measured from left most to right most point on outer rim)
- Basin Width (Bottom): 20" (back to front measurement at bottom of basin walls
- Basin Length (Bottom): 42-7/16" (left to right measurement at bottom of basin walls)
- Basin Width (Top): 24-1/4" (back to front measurement at top of basin walls)
- Basin Length (Top): 54-5/16" (left to right measurement at top of basin walls)
- Water Depth: 15-1/8" (depth of water at tub's maximum capacity)
- Maximum Water Capacity: 59.8 gallons
- Drain Location: Right
- Requires 110V electrical service
- K-1121-RW: This model
- K-1121-LW: This model with left hand drain
- K-1121-R: This model less Bask heated surface
- K-1121-W1: Drop-in version of this model
About Kohler:
Gracious living is characterized by qualities of charm, good taste, generosity of spirit and the enhancement of nature. It is Kohler's mission that you can improve your sense of gracious living with every experience you have with a Kohler product or service. With everything that Kohler does it lives on the leading edge of design and technology, while maintaining a constant level of quality regardless of price. Kohler sets the standard of excellence in its field, and yet is constantly striving to improve. From sustainable products in the kitchen and bath, to engines for lawn tractors and generators, to power systems that protect data centers and urban landscapes all over the world; this is what the Kohler Company is all about.
Additional Kohler Links
- View Manufacturer Warranty
- Shop All Kohler Products
- Shop All Kohler Underscore Collection Products
Our SKU: K-1121-RW
This product is listed under the following manufacturer number(s):
- Almond
K-1121-RW-47 - Biscuit
K-1121-RW-96 - Black Black
K-1121-RW-7 - Cashmere
K-1121-RW-K4 - Dune
K-1121-RW-NY - Ice Grey
K-1121-RW-95 - Mexican Sand
K-1121-RW-33 - Sandbar
K-1121-RW-G9 - Thunder Grey
K-1121-RW-58 - White
*Denotes a finish or option that has been discontinued
Product Reviews
Kohler Underscore Collection
Other Products In The Kohler Underscore Collection
Kohler K-1121
Underscore Collection 60" Drop In Deep Soaker Bath...$852.67-$937.95(2)
Kohler K-1174-GW
Underscore 72" Air Bath Tub with Center Drain and ...$3,708.79-$3,900.15
Kohler K-1849-GW
Underscore 60" Air Bath Tub with Reversible Drain ...$3,504.08-$3,663.71
Kohler K-1121-L
Underscore 60" Soaking Tub with Left Drain$875.89-$1,011.68(4)
Kohler K-1821
Underscore 66" x 32" Drop In Soaking Bath Tub with...$1,042.16-$1,146.41(1)


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Description:HP Intel® Xeon® X5650 DL380 G7(2.66GHz/6-core/12MB/95W)Full Processor Option Kit Part Number(s)Manufacturer Part# 587482-B21
HP Processor Kits: Manufacturer Part# 587482-B21 This is the full processor option kit. It includes the Processor(s), Heat-Sink(s), Fan(s), Thermal paste and VRM (Voltage Regulator Module) where required. Overview:Intel Xeon processor 5600 series automatically regulates power consumption and intelligently adjusts server performance according to application demand maximizing both energy cost savings and performance. Specifications: CategoryProliant Processor Sub-CategoryIntel Xeon GenerationG7 Part Number587482-B21 Products ID457992 Product TypeProcessor Kit Processor TypeIntel Xeon Processor CoreHexa-Core Processor Qty1 Clock Speed2.66GHz QuickPath Interconnect6.40GT/s L2 Cache1.50MB L3 Cache12MB 64-bit ProcessingYes Process Technology32nm Processor SocketSocket B LGA-1366 Thermal Design Power95W


text: The Centers for Medicare and Medicaid Services (CMS) has revised the Medicare Benefit Policy Manual to include a change to the progress note requirement, which now is required at either a date chosen by the clinician or the 10th treatment day, whichever is shorter. Additionally, there is a new section dedicated the functional limitation reporting requirements that were implemented on January 1. Therapists are required to include functional limitation reporting information in their documentation. The functional impairments identified and expressed in the long-term treatment goals must be consistent with those used in the claims-based functional reporting using nonpayable G-codes and severity modifiers for services furnished on or after January 1. For more information, visit APTA's functional limitation reporting webpage.


text:
Click a swatch below to change colors.
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Port Authority® Medium Length Apron. A525
A unique fitting system allows you to tailor this apron by pulling a single strap.
Call for pricing


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13 February 2014
We are very sad to report that Les Wood passed away on Tuesday after a short illness. Les joined Shepherd Neame in 1941 and worked in a variety of roles ending as Head Brewer in the mid 80s. He retired in the early 90s and lived in Brewery premises at Court Street for the rest of his life.
Read more
11 February 2014
This week's featured pub is the incredible Kings Head, that first opened its doors in 1870, situated in the historic village of Wye.
08 February 2014
This variation on a classic prawn cocktail tastes delicious and looks fantastic. It is also really quick to put together as a starter or light lunch dish.
05 February 2014
Two Shepherd Neame pubs based in Guildford have been honoured in the town's Best Bar None Awards, celebrating best practice among the licensed trade.The Britannia was crowned Best Pub, with the runner-up spot taken by The Star.
04 February 2014
The Rugby Tavern is traditional English pub so named because it was built around 1850 on land donated by the founder of Rugby School. Its central location, a short walk from the British Museum, London's theatre district and the Eurostar terminal at St Pancras, makes the Rugby Tavern a lively, bustling pub used by office workers, Bloomsbury residents and tourists.


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Danica Daily
So I am going to post a picture of Danica everyday just for fun.
Since it is Breast Cancer Awareness Month, I will start off by Danica in pink....
Schmoopy1000 wrote:LOL thats awesome.
I am gonna keep checking in to see if you miss a day (& cheat) LOL
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You are visiting our UK site. Click here to view our US site
Ten Key Formula Families in Chinese Medicine (9780939616688)
Publisher: Eastland Press
Binding: Paperback
Ten Key Formula Families in Chinese Medicine provides a practical path to a deeper understanding of traditional Chinese herbal formulas. Dr. Huang discusses the core aspects of the ten most important families of formulas in the classical formula tradition in a way that is both profound and accessible. By introducing the concept of constitutions and the attendant vulnerabilities of those constitutions to certain types of disorders, he hands the reader a very useful key to understanding how and when to use these formulas in the clinic.
The ten families of formulas are grouped around the following herbs:
For each family of formulas, Dr. Huang describes the associated presentation and constitutional aspects common to all members of the family, then turns to the individual formulas that are especially useful for treating particular aspects of that presentation. The discussion is embellished with case histories and relevant clinical research. |
Download a free chapter from the book by clicking here.
Weight (including packaging): 750g
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Anonymous, Rated: 5
Interesting views
Very interesting views to work with Chinese herbal medicine.
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text:
Long Rhinestone Logo Necklace
Style # 210958
With rhinestone-embellished interlocked logo ornaments and double strands of chain, this long bebe necklace is sure to dress up an outfit in an instant. Throw it over a tee and a pair of skinny jeans for an effortless day look.
- Metal
- Imported
Long Rhinestone Logo Necklace
Very classic piece
I immediately thought... faux channel. This piece has the opposing b's, just like channel's opposing c's. The length and color dresses up any outfit.
May 30, 2013
1-1 of 1


text:
We offer discount to nonprofits, government agencies, and federal contractors
The AILA Career Center offers more than access to the best possible industry candidates.
AILA Doc No. 02020435 | Dated February 1, 2002
* 30 Day - (c)(8) Initial (c)(3)(iv) Special Students U.S. Department of Justice
We apologize for the delay in releasing this information. Due to a significant increase of incoming mail at the Service Center, your receipt notice, acknowledging acceptance of your application or petition, may be delayed.
If your check or money order has not yet been cashed, please do not cancel it. Canceling your payment could result in the amount being processed as a bounced check and you may be issued a bill automatically with a $30.00 processing fee. |
Cite as AILA Doc. No. 02020435.
American Immigration Lawyers Association
1331 G Street NW, Suite 300
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Copyright © 1993-2015
American Immigration Lawyers Association.


text:
Four Ways To Avoid Being Deselected
Four Ways To Avoid Being Deselected
A few years ago, the problem for many physicians was avoiding managed care contracts. Now that it's clear that survival without them is unlikely, the problem has become how to hold on to those affiliations.
It goes by lots of fancy-sounding names: "deselection," "disenrollment," "downsizing" and "rightsizing." But no matter what it's called, getting dropped from a managed care network spells trouble for physicians.
When managed care companies move into a virgin area, they tend to sign up as many doctors as possible. But once established, they inevitably weed out providers who don't practice what they consider to be cost-efficient medicine. Relentless employer pressure on plans to hammer down health care costs also forces networks to get leaner.
"We get several phone calls every week from doctors saying they just got deselected from a plan," says AMA senior attorney Carol O'Brien. "In most instances, these doctors haven't received any complaints from the plan and are well liked by their patients. They were simply told that their services were no longer needed."
In recent years, both primary care physicians and specialists have been booted in droves:
MetLife (now MetraHealth) dropped 1,100 physicians in southern Florida, about three-fourths of whom were specialists.
- Blue Cross and Blue Shield of the National Capital Area changed from an open-panel to a closed-panel PPO, dropping 3,000 physicians.
- Cigna reduced its gastroenterology network in the Washington D.C./Baltimore area from 140 to 66, and dismissed 103 of its 125 podiatrists.
- Hill Physicians Medical Group, an independent practice association based in Sacramento, Calif., terminated 160 doctors.
- Blue Cross and Blue Shield of Western New York replaced one Buffalo area plan with another, cutting 600 doctors and 6 hospitals.
Many physicians, particularly solo practitioners in urban areas, face a buyer's market. As more seek entry to managed care panels, plans have a wider choice. "Quite frankly, there's a glut in almost all areas of the country," says O'Brien.
"On top of that, managed care innovations such as the use of standardized clinical pathways are dramatically reducing utilization, thus dampening the demand for doctors. That is why doctors will have to work more diligently to meet health plans' quality standards and take other steps to secure their positions in network panels."
Here's what you can do to avoid a pink slip:
1. Understand your contract. The best way to avoid deselection is to head off problems. Know what's in a contract before signing. Many physicians don't, and that fact often leads to frustration and disputes. Pay particular attention to credentialing and recredentialing criteria, referral and admissions rules, the reimbursement formula, methods of judging clinical quality and the plan's attitude regarding patient advocacy. If you disregard or are uncomfortable with the policies, you may be heading down the path of confrontation, which could trigger the old heave-ho.
Managed care organizations take provider credentialing very seriously, and most insist that specialists be board-certified. If an HMO discovers you aren't board-certified or board-eligible, it may terminate you or not renew your contract.
You can reduce the odds of a hassle by knowing exactly what the HMO wants. If it requires primary care doctors to handle potentially risky situations like removing simple skin lesions and treating angina, don't sign up if you can't or won't deal with those responsibilities. And if you lose money on a low-paying capitated plan that requires many services, complaining will only enhance your reputation as a whiner. The time to address such issues is before joining.
Be sure to check out the termination and appeals clause too. Many plans can fire you without specifying a reason. So even if the contract lets you appeal, you'll have little basis to argue for reinstatement. Does the contract prohibit you from discussing with patients any treatment options not covered by the HMO or from being "disloyal" to the plan? You can see the plan's point of view, but such provisions may interfere with your ethical obligation to place patients' interests first. If these terms bother you, you may be better off with another plan.
2. Keep your patients happy. When deciding which doctors to keep, managed care plans embrace those with high patient satisfaction ratings. Virtually all plans survey members periodically and report the results to their physicians. "If a physician doesn't fall within the median range of patient satisfaction scores, that's one factor we consider in deciding whether to continue our relationship," notes Chip Porter, vice president of provider services and contracting at FHP of Colorado, a 375,000-member HMO based in Denver.
Why the emphasis on patient happiness? As with any business, managed care organizations want satisfied customers — the employers who hire them, and their employees. So it follows that plans value physicians who go the extra mile to please plan members. If they like their doctors, Porter adds, "that reflects favorably upon us."
Questionnaires typically ask patients to rate medical practices on a wide range of topics, such as how long it took to see the doctor, whether the doctor and staff were courteous and whether the medical care was satisfactory. One way to ensure a passing grade is to improve your bedside manner, explaining test results and avoiding jargon. If departing patients are continually asking your nurse to explain what you've just told them, that's a red flag.
If any of the following situations describe your office, you're in danger of flunking out: patients routinely wait 45 minutes before seeing you or your nurse; they are whisked into an exam room just five minutes after arriving, only to sit there for another half-hour until seen, or they wait four months to get a routine physical.
Don't be shy about asking for help in addressing these problems. Many plans will gladly send an adviser to your office to suggest ways to revise your scheduling protocols or work flow. To test response to emergencies, FHP of Colorado and other plans instruct personnel to call physicians' offices randomly, posing as patients. "If I call offices and say that my four-year old just walked into a plate glass window and is bleeding profusely above the nose, I expect every one to give the same answer: 'Come in immediately or the doctor will meet you in the ER,'" Porter says.
3. Monitor plan data. Besides patient surveys, managed care organizations use economic credentialing to decide which providers are worth retaining. Plans monitor costs by measuring how you stack up against your peers in several categories — including out-of-network referrals, lab tests and X-rays ordered, formulary utilization and hospital lengths of stay.
Ignore utilization reports at your peril. If you are keeping patients in the hospital for longer periods than your peers, you will be on thin ice. "We take a long, hard look at someone whose economic profile is a hundred percent at variance with their peers," notes Porter.
You should also look closely at the clinical profiles that plans send out periodically. Your high volume of referrals to infectious-disease specialists may be justified if you have many HIV-positive patients, but if your clinical profile is similar to those of your peers, it can puncture your argument that your costs are aberrant because your population is sicker. Better start cutting costs fast. Aetna dropped 38 physicians from its PPO network in 1993 based primarily on cost-performance evaluations, the AMA says.
"An internist with a population similar to his peers, but with extremely high dermatology referrals, may not even realize that a lot of his fellow physicians are treating many conditions right in their offices," says Porter. "Armed with this information, he may choose to take a refresher course in dermatology."
4. Be a team player. You may not like the fact that big insurers and HMOs seem to hold all the cards, but constant complaining to plan administrators about their interference with your medical decisions will antagonize them. Do it often enough and they'll find a way to dump you.
Try cooperating. You don't have to be a wimp, however, says the AMA's O'Brien. If you believe the plan is not providing appropriate patient care, meet with the medical director to discuss your concerns. Take your partners or other colleagues with you, since there's strength in numbers, she advises. By presenting your case in a reasonable, professional manner, you may persuade the plan to change or modify its position.
"If you can provide an HMO with a solution to a problem instead of just moaning about it, the plan will consider you a valuable asset," says Sandra E.D. McGraw, an attorney with the Health Care Group in Plymouth Meeting, Pa.
Another way to show you're a team player is to join the plan's peer review, case management, utilization review or other committee, sending a message that you share the plan's interests and giving you an insider's look at what the plan expects from providers.
Plans also look favorably on physicians who are receptive to capitation. Increasingly, employers are asking plans to capitate providers because capitation helps them more reliably predict their health benefit costs, McGraw adds.
You can also gain favor by accepting new patients, particularly during open enrollment. Just remember not to have too high a percentage of your income coming from any one plan.
Physicians today are worried about being left off managed care panels. But once aboard, there's no guarantee of tenure. You may get axed for reasons you can't control — lack of plan growth, for example. But more often than not, physicians with solid clinical outcomes who keep costs down, patients satisfied and plan administrators content will be the first hired and last fired.
David L. Coleman is a business and health care attorney in West Hartford, Conn. He is the author of The Human Resources Problem-Solver as well as numerous articles on managed care, legal and practice management issues affecting doctors.
MANAGED CARE November 1996. ©1996 Stezzi Communications
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- Have You Had Your Day Out of Court?
- Health Plans That Decredential Docs Must Do It Correctly and Expect a Fight
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The mandarins announce the emperor's decree in the streets of Peking: he who solves Princess Turandot's riddles will win her hand. The crowd is ecstatically waiting for the execution of the Persian prince who has failed the latest trial - and then, feeling sympathy, beg for his life. But Turandot refuses to show mercy.
In spite of this heartless cruelty a new suitor appears: the Tartar prince in exile, Calàf. He will not listen to anyone, he always goes his own way, and now challenges his fate: he enters the palace.
The responsibilities of office and the chore of balancing various interests and requirements have already exhausted the three ministers, who are dreaming of a peaceful civilian way of life.
Turandot presents three riddles to the brave candidate. Calàf replies to the first two correctly. Then Turandot presents the third riddle:
'Ice which gives you fire
and which your fire
freezes still more!
Lily-white and dark,
if it allows you your freedom
it makes you a slave;
if it accepts you as a slave
it makes you a King!'
Calàf's reply is correct: 'Turandot'.
But the way to find the other one can only be right if it departs from the beaten track. The smallest of deceits, self-delusion or dishonesty leads us on a wild goose chase. Thus, Calàf is dissatisfied with his rapid success, and now it is his turn to ask a question from Turandot: 'Tell me my name - Who am I?'
All Peking is trying to discover the stranger's name, when the slave girl Liù appears, who refuses to reveal her master's name in spite of torture. Her determination is fuelled by love, and this hopeless emotion drives her to suicide. Liù's death creates a situation where there is no place for pretence - the mask should fall, and the actor must reveal himself. Before resurrection one must be destroyed so that we can be born again like a phoenix from the ashes. It could even be called love.
Balázs Kovalik
General cast
- Conductor
- Gergely Kesselyák
- Turandot
- Gyöngyi Lukács / Szilvia Rálik
- Altoum
- István Róka
- Timur
- István Rácz / Kolos Kováts
- Calaf
- János Bándi / Atilla Kiss B.
- Liu
- Zita Váradi / Gabriella Létay Kiss
- Ping
- Lajos Geiger / Zoltán Kelemen
- Pang
- László Beöthy-Kiss / István Horváth
- Pong
- Péter Kiss
- Mandarin
- Sándor Egri
- Composer
- Giacomo Puccini
- Librettist
- Giuseppe Adami, Roberto Simoni, Franco Alfano
- Hungarian subtitles
- Ágnes Romhányi
- Director
- Balázs Kovalik
- Set Designer
- Éva Szendrényi
- Costume Designer
- Márta Jánoskuti
- Leader of Children's Choir
- Gyöngyvér Gupcsó
- Choir Master
- Kálmán Strausz


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Meego died when Nokia abandoned it's Linux aspirations. It's sad and unfortunate, but that's how life works out. I wish it was different.
Now it is just kinda going along in zombie mode with people refusing to believe it has no future. Intel would do them a favor by publicly announcing they are killing all support.


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Symposia / General Information
E08 Fatigue and Fracture
Event Name: May 2013 Committee Week
Pre-registration requested to attend this meeting.
The Sixth Symposium on Automation of Fatigue and Fracture Testing, Sponsored by ASTM Committee E08 on Fatigue and Fracture and its Subcommittee E08.03 on Advanced Apparatus and Techniques will be held May 22, 2013 in Indianapolis, Indiana, in conjunction with the May standards development meetings of Committee.
The ongoing rapid advancement of digital systems hardware and software technology continues to provide new opportunities for scientists and engineers in fatigue and fracture testing and analysis. Higher performance, lower cost hardware and software systems are providing enhanced capability for applications in the areas of test control, data acquisition, data analysis and interpretation, modeling, simulation and integration of testing with design. The Sixth Symposium on Applications of Automation Technology in Fatigue and Fracture Testing and Analysis will continue the exchange of information at the international level on computer technology applications in fatigue and fracture testing and analysis. The goal of this symposium is to provide an international forum for knowledge exchange on recent achievements in the following technical areas:
- General software and hardware developments in automated materials testing systems and methods,
- Service loads monitoring and analysis as well as service spectrum generation and simulation,
- Variable amplitude spectrum load testing methods, test control and techniques,
- Cost effective and efficient advanced or new methods for generating test data,
- Analysis and simulation of fatigue life of components,
- Modeling as a tool in fatigue and fracture testing and analysis,
- Applications of advanced software systems in fatigue and fracture, and,
- Laboratory automation and information management systems.
It is anticipated that all staff levels within the mechanical test laboratories, including managers, test engineers and technical staff, as well as those affiliated with the mechanical test laboratories (e.g. analysts and designers) will benefit from the topics covered in this symposium.
Click on the link for the schedule/program of presentation times, paper titles, and presenters' names View Scheduled Program
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The hotels are located approximately 20 miles/20 minutes from the Indianapolis International Airport. The hotel's phone number is 317-860-5800 and the general fax number is 317-822-8464. The website for the hotel is JW Marriott Indianapolis Information.
For information on the city of Indianapolis, visit the Indianapolis convention and Visitors Bureau website at: Indianapolis Convention and Visitors Bureau.
AIRPORT SHUTTLE SERVICE: Go Green is available at the baggage claim terminal. The phone number for the shuttle service is 800-589-6004. The shuttle runs every half hour from 8:00am to 11:00pm Monday through Sunday. The cost is $10 per person. Taxis cost approximately $35.
PARKING: Overnight parking is available at $32 for valet and $28 self-parking with in and out privileges.
Meeting schedules of Committee E08 are posted on the ASTM web site at www.astm.org/COMMIT/COMMITTEE/E08.htm or contact the ASTM staff manager, Jeff Adkins at firstname.lastname@example.com or tel: 610-832- 9738.
Committee E08 invites you to attend their future standards development meetings. There is no fee to attend these meetings, and membership in ASTM International is not required. For more information, visit the web listed immediately above, and click "Future Meetings".


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History Column: 1888 fire sparked red rock downtown
It was Feb. 14, 1888. Remnants of white unfriendly snow were evident, piled around the nearby structures. Time all but stood still, a small brief moment that would change the history of Dell Rapids forever.As he stood there, everything and everyone was moving in slow motion, hearing the calls for help, orders from volunteers, trying, hopelessly to quench the roaring fire with the meekest items available.It started as a simple fire, quickly extinguished. Kerosene fires were not that uncommon, but this one, would become undying, unsatisfied with its short life. Quickly it roused again, with much more speed and ferocity than before. Once again our courageous volunteer fire department came to the rescue and put it down.With a life of its own, it simply would not die!Time and sound began to gain speed and comprehension. The fire department was now disabled from fighting the flames from the previous outbreak. It seemed hopeless, all one could do was stand by, pray and watch as this terrifying event grew with such intensity never seen in Dell Rapids before.It was too late for Mr. Pollard's store. Simply put, it was gone. All focus and power had to be turned to other nearby buildings, saving lives and their belongings.It was only by the most arduous work that the buildings on the north side were saved. Had the winds been any stronger, this devastating event could have overcome the remaining buildings on Pearl Street.He watched as Mr. Triggs and Irv Howland distinguished themselves by taking turns standing on the roof of Collins' building (on the north side), smothering sparks as they lit on the front. At one point the heat from the flames were so hot the resin oozed from the handle of brooms the men had been using to extinguish the sparks.His friend, Dick Keating, had been hailed a hero, the savior of Dr. Parker's barn. Ed Haley showed great valor and endurance in saving Uline's roof nearby. The list goes on as many courageously, tirelessly spent hours fighting the beast that defied the odds growing beyond manageability.By early morning hours the town's people had won, at a severe cost.B.P. Moore, Rob Cad and Will Lander each had an eye hurt and Clint Bryant had his face burned. Many others only escaped with minor burns, scratches, bruising and a nightmare that would last for days. It was amazing no lives were lost.Many store fronts and buildings on the south side were damaged beyond repair. The buildings of: Law & Maule's machinery shed, Burks' restaurant, C.J. Johnson's hardware store, Olley & Schawl's saloon building, Tresidder's harness shop, Pollard's store, Meredith & Son's store, Parkers house, Irwin's store and the Merchants Hotel were ruined, leaving ash in the fires wake. Lowest estimate of $25,000 worth of property, 11 buildings, parts of several stocks of goods and household goods, all lay to waste. Fortunately some had insurance, approximately $13,250 in property insurance. Many did not, everything lost.Yes, this was a night that would change the history of Dell Rapids forever. The Dell Rapids Village Council had enacted Ordinance #28. "No building shall be deemed fire proof unless the outer walls thereof shall be composed of stone, brick, metal or other non-combustible material not less than fourteen inches in thickness…"One night, one chance moment in time, it all began Feb. 14, 1888. 126 years later, Dell Rapids now has one of the most beautiful unique main streets ever built.
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Definition | Reasons for Procedure | Possible Complications | What to Expect | Call Your Doctor
Melanoma removal is a surgery to remove cancer in skin tissue. The cancer is called melanoma .
Copyright © Nucleus Medical Media, Inc.
A melanoma removal is done to treat melanoma. For some it may be a cure for melanoma.
Complications are rare, but no procedure is completely free of risk. If you are planning to have a melanoma removal, your doctor will review a list of possible complications, which may include:
Smoking may increase the risk of complications.
Depending on the stage of the disease, your doctor may do the following:
Local anesthesia is often used to numb the area where the cancer is removed. General anesthesia may need to be used if the area is large. In this case, you will be asleep.
Surgical removal of the cancerous cells is the primary treatment for melanoma. Types of surgery include:
The area may be closed with stitches. A larger area may need to be covered with a skin graft from another area of your body.
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This depends on the extent of the melanoma and the type of surgery. Simple excision can take less than 1 hour.
Anesthesia prevents pain during the procedure. You may have some pain around the wound during recovery. Medication will help manage pain.
Return to have any stitches or staples removed when instructed.
Talk to your doctor about appropriate ways to protect your skin against sun damage. These may include using sun block and wearing protective clothing. You will also need to have regular skin exams to look for the return of cancer cells. Do self-exams to look for any new or changing moles. Your doctor can show you how to do a self-exam.
After arriving home, contact your doctor if any of the following occur:
In case of an emergency, call for emergency medical services right away.


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Colorado band The Motet are geared up for this year's Halloween shows where the band will cover the music of Parliament Funkadelic. The Motet's holiday shows are wildly popular with their local fans and the Boulder Theater show is already … Continue reading
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Tagged Aggie, Boulder Theater, Dan Schwindt, Dave Watts, Gabe Mervine, Garrett Sayers, Halloween, Jans Ingber, Joey Porter, Kim Dawson, Live Music, Local Band | Tagged Boulder Theater, Matt Pitts, Parliament Funkadelic, Ryan Jalbert, The Aggie, The Motet, The Ogden |
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By photographer and music blogger Alan Crandall The Motet is heading back out on the road. I am not talking about shows in Breckenridge or Carbondale like they did the last two nights. No, I am not talking about tonight's … Continue reading
Posted in Live Music, Music
Tagged Aggie, Cervantes, Dan Schwindt, Dave Watts, Earth, Gabe Mervine, Garrett Sayers, Grateful Dead, Jans Ingber, Joey Porter, Kimberly Dawson, Matt Pitts, Michael Jackson, Ogden, Paul Creighton, Pete Wall, Ryan Jalbert, Scott Messersmith, Sly Stone, Stevie Wonder, Talking Heads, The Motet, Wind and Fire
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Mishawaka Amphitheatre still a jewel in Northern Colorado music scene
Writer and photographer Alan Crandall submitted the following guest blog: As recently as September of last year the fate of Mishawaka Amphitheatre, better known as the "Mish," in Bellvue Colorado was uncertain. Facing legal trouble, previous owner Robin Jones hoped … Continue reading
Posted in Events, Live Music, Music
Tagged Colorado, Dani Grant, Dark Star Orchestra, Dave Watts, funk, Gabriel Mervine, Hot Tuna, Jans Ingber, Joey Porter, Keller Williams, Live Music, March Fourth, Matt Pitts, Mishawaka, Music, Nolan Hapeman, Pete Wall, Poudre, Sam Bush, Steveland Swatkins, The Motet
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My bicycle is our second car. I love to bicycle in all weather, for all distances, and on all routes. Bicycling has brought so much joy to my life, and I want to share it with anyone who is interested. I will use my soapbox to tell you about the ...
My bicycle is our second car. I love to bicycle in all weather, for all distances, and on all routes. Bicycling has brought so much joy to my life, and I want to share it with anyone who is interested. I will use my soapbox to tell you about the joys, the freedom, the benefits, and, yes, the challenges of bicycling and walking for transportation.
[Warning! The following contains spoilers about tonight's episode. Read at your own risk]
So Damon and Elena finally did it.
On Thursday's episode of The Vampire Diaries, what started out as a late-night slow dance between the two, turned into a passionate kiss, which then became a hot-and-heavy well, you know. So how did they get there after all this time? Let's back up.
TV duos who should do it
The hour began with a newly single Stefan working his out his frustrations because his ex has feelings for his brother. Elena, meanwhile, knew she had confusing feelings to reconcile and Damon was elated when Elena revealed he was the reason for the breakup. But the two didn't jump each other's bones right away. First, they had to attend to the matter of awakened hunter Jeremy wanting to kill Elena. After confronting her brother only to have him stake her, Elena told Stefan to let go of the idea that Jeremy's mark would lead to a cure. "This is who I am now," Elena said. "The old Elena died when she went off that bridge. Let her go."
With a brother wanting to kill her, Elena packed up and set up shop at the Salvatore house, conveniently leaving her alone with Damon and a glass of whiskey. From there, the two relived their old Miss Mystic Falls dance which lead to a passionate kiss which turned into a hot-and-heavy hookup. But the dalliance didn't come without complications. As Caroline and Stefan drowned their sorrows they suddenly realized Elena must be sired by Damon, hence the innate attraction. Regardless, the two finally got busy.
Who's the sexiest Vampire Diaries star?
So was it all you ever imagined and hoped for? And now that it's possible Elena is only attracted to Damon because she's sired by him, does that take away from the enjoyment of the moment? Vote in our poll.
Take the poll for this article at TVGuide.com >
View original The Vampire Diaries: Did the Damon and Elena Scene Meet Your Expectations? at TVGuide.com
Other Links From TVGuide.com


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The Benefits::
This 100% touch-free trash can creates a germ free, odor free, automated environment. It keeps your hands clean while you are cooking or playing with your children. It also helps prevent contamination, which reduces the threat of certain illnesses and infections. Because the trash can turns an ordinary chore into something fun, your kids will have enjoy throwing the trash away for you. In addition, the Touchless Trashcan could outlast most step-on and hand-touch cans since if you don't touch it, you can't break it! This could actually be the last trash can you ever buy, which will save you money, mess, and time.:


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Brock University Niagara Region 500 Glenridge Ave., St. Catharines, Ont., L2S 3A1 Canada
Telephone: 905-688-5550
© 2010 Brock University.
[ back ] [ print ] | |
Position Title: | MARKER-GRADER |
Course: | MKTG 2P52 |
Course Details: | GENERAL MARKETING MANAGEMENT, WINTER 2014 Start 2014-01-01 End 2014-04-30 |
Compensation: | |
Marker-Grader positions are paid according to the qualifications that the employee holds. - Master?s Degree Complete ($28.07/hour) - Paid to employees who have completed a master?s degree. - Undergraduate Degree Complete ($24.19/hour) ? Paid to employees who have completed a four-year honours degree or a three-year pass degree. - Third Year Complete ($17.86/hour) - Paid to employees who have completed the third year of an undergraduate honours degree. - Second Year Complete ($15.71/hour) ? Paid to employees who have completed the second year of an undergraduate degree. - First Year Complete ($14.82/hour) ? Paid to employees who have completed the third year of an undergraduate honours degree. |
Duties: | |
Duties and responsibilities will be in accordance with Article 22 of the Collective Agreement. 1. The marker-grader is expected to mark assignments, term projects, case reports, midterms, progress exams, and/or final exams and must be prepared to provide written feedback to students that will clearly identify the basis of the grade assigned, whether it is due to substantive content, or to written communications, including spelling, punctuation, grammar, and overall structure and organization of the submission. 2. The marker-grader may be expected to invigilate mid-terms and examinations for this course, or enter grades into databases, at the request of the course instructor. |
Qualifications: | |
- Completed MKTG 2P52 or equivalent with a minimum grade of 80% - Minimum second year complete in a Business program with an overall average of 75% |
Applications: | |
Applications will be accepted until 2013-07-15
Applications should include a cover letter, a current resume, a CUPE 4207 application form and your seniority date. Online - or - Drop off box outside Room469, Taro Hall Building, Brock University. |
For further information: |
Please Note: | |
If applicable, applicants are responsible for submitting their seniority date with their application. Applicants that don't include a seniority date will be assumed not to have one. Positions listed on this posting are subject to course enrolments and budgetary approval. As per Article 22.04 of the Collective Agreement: - Graduate Students enrolled at Brock University shall not accept an appointment in excess of an average of ten (10) hours per week over an academic term, in which she is enrolled as a full time student, without the prior permission of the Dean of Graduate Studies. - Undergraduate Students enrolled at Brock University shall not accept more than nine (9) Teaching Assistant appointments, or the equivalent of nine (9) Teaching Assistant appointments in any classification, per term minus the number of courses in which that student is currently enrolled - Part-time Graduate Students and Non-Students shall not accept any appointment which, taken together with all other appointments at the University, would cause the member to exceed the maximum number of regular hours (i.e. not overtime hours) allowable in a work week under the Employment Standards Act, as amended from time to time. Permission to exceed the above mentioned workload limits should be obtained prior to application. A Collective Agreement governs part-time Instructor, Teaching Assistant, Lab Demonstrator, Course Coordinator and Marker-Grader positions at Brock University. A hardcopy of the Agreement can be obtained from Human Resources or accessed on the Human Resources Web Site - www.brocku.ca/hr-ehs |
Additional Comments: | |
For office use only: 2013-06-24 - #6340 - Approved | |
Apply Online Enter your information in the boxes below. |
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42 CFR 447.204 - Encouragement of provider participation.
Title 42 published on 2014-10-01
The following are only the Rules published in the Federal Register after the published date of Title 42.
For a complete list of all Rules, Proposed Rules, and Notices view the Rulemaking tab.
Title 42 published on 2014-10-01
The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR 447 after this date.
GPO FDSys XML | Text type regulations.gov FR Doc. 2014-28424 RIN 0938-AQ37 DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services Final rule. Effective December 31, 2014. 42 CFR Part 447 This final rule addresses the hospital-specific limitation on Medicaid disproportionate share hospital (DSH) payments under the Social Security Act (the Act). Under this limitation, DSH payments to a hospital cannot exceed the uncompensated costs of furnishing hospital services by the hospital to individuals who are Medicaid-eligible or "have no health insurance (or other source of third party coverage) for the services furnished during the year." This rule provides that, in auditing DSH payments, the quoted test will be applied on a service-specific basis; so that the calculation of uncompensated care for purposes of the hospital-specific DSH limit will include the cost of each service furnished to an individual by that hospital for which the individual had no health insurance or other source of third party coverage.


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Weighing just over a pound and featuring premium 875+ fill power goose down insulation, the high-performance Marmot Plasma 40 Degree down sleeping bag is ideal for warm weather backpacking.
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Growing from a collegiate friendship built on a shared love of outdoor adventure, Marmot sprung into existence in 1974. Marmot was one of the first manufacturers to recognize the value of Gore-Tex fabric and this important partnership has continued to present day. As it has from its beginnings over 30 years ago, Marmot remains enthusiastically dedicated to the production of high-performance sleeping bags, tents, apparel and gear.
Backcountry Edge is proud to be an authorized Marmot dealer.
Click here to visit the official Marmot website. (Note: you will be leaving Backcountry Edge.)
Streamlined designs, with lightweight fabrics and fill make these the lightest offerings available
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Do you have a wound that hasn't gone away in weeks? If so, it may be time to get professional help.
More than six million people suffer from wounds that resist conventional therapy. That number will continue to rise as more people are diagnosed with diabetes, heart disease and as the American population ages.
On Thursday, April 2nd Dr. Tay Sha Howell, Medical Director of Norman Regional Hospital's Hyperbaric and Wound Care Center, will be discussing new treatment options for chronic wounds. Her free seminar will include a wide range of topics including surgical wounds and infections to spider bites and diabetes related wounds.
Dr. Howell will also discuss the use of Norman Regional's state-of-the-art hyperbaric oxygen chamber therapy for stubborn wounds.
"Hyperbaric oxygen treatments significantly improve healing for certain wounds, and certainly can help to save patients from amputation," said Howell. "Usually more than one thing keeps a wound from healing. Our job is to discover all the problems up front to improve the healing."
The skin is a complex organ and the first barrier to the harshness of the outside world. Wounds that aren't treated can have deadly consequences. Learn how to heal your hurt at Norman Regional Hospital's Education Center on April 2nd. Seating for the 9 a.m. seminar is limited so please register soon by calling (405) 440-8802.
The Wound Care Center at Norman Regional is staffed with a medical director and a team of experienced physicians and nurses. Patients may be referred by a physician or they may call and make an appointment themselves by calling 405-307-6955.
Contact Kelly Wells
Norman Regional Health System
Office (405) 307.2143
Fax (405) 307.2144
Email firstname.lastname@example.com


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Originally dedicated to medical supplies, Ferndale Laboratories specializes in real solutions for troubled skin. All of the Ferndale Laboratories products available are designed to provide soothing relief to common skin irritations and promote healing with nourishing and calming ingredients. Ferndale Laboratories is not a cosmetic brand but rather a dermatological line of products that offers effective treatment of skin irritations and inflammations. They use high quality dermatological grade ingredients that are proven effective.
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topical anasthetic - 6/27/2012 10:20:06 AM This is a great product for electrolysis or any other treatment where exposed skin will be treated and/or is sensitive. And this is the best price I have ever found. (The Costco in my area charged about the same price but they no longer stock it.)Works Great! - 5/18/2012 12:06:08 PM Highly reccommended for permenant hair removal. Apply one hour before procedure and cover with platic wrap. Amazing!Too strong for wide area - 3/20/2011 6:53:41 PM The texture is just right, as it absorbs well. I wanted to use this over a big portion of my legs to treat eczema without resorting to topical steroids. The label warns not to use this over a wide area, but I didn't find that detail here at SkinStore.com. It's not nearly as strong as the prescription and OTC steroids that I use, so it's too weak to substitute for them and too strong for my intended purpose, making this of little value to me.Great Product - 1/10/2010 6:32:26 PM Works well, would highly recommend. For some reason ALWAYS excluded from SkinStore's promotional code(s)...Works great before laser hair removal - 9/9/2008 6:54:13 AM I've had laser hair removal on just about every inch of my body, and I've lost count of how many tubes of LMX I have gone through. It works really well, even for someone like me that has an extremely low pain threshold. For the incredibly sensitive areas, I use this topical cream along with a pain pill (Tylenol-3 works best for me). Be sure to apply a full hour before the start of your session for best results. Even though it is not necessary to cover with plastic wrap like some other products to get the same effective numbing, it tends to work even better if you do you plastic wrap over the treated area, and only remove the plastic just before treatment on any particular area.Highly Recommended - 7/3/2007 1:50:10 PM Prax lotion is great . I have used this product for five years and it does exactly what the ad says. I find it better than other creams or lotions or petroleum jellys because it is not greasy. You can use it in confidence and it does not stain my clothes as some creams and ointments do. Also it soothes any minor discomfort associated with the affected area.A must - 1/9/2007 3:52:39 AM For anyone with a mediport for cancer treatments, this product makes the insertion of the huge mediport needle painless. I put it on my mediport site right out of the shower on the am of my treatments - cover it with a tegaderm that you get from your physician's office or just a piece of saran wrap.great product - 8/5/2004 11:53:00 PM I use it post dialysis treatment on my fistula. The pain of the large needles is no more. Wish I had LMX several years ago. Worth its weight in gold. -
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Additional Information
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Category Info | Our Metal Key Chains Come In A Variety Of Shapes, Sizes And Styles. Some Are Made Of Polished Aluminum, While Others Are Made Of Polished Casted Pewter. Some Are Filled With Brightly Colored Enamel, While Others Are All Silver Metal. All Key Chains Come Equipped With A Sturdy Chrome Plated Key Ring. |
Novelty Type | Metal Key Chain |
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Theme | Music |


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Don't Have an Account? Join the IHG® Rewards Club
Redeem when you want, for what you want.
Reward Nights When redeeming points for a Reward Night, you may only book one room at a time. Once you complete your Reward Night reservation you will be given the option to duplicate this reservation
* Requires affiliation in the respective organization.
** Best Available Rate Search does not include affiliation rates.
To book more than 9 rooms for one stay or request a quote, please use our Easy Meetings tool, call 1-800-MEETING (in United States, Mexico and Canada) or contact a Global Sales Office.
Located in the heart of downtown Fort Worth, Texas, our hotel is less than 1 mile from the Fort Worth Convention Center, Will Rogers Memorial Center, Sundance Square and several area businesses and attractions.
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Families will enjoy staying at our downtown Forth Worth hotel while exploring everything this famous Texan city has to offer. The Fort Worth Stockyards, Fort Worth Zoo and the Botanic and Japanese gardens are only minutes away. Just a short drive from our hotel TCU, Cowboys Stadium, Six Flags Over Texas and the Texas Rangers Ballpark are a few of the many Fort Worth attractions nearby.
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Date calculator: Add to or subtract from a date
This service enables you to add or subtract days, months and years to a date to calculate a past or future date.
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I just hope they grab a big body in the process. The rockets and celtics have about 12 of them!
. |
I just hope they grab a big body in the process. The rockets and celtics have about 12 of them!
Wow..... Just about kills his trade value.
http://espn.go.com/nba/story/_/id/81...re-free-agency"Dwight's position has remained unchanged since the end of this past season," said Dan Fegan of LaGardere Unlimited. "He fully intends to explore free agency at the end of next season, regardless of what team trades for him, including Brooklyn."
I don't think Dell Demps sleeps.
"Every fight is a food fight when you're a cannibal."- Demetri Martin
He slept through the bidding for Brand and Haywood.
Emeka Okafor - Joe Smith - Carmelo Anthony - Manu Ginobili - Jason Williams
Al Jefferson - James Posey - Aaron McKie - Shaun Livingston
I'm going to get smashed for this, but Howard for Aminu and JSmith + our 2013 1st round pick (top-3 protected) and our 2015 1st round pick (lottery protected) works financially. The salaries don't match, but they don't have to since we are under the cap. Orlando gets 2 young players + a couple of 1st round picks to re-build with, which is a lot considering Howard doesn't hold much value any more since he won't sign an extension with any team that trades for him.
Our current space = $45.030 million
Add in Howard's $19.261 million, and we are up to $64.291 million. Then, subtract Aminu ($2.947 mil) and JSmith ($2.5 mil), and we're at $58.8 million - right on top of the cap, but I'm sure there are ways around the extra few hundred thousand. GMs get paid for this sort of manipulation.
Anthony Davis is opening eyes. Players will want to play with him. Rivers is developing, and he is another draw. Gordon was the last cut on the Olympic team, and he is only 23. Also, we would still have the MLE, and Lewis is $13.7 million coming off the books next year, so we could add another big piece to the team next FA period too. You also have to figure in the $50 million dollars worth of improvements to the arena, Benson as the new local owner, the lease with the city, and the re-brand. Davis just signed a big deal with Nike, so the marketing is definitely available.
PG - Vasquez, Rivers
SG - Gordon, Henry
SF - Henry, Miller
PF - Davis, Anderson
C - Howard
^ That is the core, plus a $10+ million dollar FA next year, or a few $3-5 million dollar FAs + the MLE. I think there is a real good chance that Howard would want to re-sign with us.
Last edited by nolaslim213; 07-19-2012 at 11:45 PM.
"Hornets means nothing." - Tom Benson
That is a hell of a lot more than what Toronto got for Bosh and what Cleveland got for LeBron, both of whom waited until the last second like Orlando did with Howard. The fact of the matter is that his trade value is nothing right now compared to what it would have been had they traded him last year like we did with CP.
slim, I'm pretty sure there's a cap hold for 1st round picks
"Just bring him in here, Im going to block everything"
Houston can and would give up more.
"I'm not going to allow my putative owner to answer that question, this is an NBA related press conference. Paul Tagliabue and Roger Goodell have collectively sung their praises of Tom and if uh ESPN has a problem with that tell Mr. Skipper to call me at my office."
I guess this is goodbye Marco. I shall miss your streaking Italian flags!
Alex Kennedy @AlexKennedyNBA
It sounds like Marco Belinelli and the Chicago Bulls are in advanced talks. Nothing imminent, but he may sign for the bi-annual exception.
Well if Jujube's translation was correct in that Belinelli article,
Sounds like he'd be fine to stay with us but if another org closer to winning a title gives him a look, he's out. A few of us were here last year saying that the main reason he came back was because he didn't have any/many offers last summer.I'm sure the hornets want me back and i had a great time with them. I'd be fine to stay with them. I want to win: when it'll be time to choose i'll think first and foremost about an organization whose objective is to win. New orleans is planning to do big things. It's a bit early to talk about a title
He's only 26 and a backup player and already he is looking for a title?
Maybe the Hornets didn't want him back?
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If you have any questions about the moderation on Programmers, please post a question on meta or chat. Any off site attempts at communication about site matters will be ignored.
I've been a developer for over 30 years in one form or another. I learnt Pascal at University and my first job was programming in Fortran 66. I've since moved to C# & .NET via Ada, C and C++.
Over the years I've worked for companies of all sizes from 3 person startups to multi-national organisations with 1000's of employees. I've also worked at all levels from junior programmer to team lead/technical architect and one stint as a manager. I've seen various development methodologies from classic waterfall to Scrum implemented and used with varying degrees of success.


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The Louisiana State University School of Veterinary Medicine recently acquired a nuclear medicine unit, which allows them to perform state-of-the-art bone scans on horses, according to a July 8 statement from the school.
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Catch as Catch Can
Francis Picabia, French, 1879 - 1953
Made in France, Europe
Oil on canvasDimensions:
41 1/2 x 34 x 1 3/4 inches (105.4 x 86.4 x 4.4 cm) Framed: 41 1/2 x 34 x 2 inches (105.4 x 86.4 x 5.1 cm)Copyright:
© Artists Rights Society (ARS), New York / ADAGP, ParisCuratorial Department:
Modern Art
1950-134-156Credit Line:
The Louise and Walter Arensberg Collection, 1950
Made in France, Europe
Oil on canvasDimensions:
41 1/2 x 34 x 1 3/4 inches (105.4 x 86.4 x 4.4 cm) Framed: 41 1/2 x 34 x 2 inches (105.4 x 86.4 x 5.1 cm)Copyright:
© Artists Rights Society (ARS), New York / ADAGP, ParisCuratorial Department:
Modern Art
* Gallery 172, Modern and Contemporary Art, first floor
Accession Number:1950-134-156Credit Line:
The Louise and Walter Arensberg Collection, 1950
Explore the Collections
In this painting, Picabia combined the memory of a no-holds-barred wrestling match (known as "catch-as-catch-can") with the motions of a Polish dancer he saw rehearsing aboard an ocean liner. The inscription "Edtaonisl 1913" mixes up the letters of the French words étoil(e) [star] and dans(e) [dance] to describe this celebrated performer.
Marcel Duchamp, Paris, from the artist, 1926; his sale, Hôtel Drouot, Paris, March 8, 1926, lot 10, illus.; purchased by André Breton, Paris [1]; sold to Louise and Walter C. Arensberg, Los Angeles, through the Museum of Modern Art, New York, November 1937 [2]; gift to PMA, 1950. 1. Although Duchamp played the role of "owner", the auction was in fact a sale of eighty works from Picabia's own collection; see Borràs, Picabia, New York, 1985, p. 288 and p. 295-6. A contemporary newspaper account by Maurice Monda recorded the buyers and prices: see William Camfield, Francis Picabia: His Art, Life and Times, Princeton, 1979, p. 217, n. 10. See also Paris, Musée national d'art moderne, André Breton: La beauté convulsive (exh. cat., Musée national d'art moderne), Paris, 1991, p. 494; and William Camfield, Francis Picabia (exh. cat., Guggenheim Museum), New York, 1970, no. 33, p. 79. 2. Purchased by the Arensbergs from the Museum of Modern Art exhibition, "Fantastic Art, Dada, Surrealism," to which Breton had lent the painting (see letters from the Museum of Modern Art dated 2 November and 12 November 1951, PMA Arensberg Archives, CA Use Tax correspondence). See also letter from Walter Arensberg to Marcel Duchamp, Oct. 27, 1937: "By the way, we hope to get from the Modern Museum Picabia's Catch as Catch Can...." (PMA Arensberg Archives).* Works in the collection are moved off view for many different reasons. Although gallery locations on the website are updated regularly, there is no guarantee that this object will be on display on the day of your visit.


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Paint the trail in Technicolor inspired hues. The Mountain Hardwear Women's Wicked Electric Running L/S T features a fast print for your fastest performance.
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Mountain Hardwear believes in boldness: that anything is possible, and that anything worth pursuing involves challenge.
That's why this brand is dedicated to making top-grade outdoor and athletic gear—adventurous, innovative gear that will take you across the next great challenge. Mountain Hardwear believes in giving you the best tools and apparel so you can lunge for the goal that's just out of reach. So you can share in hardship, enjoyment, and awe. So you can celebrate the magnificence of the outdoors. So you can take on your mountains—both literal and mental—and come out on top.


text: Quoting the bible should be no different than quoting literature or punk rock. All it is a book with some inspiring passages. The problem is that the banner above with its reference to God and religious tone is just too religious for a public school. I'm sure there are plenty of Christian schools in Texas--if you want god all tangled up in your education, you can go to one of them. If you want a free, tax payer funded education, go to public school and practice your religion after 3pm. What on earth is so difficult about that? And to the Texas cheerleaders above, try quoting something else on your next banner. I'm sure you can find an equally inspiring message hidden someone in your English or history homework or even at the local record store.