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This page discusses the use of hormonal therapy for the treatment of breast cancer. For a thorough review of hormonal therapy for cancer treatment, please see the hormonal therapy treatment monograph .
Hormones are chemical messengers that regulate specific body functions, such as reproduction. They are produced by various glands in the body and enter the blood stream, where they travel to other tissues and exert their influence. Hormonal therapy is used in cancer treatment to augment or interfere with the activity of certain hormones that can influence the growth of tumors.
Who Can Benefit from Hormonal Therapy
Certain hormones, such as estrogen and progesterone, can "feed" certain types of breast cancer cells—cancer cells that have receptors for estrogen or progesterone.
Breast cancers that have estrogen receptors or progesterone receptors are said to be "estrogen or progesterone receptor-positive" or "hormone sensitive." Those breast cancers that do not have either estrogen or progesterone receptors are "hormone receptor-negative." In women with hormone-sensitive cancers, cancer cell growth is under the control of estrogen. Therefore, such cancers can often be treated with drugs that reduce or stop the effects of estrogen. Hormone receptor-negative cancer cells are not receptive to these types of drugs.
Laboratory tests called tissue staining can determine if a cancer is sensitive to hormones. Any tissue staining for estrogen or progesterone receptors (above 0%) indicates that hormonal therapy may be effective. Women whose cancers do not stain for hormone receptors at all (0%) do not appear to benefit from hormonal therapy, either to prevent recurrence, or to prevent second cancers.
In the treatment of early stage cancers, hormonal therapy is used to prevent cancer from spreading to other areas and to lower the risk of a second, independent breast cancer. Woman cured of one breast cancer have a higher incidence of second unrelated cancers than women who have never had breast cancer.
While the vast majority of women who have hormone-sensitive breast cancer will benefit from hormonal therapy, there may be times when the risks may outweigh the potential benefits. Your physician will help you weigh the risks and benefits.
Methods of Hormonal Therapy
The goal of hormonal therapy is to prevent hormones from helping cancer cells grow. This may be done in a number of ways:
- Blocking the function of hormones; done with drugs
- Suppressing hormone production in the ovaries, which is called ovarian ablation; this can be done with drugs, radiation, or with surgery
- Suppressing the production of hormones outside of the ovary by other tissues; done with drugs
There are several classes of hormonal therapy drugs:
- Selective estrogen receptor modulators (SERMs)
- Aromatase inhibitors
- Estrogen receptor down-regulators
- Luteinizing hormone-releasing hormone (LHRH) agonists
- Other hormonal agents, including androgens
A commonly used selective estrogen receptor modulator (SERM) is raloxifene (Evista). This drug is used to treat osteoporosis. In women with osteoporosis who have been treated with raloxifene, this drug has been shown to reduce the risk of breast cancer. Raloxifene is generally taken by mouth in tablet form on a daily basis.
Raloxifene is not yet approved for use in breast cancer treatment. Its benefits, compared to tamoxifen ( discussed below ), are being evaluated in the STAR prevention trial. Some reports have found a lower risk of uterine cancer among women taking raloxifene as compared with women taking tamoxifen. The development of uterine cancer is known to be influenced by estrogen-like activity. Raloxifene has been associated with an increased risk of blood clots.
Aromatase inhibitors work by inhibiting the conversion of androgens into estrogens. Androgens are commonly referred to as male hormones, but they are found in both men and women. A small amount of androgen is continuously converted into estrogen by the enzyme aromatase. Aromatase inhibitors block the action of aromatase, leaving less estrogen available to stimulate estrogen receptors on cancer cells.
Aromatase inhibitors are used primarily in postmenopausal women.
Drugs in this class include:
- Letrozole (Femara)
- Anastrozole (Arimidex)
- Exemestane (Aromasin)
Until recently, these medications have been used in advanced stage breast cancers, but researchers are now examining their effectiveness for prevention of recurrence and second breast cancer events. In early results of one large multicenter trial (the ATAC trial), the aromatase inhibitor anastrazole was superior in preventing second breast cancer events and recurrence compared to tamoxifen or the combination of anastrazole and tamoxifen. In addition, aromatase inhibitors do not appear to have the same risk of uterine cancer, blood clots, or vascular events associated with tamoxifen; however, bone thinning and hip fractures may occur more often with aromatase inhibitors.
Studies have also suggested that aromatase inhibitors may be equally if not more effective than tamoxifen in treating early-stage and advanced cases of breast cancer. More research is being conducted to determine long-term effectiveness.
The primary side effect of aromatase inhibitors is an increased risk of osteoporosis (including bone thinning and hip fractures). Therefore, women who use aromatase inhibitors need to have their bone densities measured on a regular basis, and may be prescribed measures to improve bone density such as bisphosphonates, calcium, vitamin D, or exercise.
Estrogen receptor down-regulators bind to estrogen receptors on cancer cells and block the receptors so that estrogen cannot enter the cancer cell. This is a complicated process, as certain drugs can act as blockers in one tissue or situation and act like estrogen in other tissues or situations. Two drugs in this class are tamoxifen and fulvestrant.
Tamoxifen (Nolvodex) is used for both treatment and prevention of breast cancer. Tamoxifen has both estrogen-like (agonist) and estrogen-blocking (antagonist) effects. Tamoxifen is generally taken by mouth in tablet form on a daily basis.
Tamoxifen has been approved by the FDA to treat women with breast cancer for more than 20 years and has been in clinical trials for about 30 years. Tamoxifen has been the standard treatment for women with estrogen-sensitive breast cancer. However, new studies suggest that aromatase inhibitors may be equally if not more effective than tamoxifen in treating early-stage and advanced cases of breast cancer. More research is being conducted to determine long-term effectiveness.
Possible side effects and complications associated with tamoxifen include the following:
- Blood clots
- Endometrial changes, such as hyperplasia
- Polyps
- Endometrial or uterine cancer
A newer drug that works in a similar fashion to tamoxifen is fulvestrant. Fulvestrant, like tamoxifen, attaches to the estrogen receptor but, unlike tamoxifen, it destroys the receptor, thereby blocking all estrogen activity. This drug is given once a month by intramuscular injection for as long as it is beneficial in the treatment of advanced disease. It is not yet approved for use as an adjuvant treatment (a treatment that enhances the effects of the primary treatment).
Luteinizing hormone (LH) is secreted from cells in the pituitary gland and stimulates the ovaries to produce and secrete estrogen. Luteinizing hormone-releasing hormone (LHRH) agonists are drugs that block the action of LH and therefore block ovarian production of estrogen. LHRH agonists are used for chemical ovarian ablation, which is discussed below .
Androgens (male hormones, such as testosterone), as well as progesterone (female steroid hormones) and progestational agents have been used to treat advanced, hormone-sensitive breast cancer when other medications have not been effective.
Ovarian ablation—suppression of hormone production in the ovaries—reduces the amount of estrogen and progesterone circulating in the body, which, in turn, deprives hormone-sensitive breast tumors of the hormones they need to grow. It is useful for premenopausal women only.
Ovarian ablation may be accomplished by surgery to remove the ovaries, radiation, or drug therapy; however, most physicians today prefer drug therapy, which is called chemical ovarian ablation. This is the preferred method because, unlike surgery and radiation, it is temporary, and fertility may be restored after treatment.
The drug used for chemical ovarian ablation is goserelin. Goserelin reduces production of luteinizing hormone (LH) from the pituitary gland, which leads to a reduction of estrogen. This can result in shrinking the tumour, or slowing down the growth of the cancer.
Goserelin is injected under the skin of the upper abdomen every 28 days. This treatment is used primarily in premenopausal women with early stage receptor-positive breast cancer. It is not effective in women who have receptor-negative breast cancer.
Goserelin can be used alone or with other forms of treatment. Studies have shown that in women under age 50 with early breast cancer, ovarian ablation without chemotherapy improves long-term, recurrence-free survival and overall survival by approximately 30%. Recent studies have suggested that ovarian ablation plus tamoxifen many be as effective as chemotherapy in certain cases. Further study is needed to determine if ovarian ablation is more effective when combined with other treatments or when given alone.
Side Effects
The following side effects may occur with hormonal treatment for breast cancer:
- Hot flashes
- Decreased sexual desire
- Weight gain
- Swelling and tenderness of the breasts
- Headaches
- Bone pain
Hormonal Therapy for the Prevention of Breast Cancer
In some women at high risk for breast cancer, hormonal therapy may be given in an attempt to prevent the development of breast cancer. The drugs used in these cases are tamoxifen and raloxifene.
Tamoxifen (Nolvadex) – in the Breast Cancer Prevention Trial, tamoxifen was shown to reduce breast cancer incidence by 49% in women at increased risk of the disease.
Raloxifene (Evista) – in a large study of its use to treat osteoporosis, raloxifene was shown to reduce the incidence of breast cancer. The Multiple Outcomes of Raloxifene Evaluation (MORE), which was a multicenter, randomized, double-blind trial, studied 7,705 postmenopausal women taking raloxifene in two doses or placebo for about 40 months. Among the women in this study who had osteoporosis, the risk of invasive breast cancer was decreased by 76% during 3 years of treatment with raloxifene.


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Sen. Mark Christensen of Imperial discusses his background, water legislation, and repeal of the death penalty in this week's edition of Capitol Conversations.
live streaming schedule & on demand videos
09:00 am | NDE Board Meeting: December 2015 NDE Board Meeting |
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The Best of NET: Next Exit Missle Love | What does your dream house look like? How about an Atlas-E nuclear missile silo? This Nebraska... | |
Art Treasures of Nebraska: Claes Oldenburg | "Torn Notebook" is the pop art masterpiece of sculptors Claes Oldenburg and Coosje van Bruggen at... | |
The Best of NET: Next Exit: Bone Hunter | Are ghosts always human? Loren Eiseley didn't think so. Eiseley is one of the greatest nature... | |
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Art History of Nebraska: Robert Henri | At first glance, the life-sized painting seems an elegant tribute to a radiant bride. Dix's attire... | |
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Saving Your Treasures: Plant Materials - Integrated Pest Management | Plant-based artifacts can get infested with a variety of pest organisms. This segment of Saving... | |
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text:
Hi Diane,
Thanks for the reply. A few clarifying questions...
Much appreciated, Diane. Thank you!
Check out this yahoo group for all the information you might need on cooking with cast iron and dutch ovens etc.All about careing for your cast iron cookware too.
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Hi everyone,
So, I'm a beginner cast iron user and have two cast iron pans, one of which has got grayish, brownish splotches all over its interior bottom. Is this normal? For some reason, I'm thinking this is a bad sign....Rust??? (Or normal wear?)
MOTHER EARTH NEWS is the guide to living — as one reader stated — "with little money and abundant happiness." Every issue is an invaluable guide to leading a more sustainable life, covering ideas from fighting rising energy costs and protecting the environment to avoiding unnecessary spending on processed food. You'll find tips for slashing heating bills; growing fresh, natural produce at home; and more. MOTHER EARTH NEWS helps you cut costs without sacrificing modern luxuries.
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I know there are many treatments available for equine protozoal myeloencephalitis (EPM), but are there any that are safe for use in pregnant mares? Would sulfadiazine/pyrimethamine (Rebalance) be a safer option over either of these?
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Bailey or bust. Bailey of Hollywood, crafting fine headwear since 1922, has created its own standard of only producing the highest quality products. From traditional and modern fedoras and derby hats to fashion-forward beanies, aviators, and more, there's something for everyone from Bailey of Hollywood. All of Bailey's products are made with the finest materials - luxurious furs, full-grain leathers, genuine Panama straws, and virgin wool from Texas - and then finished to precise specifications. Bailey Hats have been worn by generations of stars from Clark Gable and Humphrey Bogart to modern heart throb Ian Somerholder. But keep an eye out, once you start noticing them it's easy to spot them in magazines, on the big screen, and even next to you at the grocery store.
Bailey of Hollywood is a proud member of American Made Matters. Look for the words "Made in the USA" in their hats' descriptions for a homegrown product!


text:
Stools that are pale, clay, or putty-colored may be due to problems in the biliary system (the drainage system of the gallbladder, liver, and pancreas).
The liver releases bile salts into the stool, giving it a normal brown color. You may have clay-colored stools if you have a liver infection that reduces bile production, or if the flow of bile out of the liver is blocked.
Yellow skin (jaundice) often occurs with clay-colored stools, due to the buildup of bile chemicals in the body.
Possible causes for clay-colored stools include:
There may be other causes not listed here.
Call your health care provider if your stools are not the normal brown color.
The doctor will perform a physical exam and ask questions about your medical history and symptoms. Questions may include:
Tests that may be done include:
Berk P, Korenblat K. Approach to the patient with jaundice or abnormal liver test results. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 149.
Lidofsky SD. Jaundice. In: Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, PA: Saunders Elsevier; 2010:chap 20.


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text: Premium Work Table, cabinet base with sliding doors, 30" W x 60" L-R, 2-3/4" backsplash, 1-1/4" turn down on 3 sides, 3 steel box channels, 14/304 s/s top, galvanized steel cabinet, adjustable legs & undershelf, "Aero Safety Edge", fully welded, soun The TGSOD series tables by Aero feature an enclosed base with sliding doors. Tops are stainless steel with a 2-3/4 inch backsplash. These tables are available as Economy, Delux, or Premium models which use progressively higher grade stainless for the tops. This model uses galvanized steel construction for the base, shelf, doors and legs.


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text: A five semester long preparation for active worship leadership in the Anglican Church. Supervised "worship teams" prepare for and preside at a variety of services. Music and homiletics (theory and performance), phenomenological and theological reflection on the practice of ministry. Lectures, periodic workshops. Reading, journaling, book reports (one per year) and short reflection paper at the end of the first and third academic years.


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Item Description |
Diary Author: Trego, Joseph Harrington Date: July 25, 1858 - December 9, 1859 Joseph Trego first came to Kansas in June 1857. He lived near Mound City (originally Sugar Mound), Linn County, Kansas Territory. These diary entries started on July 25, 1858 and are a continuation of an earlier diary (portions of which were also digitized as part of this project). He described various daily activities including the operation a sawmill in partnership with Thomas Ellwood Smith (Ell in the diary entries) and his brother Edwin Smith. The diary entries provided information on the efforts of making a living and settling on a frontier. They documented some of the border disputes and related activities. Trego was a free state supporter and this was reflected in some of the entries. Location of Original: KSHS Call Number: Joseph Trego Collection, # 523 Item Number: 101261 Number of images: 102 Keywords: Diaries; Free state cause; Free state settlers; Linn County, Kansas Territory; Little Sugar Creek, Kansas Territory; Montgomery, James, 1814-1871; Mound City, Kansas Territory; Sawmills; Smith, Edwin; Smith, Thomas Ellwood; Sugar Mound, Kansas Territory; Trego, Joseph Harrington |
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text:
veröffentlicht am 03.03.2013 /
ST. LOUIS, Missouri – Red Bull KTM Factory rider Marvin Musquin finished inside the top five with a 4th place result in the 250 SX Class at the third round of the Monster Energy East 250 SX Supercross Series, an FIM World Championship.
Marvin Musquin had the second fastest practice time heading into the night show where he was placed in the first 250 SX heat. He had a great jump off the start gate in his heat but crashed in the second corner. He remounted in the back of the back. At the end of the first lap he had moved his way back into the top ten. In the remaining laps he was able to make important passes to move his KTM 250 SX-F into qualifying position. He eventually climbed back to 5th to qualify to the main event.
In the main event, Musquin earned a 4th place start only to crash in the sand section on the first lap. He quickly recovered only losing about five positions and finished the first lap in 8th place. For the next five laps he moved forward through the pack eventually passing into 4th place on lap five. Once in 4th, he settled into a solid pace and maintained his position through the remaining laps to finish one spot shy of the podium.
"My crash in the main event tonight, set me back at the beginning," stated Musquin. "I was matching times with Blake (Wharton), but unfortunately, just wasn't able to get back the time I lost when I crashed. I will work harder this week and hope to return to the podium next weekend."
Next Round: Indianapolis, IN – March 9, 2013
Results 250 SX Class St. Louis
1. William Hahn (USA), Honda, 12:46.488 min (15 laps)
2. Dean Wilson (USA), Kawasaki, +0.897 sec
3. Blake Wharton (USA), Suzuki, +11.580
4. Marvin Musquin (F), KTM, +17.963
5. Jeremy Martin (USA), Yamaha, +24.985
Other KTM
19. Lance Vincent (USA), KTM, 12 laps
Standings 250 SX Class after 3 of 9 rounds
1. Hahn, 70 points
2. Wilson, 69
3. Wharton, 60
4. Musquin, 53
5. Friese – 39
Other KTM
14. Vincent, 22


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The Academic Minute features a different professor every day, drawing experts from institutions within WAMC's listening area and across the country. Each segment is introduced by Lynn Pasquerella, president of Mount Holyoke College. Pasquerella is also a professor of philosophy at Mount Holyoke, specializing in medical and legal ethics.
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The Theme: The Academic Minute opens with a selection by WAMC contributor and renowned cellist Yehuda Hanani, who appears on Classical Music According to Yehuda during The Roundtable. The piece is Bach's Suite No. 2 in D Minor.
Production support for The Academic Minute comes from Mount Holyoke College.
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Animal Species:Collett's Snake
One of the most spectacularly-coloured snakes in Australia, the Collett's Snake is a shy and rarely seen inhabitant of Queensland's black soil plains.
Standard Common Name
Collett's Snake
Alternative Name/s
Downs Tiger Snake (local name) nb. despite this common name this snake is not closely related to the tiger snakes (Notechis).
Collett's Snake is a strongly built snake with a robust body and a broad blunt head barely distinct from its body. It has an irregular banded pattern of reddish to salmon-pink patches on a darker brown or black background. The top of the head is uniformly dark although the snout may be slightly paler. The iris is dark brown with a reddish-brown rim around the pupil. Ventral scales are yellow-orange to cream.
Midbody scales 19 rows, ventral scales 215-235, anal scale divided, subcaudals single anteriorly, divided posteriorly.
Size range
The largest measured specimen was a male with a snout-vent length of 1775mm, although the average total length is around 1.5m. Adult males are significantly larger in mean snout-vent length than females.
Similar Species
May resemble a reddish-brown form of Blue-bellied Black Snake (Pseudechis guttatus), however the known distributions of these two species do not generally overlap.
Drier areas of central inland Queensland.
Distribution by bioregion
Terrestrial Bioregions: Mitchell Grass Downs - QLD
Distribution by collection data
Biomaps map of Collett's Snake specimens in the Australian Museum collection.
Collett's Snake inhabits the warm temperate to sub-tropical blacksoil plains that are seasonally inundated by monsoonal rains. They shelter in deep soil cracks, gilgais (sinkholes), and under fallen timber.
Habitat type
Terrestrial Habitat: subtropical, temperate
Vegetation Habitat: grassland, low open shrubland, low open woodland
Feeding and Diet
In the wild Collett's Snake will feed on mammals, lizards, snakes, and frogs.
Feeding Habit
Other behaviours and adaptations
Secretive and rarely seen. Diurnal, may also be active on warm evenings.
Life history modes
crepuscular, diurnal, terrestrial
Mating and reproduction
Most of what is known about the breeding biology of Collett's Snakes comes from observations of captive animals. Male combat has been reported in captivity, but no specific details are available. The peak season for courtship and mating appears to be between August and October. An observation of courtship involved the male following a newly introduced female, crawling over her back and making rippling and jerking motions while hooking his tail under hers for intromission. Copulation may last up to 6 hours.
Approximately 56 days after mating the female will lay 7 to 14 eggs (October to December), which hatch up to 91 days later (depending on the incubation temperature). The hatchling makes a series of longitudinal slits in the shell and may stay in the egg for up to 12 hours before emerging. Pseudechis colletti hatchlings are unusually large compared to other Pseudechis hatchlings.
Conservation Status
Listed as Rare (Queensland).
Danger to humans and first aid
Collett's Snake is relatively placid, but will defend itself if provoked. Firstly it inflates and raises its forebody in a low curve while giving out loud short hisses to deter the offender. This display is repeated until the snake tires and backs away; however if pressed further the snake will strike out and attempt to bite. The venom is considered to be highly toxic, and anyone suspected of being bitten by a Collett's Snake should seek immediate medical assistance.
- Species:
- colletti
- Genus:
- Pseudechis
- Family:
- Elapidae
- Suborder:
- Serpentes
- Order:
- Squamata
- Class:
- Reptilia
- Phylum:
- Chordata
Cogger, H. (2000) "Reptiles and Amphibians of Australia", Reed New Holland
Greer, A.E. (2006) "Encyclopedia of Australian Reptiles : Elapidae", Australian Museum
Ehmann, H. (1992) "Encyclopedia of Australian Animals : Reptiles", Australian Museum, Angus & Robertson
Mirtshin, P. and Davis, R. (1991) "Dangerous Snakes of Australia", revised edition, Ure Smith Press
Wilson, S. and Swan, G. (2008) "A Complete Guide to Reptiles of Australia", Reed New Holland
Cecilie Beatson
, Technical Officer
Last Updated:
Tags collett's, colletti, Pseudechis, black snake, blacksnake, reptile, venomous, venom, snake, elapid,


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3F8 is an antibody that attaches to neuroblastoma cells and helps focus a patient's own immune system — especially white blood cells — to attack neuroblastoma cells. Conventional 3F8 is made from mouse cells. Humanized 3F8 (Hu3F8) is made to be more like the human immune system than a mouse's immune system, so it may be associated with fewer side effects in patients than standard mouse-derived 3F8.
GM-CSF is a protein that increases the number of white blood cells and may make them better able to kill cancer cells. GM-CSF has been shown to make mouse 3F8 more effective against neuroblastoma, and it is believed to make Hu3F8 more effective as well. The purpose of this study is to find the highest dose of Hu3F8 that can be given safely with GM-CSF in patients with neuroblastoma that has persisted or returned despite prior treatment.
To be eligible for this study, patients must meet several criteria, including but not limited to the following:
For more information about this study and to inquire about eligibility, please contact Dr. Brian Kushner at 212-639-6793.


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Top Definition
An adorable Korean/Canadian who always has a smile on her face and is afraid of nothing. She is a master at cooking bulgogi, kimchi and spaghetti pie. Kyungmi is artistic and intelligent. She still has problems understanding jokes but isn't afraid to laugh anyway.
That Kyungmi sure makes a mean spaghetti pie!


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On April 29, we are encouraging churches to hold up Great Lakes Christian College in prayer and take up a special offering for the Expanding the Capacity for Learning campaign.
We mailed out DVDs containing our promotional video but it can also be seen on our YouTube Channel. If you did not receive a DVD and would like one, please contact Phil Beavers at (517) 321-0242 x 215 or email firstname.lastname@example.com.
We have also made bulletin inserts giving more details of the campaign.
Color Bulletin Inserts Black and White Bulletin Inserts
For more information please visit our website.
GLCC News
GLCC Events


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Cuban Cruz Duran shows her passport with a travel permission --aka white card-- on October 16, 2012 in Havana. Cubans will no longer require exit permits for foreign travel from January 14, the government said, the latest in a trickle of reforms enacted on the communist-ruled island. The government has also extended the period citizens are allowed to remain abroad from 11 to 24 months, with the new law set to enter into force 90 days from now, the foreign ministry said in a statement. Cuba has imposed stringent travel restrictions for a half-century but has failed to prevent thousands of its citizens from emigrating illegally each year, sometimes in dangerous sea voyages using rickety boats. / ADALBERTO ROQUE, AFP/Getty Images
HAVANA - Vladimir Maiquil, 50, casts his fishing line off Havana's seafront boulevard, the Malecón, into the waters of the Florida Straits, 90 miles from America.
"I'd love to travel and have the opportunity to see the world," Maiquil says, "but how can I afford the flight? I've got no chance. It's almost impossible."
For decades, Cuba has been a country whose government would not let its people leave. But in October, it announced a lifting of the despised travel ban to begin in January.
The announcement cheered Cubans as well as millions of Cuban Americans whose families have escaped the island since its takeover by communists. But it is unlikely the change will result in a tidal wave of Cuban travelers.
The new law means that beginning Jan. 14, Cubans will no longer have to apply for a costly exception to the travel ban, known as an exit visa, or show a letter of invitation from a person in the intended destination.
But the expense of a visa from the destination country, the cost to travel and the fine print in the government announcement will probably keep most Cubans home.
Cubans make an average of $18 a month, and a passport will cost the average Cuban five months' salary, says Ray Walser, a senior policy analyst specializing in Latin America at the Heritage Foundation.
Only those Cubans who receive cash remittances from friends and family abroad will be able to afford it. Then there are the exceptions to the rule.
The announcement made Oct. 16 in a government newspaper stated that Cubans need only have a renewed passport and a visa from the country of destination to travel. President Raul Castro said the regime will still decide who can renew or obtain passports. The government will protect "human capital" in its decision-making, and travel can be denied for "national security reasons."
Those deemed necessary to the Cuba socialist revolution - professionals such as doctors, scientists and engineers - can be prevented from departing. The "national security" clause worries some opposition figures.
Yoani Sanchez is a prominent Cuban blogger who has been denied an exit visa 19 times.
"We've been waiting for this reform for years," Sanchez said. "There's more flexibility and a reduction in the bureaucracy and in cost, but it doesn't give people directly the right to enter and exit this country."
For years, Sanchez's blog has documented to the outside world the oppression, poverty and corruption the Cuban people suffer daily. She has received numerous journalism awards and been named to Time's 100 Most Influential list. Sanchez says she will line up to collect her new passport, but she is not hopeful.
This year, the Brazilian government offered her a visa to go to Brazil to view a new documentary on the treatment of critics in Cuba, which relies on a large number of paid informants and state security to squelch criticism and imprison dissenters. Her request for an exit visa though was denied.
"I don't want to feel defeated," she said. "I'll go to the office and try to get a passport. In the meantime, I'll enjoy the illusion that I can leave."
The new law is part of wider changes made by Castro, 81, who took over the island in 2008 from his elder brother, Fidel. He has slowly opened up Cuba's private industries, allowing small businesses such as guesthouses and restaurants to grow.
One implication of the increased time period that Cubans will be allowed to leave the island - to be set at two years - is that they will be able to obtain U.S. citizenship without losing their rights back in Cuba. This process normally takes around a year.
This could lead to an influx of immigrants from Cuba to the USA, which maintains its policy that any Cuban who sets foot on U.S. soil is eligible for legal immigrant status.
The hope for Havana authorities is that Cubans move back and forth and bring in vital foreign currency, some say.
"We'll see what happens in January," said economist Oscar Espinosa Chepe, echoing the view of many in Cuba.
Copyright 2015
Read the original story: Cubans can leave, but to where and with what?


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My Garden of Eden
My goal is to attract as much of nature as I can to enjoy on a daily basis. Sitting in my swing watching the butterflies, dragonflies, birds, and toads is so relaxing to me. I also enjoy taking photos of nature as well.
Yard Categories:
Back Yard
Comments / Q&A
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Zen Landscaping Tips from the Eye of the Storm
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Revel in These Charming Snowscapes
Landscapes are usually most stunning during those times of the year when you can actually see the ground. But there is an eerie beauty to a yard covered in freshly fallen snow as well.
YardShare to the Rescue in Sioux City
YardShare member Masman35 in Sioux City is looking for some ideas to boost the appeal of a very plain yard. This homeowner doesn't like the rocks or the existing bushes...
Video: Choosing A Site For A Vegetable Garden
Ed Bruske, Master Gardener and president of D.C. Urban Gardeners, offers tips on the best locations for your vegetable garden.


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Serving the State's Largest Industry
Welcome to the Kansas Department of Agriculture website. We are committed to food safety, consumer protection, natural resource protection and water resource management for the benefit of all Kansans. To learn more about our agency, visit About Us.
Sign up here to receive KDA news releases and other updates.


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Phoenix Suns Gear
Phoenix Suns Ladies
Phoenix Suns Ladies Kitchen & Bar
Product ID: 1151196
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Order as many items as you like with our $4.99 flat rate shipping.
Need it faster?
You can't toast to your team with a warm drink! Keep your beverages perfectly frosty with this 2-pack of Kolder Holders. Each one is made of neoprene rubber to effectively insulate a 12oz. can or bottle; the outside displays your NBA squad's logo to satisfy your thirst for team spirit.
- 2-Pack of neoprene beverage holders
- Displays NBA team logo on side
- Full glued" bottom
- Holds 12oz. can or bottle
- Insulates beverage and holds in condensation
- Made in China
- Officially licensed
Special event items are produced by manufacturers only after the outcome of a game
or event. These are advanced sale items and will ship immediately after they are
received in our warehouse.
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
number, and/or designs. Some options may be limited by league rules.


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Moscow Grand Slam | 11 - 15 juin 2014 |
#MoscowGS |
Lausanne, Switzerland, January 22, 2014 – The FIVB Beach Volleyball World Tour will once again be the centrepiece of the international beach volleyball calendar in 2014.
From Long Beach in California to Shanghai in China and many places in between players will compete for their share of the $10.2m in prize money on offer from 10 Grand Slams, an inaugural FIVB Grand Slam Final and 10 Open tournaments. The Grand Slams conclude with the first ever FIVB Grand Slam Final, which will offer $500,000 in prize money.
Last year the men's tournament went down to the wire as Latvia's Janis Smedins and Aleksandrs Samoilovs held off the challenge of Brazil's Pedro Salgado and Bruno Schmidt at the Durban Open in December. Brazilian fans did have something to celebrate though as Talita Antunes and Taiana Lima won the women's crown after dominating all season.
It means that both sides will be pushing hard to retain their titles, while the depth of the teams chasing them grows ever deeper.
Initially nine Grand Slam events were named, but in recent weeks the total went up to the maximum of 10 when the Klagenfurt returned as a host following a year off the Tour when the Austrian venue hosted the CEV Beach Volleyball European Championships.
The lake-side resort will once again welcome the crème-de-la-crème of the beach volleyball world as the Austrian city gets set to host the ninth double-gender Beach Volleyball Grand Slam of the 2014 season from July 29 to August 3.
"Beach volleyball players and fans have come to expect the best from Klagenfurt," said FIVB President Dr. Ary S. Graça F°. "I am proud to have the opportunity to now build on the previous successes of this stop on the World Tour and look forward to once again experiencing all that this excellent venue has to offer."
"We are very happy to organise the A1 Beach Volleyball Grand Slam in cooperation with the FIVB at Lake Worthersee in Klagenfurt, Carinthia again this year," said Hannes Jagerhofer of the ACTS Group, the official promoter of the event.
"The dates for the Grand Slam are hereby confirmed and official. We are sure that this year's Grand Slam will exceed all the expectations of all athletes, fans, sponsors and partners by offering an exceptional week in Carinthia."
Earlier in the month, the organisers of the Moscow Grand Slam announced a date change to June 11 to 15 so as to accommodate Klagenfurt's inclusion in the 2014 beach volleyball calendar.
Also making a return to this year's calendar is Stavanger in Norway, another popular stop on the FIVB Beach Volleyball World Tour. The unique dockside venue, which hosted the 2009 World Championships, was last present on the FIVB Beach Volleyball World Tour in 2011, after 13 straight seasons, but returns with a Grand Slam from June 24-29.
The ever-popular Stare Jablonki, returns as a Grand Slam after hosting the World Championships last year. The venue on the banks of Lake Mazury will now welcome beach volleyball players and fans from August 19 to 24.
Through the year there are a host of familiar cities hosting Grand Slams; Long Beach in the USA continues for a second season after a successful debut in 2013, while The Hague in the Netherlands is planning on spreading the tournament over four different cities in preparation for their hosting of the FIVB Beach Volleyball World Championships in 2015.
There are also Grand Slams in Fortaleza in Brazil, Berlin, Moscow and Gstaad in Switzerland before the FIVB Grand Slam Final.
The participants in the FIVB Grand Slam Final, for
which the location and dates are still to be confirmed, will be made up of the
top eight nations on the FIVB Beach Volleyball Grand Slam ranking with a
maximum quota of two teams per country, per gender. The newly conceived Grand Slam Final has yet to be assigned and the FIVB
is in negotiations with the promoters who have shown an interest in staging
this event.
Fuzhou in China, Anapa in Russia, Xiamen in China
and Phuket in Thailand will once again host Open tournaments with a further five
organised in Puerto Vallarta in Mexico, Czech capital Prague, Parana in Argentina
and Qatari capital Doha with Durban in South Africa once again bringing the
season to a close in December.
The newest addition to the 2014 beach volleyball calendar, the FIVB U17
Volleyball World Championships will be held in Bahia Banderas in Mexico,
providing yet another opportunity for young beach volleyball players to come to
the fore and gain international experience in their sport.
Polish town Myslowice will once again do the honours of hosting the FIVB Beach
Volleyball U23 World Championships while Oporto in Portugal will put its
previous experience of hosting the FIVB Beach Volleyball U19 World
Championships to practice yet again in 2014. Cypriot resort Larnaka will host
the U21 World Championships.
The second edition of the Youth Olympic Games are
set to take place from August 16 to 28, 2014 in the Chinese city of Nanjing and
it will be the first time beach volleyball will be included in the sporting
2014 Beach Volleyball Calendar


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Going with the Flow
A few years ago, Joe Chiera's lawn maintenance company was doing around $400,000 with three full-time employees. Suddenly customers began asking him to do bigger jobs—installation jobs he had virtually no experience producing. But that didn't stop this tenacious 20-something, together with partner Micah Posten, from saying "yes."
Since then the company, Impact Landscaping & Irrigation, has more than quadrupled in size, employs 10 times the number of people, participates in the Ohio Landscape Association (OLA) and Professional Landcare Network (PLANET), and offers a vast array of maintenance and installation services to commercial and high-end residential customers. Chiera and Posten continue to say "yes" as often as possible. But these days they're also more apt to say "no" as they get their arms around running a big company.
"As our company has grown and matured, the market we now pursue is much more refined," Chiera relates. "We've even pulled our Yellow Pages ad because we were spending so much time taking calls from people who didn't really represent our target customer."
Chiera got his start with now wife Kristen in 1997 at the age of 17. The company, J&K Lawn Service, employed one other employee for the next three years. Then Chiera met irrigation contractor Micah Posten on a jobsite. Posten had learned the irrigation trade while working for his father's full-service landscape company since age 15.
Chiera and Posten formed a working relationship and began marketing their businesses together to offer more full-service. After collaborating in this fashion for the next six years, the two started operating out of the same building in an effort to diffuse overhead. Chiera also changed the name of his business to Impact Landscaping in order to mirror Posten's company name, Impact Irrigation. "We wanted to make it look like we were one company and create a stronger brand presence," Chiera says.
For the most part, it worked. Both companies enjoyed continued growth for the next couple of years, and started fielding customer requests for bigger jobs and additional services. As intimidating as it seemed, Chiera was eager to answer the call.
"Joe's the type of guy who'll say 'yeah we can do it' and then try to figure out how later," Posten says with a grin. "I'm more of a guy who says 'let's learn how to perform this service and then start looking for work.' It was pretty nerve wracking, but I'm glad we went for it."
Chiera explains his thought process at the time: "I figured that since the work was there, we had to do it—because it might not be there three years from now. If there's one piece of advice I can offer in regard to branching out, it's that you better be ready to stand behind your work. You also have to be prepared to make some mistakes and eat some costs as you perfect your skill and develop your systems."
To get up to speed as quickly as possible, Chiera and Posten spent a lot of time talking with other contractors, including Rick Haury of Suncrest Gardens. "Rick has been a great friend and mentor," Chiera points out. "He's been around a long time and has a successful company. He's offered us countless advice and has always been there to answer our questions."
After that initial trial by fire, Impact Landscaping & Irrigation has developed expertise in a variety of installation services, including hardscaping, water features and outdoor living. Posten is certified through the Irrigation Association, Chiera is a CLT in installation, and a few other key employees are also working on their CLT's. A licensed applicator has been hired to help grow the relatively new lawn care division.
The Make or Break Moment
How to hit a home run when
that big project comes along.
Like many contractors, Joe Chiera's early days were spent comfortably mowing a handful of properties. He thought about expanding and growing, but wasn't sure how—or if it would be worth the risk. He had to make his mind up in a hurry when a general contractor suddenly asked for his help on a pretty sizable project.
"We had done some smaller install projects for him in the past, and he was always pleased with our work," Chiera recalls. "This particular job was a much larger commercial job."
Chiera says the most important thing with jobs over $50,000 is to present your company at the highest level of professionalism:
• Always have an impressive portfolio with you
• Always have a list of references with you
• Always get to know the customer and make him or her feel like part of your family
There are also several keys to successfully completing the job and making your margin:
• You need great supervisors who you develop a plan with ahead of time – you need to talk through each phase of the project and develop realistic timelines
• Try to stick as close to the contract as possible, and anything extra should be viewed as a change order and discussed with the customer; many customers are notorious for adding and changing things on the spot, so you have to be right on top of it and get them new contracts and quotes before completing the work
As Chiera was branching from lawn maintenance into other services, he admits that much of his learning happened on the job. Being upfront and honest with customers was always at the top of his mind.
"We would always let them know we were just developing this particular area of our company, but reassured them that we would not let them down or quit until the job was right," Chiera tells. "We also let them know they were getting a slight discount for being the 'test run' with that particular project. After we developed a portfolio and a couple good references, selling got much easier. Sometimes the best test runs are done on your own property, or a good friend's or relative's. We also did plenty of that."
Shortly after Chiera and Posten started "accepting work and figuring out how to complete it," the duo determined it was also a good time to develop a growth plan for the company. "We wanted to be one of the premier landscape and irrigation contractors in the tough northeast Ohio market," Chiera tells. "But not a single one of us had any idea how a million-dollar company should operate and survive."
They brought in consultant Rod Bailey for a two-day round of consultations. "Rod explained the importance of writing your goals down," Chiera recalls. "He also taught us the importance of focusing on each job's profitability and accounting for all expenses—especially when you're doing installation projects, which we wanted to start doing more of. In maintenance, it's critical to quote your true costs, which include labor and all sorts of hidden expenses like equipment repairs. You really have to think about it and not sell yourself short."
Following Bailey's visit, Chiera sat down with who today are key managers to set forth a five-year growth strategy. The company went from three employees to 35 in the next three years—15 of whom were year-round. Even more astonishingly, the company actually hit its five-year sales target in a single year. "We did it by maintaining focus on our goals and involving everyone on our team," Chiera points out. "We also modeled ourselves after other large companies in the area—really analyzing what they've done to get to their size and maintain it."
Lesson No. 1: You have to make money while you're growing. Chiera and Posten learned, from both Rod Bailey and other contractors, that there are different ways to approach this.
"When you're slow, maybe during an off-season or when the market is soft, make sure you're always bringing in enough business to cover your fixed costs," Chiera says. "You might have to make some concessions and do some things you normally wouldn't want to do in order for that to happen." "But you don't always have to come all the way down to the customer's bottom-end price," Posten adds. "You can often come pretty close, and then use your references and reputation to clinch it."
Chiera is well aware of what his company's overhead burden is, and strives to maintain a minimum gross margin on all jobs—in both maintenance and installation—to make sure it's recovered. Of course, some projects and accounts are more profitable than others. "When you have a really profitable account, you have to baby it to death so the customer never decides to start shopping again," Chiera says.
Delivering a minimum gross margin on all jobs leaves the owners with an acceptable net profit margin to justify all the blood, sweat and tears, and to allow for future expansion of the business. Chiera is a huge proponent of planning for the future, whether it means investing in a business expansion or simply building up some reserves for an unexpected business downturn. "We're actually looking at opening satellite offices in the future, and potentially launching a nursery," he points out.
Although the partners each wear many hats, Posten is more of the operations guy while Chiera works the numbers. "I used to just watch the checkbook and make sure we could make payroll and fuel our fleet," Chiera relates. "Now I'm constantly looking at P&L's, job summary reports and quotes. I rarely let loans go full-term in order to save on interest, and I'm always watching truck and equipment repair costs. I don't like getting nickel-and-dimed to death. When repair bills exceed what a year's worth of payments would be on a new truck or mower, we get a new truck or mower."
Monitoring these crucial items—in addition to a sizeable staff and growing customer list—is a bit overwhelming, Chiera concedes. A full-time office manager and new filing system have proved invaluable. "Thanks to him," Chiera says, "our P&L is now four pages long as opposed to a half page. It's a lot more detailed so we really know what's going on and what's being spent on what."
The new filing system consists of a series of mailbox bins in the front office. "It's for all those things we need on a daily basis and spend a lot of time digging out of filing cabinets," Chiera says. There are mailboxes for each supervisor, and separate bins for quote request forms, employment application forms, job summary reports, purchase orders, and more.
Chiera and Posten have a couple other bits of advice for a growing contractor. For one, get a good CPA. "I can't tell you how much money ours has saved us over the years," Posten says.
Secondly, don't be afraid to use trustworthy outside vendors such as servicing dealers—because they may save you money in the end. Chiera relates, "We hired a full-time mechanic a couple years ago to handle all vehicle and equipment maintenance and repairs. It didn't work. That's another person you have to manage. Nonetheless, we now outsource all vehicle repairs and maintenance to a local shop we've established a great relationship with. All equipment service is also sent to local dealers, except for basic things like oil and blade changes."
Speaking of saving money, gas is now on lockdown at Impact Landscaping & Irrigation, just as a precautionary measure to help deter theft and waste. While fuel costs have naturally made an impact on net profitability, Chiera doesn't get overly worked up about it. "Fuel is still only 5% of our gross sales," he points out. "I'm more concerned with labor, which is by far our largest expense. Another thing Rod Bailey taught me was to never overpay for labor."
Other contractors and sources like the OLA and PLANET have helped Chiera get a handle on what a fair wage is in this business. From there, it's all about managing the human element of a landscape company. "Over the years, we've figured out how employees need to be treated in this industry in order to hang onto them," Chiera says. "You need to create a vision for your company and present a career path for people so they understand there's something to work for."
For example, one of Impact Landscaping's H-2B employees had proven himself very reliable and valuable last season. This season, Chiera made him a foreman. "We want our guys to know they can make more money and move up as the company grows and gets better," Chiera adds.
Impact Landscaping & Irrigation offers other perks to help keep morale high. Company functions have included trips to Las Vegas, Cancun, and this year the Caribbean. Employee of the Month awards highlight exceptional performance—which is becoming increasingly important.
"The average consumer expects much more from a landscape contractor than they did, say, five years ago," Posten says. "If I don't return a call in 15 minutes, they're leaving me another message. With cell phones and e-mail the norm these days, you have to be accessible and responsive all the time."
When you quadruple sales in just a few years and start employing more than 10 times the staff, you have to learn to be a lot of things. With the help of consultant Rod Bailey and some of their peers, Joe Chiera and Micah Posten are doing just that. It's a work in progress—but a lot of progress has been made. "I can tell how the checkbook is holding up by the look on Joe's face," Posten says. The two have a lot to smile about these days.
Designed to Sell
In the past few years, Impact Landscaping & Irrigation has found a great selling advantage. They've partnered with a local landscape architect who works on a project by project basis.
It's much less costly than having a full-time architect on staff, and according to partners Joe Chiera and Micah Posten, she turns out amazing work.
"We'll often absorb her fee if the project will bring in enough money," Chiera says. "When you're talking a $300 or $500 design for a $10,000 project, it's well worth it—especially if it means a more satisfied customer and strong prospect for ongoing business."
Impact Landscaping & Irrigation
Norton, OH
OWNERS: Joe Chiera and Micah Posten
EMPLOYEES: 35 total – 18 are seasonal, including 14 from H-2B program this year
• 5 supervisors/salesmen which include owners
• 10 crewleaders
• 18 laborers
• 1 office manager
• 1 part-time office assistant
ANNUAL SALES: Roughly $2 million
SALES MIX: 25% lawn maintenance and lawn care, 15% irrigation installation and service, 15% snowplowing, 45% design/build
CUSTOMER MIX: 70% commercial for maintenance services, 30% commercial for installation services
FLEET includes Exmark and Walker mowers; Bobcat skid steers; Stihl handheld equipment; LESCO spreader and sprayer, L.T. Rich sprayer; Meyer, Boss and Western snowplows; Meyer, Buyers Products, Western and SnowEx salt spreaders; GMC trucks
SUPPLIES include Rain Bird irrigation, Unilock hardscaping


text:
Abramson Cancer Center of the University of Pennsylvania
Last Modified: November 25, 2014
A new diagnosis of cancer brings out a lot of emotions; all at a time when decisions need to be made that can affect the rest of your life. It is important for the patient to become an active member of his or her healthcare team. This guide has been developed to give you suggestions on ways to make this time easier and to help you make the best decisions. It is divided into sections that mirror the typical path a person with a new diagnosis might take. Not all sections will apply to you, so use those that fit your situation.
What can I do BEFORE my first appointment with the oncologist? It can be several days or weeks until you meet with a specialist to learn more about your diagnosis and this time can be filled with anxiety and fear.
Finding an Oncologist Finding the right doctor is not as simple as one would think. Here are some tips to assembling the right team for you.
New Diagnosis: Questions to Ask This is your care, so be prepared to ask the questions that will help you make decisions regarding your treatment team and your care with this guide.
Second Opinions While not right for every case, this article helps you understand the potential value to a second opinion and how to go about getting one.
The First Visit to a Specialist This article covers ways to prepare to assure you get the most out of this visit.
Preparing for Your First Day of Chemotherapy Tips to easing the anxiety of the first chemotherapy treatment.
Managing Recurrence When the fear of recurrence becomes reality, you may feel overwhelmed and not know where to start. These suggestions can get you pointed in the right direction.
Deciding to End the Journey: Stopping or Taking a Break from Therapy For many people with cancer, there may come a time when enough is enough. You have every right as a patient to stop treatment or take a break at any time.
The "End" of the Journey After active treatment is complete, you will begin a plan for follow-up care. Completion of therapy is a time when friends and family say, "Congratulations" and "You must be glad to be done", but you may be feeling uncertain about this milestone. You aren't alone. This is a very common reaction and there are a few tips to help you deal with it.
Keeping a record of treatments, tests and appointments can be a great help when seeing multiple physicians, at follow up visits or in the event of a trip to the emergency room. The forms in this section are designed to be printed and carried with you to appointments. You may want to start a 3 ring binder or folder to keep them easily accessible and organized. Have a family member draw a fun picture or use a photo you like to dress up the cover! As tests or therapies are completed, ask your nurse or doctor to record them on the chart. If you require additional pages, you can print just the page you need.
Cancer Therapy Treatment Summary
Chemotherapy Biotherapy Record
Hospitalization Surgery Record
Radiology Diagnostic Tests Record
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Snake Tree has fallen: What's next
Alicia Knadler
Indian Valley Editor
Folklore and frenzy surround the recently fallen Snake Tree in McReynolds Valley, which is just next to Squaw Valley.
Members of the Roundhouse Council first talked about its demise at their meeting in late April, according to Corla Bertrand, the executive director of the Greenville-based Indian education center.
"Everybody was sad about it," she said. "They hoped the Indians ended up with it and it wasn't just snapped up by someone."
Maidu elder Marvin Cunningham remembers the late Frank Joseph talking about the landmark tree, which is actually two trees, one grown twisted around the other.
Joseph once surmised that children did it while playing, or that maybe it was done to create a marker for a gathering place, possibly for fall hunting parties.
There is another such tree about two miles away, he said, though not nearly so defined.
There used to be one up at Round Valley.
"It's just guesswork," he said of tales about the tree. "Nobody really knows."
Over several generations the tree has become an annual gathering spot for Indians, settlers' descendants, and other residents and visitors, whether or not that was the original intent.
Cunningham himself goes to visit the tree every year, just to check and see if it's still there.
"I'm surprised it stood so long with nobody cutting it down," he said.
When news of its demise spread, there was a frenzy of activity and visits to the tree from various people interested in ownership and one last souvenir photograph.
"All these years, I and many others had presumed the Snake Tree was squarely on public land," Plumas National Forest Heritage Program Manager Dan Elliott said.
But upon a closer look, it was questionable until personnel from the Beckwourth District took global positioning readings Wednesday, May 12.
They confirmed it was on public land, just barely, Elliott said.
Regardless, he said the Forest Service would work closely with the owner of the bordering Goodwin Ranch if the agency decides to go forward with plans to remove the tree for interpretive purposes.
"There is an idea that it might be taken to the Plumas-Sierra County Fairgrounds," Elliott said, though there is also a keen interest for it to be located at the Indian Valley Museum in Taylorsville. "This is all yet to be worked out, but we are pursuing the issue right now."
Taylorsville resident Loren Kingdon was one of the first people to document the tree's demise on his visit there when the snow was melting.
"There were no tracks made there since the snow melted," he said, and thought it was wind or snow that caused the tree to bend and break.
He immediately reported it to Scott Lawson, curator of the Plumas County Museum, as well as the Forest Service and many friends via e-mail.
For more information about the tree, contact Dan Elliott at 283-7774.


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Morse leading Giants against former team
Nats' Fister set for rematch of World Series vs. Bumgarner
It's readily apparent how well-liked and respected Michael Morse is among his Giants teammates.
Glance around the clubhouse and chances are you'll see three or four teammates wearing Star Wars-themed "May The Morse Be With You" T-shirts, featuring Morse in a Jedi robe wielding a lightsaber.
Having Morse on their side has been a boon for the Giants this season. Morse is hitting .275 with 13 home runs and 42 RBIs heading into Tuesday's game against his former team, the Nationals.
The Giants are happy to have him, and he's happy to be a Giant. The hope is this marriage's honeymoon phase never ends.
"This team, it's a team where you look around the locker room and not only am I a player here, but I'm a fan of everybody here," Morse said. "Everyone's done something incredible in their career. They want to win, they know how to win and they've won before. I come in here, it's a relaxed atmosphere and I'm just having fun."
Fun isn't the word to describe the end of Morse's four-year tenure in Washington. The Nationals were eliminated after blowing a six-run lead in the decisive Game 5 of the National League Division Series against the Cardinals in 2012. Morse was traded to Seattle the following January.
The heartbreaking end to 2012 was a topic of discussion for Morse and his new teammates upon Morse's arrival in San Francisco -- had they not blown the lead, the Nationals would have faced the Giants in the NL Championship Series.
"You look back, and it just shows you ... with this game, you never know what can happen. Who knows what could've happened if Strasburg pitched or if we did something different," Morse said, referencing the organization's decision to not exceed an imposed innings limit on phenom Stephen Strasburg. "It just shows you that you can be on top one year and the next year not be in the playoffs or anything.
"You've just got to play to win that day and I feel like you've got to play to win that year."
The loss still stings, and he remains close friends with current Nationals Ian Desmond and Jayson Werth, but this week's four-game set against Washington is "just another series," according to Morse.
"When I was with D.C., they treated me with so much respect and gave me a chance to play every day. I can't really thank them enough," Morse said. "If it wasn't for playing there, I probably wouldn't be here."
Nationals: Fister gearing for World Series rematch
This won't be the first time Nationals right-hander Doug Fister has matched up with Madison Bumgarner.
Tuesday's pitching matchup will be a repeat of Game 2 of the 2012 World Series. Fister, then a member of the Detroit Tigers, will hope for a better fate than the one he experienced that night.
Fister, who was hit in the head by a line drive off the bat of Gregor Blanco in the second inning, was dealt a tough-luck loss, allowing just one run on four hits in six innings against the eventual World Series champion Giants.
Bumgarner, meanwhile, was just a tick better, throwing seven scoreless innings with eight strikeouts.
The reigning National League Pitcher of the Month comes into Tuesday's matchup with an 8-3 record and a 2.68 ERA. Fister, meanwhile, is 4-1 with a 3.19 ERA in just six starts this season after missing a month with elbow inflammation.
Giants: Leadoff hitter Pagan nears return
It may not have made a difference against Strasburg, but the Giants were without their leadoff sparkplug Monday night.
Angel Pagan missed his second straight start with a shin bruise, but both he and Giants manager Bruce Bochy indicated he could return to the lineup as soon as Tuesday. Pagan pinch-hit in the ninth inning Monday.
Backup outfielder Gregor Blanco filled in for Pagan on Monday, going 1-for-4 in a 9-2 loss to the Nationals.
Pagan, who suffered the injury after sliding into Mets catcher Anthony Recker on Saturday, is batting .321/.371/.431 on the season. He's been pleased with Blanco's production in his absence.
"This is what a team is for," Pagan said. "Sometimes you need somebody to step up and contribute when one of the players is not, and he's ready to do that."
Worth noting:
• The Giants are 10-4 against NL East teams this season.
• The Nationals are 11-5 in games with Ryan Zimmerman in the lineup, including Monday night's victory over the Giants. Zimmerman returned from the disabled list June 3.
Michael Lananna and Ryan Hood are associate reporters for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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September 29, 1980 Hon. Brooks Hays 4701 Willard Ave. Chevy Chase, Md. 20015 Dear Brooks: Though belated I want to extend my heartiest congratulations to you on the occasion of the remarkable film, "Brooks Hays: Return to Little Rock". I want to tell you on this occasion that there have been few people who have touched my life more than the person of Brooks Hays. When there were times of doubt, you inspired faith, and when there were times of the ordinary and dullness, your inspiring humor has meant so much. Everybody has a favorite story about the Hays family, but mine is the cross-town police squad car lights blaring.... from the El Paso Airport to its country club where you delighted and moved all the NCCJ guests with your address. I remember Mrs. Hays saying, as we sped through the street, "Well we will surely have something to tell our grandchildren." Thank you both for your deep faith and inspiration over the many years. Cordially, Frank J. Magrath FJM/lk
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Craig,Congrats on reaching perfection. That pie looks great! I am still working on perfection over here. Can't seem to get the dough right every time. I think I also need to get more creative with toppings. You seem to get it all right all the time!Scott D.
Gorgeous, Craig! Even the basil has received just the right amount of heat and wilt, and not too much... Always to me the sign of a master (or getting close!)How long did these bake for?
This spicy Margherita (Aleppo pepper on the sauce/under the cheese + Calabrian chili oil drizzled on post bake) is the closest I've come to perfection since I began my quest about four years ago.CL
AKA The Hot Queen?
Thanks Norma. I ate a couple extra for you!
Craig,Thanks for eating a couple of slices for me, but that is nothing like me tasting them. Norma
So, when are you coming to Houston?


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Nayana Queen Comforter Set
Item # BBTX0268
♦ Dimensions
22.0 "W x 21.0 "D x 15.0 "H
♦ Quantity
$ 299.99
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An oasis in your bedroom, the Nayana queen comforter set layers detail in shades of taupe & ocean blue. Nayana's sumptuous comforter and shams are quilt-stitched to add texture and finished with elegant damask trim and border treatment. Accompanying bed runner complements with intricate crewelwork embroidery.Entire set includes queen size comforter, two standard shams, bed skirt, and bed runnerComforter measures 92""W x 96""L, bed runner measures 25""W x 77.75""L, bed skirt has 16"" dropCotton/polyester blend fabricsDry clean onlyCoordinating accessories sold separately- ♦ Description
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Bookdealer: The Owl at the Bridge | |||||
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Contact information: The Owl at the Bridge 25 Berwick Lane, Cranston, Rhode Island, 02905-3708, United States Phone: 401-467-7362 Email: firstname.lastname@example.com Website URL: http://www.owlatthebridge.com/ The Owl at the Bridge, in business since 1981, specializes in scholarly, rare, and unusual out-of-print books. We stock a wide range of titles in many subjects and supply printed lists on request. Our primary interests include Italian history & culture, particularly the Renaissance. We are now divesting ourselves of our reference collection in American industrial silver, especially Gorham.
Terms of Sale: Shipping: USPS media mail $5.50; priority $11; tracking included in receipt email. International orders charged by weight; we will notify the buyer if shipping exceeds our default. Payments accepted: credit card (your bill will say "A Book CoOp", former name of TomFolio), check, Western Union or International Money Order. We invoice established institutions. On request we provide additional services or a different carrier (UPS, FedEx, DHL) although, astonishingly, the USPS remains most economical. Return any item within ten days of receipt, refund to exclude shipping. This is a secure site for credit transactions; use Visa, Mastercard, or American Express (this bookseller does not use paypal). |
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Customize This Product
This classic beveled-edge Exterior Door Set was in production from about 1895 to 1950, and it was one of the most popular door hardware designs manufactured during the 20th century.
A door set's ability to open smoothly, lock snugly, and keep working are details as important, if not more, than how it looks. We make them like they used to—to last—with crisply detailed forged brass backplates and doorknobs in porcelain, crystal, and solid brass.
Product Specifications
Opens to | To the left |
Backset | 2.50 inches |
- Solid brass
- 6 hand-applied finishes
- Mortise lock
- Frictionless latch tongue facilitates smooth action when door is closing
The Putman is also available as an Interior Door Set, Screen Door Set, Push Plate, and Pocket Door Set.
Exterior Door Sets fit wood doors 1-1/2" to 2-1/4" thick.
Mortise locks come in either 2-1/2" or 2-3/4" backsets. Before ordering, measure your door's backset.
The Putman cannot be used with a 2-1/8" pre-bored door.
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Oct 31 2011
Classic Knicks: The Hue Hollins Game
[youtube=http://www.youtube.com/watch?v=J5Frypcjd-8&feature=relmfu]I've been having Knicks/basketball withdrawals lately so I have been watching classic NBA games on youtube. This is maybe my favorite classic game is the 1994 semifinals game 5 between the Knicks and Bulls. The Knicks famously caught a break in this game on the Hue Hollins foul call on Scottie Pippen that resulted in a 87-86 Knicks victory.
The game is split into 15 parts on youtube. Part 1 is all messed up so I posted part 2 and you will be able to watch the whole game on there. Enjoy.
[twitter-follow screen_name='tarmosino' show_screen_name='no']


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Top Definition
A show on Animal Planet, in which incompetent hippies attempt to stop Japanese whalers from doing their jobs. However, by doing so these worthless tree huggers only make fools of themselves.
While watching Whale Wars the other day, Matt and Kevin realized how much they hate Peter Hammarstedt. Unfortunately, he's a main character on Whale Wars.
av LYCOPROV
26 december 2008
10 more definitions
A documentary based show on animal planet, starring a team of incompetent "eco-warriors" on their quest to stop Japanese whaling in the Southern Antarctic. These people value the lives of a completely abundant species of whale, the minke whale, more than their own with such comments as "if I die saving even one whale I don't care". Every episode gets more retarded, with such fuckups as dropping the lifeboat line prematurely almost killing half crew in season 1, blowing the engine of the boat at the end of season 1 due to no trained mechanic being on board, letting their helicopter fall into disuse due to lack of maintenance, ramming the heavy steel Japanese trawlers with their incredibly weak-hulled "Steve-Irwin" boat and terrorizing Japenese crewmen with glass bottles and flash bang grenades. The show progressively becomes more retarded, with such tactics as throwing stinking butter on the deck of the trawlers in order to taint meat making it un-profitable, driving directly into ice-fields a few miles north of the Antarctic nearly sinking the ship and killing the entire crew...
"Whale Wars was on lastnight"
"Did you watch it?"
"Yeah the captain paul watson heard about japanese whalers so he immediately went to his cabin to sleep on the idea while the rest of the crew did nothing"
"Did you watch it?"
"Yeah the captain paul watson heard about japanese whalers so he immediately went to his cabin to sleep on the idea while the rest of the crew did nothing"
av Noel18
19 maj 2010
A dumb tv show where a bunch of incompetent hippies chase the Japanese whaling fleet and others in a futile effort to stop them from doing something that is not wrong or illegal in any way(there whales not people). They have no idea what they are doing at all and generally do dumb things like deliberately ramming other ships, trying to disable the propellers of other ships with ropes, driving through perilous ice fields with a ship that is not designed to drive through ice (which nearly destroys them), making a mess (ie throwing glass bottles, "stinky butter", and flour onto other ships), causing international incidents, illegally boarding other ships and getting decked then complaining about how their crew was taken "hostage", driving around the ocean with inadequate fuel supplies, lying, and generally agrivating the Japanese and others which usually just gets the hippies in trouble. In one episode they tried to interfere with the seal hunt, were boarded by the Canadian Coast Guard and arrested, also their ship was confiscated. They also like to exaggerate things for example the captain claims he was shot but it was just a piece of a flashbang thrown from a Japanese ship. The captain likes to shoot his mouth off on tv and is the least sane of the crew who do whatever he wants. Are bound to have something very bad happen to them if they persist. Please dont watch this show your life is too precious to be wasted on this (unless your watching it to laugh at them ;))
Whale Wars Sucks
av CoffeeForJaffer
22 november 2009
a show on animal planet that has a fat canadian guy trying to stop japanies people by throwing smelly stuff at them
i was watching whale wars and i saw a faggot so i changed it
av fred matiison3
9 juli 2010
Popular game played at mid-west college parties among a group of severely drunk males brave enough to partake. Object, locate and score with the fattest chick you can get. Whoever successfully bags the biggest "whale" wins.
Yeah man, she was huge, he won whale wars for sure.
av Zonaboi
9 februari 2011
Two or more oversized white women fighting it out
"Dude, you see that fight?"
"Nah man"
"Oh dude, you missed a total whale war!"
"Nah man"
"Oh dude, you missed a total whale war!"
av georgiahomeboy113
26 december 2008
A tradition passed down from generations upon generations in which two young gentlemen partake in periodic challenges of whit and cunning. The two men wager upon how many "whales" they can "harpoon" in one night. In reality it's how many plus size woman they can hook up with at one party.
"Carson's bachelor party was pretty ridiculous last week. It started with taking shots and turned into a hardcore round of whale wars."
av Pistol Jobin
1 september 2012


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BVI and Canada: down to business — TIEA now effective weblink
The Canada-BVI tax information exchange agreement (TIEA) came into force on 11 March 2014. The TIEA was signed in May 2013.
UK FATCA: reporting requirements for Bermuda trusts weblink
Financial institutions in Bermuda will soon be obliged to provide information to foreign tax authorities relating to the financial affairs of US and UK resident clients.
International tax information exchange in Bermuda clarified weblink
A Bermuda court has ruled that the target of an intergovernmental request for information under a TIEA may require the attorney-general to produce the terms of the request.
Guide to limited partnerships in Guernsey weblink
This guide is a summary of the law and procedures relating to limited partnerships in Guernsey.
Appleby Finance Newsletter, Q1 2014: where legacies cause problems weblink
Assets bequeathed or the manner in which they are bequeathed can lead to unnecessary costs and complications for the beneficiaries.
Minimising stamp duty with proper estate planning weblink
It's important to think about how your assets will be managed after death — and that's where having an estate planning strategy can prove beneficial.
FATCA: a practical guide to CLO issuers weblink
FATCA's implementation is now on a tight timeline, and there are steps that must be taken by each CLO Issuer and its Board of Directors in short order.
Cayman and the US sign FATCA agreement weblink
The Cayman Islands and the US have signed the long-anticipated FATCA Model 1 inter-governmental agreement.
Guide to establishing an office in Bermuda weblink
This guide addresses the issues that arise when an exempted company seeks to establish a physical office in Bermuda.
Cayman reaches FATCA agreement with the US weblink
The Cayman Islands government announced last week that negotiations with the US on a Model I intergovernmental agreement and a new tax information exchange agreement have now been concluded.
A New Regime for UK Residential Property Ownership weblink
The long awaited draft Finance Bill for 2013 has finally been published, providing further information as to the way UK residential properties valued at over £2 million will be taxed from April 2013.
British Virgin Islands signs tax information exchange agreement with Canada weblink
On 21 May 2013, the government of the British Virgin Islands (BVI) signed a tax information exchange agreement (TIEA) with the Canadian government.
The Manx Disclosure Facility weblink
The Manx Disclosure Facility is a facility by which taxpayers can regularise their tax affairs in the UK by making voluntary disclosure and a limited payment in respect of their outstanding liabilities.


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Kalso Earth Shake Almond Leather Women's Shoe
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640 South State StreetDover, Delaware 19901
21 West Clarke AvenueMilford, Delaware 19963
401 North Carter RoadSmyrna, DE 19977
640 S. State StreetDover DE 1990121 West Clarke AvenueMilford DE 19963
301 Jefferson AveMilford, DE 19963
1275 S. State StreetDover, Delaware 19901
Cholesterol Lp(a), Lp(a)
This test measures the level of lipoprotein (a), or Lp(a), in your blood.
Lipoproteins are made of protein and fat. They carry cholesterol through your blood. Lp(a) is a type of low-density lipoprotein, or LDL ("bad") cholesterol. High levels of Lp(a) can create plaque, a buildup of cholesterol that limits blood flow through your arteries. A high level of Lp(a) can be a sign of cholesterol-related disease, such as coronary artery disease. Research has found it to be an independent risk factor for heart disease, although how that information can be used in routine medicine isn't yet well defined.
You may have this test if you have symptoms of heart disease, if you have a family history of cardiovascular disease, or if you have heart disease even though you have a normal lipid level. You can inherit abnormal levels of Lp(a).
Your doctor may order other tests to look at how well your heart is working. These tests may include:
Electrocardiogram, or ECG/EKG, to measure heart activity
Stress test to check your heart while you are exercising
Echocardiogram to show an image of your heart while it's beating
Cardiac catheterization to see if you have a clogged artery
Many things may affect your lab test results. These include the method each lab uses to do the test. Even if your test results are different from the normal value, you may not have a problem. To learn what the results mean for you, talk with your health care provider.
Results are given in milligrams per deciliter (mg/dL). In most people, Lp(a) levels do not change much over their lifetime. Levels tend to be higher in women after menopause and tend to be slightly lower in men than women. Lp(a) levels may also vary with ethnicity. For example, African-Americans often have higher levels of the protein than whites.
In most cases, normal values for African-Americans are:
4.4 to 75 mg/dL for women
4.6 to 71.8 mg/dL for men
Normal values for whites are:
2.1 to 57.3 mg/dL for women
2.2 to 49.4 mg/dL for men
If your results are higher, it may mean you have high cholesterol and cardiovascular disease.
The test requires a blood sample, which is drawn through a needle from a vein in your arm.
Taking a blood sample with a needle carries risks that include bleeding, infection, bruising, or feeling dizzy. When the needle pricks your arm, you may feel a slight stinging sensation or pain. Afterward, the site may be slightly sore.
Other factors aren't likely to affect your results.
You don't need to prepare for this test. But be sure your doctor knows about all medicines, herbs, vitamins, and supplements you are taking. This includes medicines that don't need a prescription and any illicit drugs you may use.


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12 inch inner tube set
2x spare or replacement inner tubes for the wheels of your phil&teds stroller.
You can replace the inner tube at home by deflating the existing inner tube, removing the external tyre then fitting the new inner tube and tyre to your wheel rim before inflating. The inner tube should be inflated only to a maximum of 20-22 psi with a manual hand pump. Compressed air from an automatic pump can damage the wheel of your buggy, as can over-inflation.
This inner tube is compatible with the following stroller models:
- e3 v1 & v2
- e3 twin
- classic & legacy red classic
- classic twin
- sport v1 & v2
- dash
- explorer
- hammerhead (rear wheels only)
- navigator
- verve (rear wheels only)
- vibe


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New in the Library
Fondly, Pennsylvania
Archival Adventures in Small Repositories
Balch Manuscript Guide
Please click here to access the Table of Contents for the Balch Manuscript Guide, which was created in the early 1990s.
The Balch Manuscript Guide is organized by ethnic designation. Under each ethnic designation you will find a page containing:
- narrative descriptions of collections in alphabetical order by title; followed by,
- a listing of newspaper titles
Please note that this guide is not actively maintained, and may contain incomplete, inaccurate, or out of date information. Please see HSP's online catalog, Discover.hsp.org, for current information on Balch collections.
Subject Guide
Subject Guide
Subject Guide


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EnviroTech :: Environment Radici Chimica signs agreement to measure and reduce its environmental impact9:43 AM MDT | July 11, 2013 | Michael Ravenscroft Radici Chimica (Bergamo, Italy) says it has signed an agreement with the Italian ministry for the environment to measure and reduce the company's environmental impact. The agreement defines a work plan to be implemented for the measurement and analysis of greenhouse gas emissions associated with Radici Chimica's production of nylon-6,6. The plan will be set out in accordance with the ISO series 14040 standards and the European Union's product environmental footprint, and the organizational environmental footprint methods. "This collaboration is perfectly... This information is only available to Chemical Week subscribers. Forgot your user ID or password?
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