text:
Connect.Parkinson: Connecting Individuals With Parkinson Disease to Specialists in Their Homes
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Connect.Parkinson is a randomized comparative effectiveness study, comparing usual care enhanced with educational materials to usual care, educational materials, and the delivery of specialty care via telemedicine into patient's homes. The study's specific aims are the following:
- To demonstrate the feasibility of using telemedicine to deliver specialty care into the homes of individuals with Parkinson disease who have limited access to care;
- To show that such an approach can improve quality of life;
- To establish that the telemedicine can enhance the quality of care; and
- To demonstrate that this remote approach to care saves time, reduces travel, and decreases care partner burden.
Condition | Intervention |
Parkinson Disease |
Other: Virtual Visits |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Health Services Research |
Official Title: | Using Technology to Deliver Multi-disciplinary Care to Individuals With Parkinson Disease in Their Homes: the Connect.Parkinson Study |
- Feasibility of Virtual Visits for Parkinson Disease [ Time Frame: One year ] [ Designated as safety issue: No ]Feasibility of virtual visits will be determined by the number of participants who complete at least one virtual visit successfully.
- Efficacy of care provided via virtual visits [ Time Frame: One year ] [ Designated as safety issue: No ]Assessed as the change in quality of life, measured by the Parkinson Disease Questionnaire 39 (PDQ-39).
- Overall Quality of Life [ Time Frame: One year ] [ Designated as safety issue: No ]We will measure the change in overall quality of life reported from baseline to the end of the study using the EuroQoL 5D-5L.
- Patient Global Impression of Change [ Time Frame: One year ] [ Designated as safety issue: No ]At the conclusion of the study, participants will be asked to describe how they feel their health has changed since the beginning of the study.
- Cognition [ Time Frame: One year ] [ Designated as safety issue: No ]We will assess changes in cognition from baseline to the end of the study using the Montreal Cognitive Assessment (MoCA), administered remotely.
- Parkinson disease severity [ Time Frame: One year ] [ Designated as safety issue: No ]Parkinson disease clinical characteristics will be assessed by a physician independent rater, blinded to treatment group, at baseline and at the conclusion of the study, using the Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS).
- Quality of Care [ Time Frame: One year ] [ Designated as safety issue: No ]We will assess change in the perceived quality of care using the Patient Assessment of Chronic Illness Care (PACIC).
- Value to patients and care partners [ Time Frame: One year ] [ Designated as safety issue: No ]We will assess value to patients and caregivers using questions about time and travel to Parkinson disease appointments, as well as healthcare resource utilization (including hospitalizations and other visits).
- Care partner burden [ Time Frame: One year ] [ Designated as safety issue: No ]Measured as the change in the Multidimensional Caregiver Strain Index (MCSI).
Estimated Enrollment: | 480 |
Study Start Date: | March 2014 |
Estimated Study Completion Date: | May 2016 |
Estimated Primary Completion Date: | December 2015 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
No Intervention: Usual Care and Educational Materials
Participants with Parkinson disease will receive educational materials from the National Parkinson Foundation, complete a baseline assessment survey and virtual visit with a physician independent rater, then continue with their usual care in their communities for the duration of the study. After 12 months, they will have another virtual study assessment with an independent rater, after which they will receive a free, one-time virtual consultation with a Parkinson disease specialist in their state.
Experimental: Virtual Visits and Educational Materials
Participants with Parkinson disease randomized to the virtual visit intervention will receive educational materials from the National Parkinson Foundation, complete a baseline assessment and virtual study assessment with a physician independent rater, and then receive four virtual care visits with a Parkinson disease specialist in their state. Specialists will provide recommendations for care to participants and their designated local health care provider. At 12 months, these individuals will again be assessed by the independent rater, who will be blind to treatment assignment.
Other: Virtual Visits
Virtual visits will be completed using HIPAA-compliant video conferencing software from SBR Health and Vidyo, designed specifically for use in the healthcare industry. The software is available for Windows and Mac OS, as well as iOS devices (iPad and iPhone).
Other Names:
No Intervention: Care partners
Care partners will be enrolled with the participants for whom they care. Care partners will complete a survey at baseline and at the end of the study, including assessments of time and travel for assisting with Parkinson disease visits and the Multidimensional Caregiver Strain Index (MCSI).
Detailed Description:
Connect.Parkinson is a national study examining the feasibility and effectiveness of using video calls to bring expert Parkinson disease care directly into patients' homes. Currently, access to care for Parkinson disease is limited by distance, disability, and the distribution of doctors. Approximately 200 individuals with Parkinson disease (who due to distance, disability, disparity, or doctor distribution have limited access to care) will be randomized to one of two arms in this comparative effectiveness study. The first (control) arm will be the individual's "usual care" supplemented by educational materials on their condition. This usual care may include care from a generalist, care from a neurologist, or in-person care from a Parkinson specialist. The care received by the control group will vary but will be an accurate reflection of usual care in this country. The second (intervention) arm will be usual care supplemented by educational materials and care from a Parkinson disease specialist delivered via web-based video conferencing into the patient's home. The participants will also be asked with they have a primary care partner, and care partners will be invited to enroll, for a total of approximately 400 participants.
Ages Eligible for Study: | 30 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Individuals with clinically diagnosed Idiopathic Parkinson disease in the judgment of the independent rater
- No better alternative explanation for the parkinsonism
- Access to a non-public, internet-enabled device (e.g., computer, tablet computer, smart phone) that has the capacity for web-based video conferencing
- Be physically located at time visits are conducted in a state where the participating physician is licensed to practice medicine
- Have a local care provider that the study team can contact
- Live at home, in a senior housing complex, or assisted living facility
- Be fluent in English (all participating states) or Spanish (participants in Florida and Massachusetts only)
- Willing and able to provide informed consent
- Care partner (if applicable) must be able and willing to provide informed consent to participate if he or she so chooses.
Exclusion Criteria:
- Currently hospitalized
- Condition (e.g., prominent psychosis) that precludes study participation as identified by the medical professional (site investigator or nurse).
- Participation in another telemedicine study.
Please refer to this study by its ClinicalTrials.gov identifier: NCT02038959
Contact: Meredith A Achey, BM | 5852766825 | firstname.lastname@example.com |
United States, California | |
University of California San Francisco | Recruiting |
San Francisco, California, United States, 94143 | |
Principal Investigator: Nicholas B Galifianakis, MD | |
Principal Investigator: Caroline M Tanner, MD, PhD | |
Principal Investigator: Maya Katz, MD | |
The Parkinson's Institute and Clinical Center | Not yet recruiting |
Sunnyvale, California, United States, 94083 | |
Principal Investigator: James Tetrud, MD | |
United States, Florida | |
University of Florida | Not yet recruiting |
Gainsville, Florida, United States, 32610 | |
Principal Investigator: Ramon Rodriguez, MD | |
University of Miami | Recruiting |
Miami, Florida, United States, 33136 | |
Principal Investigator: Carlos Singer, MD | |
United States, Georgia | |
Georgia Regents University | Recruiting |
Augusta, Georgia, United States, 30912 | |
Principal Investigator: John Morgan, MD, PhD | |
Sub-Investigator: Kapil D Sethi, MD | |
United States, Illinois | |
Northwestern University | Recruiting |
Chicago, Illinois, United States, 60611 | |
Principal Investigator: Cindy Zadikoff, MD | |
United States, Kansas | |
University of Kansas Medical Center | Recruiting |
Kansas City, Kansas, United States, 66160 | |
Principal Investigator: Rajesh Pahwa, MD | |
United States, Maryland | |
Johns Hopkins | Recruiting |
Baltimore, Maryland, United States, 21287 | |
Principal Investigator: Zoltan Mari, MD | |
United States, Massachusetts | |
Beth Israel Deaconess Medical Center | Recruiting |
Boston, Massachusetts, United States, 02215 | |
Principal Investigator: Ludy Shih, MD | |
Massachusetts General Hospital | Recruiting |
Boston, Massachusetts, United States, 02114 | |
Principal Investigator: Nicte Mejia Gonzalez, MD | |
United States, Minnesota | |
Struthers Parkinson Center | Recruiting |
Golden Valley, Minnesota, United States, 55427 | |
Principal Investigator: Martha A Nance, MD | |
Sub-Investigator: Sotirios Parashos, MD | |
Sub-Investigator: Daniel Kuyper, MD | |
The Mayo Clinic | Not yet recruiting |
Rochester, Minnesota, United States, 55905 | |
Principal Investigator: Anhar Hassan, MB BCh | |
United States, New York | |
Northshore Long Island Jewish - Feinstein Institute | Recruiting |
Manhasset, New York, United States, 11030 | |
Principal Investigator: Andrew Feigin, MD | |
University of Rochester Medical Center | Recruiting |
Rochester, New York, United States, 14642 | |
Principal Investigator: Irene Richard, MD | |
Sub-Investigator: Rachel Biemiller, MD | |
Sub-Investigator: Kevin M Biglan, MD, MPH | |
United States, North Carolina | |
Duke University Medical Center | Recruiting |
Durham, North Carolina, United States, 27710 | |
Principal Investigator: Patrick Hickey, DO | |
United States, Oregon | |
Oregon Health & Science University | Recruiting |
Portland, Oregon, United States, 97239 | |
Principal Investigator: Julie Carter, RN, MS, ANP | |
United States, Pennsylvania | |
University of Pennsylvania | Recruiting |
Philadelphia, Pennsylvania, United States, 19104 | |
Principal Investigator: Meredith Spindler, MD | |
United States, South Carolina | |
Medical University of South Carolina | Recruiting |
Charleston, South Carolina, United States, 29425 | |
Principal Investigator: Christina Vaughan, MD | |
United States, Texas | |
Baylor College of Medicine | Recruiting |
Houston, Texas, United States, 77030 | |
Principal Investigator: Joohi Jimenez-Shahed, MD | |
United States, Washington | |
Northwest Neurological, PLLC | Recruiting |
Spokane, Washington, United States, 99202 | |
Principal Investigator: Jason L Aldred, MD |
Principal Investigator: | E. Ray Dorsey, MD, MBA | University of Rochester |
Additional Information:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Ray Dorsey, Director, Center for Human Experimental Therapeutics; Professor of Neurology, University of Rochester |
ClinicalTrials.gov Identifier: | NCT02038959 History of Changes |
Other Study ID Numbers: | AD-12-11-4701 |
Study First Received: | January 8, 2014 |
Last Updated: | March 19, 2015 |
Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Rochester:
Parkinson disease Parkinson's Parkinson's disease telemedicine |
virtual visits video calls video conferencing virtual house calls |
Additional relevant MeSH terms:
Parkinson Disease Basal Ganglia Diseases Brain Diseases Central Nervous System Diseases |
Movement Disorders Nervous System Diseases Neurodegenerative Diseases Parkinsonian Disorders |
ClinicalTrials.gov processed this record on May 04, 2015


text:
The Red Sox put together one of their more disappointing seasons in years, but one person who excelled throughout all of the madness was NESN's Jenny Dell.
Jenny wanted to take some time following the Red Sox' final road trip in New York to show her appreciation for how welcoming everyone in Red Sox Nation has been throughout her first year at NESN. She also wanted to thank those working behind-the-scenes to support her, and she expects many more memories to come.
Check out Jenny's message to Sox fans in the video above.
© 2015 New England Sports Network. All Rights Reserved. All photos © 2015 Associated Press and NBA photos © 2015 Getty Images unless indicated. Any commercial use or distribution without the express written consent of Associated Press is strictly prohibited.
All sports statistics © 2015 STATS LLC unless indicated. Any commercial use or distribution without the express written consent of STATS LLC is strictly prohibited.
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subset: commoncrawl


text:
Biography of John White
FROM: History of Livingston County,
New York
By James H. Smith
Assisted by Hume H. Cole
Published By D. Mason & Co. 1881
JOHN WHITE. John White was born in the town of P i qua, Northumberland county, Penn., December 25, 1788. In 1794, his parents
with their family emigrated to the town of Lima, where they lived for four years, then purchased and removed to
a farm, (long know as the Rambeau farm,) one and a half miles southeast of the village of Geneseo. In these boyhood
days Indians were often his companions in the games of wrestling and ball playing.
In 1805 while yet but a youth he started out for himself and began the battle of life in earnest. In company with
a brother and a friend he followed the Indian trail westward to the Holland Purchase" where each purchased
a farm in the unbroken forest, but all living together for a year in a rude log-cabin doing their own house-work,
and furnishing their cabin in the style of those days. Split bass-wood logs fastened on standards of different
heights serving for tables and chairs, and maple wood dishes were their only supply.
He cleared a portion of his farm and built a house and on Jan. 6th, 1807, was united in marriage with Miss Anna
Griffith of Geneseo. In 1808 he united with the M. E. Church and from that time forward his religious faith and
principles controlled him in all the duties and relations of life. In 1813 he returned to this vicinity and bought
the farm in Groveland, on which he resided for 62 years. Thus did he become identified with the early settlement
and material prosperity of the town where so great a portion of his life was spent. He held for many years the
various offices within the gift of his townsmen, truly the gift for he never solicited a vote nor even voted for
himself, and in the discharge of these duties his record is of one who did his work well and honorably.
In 1826, he assisted in the organization of the M. E. Church at East Groveland, was elected trustee and class-leader,
which offices he held until his death. In the same year he with Lemuel B. Jennings donated a lot of five acres
to be occupied as a parsonage ground, and it is still used for that purpose. He was the first farmer in Groveland
to break away from the then prevailing custom of providing ardent spirits for his laborers, while to protect the
pioneer temperance lecturer in his work he has even interposed his own powerful physical frame as a barrier in
the door against the enemies of the temperance cause.
Firmness of purpose and perseverance in d u t y characterized him in every position he was called to occupy. He
died in Geneseo at his home with his only remaining child Joseph E. White, June 27th, 1880, in the 92d year of
his age.
Return to [ Livingston County Bio's ] [ New York History ] [ Online Biographies
] All pages copyright 2009. All items on this site are copyrighted by their author(s).
These pages may be linked to but not used on another web site. Anyone may copy and use the information provided
here freely for personal use only. Privacy


text:
Mission : Provide the best business consulting in the areas of IT Services which includes development, consultancy and training solutions that enable businesses to excel with innovation and deliver the highest values to our clients. Vision : To be the best solutions providers in Information Technology and related services with our customer's enthusiasm through continuous improvement driven by the integrity, teamwork, and innovation of team Logipro.
Logipro offers total staffing and cutting-edge learning solutions to its customers. The Company`s expertise in strategic HR consulting, learning design, customised content, training delivery, hi-end technology training, testing & assessment and learning management enables large organizations to hire and train cost effectively and efficiently. Logipro facilitates customised solutions to its customers that meet their existing and emerging skills requirements. At Logipro, we are committed to deliver high performance solutions with the right blend of knowledge, skills and expertise. More than 13 years of experience and ever evolving hiring and training methodologies, gives us the unmatched edge that clients need. The range of services offered ensures a complete end to end solution for the Corporate Hiring and Training needs of our customers.


text:
DakStats is compatible with Windows XP, Windows 7 and Windows Vista.
* The DakStats Basketball install requires the installation of .Net Framework 3.5. If you have problems with the install, click here to troubleshoot.
* The Webcast download is included in the DakStats download for each sport, and is not a separate download.
GameCast Download DakStats Football GameCast * Click Here DakStats Football GameCast Manual Click Here DakStats Basketball GameCast* Click Here DakStats Basketball GameCast Manual Click Here * You must have the Webcast feature enabled in your Full version of DakStats to use this feature. Click Buy Now to purchase the Webcast feature if you do not already have it.
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text:
Thread: Letters
- Join Date
- Aug 2004
- Posts
- 28
Hey. I guess this is where I should write this. Today I came back from a really bad fire and it got me thinking about what would of happened if I didnt come back. Two story, three alarm blaze, was doing search on second floor, the floor gave out, and I fell through the floor, set off the PASS, and was pulled out in less than 1 min. Went to er, they said i was ok, just have a little brusing on my leg. I sat done and started to write a letter to my fiance, parents, family, the guys at the house. I was going to give it to the chief to put in my file, my question is, is this wrong or am i over reacting or what? i know its kind of grimm and all but i think its better to be prepared.
I wrote similar letters to the wife and kids should something happen to me. It is in a sealed envelope that I have given to one of my closest friends to give to her should I not come home some day. It has my last requests and a few words of encouragement to maybe help ease their pain.
I am sure there are more of us than not, who have done something similar.
Glad to hear you are alright and feel free to PM me if you need to talk to someone.Stay alert and be safe.
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text:
All forms are available in PDF format unless otherwise denoted at the form listing. Most computers should be able to automatically open the documents, which are provided in PDF format . If you have trouble viewing a PDF, you may need to download the Adobe Acrobat Reader to view and print these PDF documents.
Safety/Service |
Safety/Service | |
Application for Public Gathering Parade Procession Public Meeting Marathon Block Party Other Public Gathering |
Application for Seasonal Employment | |
Carnivals, Circuses & Festivals Applications | |
City of Lorain Employee Manual - October 2012 | |
CRA Application for 2015 The City of Lorain's Department of Public Safety/Service will serve as the responsible department for the processing of Community Reinvestment Area (CRA) applications within the five (5) CRA Zones located throughout the City. CRA applications will only be accepted during normal business hours, Monday through Friday between 8:30 a.m. and 4:30 p.m., the first week of each calendar month. |
Garage Sale Permit Application | |
Street Vendors/Peddlers License |


text:
You can find your exam results on the Wits self-service system. Publication of examination results will be published by your Faculty. Latest date for publication of exam results are as follows: EBE publication dates normal examinations (2014): The following appeals will be considered by the Witsl Readmissions Committee (WRC) on: Please note that we do not publish mid-year examination results. These are published by individual schools/departments and are largely regarded as unconfirmed until the end of the year. . Deferred and/or supplementary examination results can also be accessed from this page once they have been confirmed and published. If you have been excluded (code MRNM) you may want to appeal the decision by applying to the Wits Readmissions Committee (WRC). If so, the following is for your information. WRC Readmissions Outcomes Students must complete forms A,B (if applicable) and F when they submit their applications to the faculty. Please be advised to print form A single sided to accomodate for the tear-off slip. Should you need help in completing WRC form(s) you can consult members of the Faculty or School Student Councils, the SRC or the Faculty Office.
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text:
The roof of this Arkadelphia middle school collapsed after heavy rains, leaving the building and it's contents completely soaked in water. Temporary classrooms were constructed in the auxiliary gym and band building.
Goza Middle School
tagged Water DamageServices Provided:
- Emergency Service
- Water Extraction
- Structure Drying
- Structure Cleaning
- Structure Repair
- Secure Content Storage
- Temporary Classroom Construction


text:
Report in Circulation urges a closer look at cardiotoxicity of cancer drug trastuzumab (Herceptin)
...e, like many cancers, is a progressive disease and mortality remains high despite improvement in symptoms, writes Dr. Feldman. According to the report, the warning label in the package insert suggests that the drug should be discontinued in patients with a "clinically significant" decrease in ventricular funct...Kidney transplant proposal reduces wait from 24 to 14 months, improves equity for blacks & women
...imes until transplantation because they have lower mortality rates as dialysis patients, they have a blood type...Caucasians because they are younger and have lower mortality rates while waiting for an available organ transplant. This higher likelihood of transplantation all......emy of Sciences. Sepsis has a 30 to 50 percent mortality rate and is the leading cause of death in non-coronary intensive care units. Septic shock represents an extreme situation in which the body's immune system goes into overdrive and attacks an infection with all possible means. Damaged in the process...Novartis receives FDA approval for LESCOL XL 80 mg
...ESCOL or LESCOL XL on cardiovascular morbidity and mortality has not been determined....Injured children have higher survival rates at pediatric trauma centers than at adult trauma centers
...treated at adult trauma centers. For instance, the mortality rate for all pediatric injuries was 3.6 percent at pediatric trauma centers, compared to 8 percent at level I adult trauma centers, and 4.7 percent at level II adult trauma centers (level I indicates more comprehensive services than level II). Furth...Mammography programs show benefit
...cer screening by mammography reduces breast cancer mortality by up to 40% in women aged 50-69 years. These results led 22 countries, including Canada, to established population-based screening programs by 1998. In this issue of CMAJ, Dr. Franoise Bouchard and coworkers report on the 1996 screening results for...Claims-based measurement shows many Medicare patients do not receive necessary care
... delaying care, poorer health outcomes, and higher mortality rates. The recent push for cost containment in health care -- including managed care, fee restraints, and utilization review - has introduced the possibility that even fairly mainstream insured populations may encounter barriers to use of needed ser...AstraZeneca reaffirms belief in CHARM study
... significant effects of an AT1-receptor blocker on mortality and morbidity in patients with heart failure when ...sition Atacand as the therapy capable of improving mortality and morbidity in patients with heart failure. The RESOLVD pilot study3 demonstrated that Atacand in...Post-cesarean delivery dilemma: to cesarean again, or not?
...uptures and rupture-related neonatal morbidity and mortality also increased during that period and several high...e most recent available estimates of morbidity and mortality rates for mothers and babies associated with trial of labor compared to elective repeat cesarean del......he model has been validated by comparing predicted mortality against actual mortality and has been shown to predict outcomes within two percent. The National Center for Quality Assurance...O.R. model could reduce high death rate among kidney dialysis patients by up to 20%
...dney dialysis patients could reduce America's high mortality rate for those with the disease while containing b...s. Experts suggest two explanations for the higher mortality rate: one, the larger number of critically ill patients accepted for treatment in the US compared to...Common heart failure drugs can be safely used at higher, more effective doses, study says
...tors have been proven in clinical trials to reduce mortality in heart failure patients, a majority of physicians who prescribe these drugs use lower doses than were shown to be effective in clinical trials, Massie said. These doctors have been concerned that the drugs might dangerously lower patients' blood p...Diabetics at greatest risk of complications after re-opening arteries
...ix months after PTCA was associated with increased mortality most notably in a subgroup of diabetic patients w...levance, and is one of the strongest predictors of mortality in the diabetic population, regardless of the usual risk factors like age, left ventricular ejection...Teenagers, drinking and driving: a quick trip to the grave
...-year-old youth in the United States, according to mortality data from the National Center for Health Statistics. More than one quarter of the drivers killed in crashes had been drinking. While all school-based alcohol prevention programs strive to minimize alcohol use and/or misuse, little is known about th...Study: Ripped aortas kill often, but new knowledge may aid survival
... the first branch leading to the arms, the overall mortality of 11 percent was higher than expected. But the study doesn't include enough data on how patients with different symptoms, risk factors and treatment fared to allow doctors to make an accurate model of patient survival that could guide future treatme...... ribavirin. MELD scoring system not predictive of mortality in patients waiting for liver transplantationThe M...age Liver Disease (MELD) has been shown to predict mortality in patients undergoing transjugular intrahepatic portosystemic shunt surgery and in those with cirrh...HRT pills, patches and heart disease risk factors
... examine whether HRT reduces risk of morbidity and mortality in women without preexisting coronary disease are not yet available. Furthermore, the relatively recent introduction of the estrogen patch means that its long-term impact on the risk of coronary events in postmenopausal women is also unknown. Until...UC Davis study: fewer Californians dying of lung cancer, pulmonary disease as smoking decreases
...ent in 1988. For his study, Leistikow scrutinized mortality statistics from the federal Centers for Disease Control and Prevention for 1979-97. Although age-adjusted lung cancer rates declined nationwide late in that period, declines in lung cancer rates were disproportionately high in California. "Lung can...Beta-blocker shown to be ineffective in patients with advanced heart failure
...EST study is that bucindolol reduced all causes of mortality by 10 percent, it was not a significant reduction....nonblacks had a nominally significant reduction in mortality while taking bucindolol, while black patients did not. The black patients enrolled in the study were......e alone or in combination with surgery in reducing mortality in this population. "The percentage of Americans who have been diagnosed with diabetes has doubled over the last 20 years, and that trend is expected to continue, partially due to the increase in obesity and sedentary lifestyles, said Katherine Detre...


text: Mojave National Preserve Pin Code: M0041 Member Price: $4.26 Non-Member Price: $4.99 This attractive collectible pin features a full-color enamel front display and a nickel-finish reverse with a butterfly clutch attachment to securely attach to a surface. Each pin measures approximately 1" x 1˝". Quantity: Related Item(s) Mojave National Preserve Code: M0100 Author: Matthew Jaffe Publisher: Western National Parks Association ISBN: 9781583690406 Soft cover: 16 pages, 7 3/4" x 10". Member Price: $4.23 Non-Member Price: $4.95 Mojave National Preserve Patch Code: M0040 Member Price: $3.41 Non-Member Price: $3.99 Mojave National Preserve Magnet Code: M0042 Member Price: $3.41 Non-Member Price: $3.99 Mojave National Preserve Hiking Staff Medallion Code: H1182 Member Price: $4.26 Non-Member Price: $4.99 Mojave National Preserve Decal Code: M1067 Measures approximately 2˝" x 3˝" Member Price: $1.67 Non-Member Price: $1.95


text:
Anyone who has written a web application has probably experienced the cost of doing a database round trip for fetching a result set everytime a web user loads a page. In fact, handling a page request may involve more than one queries (imagine 20 drop-down boxes, each of which must be populated). A fix to this problem is caching frequently requested result sets in memory to avoid the database round trip. The cache can be invalidated periodically get a more recent version of the actual data. This technique seems to work fine if the data is not updated frequently and the application does not really need the result sets to be fresh. What would be ideal in this case is for the database to notify the cache when it gets dirty so that the application can fetch the updated result set on demand. Most database engines have the infrastructure for making this possible and it is used for maintaining materialized views. SQL Server 2005 provides a mechansim to hook into this plumbing in order to allow external applications to be notified when views are invalidated. The feature is called Query Notification.
The figure above shows typical interactions for the desired behaviour:
Query notifications use Service Broker underneath to send notification messages to a subscribed service. You can subscribe for query notifications and have a custom message be sent back in the body of the notification when the query's results are invalidated. The notification message looks something like this:
<qn:QueryNotification xmlns:qn="http://schemas.microsoft.com/SQL/Notifications/QueryNotification" Type="change" Source="data" Info="insert"> <qn:Message>http://rushi.desai.name/catalog.aspx?Category=Software</qn:Message></qn:QueryNotification>
The <qn:Message/> element contains the custom payload and could be a URL, a GUID or anything you like. I tried to create a sample web application that caches result sets and uses query notifications for maintaining coherency. I have built web-apps in the past using PHP and Java Servlets, but ASP.NET is completely new territory for me. So I'm sure there are better ways of doing this. While looking at ASP.NET and ADO.NET, I realized there are at least half a dozen ways of using query notifications -- from the simplest that require no lines of code, just some declarations:
<form id="form1" runat="server">
<asp:GridView ID="grdItems" Runat="server"
<asp:SqlDataSource ID="SqlDataSource1" Runat="server"
ConnectionString="<%$ ConnectionStrings:mySqlServer %>"
SelectCommand="SELECT i.Name as Item, i.UnitPrice as UnitPrice, c.Name as Category FROM dbo.Item i JOIN dbo.Category c ON i.CatId=c.CatId ORDER BY i.Name"
to actually implementing the service that receives the notifications. This article by Bob Beauchemin goes into the details of using Query Notifications in ADO.NET 2.0.
But for our sample, we do not use ASP.NET's Cache object just in order to illustrate how the plumbing works underneath. I want to cache the result set in the Application's context and so I add it to the Application.Contents hashtable. We begin with the Global.asax file that actually implements the caching logic as below:
<script runat="server">
void Application_Start(Object sender, EventArgs e)
void Refresh()
using (SqlConnection conn = new SqlConnection(
// Construct the command to get Items data
SqlCommand cmd = new SqlCommand(
"SELECT i.Name as Item, i.UnitPrice as UnitPrice, " +
"c.Name as Category FROM dbo.Item i JOIN " +
"dbo.Category c ON i.CatId=c.CatId ORDER BY i.Name",
// Create a dependency on this query.
SqlDependency dependency = new SqlDependency(cmd);
// Register the event handler which will be called
// when the base tables are updated.
dependency.OnChanged +=
new OnChangedEventHandler(Dependency_OnChanged);
SqlDataAdapter adapter = new SqlDataAdapter();
adapter.SelectCommand = cmd;
DataSet ds = new DataSet("MyDataSet");
adapter.Fill(ds, "Items");
lock (Application)
Application.Contents["ds"] = ds;
// To ensure that object is not garbage collected
Application.Contents["dep"] = dependency;
private void Dependency_OnChanged(object sender,
SqlNotificationEventArgs e)
The key idea is to create a SqlDependency object with the appropriate event handler to bind to the SqlCommand. When the command is executed, the user subscribes to the query notification. SqlDependency uses a default stored proc that is internally activated. The stored proc uses a TCP or HTTP channel to actually fire an event in the client process. In our event handler, we re-fetch the result set and register another SqlDependency.
The front-end webpage could simply use the object from the cache as follows:
<%@ Page Language="C#" ClassName="qncache_aspx" Debug="true" %>
<%@ Import Namespace="System.Data.SqlClient" %>
<%@ Import Namespace="System.Data" %>
private DataSet ds;
public void Page_Load()
DataSet ds;
ds = (DataSet)Application.Contents["ds"];
if (ds != null)
grdItems.DataSource = ds.Tables[0];
<title>Output Cached Items</title>
<asp:GridView ID="grdItems" Runat="server" />


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02-01-2009, 09:56 AM | #1 (permalink) |
Posts: n/a
Question about snap in bindings?
I think they are called snap-in bindings. I'm talking about those snowboards that have a metal thing on them to snap onto instead of the typical bindings. I had a few questions onthem:
Do they release when you fall? Why do I rarely see anyone use them? Does anyone here use them? Anything better about them as compared to a normal board? |
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02-01-2009, 10:11 AM | #2 (permalink) |
Veteran Member
Join Date: Jul 2007
Location: Beech Grove, Indiana *sigh*
Posts: 4,168
They CAN. Which is why leashes are required when using them.
They're sort of old fashioned. Because of the fact that they can release, they can result in injury more easily. If one leg releases you could twist your knee, if both release your board could run away if not leashed to you. Some people debate the need for highbacks, but straps are considered better for transferring power to the board and keeping it attached to you. I used them a couple times on rentals. I had a really hard time with them. They were convenient, but they felt very loose and I was never in great control. That could be because they were rentals, but I would not buy them. Convenience is the only thing I can think of. But it isn't worth the other numerous trade-offs. |
02-01-2009, 10:46 AM | #3 (permalink) |
Senior Member
Join Date: Jan 2009
Location: Minnesota
Posts: 354
I used to ride a set of Burton step-ins which had a highback, I did enjoy them. They were not designed to release on their own and never did. I guess the reason I chose to switch to strap bindings is they just seem more secure. Once you get used to straping in with your bindings it really doesn't take that much longer than the step-ins do anyway.
02-01-2009, 11:07 AM | #4 (permalink) |
Join Date: Jan 2009
Location: Berkshires
Posts: 3,212
Step-in bindings suck compared to normal strap-ins. You don't have the stiffness, feedback, or response. I've tried them, it just doesn't compare. Burton tried their own system a few years ago only to discontinue them. If Burton can't shovel their step-ins off on the kids who would normally pay $99.99 for an authentic box of dog shit with a 'B' on it, they have to be real garbage.
Step-ins do have the speed and convenience factor, they also have a small, loyal following, but performance-wise, they simply aren't competitive. This is why you see fewer and fewer of them each year. The reason most rental shops use the old switch system (type of step-in) is b/c of the versatility (you generall don't have to switch plate sizes depending on the renter's boot size), the durability (no straps or ratchets to break), and the fact they've already got a lot of money sunk into establishing it as their rental system. |
02-01-2009, 11:19 AM | #5 (permalink) |
Posts: n/a
Thanks for everyone's replies! You answered my questions very well. I used those step-in bindings (as they are called apparently) my first day snowboarding last year. They were a rental and yeah they sucked. I should'nt even acknowledge that day as my first day of boarding since I never got down the hill or turned my board. It was a very painful day.
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OMAHA, Neb – A 15-year-old boy told a school counselor that his 41-year-old mother would make him have sex with her nightly when he lived with her in Omaha. The alleged abuse happened in 2008 and 2009 when the boy was in 7th and 8th grade. The boy told police his mother was addicted to prescription drugs at the time of the sexual assaults. His mother was arrested Monday and charged with first-degree sexual assault. She made an initial appearance Wednesday in Douglas County Court and her bond was set at $30,000. The boy's father told Omaha television station WOWT this week that he had previously had a feeling something was wrong, but didn't learn about the alleged abuse until a few weeks ago. He said his son is receiving counseling. Some video after the jump.
A cookie to whoever guesses what horror movie the image I used came from.


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DALLAS — A day after saying Iowa State's four-point loss to Oklahoma probably just angered the Sooners, it took 20 minutes for Missouri coach Cindy Stein's worst-case scenario to play out right in front of her.
Oklahoma had no problems getting past the Tigers with a 75-54 victory on Thursday in the Big 12 Conference Tournament semifinals at Reunion Arena.
For all intents and purposes, the Tigers' run in the tournament was over by the end of the first half. Oklahoma (28-4) dominated on its way to a 29-point lead at the break.
For all of the talk before the game surrounding how to stop Courtney Paris, the Sooners' freshman sensation, Missouri's early defensive focus was too narrow to stop the onslaught. It wasn't just Paris who couldn't be stopped. Missouri got burned by anyone wearing an Oklahoma jersey and the Tigers fell behind 13-0 in the first five minutes.
All season, Oklahoma's strength has been forcing teams to choose between covering Paris with one player, or doubling her while leaving Oklahoma's guards wide open for jump shots.
"They took that game plan and threw it right out the window in the first five minutes," Stein said. "But that's a credit to how good they are."
It was the Tigers' largest first-half deficit of the season and left everybody on the team scratching their heads and wondering how the game, and a chance to play for an automatic bid into the NCAA tournament, got away so quickly.
"Just wish we could have it over again and start all over," LaToya Bond said about the first half.
It was a frustrating first appearance for the Tigers in the tournament semifinals. Shot after shot clanked off of the rim or missed the hoop altogether. Frustration turned into disappointment with Oklahoma practically scoring at will.
Carlynn Savant said the first half wasn't the worst she's experienced in her three seasons as a Tiger, but it was pretty close.
"You hope things turn around," Savant said. "They don't. It's a very difficult position to be in, because you try to be positive and tell the other girls that it's OK. But then things keep happening and it's not OK."
When asked why her team fell behind so fast, it only took six words for Savant to sum up the Tigers' night.
"Their defense, their offense, their game," she said.
Tiffany Brooks led all scorers with 24 points. But the balance the Tigers showed by putting all five starters in double figures against Texas Tech was absent. Bond, Savant, Christelle N'Garsanet and EeTisha Riddle combined to shoot a paltry 4-for-23 from the field.
"They play a 3-2 zone and we just weren't moving on offense," Bond said. "We became very stagnant and just didn't get any open looks."
Missouri will have to sweat out the next few days before learning of its postseason fate at 6 p.m. on Monday. Stein reiterated that she thought her team was worthy of an NCAA tournament bid. But waiting is all Missouri can do now.


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Max Occupancy: 6 guests (up to 5 children, 2 infants)Newly renovated full service hotel in South Edmonton
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All 237 rooms were renovated in 2013 and feature new Delta MODE room products, such as SmartDesk, 37-inch HDTV, cordless phone, iHome docking station, complimentary Internet (XL), coffeemaker, and Sanctuary bedding.
Information missing or incorrect? Tell us!Hotel Amenities
Hotel Amenities
At Delta Edmonton South, an atrium with floor-to-ceiling windows houses an indoor splash pool and spa tub. A fitness center is on site. 4404 Restaurant features regional fare and a Starbucks coffee bar, while Aurora Lounge serves appetizers and fine spirits. Room service is available 24 hours a day. There are 13,000 sq feet (1,208 sq meters) of meeting and event space on site, including a pillarless ballroom that accommodates 2,000 guests, with event catering and audiovisual equipment available. Complimentary high-speed Internet access and printing are available in the hotel's 24-hour business center. The hotel offers free self parking, valet parking (surcharge), and luggage storage.
- Indoor pool
- Spa tub
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- Free newspapers in lobby
- Fitness facilities
- Bar/lounge
- Restaurant
- Coffee shop or café
- Breakfast available (surcharge)
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- Business center
- Porter/bellhop
- Express check-out
- 24-hour front desk
- Multilingual staff
- Express check-in
- Safe-deposit box at front desk
- Total number of rooms - 237
- ATM/banking
- Gift shops or newsstand
- Dry cleaning/laundry service
- Fireplace in lobby
- Elevator/lift
- Number of floors - 11
- Wedding services
- Shopping on site
- One meeting room
- Valet parking (surcharge)
- Luggage storage
- Free self parking
- Smoke-free property
Family Friendly Amenities
- Indoor pool
- Free Wi-Fi
- Rollaway/extra beds available
- Refrigerator
- Microwave (on request)
Available in all rooms: Free WiFi , Free wired high-speed Internet
Free self parking, Valet parking (surcharge)
Room Amenities
- Room service (24 hours)
- Blackout drapes/curtains
- Air conditioning
- Phone
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- Rollaway/extra beds available
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- Cable TV service
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Where to Eat
4404 Restaurant - This restaurant offers casual, upscale dining in a contemporary setting featuring artwork by a local photographer and glass artist. It is open daily from 6 a.m., and features a full breakfast and a fine selection of lunch items, including sandwiches and salads. During the evenings, the 4404 Restaurant features a more intimate setting with quiet and semi-private dining areas. The menu includes beef, local bison, Arctic Char, blackened Mahi Mahi, gluten-free and vegetarian menus.
Starbucks - Located in the 4404 restaurant, this take-out coffee bar serves coffee drinks, pastries, and sandwiches from early morning until late evening.
Aurora Lounge - This stylish lounge features 4 flat screen TVs. Offering an extensive selection of scotch, beer on tap, premium spirits, and an a la carte menu. The lounge is open Monday to Friday starting at 4 p.m., Saturday at 3 p.m. and Sunday at 5 p.m., and is available for private events.
Nearby Things to Do
In addition to a 12-meter (40-foot) indoor splash pool and spa tub, guests have access to a 24-hour fitness room with cardio and strength-training machines, including a cross-trainer, four exercise bikes, and two treadmills.
The hotel is five km (three miles) from the North Saskatchewan River Valley, where a 40-km (25-mile) greenbelt of parks and pathways provides walking, cycling, and running in the summer and cross-country skiing in winter. Five km (three miles) from the hotel, Victoria Golf Course has an 18-hole, par 71 course, a tiered driving range, and a clubhouse with pro shop.
The recreational activities listed below are available either on site or near the hotel; fees may apply.
- Golfing nearby
- Cross-country skiing nearby
- Hiking/biking trails nearby
Hotel Policies
Check-in time starts at 3 PM
Check-out time is noon
Payment types
Pets allowed
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
- Valet parking fee: CAD 10.00 per night (in/out privileges)
- Pet fee: CAD 35.00 per week


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Statement From A.G. Schneiderman On Election Of Councilwoman Melissa Mark-Viverito As New York City Council Speaker
NEW YORK – Attorney General Eric T. Schneiderman issued the following statement on Councilwoman Melissa Mark-Viverito's election as New York City Council Speaker:
"I congratulate and look forward to working with Speaker Melissa Mark-Viverito, who will be an outstanding leader of the New York City Council in its mission to break down barriers to social and economic justice. I know that Melissa, as Council Speaker, will continue her grassroots activism, fighting to empower all New Yorkers and give a voice to the voiceless. I am confident that together with Mayor De Blasio's leadership we can build a city where we all rise together. I also want to congratulate Councilman Dan Gardonick, who I know will continue to serve with distinction as a leading voice for progressive public policy."


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Uncooled MWIR detectors and systems
Welcome to the website of New Infrared Technologies, the only company in the world manufacturing uncooled MWIR imaging FPAs and systems (3 – 5 microns, with an extended response from 1 – 3 microns).
NIT manufactures a whole line of products based on self-designed, self-produced single element detectors, linear arrays and imaging FPA. We also deliver customized detectors, sensors and systems (including OEM modules) to adapt our standard products to our customer's solutions. Our current product lines are:
- TACHYON SERIES: first uncooled MWIR imaging FPAs with ROIC monolithically integrated with the sensing material (digital interface for control and data acquisition)
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Our systems have very high-speed detection capabilities, ranging from 100 to 2000 frames per second in imaging systems, up to 20000 lines per second in scanning systems and 50000 samples per second in single element preamplifier modules.
NIT's systems' great performance at room temperature operation is assured by our customers who claim that 'NIT's detectors are the most stable uncooled MWIR detectors in the market'.
All our products are targeted to applications where the cost of the infrared sensing component is a key driver of the customer's final system development.
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I have been using Paterson plastic reels for nearly forty years. And like any piece of equipment used over a period like that you get to know its downsides as well as upsides. Starting again with something like stainless steel just means you start learning all over again, waiting for the fault, the slip, the cock up, because one day it will happen.
So what are the downsides of Paterson reels? Well, they need to be rinsed after using photoflo, or the balls and get gummed up. The upsides? They bounce.


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Released: Mar 01st, 2000
Running Time: 130, 119
Director: Ed Powers
Company: 4-Play Video
Jaroslava, Laura (I)
Critical Rating: Not Yet Rated
Genre: Pro-Am
Stock for fans of Ed Powers.
Ed has rounded up this batch of exquisite women from the Czech Republic. The beauties may not speak much English, but who's grading on verbal skills? These Czech women will make your customers long for an Eastern European vacation.
We know how much Ed loves to play in his videos; but when he steps back in scene two of Vol. 17 the real fire starts burning. Jaroslava and her companion pleasure themselves until they twitch and sweat, culminating in an amazing and believable orgasm scene that will leave your customers hot and horny.
Lucia "Lucy" Dark is featured in both volumes, doing a scene with Ed in Vol. 17 and with Faceless Fan in Vol. 18. In both cases, Lucy is the grand finale. In Vol. 18, Faceless provides a welcome change of studery, even with the pillow over his face.


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List of Final Bosses
this wiki
Cid: Oh, shut up and help me remodel the List of Final Bosses page! | Please expand this article into a full one. This can be done by for games with a series of final bosses fought in sequence, add links and context for these enemies, not just the very last one.. This request can be discussed on the associated discussion page. |
A Final Boss is the last boss in the main quest of the game. After its defeat, it is usually followed by a cutscene as an end to the main story. A common theme among the Final Bosses is that they wish to destroy all existence and return the world to a state of nothingness.
[show]Final FantasyEdit
The final boss of Final Fantasy is Chaos. When the Warriors of Light killed Garland, the Four Fiends sent him into the past. There, Garland absorbed their power to become Chaos and sent the Fiends of the past into the future, creating a time loop that granted Garland immortality. The Warriors of Light travel back in time to kill the original Four Fiends and ultimately destroy Chaos to close the loop.
Final Fantasy IIEdit
The final boss of Final Fantasy II is the Emperor. Having been killed by Firion and his allies, the Emperor was sent to hell, but he conquered the realm and was reborn as the King of Hell. Infiltrating the palace of hell, Pandaemonium, which the Emperor had raised over Palamecia, Firion killed him a second time, destroying his soul.
Final Fantasy II: Soul of RebirthEdit
The final boss of Soul of Rebirth is the Emperor of Heaven and the lord of Arubboth. He explains that when Firion and his allies killed him, his soul was split into two. The Emperor's "dark half" fell to Hell and acquired more power, while his light half - the Emperor they now see - ascended to Heaven. Knowing that this Emperor is no different from the other, Minwu, Josef, Scott and Ricard defeated the Light Emperor. As he dies, he tells them the struggles of violence and war will continue as long as humans exist.
Final Fantasy IIIEdit
The final boss of Final Fantasy III is the Cloud of Darkness. When Xande attempts to destroy the Crystals to freeze time so he would never die, he created an imbalance in light and darkness. This imbalance summoned the Cloud of Darkness, whose sole purpose is to return everything to nothingness when the balance is disrupted.
Though she initially killed the Light Warriors, they were revived and traveled to the World of Darkness, where they team up with the Warriors of the Dark to destroy the Crystals of the other world and destroy the Cloud of Darkness, restoring balance.
Final Fantasy IVEdit
The final boss of Final Fantasy IV is Zeromus. After Golbez and Fusoya combined their powers to destroy Zemus, his hatred for them and the people of the earth manifested as Zeromus, a being of pure malice. Cecil and his allies, empowered by the prayers and hopes of those on earth, use a Crystal to force Zeromus into a corporeal state and destroy him. However, Zeromus claims he cannot die, for he will exist as long as hatred lurks in the hearts of men.
Final Fantasy IV -Interlude-Edit
The final boss of Final Fantasy IV -Interlude- is Rydia?. Appearing within the Sealed Cave, Cecil and his allies mistake her for the real Rydia and take her to the Tower of Babil, where she gains the power to summon Rydia's Eidolons and then vanishes. Followed further up the tower she is revealed as an imposter by Edge and attacks the party with the Eidolons, eventually calling Bahamut. However, the real Rydia arrives to call Bahamut to his senses with the Mist Dragon, and the group defeat her.
Unbeknownst to the party the fake Rydia was the first Maenad, and her success prompts the Creator to mass-produce the Maenads in Rydia's image with the power of Black Magic and the art of summoning as she has.
Final Fantasy IV: The After YearsEdit
The final boss of Final Fantasy IV: The After Years is the Creator. It occupies the True Moon, which it utilizes as a vessel for interstellar travel. Concerned about whether or not evolution was a necessity and wishing to conduct experiments regarding the evolution of life, it created a host of Crystals capable of recording the history of a world and distributed them upon planets which held the promise of life, including the Blue Planet. It has since deemed the races of the Blue Planet failures and returned to reclaim the Crystals and exterminate all life on the planet.
The party confronts the Creator in a multitude of forms as its life support systems eventually malfunction and cause it to mutate and lose control of its senses. After the Creator's defeat, the party flees the True Moon as he attempts to destroy them, the Maenads aiding in their escape, and the True Moon departs the planet in peace.
Final Fantasy VEdit
The final boss of Final Fantasy V is Neo Exdeath. When Exdeath merged the two worlds together to unleash the powers of the Void, he entered its deepest depths and attempted to seize control of it.
The party first engages Exdeath in his true form as an evil, sentient tree, and upon his defeat Exdeath is consumed by the Void and transforms into Neo Exdeath. Upon his destruction the two generations of the Warriors of Dawn recreate the Crystals, splitting the world apart again so the Void can again be sealed away.
Final Fantasy VIEdit
The final boss of Final Fantasy VI is Kefka. Using the power of the Warring Triad, Kefka shifted the planet into the World of Ruin, destroying the world as its people knew it and ruling over civilization's ashes as a god. Deciding that the fate of all life is to be destroyed, Kefka makes it his goal to destroy the planet and all life on it.
The party first battles the Statue of the Gods, nine enemies divided among three tiers, in sequential order. After they are defeated, the party battles Kefka himself. With his destruction, the source of magic is gone and Magicite, Espers and magic vanish from the restored World of Balance.
Final Fantasy VIIEdit
The final boss of Final Fantasy VII is Safer∙Sephiroth. After using the Black Materia to call Meteor to hit the planet, Sephiroth prepares to absorb the Lifestream and become a god. The party descends into the Northern Cave and enters the planet's core where Sephiroth is containing Holy, the only force strong enough to stop Meteor and save the planet, to kill him and release Holy so it can do its work.
The player must first fight Jenova∙SYNTHESIS, the final Jenova spawn, before being drawn into the deepest part of the cave to engage Sephiroth as Bizarro∙Sephiroth. When it is defeated Safer∙Sephiroth emerges. After Safer∙Sephiroth is defeated, there is one final battle against Sephiroth fought one-on-one with Cloud, but is largely a scripted encounter and cannot be lost.
Before Crisis -Final Fantasy VII-Edit
The final boss of Before Crisis is Zirconiade. A so-called "Ultimate Summon", Zirconiade can only be summoned with four support Materia, in the meantime draining the life energy of AVALANCHE's leader Elfe, who had Zirconiade's Materia implanted in her hand by Professor Hojo. Fuhito, AVALANCHE's scientist, plans to use Zirconiade to eradicate all life on the planet and return their energy to the Lifestream so it can heal from Shinra's damaging influence.
With the combined efforts of the Turks, their former leader Veld, and Elfe's second-in-command Shears, the Turks gather the four support Materia, which are seized by Fuhito. Attempting to summon Zirconiade, Fuhito offers his own body as a sacrifice, transforming from the power surge from Zirconiade. With Fuhito killed, AVALANCHE enters a pocket dimension Zirconiade is emerging from and destroy it, saving the planet.
Dirge of Cerberus -Final Fantasy VII-Edit
The final boss of Dirge of Cerberus is Omega Weiss. When Deepground kills many innocents to call the strongest Weapon, Omega, it appears over Midgar. Believing the mass deaths are a sign the planet is dying, Omega prepares to gather the Lifestream and depart into space, leaving the planet a lifeless husk.
Omega was taken over by Weiss, the Deepground commander. Vincent Valentine, a human with the power of Chaos, goes inside the Weapon to fight Weiss directly. Vincent defeats them both, destroying Omega and saving the planet.
Crisis Core -Final Fantasy VII-Edit
The final boss of Crisis Core is Genesis Rhapsodos. Orchestrating a war against Shinra with Dr. Hollander to stop his degradation and find a cure for his condition, Genesis eventually retreats to the ruins of Banora where the Gift of the Goddess is found, which he believes is the cure he needs.
Channeling the power of a massive Materia deep in the Banora Underground, Genesis becomes Genesis Avatar, and upon being defeated is restored to his normal form. Human and cured of his degradation, Genesis challenges Zack to a final duel, and is struck down. There is a final enemy encounter after the battle, but it is scripted and the player's actions do not effect the outcome, so the battles with Genesis are the final challenge.
Final Fantasy VIIIEdit
The final boss of Final Fantasy VIII is Ultimecia. Manipulating the events of the present from the future to find Ellone and enact Time Compression, Ultimecia's ultimate desire is to absorb all time and space and become an omnipotent god. The party uses Ellone's power and Ultimecia's magic to enact and stall Time Compression, and they make their way into the future and arrive at her castle.
The player first battles Ultimecia in normal human form, and when defeated she summons Griever to battle the party. When Griever is defeated Ultimecia junctions herself to it, creating a hybrid of the two. When this fusion of Ultimecia and Griever is defeated, Ultimecia herself in her final form is fought. With her defeat, the timestream is restored and the party escapes back to their own time as Time Compression ends.
Final Fantasy IXEdit
The final boss of Final Fantasy IX is Necron. Distraught over his mortality and unwilling to let life continue without him, Kuja intends to destroy the Crystal that is the source of all life deep within Memoria. Necron takes this as evidence that all life exists only to die, and mankind is ready to accept this truth and return to nothingness, where they will not know the fear and despair that drove Kuja to such extreme lengths.
The party must first fight Trance Kuja. Upon his defeat he casts Ultima, killing the party and sending them to Necron's realm, the Hill of Despair, where Necron is fought.
Hades was originally planned to be the final boss of Final Fantasy IX, but was changed to an optional boss later in development. The concept artwork at right of the final battlefield shows the party fighting Hades instead of Necron.
Final Fantasy XEdit
The final boss of Final Fantasy X is Yu Yevon. The party enters Sin with intent to find Yu Yevon's spirit inside, which possesses any Final Aeon to destroy Sin and transforms it into a new Sin in an endless cycle. With the destruction of Yu Yevon, the party plans to bring about an Eternal Calm.
The player first engages Braska's Final Aeon, the most recent Final Aeon to become Sin, formed from Jecht ten years ago. With Jecht's death Yu Yevon begins seeking a new host. The player must summon Yuna's Aeons one by one, allowing Yu Yevon to possess them and then killing them. With all possible Aeon vessels gone, Yu Yevon himself is fought as the final boss. With his defeat, Sin is destroyed for good and Spira's cycle of death ends.
While Yu Yevon is the final boss fought, the battle with him and the preceding Aeon battles have the party under permanent Auto-Life, and Yu Yevon's focus on Gravija to attack makes him almost entirely unable to kill the party. Thus, though Yu Yevon is the final boss, Braska's Final Aeon is often considered the "true" final boss as the subsequent battles pose little challenge.
Final Fantasy X-2Edit
The final boss of Final Fantasy X-2 is Shuyin. A tormented spirit from Zanarkand a thousand years ago, Shuyin attempted to activate Bevelle's ultimate machina Vegnagun to end the war between Zanarkand and Bevelle before his lover Lenne was forced to fight.
The both of them killed, Shuyin remained as an unsent, his grief and hatred twisting his mind, and he came to desire to use Vegnagun to destroy all of Spira and end humanity's constant fighting and struggles. Fought deep in the Farplane after destroying Vegnagun, the Gullwings defeat Shuyin, and Lenne's spirit appears to him to soothe him and finally allow him to rest in peace.
Final Fantasy XIEdit
The original final boss of Final Fantasy XI is the Shadow Lord. Residing in Castle Zvahl, the Shadow Lord commands all the Beastmen to attack the three civilized nations, thus beginning the Crystal War. In truth he was a Galkan Talekeeper named Raogrimm, manipulated by the two Zilart princes and mysterious black magicite. As the heroes defeat him after his resurrection, he returns to his senses and apologizes for the chaos he has caused. However, the Zilart princes appear and summon the Ark Angels to kill him and the player.
Raogrimm then sacrifices himself to give the heroes enough time to escape. He is later met again in the dark world Dynamis, where he has once again been transformed into a being of destruction, the Dynamis Lord, under the influence of the dimension's dark energy. The player defeats him and he vows to become the protector of Dynamis for eternity, to ensure none of its creatures escape into the real world.
The Shadow Lord can also be fought as part of the Campaign in the past, where he is at his full strength and wears a suit of darksteel armor.
Rise of the ZilartEdit
The final boss of Rise of the Zilart is Eald'narche. Wanting to open the gates to paradise, he tries to stop anyone who would hinder his plans. Eldest of the two Zilart princes, he uses his mind reading abilities and started the Crystal War by manipulating the Shadow Lord, eventually using his memories to awaken the floating shrine Tu'Lia. He is defeated when he attempts to open the gates to paradise, which would in effect destroy Vana'diel.
Rise of the Zilart also expanded the national campaigns from the original in different directions after defeating the Shadow Lord. The final bosses of these expanded campaigns are Zeid for Bastok, Warlord Rojgnoj for San d'Oria, and Tatzlwurm and Yali for Windurst.
Chains of PromathiaEdit
The final boss of Chains of Promathia is Promathia. The Twilight God, he is chained and bound, completing his reign when Nag'molada, a Kuluu who longs to become a Zilart, wishes to learn the truth of creation. Defeated with the combined efforts of Prishe, Ulmia, Selh'teus, and others.
Treasures of Aht UrhganEdit
The final boss of Treasures of Aht Urhgan is Alexander. A massive Avatar summoned to bring the empire into a state of peace; however it was fated to duel with Odin, the Dark Divinity, and bring about Ragnarok. This cataclysmic threat was ultimately stopped when Grand Vizier Razfahd held back Alexander, and the Corsair Prince Luzaf restrained Odin, sending the two beings back to their realm.
Wings of the GoddessEdit
The final boss of Final Fantasy XI: Wings of the Goddess is Lilith Ascendant. Lady Lilith is the custodian of the true Vana'diel where the Crystal War still wages on. She aims to stop the goddess Altana from using Atomos to erase her reality from existence and replace it with a more peaceful Vana'diel where the war is over (the player's world). She transforms into Lilith Ascendant after absorbing the power of a Champion of the Dawn from Lilisette, her alternate self from the player's dimension.
A Crystalline ProphecyEdit
The final boss of A Crystalline Prophecy is the Seed Crystal. A sentient crystal from ages past, it was drawn to the world by the ancient song Memoro de la Ŝtono resonating within Emeline's heart. As the song itself prophesies destruction, the Seed Crystal seeks to return Vana'diel to the darkness from which it was born. It was banished by both the efforts of the player and the song's antiphon, the Ode of Life Bestowing, through the peoples' will to live.
A Moogle Kupo d'EtatEdit
The final boss of A Moogle Kupo d'Etat is Riko Kupenreich. A notorious loan shark, the player's mog house moogle had to take out a loan to cover fees. It was later revealed that he had come into contact with magicite, and entered into a deal with a corrupt real estate owner in a plot to gain ownership of all Mog Houses.
A Shantotto AscensionEdit
The final boss of A Shantotto Ascension is a double battle against Domina Shantotto and Belle Shantotto.
After Shantotto attempted to perfect a spell for inter-dimensional travel, she was drawn into another dimension with
the Shantotto of that realm crossing over to take her place while being splintered into two beings: Domina Shantotto and Belle Shantotto. Forming an army of Tarutaru to conquer Vana'diel and turn everyone into a Shantotto-clone, the two halves are stopped by the realm's true Shantotto and are convinced to return to their dimension to preserve the order of things.
The final boss of Abyssea is Shinryu, the Wyrm God and an evolved form of an alternate universe's Promathia.
Final Fantasy XIIEdit
The final boss of Final Fantasy XII is The Undying. Using the knowledge provided by Venat to manufacture nethicite, the Archadian Empire and Vayne conquer the Kingdom of Dalmasca and set their sights on the rest of Ivalice, antagonizing the neighboring Rozarrian Empire. The party confronts Vayne aboard his warship the Sky Fortress Bahamut to end the battle between the Archadian fleet and the resistance, which Rozarria would use as a pretense to declare war on Archadia.
The party first fights Gabranth, and after his defeat engages Vayne. When Vayne is wounded he transforms into Vayne Novus, summoning Sephira to aid him in battle. When Vayne Novus is defeated, Venat merges with Vayne's dying body to become The Undying. With Vayne and Venat destroyed, Basch, Princess Ashe, and Vayne's brother, Larsa, are able to convince the Archadians and the resistance to cease their fighting, narrowly averting a second war.
Final Fantasy XII: Revenant WingsEdit
The final boss of Revenant Wings is Feolthanos Exultant. The self-proclaimed god of the aegyl, he refused to submit to the Occuria and took his people to the floating city of Lemurés, sealing them off from the rest of Ivalice to avoid Occurian rule. When the Sun-Cryst was destroyed and the barrier around the city fell, Feolthanos used the Judge of Wings as a pawn to conquer Ivalice. When the party discovered Feolthanos's true intentions, they turned their attention to him and destroyed him, freeing the aegyl from his control.
Final Fantasy XIIIEdit
The final boss of Final Fantasy XIII is Orphan, the slumbering fal'Cie and the power source that keeps Cocoon afloat. It shares its ideology with Barthandelus in which one of the six l'Cie would become Ragnarok and kill Orphan, causing Cocoon to lose power and fall out of the sky, so that all of its inhabitants are sacrificed in order to force Etro's Gate open in order for all fal'Cie to be reunited with the Maker.
The player fights Barthandelus, and upon his defeat his body is assimilated onto Orphan as a protective shell. With this shell destroyed and Orphan's attempts to make Fang and Vanille become Ragnarok failed, Orphan itself is engaged. Upon its destruction, Cocoon falls but Fang and Vanille become Ragnarok and halt its collapse, saving the populace.
Final Fantasy XIII-2Edit
The final bosses of Final Fantasy XIII-2 is Jet Bahamut, Caius Ballad's transformed state once absorbing much chaos in his body, spawning Garnet Bahamut and Amber Bahamut to assist him. Defeating the Bahamuts earns the player the "Epic Finisher" achievement/trophy, and achieving a 5-star rating earns the "Chronosavior" achievement/trophy.
Player first fights Caius as Chaos Bahamut and in his normal form above Academia. Caius then opens a portal to Valhalla and he is then fought on a beach of Valhalla. After being injured by Noel, Chaos starts seeping to Caius and he transforms into Jet Bahamut. Although Caius is defeated, the Heart of Chaos in his chest is destroyed afterwards, causing the goddess Etro to die and the world to be consumed by Chaos.
Lightning Returns: Final Fantasy XIIIEdit
The final boss of Lightning Returns: Final Fantasy XIII is Bhunivelze, the deity who created the fal'Cie and the world Final Fantasy XIII takes place in. Having used Lightning to gather souls for him, Bhunivelze plots to remake humanity, the product of his wayward creation Etro, to his design for the new world he created.
The battle against Bhunivelze has four consecutive phases, him becoming more powerful after each phase, until he is finally defeated. He can also be fought as Bhunivelze+ on Hard Mode. In that battle, there is only two phases, but the battle is a lot harder.
After being defeated by Lightning and her friends, his remains are trapped inside Nova Chrysalia, which is destroyed by Chaos, creating a new Unseen Realm. It's speculated, however, that he may not be dead in the end.
Final Fantasy XIVEdit
The final boss of Final Fantasy XIV is Nael Deus Darnus. Legatus of the 7th Garlean legion, Nael Van Darnus, tried to summon the ancient magick of Meteor to bring down Dalamud over Eorzea and "purify" it of all of its sin.
Corrupted by the moon's light, the legatus became increasingly more violent and insane, and was completely engulfed by its light after being defeated by a group of adventurers, becoming a being of pure hatred known as Nael Deus Darnus. The adventurers defeat Nael's powerful new form and save Eorzea from his evil.
Final Fantasy XIV: A Realm RebornEdit
The final boss of Final Fantasy XIV: A Realm Reborn is Lahabrea, a member of the Ascian cult who masterminded the actions of Gaius Van Baelsar, fought at the end of the Praetorium. After Gaius and Ultima Weapon are defeated, Lahabrea attempts to kill the player party, but is defeated instead.
During the batle against Lahabrea, the player party receives a powerful blessing from the Mothercrystal which makes the fight considerably easier than the three battles preceding it, as Lahabrea has limited attack range and power as well as a lower HP total compared to the previous bosses, making the Ultima Weapon that last notable challenge of the story. However, unlike previous "scripted" final battles such as Yu Yevon, it is still possible to lose this fight.
Final Fantasy TacticsEdit
The final boss of Final Fantasy Tactics, as well as the remake War of the Lions, is Ultima, the High Seraph. After being revived by Hashmal, Ultima immediately begins to kill the heretics. Ramza fights back though, and eventually kills the Angel of Blood. She dies in an explosion, apparently killing Ramza and co. in the process. However, Ramza is seen later by Orran, relieving the Astrologer.
Final Fantasy Tactics AdvanceEdit
The final boss of Final Fantasy Tactics Advance is Li-Grim. The pure form of everyone's wishes for the dream Ivalice, Li-Grim is the final thread of dream Ivalice. By defeating her, Marche can return home. Once defeated, the party must wish for the world to return to normal, taking all they've learned in Ivalice with them.
Final Fantasy Tactics A2: Grimoire of the RiftEdit
The final boss of Final Fantasy Tactics A2: Grimoire of the Rift is the Neukhia. After defeating Illua once and for all, her grimoire summons this immense beast in full, which Luso and his friends must defeat. The Neukhia is comprised of three parts: the Pod, the Wisp, and the Core (pictured).
Vagrant StoryEdit
The final boss of Vagrant Story is Romeo Guildenstern, the leader of the Order of the Crimson Blades that launched an attack upon Leá Monde. Through his greed for power, he stole the Blood-Sin from Sydney Losstarot and sacrificed his love, Lady Samantha. After being defeated by Ashley Riot, Guildenstern transforms into a monstrous angelic creature at the top of Grand Cathedral.
Final Fantasy Type-0Edit
The final boss of Final Fantasy Type-0 is the Rursan Arbiter (ルルサスのルシたる審判者, Rurusasu no Rushitaru Shinpansha?). It is the body of Cid Aulstyne, the Marshal of the Militesi Empire, possessed and transformed by Gala. After escaping from Ingram following Rubrum's successful liberation of the world of Orience and the beginning of Tempus Finis, Cid travels to Pandaemonium and commits suicide as a final act of defiance to the gods. Gala possesses his body and places several trials for Class Zero, who are on their way to defeat him, but one by one, they all fall to his power.
However, the spirits of Machina Kunagiri and Rem Tokimiya manage to give each member of Class Zero the strength to continue and release the Phantoma from l'Cie Arbiter's body, defeating it once and for all.
Final Fantasy Crystal ChroniclesEdit
The final boss of Final Fantasy Crystal Chronicles is Memiroa. The sadistic, metaphysical monster Raem feeds off the memories of suffering which the monsters spawned by the miasma produce, creating a never-ending cycle of pain and torment for the world's inhabitants. Rather than accept defeat and fade away, Raem forcibly merges with Lady Mio, becoming Memiroa, and attempts to annihilate the Tipa Caravanners once and for all. He is slain and disintegrates, but he and Lady Mio will be reborn eventually...
Final Fantasy Crystal Chronicles: Ring of FatesEdit
The final boss of Final Fantasy Crystal Chronicles: Ring of Fates is the Lunite King, Great Galdes. With the power of the Great Crystal, Galdes intends to remake the world, and meets the heroes with his abilities to send them to other dimensions. Ultimately, he becomes a victim of his own power, forever trapped between dimensions.
Final Fantasy Crystal Chronicles: My Life as a KingEdit
The final boss of Final Fantasy Crystal Chronicles: My Life as a King is the Dark Lord. After he is defeated by the adventurers he reappears before Leo and tries to take him to the land of the dead with him. However, after realizing how all his people are willingly trying to protect their king, he releases Leo. He is finally vanquished to the crystal where his heart resides.
Final Fantasy Crystal Chronicles: Echoes of TimeEdit
The final boss of Final Fantasy Crystal Chronicles: Echoes of Time is Larkeicus. After absorbing a massive amount of crystals from Sherlotta, he transports the Hero to an interdimensional area, and a climatic battle ensues.
Afterwards, Larkeicus revives, saying that as long as he has Sherlotta, and thus, the Crystals, he can never die. The young girl Sherlotta rises up, chokes Larkeicus, and summons the Crystal Core. The Hero destroys it, and then, in its explosion, it disintegrates Larkeicus, and warps the Tower out of existence.
Final Fantasy Crystal Chronicles: My Life as a DarklordEdit
The final boss of Final Fantasy Crystal Chronicles: My Life as a Darklord is King Leo. He defended his realm from the attack led by Mira. Once he is defeated the new darklord announces the cancellation of her world conquer campaign, and instead ask Leo to join in her new campaign to bring peace between people and monster.
Final Fantasy Crystal Chronicles: The Crystal BearersEdit
The final boss of Final Fantasy Crystal Chronicles: The Crystal Bearers is Jegran. When Princess Althea is rescued and the Yuke Crystal resurrected, Jegran uses his powers augmented by the Crystal Reactors aboard the Alexis and fused onto it from the waist down, turning the battleship into the means by which he will create a new Crystal Principle.
However, Layle's powers are also magnified by the proximity of the reactor, using his powers to rip the ship apart bit by bit before destroying the Core of the reactor to restore both combatants to their normal forms.
Final Fantasy AdventureEdit
The final boss of Final Fantasy Adventure is Julius, a wizard who was found by the waterfall and adopted by the emperor of Glaive known only as Dark Lord. After taking full command of Glaive Empire after Dark Lord's death, Julius was defeated by Sumo and Fuji, the latter of whom opted to become the new Tree of Mana.
Final Fantasy Mystic QuestEdit
The final boss of Final Fantasy Mystic Quest is the Dark King. An undead menace monitoring the world from his perch at Doom Castle, the Dark King is the one who ordered the Vile Four to begin their assault on the world. He was met with resistance by Benjamin and Phoebe.
He revealed to them the Prophecy was a rumor spread by him centuries ago, and attacked them in a myriad of forms: a human form, a multiple-armed form, a spider-like form, and a squid-like form. He was ultimately brought down, as his fake prophecy foretold.
The Final Fantasy LegendEdit
The final boss of The Final Fantasy Legend is the Creator. An odd, manipulative deity claiming to be the creator of the world, it sent the heroes on their quest to defeat Ashura and its Four Holy Beasts. After defeating the beasts in their tower, the Creator itself appeared at the top, explaining that their adventure had been nothing but a test. Enraged at being used so, the heroes turned on the Creator.
Final Fantasy Legend IIEdit
The final boss of Final Fantasy Legend II is the Arsenal. After the fall of the villain Apollo, who hoped to possess all the MAGI to become a god, the whole Celestial World begins to shake, and the heroes are informed by Isis that the Celestial World is about to break apart, severing all worlds connected to it, so the party go to the center of the world along with Isis and confront Arsenal, the security system. There are two units; Isis fights one, while the party take down the other. Afterward the tremors stop, the party return to the First World, and Isis remains at the center the world to repair the damage done to Celestial World.
Final Fantasy Legend IIIEdit
The final boss of Final Fantasy Legend III is Xagor. He is a time-traveling creature who controls the Pureland Water, an aquarian entity that he uses to cause destruction in the past to ensure a chaotic future. Four teenagers, the humans Arthur and Sharon and the mutants Curtis and Gloria are sent back in time to stop him.
Final Fantasy: The 4 Heroes of LightEdit
After defeating Chaos's Demons and restoring light to the world, the Star Chamber appears where the party meet Chaos. He establishes that humans are pitiful wretches and he is going to destroy them all. Chaos then destroys the crystal in an attempt to destroy all of Time and Space and so destroying all the hopes of humanity. After its defeat, Chaos says that if evil exists on human hearts so will he. Chaos is battled in 3 forms.
Bravely DefaultEdit
The final boss of Bravely Default is Ouroboros, an ancient and powerful demon residing in the Dark Aurora, a realm beyond worlds. His servant Airy travels from each version of Luxendarc to the next by awakening the crystals in those worlds, opening a portal known as the Holy Pillar. This not only connects them, but weakens their boundaries, allowing her master to consume those worlds and grow in power. Ouroboros plans on accumulating enough power to invade the Celestial Realm and eventually conquer it and all of existence, but Tiz Arrior and his friends reach the Dark Aurora and confront him.
In the alternate final chapter, Airy herself is instead confronted as the final boss. After slaying the party in one of the temples following Agnès's destruction of one of the crystals, she retreats to the Dark Aurora where she plans on staying and waiting for the destroyed crystal to regenerate, so she can resume her plan. However, Tiz and his friends chase and confront her.
Final Fantasy DimensionsEdit
Chaos Elgo is the final boss of Final Fantasy Dimensions. When Elgo desired the Crystals to become a living god, he attempted to master the Power of Nil to travel between the halves of the splintered world. However, the Nil consumes Elgo, transforming him into a monstrous shapeshifter.
Dissidia Final FantasyEdit
The final boss of Dissidia Final Fantasy is Chaos, the God of Discord. At the last cycle of Conflict, after her warriors obtained their crystals, he seemingly kills Cosmos and causes World B to descend into a path towards utter disorder.
Regaining his lost memories from before entering the realm as a result of the balance shattered, Chaos decides to destroy everything and reduce World B to a form of "true" chaos where all existence is denied. However, Cosmos's warriors journey to Chaos's throne at the Edge of Madness and defeat the god, allowing them to return to their worlds while the Warrior of Light ends up in World A where the gods originated from.
Dissidia 012 Final FantasyEdit
The final battle of Dissidia 012's new storyline pits the player against a gauntlet of Chaos's elite warriors. After learning the full extent of the threat posed by the manikins, Lightning, Vaan, Laguna, Tifa and Yuna embark on a mission to find the portal to the Interdimensional Rift the creatures are using to cross into the world, intent on sealing it before they are overwhelmed.
At the Empyreal Paradox the group is headed off by Garland, The Emperor, Kefka, Ultimecia and the Cloud of Darkness. The final string of battles consists of Vaan vs Kefka, Tifa vs Ultimecia, Yuna vs The Emperor, Laguna vs the Cloud of Darkness, and finally Lightning vs Garland. Following their failure to defeat their enemies the Warriors of Chaos retreat, and along with Exdeath's own flawed attempt to do away with Kain, Garland's group falls back as Lightning and her comrades sacrifice themselves to seal the portal, stopping the flow of manikins.
Theatrhythm Final FantasyEdit
The final boss of Theatrhythm is Chaos. Disrupting the flow of music from the Music Crystal existing in the Rhythm between him and Cosmos, the Warriors of Light set out to gather Rhythmia to restore the crystal's light.
Upon the player collecting 10,000 Rhythmia, Chaos appears and attacks them, using the music "Chaos Shrine" in the location of the same name for the fight. With Chaos defeated and the Rhythmia granted to the Music Crystal, its light shines again and music is restored to the world. It is possible to fight Chaos again in a high level Dark Note.
Final Fantasy Fables: Chocobo's DungeonEdit
The final boss of the game is The Destroyer. It is the Guardian Beast of Darkness responsible for the conditions of Lostime.


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The Best Blog You've Never Heard Of – Soccerlens 2007 Awards
We've selected six candidate blogs for "The Best Blog You've Never Heard Of" award from 2007. The blog with the most number of votes by February 17, 2008 wins the 2007 Readers' Choice award. A Judges' Choice award will also be awarded at the same time.
Visit these sites to help you make your decision:
Back to the main 2007 SL Awards page.


text:
little monster and worry bug books - set of 3
- the story
Turn a New Page
Think about how anxiety can sometimes stick in your mind, loneliness can drag you down, or frustration can chew at your nerves—they feel like little monsters, don't they? Illustrator Andi Green is quite familiar with such mental beasties, and has a gift for making them visible, adorable, and much easier to deal with.
In this set of three picture books for all ages, she introduces the worried Wince, short-tempered Twitch, and lonely Nola. Green's quirky ink and watercolor illustrations make make their little world come to life on the page, and her rhyming text follows the creatures as they (and the reader) learn valuable lessons about finding peace of mind. The books are both fun stories, perfect for bedtimes or reading practice, and a tool for helping children to develop critical coping skills that will help them throughout their lives. Printed with earth-friendly, soy inks. Made in China.
Exclusively at UncommonGoods.
- details
- Item ID
- 24134
- Ages
- 3+
- Made from
- paper, paper board, soy ink
- Measurements
- 8" L x 7" W, 76 Pages
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text:
Some people don't go anywhere without their telephone. I would suspect that they take it to the bathroom when they go in the middle of the night. They're afraid they'll miss calls.
I probably miss a lot of calls. I can only hope that my callers will call back until they reach me. I can't imagine that people would expect me to have my phone with me all the time in expectation that friends will call and want to talk.
Before cellphones became so popular people only had home or office phones, and they only used their office phones for business during the day and reserved social calls for evenings on their home phones. But when cellphones came on the market, it seems people began to use them full time for everything.
Nowadays, there are all kinds of portable, technological equipment, and so people carry their offices around with them. Unfortunately, individuals no longer separate their work from their social lives, and some are getting weary of work because they never seem to get any rest.
It's probably safe to say that a lot of people love their gadgets. Some of them would rather play on them than do anything else. Mainly, they want to connect with other people just because they have the means to do so. They want to know what other people are doing.
With all these means to get in touch, many people have gotten lost. They have confused their work time with their social lives. They are no longer able to separate the parts of their lives. It's as if they have added their personal friends to the address book in their computer.
Because they are so attached to their jobs by technology, they no longer have regular work hours. Many times they receive calls at home, after work hours, and feel guilty if they do not return the call. And if they work from home, they almost feel that they are always at work.
Some people have phones, tablets and all kinds of electronic devices that keep them connected to a workplace. They feel that if they are not plugged in at all times they will be out of touch. It almost seems that if they are not connected to a job, they don't count as a person. Work, as far as some people are concerned, has become the only reason for existence.
There are people who have come to consider what they do in life as a part of their identity. "My name is John Doe, and I am a postman" is how they identify themselves. It's almost as if being unemployed is a disgrace, even if you don't need to work for a living.
Every now and then, somebody will bring up the need for a pay phone. I haven't seen one in years. Fortunately, most of the time you can borrow a phone if you don't have one. The good news is, I really think that people are a lot safer on the streets because of cellphones. You can get the police faster if you have one.
After all, you might have to get to work.
You can join the conversation with Rose M. Nolen by calling her at 882-5734 or emailing her at firstname.lastname@example.com. Questions? Contact Opinion Editor Elizabeth Conner.


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initiatives also have skilled leaders who can coordinate the interests of stakeholders, including hospital administrators and state and local health, housing, and mental health departments, at the system level (Craig et al., 2011). Box 7-3 describes an example of a community initiative aimed at improving care delivery and health outcomes through better care coordination.
Vermont Blueprint for Health
Communities of integrated health services, spanning organizations and clinicians, are an example of the evolving definition of communities—in this case focused on care coordination. Community-based teams support patient-centered services, helping to better coordinate and more seamlessly transition care across a spectrum of services in a community. One example is the Vermont Blueprint for Health, a statewide public-private initiative that seeks to transform care delivery; improve health outcomes; and expand access to seamless, well-coordinated care. As a key component of Vermont's Multi-Player Advanced Primary Care Practice Demonstration, a pilot program sponsored by the Centers for Medicare & Medicaid Services, the Vermont Blueprint for Health operates through a network of integrated medical homes, each supported by an integrated information technology infrastructure and community health teams. These teams are typically composed of nurse coordinators, social workers, and behavioral health counselors working to improve health outcomes while containing costs through the provision of coordinated care.
By extending health care delivery to services not typically provided in the primary care setting, these community health teams are able to provide individual care coordination, health and wellness coaching, and behavioral health counseling as an integrated and coordinated set of services. Nurse coordinators primarily track patient activities within physician practices by following up on overdue appointments or tests, ensuring proper refilling of and adherence to prescriptions, working with patients to achieve their personal health management goals, and overseeing short-term care for high-need patients. Behavioral health coordinators also work within physician practices, monitoring patients for any untreated mental health conditions and ensuring speedy follow-up for those who require it. Outside of the primary care practices, community health workers assist patients in applying for insurance, adhering to treatment plans, managing stress, and progressing toward their personal wellness goals. Public health specialists facilitate closer coordination between the community health team and public health initiatives, while dietitians provide nutrition education and work with diabetic patients to manage their conditions. This team approach to better self-management has yielded many successes for the Blueprint initiative, including a 31 percent decrease in emergency department use and a 36 percent decrease in associated costs per person per month.
SOURCE: Bielaszka-DuVernay, 2011.


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