text:
Code Blue(tooth): EPHC has new heart technology
Linda SatchwellStaff Writer
Eastern Plumas Health Care has just taken a big step forward in emergency care for heart patients. The new technology allows 12-lead EKG's taken in the field to be sent immediately to the emergency room where doctors there read them.
At that point, they can determine whether the patient should go to a hospital in Sparks or Reno that is capable of doing heart surgery, or if the condition is something less severe that EPHC can treat in its emergency room.
Teresa Whitfield, director of quality and operations, said the hospital is committed to providing the best and quickest cardiology care possible. A lot of time, money and creative thinking went into this project.
The hospital auxiliary had already donated new emergency room and ambulance crash carts that have a Zoll machine on top. These machines have the defibrillator paddles used to shock the heart, allowing it to resume normal rhythms. They can also be used as a pacemaker in the ambulance.
The 12 leads of the EKG attach to eight areas across the chest, with one on each arm and leg, as well. The new technology allows for the addition of a data card to the Zoll with Bluetooth that "talks" to a cell phone in the ambulance, which sends a message in three ways, simultaneously, to the emergency.
First, it sends a text message to the ER doctor's cell phone alerting him an EKG is coming. Second, it sends the EKG image via e-mail; it can then be forwarded to a cardiologist anywhere. Third, the EKG is faxed to the EPHC emergency room.
Since "time is (heart) muscle" according to Whitfield, EPHC's goal is to identify when a heart attack is occurring as quickly as possible to "get the patient to the right place at the right time."
If a patient is in an ambulance in Vinton, for example, and the doctor determines the patient needs to go to Reno or Sparks for heart surgery, that patient can go there directly, rather than detouring to Portola only to turn around.
The new procedure will save the patient money, as well as time. Instead of paying an ambulance to go to Portola and then to Reno, and paying two different emergency rooms, patients will incur only one ambulance and one emergency room charge.
The hospital foundation started the project rolling when it wanted the money raised at its charity golf tournament this year to go to emergency services.
Staff started thinking about what they were doing and what they could do better according to Whitfield.
The foundation's money paid for the research that went into determining what phone system would work best, as well as funding the updated card for the Zoll monitor in each ambulance.
The information technology team included Rick Boyd, Jason Rapacilo and Dan Rappa, who researched and tested every part of the electrical and phone systems for this project.
They discovered cell phones actually worked better than satellite phones in terms of area coverage, which also significantly cut the cost of the project. Then, Dana Tomczak, EPHC's biomedical engineer, figured out how to make the phones and defibrillators compatible.
Finally, the Stein family, who own Walton's Grizzly Ranch Camp, added to the total package by donating $6,000 through the Truckee Tahoe Community Foundation for a cardiology monitor system in the emergency room that receives information in real time the whole time that a patient is being monitored.
In the past, staff would get an EKG printout when they wanted one, but they couldn't look back later and review what happened over time. They couldn't assess changes after they performed an intervention.
That information really helps doctors determine when and where to send heart patients said Whitfield, again part of the philosophy of offering the best quality care as quickly as possible.
Now, everything's been road tested and all the equipment is on site. The next step is a training session for EMTs and paramedics at the Nov. 18 staff meeting, so everyone is clear on how the protocol works in the field and how all the pieces come together.
"This is our Thanksgiving gift to the community," said Whitfield, who seemed to exude good feeling, adding that the hospital is grateful for the community's support. "We want to thank the community," she said.


text:
Redirected from Teemo the Swift Scout
1,937pages on
this wiki
this wiki
Champion | Background | Strategy | Skins & Trivia |
Statistics Edit | ||||||||||||||||||||
| ||||||||||||||||||||
Ability Details
Camouflage is a passive ability.
Element of Surprise is a self-buff.
Element of Surprise is a self-buff.
Additional Information:
- Camouflage will not trigger as long as Teemo is taking damage.
- Once stealthed taking damage will not deactivate the stealth.
- Forced movement effects like Alistar's Pulverize, Anivia's Crystallize and Trundle's Pillar of Ice will count as movement and deactivate the stealth.
Ability Details
Blinding Dart is a single target ability.
- Applies spell effects as a single target ability.
- Spell vamp is fully applied.
- will apply a 35% slow.
- Magic damage will be mitigated by magic shields.
- Spell shields will block the ability.
- This ability is considered to be a projectile for Unbreakable and Wind Wall.
Ability Details
Move Quick's active and passive are self-buffs.
Additional Information:
- Move Quick's active cooldown starts when the ability is first activated, not when the effect ends.
- When Move Quick's active buff expires Teemo will not regain the passive effect if he was damaged at any point during the buff's duration.
Ability Details
Toxic Shot adds an on-hit effect to Teemo's basic attacks.
- Does not apply spell effects.
- Magic damage will be mitigated by magic shields.
Additional Information:
- Toxic Shot's damage over time is considered a poison and will trigger Cassiopeia's Twin Fang cooldown reduction effect.
- Toxic Shot will apply passive.
Ability Details
Noxious Trap is a ground-targeted area of effect
- Applies spell effects as an area of effect ability.
- Spell vamp is reduced to one-third effectiveness.
- will apply a 15% slow.
- Magic damage will be mitigated by magic shields.
- Spell shields will block the ability and prevent the trap from affecting nearby units.
Additional Information:
- Noxious Trap's damage over time is considered a poison and will trigger Cassiopeia's Twin Fang cooldown reduction effect.
- Each mushroom has 100 health and can only be destroyed by auto-attacks.
- Noxious Trap's damage over time effect does not stack. Enemies who detonate multiple traps will only have the duration refreshed per trap they detonate.
- Noxious Trap's damage is determined at detonation, not at the time of being placed which means any ability power Teemo gains or loses will affect all active shrooms.
- Noxious Trap can be targeted by any allied Teleport spell. The trap does not become indestructible during the channel but destroying it will not prevent the user from teleporting in.

subset: commoncrawl


text:
Sort by: Viator Recommends | Traveler Rating | Most Recent
3 Days in Tel Aviv: Suggested Itineraries
By Viator, February 2015
Ultramodern Tel Aviv is a Mediterranean-style beach city, with cosmopolitan cafes, boutique shopping and world-beating museums. The city?s boundless nightlife and 24-hour lifestyle are legendary, but ... Read more
Visiting Jerusalem from Tel Aviv
By Viator, February 2015
As one of the world?s oldest cities and an important spiritual center of Judaism, Christianity and Islam, Jerusalem is an undisputed highlight for visitors to Israel. At just an hour away, Tel Aviv ... Read more
Visiting the Dead Sea from Tel Aviv
By Viator, February 2015
The Dead Sea is the second saltiest major body of water on earth, and it is this hyper-salinity, which causes swimmers to be super-buoyant within it, that makes it one of Israel?s major attractions. ... Read more
Design Museum Holon
By John Reality , Cambodia, March 2013
The Design Museum Holon in Tel Aviv is truly on the cities hidden treasures. Opened in March 2010, this futuristic looking complex is actually one of the foremost museums highlighting design and ... Read more
Museum of the History of Tel Aviv
By John Reality , Cambodia, January 2013
A stunning look into Tel Aviv ?s history following the six-day war, the Museum of the History of Tel Aviv-Jaffa takes a deep look into the one of the most interesting cities in Israel . Housed ... Read more
Market shopping in Tel Aviv
By John Reality , Cambodia, January 2013
Israel ?s Tel Aviv boasts an array of market shopping options. While prices may not be the bargain bin steals of other middle-eastern shopping outlets, the wares are top quality, genuine and ... Read more
New Year?s Eve Events in Tel Aviv
By John Reality , Cambodia, December 2012
Israel as a country doesn?t typically abide to the western Christian/secular calendar, so it?s understandable that New Year?s Eve isn?t a national celebration here. As such there are no ... Read more
Tel Aviv?s White City
By John Reality , Cambodia, November 2012
Founded well before the establishment of the State of Israel (nearly 40 years prior, in fact), Tel Aviv is easily one of the most populous and influential cities in the country. It is also a ... Read more
Beaches in Tel Aviv
By John Reality , Cambodia, September 2012
There is no shortage of things to do in Tel Aviv , but one of the most unforgettable activities is to take some down time on the beach, which runs along the entire western side of the city along ... Read more
First 3 Things to See in Tel Aviv
By John Reality , Cambodia, April 2012
Just getting into Tel Aviv , Israel?s second most populace city, is an experience in and of itself ? the airport is one of the most secure in the world, with all the searches, delays, and ... Read more
Visit the White City
By John Reality , Cambodia, April 2012
The largest single gathering of Bauhaus and/or International-style architecture in the world, the so-called ?White City? neighborhood in Tel Aviv earned UNESCO World Heritage Site designation in ... Read more


text:
Questions? Call Us 866-733-0698
List Price: $1,292.00
Sale Price: $880.99
You Save: $411.01
This product typically ships within 5-7 business days more details
Shipping Instructions
This item includes free shipping in the contiguous United States. Most orders will ship via UPS or FedEx Ground. Orders for large items or multiple item orders will ship via freight carriers such as Roadway, Road Runner, and FedEx Freight.
Freight Delivery Instructions
When the items are delivered it is the customer's responsibility to inspect all cartons and items to make sure that there is no visible damage or missing packages. If there is damage or missing packages, make sure to note it on the delivery receipt or bill of lading. If this is not noted on the bill of lading the cost to replace damaged items will be the customers responsiblity. Make sure to retain a copy for your records as well. Please contact us immediately at 866-733-0698 so that we can arrange for replacements to be sent out.
Shipping Glossary
HPFI-5901 Specifications:
See All Accompany Products
Max Overall Size: 32.5"W x 29"D x 31"H Seat Size:21"W x 19"D x 19"H Rated for 250 lbs per seat Weight:77 lbs. Ships fully assembled Meets industry standards for ANSI/BIFMA
HPFI Accompany Lounge Chair Features:
*Please note that all HPFI items are made to order and cannot be returned
Limited Lifetime Warranty (more details here)
Shipping Information (more details here)
This item includes free shipping in the contiguous United States.


text:
greeting cards, wallaby greeting cards, pair greeting cards, spar greeting cards, marsupial greeting cards, kangaroo greeting cards, australia greeting cards, hug greeting cards, embrace greeting cards, wildlife greeting cards
I have been behind a camera for over 30 years now. Everything from 4x5 to 35mm to now digital. My passion is the beauty of God's creations on this wonderful earth. I am constantly chasing the light from The PAcific NW to the Desert SW and down to Australia in search of images that best capture the beauty of the moment. All my images here are captured in digital format from 6mp to 36mp on the Nikon D800 using the finest optics and filters I can find. I hope you enjoy my work, I feel blessed to share it with you. I am walking again this year for March Of Dimes and will be donating 50 % of my commissions here from March 18th until May 16th. Please help me in raising money for healthy babies, My images are in no way part of public domain...
Our return policy is very simple:
If you're not happy with a purchase that you made on FineArtAmerica.com, for any reason, you can return it to us within 30 days of the order date. As soon as it arrives, we'll issue a full refund for the entire purchase price. Please note - Fine Art America does not reimburse the outgoing or return shipping charges unless the return is due to a defect in quality.
Fine Art America sells thousands of pieces of artwork each month - all with a 100% money-back guarantee.
If you've hesitated to purchase artwork online in the past, why not give us a try? You have nothing to lose!
We take great pride in the fact that hundreds of thousands of artists have chosen Fine Art America to fulfill their orders, and we look forward to helping you select your next piece!
Customer Service: 877-807-5901
(Call Any Time - 24 Hours Per Day)
All greeting cards ship from our production facility within two business days of your order.
Please Wait...
Sign up for our newsletter for exclusive deals, discount codes, and more:
Unsubscribe at any time.
Server Status OK
Copyright © 2015 FineArtAmerica.com - All Rights Reserved


text:
Penn College Encourages "SMART Girls"
Videos on YouTube are streamed through Adobe Flash player. If you're having trouble playing videos or viewing videos' closed captioning on YouTube, install the latest version of the Flash player.
If the instruction above didn't resolve the issue, refer to Google's YouTube Videos Won't Play page for additional troubleshooting suggestions.Trouble with closed captioning?
http://www.pct.edu/smartgirls/ Pennsylvania College of Technology is doing its part to encourage young women to enter the lucrative STEM career sector with the SMART Girls program (Science & Math Applications in Real-World Technologies). Through diverse, hands-on workshops, the initiative introduces high-school girls to exciting technical careers.


text:
This item is from the Fall 2009 season and might not be available anymore. (View current season)
The Worrest
Indigo Raw Back
These pants are part of the Bobby Worrest Collection.
98% cotton, 2% spandex 11.5 oz. five-pocket denim pants with metal bottle opener-printed pocket bags.
- Sizes: 24x30 26x30 28x30 29x30 30x30 32x30 30x32 32x32 33x32 34x32 36x32 38x32 32x34 33x34 34x34 36x34 38x34


text:
Click & Pickup
Enter your zip code for product availability and pickup options at your nearest store or select a store by state.
Think of the Chevron Stuffle Laundry Pack by Umbra® as a hands-free accessory for laundry. Since it has two external straps that let you wear it as a backpack, your hands really are free to carry other things. Its generous size holds up to two big loads and a full-length zipper makes it easy to empty. Two pockets on the exterior are sized for carrying detergent, magazines or dryer sheets. Another pocket inside holds a wallet, coins, cell phone or ID. This ultra-portable laundry bag is ideal for dorm dwellers or kids off to camp.
We can help! Click here to chat with an expert.


text:
- Price: $10.00
- Exclusive Price: $51.00
Logo Template 2934
Logo Template 2934 is specifically a Logotype Template that was composed by our webmaster artist Logotyper.
Sources, Software & Requirements
Logo Template 2934 is available in the following sources: .PSD, and .CDR. Software required includes Winzip 9+ (Windows) or Stuffit Expander 10+ (Mac) for uncompressing .zip files, Adobe Photoshop CS+, and Corel Draw 9+. It has had a total of total of 1 downloads since it first appeared.


text:
Victor Armchair - Plaid
- Overview
The winning seat. Victor is our smooth, clean update of the classic wing chair. Featuring triangular lines and a lengthy, concave back, it's a chair to sink into.
- 29.5"w x 32.5"d x 45.5"h.
- Solid wood legs and frame.
- Print upholstery in Plaid.
- Comes with 4 buttons.
- Imported.
- Details + Dimensions
- Overall product dimensions: 29.5"w x 32.5"d x 45.5"h.
- Seat height: 18.5".
- Seat depth: 22".
- Back height: 45.5".
- Number of boxes: 1.
- Shipping package: 30.5"w x 34.5"d x 46.5"h.
- Packaged weight: 39.6 lbs.
Minimal assembly required.
Spot clean with a damp cloth or sponge; blot to remove excess water; air dry. Blot spills immediately with a clean colorfast towel or sponge. To prevent fading, keep fabric out of direct sunlight. Vacuum crevices.
- Shipping + Return Info
Delivery Information
- Most purchases are shipped from our Distribution Center by UPS, to arrive in as little as 5-7 business days.
- Quick Ship fabric items receive delivery in 1 - 3 weeks.
- Special order fabric (SPO) items receive delivery in 8 -10 weeks.
- For our guide to measuring for delivery click here.
Shipping Rates
The shipping rate varies depending on your order total and shipping options. Please note, some furniture, rugs and other large items that are bulky or heavy items have a delivery surcharge listed in parentheses ($) after the item price. These delivery surcharges are in addition to the standard delivery shipping charges. View Shipping Rates and Options
Return Policy
We take great pride in the quality of our merchandise. If for any reason you are not happy with your purchase, you may return the item(s) within 30 days of receiving the order for a full refund of the merchandise cost. After 30 days, we will replace or refund your purchase against manufacturer's defects ONLY. Please note that we cannot accept returns on mattresses, monogrammed/personalized items, special order upholstery items and special order rugs, one-of-a-kind rugs, or on items damaged through normal wear and tear. We also cannot accept returns of final-sale items, which are identified by a price ending in .99 or .97. Delivery fees are non-refundable.
For further assistance please call our customer service department at 1.888.922.4119 or send an email to email@example.com


text:
We absolutely LOVE jewelry. It's the perfect way to spice up your wardrobe without breaking your bank! We are thrilled to announce that we have partnered up with Artisan Design Gallery for a bracelet giveaway!
Artisan Design Gallery is an online boutique, founded by a lovely lady entrepreneur to support and showcase jewelry andglass artistswho are devoted to their craft. They design and create exquisite their own pieces – the kind you would find in cute little shops, galleries, studios and museum stores, and online. Because their pieces are hand-crafted, they are unique, stylish and one-of-a-kind.
Meet some of their contributors:
Angel Court Jewelers has created a huge style variety of bracelets, including stacks of bangles, as well as some really sassynecklaces and earrings. There is avintage edge to many of their pieces, because they use vintage elements. They also create some jewelry wardrobeclassics that will flatter anyone (our personal favorite!). So, if you want a pair of pearl earrings that will go with yoga pants and a cute tee and look just as stunning with your outfit for a night on the town – these designs are for you.
Italian artisanElisabetta Ricciardi has classic pieces, trendy pieces and also a lot of sparkly bling! She designs for all of us – from the girly gal who always wants to shine, to the fashionista who wants jewelry that will take her from daytime to evening with the switch of a lipstick. Great cocktail rings, shiny earrings, a variety of bracelets, and of course necklaces for any of us are designed and made in Elisabetta's studio.
They have beautiful collections that will look good with anything you've got in your closet!
We were so excited when they sent us this beautiful necklace. Not only is it gorgeous, but it is simple enough to wear with your everyday clothing (not just for a special night out!).
Now – the giveaway!
Today, you can enter to win a stack of three bracelets from the Artisan Design Gallery. You can wear them by themselves, or as a stack of three. Mix and match with bracelets you already have to create a fabulous new twist on an old style!
The cable bangle is from Angel Court Jewelers, two good friends who design and produce beautiful, edgy but classic jewelry. The two leather bracelets with silver accents are from the studio of Italian jewelry artisan Elisabetta Ricciardi. Individually, they are fabulous, together – spectacular!
Want to win the bracelets? Here's how to enter:
1. Visit the Artisan Design Gallery and sign up for their newsletter. Come back here and leave a comment to let us know!
2. Visit the Artisan Design Gallery, pick out your very favorite piece, and leave a comment telling us what it is and what you would wear it with!
3. "Like" Artisan Design Gallery on Facebook and leave a separate comment to let us know.
Be sure to leave a separate comment for each entry.
You can enter up to 3 times.
Please leave your email address in the comment so that we can contact you if you win.
The winner will be announced on November 17th, 2012.
And the winner of the PUR Water Filter is:
Please contact us within 48 hours to claim your prize!


text:
Sausage gone missing a month before Opening Day
UPDATED 12:51 PM EST Feb 28, 2013Opening Day is around the corner, and the Brewers are missing a racing sausage.
The views expressed are not those of this site, this station or its affiliated companies. By posting your comments you agree to accept our terms of use.blog comments powered by Disqus


text:
Teacher Education/LASER
Astronomy Curricula
Astro Adventures: Upper Elementary Curriculum
Astro Adventures: Upper Elementary Curriculum was created to answer the high demand for a space science unit for elementary teachers. Lessons that address national and state elementary space science standards were extracted from the original Astro Adventures book. The upper elementary curriculum book features:
- 6-8 weeks' worth of inquiry-based lessons.
- Suggested material lists to easily produce kits for teaching the curriculum.
- Methodology teaching tips throughout to help guide the teacher with an interactive approach.
- Integration of written and oral communication throughout.
- Background and resource material for the teacher.
- Embedded formative and summative assessments for all lessons with a final assessment.
Astro Adventures II
The critically acclaimed Astro Adventures, a teacher's guide for astronomy activities for grades 4 and up, has been revised and updated to include:
- Greater alignment with the National Science Education Standards (NSES) space science standards.
- New lessons for students to discover the patterns of the Sun's movements and the science behind seasons.
- New bibliography for each unit including web resources.
- 6 units containing 30 lessons with several extensions and suggestions for integrating space science topics with other areas of the curriculum.
- Lessons developed to address common preconceptions students bring to the subject.
- An updated set of 18 slides for the planet picking unit.
- Background information to enhance teacher understanding.
- Printable order form for both curricula
- Sample activity - Create-a-Constellation
- Sample activity - Making a Sun Clock


text:
The Service
Ok, so I'm new to all this . . . trying to upload tasks from Outlook to RTM. Downloaded MilkSync, clicked 'sync' from task manager . . . and nothing . . . am I missing something? Nothing is getting uploaded to RTM.
Posted at 1:01am on January 3, 2013
Hi hidenorhare,It sounds like you're syncing MilkSync correctly, but it's possible that your task items aren't syncing for some reason. Can you contact us so we can get a log and some other details to help you more specifically? Thanks!
Posted 2 years ago


text:
December 18, 2012
Dave Lomonico TerrapinSportsReport.com
A week after hosting 11 official visitors in College Park, the University of Maryland had eight prospective Terps on campus last weekend. Of those eight, four were already UMD commits, three were junior college linemen looking for a new home, and one was a four-star prospect harboring serious Maryland interest. ...More... To continue reading this article you must be a member. Sign Up Now!
Already a member? Click here to sign in


text:
Mets get first look at Harvey-d'Arnaud battery
Left-hander Stults has hands full as Padres seek a series split
Travis d'Arnaud was finally unveiled to Mets fans on Saturday, going 0-for-2 with two walks in his Major League debut.
On Sunday, baseball's highest rated catching prospect will team with a fellow youngster who has lived up to his hype in right-hander Matt Harvey in the Mets' series finale in San Diego.
It's unclear whether d'Arnaud will remain with the Mets after John Buck returns Tuesday from paternity leave. The Mets plan to use this time to evaluate d'Arnaud at the big league level and determine if he's ready. The hope is he'll stick around and be the latest in a crop of youngsters who make the future look bright.
"I know that [general manager Sandy Alderson] has done a great job getting a whole bunch of players up here and I'm excited," d'Arnaud said. "That's for sure."
Harvey has certainly infused excitement into the Mets, ranking as one of the National League's best pitchers. His most recent outing, however, was arguably his worst, as he allowed four runs in six innings against the Dodgers and struck out only three batters.
"I didn't make my pitches," Harvey said. "If I made my pitches, it would have been a different story. I couldn't locate anything. I couldn't throw my slider for a strike and my curveball was loopy. It was just a rough outing."
Eric Stults, who takes the hill for the Padres, has had his share of struggles lately, as well. He lasted only 4 2/3 innings in his most recent outing, and he has allowed a combined 37 hits in his last four starts while not posting a win since July 14.
But he's been great at Petco Park, where he is 5-1 with a 1.48 ERA in his last nine starts.
Mets: Mejia taken out
Starter Jenrry Mejia left Saturday's game in the fourth inning with a sore right elbow. Mejia, 23, has dealt with numerous arm injuries in his short career, including a strained rotator cuff, torn elbow ligament and, this spring, right elbow tendinitis.
• First baseman Ike Davis is hitting .284 with 10 doubles, two home runs and 10 RBIs since being recalled on July 5.
Padres: Venable at 14
Outfielder Will Venable enters Sunday with a 14-game hitting streak, during which he's batting .467 with 10 extra-base hits and four stolen bases. It's the longest active streak in the bigs.
• Catcher Nick Hundley returned from the paternity list on Saturday after the birth of his first child. He went 2-for-4 with a two-run homer.
Worth noting
• After opening the season by winning 10 of their first 14 games against NL East opponents, the Padres have now dropped 10 of their last 12.
Cash Kruth is a reporter for MLB.com. Follow him on Twitter at @cashkruth. This story was not subject to the approval of Major League Baseball or its clubs.


text:
Maryland Historical Society stitches together history
UPDATED 3:01 PM PDT Aug 06, 2013The Maryland Historical Society is recreating the Star-Spangled Banner in commemoration of the War of 1812 and everyone's invited to take part.
The views expressed are not those of this site, this station or its affiliated companies. By posting your comments you agree to accept our terms of use.blog comments powered by Disqus


text:
Great fit but fabric is not of good quality
I got a mint color and it fits great but the material is not of good quality. I wore it for a day (and haven't put it through the washing machine yet) and it already got fuzzy. Not sure if it's just mine tee.
September 12, 2013
The best!
I love all my basic tees. The fabric quality is amazing and even after washing (I prefer not to dry) they look great! The crew neck and the v-neck and coming soon the long sleeve have just the right amount of elasticity!
September 10, 2013
Good basic V neck t-shirt
I bought the mint green and the gray t-shirt. I typically wear between a small and medium and bought the medium so it would not be too close to my body. It is loose enough and I would say they are pretty true to size. I like these much better than the scoop neck t-shirt that was way too thin. These are a good Summer weight.
August 3, 2013
Love these shirts. The fit and style is great. I have these in several colors. Easily dressed up or down.
July 10, 2013
I don't mind a few more pieces
This piece is another good choice for my basic needs. It does not wash perfect but it doesn't cost that much either. The material feels so comfy. So usually I would have a few more pieces as backups.
I happen to update my wardrobe recently. I do purchase a lot of this brand. Overall it fits pretty well.
Just get some backups. It is a great convenience to have more basic clothes especially when you are a busy person
July 2, 2013
It Shrunk!
This t-shirt shrunk after washing in cold water, drying on low heat. I do not recommend buying. Also, the size is cut too small.
June 22, 2013
Fit perfect
Love the T. Fit like I want . Does not shrink after wash.
June 18, 2013
Love this shirt!
This shirt runs a little small but well worth the purchase. I bought this item in 3 colors. Will probable but more!
June 15, 2013


text:
Monday - Friday 10:00 am - 7:00 pm Saturday 10:00 am - 6:00 pm Sunday 11:00 am - 4:00 pm
*Unless noted on Store Profile page
FREE Shipping** on orders of $99 or more
Loading product details...
Sorry, product information is unavailable at this time.
Watts Pick to Hit Pop Up Content
Diamonds in the Rough Edwin Watts golf offers some superb products that you definitely don't want to overlook. If they didn't get there deserved share of media fanfare when first coming to the market, then now is your chance to prosper. They're great pieces of equipment that can really boost your game and lower your score. And regardless of if they've been out in the market for a while of brand new to it, our Watts Experts have tested them out in the field and found them to be more than worthwhile. So here are some Diamonds In The Rough that will keep you out of the rough. We've found these gems to be terrific values for your game. We highly suggest you give them strong consideration.
The Adams Super LS XTD Hybrid Graphite is the Most Advanced, High-Performance Hybrid Ever. For many years now Adams Golf has led the industry with hybrid innovation. This leadership has been displayed on Tour since 2005 as the line of Idea hybrids have ranked #1 on the PGA, Champions and Nationwide Tours. The Idea Super XTD Hybrid is the most innovative and advanced hybrid we've ever created. Essentially, it is a driver in a hybrid body.


text:
- $4.99 Flat Rate Shipping. Any Size Order! -
- Easy 365-Day Returns -
New York Giants Gear
New York Giants Mens
New York Giants Mens Shorts & Pants
$20 to $40
(4 items)
Product ID: 786223
Main Content
- 100% Polyester fabric
- Drawstring waist with hook and loop fastener fly
- Elastic waistband on back
- Imported
- No hip pockets
- Officially licensed Giants swim trunks
- Quality embroidery
- Size M inseam measures approximately 10"
- Two cargo pockets with hook and loop fastener flap
Giants Customers also liked:
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.


text:
SKU: new_rumble_rockland_2_dvd
DVD-R Version
Please verify you have a compatible player before purchasing our DVD-R titles. We are not responsible for the compatibility of your player to our DVD-R titles. Click here to check: (DVD-R Compatibility Chart)
North East Wrestling presents "Rumble in Rockland 2" held 4-25-09 in Thiells, NY.


text:
Fantastic news! 11 year old girls running gentoo are going to love this echo the dolphin / daikitana mash up!
Phoronix: New Ryan Gordon Game Port Goes Into Beta
A game that Ryan Gordon has been porting to Linux for some time has just went into an open beta testing process. However, it's not Unreal Tournament 3 that went from being potentially one of the greatest games for Linux to an uncertain future to now being dead, but it's a much smaller game...
Fantastic news! 11 year old girls running gentoo are going to love this echo the dolphin / daikitana mash up!
I felt asleep while playing it for 1-2 mins
I tried it, but it runs TERRIBLY on my RadeonHD 4550. It runs worse than even Enemy Territory/Doom engine-based games. Aquaria ran at 1FPS all the way 'til the title screen, and it took about 4 minutes to drag the mouse over, click "Exit," and wait for the program to quit.
This is with today's git checkouts of Mesa, libdrm, xf86-video-ati, kernel 2.6.32, KMS, you name it. Most every other (3D) game I've tried works more or less perfectly, but Aquaria is completely unplayable.
Too bad -- the videos I've seen look stunning. I'd love to play this game, but it's just not possible.
Hmm, it seems fast enough on my HD 3200. The problem I have is that besides my character and one rock I can't see anything. And there's clearly stuff out there which my character is bumping in to. Hope Richard will fix this soon
Well that's the point of a beta release, I hope you've submitted bug reports.
I'll be testing it tonight on my Nvidia 9600GT.
Nightmorph, monraaf, did either or both of you have the experimental GLSL flag enabled in your mesa build ? Wondering if that explains the difference in your experiences.
I have 2 builds of mesa, one with GLSL and one without. Both give the same result here.


text:
Revision as of 20:04, May 7, 2013 by KidProdigy (Talk | contribs)
10,183pages on
this wiki
this wiki
Tobias (タクト Takuto) | |
General | |
Hometown: | Unknown |
Region: | Sinnoh |
Family: | Unknown |
Class: | Trainer |
Friends: | Unknown |
First Appearance: | DP183: League Unleashed! |
Tobias (Japanese: タクト Takuto) is a Pokémon Trainer from Sinnoh that has a Darkrai and a Latios. He is voiced by J Michael Tatum.
Little is known about Tobias' past, but at some point he managed to capture the Legendary Pokemon Darkrai and Latios. According to rumour, Tobias defeated all of Sinnoh's Gym Leaders using only Darkrai.During the Sinnoh League, Tobias was a mysterious trainer, not really making his appearance known. No one was able to defeat his Darkrai in the entire tournament except for Ash but Ash tied with Latios. Tobias won the Sinnoh League with remarkable ease, though he said to Ash that he has the making's to become a Pokémon master. Although what Tobias did after the tournament has not been revealed it is assumed that he went on to battle the Sinnoh Elite 4, since he was allowed to do so as the Champion of the Lily of the Valley Conference.
Sinnoh League
- 8 Unknown Badges
Pokemon League Status
- Elite Status Captain Cornelius
- His Japanese name, "Takuto" translates to "Prodigy". This is quite suitable for Tobias as he is clearly a prodigy in Pokemon battling and has caught at least two legendary Pokemon.
- He is one of the few characters in the anime series to possess several Legendary Pokémon on his team without any explanation of how he caught them.
- Tobias is the only trainer that has defeated Ash in a six on six battle using only two of his own Pokémon.
- It is assumed that, if he had more than Darkrai and Latios, the rest of his team are Legendary Pokémon.
- Darkrai and Latios were caught in regular Poké Ball.


text:
9.8mm Nomad Dynamic Rope
Out of Stock Product Number: 16910
The 9.8mm Nomad Dynamic Rope by Petzl is a highly versatile rope made for sport climbing, alpine routes or trad cragging. Built with a durable, thick sheath, easy handling and with a 33.71% elongation you get a soft ride when you find yourself unexpectedly coming down.
The Nomad has a well-tuned balance between dynamic elongation and impact force making this a great well rounded rope.
- Durable thick sheath
- Superior handling
- Balance of elongation and impact force
- Perfect all-around rope
- Butterfly coiled from the factory and ready to use straight out of the package
- The middle is marked with a black bar to help with descents
- For safety and/or sanitary reasons, this product CANNOT be returned
Gender: Unisex
Weight: 63 g/m
Season: N/A
Vendor ProductId: RD9860
Review ProductId: 9265
Reviewed by 1 customer
Displaying review 1
- Durable
- Lightweight
Best Uses
Comments about Petzl 9.8mm Nomad Dynamic Rope:
Made a big fall very comfortable, and very light weight!
Displaying review 1


text:
Attachment 15022
OSU 2011 Game Thread
"Strength does not come from physical capacity. It comes from an indomitable will."
Keepers of the Faith -- The Unknown
Originally Posted by clonedude Football is just a stupid game. Who cares who has the better football team. It's just a game.
I'm going to leave this here: my favorite: Why does this happen to us? We are a POWER in the Big10. LOOOOOOOOOOOOOOOOOOOOOOOOOOOOL
Self proclaimed 2012 CF Newcomer of the Year CLONECONES
Can't wait for soundoff
Seems even Hawk fans dislike Jon Miller.
Anywhere to listen to soundoff online? Does iHeart radio allow that to be played? I know they don't do games.
There's already a suggestion that Chris Peterson (Boise St. HC) should be the next HC at Iowa.... like he would leave Boise for EIU.
Originally Posted by KFitzy87 Bunnies eating popcorn?! What is happening?!
Originally Posted by Ry4Cy Can't wait for soundoff What time will that start?
Originally Posted by clone4lyfe Anywhere to listen to soundoff online? Does iHeart radio allow that to be played? I know they don't do games. In the spirit of using bunnies...
Forum Rules


text:
Author Affiliations: Division of Hospital Medicine, Department of Medicine (Drs Auerbach, Wachter, and Cheng and Ms Maselli), and Departments of Neurological Surgery (Drs McDermott and Berger) and Epidemiology and Biostatistics (Dr Vittinghoff), University of California, San Francisco.
Background Shared management of surgical patients between surgeons and hospitalists (comanagement) is increasingly common, yet few studies have described its effects.
Methods Retrospective, interrupted time-series analysis of data collected from adults admitted to a neurosurgery service at our university-based teaching hospital between June 1, 2005, and December 31, 2008. Data regarding length of stay, costs, inpatient mortality rate, and 30-day readmission rate were collected from administrative sources; patient and caregiver satisfaction was assessed through surveys. We used multivariable models to estimate the effect of comanagement on key outcomes after adjusting for secular trends and patient-specific risk factors.
Results During the study period, 7596 patients were admitted to the neurosurgery service: 4203 (55.3%) before July 1, 2007, and 3393 (44.7%) after comanagement began. Of those admitted during the postimplementation period, 988 (29.1%) were comanaged. After implementation of comanagement, no differences were found in patient mortality rate, readmission, or length of stay. No consistent improvements were seen in patient satisfaction, but strong perceived improvements occurred in care quality reported by nurses and nonnurse health care professionals. In addition, we observed a reduction in hospital costs of $1439 per admission.
Conclusions Implementation of a hospitalist comanagement service had little effect on patient outcomes or satisfaction but appeared to reduce hospital costs and improve health care professionals' perceptions of care quality. As comanagement models are adopted, more emphasis should be placed on developing systems that improve patient outcomes.
Many of the same forces that have driven the growth of hospital medicine and the subspecialization of inpatient care have affected perioperative medicine. Increasing patient age and greater comorbid illness, shifts of simpler procedures from inpatient to outpatient settings, and, in teaching hospitals, limitations on house staff duty hours have sped the development of medical-surgical comanagement systems, in which surgeons and internists (generally hospitalists) codirect nonsurgical aspects of inpatient perioperative care.1- 3
Few published studies1,4 describe comanagement's effect on costs and outcomes. The few data describing comanagement models come from a handful of academic centers and have focused on patients undergoing orthopedic surgical procedures. These studies suggest a modest reduction in complications after joint replacement surgery but few other salutary effects on outcomes of arthroplasty or hip fracture.
The limited data supporting comanagement has led 2 authors2 to suggest that the model should be adopted slowly or in a targeted fashion (eg, in caring only for patients with highly complex medical needs). Despite these cautionary notes, the demand for comanagement is increasing and with it the growth of hospital medicine.5
Our study aimed to understand the effect of a hospitalist-led comanagement service for selected patients undergoing neurologic surgery. We determined the effect of comanagement on patient outcomes, such as mortality rate, readmission, costs, and length of stay, and on patient satisfaction and impressions of health care professionals.
Our data were collected from patients admitted to the Neurological Surgery Service at the University of California, San Francisco (UCSF) Medical Center, a 550-bed, university-based hospital. Patients in our study were aged 18 years or older during the study period and were admitted to the neurosurgery service in the 25 months before and the 18 months after July 1, 2007, the date on which a hospitalist-neurosurgery comanagement service (comanagement on neurosurgery service [CNS]) was implemented (36 months total). We also collected data from a control group of patients aged 18 years or older admitted for major noncardiac surgery at our hospital during this same period; these data were used to create a concurrent control group and to account for potential secular trends.
Before implementing the CNS, patient care for neurosurgical patients (average census of 40-50 patients) was provided by surgical attending physicians, 5 residents (only 1 of whom was not in the operating room), 3 pharmacists, and 4 to 5 nurse practitioners assigned to attend specific surgical patients. Before the CNS began, residents, pharmacists, and nurse practitioners shared order-writing responsibilities; management of acute issues was the responsibility of the cross-covering resident. Consultations for subspecialty medical care were made at the discretion of the surgical services, and general medical consultation from hospitalists was sought infrequently, most often for managing acute deteriorations rather than ongoing medical problems.
Beginning July 1, 2007, a hospitalist was available every day (from 7:30 AM to 7:30 PM) to actively comanage patients on the neurosurgery service. The CNS was implemented as a response to changes in care—primarily a reduction in the availability of physicians for ward patients—which resulted from resident duty hour reductions. Less neurosurgery resident availability led to the perception that care quality might have been compromised, although no empirical data were available to support that perception.
The hospitalist began the day by screening the neurosurgery service patient rosters for newly admitted patients who met prespecified criteria for comanagement. Prespecified criteria included a history of coronary artery disease, congestive heart failure, serious arrhythmias, chronic obstructive pulmonary disease, chronic kidney disease, ischemic stroke, diabetes mellitus requiring insulin therapy, or long-term anticoagulation therapy. Comanagement was also offered if the neurosurgical staff or hospitalist thought the patient was at risk for complications based on other clinical factors. This triage process produced an average daily census of 13 to 16 comanaged patients, approximately one-third of the total neurosurgical census. Nighttime coverage for comanaged patients was provided by the neurosurgery house staff, with backup from moonlighting internal medicine physicians covering for other services.
Seven hospitalists rotated through the CNS; these hospitalists rotated on non-CNS services (ie, general medical ward services) during other times during their academic year but had no additional responsibilities while on the CNS. When making rounds on comanaged patients, the hospitalist ordered diagnostic or therapeutic interventions or consultations as needed, with the exception of orders for invasive procedures and anticoagulant or antiplatelet therapies that had been approved by neurosurgical staff beforehand. Management of surgical and perisurgical issues was left to the neurosurgery service. Hospitalists were also available to address questions and concerns from nurses, nurse practitioners, and neurosurgical house officers about neurosurgical patients not being comanaged.
Sources of data for this study included UCSF administrative data, physician billing records, and a commercial patient satisfaction survey vendor (Press Ganey, South Bend, Indiana). Administrative data sources (Transition Systems International, Boston, Massachusetts) were used to collect information regarding patient demographics, age, comorbidities, procedure type, length of stay, costs, and mortality rate. We collected administrative data from June 1, 2005, to December 31, 2008—25 months before CNS and 18 months after CNS implementation.
Physician billing data were combined with administrative data to identify which patients had received medical consultation during hospitalization. These data were screened manually to determine whether a patient had been seen by a hospitalist consultant acting in a general medicine consultation capacity (before July 1, 2007) or as a comanager (after July 1, 2007).
Press Ganey provided data from a standard patient satisfaction survey administered by telephone between 10 and 30 days after hospitalization. Surveys contain patient identifiers that can be used to link responses to individual patient hospitalizations. Press Ganey surveys contain elements of the Hospital Care Quality Information From the Consumer Perspective standard surveys6 and are commonly used for patient satisfaction assessment in hospitals.
We also surveyed a convenience sample of nursing and physician health care professionals on the CNS 6 months before and 6 months after CNS implementation. Surveys were administered in the context of nursing unit and neurosurgery departmental meetings. Nurses included all nurses on the core neurosurgical care units. Health care professionals included neurosurgery attending physicians, residents, and other staff (such as nurse practitioners and clinical pharmacists) who would have direct experience with the CNS.
We examined patient mortality rate in the hospital, defined by discharge status in our administrative database. Readmission was defined to include all patients who had repeat admissions to the UCSF within 30 days of discharge. Length of stay and costs are standard components of Transition Systems International administrative data. Patient and health care professional survey data were coded as categories (with a score of 1 representing very poor and 5 very good), allowing us to analyze these responses as continuous scores.
Our analytic approach estimated the effects of the CNS, adjusting for neurosurgical patient characteristics and controlling for background trends in our key outcomes using data for other major noncardiac surgical patients at the UCSF. Because hospitalists' reach potentially included all patients on the neurosurgery service, our analytic plan focused on service-level changes (and not simply patients who were actively comanaged).
This process began by characterizing patients on the neurosurgery service using unadjusted methods. We used χ2 tests to compare categorical variables between preimplementation and postimplementation periods. We used t tests for between-period comparisons of continuous variables.
We then built multivariable models, using generalized estimating equations to account for clustering at the surgeon level and adjusting for covariates outlined in the eAppendix. Logistic models were used for mortality rate and readmissions, gamma generalized linear models with log link function for length of stay and costs, and a proportional odds model for the ordinal patient satisfaction scale. Covariates were selected for inclusion in multivariable models based on their statistical association with the outcome in question at P ≤ .05.
We then tested interrupted time-series models, under which the mean trajectory in each group is assumed to follow a linear secular trend in the preimplementation period, to "jump" at the time of implementation, and then to follow a different linear trend in the postimplementation period. Hypothesizing that there may have been a learning curve in the CNS, we also augmented the basic interrupted time-series model to allow for different linear trends in the first (months 1-9) and second (months 10-18) portions of the postimplementation period. However, we found no persuasive evidence of trends within periods in either group or of between-group differences in trend. Accordingly, our final analysis used simpler, more powerful "difference of differences" models, in which the change in mean outcome levels after implementation in the CNS was compared with concurrent changes in the control group, which was composed of noncardiac surgical patients. This quasiexperimental analysis controls for background trends and differences in patient-level characteristics. Because patient satisfaction data were only available for the CNS, we were only able to assess adjusted within-group changes in these outcomes and could not compare trends in satisfaction in the CNS group with those in the noncardiac surgical group.
A total of 7596 patients were admitted to the neurosurgery service during the study period: 4203 (55.3%) before July 1, 2007, and 3393 (44.7%) after CNS implementation (Table 1). Because of our large sample size, we were able to detect small but statistically significant differences in many patient characteristics between preimplementation and postimplementation periods. We observed no difference in the proportion of patients who received subspecialty consultation before or after CNS implementation.
No unadjusted differences were found in patient mortality rate, length of stay, or total costs after implementation. After adjusting for patient characteristics and background trends and accounting for clustering at the physician level, no statistically significant differences were found in mortality rate, readmission, or length of stay. There was a moderate decrease in adjusted hospital costs after implementation (adjusted cost ratio, 0.94; range, 0.88-1.00), equivalent to a savings of $1439 per admission (Table 2).
One thousand four hundred fifty-six patients (19.2%) provided telephone survey data, 810 (19.3%) in the preimplementation period and 646 (19.0%) in the postimplementation period (Table 3). Satisfaction in both periods was generally high, with mean scores uniformly higher than 4 (good). After adjustment in multivariable models, there were statistically significant increases in the odds for a higher score in the comanagement cohort for 3 questions: the degree to which staff responded to concerns, the cheerfulness of the hospital, and the degree to which staff addressed patients' emotional needs. After adjustment, the overall rating of the hospital experience and the likelihood of recommending the hospital were no longer significant.
Thirty-one surveys were distributed to nonnurse health care professionals (18 in the before group and 13 in the after group) and all (100%) were completed. The results were uniformly supportive of the CNS (Table 4), with the strongest positive changes being associated with perception of improved attention to medical issues during hospitalization (mean score of 2.9 before CNS and 4.8 after, P < .001) and at discharge (mean score of 2.7 before CNS and 4.4 after, P < .001).
Sixty-five nursing surveys were distributed: 31 before implementation and 34 after, with 100% response rates in both periods. The nurses were experienced; the average nurse completing the survey had worked at the UCSF for 11 years. Perceptions of the CNS's effect on patient care were also uniformly positive, with strongest positive change again being seen on questions regarding treatment of medical issues during hospitalization (Table 5).
To test the robustness of our results, we also performed a series of preplanned secondary analyses. When we compared outcomes of all patients who had consultation in the pre-CNS period with patients who received comanagement after implementation, comanaged patients had lower adjusted readmission risk, length of stay, and costs. We then compared adjusted outcomes of comanaged patients with noncomanaged patients in the postimplementation period; not surprisingly, these analyses suggested substantially higher costs among comanaged patients compared with those whose needs were not deemed complex enough for those patients to warrant comanagement. Finally, we tested whether any changes were suggestive of a learning curve in the 18 months after CNS implementation. In adjusted models, no significant differences were found in any of our key outcomes in months 1 to 9 compared with months 10 to 18 after implementation.
Implementation of a hospitalist-led comanagement service for neurosurgical patients did not have an effect on mortality rate, readmission, length of stay, or many standard measures of patient satisfaction. However, implementation by the CNS was associated with cost savings of more than $1400 per hospitalization and improved staff and physician perception of safety and quality of care.
Comanagement of surgical patients is increasingly common, although few empirical data support its effectiveness in improving patient outcomes. Previous studies1,4 examining hospitalist involvement in orthopedic surgical patients suggested small reductions in minor complications of surgery; hospitalist involvement in care of patients with hip fracture did not improve outcomes. Although our results mirror the findings of those previous studies, our observation of reduced costs is novel, to our knowledge. The finding of lower costs associated with the CNS parallels that of an earlier study7 of hospitalist programs, which found reductions in costs without clear improvements in clinical outcomes or reduced use of specialty consultants. Although the cost reduction in our study is small in relative terms (6.X%), it is large in absolute terms ($1439 per case). If applied to comanaged patients, the CNS would save $1 520 000, representing a major return on investment for the CNS, whose support costs totaled $750 000 during the same period.
The CNS's lack of effect on mortality rate or readmission may be because these outcomes are uncommon or because the involvement of hospitalists does not affect factors that may be more powerful determinants of outcome in neurosurgical patients. Unlike medical patients, neurosurgical patients are most often admitted for elective or semiurgent procedures or transferred immediately for emergency surgery. As a result, hospitalists may have little effect on elective patients with a low risk of complications or those whose outcomes are largely determined by their emergent neurosurgical problem. It is also possible that the CNS affected patient outcomes other than mortality rate, such as complications of care. Although our data do not permit us to detect these events, surveys of nursing and nonnursing caregivers suggest improved perceptions of quality of care.
Lack of effect on mortality rate, satisfaction, or readmission may represent an opportunity to refine the CNS model to maximize its effectiveness. The effects of consultation models on quality of care and outcomes are generally weak,8 leading 2 authors9 to suggest that the framework for care of surgical patients with medically complex needs should be shifted toward a comanagement paradigm. A previous study10 of comanagement in surgery and intensive care units used models in which surgeons and internists performed rounds together, which was logistically difficult to do on our service. There may be opportunities to improve the model's effectiveness by more proactively screening and treating patients before and after surgery10 or by applying comanagement to only the patients at highest risk.
Our study has many limitations. We focused on outcomes that are important but relatively lacking in sensitivity to compare patients before and after CNS implementation. Having said that, cost, length of stay, and satisfaction data were available for enough patients to provide strong statistical power. Our cost data lack specific information regarding which areas of practice (eg, laboratory, pharmacy, radiology) were responsible for cost reductions. Our study, which identified comanaged patients through billing systems, could not discern the intensity or extensiveness of the services provided and may have missed differences in some important outcomes or covariates (eg, functional status and bleeding risk). Because we relied on administrative data for risk adjustment, it is also possible that we failed to fully account for subtle biases related to patient or operative factors. Few of our major patient factors changed over time, lessening the likelihood of this problem. There was a moderate reduction in overall case volume during the study period. However, our methodologic approach would have accounted for any secular trends introduced by a less busy service. Although anecdotal evidence and our survey results suggest that the CNS was extraordinarily well received by nurses, pharmacists, and residents, we have no data to describe its effect on patient safety, safety culture, resident duty hour adherence, or residents' workload. Our findings of cost savings were small in relative terms and are potentially prone to type 1 (false-positive) error. However, the magnitude of the cost savings (adjusted rate ratio, 0.94) is similar to that seen for length of stay (adjusted rate ratio, 0.97), although length of stay did not meet tests of statistical significance. Our focus on service-level outcomes may have underestimated the true effect of comanagement because most patients did not, in fact, receive active comanagement. However, we believe this approach is correct because it is conservative and because hospitalists provided direct care to patients and indirect advice regarding other patients. Finally, because our study was based at a single academic center, our results may not be directly applicable to other settings, such as nonteaching hospitals, where comanagement models are typically thought to be more common.
If the cost savings and health care professional satisfaction results we found are confirmed in other studies, comanagement, particularly by hospitalists, is likely to continue to increase even if its effect on patient outcomes is small. In some circumstances, the main motivation for the implementation of comanagement systems will be coverage requirements, such as when comanagement systems are used to compensate for reduced resident availability in teaching hospitals. However, our data strongly suggest that physician and nursing perceptions of patient safety and work satisfaction may be important drivers. Whether the catalyst for a comanagement system is cost reduction, coverage needs, or something else, future research should focus on ways to improve efficiency and clinical outcomes.
Correspondence: Andrew D. Auerbach, MD, MPH, Department of Medicine, Division of Hospital Medicine, University of California, San Francisco, 505 Parnassus Ave, Box 0131, San Francisco, CA 94143-0131 (email@example.com).
Accepted for Publication: May 3, 2010.
Author Contributions: Drs Auerbach, Wachter, Cheng, Vittinghoff, and Berger had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Auerbach, Wachter, Cheng, and McDermott. Acquisition of data: Auerbach, Cheng, and McDermott. Analysis and interpretation of data: Auerbach, Wachter, Maselli, Vittinghoff, and Berger. Drafting of the manuscript: Auerbach, Wachter, and Maselli. Critical revision of the manuscript for important intellectual content: Auerbach, Wachter, Cheng, Maselli, McDermott, Vittinghoff, and Berger. Statistical analysis: Auerbach, Maselli, and Vittinghoff. Obtained funding: Cheng. Administrative, technical, and material support: Auerbach and Cheng. Study supervision: Wachter, Cheng, McDermott, and Berger.
Online-OnlyMaterial: The eAppendix is available at http://www.archinternmed.com.
Financial Disclosure: Dr Auerbach reports having received compensation for meetings and travel as a member of the American Board of Internal Medicine; as a consultant for the Community Medical Center, Fresno, California; honoraria for speaking at a California Medical Association meeting at Santa Barbara Cottage Hospital in Santa Barbara, Highland General Hospital in Oakland, the Monterey Bay Geriatrics Resource Conference in Monterey Bay, and Providence St. Joseph Medical Center in Glendale, California; publication royalties from Lippincot, Williams & Wilkins and McGraw-Hill; payment for development of educational presentations by Quantia Communications, Inc; stock options in PatientSafe Solutions, Inc; and compensation for blog writing from John Wiley & Sons, Inc. He reports compensation for his work provided to the University of California, San Francisco by the Agency for Healthcare Research and Quality; IPC: The Hospitalist Company, Inc.; and Marc and Lynne Benioff.
Additional Contributions: Erin Hartman, MS, provided editorial assistance in proofreading and editing the manuscript.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest* Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers' bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
eAppendix. Technical information.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Customize your page view by dragging & repositioning the boxes below.
Users' Guides to the Medical Literature Qualitative Research
Users' Guides to the Medical Literature Clinical Scenario
All results at JAMAevidence.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Need assistance?
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.


text:
Top Definition
Sir Edward Elgar (1857-1934) was a composer of classical music. His most famous compositions include his Cello Concerto in E minor, and the six Pomp and Circumstance Marches (the first of which is played at most graduation ceremonies).
"They're going to play Elgar's Pomp and Circumstance March No. 1 at my graduation ceremony."
додав carpo
22 Серпень 2004
1 more definition
Sociable, mischievous creature partial to administering large amounts of alcohol at any given opportunity. You are likely to realise you have encountered said individual when you wake up the next day 10 minutes before you start work in West London with the worst hangover of your life and no idea how you got there.
"Can tell you got Elgar'd last night"
додав mistress_of_words
4 Лютий 2010


text:
Main Content
Cheer on your favorite L.A. Dodgers with these cuff links and money clip! These L.A. Dodgers cuff links will fit in perfectly for any formal occasion. You can root for your favorite L.A. Dodgers every day with the L.A. Dodgers money clip! The cuff links are rhodium-plated to ensure durability.
- Cufflinks are Rhodium-plated
- Cufflinks: Approximately 3/4" x 5/8"
- Cufflinks: Bullet back closure
- Cufflinks: Bullet back closure, Rhodium-plated
- Enameled team logo
- Gift box with magnetic closure
- Money Clip: Approximately 2 3/8" X 3/4"
- Money Clip:Double grip backing
- Officially licensed
Dodgers Customers also liked:
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.


text:
All final sales and calculations are billed in either Hong Kong Dollars (HKD) or US Dollars (USD). Delivery times may vary depending on location, stock availability, and other factors. Click here for detailed shipping information. MizSpa makes no guarantees with regards to shipping times. Custom duties and issues may arise depending on your country and is not covered by MizSpa. Click here for our Returns and Exchange policy. |
Item no. M20-1200
Marc Jacobs Daisy EDT Spray 75ml
Brand: Marc Jacobs
In stock? NO


text:
Contact us at 1-800-991-6686
1.800.991.6686$99.99 - $149.99
The Mizuno Wave Creation 13 running shoe builds on the improved feeling at heel strike of it's predecessor, while shedding nearly half an ounce in weight. Engineered for the neutral-to-under-pronator looking for cushioning and impact protection. AIR Mesh™ upper and the Intercool™ full-length midsole ventilation system helps reduce heat and humidity build-up inside the shoe. Dynamotion Fit™ allows for unparalleled fit while in motion. Gender Engineering creates running shoes that more closely fit the different running styles of the male and female runner, in return maximizing performance. Mizuno Wave™ is the continuation of the Infinity Wave™ into the forefoot. Its wave pattern attenuates impact energy. AP+ midsole improves the quality of the running experience by offering increased rebound and a "bouncier" feeling. Solid rubber forefoot and X-10™ high-density carbon rubber heel offers durability and flexibility. Removable insole. Wt. 10.8 oz. |


text:
Shannon's BadgesPartnerComic-Con 2011
It's no Chili Con Carnival, but you've just cooked up the Comic-Con 2011 Badge!! Stick around and enjoy South Park Year of the Fan and the nerdtastic, hippie jam fest.
Shannon unlocked the Comic-Con 2011 badgeJuly 24, 2011
Download Foursquare for your smart phone and start exploring the world around you!


text:
To find a doctor, call 800-667-5356 or click below:
Find a Doctor
Request an Appointment
En Español (Spanish Version) More InDepth Information on This Condition
Definition | Causes | Risk Factors | Symptoms | Diagnosis | Treatment | Prevention
Sickle cell anemia is a genetic disorder. It alters the shape of the red blood cells (RBCs). This decreases their ability to carry oxygen. It can also cause acute episodes of pain. These are called a sickle cell crisis. The body will also destroy the sickle cells. The loss of RBCs results in anemia .
The change in the ability and number of RBCs can decrease the amount of oxygen for the body.
Copyright © Nucleus Medical Media, Inc.
Sickle cell disease is a genetic disorder. If you receive one defective gene from each of your parents, then you will have sickle cell disease. If you only have one defective gene, you are said to have sickle cell trait, but not sickle cell disease. Although you won't usually have any symptoms, you can pass this gene on to your children.
Factors that increase your chance for sickle cell anemia include:
This condition produces a group of symptoms known as a sickle cell crisis. These are episodes of pain that occur with varying frequency and severity. It is usually followed by periods of remission. The risk for a sickle cell crisis increases with any activity that boosts the body's requirement for oxygen. This may include illness, physical or emotional stress, or high altitudes.
These painful crises can last hours or days. They affect the bones of the back, the long bones, and the chest. The crises can be severe enough to require hospital admission for pain control and IV fluids.
Symptoms of sickle cell crisis include:
Complications of sickle cell anemia include:
Hemoglobin electrophoresis is a simple blood test. It can be done by most laboratories or a local sickle cell foundation. Most states require testing of newborns for sickle cell.
Amniocentesis is a form of prenatal testing. It can also detect sickle cell disease.
Basic treatment of sickle cell crisis includes:
In addition, treatment may include:
Newborns with sickle cell disease may be given penicillin . It is given twice a day, beginning at age two months. It is continued until at least five years of age.
It is recommended that children with sickle cell disease who are 2-5 years of age receive pneumococcal vaccine (PCV-7) . Other routine immunizations should also be given, such as an annual flu shot.
Hydroxyurea is the first drug to significantly prevent complications of sickle cell disease. It increases the production of fetal hemoglobin. This decreases the number of deformed RBCs. As a result, it reduces the frequency of sickle cell crisis. Hydrea is not appropriate for everyone with sickle cell disease.
Blood transfusions can treat and prevent some of the complications. Transfusion therapy can help prevent recurring strokes in children.
A bone marrow transplant from a matched donor may be effective. There are medical risks involved. Recipients must also take drugs that suppress the immune system for the rest of their lives.
If you or your child is diagnosed with sickle cell anemia, follow your doctor's instructions .
Sickle cell anemia cannot be prevented. There are some general guidelines that may keep the condition under control. Be sure to discuss these with your doctor:


text:
Quick Adoptions Rules
1) This board is for QUICK ADOPTIONS ONLY. Meaning, no lengthy applications are to be asked for on this board. You may only ask for simple PM applications here. 2) Also, ALL PETS LISTED HERE MUST MUST MUST FOLLOW THE NEOPOUND.COM FOSTERING RULES 3) Please lock your boards once your pets have been adopted. 4) DO NOT ask if anyone is pounding 'suchandsuch' pet. People will post when they have pets up for adoption. NO EXCEPTIONS! Qaeri The Halloween Kougra
0 User(s) are reading this topic (0 Guests and 0 Anonymous Users)
0 Members:
Hosted for free by zIFBoards* (Terms of Use: Updated 2/10/2010) | Powered by Invision Power Board v1.3 Final © 2003 IPS, Inc.
Page creation time: 0.0480 seconds | Archive Neopets Characters © 2000-2011 Neopets, Inc. All Rights Reserved. Used With Permission All other content © NeoPound.com Banner and forum skin coded by Dorothy. Buttons by Ophelia. |


text:
Asics Men's GEL-Nimbus 13 Running Shoes
Buy Online & Pick Up In-Store
The Asics GEL-Nimbus 13 offers top-of-the line cushioning and a stable ride for underpronators. Loaded with new features including Guidance Line for gait efficiency and discrete eye-stay construction, along with ASICS Impact Guidance System (I.G.S), Space Trusstic System, Biomorphic Fit Upper, and a ComforDry Sockliner. Also, since the latest model, the Nimbus has dropped 3/4 of an ounce to keep you light on your feet.
- Employs linked componentry that enhances the foot's natural gait from heel strike to toe-off.
- Vertical flex groove decouples the tooling along the line of progression for enhanced gait efficiency.
- An anatomically correct lacing environment that reduces potential for irritation and provides improved comfort and fit.
- Independently placed eyelets disburse lace tension, creating a customized fitting environment and enhanced upper comfort.


text:
Top Apps
- Audio & Video
- Business & Enterprise
- Communications
- Development
- Home & Education
- Games
- Graphics
- Science & Engineering
- Security & Utilities
- System Administration
MP4Joiner Free tool to join multiple MP4 files into one.
2,573 weekly downloads -
My Simple LogBook MSLB is a crossplatform Simple Logbook program / application to write work logs or even a diary. MSLB can also use a bunch of presets that you can add with a simple doubleclick :) Logs get saved in a simple folder system. And its all portable.
54 weekly downloads -
Stani's Python Editor SPE is a python IDE with auto indentation&completion,call tips,syntax coloring&highlighting,uml viewer,class explorer,source index,todo list,pycrust shell,file browsers,drag&drop,Blender support.Spe ships with wxGlade,PyChecker and Kiki.
0 weekly downloads -
soupy soupy is a mixture of 3 engines created in Python making it easy to make an online action role playing game using the Python language.
0 weekly downloads -
OFFLOAD - p2p Download Manager OFFLOAD is a p2p filesharing client with WxWidgets gui based on the OFF-Torrent library supporting OFF-Torrents.
2 weekly downloads


text:
The original deal pioneer keeps on pinching pennies and cracking wise. No, that price isn't a typo.
Go to Woot
Candlepower and puppet shows are so passé. Get the newest TVs, speakers, home theater gear, and more.
Go to Electronics.Woot
The robots are coming! And so are the laptops, the tablets, the chargers, and all sorts of other gadgets!
Go to Computers.Woot
High living at low prices with name-brand deals for your pad, crib, nest, or castle - inside and out.
Go to Home.Woot
Make it, build it, improve it. But whatever home project you've got in mind, start by saving money on it.
Go to Tools & Garden
Sports, fitness, and outdoors deals, because saving money is only one of your passions.
Go to Sport.Woot
You don't have to spend a lot to look like you do. Werk it and twerk it with amazing deals on designer watches, handbags and more.
Go to Accessories & Watches
Deals for moms and dads and anybody else who needs kids' stuff, from toys to baby gear to furniture to clothing.
Go to Kids.Woot
Our exclusive graphic tees will make you laugh, will make you cry, will make you look totally hot.
Go to Shirt.Woot
Direct from the winery to your thirsty lips: wine deals worth doing a spit-take over.
Go to Wine.Woot
Last chance deals for hardcore cheapskates. Catch 'em before they - you guessed it - sell out.
Go to Sellout.Woot
459,275 deals (and counting) from around the web, shared and ranked by a community of deal fiends like you. Go to Deals.Woot.
GAMER HEADPHONES? What kind of Crap is this! NEXT!!!!!!!!!!!!!!!!!!!
noogaboy wrote:I like the headsets!
GOOD... buy 3!
zadriel wrote:Hey guys, just got my xact radio watches from WOOT and one of them wouldn't even turn on. After checking it out... it has a bad battery. Anyone else get screwed like this? If so what did you do?
Put another battery in it? Just a guess.
will this nightmare ever end?
Happened to me once too. Contact support and they'll send you a new battery.
jeremyp123 wrote:Yes, but you started out by being an ass... And for no reason... So when someone see 56 posts, no purchases and a guy being an ass, I wonder what they assume...
You started out by being an ass to the one guy you told to buy something because it was his first post or something.
ev3rdying wrote:
Can we have this posted with every item. Well done!
enuff with the headphones.
he even predicted woot offs! what a genius!
ev3rdying wrote:If you can post, you're not on probation. Requiem was put on probation. I'm not sure why. There hasn't been any pics yet that aren't above PG-13. At least not in my opinion!
It was for the longcat pic that was over 17000 pixels long. Yeah, it was a little long to get through, but I didn't think it violated any forum rules. Besides, who would want to challenge longcat...well, besides a mod?
Where is the LeakFrog? I'm voting LeakFrog for president simply because of his national security background...
MastaSquidge wrote: Never assume, it makes an ASS of U and ME
Anyone who uses this phrase should be dragged behind the woodshed and beaten. Severely.
dude since the wootalyzer isn't working the ppl that leave the first comments should post the price, I was wondering how much the little portable pc thing was
this == death to the woot-off.... and i want my Bathysphere of Curmudgeons dammit!
For those who offer the ... JUST CHANGE THE BATTERY... COMMENTS...
Breslau wrote:hot cross buns hot cross buns one a penny, two a penny hot cross buns
the one on the left is my ex. the one on the right is my mom
Dagith wrote:so I herd u liek mudkipz?
This thread is now about mudkips.
for the love of bad products..will this thing finally get moving onto the next product....
shockz wrote:there are, and i am one of them i test games for a living, and its not as glamorous as you think. although it is more fun than most peoples pathetic jobs being stuck in cubicles all day
So where do you test your games? Outside on the patio, standing up, enjoying the sunshine? I would think you would be in a cubicle, on your computer, testing some games. I could be wrong......happens all the time.
Just watchin the paint dry
Woot is NOT
Long Cat not like this woot!
I'm going to make a pot of coffee. By the time I come back, I certainly hope I'm seeing a lot more Hoff and Chuck and a lot less noob-sniping. How will they ever learn about real fun, otherwise...?
MastaSquidge wrote:You started out by being an ass to the one guy you told to buy something because it was his first post or something.
And he was doing the same thing that you were doing... Do I have to spell it out?
come on man....
Win. Would be EPIC win if you had some color.
WHAT ARE YOU USED TO COMMENTING TO NOOBS? I know i can get a battery for 12.95 from xact. DUH/!!! What I'm saying is its CRAP, its supposed to be functional! And another 12.95 means I should have bought retail. Give me a freakin break. Anyone have any HELPFUL comments about what they've done with the radio watches not working?
Come on lunch almost over
Red 5 Standing by
RoadkillRomeo wrote:Who's that? Awfully cute, but looks a bit young... will the Feds be raiding your pc soon?
Can't be too young. She already has melanoma on her arm. (... and who knows what else.)
iamjs wrote:It was for the longcat pic that was over 17000 pixels long. Yeah, it was a little long to get through, but I didn't think it violated any forum rules. Besides, who would want to challenge longcat...well, besides a mod?
Longcat is the Mod!
CandyKisses4 wrote:mud
u liek mud?
What is the Roomba Radio link any one know?
Dangie wrote:So where do you test your games? Outside on the patio, standing up, enjoying the sunshine? I would think you would be in a cubicle, on your computer, testing some games. I could be wrong......happens all the time.
Well according to the vidocs from Bundgie they play in a rather fun looking room surrounded by about 20 other people all playing the same game. Sounds fun, until you jump on the same box sixteen thousand times in 16000 different ways to make sure it doesnt glitch.
HEy Cliff ur prbly there... Woot off Fun times Waiting for the Bandolier of Carrots!
Another Headset? Seriously!
View All →


text:
File photo by Mark Zuckerman / NATS INSIDER
The Nationals will have their hands full tonight with Tim Lincecum and the Giants.
A struggling lineup without its best hitter facing the defending World Series champions and their ace right-hander? Sounds like a recipe for disaster, right?
Well, maybe not. Yes, the Nationals are going up against Tim Lincecum and the Giants tonight in the first of a four-game series on South Capitol Street. But Lincecum is coming off a shaky start last week against the Braves, and San Francisco's lineup has been shaky throughout the season's first three weeks. And to top it off, the Nats actually beat Lincecum last year at AT&T Park, knocking him out after 4 2/3 innings.
We'll see if tonight's lineup — featuring Wilson Ramos and Laynce Nix — can do it to Lincecum again. And we'll see if Jason Marquis can keep up his early-season string of quality starts.
I'm covering the Capitals' game tonight at Verizon Center, but Rich Dubroff (who has been covering baseball in this area for years) will be filling in and filing articles to CSNwashington.com. I'll be sure to link to them here…
GIANTS at NATIONALS
Where: Nationals Park
Gametime: 7:05 p.m.
Radio: WJFK (106.7 FM), XM 188
Weather: Partly cloudy, 63 degrees, Wind 13 mph LF to RF
2B Danny Espinosa
CF Rick Ankiel
RF Jayson Werth
1B Adam LaRoche
- Anonymous - Apr 29, 2011 at 7:39 PM
If the Nationals lose, put it on Ian Desmond…UNTERP
- natsfan1a - Apr 29, 2011 at 7:53 PM
Who are the Capitals?
- carolync - Apr 29, 2011 at 8:25 PM
I think the Nats will win this one, mainly because I can't go and we gave our tickets away.This is our best hitting line-up with Ramos and Nix although perhaps Ramos should bat 4th. Desmond's hot streaks usually last more than a day.1a, The Capitals are a local team who play a strange sport in which the main attraction seems to be fighting. Their arena is very noisy and usually kept uncomfortably cold so the ice doesn't melt. Their best player is a Russian missing a front tooth. They are famous for choking in the play-offs.
- Jeeves - Apr 29, 2011 at 8:56 PM
carollync, I sorta agree with you, but don't tell anybody because I'm Canadian.On the other hand, doesn't your last comment include the Nats. Oh wait, you did say playoffs.
- Anonymous8 - Apr 29, 2011 at 9:09 PM
natsfan1a and carolync, funny stuff!
- Rabbit - Apr 29, 2011 at 9:19 PM
I have been away and hadn't been able to follow the news. Is Zimmerman a thing of the past or is he expected back any time soon??
- Sec314 - Apr 29, 2011 at 9:34 PM
Hockey is a foul temptress. Stay away. If you don't believe me, check out the Mottram's Bloghttp://misterirrelevant.com/index.php/2011/04/27/amazing-caps-oil-painting-is-amazing/#utm_source=rss&utm_medium=rss&utm_campaign=amazing-caps-oil-painting-is-amazing
- JaneB - Apr 29, 2011 at 9:35 PM
Rabbit, no time soon….but no ETA either. Oh well.natsfan1a and carolync, I snorted diet coke. Twice. I love this blog.
- Jim Webster - Apr 29, 2011 at 9:56 PM
As a baseball fan who is the brother of a hockey fanatic, I raise a toast to natsfan1a and carolync.
- Anonymous - Apr 29, 2011 at 10:11 PM
Another great thing about the sport of hockey is that it's impossible to follow the puck because it is so small and moves so fast. The only way you know a goal is scored is by the crowd reaction. If that isn't bad enough, there is hardly any scoring. Frankly, I would rather watch paint dry or grass grow.
- natsfan1a - Apr 29, 2011 at 10:28 PM
Carolync, ohhhh…I think I *have* heard of that. They slide some little round thingy around on the floor and they chase it back and forth? We had a dog that used to do that with one of his chew toys.Cheers, JaneB and JimW.
- Grandstander - Apr 29, 2011 at 10:42 PM
Fun baseball stat. Nationals team BABIP is now sitting at .265, 3rd lowest in the NL. The Padres are obviously last, and the Braves are right there with them. After the Nats, the next lowest BABIPs are the Giants and Rockies, all the way up at .284.We're due!
- A DC Wonk - Apr 29, 2011 at 10:47 PM
… and another thing . . . when well over half the teams make the playoffs, it's hard to take any of the regular season games seriously.(And, actually, for me, play-off hockey isn't bad. But it must be at least a decade since I've seen a regular season game. Maybe two).
- A DC Wonk - Apr 29, 2011 at 10:51 PM
Grandstander . . . naive question here: is an absurdly low BABIP indicative of bad luck that will tend toward the mean at some point? (I've heard some folks postulate that).
- BinM - Apr 30, 2011 at 12:28 AM
Laynce Nix is making his statement for consideration as a LF platoon player tonight – 2 for 2 so far, with a HR & a single (the CS might hurt a little). I'd be ok with that, given that Morse is having a hard time getting going to date.
- Wally - Apr 30, 2011 at 12:32 AM
BinM – why LF? He has played more games in his career at CF than either LF or RF. Why isn't he getting time over Ankiel?
- BinM - Apr 30, 2011 at 12:35 AM
@DC Wonk: Yes, you would expect a low BABIP to regress toward the mean over the season (around .298-.300), particularly with starting pitchers; the more hitters faced, the greater opportunity to surrender hits.
- Grandstander - Apr 30, 2011 at 12:44 AM
@WallyAnkiel and Nix are both LF. A platoon works best with hitters on opposite sides of the plate.
- Grandstander - Apr 30, 2011 at 12:46 AM
LH I mean to say.
- Wally - Apr 30, 2011 at 12:58 AM
@Grandstander. I wasn't responding to the platoon comment, just making a playing time comment. Someone has to play CF on this team, so why not Nix instead of Ankiel? If you can find a RH to platoon with, even better.
- Jim Webster - Apr 30, 2011 at 1:01 AM
I need to recall the dozen or so all-star ballots on which I voted for Desmond for SS. Obviously he needs to be with his lovely wife in a romantic setting during the all-star break, not playing baseball. BTW I also wrote in Ramos on all of 'em – we need to get that campaign in high gear.
- BinM - Apr 30, 2011 at 1:28 AM
Sweet – A complete game shutout from Marquis! The veteran starters are earning their keep this week.
- edward - Apr 30, 2011 at 1:30 AM
god CSN sucks… why take me back to the "live" blog of Marks when hes forced to cover the caps. they basically gave up on the nats tonight
- Andrew - Apr 30, 2011 at 1:32 AM
If you heard the game ended 3-0 in a Lincecum matchup with any Nats pitcher in a complete game, 99 out of 100 people that follow baseball would say, Lincecum won the game.A gem by Marquis! Congrats!!!!
- BinM - Apr 30, 2011 at 1:37 AM
@Wally: Ankiel has better wheels & a better arm in CF than Nix could ever hope to have. The bulk of Nix's CF innings were accrued at the Great American smallpark, which plays like a softball field & doesn't require much range. He's a good LF in Nationals Park, but would be overmatched in CF here or in most NL parks.
- Anonymous8 - Apr 30, 2011 at 1:54 AM
Capitals' game tonight at Verizon Center, but Rich Dubroff (who has been covering baseball in this area for years) will be filling in and filing articles to CSNwashington.com. I'll be sure to link to them here…Caps lose 4-2. I think Mark picked the wrong game to cover tonight.
- FS - Apr 30, 2011 at 1:54 AM
I was about half an hour off to watch this game. Helping my uncle took so much time that I decided to head home, instead of the stadium. The weather was also getting a little cold for me, so I don't regret the decision so much. Anyways, glad to see the first CG SO by us this season. Maybe I should add marquis to my fantasy team.
- Big Cat - Apr 30, 2011 at 2:19 AM
Superb effort from marquis and the Nats. Pitching and defense will take you a LONG way. Now…..lets blank them again tomorrow!
- Gonats - Apr 30, 2011 at 2:27 AM
http://mlb.mlb.com/team/player.jsp?player_id=150302#statType=1§ionType=career&season=2011&gameType='R'Jason Marquis plays once every 5 days. He hits once every 5 days. He is batting effectively while only playing 6 games a month and is 5 for 13 batting .385.Every time I hear this BS about players playing every day is true for some players, not every one as Bryce Harper proved in the Arizona Fall League.Rizzo sends Bernadina back to Syracuse because he says he needs to play every day. I'm not buying it.
- Nattydread - Apr 30, 2011 at 2:29 AM
Great game by Marquis. He is quietly re-building his name and Rizzo will now have to think seriously about whether wants to trade him at deadline. The way he's pitching now, he looks like a number two or three behind SS.
- natsfan1a - Apr 30, 2011 at 2:39 AM
Agree re. Marquis and the game. Was great to see and I'm very happy for him, to be healthy again and pitching a gem like that (not to mention getting a knock).I do sometimes have to remind myself to talk smack about the Giants during this series. I can't really bring myself to do it for Posey, though, as he was my brother's favorite. Go Nats! Will be there tomorrow and Sunday to root them on in person.
- Anonymous8 - Apr 30, 2011 at 3:01 AM
This is vintage Marquis at his best and if Nats fans remember, he did the same to the Nats a few years ago when he was with the Cardinals. The only issue is that the more innings you put on him now is the faster you lose him towards the end of the year as he gets a tired arm.He has helped get many of his teams to the post-season by his pre-All Star game performances and then you see the huge dropoff which is why he has been kept off of some of the post-season rosters.
- Drew8 - Apr 30, 2011 at 3:12 AM
Harper had a double and a single, upping his average to .333.Potomac RF Destin Hood played LF tonight."I hear the train a comin…."
- JaneB - Apr 30, 2011 at 3:33 AM
So happy for Marquis! And US! Hurrah for a complete game shut out. I bet Mark didn't have a choice in who he covered tonight. The Other Guy is fine AND he ain't Mark.Sqo glad to see Marquis tonight…a far cry from this ti e las year. Go Nats!
- Grandstander - Apr 30, 2011 at 4:10 AM
It's weird, the harder I look at his name, the more I see "trade bait". Marquis will revert, I just hope it's after the deadline. In the meantime, I'm enjoying our #2 starter.
- Joe Seamhead - Apr 30, 2011 at 11:04 AM
We had a great time at the game tonight! What an effort by Marquis,eh? I saw Clippard get up in the 8th and was really hoping that Jason would get the chance to finish. When was the last complete game shutout from a National's starter? Great game by Nix also, and , yes, good call by Riggleman to start him. Ankiel and LaRoche both looked sadly over-matched at the plate, but how many times did I think, or hear around me in the stands, "Adam Dunn doesn't make that play"? LaRoche has seemingly made at least one play a game that makes me tip my hat to Rizzo on letting Dunn walk.Side note regarding the Stadium. Though it's not my poison of choice, Budweiser was not sold in the beginning of the season at the park. It, and Bud Lite are back.
- natsfan1a - Apr 30, 2011 at 1:13 PM
Joe Seamhead, I believe it was Livo at Nats Park last April (I was there for that one). Also, you may need to adopt my idea of setting up a recording for use at the ballpark: -click- "Adam Dunn doesn't make that play. This is a recording." -click-
- Joe Seamhead - Apr 30, 2011 at 2:20 PM
natsfan1a, I wish there was a "like" button, for the recording idea. As to the CG SO, anybody know when the last one was by a Nat not named Hernandez?


text:
Round Jute Rug - Natural
- Online Only
- Overview
Hand-spun jute is braided, then wound and stitched in a spiral to form this sustainably harvested jute rug that highlights the fiber's natural color variations.
- Crafted of sustainably harvested jute, a fast-growing, renewable natural fiber.
- Due to the natural fiber used to create our rug, slight variations in color should be expected.
- Handmade by artisan rug makers.
- Fully reversible for twice the wear.
- Use with our Rug Pad (sold separately).
- Catalog / Internet Only.
- Imported.
- Dimensions & Care
- Braided and stitched by hand of earth-friendly jute, a fast-growing, renewable natural fiber.
- 6' diameter
- 8' diameter
- Shedding of loose fibers is normal and will diminish with regular vacuuming.
- Due to the natural fibers and craftsmanship minor imperfections may appear in the weave. These are not defects but common occurrences in items of this nature.
- To prevent dust and crumbs from settling into your rug, vacuum regularly and/or shake.
- Do not pull loose ends. Clip them with scissors to remove.
- Keep away from excessive moisture.
- Blot spills immediately with a white cloth.
- Professional rug cleaning recommended as needed.
- Harsh chemicals may damage or fade rug.
- Use rug protectors under heavy furniture.
- For indoor use only.
- Shipping Info
This is a general shipping item.
View our Shipping Information
Customer Service - Shipping Information
Return Policy
At Pottery Barn, we take great pride in the quality and craftsmanship of our products. Attention to design, materials, safety and construction is our priority. We carefully inspect your order prior to shipment. Upon receipt, please inspect your purchase and notify us of any damage; we will arrange for a prompt replacement. If, within 7 days for Quick Ship upholstery and 30 days for all other products, you are dissatisfied for any reason, you may return your purchase for a refund of the merchandise value.
We cannot accept returns on monogrammed, personalized, special-order items, or on items damaged through normal wear and tear. We also cannot accept returns of final-sale items which are identified by a price which ends in .99.
For returns of items purchased from your Pottery Barn registry, we will gladly provide a refund or exchange for the merchandise within 90 days of your event or within 90 days of purchase, whichever date is later.
You may return merchandise through the mail for a refund or replacement. For detailed procedures for returning items through the mail, please contact Customer Service at 1.888.779.5176, 7 days a week, 5:00am - 9:00pm (PT).


text:
Mountain West goes to division setup, title game
Conference to have two six-team divisions
With 12 football schools next season after Boise State and San Diego State backed out of commitments to join the Big East, the Mountain West will have two six-team divisions, the Mountain and the West. The winners of the divisions will play in a conference title game on Dec. 7, 2013. The team with the highest BCS ranking will be the host.
The Mountain will include Air Force, Boise State, Colorado State, New Mexico, Utah State and Wyoming. The West will consist of Fresno State, Hawaii, Nevada, San Diego State, San Jose State and UNLV. The divisions were determined according to geography and rivalries.
Each team will play five divisional games and three opponents from the other division.
The conference also announced that there will not be a division setup for basketball.
Distributed by Internet Broadcasting and The Sports Xchange. This material may not be published, broadcast, rewritten or redistributed.


text:
- Made to fit with latest Apple 85W MagSafe Power Adapter
- Excellent notebook protection
- Exterior rubberized soft-touch coating
- Precision cut-out features for trouble-free access to magnetic power cable, headphone and microphone input jacks, CD ROM drive, battery level check button and all side ports
- Vents and rubber feet elevate notebook away from surface, allowing notebook's internal fans to circulate air more freely
Compatible with the latest MacBook Pro our Hardshell Case features durable, injection-molded construction for excellent notebook coverage and a custom fit. With a frosted hardshell exterior, soft-touch coating, raised rubber feet, thermal vents and unobstructed access to all features, the Hardshell Case is the most sophisticated and discreet option in notebook protection.
Additional Information
Weight | 1.0000 |
Color | N/A |
Device Compatibility | Apple Macbook Pro 15 inch |
Category | Carrying Cases And Skins |
Model | CL57946 |
Manufacturer's Suggested Retail Price | $49.95 |


text:
Well, but we have Snowden, who is hero. However, USA is so corrupted and lying judged by today actions, that probably nothing can restore its image, ever.
Its one huge privately owned corporation that loves to mask itself behind worlds like "democracy" and "freedom", while bending its own facts in the background, regardless at what cost, and layering them on top of falsifications by completely controlled media and overwatched network.


text:
We think you're from click the flag above to confirm. You can change your region above any time for local news and competitions!
Cee Lo treated Chris Moyles to a special acoustic performance of 'It's OK' for his birthday!
Watch his performance HERE (click the fifth candle!)
Posted: Fri 18 Feb 2011
Loading tweets...
....believe I was born with this purpose. I love everyone, Lo - Bridges http://t.co/bDpLXMVv6VWed, 03 Sep 2014 05:55:08 GMT
This song is my absolute truth! It's all I ever wanted to be as an artist, man, and human being. I wholeheartedly...Wed, 03 Sep 2014 05:54:59 GMT
I truly and deeply apologize for the comments attributed to me on Twitter. Those comments were idiotic, untrue and not what I believe.Wed, 03 Sep 2014 03:19:12 GMT
Browse news archives:


text:
National Guard helicopters support firefighting efforts
Feather Publishing
8/22/2013 - 12:30
California National Guard crews CH47 and UH60, along with the assigned aircraft fuelers prepare for fog to lift over Quincy before deploying Chinook Helicopter No. 801 (as pictured), and Blackhawk 821 and 822. The Chinook can carry 2,000 gallons and the Blackhawks can deliver 660 gallons each. Water buckets are being filled at Crystal Lake. Photo by Samantha P. Hawthorne |
California National Guard air attack crews prepare to deploy Blackhawk 821 and 822 and Chinook Helicopter No. 801 at the Chester Air Attack Base for use on the Hough Complex fires, Aug. 22. Photo by Samantha P. Hawthorne


text:
View Full-Size Image |
100% Estate Grown Kona |
Price per Unit (9 oz.): $16.25 | ||
Coffees from Kona are famous as some of the finest cared coffees available. These high quality beans are roasted in small batches and immediately bagged to keep each roast as fresh as possible. |