text:
Olive Hill Jobs
Looking for jobs in Olive Hill? Snagajob has great opportunities with the area's leading companies.
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Olive Hill, KY Job Openings
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- Morehead, KY (43 jobs)
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- Sandy Hook, KY (3 jobs)
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- Greenup, KY (3 jobs)
- Garrison, KY (2 jobs)


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An online news report suggests that humans may be primed to believe in creation.
A recent study* of how people think about nature echoes the truth of Romans 1:20—the Creator is "clearly seen . . . by the things that are made."
Researchers showed people a series of statements about nature and asked if they agreed or disagreed. Each statement implied a beneficial purpose behind what we see. For example, "The earth has an ozone layer in order to protect it from UV rays."
People tended to agree. But if nature has no Creator, then these statements would be false. If the ozone layer, for example, resulted from natural processes, then the earth's features could not be designed to protect us.
An online news report by NewScientist suggested, "Humans may be primed to believe in creation."** That should come as no surprise to creationists. —TCW
* D. Kelemen and E. Rosset, "The Human Function Compunction: Teleological Explanation
in Adults," Cognition 111:138–143.
** http://www.newscientist.com/article/dn16687-humans-may-be-primed-to-believe-in-creation.html
When it comes to God's marvelous creation, nothing compares to the amazing design of the human body. From the protective garment of skin to the engineering of our bones and new discoveries about our brain, this issue is packed with testimony to the Master Designer.
Browse Issue SubscribeIf you decide you want to keep Answers coming, simply pay your invoice for just $24 and receive four issues (a full year) more. If not, write "cancel" across the invoice and return it. The trial issue is yours to keep, regardless!
Please allow 4-6 weeks for delivery.
New subscribers only. No gift subscriptions.
Offer valid in U.S. only.
Answers in Genesis is an apologetics ministry, dedicated to helping Christians defend their faith and proclaim the gospel of Jesus Christ effectively. We focus on providing answers to questions about the Bible—particularly the book of Genesis—regarding key issues such as creation, evolution, science, and the age of the earth.

subset: commoncrawl


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40314-012: Gender-Responsive Decentralized Governance in Asia
Project Data Sheet (PDS): Overview
The RETA will promote increased incorporation of Gender and Governance design features within ADB loans. Its outcome will be to identify sustainable strategies and mechanisms to increase women's participation in decentralized decision making processes and structures. The proposed TA will help: (i) stregthen policy and legal regulatory frameworks that support women's participation in decentralized decision making processess and structures (ii) assess the range and potential impact of ongoing ... Read More
Country |
Regional |
Project Number | 40314-012 |
Type or Modality of Assistance |
Technical Assistance |
Financing | Public sector (Sovereign) |
Status | Closed |
Approval Number |
TA No. 6493 |
Approval Date | 10 Oct 2008 |
ADB Financing ($ thousand) | 500 |
Geographical Location | The TA will be implemented in Cambodia, Nepal and Indonesia. |
Sector |
Public sector management |
Subsector | Decentralization |
Strategic Agendas |
Inclusive economic growth (IEG) |
Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.
The Public Communications Policy (PCP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.
The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.
In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.
View the latest procurement notices for Goods, Works and Related Services, or Consulting Services.


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A new cloud software system in which Cisco Systems is investing $1 billion could help CIOs wrangle some of the connectivity issues created by super-connected computer systems companies are relying on to manage data, analysts say.
CIOs are noting a new urgency in Microsoft's commitment to cloud software.
Microsoft's strategy for moving customers to its cloud email and productivity software is resonating with corporate customers.
IHS has hired former BMC Software CIO Mark F. Settle to help with its Hadoop Big Data push.
H-P is launching a corporate application store that will let employees download business applications to mobile devices and desktop computers.
Dell last week launched a mobile application store for roughly 200 employees to test and provide feedback, said Dell Global CIO Andi Karaboutis.
CIOs see a range of prospective buyers for BlackBerry, including Google and Apple, the companies who helped put the phone maker in its current tight spot.
Several CIOs told CIO Journal that they won't make any changes to their security processes and infrastructure despite the revelation that the National Security Agency is mining peoples' phone records.
BMC Software Inc. Bob Beauchamp said he couldn't guarantee the software maker's strategy wouldn't change when the company is acquired by an investor group later this year. That can't be comforting for CIOs.
Informatica Corp. CIO Tony Young said CIOs who purchase software to manage employees' personal device preferences should be focusing on data instead of adding expensive infrastructure software, which requires IT staff to manage.
CIO Journal provides time-pressed CIOs with a definitive destination for the most relevant news and analysis, to help them connect the dots between technology trends and business strategy. Its team of reporters and editors—aided by the resources of Dow Jones and thousands of other premium news sites—focuses on the use of technology as a tool for business growth. Contact our editors with news items, comments and questions at: firstname.lastname@example.com.
Learn about the CIO Journal editorial team.
CIO Journal has the focus of a trade journal with the global resources and
expertise of The Wall Street Journal.
CIO Journal has the focus of a trade journal with the global resources and
expertise of The Wall Street Journal.


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Mercedes Benz 190E Brakes Store
Our discount Brakes store offers the 1987 Mercedes Benz 190E Brake Disc, Front at wholesale price. Buying a Brake Disc, Front from us will save you money and time. Our Brake Disc, Front is guaranteed to fit your 1987 Mercedes Benz 190E car or truck as the original Mercedes Benz Brake Disc, Front. Buy from a reliable Brakes store and enjoy a substantial saving over your local Mercedes Benz dealer! Read more...
1987 Mercedes Benz 190E Brake Disc, Front - Brakes Store |
1987 Mercedes Benz 190E Brake Disc, Front
Description: |
5 x 4.41 in. bolt pattern; 11.18 in. outer diameter; 0.59 in. bolt size; 0.76 in. minimum thickness; Non-directional; A high quality, OE replacement brake disc; With 18 months limited Prozone warranty. |
Fits: | 1987 Mercedes Benz 190E See more applications1986 Mercedes Benz 190E |
Fit Notes: | 2.3, 2.3-16: 4Cyl 2.3L; 2.6: 6Cyl 2.6L; 4-WHEEL ABS, RWD, MFRBODYCODENAME : 201.034, FROM 09/86; 2.3: 4Cyl 2.3L; NON-ABS, RWD, MFRBODYCODENAME : 201.034, FROM 09/86 |
Brand: | Prozone |
Part Number: | PZNREPM271105 |
Retail Price: | $49.02 |
Discount Price: | $33.12 |
Please verify this item fits your vehicle before placing an order. |
To find used 1987 Mercedes Benz 190E Brake Disc, Front, visit our Part Locator page. |


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Posts Tagged 'Rooftop Films Membership'
The 2011 Sundance line-up features 25 Rooftop Alums, more than ever before. Meet the Sundance stars of tomorrow: Buy a Rooftop Films Membership today.
Save hundreds of dollars while supporting bold, vibrant independent film. With a Rooftop Membership you'll get free admission to every regularly priced Rooftop Films 2011 Summer Series show.


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Dry County Cocktail
- SERVINGS: Makes 1 drink
Comstock Saloon • San Francisco
This drink's name is a nod to the whiskey that bartender Jonny Raglin uses in it: George Dickel No. 12, which is distilled in the dry county of Coffee, Tennessee.
Plus: More Cocktail Recipes
- Ice
- 2 ounces Tennessee whiskey
- 3/4 ounce dry vermouth
- 1/2 ounce Ginger Syrup
- 1 dash of lemon bitters
- 1 lemon twist
- Fill a pint glass with ice. Add all of the remaining ingredients except the lemon twist and stir well. Strain into a chilled coupe and garnish with the lemon twist.


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Henry McKenna Single Barrel Kentucky Straight Bourbon Whiskey
Bourbon - U.S.A. - 50.00%
7 Shy. Diffident. But with its own delicacy.
Up for auction
How a bottle of Henry McKenna went for a song
January 2015, Issue 125, page 13
Old timer for the ages
We met the man who created a Bourbon legacy
February 2014, Issue 117, page 18
Quenching the thirst for exploration
Scott Longman recalls the tale of two 19th century heroes who, when requested to do so by the President, pushed back the frontiers of America – with the help of 120 gallons of whiskey
November 2001, Issue 19, page 52
Sharpest tack (Max L Shapira)
Stuart Maclean Ramsay meets Heaven Hill Distillery President Max L Shapira to find out how they keep it in the family and preserve tradition at one of America's premier bourbon producers
July 2002, Issue 24, page 34
100 Greatest Whisky People
We highlight the people who have left a lasting legacy on the whisky world over the years.
December 2011, Issue 100, page 16
Henry Mckenna Kentucky Whiskey 6 Years Old 6 Lions Whisky |
£185.00 |


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Plese send me info of names and sites, also books. I need all the info I could get and this is for my diploma in photography. Any famous and non photographers that have been on missions with Doctors to Africa or else worldwide. Your help would be great!!!!
by Pavlos at 2006-01-07 15:16:15 UTC (ed. Mar 12 2008 ) Cyprus , Cyprus | Bookmark | | Report spam→
glad for your help


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Collins, Kevin; Blackmore, Chris; Morris, Richard and Watson, Drennan
DOI (Digital Object Identifier) Link: | http://dx.doi.org/10.1016/j.envsci.2006.12.005 |
Google Scholar: | Look up in Google Scholar |
As the EU-wide Water Framework Directive enters into public policy, the UK faces significant challenges in managing its water resources, including exceptional flood and drought events in recent years. New legislation is resurfacing existing conflicts and generating new debates among multiple stakeholders about managing water catchments. Existing policies and practices are under strain as a result. This paper reports how the SLIM project in the UK researched the role of a systemic approach to managing multiple perspectives and stakeholding in water catchments and the new challenges this presents to existing forms of knowledge and practice. The authors apply the conceptual tradition of systems thinking and practice, and the methodological approach of systemic co-researching inquiry to empirical studies in the Tweed, the Ythan, and the Eye Brook catchments, in the context of a review of policy and practice in the UK. The extent to which systems approaches to multiple stakeholding can lead to social learning for concerted action is considered. An assessment of the implications of the research findings for policies and practices in managing water catchments concludes the article.
Item Type: | Journal Article |
Copyright Holders: | 2007 Elsevier Ltd. |
Keywords: | Systems of interest; Multiple perspectives; Stakeholding; Social learning; Water Framework Directive |
Academic Unit/Department: | Mathematics, Computing and Technology > Computing & Communications |
Interdisciplinary Research Centre: | Innovation, Knowledge & Development research centre (IKD) |
Item ID: | 9135 |
Depositing User: | Kevin Collins |
Date Deposited: | 17 Sep 2007 |
Last Modified: | 22 Feb 2012 11:36 |
URI: | http://oro.open.ac.uk/id/eprint/9135 |
Share this page: |
Altmetrics | Scopus Citations |


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Peter Gould (I)
Writer/Director Peter Gould was born and raised in the Chelsea neighborhood of Lower Manhattan where he was expelled from a number of tony, non-conformist private schools. After graduating with a B.A. in English from Sarah Lawrence College, Peter became a fixture on the New York Indie scene, working in every conceivable job on films ranging from ...
See full bio »


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A charming blue house with white columns and a rocking chair on the front porch sets the backdrop for this charming House Warming Invitation. The green mat on the porch reads "welcome" and the rest of the copy can be edited online.
printable house warming invitation, house warming invitation template, edit online, personalize online, invitation for open house, open house, new home, new house, rocking chair, welcome


text:
Effing Worms - Xmas
Published on January 18, 2013. Played 6,758 times.Eat elves, yeti, and reindeer! The killer worm is back in this special Christmas edition and he is hungrier than ever. Santa gave you a crap present, now you're out for revenge. Enjoy Effing Worms!
Arrow Keys or WASD keys to move.
Category: Action
Play Effing Worms - Xmas Game Online
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31 year old woman | Drexel Hill, PA, USA | Seeking men 25-42 within 50 miles
Active within 5 days
well i describe myself as a loving well rounded woman strong minded love romance and passion im adventures as well and have old school values i love working out and also cooking . i enjoy salsa dancing as well as going shopping church and helping others when im not a work in my pass I have volunteered in hospitals to help out people with cancer . I'm looking for a giver not a taker im looking for a guy who is loving independent , smart good-looking and knows how to have fun but at the same time does not mind just sitting in sometimes with a nice bottle of red wine and dinner just cuddling .. I also hope that my match would love romantic trips and plan little things to surprise me I love the beach and anywhere warm most of all im looking for a LOYAL PERSON NOT INTO THE GAMES and is looking for long term Relationship im a very loyal Person brought up in an old school up bringing as my Parents are From Peru . I love taken trips been to Florida , Peru , Chicago, Bahamas I love to travel at times but it be nice to settle down and fine my soul-mate im not into the games or Players out there have no time for that so serious reply's only thank you and god bless ! i ALSO LOV WATCHING FAMILY GUY ITS MY FAV I CAN WATCH IT OVER AND OVER AND KING OF QUEENS
Book club , Cooking , Dining out , Gardening/Landscaping , Hobbies and crafts , Movies/Videos , Museums and art , Music and concerts , Religion/Spiritual , Wine tasting
Aerobics, Cycling, Dancing, Martial arts, Running, Soccer, Walking / Hiking
I exercise 3-4 times per week.
I have Dogs, Other
I have a teacup toy poodle she my heart xoxoxox
Peru, Florida,Bahamas,Chicago the beach anywhere warm and love amusement Parks as well as going out to eat I love K.O.P
Sometimes i like to cook at home or go out to eat at some favorite restaurants I love the beach taking walks on beach I also love working out as well as Museums or going to the movies or spending a day at the Spa to relax and release stress .
Love going shopping and trying new restaurants my favorite place to eat Devon seafood . I also love going on vacations . Going to spaa and walking with my poodle ,cooking . I also like salsa dancing .
Her | What she is looking for | |
Appearance | ||
Height: | 5'0" (152cms) | 5'7" (170cms) to 6'4" (193cms) |
Body type: | Athletic and toned | About average |
Eyes: | Brown | Blue, Brown, Green, Hazel |
Hair: | Dark brown | Black, Light brown, Dark brown, Dark blonde |
Lifestyle | ||
Smoke: | No Way | No Way |
Drink: | Social Drinker | No preference |
Occupation: | I'll tell you later | No preference |
Income: | I'll tell you later | $50,001 to $75,000, $75,001 to $100,000, $100,001 to $150,000, $150,001+ |
Relationship: | Never Married | No preference |
Have kids: | No | No |
Wants kids: | Definitely | Definitely |
Background | ||
Ethnicity: | Latino / Hispanic | White / Caucasian |
Faith: | Christian / Catholic | No preference |
Languages: | Italian, Spanish | English |
Education: | Associates degree | Some college, Bachelors degree, Graduate degree, PhD / Post Doctoral |


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The Library
Disease severity in ankylosing spondylitis : variation by region and local area deprivation
Healey, E. L., Haywood, Kirstie L., Jordan, Kelvin, Garratt, A. M. and Packham, J. C.. (2010) Disease severity in ankylosing spondylitis : variation by region and local area deprivation. Journal of Rheumatology, Vol.37 (No.3). pp. 633-638. ISSN 0315-162X
Full text not available from this repository.
Official URL: http://dx.doi.org/10.3899/jrheum.090899
Objective. To investigate whether patient disease severity in ankylosing spondylitis (AS) varies among regions or by local area social deprivation.
Methods. Eight hundred patients with AS from 8 specialist rheumatology centers across England were invited to participate in a cross-sectional survey. Sociodemographic and disease-related variables were collected [pain (numerical rating scale), disease activity (Bath AS Disease Activity Index), and physical function (Bath AS Functional Index)]. Deprivation was measured using the Index of Multiple Deprivation 2004.
Results. Of the 800 patients invited, 468 responded (adjusted response rate 62.8%). Most were male (72.9%), with a mean age of 50.2 years (SD 12.1), and a mean diagnosed disease duration of 17 years (SD 11.4). Across all centers, those living in more deprived areas demonstrated significantly greater disease severity and poorer psychological health. After controlling for age, gender, disease duration, and region, greater deprivation was significantly associated with greater disease activity (OR 3.39; 95% CI 1.65, 6.98) and poorer function (OR 4.46; 95% CI 2.11, 9.44). There was a nonsignificant trend toward more pain (OR 1.98; 95% CI 0.97, 4.07). There was also a significant independent association between region and disease severity.
Conclusion. The need for healthcare is greatest for patients with AS who are living in more socially deprived areas. With the growing use of interventional therapies, these findings have important implications if health service resources are to be allocated equitably; particularly as deprived patients are known to access healthcare less frequently.
Item Type: | Journal Article |
Subjects: | R Medicine > R Medicine (General) |
Divisions: | Faculty of Social Sciences > School of Health and Social Studies |
Journal or Publication Title: | Journal of Rheumatology |
Publisher: | Journal of Rheumatology Publishing Co. Ltd. |
Official Date: | March 2010 |
Volume: | Vol.37 |
Number: | No.3 |
Page Range: | pp. 633-638 |
Identification Number: | 10.3899/jrheum.090899 |
Status: | Peer Reviewed |
Publication Status: | Published |
Access rights to Published version: | Restricted or Subscription Access |
URI: | http://wrap.warwick.ac.uk/id/eprint/42147 |
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Hi Seas Heating Corporation / Diesel Heater
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Junior Member
Join Date: Feb 2011
Location: The Netherlands
Posts: 1
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Hi-Seas, also in the Netherlands
Hello Charlie,
A reply from the other side of the big water.
I also have the type C100-8 aboard and looked up for some more information of this outstanding heater. I did some maintenance in 2009 (just cleaning) and replace the firepit(!?) with a special glassfibre. It was original asbestos.
I am very interested in a copy of that manual you mentioned!
Any chance to e-mail this manual?
I would appreciate that.
I just scanned a Dutch written manual into a pdf.
If anyone is interested (and able to read), I will send it.
With regards
Ron van Wijngaarden
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The 5 Biggest Lies Rom-Coms Tell
romcom lies g1 jpg
1 of 6
I am a complete sucker for a romantic comedy. There are a few that I would genuinely recommend as a quality film to just about anyone; "Going the Distance," for example, was hilarious, steered away from the usual rom-com tropes, and actually felt realistic. But for the most part, rom-coms, while enjoyable in a mind-numbing sort of way, follow a basic formula that further certain romantic untruths. I would like to say I have been immune to their subversive messages, but the fact is, the happy endings found in rom-coms have a way of implanting in your brain as things that could actually occur in real life. They won't. Here are the five biggest lies rom-coms tell about sex and relationships.


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Stay Tuned.
Sense this thread is essentially just for showing off a new brand... hope you don't mind if i show mine! lol.
With that in mind, is anyone here interested in collaborating? as a good staff is also beneficial.
Anyone interested in designing, or promoting - please shoot me an email at [email]firstname.lastname@example.com[/email]
We'll have a website soon as soon I decide on bigcartel, shopify, or volusion ~.~
Thanks for all the advice peeps.
To put this thread on topic... does anyone know the process of entering brick and mortar stores, as well as online stores? Is the process different?
Any tips would help.
Cobra and VNM, your stuffs looking good. Designs are well thought out and all cohesive, I can dig it.
Fictitious, sorry dude, but your stuff is pretty awful. I respect what you're trying to do but the designs are all poorly done, cheap looking "parodies" or photochops. Try to do something original as opposed to something that's ABD.


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Jones: I thought that might be the last large film I would ever have the chance to be a part of. It was wholesome mythology and fun to do. In fact, my only purpose in the film was to set up the revenge theme by chopping off Conan's mother's head. There were no point to the speeches. Just a lot of words.
Q: Whose voice do you admire?
Jones: John Gielgud and Richard Burton. They are pleasant to listen to. Very clear. They also have the best connection between thought and sound.
Q: You were one of the first black actors to play a president on film, in 1972's "The Man." What do you think about our new president?
Jones: There's nothing to it. It is as it should be. I don't even want to say how exciting it is. It is as it should be, given who he is, his mind and sensibilities. Not given that he is a black man. One of his big jobs is dealing with racial issues, especially poverty.
Q: Have you caught up with the movies in contention for awards this season?
Jones: I've seen them all. "Benjamin Button," I really liked that. The director put together a wonderful jigsaw puzzle. I like both of Kate Winslet's movies, especially "The Reader." But I had a problem with "The Dark Knight." It was a jumble until the issues of morality showed up at the end. I'm not criticizing it. You just have to get past that style.
Q: What is the biggest change you have seen in your profession since you began? Jones: One thing I noticed is the use of the voice. There is a lot of whisper acting these days. Paul Giamatti in "John Adams" whispered most of his dialogue. Not to criticize him, but, one, I'm hard of hearing. And, two, voice is voice. Not aspiration. A whisper is a raspy sound. A voice is a full sound. Speech is a very important aspect of being human. A whisper doesn't cut it.


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Item # GGE14202 |
In Stock! Ships Tuesday, April 21.
A fully seam-sealed dry bag with an adjustable sternum strap, lightly padded shoulder straps and tubular compression, the Granite Gear Slacker Packer Compression Drysack is a travel-ready basic pack for removable organization of gear in a larger pack or luggage piece.
Employing a compactable, space-saving shape and durable, abrasion-resistant 30D and 100D Sil hybrid nylon Cordura fabrics, the Slacker Packer Compression Drysack offers reliable protection from the elements. A bottom panel made from Event waterproof/breathable fabric further protects gear inside the pack. Tubular compression with three adjustable straps around the circumference of the pack stabilizes bulky loads. A rolling stay in the top of the Slacker Packer Compression Drysack gives the pack the ability to prop open for easy loading and unloading. The minimalist suspension system allows you to comfortably carry your sleeping bag on your back or to pack your travel laundry from the hostel down the street to the laundromat.
The PVC-free Granite Gear Slacker Packer Compression Drysack is available in a single 25-liter size that weighs in at 6.2 ounces.
Granite Gear part number: 662237
The Granite Gear eVent Sil Compression DrySack reduces the packed size of bulky items like sleeping bags and clothes. The waterproof 30D Sil-Nylon Cordura construction balances strength and weight and a roll-top closure further ensures protection.
Employing a space-saving shape and durable Nylon ripstop fabric, the Granite Gear DrySack offers reliable protection from the elements. Taped seams bolster waterproofness and a stay in the top of the DrySack allows it to prop open for easy loading.
The innovative, roll-top Granite Gear eVent Uberlight CTF3 DrySack maximizes space by reducing the packed size of otherwise bulky items. Ultra-lightweight, waterproof Cubic Tech Flexible Fiber Film brings the weight of the sack in under an ounce.
A fully seam-sealed dry bag with an adjustable sternum strap and lightly padded shoulder straps, the Granite Gear Slacker Packer Drysack is a travel-ready basic pack for removable organization of gear in a larger pack or luggage piece.
The Granite Gear Nimbus Trace Access 70 offers greater load-carrying capacity (up to 60 lbs) and additional organizational features while still weighing less (right around 4 lbs) than you'd expect of a heavy-hauler.
Zoomify would go here, or a larger image... This is a temporary placeholder... The settup of this may change depending on whether we are in fact using Zoomify.
Rotate SWF would go here... Greg will reconfigure this after we have an actual example. This is just a place holder.
Orders over $50 qualify for FREE shipping.
Make gift giving easier with Backcountry Edge gift wrapping service. Items that are eligible for gift wrapping will display a checkbox and gift wrap icon beneath the add-to-cart button on the product page. The cost for gift wrapping is $4.99 per item.
Backcountry Edge wraps your gift in green premium-grade wrapping paper with a hand-tied ivory grosgrain ribbon. You can also enter a personalized gift message that we'll print on a gift card enclosed with your order.
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On the product page, check the box next to "Add Gift Wrap" before adding the item to your cart.
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As if you needed another Reason to be Pretty, you gorgeous thing. Featuring three rows of cotton cord with a mass of badass brass, the Triple Cord Loop Necklace layers feminine fragility with modern fearlessness. Just like you.
Longest cord is 24" long. Loops are approximately 0.25" in diameter.
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Australian medical technologies to scope the European market
November 14, 2011 4:46 am | News | CommentsA wearable, discreet cardiovascular vital signs monitor developed at the University of Technology, Sydney (UTS) and a portable device for diagnosing the severity of whiplash from The University of Queensland (UQ) are among more than 25 cutting edge medical innovations that leading university research commercialisation...
InSeal Medical Announces Patients Successfully Treated with Novel Intravascular Large Bore Puncture Closure Device
November 11, 2011 4:59 am | News | CommentsSAN FRANCISCO & CAESAREA, Israel--(BUSINESS WIRE)--InSeal Medical Ltd., developer of percutaneous vascular closure devices for large bore punctures, today announced the successful treatment of three patients with its investigational intravascular large bore puncture closure device.
BIOTRONIK Announces Positive Results for Pantera Lux Paclitaxel Releasing Balloon
November 11, 2011 4:57 am | News | CommentsSAN FRANCISCO--(BUSINESS WIRE)--Six-month results from the DELUX registry and 12-month results from the PEPPER study, both demonstrating excellent safety and efficacy results for the Pantera Lux Paclitaxel Releasing Balloon, were presented on Tuesday and Wednesday...
Fresenius Medical Care introduces 2008K@homeâ"¢ hemodialysis delivery system in North America
November 11, 2011 4:50 am | News | CommentsBAD HOMBURG, Germany--(BUSINESS WIRE)--Fresenius Medical Care AG & Co. KGaA ("the company†or "Fresenius Medical Careâ€; Frankfurt Stock Exchange: FME / New York Stock Exchange: FMS), the world's largest provider of dialysis products and services, today introduced the 2008K@home...
St. Jude Medical Portico Transcatheter Valve Demonstrates Promising Results in Feasibility Study
November 11, 2011 4:40 am | News | CommentsST. PAUL, Minn.--(BUSINESS WIRE)--St. Jude Medical, Inc. (NYSE:STJ), a global medical device company, today announced the feasibility study results for the company's Porticoâ"¢ Transcatheter Aortic Heart Valve, presented at the 23rd annual Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium.
Flexible Stenting Solutions, Inc. Announces First Implant of the 200 mm FlexStent® Femoropopliteal Self Expanding Stent System
November 10, 2011 5:56 am | News | CommentsEATONTOWN, N.J.--(BUSINESS WIRE)--Flexible Stenting Solutions, Inc. (FSS), a leading developer of next generation peripheral arterial, venous, neurovascular and biliary stents, announced today the successful implantation of its 200 mm FlexStent® Femoropopliteal Self Expanding Stent System...
PROTECT II Demonstrates That Patients Undergoing Extensive Revascularization Benefit the Most from Impella Support
November 10, 2011 5:22 am | News | CommentsDANVERS, Mass. & SAN FRANCISCO--(BUSINESS WIRE)--Abiomed Inc. (NASDAQ: ABMD), a leading provider of breakthrough heart support technologies, today announced the final analysis from the PROTECT II trial at the annual 2011 Transcatheter Cardiovascular Therapeutics (TCT) meeting.
1st Findings on Exercise Performance with SynCardia's Total Artificial Heart Published in The Journal of Heart and Lung Transplantation
November 10, 2011 5:02 am | News | CommentsTUCSON, Ariz. – Nov. 10, 2011 – In the November issue of The Journal of Heart and Lung Transplantation (JHLT), Virginia Commonwealth University (VCU) Medical Center in Richmond published the first findings demonstrating that physical exercise and measurable rehabilitation are feasible with the SynCardia...
Svelte Medical Systems Announces Treatment of First Patient in the DIRECT Drug-Eluting Stent Study
November 9, 2011 4:44 am | News | CommentsNEW PROVIDENCE, N.J.--(BUSINESS WIRE)--Svelte® Medical Systems today announced treatment of the first patient in the DIRECT (Direct-on-a-wire Implantation of Rapamycin-eluting stent with bio-Eroding Carrier Technology) study at Auckland City Hospital in Auckland, New Zealand.
Positive Long Term Clinical Data of the Cappella Sideguard® Stent System Announced at TCT 2011
November 9, 2011 4:38 am | News | CommentsSAN FRANCISCO--(BUSINESS WIRE)--Cappella Medical Devices Ltd (Cappella), a medical device company developing dynamic solutions for the treatment of coronary bifurcation disease, announced today at the 2011 TCT (Transcatheter Cardiovascular Therapeutics) Conference in San Francisco...
Study of Medtronic Endeavor® Drug-Eluting Stent Demonstrates Long-Term Advantages over Taxus® DES
November 9, 2011 4:26 am | News | CommentsSAN FRANCISCO--(BUSINESS WIRE)--New research findings released at TCT 2011 show that the Endeavor® zotarolimus-eluting stent (DES) from Medtronic, Inc. (NYSE: MDT) outperformed Boston Scientific Corp.'s Taxus® paclitaxel-eluting stent on standard measures of safety and efficacy through five years of clinical follow-up.
Getinge Group: Getinge finalizes the acquisition of Atrium Medical Inc. and changes the date of its AGM
November 8, 2011 5:04 am | News | CommentsGetinge has been granted the approval of US anti-trust authority FTC (Federal Trade Commission) to go ahead with the acquisition of Atrium Medical Inc. The acquisition was finalized on 4 November, 2011, and will be consolidated in Getinge's accounts as of 1 November this year.
Medtronic CoreValve® System Gains CE Mark for New Direct Aortic Approach to Transcatheter Aortic Valve Implantation
November 8, 2011 4:54 am | News | CommentsMINNEAPOLIS--(BUSINESS WIRE)--Medtronic, Inc. (NYSE: MDT) today announced it has received CE (Conformité Européenne) Mark for the Medtronic CoreValve® System to be delivered using direct aortic access. The Medtronic CoreValve System is now the only transcatheter aortic valve implantation (TAVI) system...
Terason Quickens the Pulse of Vascular Ultrasound with New Portable System
November 7, 2011 5:47 am | News | CommentsBURLINGTON, Mass.--(BUSINESS WIRE)--The pulse of vascular ultrasound quickens with the release of the new Terason t3200â"¢ Vascular Series Ultrasound System. The t3200 is the first fully-functional, portable ultrasound system designed specifically for the vascular professional.
Miracor to Report Successful Clinical Study Results of Its PICSO® System Designed to Improve Myocardial Perfusion Following Primary PCI
November 7, 2011 5:45 am | News | CommentsVIENNA--(BUSINESS WIRE)--Miracor Medical Systems GmbH announced today that data will be reported during next week's "TCT (Transcatheter Cardiovascular Therapeutics) 2011†scientific meeting in San Francisco. The data show that the PICSO® (Pressure-controlled Intermittent Coronary Sinus Occlusion) system...
Lake Region Medical to Showcase New and Emerging Technologies That Positions the Company as a Premier Development and Manufacturing Partner for Wire-Based Products at Cardiovascular Therapy Meeting
November 4, 2011 6:43 am | News | CommentsMINNEAPOLIS--(BUSINESS WIRE)--Lake Region Medical, a global development and manufacturing partner to leading medical device companies, will highlight its original development manufacturing capabilities, services and technologies at the 23rd annual Transcatheter Cardiovascular Therapeutics (TCT) meeting...
Emboline, Inc. to Debut Game-Changing Embolic Protection Technology for Percutaneous Heart Valve Procedures in San Francisco Next Week
November 4, 2011 6:40 am | News | CommentsFREMONT, Calif.--(BUSINESS WIRE)--Emboline, Inc. (www.emboline.com), an emerging medical device company, will debut its game-changing embolic protection devices for percutaneous heart valve repair and replacement in San Francisco next week. The Company is initially focused on developing...
First Comprehensive Study on How Physicians Use Digital Sources to Find Medical Device Information Now Available
November 4, 2011 6:33 am | News | CommentsTORONTO--(BUSINESS WIRE)--Millennium Research Group (MRG), the global authority on medical technology market intelligence, announced today that it will be marketing the Manhattan Research product Digital MedTech Physicianâ"¢, the first data-intense study of how physicians use digital channels...
Arterial Remodeling Technologies ("ART") reports that its second-generation bioresorbable stent promotes vessel lumen enlargement in post-angioplasty in vivo model
November 2, 2011 8:23 pm | News | CommentsPARIS--(BUSINESS WIRE)--Arterial Remodeling Technologies ("ARTâ€) reported today that in vivo data strongly suggest that its second-generation bioresorbable stent promotes positive arterial remodeling in a post-angioplasty porcine model at three months follow-up.
Medtronic Begins Transcatheter Aortic Valve Trial in Japan
November 2, 2011 8:09 pm | News | CommentsMINNEAPOLIS--(BUSINESS WIRE)--Medtronic, Inc. (NYSE: MDT) today announced the first implant in a clinical trial in Japan that will evaluate the safety and effectiveness of the Medtronic CoreValve® System. The successful procedure in the trial was led by Professor Yoshiki Sawa
New Brain Aneurysm Treatment at Stanford Hospital Supplies Hope
November 2, 2011 4:22 am | News | CommentsSTANFORD, Calif.--(BUSINESS WIRE)--If Barbara Maluo's brain aneurysm had been discovered a few months ago, she would have had few viable treatment options. She was one of the 10 to 15 percent of brain aneurysm patients diagnosed each year with aneurysms so large and wide...
ROX Medical Announces First Clinical Use of the ROX FLO2W Procedure for the Treatment of High Blood Pressure in Resistant Hypertension Patients
November 1, 2011 8:42 pm | News | CommentsSAN CLEMENTE, Calif.--(BUSINESS WIRE)--ROX Medical, Inc., a world leader in the development of unique minimally invasive medical devices for the treatment of advanced COPD and resistant hypertension, today announced the first clinical use of the ROX CO2UPLERTM at the Universitair Ziekenhuis Brussel...
Medtronic Receives First FDA Approval of Cobalt Chromium Balloon-Expandable Stent to Treat Narrowed Iliac Arteries
October 31, 2011 9:14 am | News | CommentsMINNEAPOLIS –– Oct. 31, 2011 –– Advancing the treatment of peripheral artery disease, Medtronic, Inc. (NYSE: MDT) today announced approval by the U.S. Food and Drug Administration (FDA) of the Assurant® Cobalt Iliac Balloon-Expandable Stent System.
Physician Prescriptions for ZOLL LifeVest Top 50,000
October 28, 2011 10:33 am | News | CommentsCHELMSFORD, Mass.--(BUSINESS WIRE)--ZOLL Medical Corporation (NasdaqGS: ZOLL), a manufacturer of medical devices and related software solutions, announced today that more than 50,000 patients at high risk of sudden cardiac arrest (SCA) have been prescribed the LifeVest® Wearable Defibrillator.
FDA Advisory Panel Makes Recommendation on Investigational Medtronic Phased RF Ablation System for Treatment of Persistent or Long-Standing Persistent Atrial Fibrillation
October 28, 2011 7:44 am | News | CommentsMINNEAPOLIS--(BUSINESS WIRE)--Medtronic, Inc. (NYSE: MDT) today announced that the U.S. Food and Drug Administration's (FDA) Circulatory Systems Devices advisory panel voted against the Medtronic Phased RF Ablation System, the first atrial fibrillation ablation therapy under investigation...


text:
Love you too!
Added to Bag!
We'll let you know if it's back in stock!
Added to Wishlist!
Freestyle Phenomena Overalls
$67.99 $33.9950% off!
These black, vegan faux-leather overalls possess a free-spirited quality that inspires impromptu outfits! Ad-lib a stellar look next to their antiqued platinum fixtures, cuffed short bottoms, and zippered bib pocket. Four-buttoned sides, twin hip pockets, and dual back pockets only emphasize your footloose approach to fashion. Experiment with flatform sneakers and a graphic print tee, then share your improvisational outlook with the world.
- Shell: 55% Polyurethane, 45% Cotton. Lining: 100% Cotton.
- Fabric provides stretch.
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- Unlined. Hook and button closure at straps. Side button closure. Chest pocket with zipper closure. Front and back pockets.
- Imported
Product Measurements:
Size | S | M | L |
Inseam | 2 | 2 | 2 |
Length | 31 | 32.5 | 32.5 |
All measurements in inches.


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Jose Valverde warmed up for a save opportunity last night, but had to shut things down in the bullpen with wrist soreness and the Tigers instead turned to Phil Coke to close out the 6-3 win over the Cardinals.
Valverde showed up at the ballpark today feeling better, but told Jason Beck of MLB.com that he expects to miss at least 3-4 days and will be examined further by a wrist specialist before the Tigers decide if a disabled list stint is needed.
After converting all 49 of his regular season save chances last year Valverde has already blown three saves in 16 opportunities this year while posting a 4.18 ERA and nearly as many walks (17) as strikeouts (19) in 28 innings.
Joaquin Benoit is the likely fill-in closer, although Coke could get some save chances based on lefty-righty matchups.
- stex52 - Jun 20, 2012 at 5:36 PM
Spit on it. It will feel better.
- marshmallowsnake - Jun 20, 2012 at 6:03 PM
Did he hurt it raising it over his head to distract people?
- seeinred87 - Jun 20, 2012 at 6:30 PM
I just haven't been all that comfortable with him on the mound this season. Benoit definitely makes sense, but I'd love to see Villareal get a shot; he's been crazy good. Anyone who can record a hold without throwing a pitch has to be pretty awesome, right?


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Subject: | Re: What would be a good middle name for sarah? |
Author: | dana catania (guest, 188.8.131.52) |
Date: | March 7, 2001 at 7:25:00 AM |
Reply to: | Re: What would be a good middle name for sarah? by Nanaea |
ok, I like the rock classics from the '60s and '70s like Kansas, Eagles, Journey, Mamas and the Papas, The Doors, Jim Morrison but I can't think of any titles from any of their songs that would work. I also collect lighthouses and my boyfriends parents have horse so we had been going out there on the w/e's
Because this message is archived you cannot respond to it. |
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text:
There are lots of cupcake shops, therefore lots of people employed in cupcake shops, therefore the solution to the economic crisis is ... cupcakes?
Does the world really need another cupcake cookbook?
Plus: Manly cupcakes need a home, and the legality of tip pools, all in our morning news roundup.


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AMMAN, Jul (Reuters) - Syrian tanks deployed at the entrances to the city of Hama Sunday but later pulled back, residents said, two days after it saw the largest protest against President Bashar al-Assad since an uprising began three months ago.
Tanks and armoured vehicles headed north after moving close to the city of 650,000 people. Tens of people were earlier arrested in neighborhoods on the edges of Hama and secret police patrols were seen in the city, they said.
"The regime is using scare tactics, but the people of Hama are not bowing," one esident said, adding that tens of thousands of people assembled for a night rally at the main square on Sunday despite electricity cuts designed to hamper protests.
In a Damascus suburb that has also seen expanding protests against Assad's rule, activists and a resident said police shot dead two protesters Sunday.
"It was a usual night demonstration when a hail of bullets hit. Many were also injured," the resident, who gave his name as Abu al-Nour, told Reuters by phone from the poor suburb of Hajar al-Aswad.
The suburb is home to thousands of refugees from the Israeli-occupied Golan Heights live.
"It took every one by surprise because it was the first time the 'amn' (security police) fired at a demonstration in Hajar al-Aswad," he added.
The Local Coordination Committee, a grassroots activists' group, gave the name of the dead as Mutassem al-Daher and Mouaffaq Khalil.
The security forces' presence had lessened in Hama since they killed at least 60 protesters in the city a month ago in one of the bloodiest days of the uprising against Assad.
Demonstrations have grown in numbers since, witnesses said, with at least 150,000 people assembling at a square Friday in a rally demanding the removal of Assad, whose father, the late Hafez al-Assad sent troops to the city in the 1982 to crush an Islamist led uprising. That attack killed up to 30,000 people.
Another resident, a shop owner who gave his name as Kamel, said security forces and gunmen loyal to Assad, known as 'shabbiha', fired rifles randomly early Sunday in Hama's Mashaa district. He added that arrests concentrated on the areas around the football stadium and in Sabounia district.
Rami Abdel-Rahman, president of the Syrian Observatory for Human Rights, confirmed that tanks had withdrawn, saying any military assault on the city could spur Syrians to take to the streets across the country en masse.
"People in the hundreds of thousands protested peacefully in Hama Friday. The authorities do not have an excuse to say Hama is full of armed terrorist groups," Abdelrahman told Reuters.
He was referring to statements by the authorities that military assaults on numerous cities, towns and villages in the last two months were in pursuit of Islamist and foreign backed gunmen terrorising the civilian population.
The 1982 assault on Hama, 210 km (130 miles) north of Damascus, was carried out by troops mostly from Syria's Alawite minority commanded by Hafez al-Assad's brother.
Bashar Assad, a member of the minority Alawite sect, an offshoot of Shi'ite Islam, has ruled the majority Sunni country since succeeding his father in 2000. He sacked the governor of Hama province, Ahmad Khaled Abdulaziz, Saturday.
The United States and European Union have imposed sanctions on Assad and his top officials in response to the crackdown, in which at least 1,300 civilians have been killed according to rights groups.
Neighboring Turkey has warned Assad against repeating "another Hama," in reference to the 1982 massacre.
In Zurich, Swiss news agency SDA reported Sunday that Switzerland has blocked Syrian assets worth 27 million Swiss francs ($32 million).
Citing a Swiss newspaper report that the Swiss Secretariat for Economics (SECO) confirmed, the news agency said SECO declined to comment on whether Assad's assets had been frozen. SECO could not immediately be reached by Reuters.
(Additional reporting by Katie Reid; Editing by Angus MacSwan)


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Discover the meaning of your name.
Please confirm that the link referenced below is the one that is broken or needs to be updated. If confirmed, please complete the remaining boxes in the form below, then click on the button to send the update to us.
Title of the LinkHerzog, Russia
URL (address) for the Linkhttp://volgagerman.net/Villages/Herzog/Herzog.htm


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You might expect the latest car on the list to also be the greatest, but alas, it's not. The 2012 Lamborghini Aventador might be pretty great for a lot of reasons, but the 199 miles per hour (320 kilometers per hour) achieved by the reporter at Inside Line only gets this Lambo to number nine.
Surely the engineers in Sant'Agata, where the Aventador was built, are crying, "It was daytime! There was traffic! How could you expect the 690-horsepower V-12 to reach its full speed of 217 miles per hour in such conditions? Cavolo!" (That's Italian for "crap!" It's also Italian for "cabbage.") But all the other cars on this list (exceptions noted, of course) were subject to the same conditions, and sometimes worse.
Besides, the reporter got to drive the Aventador from home base in Italy to the autobahn in Germany and back. There are worse ways to spend two days.
Start the Countdown |
10: 192 miles per hour (309 kilometers per hour): Corvette ZR1 |
9: 199 miles per hour (320 kilometers per hour): Lamborghini Aventador |
8: 200.7 miles per hour (323 kilometers per hour): Porsche 911 GT3 RTS 4.0 |
7: 201.3 miles per hour (323.96 kilometers per hour): Ruf CTR Yellowbird |
6: 206.3 miles per hour (332 kilometers per hour): Kelleners BMW M6 |
5: 208.7 miles per hour (335.87 kilometers per hour): Ruf R Turbo |
4: 219 miles per hour (353 kilometers per hour): Bugatti Veyron |
3: 236 miles per hour (381 kilometers per hour): Porsche 9ff GTurbo850 |
2: 268.432 miles per hour (432 kilometers per hour): V-16 Auto Union |
1: 268.8 miles per hour (432.59 kilometers per hour): Mercedes-Benz W125 |
Up Next |


text: Nathan214 United States Show all reviews | Bolt of Lightning by JAROpens up with a seriously foul, rotting vegetation note, but after twenty minutes transforms into one of the most beautiful fragrances I've ever smelled -- an airy, fresh, lightly green and subtly sweet concoction, like warm sunshine on wet roses, thanks to a golden, shimmery musk shot through the heart of it. A creative and intelligent piece of work. The price may stink, but the perfume itself is awesome. 22nd August, 2008 |


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The effects of graphical overviews on knowledge acquisition in hypertext
Jong, T. de and Hulst, A. van der (2002) The effects of graphical overviews on knowledge acquisition in hypertext. Journal of Computer Assisted Learning, 18 (2). pp. 219-231. ISSN 0266-4909
Restricted to UT campus only : Request a copy 62kB |
Abstract: | A central aspect of designing hypertext for learning concerns the structure of the information in the hypertext and the view the learner is offered of this structure. In this study, a hypertext environment was enhanced with a graphical overview that represented the basic, inherent, structure of the domain and the layout was designed in such a way that learners were unobtrusively encouraged to follow a sequence of exploration that followed the domain structure. This so-called 'visual' lay-out was compared with two lay-outs that presented randomly positioned nodes. One of these two lay-outs contained hints (using 'highlighting') to stimulate learners to follow a domain related exploration similar to the one incorporated in the visual lay-out. The other ('control') lay-out did not provide such hints. Results showed that participants from both the 'visual' and the 'hints' conditions demonstrated a more domain-related exploration pattern than participants from the 'control' condition. Participants in the 'visual' lay-out did not show a better recall of the content of the nodes as such, but showed a significantly better acquisition of knowledge of structure than participants from the other two conditions. These data indicate that a visual display conveys knowledge in its own right and that knowledge gained does not depend on the exploration route followed in the hypertext material. |
Item Type: | Article |
Copyright: | © 2002 Blackwell |
Faculty: | Behavioural Sciences (BS) |
Research Group: | |
Link to this item: | http://purl.utwente.nl/publications/44128 |
Official URL: | http://dx.doi.org/10.1046/j.0266-4909.2002.00229.x |
Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
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Metis ID: 208482


text:
Campus and Regional Specialty Programs |
Diagnostic Medical Sonography | Nuclear Medicine | Radiation Therapy |
CT/MRI | Women's Imaging | Quality Management |
CIT/CV | Advanced Radiologic Sciences | |
Specialty Students: You are identified as either a regional or campus student when registering. To ensure that you are registering for the correct program (ie: regional or campus), please make sure that your name is found on the registration form. If you are having difficulties, please contact Lori at 801-626-6057 or email email@example.com Please make sure that you have your W number with you when contacting the department __________________________________________________________________ SUMMER 2013 Class Schedule (click here) FALL 2012 Orientation Schedule (Click Here) Full book list on home page Book list can also be found on Bulletin Board page |
Please go to home page for module ordering and information. |
(please click on various links for information) Airport University and Travel Maps Driving Instructions CAMPUS PARKING Car Rentals OTHER INFO .... HOTEL INFORMATION: Please type in the following address for the Ogden Visitor's Bureau for information regarding hotels http://www.ogdencvb.org/ You will need to ask for the Weber State student rate to see if you are eligible for a discount |
If you have problems opening the files, you may need Adobe Acrobat Reader on your computer. Click on the link below and follow the instructions. |


text:
Adra, S.F., Dodd, T.J., Griffin, I.A. and Fleming, P.J. (2009) Convergence acceleration operator for multiobjective optimization. IEEE Transactions on Evolutionary Computation, 13 (4). pp. 825-847. ISSN 1089-778X
Full text available as:
Adra_Convergence.pdf Download (1347Kb) |
A convergence acceleration operator (CAO) is described which enhances the search capability and the speed of convergence of the host multiobjective optimization algorithm. The operator acts directly in the objective space to suggest improvements to solutions obtained by a multiobjective evolutionary algorithm (MOEA). The suggested improved objective vectors are then mapped into the decision variable space and tested. This method improves upon prior work in a number of important respects, such as mapping technique and solution improvement. Further, the paper discusses implications for many-objective problems and studies the impact of the use of the CAO as the number of objectives increases. The CAO is incorporated with two leading MOEAs, the non-dominated sorting genetic algorithm and the strength Pareto evolutionary algorithm and tested. Results show that the hybridized algorithms consistently improve the speed of convergence of the original algorithm while maintaining the desired distribution of solutions. It is shown that the operator is a transferable component that can be hybridized with any MOEA.
Item Type: | Article |
Copyright, Publisher and Additional Information: | © Copyright 2009 IEEE. Personal use of this material is permitted. However, permission to reprint/republish this material for advertising or promotional purposes or for creating new collective works for resale or redistribution to servers or lists, or to reuse any copyrighted component of this work in other works must be obtained from the IEEE. |
Keywords: | Evolutionary multiobjective optimization; neural networks |
Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Engineering (Sheffield) > Department of Computer Science (Sheffield) The University of Sheffield > Faculty of Engineering (Sheffield) > Department of Automatic Control and Systems Engineering (Sheffield) |
Depositing User: | Miss Anthea Tucker |
Date Deposited: | 05 Oct 2009 11:19 |
Last Modified: | 18 Jun 2014 08:06 |
Published Version: | http://dx.doi.org/10.1109/TEVC.2008.2011743 |
Status: | Published |
Publisher: | Institute of Electrical and Electronics Engineers |
Refereed: | Yes |
Identification Number: | 10.1109/TEVC.2008.2011743 |
URI: | http://eprints.whiterose.ac.uk/id/eprint/9817 |


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***Clarification*** added 12/3 due to a question that came up in this Facebook discussion: Firefighters often work overtime and they almost always receive overtime pay for it. However, according to their contract they might with permission accumulate a little comp time instead, up to 205 hours, after which no more comp time is permitted to be accumulated. My investigation of firefighter comp time actually turned out to be a red herring when it comes to high accumulations of paid leave and I only mentioned it to show that the path to the truth is not always linear.***
I've continued to look at the DeKalb firefighters' current labor contract with the city since it is set to expire at the end of June. It says that fire personnel may accumulate up to 205 hours of comp time, so I submitted a Freedom of Information Act request for comp time records for firefighters at about the end of the 2013 fiscal year (end of June or early July).
Luckily, I received more than I asked for because DeKalb Fire isn't so much the story here.
Below is information about banked comp time hours drawn from a Benefit Hours Report that was generated June 26, 2013. Repeat: This is banked comp time only.
Name & Position/Dept. | Banked Hours Available | Available Cost |
Espiritu (Asst. City Mgr.) | 689.8 | 45,399.19 |
Cleveland (Airport Mgr.) | 1660.0 | 75,525.02 |
Bauling (Engineering/Code/Transportation) | 1776.5 | 80,825.42 |
Maurer (Engineering/Code/Transportation) | 5337.0 | 304,449.17 |
Hicks (Fire Chief) | 640.5 | 39,456.72 |
Hoyle (Fire) | 504.0 | 29,130.39 |
Hoadley (Police) | 706.55 | 40,837.46 |
LeMay (Fire) | 1030.6 | 28,767.24 |
Another two dozen city employees had banked $5,000 to $25,000 in comp by the time of the report.
I'll put up more numbers later this week.
Related post: On the Trail of the Legendary Comp Time Monster.


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TIP # 04A01-01 FLAGLER COUNTY INCREASES TOURIST DEVELOPMENT TAX FROM TWO PERCENT TO THREE PERCENT BEGINNING MARCH 1, 2004Effective March 1, 2004, sales tax dealers in Flagler County must begin collecting a 3 percent tourist development tax for transient rental transactions occurring within the county. This increase is the result of the Flagler County Board of County Commissioners' adoption of Ordinance No. 2004-02 on January 12, 2004. The combined tax rate for Flagler County transient rentals will be 10 percent. This consists of: 6% State sales tax The tourist development tax must be collected by every person in Flagler County who rents, leases, or lets for a consideration any living quarters or accommodations in any hotel, motel, apartment house, multiple unit structure (e.g., duplex, triplex, condominium), rooming house, tourist or mobile home court (trailer court, R.V. camp, etc.), single family dwelling, garage apartment, beach house or cottage, cooperatively-owned apartment, condominium parcel or mobile home for a term of six months or less. These taxable transactions are defined as "transient rentals." Transient rentals that are exempt from sales tax are also exempt from the tourist development tax. For monthly and quarterly filers we will be mailing you a new 2004 Sales Tax Coupon booklet and Instructions. These new returns will be for the period of March through December 2004 and will have the new transient rental rate for Flagler County. You should begin using these coupons when filing your March 2004 tax return which is due on April 1 and late after April 20, 2004. If you are a semi-annual or annual filer your next tax return mailed from this office will have the new transient rental rate printed on the coupon. We would caution you to file your March 2004 and future returns using the tax returns with the correct transient rental rate. References: Flagler County Ordinance No. 2004-02; Section 125.0104, Florida Statutes FOR MORE INFORMATION This document is intended to alert you to the requirements contained in Florida laws and administrative rules. It does not by its own effect create rights or require compliance.
For forms and other information, visit our site at www.myflorida.com/dor. Or call Taxpayer Services, Monday through Friday, 8:00 a.m., to 7:00 p.m., ET, at 800-352-3671 (for Florida residents only), or 850-488-6800
Hearing- or speech-impaired persons should call our TDD at 1-800-367-8331 or 850-922-1115.
For a detailed written response to your questions, write the Florida Department of Revenue, Taxpayer Services, 1379 Blountstown Highway, Tallahassee, FL 32304-2716.
To receive a fax copy of a form, call 850-922-3676 from your fax machine telephone.


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As One Tree Hill continues to grow and break new ground, the show enters its ninth season with close to 200 episodes under its belt. Last season in Tree Hill, there were a great number of changes - both personal and professional - including the momentous and captivating marriage of Brooke and Julian, a change of career for Nathan and more than one family welcoming new additions. Through it all, One Tree Hill continues to explore the delicate balance that contemporary young people face as they endeavor to build and define what their lives will be, while overcoming difficulties and embracing the good things that they sometimes take for granted. The series, now in its ninth season, continues to celebrate the most important things - among them the quest for love, laughter, health, friends, career and family - timeless pursuits that have always mattered, and matter still.
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One Tree Hill - Season 9 was a brilliant price with brilliant delivery. The show was brilliant too.
When I first got one tree hill season 9 I found that the case was broken all the discs were fine but I wanted the case in good condition so I contacted Zavvi who were amazing and they sorted me out with a brand new box set free of charge :) the 2nd one I got was in good condition. Season 9 of one tree hill is amazing I've seen all the episodes and would recommend any of the seasons as they are all really good, for me it's the best show that was on TV. With this product I also got the first disc of season one of vampire diaries I thought this was really good as it was included free in the box set. I defiantly recommend one tree hill season 9 and also recommend Zavvi as they are both great.
This is such a dramatic season as everyone knows that it's the final one, it has some brilliant storylines throughout! Though the last episode was disappointing. Other than that it's well worth seeing the final season!


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Music Conservatory of Westchester Children's Concert: Meet the Instruments - White Plains Public Library
Hours: 2-3pm Ages: YE,TW Price: Free Address: 100 Martine Ave. - 914-422-1476 White Plains, NY 10601 whiteplainslibrary.org Description: Meet the Instruments - Brass, Strings, and Woodwinds. Presented by students and faculty at the Music Conservatory of Westchester. Ages 5 and older. |


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Released: May 29th, 2013
Running Time: 170 Min.
Director: Eric Avalon
Company: Adam & Eve Pictures
DVD Extras: Behind the Scenes, Bonus Scenes, Still Gallery(ies), Trailer(s)
Bad Boy, Kaylee Brookshire, Suzana Rhios, Tyler Nixon, Michael Vegas, Allie Haze, India Summer, Krissy Lynn, Roge, Evan Stone, Fabine
Critical Rating: AAAA
Genre: Foreign Feature
Evan wakes up from a dream to find that he is Adam in the Garden of Eden, with a beautiful, naked and remarkably seductive Eve trying to tempt him with a juicy apple ... and a few other delights. It's a perfect sexual fantasy with plenty of frolicking in the wilds, until a wisecracking snake named Sid enters the picture. He has big plans for Evan, which include numerous other naked visitors to the garden ... including Evan's wife!
Former Vivid Girl Allie Haze plays Eve to Evan Stone's Adam in his dream about the Garden of Eden in this feature shot aside jungles, waterfalls and beaches in Brazil. Stone plays a man dissatisfied with his workaholic life and sexually bland wife India Summer, which all gets turned around by Haze. A weird, wisecracking snake puppet helps Stone interpret his surroundings and encourages him to go after his lusts.
Haze and Stone have some passionate sex here in front of a tropical forest, and Haze takes part in a lovely beach orgy scene where American and Brazilian porn stars fuck happily together as well. Haze rejects Stone to get banged by Tyler Nixon in a bar.
Busty blonde American newbie Kaylee Brookshire joins Brazilians Suzana Rhios and Roge next to a waterfall for a pretty b/g/g three-way. An all-girl four-way by a pool reveals that Summer has made her way to Stone's dream paradise. Summer tries out some vag with Brazil's Roge before going back to Stone for his newly-improved bump and grind.


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The Library
Evidence that a Ca2+ sparks/STOCs coupling mechanism is responsible for the inhibitory effect of caffeine on electro-mechanical coupling in guinea pig ureteric smooth muscle
Borisova, L., Shmygol, Anatoly, Wray, Susan and Burdyga, T.. (2007) Evidence that a Ca2+ sparks/STOCs coupling mechanism is responsible for the inhibitory effect of caffeine on electro-mechanical coupling in guinea pig ureteric smooth muscle. Cell Calcium, Vol.42 (No.3). pp. 303-311. ISSN 0143-4160
Full text not available from this repository.
Official URL: http://dx.doi.org/10.1016/j.ceca.2006.12.005
Recent studies have highlighted the role of the sarcoplasmic reticulurn (SR) in controlling excitability, Ca2+, signalling and contractility in smooth muscle. Caffeine, an agonist of ryanodine receptors (RyRs) on the SR has been previously shown to effect Ca2+, signalling but its effects on excitability and contractility are not so clear. We have studied the effects of low concentration of caffeine (I mM) on Ca2+ signalling, action potential and contractility of guinea pig ureteric smooth muscle. Caffeine produced reversible inhibition of the action potentials, Ca2+, transients and phasic contractions evoked by electrical stimulation. It had no effect on the inward Ca2+ current or Ca 21 transient but increased the amplitude and the frequency of spontaneous transient outward currents (STOCs) in voltage clamped ureteric myocytes, suggesting Ca2+ activated K+ channels (BK) are affected by it. In isolated cells and cells in situ caffeine produced an increase in the frequency and the amplitude of Ca2+ sparks as well the number of spark discharging sites per cell. Inhibition of Ca 2, sparks by ryanodine (50 mu M) or SR Ca2+ ATPase (SERCA) cyclopiazonic acid (CPA, 20 mu M) or BKCa channels by iberiotoxin (200 nM) or TEA (I mM), fully reversed the inhibitory effect of caffeine on Ca2+ transients and force evoked by electrical field stimulation (EFS). These data suggest that the inhibitory effect of caffeine on the action potential, Ca2+ transients and force in ureteric smooth muscle is caused by activation of Ca 2, sparks/STOCs coupling mechanism. (c) 2007 Elsevier Ltd. All rights reserved.
Item Type: | Journal Article |
Subjects: | Q Science > QH Natural history > QH301 Biology |
Divisions: | Faculty of Medicine > Warwick Medical School |
Journal or Publication Title: | Cell Calcium |
Publisher: | Churchill Livingstone |
Official Date: | September 2007 |
Volume: | Vol.42 |
Number: | No.3 |
Number of Pages: | 9 |
Page Range: | pp. 303-311 |
Identification Number: | 10.1016/j.ceca.2006.12.005 |
Status: | Peer Reviewed |
Publication Status: | Published |
Access rights to Published version: | Restricted or Subscription Access |
URI: | http://wrap.warwick.ac.uk/id/eprint/31572 |
Data sourced from Thomson Reuters' Web of Knowledge
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USB A Male to mini USB connector. Both mini 5 pin and mini 4 pin styles available. High speed up to 480Mb, used for many USB connections. Cable color is black
At a bargain price
Login Here to rate and review this product.
83-11870 - 6' USB 2.0 A Male to Micro A Cable
USB A Male to USB A Male Micro connector High speed up to 480Mbs cables Used for many cellular phone connections Cable color is black
83-10705 - 3 ft USB A / Mini 5 Pin Cable - Black
MCM Cat 57, Page 327
MCM Cat 56, Page 396


text:
Latest Articles for S.T.A.L.K.E.R.: Clear Sky
BitCoposer acquires rights for S.T.AL.K.E.R. video games
Represents a bridge to the triple-A sector, says the Eschborn, Germany-based firm.
Heads-up: What's new this week
A look ahead to Friday's new releases.
S.T.A.L.K.E.R. Clear Sky has gone gold
International release date has been set for September 5, 2008.
Console S.T.A.L.K.E.R. depends on success of PC prequel
Too early to talk about new IP plans for consoles.


text:
Nanoscale Science MS
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The geology of New Hampshire : a report comprising the results of explorations ordered by the legislature, Part. 1
Hitchcock, Charles H. (Charles Henry), 1836-1919
Concord : E. A. Jenks, state printer (publisher), 1874
Includes indexes.
Another edition of v. 1 was published by Edson C. Eastman.
Atlas is printed by Julius Bien, New York, 1878.
Subjects | Geology -- New Hampshire Rivers -- New Hampshire Insects -- New Hampshire Botany -- New Hampshire Fragilariaceae Drift Mineralogy -- New Hampshire Physical geography -- New Hampshire New Hampshire -- Climate New Hampshire -- Surveys |
Contributors | New Hampshire. Geological and Mineralogical
Survey Upham, Warren, 1850-1934 Huntington, Joshua Henry, 1833-1904 Quimby, Elihu T. (Elihu Thayer), 1826-1890 Scudder, Samuel Hubbard, 1837-1911 Flint, William F. Edwards, Arthur M. (Arthur Mead) Hawes, George Wesson, 1848-1882 University of New Hampshire. Library. Digital Collections. University of New Hampshire. Library. Government Information. Scanned by Internet Archive, Open Content Alliance (2008) |
Type | Text |
Identifier | http://www.archive.org/details/geologyofnewhamp00newh |


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Excerpt from | Oral History Interview with Jerry Plemmons, November 10, 2000. Interview K-0506. Southern Oral History Program Collection (#4007) |
As roads increase access to rural areas, Plemmons thinks, they must compete with one another for business. He hopes that Marshall can find a way to lure shoppers downtown, whether with a niche restaurant or an outlet retailer. He does not seem optimistic.


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TripAdvisor Traveller Rating
Based on 40 Review
Hotel added
Hotel description Motel 6 South Padre Island
The hotel is located approximately 1.5 kilometres north of South Padre Island centre.This 52-room motel offers all the amenities that clients will need for a very pleasant stay. Guests can take advantage of Internet access in public areas for a fee, and those arriving by car can leave their vehicles in the hotel car park.All rooms have recently been remodelled to include a 32-inch LCD TV with AV connection for gaming. WLAN Internet access is available for a fee per 24 hours. Rooms come with a private bathroom with a bathtub and shower, granite countertops and a raised wash basin, as well as wood-effect flooring. Further in-room amenities include a direct dial telephone, tea and coffee making facilities and a washing machine, as well as a double bed and individually regulated air conditioning and heating units.There is an outdoor swimming pool available at the motel. The beach is located approximately 16 kilometres away.Free morning coffee is served.When travelling on US 77, drive east on SR 100 for approximately 45 kilometres to Queen Isabella Causeway. Cross over the causeway and turn left onto Padre Boulevard. The hotel will be approximately 5 kilometres ahead on the left.
Description Motel 6 South Padre Island
- • Year of construction: 1992
- • Year of most recent renovation: 2008
- • Number of floors (main building): 2
- • Total number of rooms: 52
Methods of payment
- • American Express
- • Diners Club
- • MasterCard
- • Visa
- • Wired Internet (*)
Car park
Large pets allowed (over 5 kg)
Small pets allowed (under 5 kg)
Distances (in meters)
- • Nearest Bus / Metro Stop: 0.00 mi
Double Grand View room features
- • Bathroom
- • Bathtub
- • Carpeted floors
- • Direct dial telephone
- • Disability-friendly bathroom
- • Double bed
- • Individually adjustable air conditioning
- • Individually adjustable heating
- • Internet access
- • Shower
- • Tea and coffee making facilities
- • Washing machine
- • Wheelchair-accessible
Hotels nearby Motel 6 South Padre Island
- At 2.06 miles
Pearl South Padre
This charming resort boasts a stunning oceanfront setting, lying on South Padre Island. The resort is situated along the coast of South Texas, overlooking the spectacular Gulf of Mexico. This magnificent resort offers a peaceful retreat, in which to escape the rest of the world. The resort features a stunning architectural design, tempting guests into a veritable lap of luxury. The accommodation options are beautifully designed, featuring refreshing tones and exuding an air of peace and serenity. Guests are invited to take advantage of the wide range of facilities that this stunning resort has to offer. Guests can indulge in the ultimate invigoration in the spa.
See more - At 2.11 miles
Hilton Garden Inn South Padre Island
Immersed in a relaxing environment on South Padre Island, this deluxe resort offers guests a stunning setting, in which to enjoy a memorable stay. The resort is situated just a short distance away from the South Padre Island convention and visitor bureau and the South Padre Island Birding and Nature City. This wonderful resort comprises elegantly-appointed accommodation options, which provide a luxurious setting in which to experience the utmost in comfort and convenience. The hotel comprises 7000 square feet of conference and banqueting space, meeting the needs of those travelling for work purposes. This charming resort offers a range of leisure and dining facilities and services, delivering an exhilarating experience for travellers.
See more - At 23.41 miles
Comfort Suites
This hotel boasts a strategic setting in Brownsville. The hotel is located close to the area's main attractions. Guests will find themselves within easy access of a wealth of restaurants, shopping opportunities and dining options. A number of businesses can be found nearby. This hotel is the perfect choice for business and leisure travellers visiting the area. This wonderful hotel enjoys an attractive architectural design. The guest rooms are elegantly appointed, offering a relaxing setting in which to work and rest in comfort. Those travelling for work purposes will appreciate the hotel's business centre. Guests can enjoy a delightful breakfast in the mornings, for a great start to the day.
See more


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Yikes! Mooring System Failure
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Maine Sail
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Re: Yikes! Mooring System Failure
Originally Posted by
How hard is the bottom? My mooring must be inspected every 3 yrs, but, I've had a diver jet my mooring into the bottom so that it's completely under the mud.
The diver is also a third generation marina owner and swears that getting the mooring gear under the mud not only is better holding but that the iron rusts slower under the muck.
You have a good mooring guy that KNOWS a mooring needs to be set in order to work! They won't allow "jetting" around here as it stirs up too much silt and with 1400+ moorings.........They can get away with it for ACOE permitted work such as docks etc. but not for moorings. Some local mooring guys, the good ones, will "screw" them by running the barge in circles for the initial set at least enough to bury the bell. Our bottom is pretty soft on top but quickly turns into a hard blackish clay / goo..
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"be consistent" | |
PerlMonks |
Re: Re: Re: HTML::Templateby George_Sherston (Vicar) |
on Sep 13, 2001 at 20:32 UTC ( #112238=note: print w/ replies, xml ) | Need Help?? |
Yes, and as princepawn /msg'd me, it also gives access to modules in sub paths, so all round a better answer. Just goes to show, new lessons to be had everywhere :)
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Philippines Islands - Boracay
Boracay Island
Boracay is a beautiful island of the Philippines located approximately 315 km (200 miles) south of Manila and 2 km off the northwest tip of Panay Island in the Western Visayas region of the Philippines .
Boracay beautiful beaches - the famous white beaches of the island of Boracay regularly appear in those, "Best beaches of the World" lists. Although unchecked tourist development did have the authorities declare the beaches contaminated and unsafe, the beaches have since been found to be at acceptable levels of pollution and look pristine (You can look, but don't touch).
Enjoy some beautiful pictures from Boracay Island:
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In progress Awtysst Mock
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Re: In progress Awtysst Mock
Originally Posted by
Couple of thoughts:
1. Wilson is a solid pick. I have no problem with him. In my scenario we end up resigning Dunta, so if we do, I doubt we take Wilson.
2. While Houston is good, this is a deep draft for DTs. In contrast, I see Pouncey as a BPA selection & in a need position.
3. Both of your Oline here are more suited to OG than OC. I think if you trade for Kuper (which you did) I am not sure they are still BPA. I like Burnett, again BPA and in a need position.
4. LOVE Rolle. I just don't see him here. I think he goes late 2nd early 3rd round. I like Rolle, but I prefer Pouncey.
After Rolle you can debate who you like/don't like. I like the thought process of getting returners and kickers.
Exactly, if we sign Dunta there is no reason in drafting Kyle Wilson unless like you said earlier if we are building for the future.
I really like Asomoah in the second but Pouncey is a really good lineman also.
Runningback is what I see us doing in the first round. It could be C.J. Spiller or Jonathan Dwyer even a surprise pick of Ryan Matthews.
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Conquest: Frontier Wars is a real-time strategy game set in space. The Terran have unlocked the key to interstellar travel, but they come upon an alien insect-like race and battle begins. Manage resources, explore up to 16 different systems, set up supply lines, oversee scientific research, form alliances, and more, all in an attempt to crush your enemies.
Warthog revealed the original development team is working on a sequel to Conquest: Frontier Wars. Read More »
Release Region: United States
Release Date: August 31, 2001
Publisher: Ubisoft
Release Region: Japan
Release Date: Unreleased
Publisher: Ubisoft
Release Region: Australia
Release Date: Released
Publisher: Ubisoft
Release Region: United States
Release Date: August 31, 2001
Publisher: Ubisoft
For more info on these technical requirements and features, please view GameSpy's Specs FAQ.
Conquest: Frontier Wars at IGN
Conquest: Frontier Wars at GameSpy
Conquest: Frontier Wars at GameStats


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text: Publications Search Results Users may wish to consult What's Included in the Bibliography. Results 1 - 2 Results per page: 25 50 100 Sort by: Pub Date (newest) Title Recent Additions Author Clear All Pub. Year Citation 1996 Byrne, C., Ursin, G., Ziegler, Regina G. A comparison of food habit and food frequency data as predictors of breast cancer in the NHANES I/NHEFS cohort. Journal of Nutrition. 126, (11), 2757-2764. Full Text Options: Worldcat Google Scholar Export Options: RIS EndNote XML 1994 Subar, A.F., Ziegler, Regina G., Patterson, B.H., Ursin, G., Graubard, B. US dietary patterns associated with fat intake: the 1987 National Health Interview Survey. American Journal of Public Health. 84, (3), 359-366. Full Text Options: DOI Worldcat Google Scholar Export Options: RIS EndNote XML [1]


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The Appalachian Trail Conservancy (ATC) has been the beneficiary of philanthropic contributions from a wide variety of companies and company foundations from the outdoor industry and beyond. These companies understand the importance and value in supporting the ATC's efforts in protecting this iconic Trail; a Trail that is recognized worldwide as one of North America's most treasured spaces.
For more information on the ATC's Corporate Partnership program please contact Mike Leonard at 304.885.0473 or via email at [email protected].
To view the ATC's Corporate Partnership Overview, CLICK HERE. To view the ATC's Market Profile, CLICK HERE. To view a list of our current corporate partners, CLICK HERE. To download our Corporate Partnerships information sheet, CLICK HERE.
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Partner $500 to $999


text:
What does it say about the popularity of baseball these days when the World Series gets crushed in the ratings by shows that can be recorded on a DVR?
8 p.m.
World Series: 12.3 million viewers
The Big Bang Theory: 12.8 million/$#*! My Dad Says: 10.8 million
It's The Great Pumpkin, Charlie Brown: 6.98 million
Scared Shreckless: 8.2 million/Community: 5.7 million
The Vampire Diaries: 3.5 million
9 p.m.
CSI: 14.1 million
Grey's Anatomy: 10.7 million
World Series: 11.77 million
The Office: 8.05 million/Outsourced: 5.9 million
Nikita: 2.6 million
10 p.m.
The Mentalist: 14.6 million
Private Practice: 7.8 million
The Apprentice: 3.8 million


text:
Publisher's Preface
"I am going to be a soldier" Marking Time Arms and the Boy Ares Deferred "The Best Occupation..." The Philippines? Where are they? Soldiers at Sea "There they are! There they are!" Ole Man Pasig Hemp At the Foot of Mayon The Terror by Night The Malabog Affair The Ides of March Tollgate "Yesterday he was one of us" Camalig Manila First Sergeants and Volunteers Banquiruhan River Daily Life at Legaspi More on the Life of Legaspi At the Portal Vacation-As It Were Ship Away Boots and Saddles
Epilogues Picture Credits Index
Back to top
World of 1898 Home | Introduction | Chronology | Index | Bibliography | Literature | Maps | American Memory
Library of Congress Comments: Ask a Librarian ( June 22, 2011 ) Legal | External Link Disclaimer


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- Show Prep
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Several U.S. states have started reassessing their medical marijuana laws after stern warnings from the federal government that everyone from licensed growers to regulators could be subjected to prosecution. The Department of Justice said two years ago that it would be an inefficient use of funds to target people who are in clear compliance with state law. But U.S. attorneys have said in their recent memos that they would consider civil or criminal penalties for those who run large-scale operations — even if they are acceptable under state law.
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Transvaginal Tension Free Vaginal Tape-Obturator (TVT-O) Versus Transobturator Tape-Mentor (TOT) in the Management of Urodynamic Stress Urinary Incontinence
Recruitment status was Recruiting
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- Disclaimer
- How to Read a Study Record
Urinary incontinence (involuntary leakage of urine) is an extremely common, distressing and socially disabling condition. It is known to affect up to 14 % of the adult female population in the United Kingdom. Sufferers tend to become social recluses, not wanting to socialise for fear of embarrassment and ridicule. It typically takes up to 5 years from the onset of symptoms for a patient to admit their problem, seek help and reach a specialist. Unfortunately, it is commonest in the elderly when the incidence is as high as 50% in some studies. Furthermore, this group of patients are the least likely to seek help, the least likely to receive help and up until recently the least likely to be cured of their problems.
Things are improving however, as everyone is more prepared to talk about this awful condition rather than accept it as a part of growing old. Furthermore, better treatments are becoming available which can help the old as well as the young.
Two years ago a new operation for urinary leakage was launched in the United Kingdom (UK). This is a smaller operation than those previously available and more suitable for the frail and elderly. We, the researchers at South Glasgow University Hospital, have been using this operation for 18 months with good success. Several versions however are now on the market, some much more expensive than the original, and perhaps not as good. We need to know which one is best and hence we intend to do a study to find out.
We aim to select patients with leakage to have one or the other operation and to follow the patients over several years to find out which operation is best, safest, lasts longest and is most acceptable to patients. Only then will we know which of the versions of this procedure we should be offering our patients.
Condition | Intervention |
Urinary Stress Incontinence |
Device: Transobturator tape-ARIS Device: TVT-O |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind Primary Purpose: Treatment |
Official Title: | Randomised Prospective Blinded Trial Comparing Transvaginal Tension Free Vaginal Tape-Obturator (Outside-In) With Transobturator Tape-Mentor (Inside-Out) in Surgical Management of Urodynamic Stress Urinary Incontinence |
- Objective cure rates of stress incontinence according to urodynamics
- Improvement in total King's Health Questionnaire (KHQ) scores { > or = 10%}
- Complication rates
- Patient satisfaction rates
Estimated Enrollment: | 230 |
Study Start Date: | May 2005 |
Estimated Study Completion Date: | May 2010 |
Detailed Description:
Randomised trial comparing TVT-O & TOT in surgical management of USI (Urodynamic Stress Incontinence):
Aim: To compare two transobturator tension free vaginal tape procedures; TVT-O Gynecare vs. TOT mentor for management of USI. This study will compare the surgical approach & tape material in both procedures [In-Out (TVT-O) Vs. the Out-In (TOT)] as regards to; Complication rates, Objective & subjective cure rates, Patient satisfaction & quality of life (QoL) changes.
Design: Randomised trial in a regional referral centre, approved by ethical committee.
Background: Transobturator tension free vaginal tape is currently the first choice mid-urethral tape procedure for surgical treatment of USI in our unit. The choice of the surgical approach and tape material; In-Out (TVT-O) vs. the Out-In (TOT) is currently taken predominately according to the surgeon preference without any solid clinical evidence to support that one approach or one tape is superior to the other.
Methods: All women undergoing transobturator tension free vaginal tape procedure in our department for pure USI, done as a primary anti-incontinence procedure and as the sole procedure at time of surgery, will be invited to participate in the study and will receive an information leaflet and will sign a consent form. All would have had failed or declined physiotherapy treatment. Procedures mainly take place in the surgery unit under general anaesthesia; those that are done in the main surgical list are due to patients' associated medical conditions or needing spinal anaesthesia or living in remote areas. Randomisation will be performed using sealed opaque envelopes. TVT-O & TOT will be done as originally described, we do not perform cough stress test routinely. All patients will receive intra-operative; prophylactic antibiotics & anti- inflammatory drugs if not contraindicated. Lidocaine 1% will be infiltrated into the needle pathway at the end of the procedure; 10mls. on each side. Satisfactory postoperative voiding - for the purpose of this study - is defined as passing at least 200mls with post-voiding residual urinary volume <100mls assessed at least twice.
Preoperative assessment would include:
- Detailed history & pelvic examination.
- Urodynamic assessment.
Preoperative quality of life assessment will include:
- Completion of the King's Health Questionnaire- version 7 (KHQ).
- Incontinence Bothersome Scale.
- Bristol Lower Urinary Tract Symptoms Questionnaire (BULTS).
- Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12).
Operative assessment would include:
- Operative time
- Blood loss.
- Surgeon assessment of procedure difficulty using visual analogue score (VAS)
Intra-operative complications:
- Bladder/Urethral injury.
- Haemorrhage (>200 mls.).
- Further procedures needed.
Immediate postoperative assessment:
Postoperative pain assessment will include:
- Patient self assessment using visual analogue score (VAS).
- Unscheduled ward admission for postoperative pain.
Postoperative voiding dysfunction will be defined as any deviation from satisfactory postoperative voiding described above. This will include assessment of:
- Days of catheterization.
- Intermittent self catheterization or permanent supra-pubic catheter.
- Urethral dilatation.
- Surgical release/excision of the tape.
- Postoperative pyrexia,
- Urinary tract infection (UTI).
- Hospital stay (for medical reasons).
Outpatient postoperative assessment:
Patients will be reviewed at three months for:
- Urodynamic assessment.
- Completion of the King's Health Questionnaire- version 7 (KHQ).
- Completion of the Incontinence Bothersome Scale.
- Completion of the Patient Satisfaction questionnaire.
- Bristol Lower Urinary Tract Symptoms Questionnaire (BULTS).
- Complications: Tape erosions, De-novo urgency, Worsening of pre-existing urgency, long-term voiding dysfunction.
Patients will be reviewed at Six month, 12 month, 3 years & 5 years for:
- 24 hour Pad test.
- Completion of the King's Health Questionnaire- version 7 (KHQ).
- Completion of the Incontinence Bothersome Scale.
- Bristol Lower Urinary Tract Symptoms Questionnaire (BULTS).
- Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12).
- Completion of the Patient Satisfaction questionnaire.
- Complications: Tape erosions, De-novo Urgency, Worsening of pre-existing urgency, long-term voiding dysfunction.
- Further treatment needed.
Genders Eligible for Study: | Female |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- All women undergoing transobturator tension free vaginal tape procedure in our department for USI, whether a primary or secondary anti-incontinence procedure and as the sole procedure at time of surgery, will be invited to participate in the study and will receive information leaflet and will sign consent form.
Exclusion Criteria:
- Concomitant surgical procedure
- Non-english speakers
- Lack of consent
Please refer to this study by its ClinicalTrials.gov identifier: NCT00136071
Contact: Mohamed Abdel-fattah, MRCOG | 01412012818 | firstname.lastname@example.com | |
Contact: Ian Ramsay, MRCOG | 01412012237 | email@example.com |
United Kingdom | |
Southern General Hospital | Recruiting |
Glasgow, United Kingdom, G51 4TF | |
Contact: Mohamed Abdel-fattah, MRCOG 01412012818 firstname.lastname@example.com | |
Contact: Ian Ramsay, MRCOG 01412012237 email@example.com |
Study Chair: | Ian Ramsay, MRCOG | Southern General Hospital | |
Study Director: | Mohamed Abdel-fattah, MRCOG | Southern General Hospital |
No publications provided
ClinicalTrials.gov Identifier: | NCT00136071 History of Changes |
Other Study ID Numbers: | msakr99, Henry Smith Grant |
Study First Received: | August 25, 2005 |
Last Updated: | December 19, 2005 |
Health Authority: | United Kingdom: National Health Service |
Keywords provided by South Glasgow University Hospitals NHS Trust:
Stress Urinary Incontinence, TOT, TVT-O |
Additional relevant MeSH terms:
Urinary Incontinence Urinary Incontinence, Stress Lower Urinary Tract Symptoms Signs and Symptoms |
Urination Disorders Urologic Diseases Urological Manifestations |
ClinicalTrials.gov processed this record on May 04, 2015