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A Corner Brook man wanted for fraud has been arrested and appeared in court in St. John's on Saturday morning.
Police issued a warning to area businesses earlier this week that Richard James Sharpe, 45, was opening fradulent accounts at businesses in the St. John's/Mount Pearl area, in the name of two legitimate Corner Brook firms. The two companies have been defrauded of about $60,000, say police.
Sharpe was arrested Friday and appeared in provincial court Saturday morning, charged with two breaches of probation, in addition to three outstanding charges from Corner Brook in May 2009: one count of failing to attend court and two more breaches of probations.
Sharpe is due back in court Monday morning for a bail hearing.
Corner Brook man charged wanted for fraud charged arrested, appears in court
Geographic location: Corner Brook, St. John's, Mount Pearl
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Symphonic Variants (Based on "Ode to Joy" from Symphony No. 9)
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Symphonic Variants (Based on "Ode to Joy" from Symphony No. 9) composed by Ludwig van Beethoven (1770-1827). Arranged by Douglas E. Wagner. Concert Band. Concert Band; Masterworks. Belwin Very Beginning Band. Form: Transcription. Classical; Masterwork Arrangement; Romantic. Grade .5. Conductor Score & Parts. 132 pages. Published by Belwin Music (AP.30741).
Here's a real confidence booster for your youngest ensemble. Beethoven's familiar "Ode to Joy" is scored for use early in the first year of instruction. Ample doubling reinforces the form while difficult rhythms are non-existent. Every section has a chance with the melody during the arrangement. This one will make them sound huge!
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Symphonic Variants (Based on "Ode to Joy" from Symphony No. 9)
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text:
In response to another idiotic post defending the Presbyterian Church's desire to divest from any companies that do business with Israel, I put together a small list of places that it would be worthwhile to invest in:
Bull Moose Growth Fund does not invest in any companies that make money off of terror-supporting nations.
The Amidex family of funds invest in Israeli companies.
The Blue and White Fund.
Here's a list of mutual funds that invest in Israel from Globes, not sure what the criteria are.


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Jimmy Alford
I was born in a rural town in northeast Texas. Photography and journalism became early ambitions
I started working for newspapers right out of high school and later went to the University of North Texas, where I earned a Bachelors of Arts and Sciences in Photojournalism
I have traveled and told many great stories, but the best story is always around the corner
Find me at: http://www.txprophotog.com
Oh noes!
This person hasn't created any collections yet.
Enter "Plain and Simple"!
Q: has anyone bought the leash and cuff quick connect straps wondering how they work in real life
A: Do you know?


text:
There are several podcasts with lectures from universities. I am looking for "other" podcasts.
So are there any non-lecture podcasts about compiler development?
locked by maple_shaft♦ Jul 29 '13 at 17:39This question's answers are a collaborative effort: if you see something that can be improved, just edit the answer to improve it! No additional answers can be added here |


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The Paul Austerlitz
For the event the reed player and bass clarinetist assembled a consortium of forward-thinking musicians, including pianist Richard Johnson (who performed regularly with Wynton Marsalis
Changing the pace, the quintet offered prayers for the victims of the Haitian earthquake. After this interlude, the band played a traditional songinvoking Haitian-Dominican spirits and known as Lwa. The theme revolved around the indivisible bond between Haiti and the Dominican Republic. During one section Jose Duluc donned a Rara dress, worn in processional ceremonies during Lent. Finally, the band brought the audience to its feet with a joyous merengue, Juanita Morel, and came full circle with a closing invocation to the Orisas.
Paul Austerlitz has had a long-standing relationship with Dominican music. Born in Finland and raised in New York City, he was exposed to Latino culture at a young age; however, he had no contact with Dominican music until he returned to New York in the 1980s after graduating from Wesleyan University. As an aspiring saxophonist with a deep love for Afro-Caribbean music he joined a Latin Jazz band but work was scarce. At the time a popular form of Dominican music known as merengue was taking New York City's Latin club by storm and there was as shortage of merengue saxophonists in the city. Shortly thereafter, Austerlitz started playing with merengue bands. As he became more committed to the music he moved to Washington Heights, where he learned to speak Spanish and participated in occasional gigs with first-rate musicians, including Jose Mateo and the King of Merengue. His work as an ethnomusicologist includes the books: Jazz Consciousness: Music, Race and Humanity (2005, Wesleyan University Press) and Merengue: Dominican Music and Identity (1997, Temple University Press).
Though no stranger to Afro Caribbean music, I was rendered speechless by the power, beauty and communal nature of Austerlitz' music. Asked during a recent telephone conversation to describe his music, he modestly told me that it is "Jazz with Afro Dominican and Haitian influences." Left wanting more, I went to the liner-notes for Journey (Innova Records), where the following passage, written in the leader's hand, stood out: "I believe that music is rooted in conversation and African based rhythms. The drum speaks and we respond by dancing outwardly (as in merengue) or inwardly (to more meditative sounds). I offer the creative fruit of my ethno musicological journey as a universal communion."
Photo credit
Courtesy of Paul Austerlitz


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Dallas Airmotive Positions for the Future, Announces Moves and New Test Facility
DALLAS – March 5, 2014 – Dallas Airmotive, a BBA Aviation company providing global MRO service and support for business aircraft turbine engines, today announced company plans to begin a phased transition out of one of its three repair and overhaul locations in the Dallas-Fort Worth area. The move will allow Dallas Airmotive to consolidate portions of its turbine engine repair and overhaul (ERO) activities and build a state-of-the-art test facility in the Dallas-Fort Worth area.
"Our Forest Park facility has been the major overhaul center for Dallas Airmotive for more than 60 years," said Doug Meador, Dallas Airmotive President. "We have recognized the need to exit this location for some time and we are taking this opportunity to invest in our company and prepare for the next 60 years."
Meador revealed that the move is part of the company's long-term strategy and is taking a phased approach that will take about two years. "This is an evolution and expansion of our company and the way we do business," he said. "Right now we are in the initial phases, transitioning several product lines from our Forest Park facility to other, newer facilities in the area."
These initial phase product lines will be moving to the company's Heritage Park facility, near DFW airport, and to its facility on Dallas Love Field (DAL). The company expects the transitions to be completed by the end of June.
The company is also moving its highly trained engineers, engine technicians, mechanics, specialists and quality inspectors with the product lines. This will allow Dallas Airmotive to retain its product-specific expertise and experience at these newer locations.
The move is expected to offer advantages that will be recognized by customers and the company alike. "We are investing in technology and upgrading our facility at Heritage Park to become a center of excellence for turbo fans and we are redesigning our facility at Dallas Love Field to accommodate more engine volume," continued Meador. "These newer, more advanced facilities will allow us to better serve our customers with industry leading turn-times and customer service."
The company also made public its intent to build a green-field, state-of-the-art test facility in the DFW area. This new facility will include the latest, most-advanced test technology and will be capable of testing all engines currently done at the Forest Park facility. The company said it expects that the facility will be completed and operational by March 2015.
"In this new test facility, we will have the chance to grow and plan for future engine requirements," explained Meador. "We are planning to build enough thrust capacity into the test cells to accommodate the needs of our current customers as well those of future customers."
Meador concluded by saying that the planning for future phases isn't completed yet, but the company expects to announce more information in the coming weeks.
Visit www.dallasairmotive.com for more information on Dallas Airmotive.


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There are many opportunities to be involved in missions through Applewood Baptist Church. Our members are invited to:
While most individuals who feel called to participate in a mission trip plan to cover their own expenses, there are sometimes those whose call exceeds their ability to pay. You can help by donating to a specific mission trip, or by giving to the Luther Mann Fund which is available to assist members with funds for mission trips. Simply designate your gift with the name of the trip, or 'Luther Mann Fund.' Online giving makes this easy! The link below can accept credit cards or electronic checks.
Donate online
Information coming soon...email Steve Evans (below) if you are interested in a specific type of trip.
Contact: Steve EvansEmail: Phone: 303-232-9575 ext. 14
Contact: Karen WinkelmanEmail: Phone: 303-232-9575 ext. 24
Whether you are just checking us out or are ready to jump in and serve with us, you are welcome at Applewood! Learn more about us.


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leeh | it's like a chicken, and an egg all in one |
MilesZS | My head exploded. |
action | krayola1 remembers to backup his main HDD to his second HDD. cpu use 2%, 20mb/sec average (x2). |
krayola1 | remembers to backup his main HDD to his second HDD. cpu use 2%, 20mb/sec average (x2). |
leethal | it's pretty common to do that, like use textmate to develop textmate, but my app is still very very un-finished. And it's still possible to do that. It rocks =D |
MilesZS | Or imploded. |
leethal | MilesZS: while reading about associations? Happened to me lots of times |
fulgoren | Ok |
leeh | leethal: i'm using .each on one of my collections - if there are none, is there an eachelse i can use, or something? it kinda seems like there should be :| |
kmoore | if i have a class named TPS with a one to one relationship , can anyone explain why i am getting "Expected ./app/models/tps.rb to define Tps" when trying to do @wss.tps = tps in the controller? |
leethal | LeeH: if there are none what? |
krayola1 | TPS reports? |
leeh | @current_user.rentals.each {|rental| |
leethal | LeeH: if the collection is empty, you mean? |
leeh | exactly |
fulgoren | To capistrano or not to capistrano.. I already have my project using svn with a good development environment (tags, branches and a trunk)... deployment isnt too much of a hassle to me i have a shell script that installs everything...... do i bother converting to capistrano or just leave it be |
leethal | LeeH: tired of the nil.each messages? |
leeh | no ? |
MilesZS | leethal: While reading about your recursiveness. My brain itself was in an infinite loop. It was like "Introduction to Programming" all over again. |
leethal | LeeH: why do you need it? Need some context =D |
leeh | fulgoren: that's your call, but probably not going to gain much |
arooni | if i have a form_for :object |
leeh | leethal.. lemme pastie pastie |
leethal | MilesZS: totally recognize that feeling =D |
arooni | howd o i pass a var not part of that object |
fulgoren | im leaning towards a no also... |
leethal | arooni: another object, or just some field? arooni: you can use fields_for inside a form_for |
arooni | leethal: i just need to pass a random hidden field |
pastie | http://pastie.caboo.se/42993 by LeeH. |
leeh | jeesus wept :| sup with Pastie |
arooni | leethal: do i put it outside the <%end%> but before submit? i dont think itd get included :( |
tpope | just use the regular hidden_field or hidden_field_tag helpers form_for does not create an exclusive scope |
leethal | arooni: if you want it to be a part of the submit, put it inside the do/end block or use hidden fields =D LeeH: lol LeeH: edit the pastie and pastie it as plaintext |


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Former Barton College basketball All-American Anthony "Ant" Atkinson and his Harlem Globetrotter teammates are featured in a seven-page article in the March 30 issue of Sports Illustrated.
Atkinson, who led Barton College to the 2007 NCAA D-II National Championship exactly two years ago, has already had his status elevated to the "Magic Circle" […]
Learn More! →© 2012
Barton College
P.O. Box 5000
200 E. ACC Drive
Wilson NC 27893


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Almost there! Welcome to your third trimester and your community!
Useful Things:
Useful Things:
- See what's happening with your baby and your body — right now.
- Get trusted WebMD information and track your baby's milestones with the WebMD Baby app for iPhone and Android.
Spotlight: Member Stories
My name is Ryan and no my parents knew they were having a girl :) lol I get that all the time. I am 28 and I am 34 wks pregnant with my first viable p...More
Helpful Tips
Flushable moist wipes
Just thought I'd share a tip that I learned this time around. After the birth of DD1, I was given the squirt bottle to clean down there ... More
223 found this helpful
Helpful Resources
Related News
Report Problems With Your Medications to the FDA
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


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- The first curl box is shaped like a tiny hairbrush
- Offered as a set in a satin lined Mud Pie Princess gift box
- Hairbrush measures 3.5" L x 1.25" W
- Toothpaste tube measures 3" L x 1" W
Shop school merchandise, find local stores and schedule pickup or delivery for your stuff!
Pick out what you want, and invite family and friends to pick up the tab.
Select a store you would like to make your favorite store.
Product name goes here.
Please enter the address, city, state where you will be starting.
Help is always available at 1-800-GO-BEYOND®
(1-800-462-3966). Please view our Returns Policy if you aren't satisfied with your order.
Visit our other sites:
© 2015 Bed Bath & Beyond Inc. and its subsidiaries | Build : 2.05.04.002 | Build From : null | Tag Id : 2.05.04.002


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[bio.dros] 2nd chromosome balancer How about T(2;3)SM6a:TM6B, Tb. Due to reciprocal translocation, SM6a and TM6B always propagate together, and you can easily tell balancer-carrying larvae by scoring for Tb. You can find the stocks here: [Only registered and activated users can see links. Click Here To Register...] 3B3%29+SM6a+TM6B -- Naoto JUNI@DGRC, Kyoto --- |
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Privacy and Cookies
Boeing has confirmed that the first six 787 test flight aircraft, once destined for customers ANA, Delta Airlines and Royal Air Maroc are no longer assigned to specific airlines.
"As we made adjustments to the latest delivery schedule, our customers had the opportunity to take production airplanes that better suited their business needs for a variety of reasons, including schedule," said Boeing.
But the airframer remains confident of placing the six refurbished flight test aircraft with customers.
Morocco's Royal Air Maroc has also moved into the early production stream assuming ownership of two delivery spots previously held by Air China and China Eastern, with JAL taking an additional Dreamliner from another spot held by China Eastern.
In addition, this new information appears to confirm that Delta Air Lines, which excluded 18 787s from an order table listed in a recent US Securities and Exchange Commission filing, does not intend to be an early 787 customer, even though the airline confirms that it retains firm orders for the type.
According to the schedule of the first 30 aircraft, Qantas and Air India have assumed control of spots previously held by Delta. The Australian airline, which will use the aircraft in its low-cost Jetstar subsidiary, previously expected to receive three 787s over three months, will now take delivery of its first five 787s over four months.
Boeing expects to fly the first 787 by the end of the 2nd quarter of 2009.


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Radiation Therapy Technology – Program Detail
Program Mission/Overview
The mission of the Radiation Therapy Program is to provide a quality education that actively engages the student in classroom, laboratory, and clinical experiences that will produce a professional
entry-level Radiation Therapist and prepare the student to challenge the national certification examination in Radiation Therapy (www.arrt.org).
This program offers a variety of educational experiences in classroom, laboratory, and clinical settings. The coursework will train students in the application of prescribed doses of ionizing radiation for the treatment of disease. The Radiation Therapy Technology Program is accredited by the Joint Review Committee on Education in Radiologic Technology (www.jrcert.org).
Advanced placement into the Radiation Therapy Technology Program is available to graduates of radiography programs accredited by the Joint Review Committee on Education in Radiologic Technology. Individuals from these programs must have equivalent college transfer credit or complete the general education course required for the degree.
Graduates may be eligible to sit for the National Radiation Therapy Exam given by the American Registry of Radiologic Technologists.
Program Goals
- Students will promote empathy, high ethical standards of health care practice, and demonstrate professionalism.
- Students will be able to function as an active and contributing member of the health care team in the community.
- Students will demonstrate a high level of learning through developing and refining critical thinking skills and problem solving skills.
- Students will demonstrate proper communication skills in the clinical environment.
- Students will be clinically competent in treatment and simulation procedures in order to function as an entry level radiation therapist upon completion of the program.
Student Outcomes
- Students will exhibit professionalism, empathy and ethical behavior in the clinical setting.
- Student program completion will fall within accepted standards.
- Students will exercise independent judgment and discretion in the technical performance of skills.
- Students will evaluate equipment performance, identify safe limits, and report malfunctions.
- Students will recognize and initiate appropriate response to individual patient needs.
- Students will demonstrate competency in treatment and simulation procedures.
- Graduates will pass the ARRT exam on the first attempt.
- Graduates will be employed within twelve months of graduation.
- Graduate surveys reflect the graduates overall educational and clinical preparation received for the profession.
- Employers will be satisfied with the graduates' professionalism.
- Employer surveys will reflect employer satisfaction of graduates' communication skills.
- Employer surveys will reflect employer satisfaction with the graduate in terms of adequate preparation for entry level employment as a radiation therapist.
Program Performance and Statistics
- The pass rate for the national certification exam on the first attempt within six months of graduation is 97% for the 2010-2014 graduating classes. (28 of 29 passed the exam).
- Job placement for 2010- 2014 graduating classes averaged *90% within six months of graduation. (26 of 29 were employed)* The percentage does not include those graduates that the JRCERT has defined not actively seeking employment: 1) graduate fails to communicate with program officials regarding employment status after multiple attempts, 2) graduate is unwilling to seek employment that requires relocation, 3) graduate is unwilling to accept employment due to salary or hours, 4) graduate is on active military duty, and/or 5) graduate is continuing education. The placement rate for 2013 was calculated after one year of graduation per new JRCERT Standards.
- The program completion rate for 2010-2014 graduating classes was 56% .(29 of 52 completed the program)
- 95% satisfaction by graduates with the quality of instruction in radiation therapy as recorded on exit surveys.
- Currently 8 new students are accepted in the fall semester class.
- The program has a well-equipped lab with a Varian Ximatron simulator on the Forsyth Tech Main Campus to provide students with learning experiences.
- The radiation therapy classroom is equipped with laptop computers, internet access and digital projection system.
Job Placement
The radiation therapy filed has currently met its employment shortage. The state of the economy has affected the job opportunities and with job placement being cyclic in nature, the rate has declined over the past few years. There are more PRN and part time jobs available at this time than full time job opportunities.
For national job outlook information on radiation therapists review the U.S. Department of Labor's Occupational Handbook at http://www.bls.gov/ooh/healthcare/radiation-therapists.htm.
For additional information and career videos visit the American Society of Radiologic Technologist at www.asrt.org.
The program currently utilizes the following clinical sites: Forsyth Medical Center, Wake Forest Baptist Health, High Point Regional Health System, and Cone Health.
Criminal Background Checks/ Drug Screening
Clinical agencies require criminal background checks and/ or drug screening for students assigned to their facility for clinical education. In addition, national and/ or state registry and/ or licensure boards may prohibit eligibility for registry or licensure based on criminal background records. Please refer to the Health Technologies section on www.forsythtech.edu.
Staff Directory
- Joan Whittington
Imaging Secretary - Ms. Christina Gibson, M.P.H., R.T.(R)(T)
Program Coordinator - Mrs. Sherry Strickland R.T.T., B.S.
Clinical Education Coordinator
Program Costs
Program costs are estimated for the program and prospective students should keep in mind that these costs may vary and some represent "typical averages." The average is also based on full-time enrollment. Many costs are subject to change without notice.
Two Year Program
Fall semester= 14 credit hours | $1001.00 |
Spring semester= 16 credit hours | $1144.00 |
Summer semester= 8 credit hours | $572.00 |
Fall semester= 12 credit hours | $791.00 |
Spring semester= 15 credit hours | $1072.50 |
Summer semester=8 credit hours | $572.00 |
Total | $5219.50 |
Books | $1200.00 |
Uniforms | $200.00 |
Malpractice Insurance | $298.00 |
Lab fees | $300.00 |
Criminal background check/ Drug screening | $100.00 |
This is an estimate. The cost will vary according to the number of name changes or the number of states/ countries of residence. | |
Total | $2098.00 |
Grand Total | $7317.50 |
Advanced Placement Program
Fall semester=17 credit hours | $1144.00 |
Spring semester=15 credit hours | $1072.50 |
Summer semester=8 credit hours | $ 572.00 |
Total | $2288.00 |
Books | $800.00 |
Uniforms | $200.00 |
Malpractice Insurance | $149.00 |
Lab fees | $90.00 |
Criminal background check/ Drug screening | $100.00 |
This is an estimate. The cost will vary according to the number of name changes or the number of states/ countries of residence. | |
Total | $1339.00 |
Grand Total | $4127.50 |
For information on Refund Policies please see
the FAQ: What is the Forsyth Tech refund policy if I am denied after I register for a course?


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Tap Here to view the Mobile Optimized TFLN
Just did coke off of a cross necklace and am headed to the strip club. Happy Easter!
Can't talk. I'm at the Tulsa Sheriff's office with a bunch of rednecks. I bet I'm the only one that voted for Obama.
I bet you're the only one who could read the ballott.
I found the seven page love letter I had written you. I'm sorry i was so obsessed.
I'm in a room alone pouting because I got the wrong nachos at taco bell.
you miss my big massive throbbing cock dont you?
that's not how you spell hell yes.
It sounds miserable..I have to wear a dress and it's a cash bar?
And we started making out. She asked me to pick a number between 1 and 10. I said 6. She took me to her room. A few minutes later I wasnt a virgin. DUDE I WAS GOING TO SAY 2.
I went with the blow up doll and I'm glad I did.
i hate this class. from the way they're all staring you would think they've never seen a girl in basketball shorts, heels and sunglasses.
I now officially know the distance between my two boobs is one twizzler.
Woke up with my foot jammed into a VCR
What's a quick way to get over an ex-boyfriend? To hear about how he threw up in a cup and then drank it. That's how.
New dating criteria: what kind of ex will this person be?
I have no idea. Next thing I know we're all down on one knee saying the pledge of allegiance and then singing I'm Proud to be an American. Then Trevor ate pizza off the sidewalk.
the fair has chocolate covered bacon...impossible is nothing.
Follow @tfln


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Top Definition
1. Strong-smelling toiletry (cologne, aftershave, showergel, etc.) foolishly employed by males of the human species who lack a sense of smell and who believe that their use of said scent will make them more attractive to the ladies (when, in fact, it will cause nosebleeds).
2. Axe
2. Axe
"Whoa. Boyfriend needs to tone down the manfume. The stench of his Axe is making my eyes water...and I'm standing on the opposite side of the street!"
dari Scaro
Sabtu, 19 Mei 2007
2 more definitions
1. The odor that lingers after a heavily cologned man passes by.
2. Man perfume.
2. Man perfume.
Ugh, you get a whiff of that manfume?
dari MissErika
Kamis, 17 Mei 2007
noun- the word realtes to all types of scents, fragrances and perfumes worn by men
Jake wears very strong man-fume.
dari JeSuisJesus
Minggu, 05 April 2009


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Insurance Billing Guidelines for Lymphedema
Selected Insurance Companies - General Information
Updated May 4, 2008
In this section we have listed specific billing treatment guidelines for lymhpedema treatment from Blue Cross, Aetna and Cigna insurance companies. Also, listed below are links to questions regarding electronic claims submission, electronic payor issues, coding sites, Medicare/Medicaid requirments, codes and laws; HIPAA compliance, HFMA and Ambulatory services manual.
Blue Cross Documentation & Billing Guidelines
*Please check with your state Blue Cross Association for specific information and requirements*
Maintenance Therapy
- Services related to activities for general good and welfare of patients (i.e., general exercises to promote overall fitness and flexibility);
- Repetitive exercises to improve or maintain gait or strength the endurance; range of motion and passive exercises not related to restoration of a specific loss of function, but are useful in maintaining range of motion in paralyzed extremities; and assisted walking, such as, that provided in support for feeble or unstable patients.
- The design of a maintenance regimen required to delay or minimize muscular deterioration in patients suffering from a chronic disease;
- The instructions of the patient or family members in carrying out the program; and
- The periodic re-evaluations required to assess changes in the patients condition and adjust the program. Such re-evaluations are expected to be infrequent.
Please check with you state Blue Cross Association for current guidlines and codes for all facets of lymphedema treatment and management.
Aetna Documentation & Billing Guidelines
Clinical Policy Bulletins
Subject: Lymphedema Treatments
Complex Decongestive Physiotherapy: Aetna considers a course of complex decongestive physiotherapy (CDP), also called manual lymphoid drainage, medically necessary when both of the following criteria are met:
Lymphedema Pumps: Aetna considers lymphedema pumps (pneumatic compression devices) medically necessary durable medical equipment (DME) for home use for the treatment of lymphedema if the member has undergone a four-week trial of conservative therapy and the treating doctor determines that there has been no significant improvement or if significant symptoms remain after the trial. The trial of conservative therapy must include use of an appropriate compression bandage system or compression garment, exercise, and elevation of the limb. The garment may be prefabricated or custom-fabricated but must provide adequate graduated compression. Note: For members without DME benefits, lymphedema pumps are only covered for members with arm lymphedema due to mastectomy for breast cancer who meet the criteria for a lymphedema pump stated above.* When medical necessity criteria for a pneumatic compression device are met, a non-segmented device or segmented device without manual control of the pressure in each chamber is generally considered medically necessary to meet the clinical needs of the member. A segmented device with manual control of the pressure in each chamber is considered medically necessary only if there is clear documentation of medical necessity in the individual case. A segmented device with manual control of the pressure in each chamber is considered medically necessary only when there is documentation that the individual has unique characteristics that prevent satisfactory pneumatic compression treatment using a non-segmented device with a segmented appliance/sleeve or a segmented device without manual control of the pressure in each chamber. A 2-phase lymph preparation and drainage therapy device (Flexitouch Device, Tactile Systems Technology, Minneapolis, MN) is considered equally effective to standard segmented pneumatic compression devices. For Aetna's clinical policy on pneumatic compression devices for chronic venous insufficiency, see CPB 500 - Intermittent Pneumatic Compression Devices for the Legs. Note: Although the literature suggests that the use of lymphedema pumps is commonly initiated in the hospital, there is no medical necessity for this practice unless the member has other complications of lymphedema (i.e., cellulitis) that would require hospitalization. The use of lymphedema pumps can be initiated in the clinic or in the home setting. Static Compression Sleeves: Aetna considers static compression sleeves (e.g., the ReidSleeve, ArmAssist) to be medically necessary supplies for members with intractable lymphedema of the arms. Note: For members whose plans exclude coverage of supplies, static compression sleeves are only covered for intractable lymphedema of the arms due to mastectomy for breast cancer.* See also CPB 482 - Compression Garments for the Legs. Static Compression Garments for the Trunk: Aetna considers static compression garments for the trunk experimental and investigational. There is a lack of peer-reviewed published literature evaluating the clinical utility of static compression garments for truncal lymphedema Microsurgical Lymphaticovenous Anastomosis: Aetna considers microsurgical lymphaticovenous anastomosis experimental and investigational for the treatment of members with chronic obstructive lymphedema because the long-term effectiveness of this procedure has not been established by the peer-reviewed medical literature. *Note:
HR 4328 (Public Law 105-277) requires individual and employer group
health plans (including indemnity, PPO, POS and HMOs), that provide
medical and surgical benefits with respect to a mastectomy, to provide
coverage for lymphedema treatment in a manner determined in
consultation with the attending physician and the member for a
participant or beneficiary who is receiving benefits for a mastectomy
and who elects breast reconstruction after the mastectomy. Therapy is
subject to annual deductibles and co-insurance provisions for physical
therapy. Therapy is not subject to visit limitation provisions for
physical therapy. |
Lymphedema refers to edema (i.e. swelling) due to inadequate lymphatic circulation related to either: (i) defective development of the lymphatics (primary lymphedema); or (ii) destruction or obliteration of the lymphatic system (secondary lymphedema) due to either trauma, wounds, surgery, radiation therapy, or infection with a tropical filarial parasite. Primary lymphedema typically involves the lower extremities and typically afflicts females. When it arises at birth it is called lymphedema congenita, before the age of 35 it is called lymphedema praecox, and when arising later in life it is called lymphedema tarda. Secondary lymphedema occurs most commonly after lymph node dissections. For example, 10 to 20% of women with breast cancer who have undergone axillary dissection will experience lymphedema. Leg edema can result after groin dissection, most typically for melanoma. Lymphedema results in a feeling of heaviness, aching or tightness. In severe cases, mobility can be impaired. Development of angiosarcoma, know as the Stewart-Trewes syndrome, is a very rare complication of long standing severe lymphedema. The severity of lymphedema can be graded as follows: Grade I: Mild and intermittent lymphedema which pits easily Grade II: Moderate and persistent lymphedema, no pitting, unrelieved by elevation Grade III: Fibrosclerotic lymphedema (elephantiasis) Conservative treatment of lymphedema focuses on a combination of physical therapies: elevation of the arm or leg, manual physical therapy, wearing of various types of compression stockings/bandages, or pneumatic pumps. The use of elastic stockings is considered a valuable component of lymphedema therapy, and appears to be critical to the long term success of treatment. Compliance with elastic stocking may be problematic since they are frequently hot, uncomfortable, and considered unsightly by some. Lack of compliance may result in requests for further treatment, such as pneumatic pumps or complex decongestive physiotherapy. However, elastic garments are a component of all treatments of lymphedema and compliance has a major impact on the success of any treatment of lymphedema. Pneumatic pumps can consist either of static unicompartmental pumps where an equal amount of pressure is applied throughout the edematous limb, or a sequential pump which essentially attempts to "wring out" the edema by graded compression from distal to proximal. Due to the short cycles of pressure, higher pressures can be applied compared to the static pumps. Pressures higher than the systolic blood pressure are avoided; pressures up to 80 to 90 mm Hg are typical. At this point sequential pumps (such as the Lymphapress or the Wright linear sequential pump) appear to be more commonly used than static pumps. The Lymphapress device is composed of a series of overlapping cells that apply a sequential pattern of compression moving distally to proximally along the affected limb. Using this strategy, higher levels of pressure can be applied compared to other unicompartmental devices which apply the same degree of pressure along the entire limb. The Lymphapress device seems to be effective in acutely decreasing lymphedema, and many patients have purchased this device for home use. The Flexitouch Device (Tactile Systems Technology, Minneapolis, MN) is a 2-phase lymph preparation and drainage therapy device. The device consists of an electronic controller unit and garments which are worn on the trunk and upper and lower affected extremities and connected to the controller unit by tubing harnesses. The garment consists of 32 inflatable chambers that sequentially inflate and deflate at 1 to 3 second intervals, according to one of the 13 pre-programmed treatment patterns selected. Chamber pressure and treatment times can be adjusted. The manufacturer states that device's sequential action evacuates lymph from the trunk and extremities and drains it into the venous system. The garments are made from stretch material and are fitted with Velcro enclosures, so custom fitting of garments is not required. There are no published studies comparing the effectiveness of this 2-phase lymph preparation and drainage therapy device to standard segmented pneumatic compression devices. Drug therapy with benzopyrone can also result in slow reduction of lymphedema. This drug is a protoeolytic agent which acts by activating macrophages, which then break down the protein-rich lymphedema fluid, thus decreasing its viscosity and thereby facilitating its flow. A technique developed in Germany, complex decongestive physiotherapy (CDP), has been introduced in the United States. CDP is most frequently offered in specialized clinics. Patients attend the clinics for about 4 hours a day for one to 4 weeks. CDP consists of four basic components as follows:
During the clinical sessions the patients receive additional counseling in various aspects of self management, such as skin care, nutrition, weight control, etc. Prior to discharge from the clinic, the patient is fitted with an elastic support garment. It is recommended that this garment be worn as much as possible, and even at night. Some clinics may recommend wearing the bandages at night, and the compressive garment during the day. The use of these garments can be gradually reduced as the patient improves, however, typically, the patient will need to continue wearing the compressive garment at least part time. An initial course of CDP may require 30 days, or in the case of lower extremity care, 45 days. No conservative treatment is entirely curative and all require a committed physical therapy team and a committed and compliant patient. Surgery has been used in patients with severe lymphedema. Excisional surgical procedures involve resection of the redundant tissue that may develop in long-standing severe lymphedema and elephantiasis. Physiologic surgical procedures attempt to provide or enhance lymphatic drainage with either anastomoses between lymphatic systems (i.e. linking subcutaneous tissues with the deep lymphatics), creating lymphovenous anastomoses or creation of artificial lymph channels. These surgical techniques are controversial and rarely used. |
Clinical Policy Bulletins
Subject: Intermittent Pneumatic Compression Devices for the
Pneumatic Compression Devices for the Legs Aetna considers full- or half-leg pneumatic compression devices for home use medically necessary durable medical equipment (DME) for the treatment of chronic venous insufficiency of the legs of members who have venous stasis ulcers that have failed to heal after a 6-month trial of conservative therapy directed by the treating physician. The trial of conservative therapy must include a compression bandage system or compression garment, appropriate dressings for the wound, exercise, and elevation of the limb. When a pneumatic compression device is determined to be medically necessary, a non-segmented device or segmented device without manual control of the pressure in each chamber is generally considered adequate to meet the clinical needs of the member. A segmented device with manual control of the pressure in each chamber is considered medically necessary only if there is clear documentation of medical necessity in the individual case. A segmented device with manual control of the pressure in each chamber is considered medically necessary only when there is documentation that the individual has unique characteristics that prevent satisfactory pneumatic compression treatment using a non-segmented device with a segmented appliance/sleeve or a segmented device without manual control of the pressure in each chamber. Aetna considers the use of pneumatic compression devices experimental and investigational for the treatment of peripheral arterial occlusive disease/arterial insufficiency and for all other indications because their effectiveness for these indications has not been established. Intermittent Pneumatic Compression Boots Aetna considers intermittent pneumatic compression boots medically necessary DME to stimulate circulation and reduce the chances of deep venous thromboses for members who are unable to walk due to trauma, orthopedic surgery, neurosurgery or other circumstances preventing ambulation. Aetna considers intermittent pneumatic compression boots experimental and investigational for treatment of chronic venous stasis ulcers, peripheral arterial occlusive disease/arterial insufficiency, and all other indications because there is inadequate evidence of their effectiveness for these indications. For persons with a medically necessary inflatable compression garment (e.g., Flowtron Compression Garment, Jobst Pneumatic Compressor), a pump needed to inflate the compression garment is considered medically necessary. See also CPB 069 - Lymphedema Treatments for Aetna's policy on pneumatic compression devices for arm lymphedema and CPB 482 - Compression Garments for the Legs. |
Gradient elastic stockings, such as those made by Jobst, Sigvaris, Juzzo, or Medi, are generally viewed as the principle means of preventing complications of chronic venous insufficiency. Intermittent pneumatic compression devices compress the leg and/or foot and ankle and act as a pump to improve circulation in the lower extremities. Pneumatic compression devices consist of an inflatable garment for the leg and an electrical pneumatic pump that fills the garment with compressed air. The garment is intermittently inflated and deflated with cycle times and pressures that vary between devices. Intermittent pneumatic compression boots are generally accepted as a method for preventing deep venous thromboses (DVT) and complications of venous stasis in persons after trauma, orthopedic surgery, neurosurgery, or who for other reasons are unable to walk. Use of the intermittent pneumatic compression device has expanded to ambulatory persons who suffer from chronic venous insufficiency (CVI) of the legs and consequent edema, stasis dermatitis, ulcerations, and cellulitis. CVI of the legs is caused by abnormalities of the venous wall and valves, leading to obstruction or reflux of blood flow in the veins. A systemic review of the literature concluded that the effectiveness of the addition of intermittent pneumatic compression in treatment of venous leg ulcers is unknown. The systemic review identified three small, randomized controlled trials of intermittent pneumatic compression; all of these trials were different in design. Upon pooling of the results, using a random effects model, the reviewers found no difference in healing rates. The review concluded that "[t]hree small [randomized controlled trials] found no evidence of a significant effect on healing with intermittent pneumatic compression in conjunction with compression bandages." There is no evidence that intermittent pneumatic compression devices are superior to gradient compression stockings in preventing complications of chronic venous disease. Compliance with gradient compression stockings has been shown to be essential to their effectiveness; the stockings do not work unless they are worn. There are no studies, however, that have demonstrated that compliance with intermittent pneumatic compression devices is significantly greater than compliance with gradient compression stockings. The A-V Impulse System Foot Pump and the KCI Plexipulse are brands of intermittent pneumatic compression boots on the market; others include those manufactured by Jobst, Chattanooga, Kendal, and Nutech. The Canadian Coordinating Office of Health Technology Assessment (2004) concluded that "EPC [external pneumatic compression] reduces the risk of DVT for patients who cannot walk due to trauma, joint surgery or neurosurgery. There is still limited evidence, however, supporting the effect of EPC on the healing of venous ulcers and other disorders resulting from chronic VI [venous insufficiency]". Current evidence supporting the use of pneumatic compression devices in peripheral arterial disease is limited to small pilot studies with short-term follow up. In a pilot study (n = 30), Ramaswami et al (2005) examined the usefulness of rapid, high-pressure, intermittent pneumatic calf and foot compression (IPCFC) in patients with stable intermittent claudication. These investigators concluded that "IPCFC improves walking distance in patients with stable intermittent claudication. The combination of IPCFC with other treatment such as risk-factor modification and daily exercise may prove useful in patients with peripheral arterial occlusive disease. It may be a useful first line of therapy in patients with disabling claudication who are unfit for major reconstructive surgery. Improved walking on long-term follow-up and experience from different centers may establish a role for this treatment modality in the future". Kakkos et al (2005) compared the effect of unsupervised exercise, supervised exercise and intermittent pneumatic foot and calf compression (IPC) on the claudication distance, lower limb arterial hemodynamics and quality of life of patients with intermittent claudication (n = 34). These researchers concluded that IPC achieved improvement in walking distance comparable with supervised exercise. Long-term results in a larger number of patients will provide valuable information on the optimal treatment modality of intermittent claudication. |
Clinical Policy Bulletin
Compression Garments for the Legs
Number: 0482Policy
Note: Aetna's standard HMO-based plans (HMO, QPOS, U.S. Access, Golden Medicare) do not cover graded compression stockings or non-elastic binders because they are considered an outpatient consumable or disposable supply. Please check benefit plan descriptions for details. HMO-based plans cover inflatable compression garments only for selected persons with lymphedema. (See CPB 069 - Lymphedema Treatments) Inflatable compression garments*, non-elastic binders**, or individually fitted prescription graded compression stockings*** are considered medically necessary for members who have any of the following medical conditions:
These compression garments for the legs are considered experimental and investigational for all other indications. * The above reference to inflatable compression garments (e.g., Flowtron Compression Garment, Jobst Pneumatic Compressor) also includes the pump needed to inflate the compression garment. For Aetna's clinical policy on intermittent and sequential compression pumps for lymphedema, see CPB 069 - Lymphedema Treatments, and CPB 500 - Intermittent Pneumatic Compression Devices for the Legs. **Aetna considers non-elastic leg binders (e.g., LegAssist, CircAid, Reid Sleeve) medically necessary for members who meet the selection criteria for pressure gradient support stockings listed above. Non-elastic leg binders are similar to graded compression stockings in that they provide static compression of the leg, but unlike graded compression stockings, they do not use elastic, but use adjustable Velcro or buckle straps. ***Applies only to pre-made or custom-made pressure gradient support stockings (e.g., Jobst, SigVarus, Venes, Juzo, etc.) that have a pressure of 18 mm Hg or more, that require a physician's prescription, and that require measurements for fitting. ****Only pressure gradient support stockings are considered medically necessary for this indication; inflatable compression garments have no proven value for this indication. Stockings purchased over the counter without a prescription which have a pressure of less than 20 mm Hg (e.g., elastic stockings, surgical leggings, anti-embolism stockings (Ted hose) or pressure leotards) are considered experimental and investigational because these supplies have not been proven effective in preventing thromboembolism. Note: These OTC stockings are also not covered because they are not primarily medical in nature. Replacements: Replacements are considered medically necessary when the compression garment cannot be repaired or when required due to a change in the member's physical condition. For pressure gradient support stockings, no more than four replacements per year are considered medically necessary for wear. Two pairs of compression stockings are considered medically necessary in the initial purchase (the 2nd pair is for use while the 1st pair is in the laundry). Contraindications: Compression garments are considered experimental and investigational for members with severe peripheral arterial disease or septic phlebitis because they are contraindicated in these conditions. |
CIGNA Documentation & Billing Guidelines
Please click on the below link:
Subject: Complex Lymphedema Therapy (Complete Decongestive Therapy)
Effective: Revised Date 05/15/2007
CIGNA Coding/Billing Information
Note: This list of codes may not be all-inclusive.
Covered when medically necessary:
CPT®* Codes |
Description |
97001 |
Physical therapy evaluation |
97002 |
Physical therapy re-evaluation |
97003 |
Occupational therapy evaluation |
97004 |
Occupational therapy re-evaluation |
97140 |
Manual therapy techniques(e.g., mobilization/manipulation, manual lymphatic drainage, manual traction)one or more regions,15 minutes |
97530 |
Therapeutic activities, direct (one on one) patient contact by the provider (use of functional activities to improve functional performance),each 15 minutes |
97535 |
Self-care/home management training (e.g., activities of daily living(ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct (one on one) contact by provider, each 15 minutes |
HCPCS Codes |
Description |
Pneumatic compressor; non-segmental home model |
Pneumatic compressor; segmental home model without calibrated gradient |
pressure |
Pneumatic compressor; segmental home model with calibrated gradient pressure |
Non-segmental pneumatic appliance for use with pneumatic compressor; half arm |
Non-segmental pneumatic appliance for use with pneumatic compressor; full leg |
Non-segmental pneumatic appliance for use with pneumatic compressor; full arm |
Non-segmental pneumatic appliance for use with pneumatic compressor; half leg |
Segmental pneumatic appliance for use with pneumatic compressor; full leg |
Segmental pneumatic appliance for use with pneumatic compressor; full arm |
Segmental pneumatic appliance for use with pneumatic compressor; half leg |
Segmental gradient pressure pneumatic appliance; full leg |
Segmental gradient pressure pneumatic appliance; full arm |
Segmental gradient pressure pneumatic appliance; half leg |
Complex lymphedema therapy, each 15 minutes |
ICD-9-CM Diagnosis Codes |
Description |
125.9 |
Unspecified filariasis |
257.0 |
Lymphedema |
457.0 |
Post mastectomy elephantiasis |
457.1 |
Elephantiasis |
757.0 |
Milroy's disease/hereditary lymphedema of the legs |
990 |
Effects of radiation, unspecified |
997.99 |
Post surgical elephantiasis |
998.8 |
Complications of surgical lymph node removal |
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Join us as we work for lymphedema patients everywehere:
Advocates for Lymphedema
Dedicated to be an advocacy group for lymphedema patients. Working towards education, legal reform, changing insurance practices, promoting research, reaching for a cure.
Subscribe: | email@example.com |
Pat O'Connor
Lymphedema People / Advocates for Lymphedema
For information about Lymphedema
For Information about Lymphedema Complications
For Lymphedema Personal Stories
For information about How to Treat a Lymphedema Wound
For information about Lymphedema Treatment
For information about Exercises for Lymphedema
For information on Infections Associated with Lymphedema
For information on Lymphedema in Children
Lymphedema Glossary
Lymphedema People - Support Groups
with Lymphedema
The time has come for families, parents, caregivers to have a support
group of
their own. Support group for parents, families and caregivers of
chilren with
lymphedema. Sharing information on coping, diagnosis, treatment and
Sponsored by Lymphedema People.
Subscribe: email@example.com
Lipodema Lipoedema
No matter how you spell it, this is another very little understood and
frustrating conditions out there. This will be a support group for
suffering with lipedema/lipodema. A place for information, sharing
exploring treatment options and coping.
Come join, be a part of the family!
Subscribe: firstname.lastname@example.com
If you are a man with
lymphedema; a man with a loved one with lymphedema who you are trying
to help
and understand come join us and discover what it is to be the master
instead of
the sufferer of lymphedema.
Subscribe: firstname.lastname@example.com
About Lymphangiectasia
Support group for parents, patients, children who suffer from all forms
lymphangiectasia. This condition is caused by dilation of the
lymphatics. It can
affect the intestinal tract, lungs and other critical body areas.
Subscribe: firstname.lastname@example.com
Disorders Support Group @ Yahoo Groups
While we have a number of support groups for lymphedema... there is
nothing out
there for other lymphatic disorders. Because we have one of the most
comprehensive information sites on all lymphatic disorders, I thought
it is time that one be offered.
Information and support for rare and unusual disorders affecting the
system. Includes lymphangiomas, lymphatic malformations,
hennekam's syndrome, distichiasis, Figueroa
syndrome, ptosis syndrome, plus many more. Extensive database of
available through sister site Lymphedema People.
Subscribe: firstname.lastname@example.com
Lymphedema People New Wiki Pages
you seen our new
"Wiki" pages yet? Listed
are just a sample of the more than 140 pages now listed in our Wiki
section. We
are also working on hundred more.
and take a stroll!
Lymphedema Diet
for Lymphedema
are not for
People Online
Support Groups
and Pain
Lymphatic Drainage (MLD) and Complex Decongestive Therapy (CDT)
Associated with
to Treat a Lymphedema
Infections Associated
with Lymphedema
in Children
Resonance Imaging
para-aortic lymph node dissection (EPLND)
node biopsy
Node Biopsy
Needle Biopsy - Fine Needle Aspiration
Resonance Imaging
Gene FOXC2
Lymphedema Gene VEGFC
Lymphedema Gene SOX18
Home page: Lymphedema People
Page Updated: Jan. 16, 2012


text:
There has been some confusion about the Oct 31st due date. That specific due date was for National SPS membership. We are still accepting dues ($30) for the club you just won't receive National SPS Membership. If you pay you dues now it will go to things like reimbursements for carpooling, food for the camping trip, pizza at movie nights, t-shirts etc. We still need your help to keep having all of the fun events! Please pay your dues!!!
Also no movie night 11/26.


text:
Digital Camera Advice Please???
29 Sep 2007 timtam asked
I am really stuck on what sort of camera would be best to take overseas to Europe with me this winter.
I currently have a Sony Cyber-shot DSC-P73, however I have been having alot of trouble with it lately with the batteries. It takes 2AA batteries which only seem to stay charged for 1hour at the most.
Can someone tell me please if they think it is worth just getting a new set of sony rechargable batteries? OR if it would be better to buy a new camera with a different battery system (eg not standard AA batteries)?
Also, considering I will be away in winter and there will be less daylight photos, is this camera ok at taking night shots or is there a something else I should be using?
Thanks so much to anyone who can offer some advice on this topic for me!!!
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- travel advice
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text:
River Valley School District Bond Measure (August 2010)
A River Valley School District Bond Measure was on the August 3, 2010 ballot in the school district of River Valley which is in Berrien County.
This measure was defeated
This measure sought to create a bond in the amount of $14,000,000 in order to help to remodel and construct additions to the elementary school building as well as furnishing and installing new equipping the new facilities. This election is currently under review for voting improprieties. One voting site recorded more votes than there are voters registered at that site. Also, allegedly, votes from residents outside the district were included in the count. Therefore this is a non-certified reporting and the results may change.
Update 8/6/2010 County Clerk will look into rumors of impropriety but will not formally investigate or recount the vote unless a registered voter in the district requests a recount. Voters outside the district or businesses and government agencies can not request a recount or an investigation. Therefore, the vote currently stands as recorded above.[1]
State of Michigan Lansing (capital) | |
Ballot measures |
List of Michigan ballot measures | Local measures | School bond issues | Ballot measure laws | Initiative laws | History of I&R | Campaign Finance Requirements | Recall process | |
Government |
Michigan State Constitution | House of Representatives | Senate | Legislative Service Bureau | |
State executive officers |
Governor | Lieutenant Governor | Attorney General | Secretary of State | Treasurer | Auditor General | Superintendent of Public Instruction | Commissioner of Insurance | Director of Agriculture and Rural Development | Director of Natural Resources | Director of Labor and Economic Growth | Chairman of Public Service Commission | |
School boards |
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Judiciary |
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Transparency Topics |
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Divisions |
State |
List of Counties |
List of Cities |
List of School Districts | |


text:
monochrom | I love the editor. |
jcreigh | I'm thinking screen <-> workspace mapping. I don't know of anywhere else offhand. |
monochrom | Can I download it somewhere? Is it written in Haskell? |
dons | jcreigh: hmm, so I'd like to combine the StackSet and workspace data so we have a single type we can check modelling the entire workspace/screen/stack so, OneToOne is the top level? yielding a StackSet for each screen? |
fuzan | Operations.hs:120:26: Not in scope: `waBorderWidth' xmonad build |
jcreigh | tenatively, I'm thinking having, viewports :: OneToOne ScreenNumber WorkspaceNumber in StackSet |
dons | fuzan: update X11-extras |
fuzan | ok. |
jcreigh | that wouldn't really be a major change from what we have now, expect nicer lookups and being in StackSet instead of XMonad. |
dons | jcreigh: hmm, maybe send a draft api to me and sjanssen ? yes, minimal changes to merge the xinerama changes into stackset seem good. we want to release around the 13th. |
jcreigh | 0.1? |
dons | yeah. i guess. |
fuzan | i'm giving somewhat of an introductory talk on haskell tomorrow. anyone have any previous experience in doing such? |
jcreigh | @seen dmwit |
lambdabot | dmwit is in #haskell and #haskell-blah. I last heard dmwit speak 1h 35m 18s ago. |
dmwit | I'm here. |
jcreigh | dmwit: how do you feel about Xinerama in xmonad? |
dmwit | I was wondering early today: is xmonad still in feature freeze? It's nice. |
sjanssen | dmwit: yes until 0.1 is out |
jcreigh | dmwit: are you still thinking disjoint workspaces would be better? |
sjanssen | thinking about the relationships between entities in StackSet reminds me of SQL |
dmwit | jcreigh: I think it's unnecessary. I've gotten use to the current setup, and it isn't so bad. |
jcreigh | okay, then we'll keep the current system for now. |
dons | wow, i got an email just now from a guy on openbsd building ghc purely to try out xmonad |
jcreigh | The nice thing about having one StackSet is that it already has the invariant that a window can only be in one stack. If you have multiple stack sets running around, you lose that. |
sjanssen | jcreigh: yeah, there should be one StackSet |
jcreigh | There can only one! *be only one |
sjanssen | we may need to just handle invariants like one-to-one by hand |
dons | btw, i'm waiting on simon mar for details on the xmonad mailing list. |


text:
Tiger thrives as McIlroy has rough day at Doral - 0 Comments
DORAL, Fla. — The comments from the gallery picked up as Tiger Woods kept hitting it close and making birdies, and as Rory McIlroy looked as though he were just along for the ride in the Cadillac Championship.
"You're the real No. 1, Tiger," a few fans shouted as the players walked to the next tee.
For at least one round on the Blue Monster at Doral, Woods looked more than capable of getting back to the top of the world ranking that he occupied for more than 10 years.


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Arboreal needle snake
38,269pages on
this wiki
this wiki
Revision as of 11:41, June 8, 2009 by PlasmarelaisBot (Talk | contribs)
The arboreal needle snake is an animal native to Carraya IV, one of the many predators that roam the jungle.
According to Jaglom Shrek, this animal likes to attack from above. (TNG: "Birthright, Part I")


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Oculus is a unique, 250-foot luxurious superyacht designed by Kevin Schopfer of Schopfer Yachts LLC. With amazing looks that resemble "the jaw and eye socket bone structure of large oceanic fish", the exquisite yacht is able to accommodate up to 12 people in its modern and futuristic furnished salons. There is a bath, storage necessities, a cylindrical double height dining room, an elevator, bedchambers and an amazing owner's suite on the second floor. Though we're pretty sure only the filthy rich will afford to order the Oculus, we can still dream. [via YankoDesign]
Oculus: The Luxurious Superyacht
Posted by Alex Ion


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The Hilton Washington - Embassy Row is located on the "Avenue of the Embassies", at the center of Washington's diplomatic and business district, one block from Dupont Metro Station. We're just minutes from the monuments, museums, Kennedy Center and the nightlife of Georgetown and the White House. Ronald Reagan National Airport is a short 15-minute drive. Numerous galleries and neighborhood surrounding the hotels.
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Title: | Oxidative dehydrogenation of ethylbenzene over La and Dy supported vanadia |
Author: | Sugunan, S; Renuka, N K |
Abstract: | A series of supported vanadia systems have been prepared by excess solvent technique using La203 and DY203 as supports. Physical characterization has been carried out using XRD, FTIR, TG studies, BET surface area measurement, pore volume analysis etc. Cyclohexanol decomposition has been used as a test reaction for evaluating the acid base properties of the supported system. The oxidative dehydrogenation of ethylbenzene has been employed as a chemical probe reaction to examine the catalytic activity. The active species correspond to amorphous and crystalline tetrahedral vanadyl units in the supported system. |
URI: | http://dyuthi.cusat.ac.in/purl/2211 |
Date: | 2002-06 |
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Dyuthi-SS13.pdf | 610.0Kb |
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Dream Home Laminate Floor Cleaner 1 Gallon
Dream Home Laminate Floor Cleaner leaves your floors looking like new with no streaky residue. Order now through our web site, visit your local store, or Call 1-800-HARDWOOD |
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I use this every week to ten days. Recommended by a sales associate when I originally installed the flooring. He didn't steer ne wromgly.
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Spray on soft applicator and let dry before going on floor.
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I use a vacuum or dry dust mop to get up the debris first. Then, very, very sparingly use the Dream Home cleaner. Don't wet the floor very much at all or it might streak. Otherwise, it works beautifully cleaning without build up or streaking.
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can this be used on hardwood laminate floors if not which product can you recommend1 answer
we are installing 12 mm laminate with pad attached throughout our home, approx. 1100 SQ FT. I'm looking for easiest and best way to clean these floors without leaving streaks or damaging its shine and finish. Can I use a steam mop?1 answer
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Please contact Technical and Installation; email@example.com for "Dream Home Laminate Cleaner MSDS".Q:
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We recommend using Bellawood Cleaner for vinyl floors. Thank you for your inquiryQ:
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I have solid bamboo flooring. What can clean with that want leave smudges but cieans and leaves a shine? Thank you1 answer
BELLAWOOD Hardwood Floor Cleaner works very well. For general cleaning a swiffer type system works best. Not one that sprays the floor however. Lightly damp is fine but never soak or flood mop your floor. Do not use steam mops. Have a no shoes policy as much as possible. Use felt pads on all furniture. Sweep often.Q:
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Our Bellawood floor cleaner does not contain any polishes ,wax or anything that will build on the surface and is recommended to be used on all our flooring products. I do hear of this scenario often enough and it always prooves out that there was another cleaning product used previously on the floor that is reacting to the Bellawood cleaner. Most likely once the residue is removed from the original factory finish the floor can be maintained easily.Q:
i am putting in laminite flooring. what is the best cleaner to buy and the easiest to apply?1 answer
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My employer has laminate flooring. She was told to use only water to clean. The housekeepers use a broom and then a sponge mop with water. After using the mop several times, it becomes dirty. Using the same mop over and over makes for NOT a clean floor. They have a baby, who will be crawling soon. Can this cleaner be used?1 answer


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Tract (literature)
A tract is a literary work, and in current usage, usually religious in nature. The notion of what constitutes a tract has changed over time. By the early part of the 21st century, these meant small pamphlets used for religious and political purposes, though far more often the former. They are often either left for someone to find or handed out. However, there have been times in history when the term implied tome-like works.
The distribution of tracts pre-dates the development of the printing press, with the term being applied by scholars to religious and political works at least as early as the 13th century. They were used to disseminate the teachings of John Wycliffe in the 14th century. As a political tool, they proliferated throughout Europe during the 17th century. They were printed as persuasive religious material from the time of Gutenberg's invention.
Religious tracts[edit]
As religious literature, tracts were used throughout the turbulence of the Protestant Reformation and the various upheavals of the 17th century. They came to such prominence again in the Oxford Movement for reform within the Church of England that the movement became known as "Tractarianism", after the publication in the 1830s and 1840s of a series of religious essays collectively called Tracts for the Times.
These tracts were written by a group of Anglican clergy including John Henry Newman, John Keble, Henry Edward Manning, and Edward Pusey. They were theological discourses that sought to establish the continuity between the Church of England and the patristic period of church history. They had a vast influence on Anglo-Catholicism. They were learned works and varied in length from four to over 400 pages.[1] An important center for the spreading of tracts was the London-based Religious Tract Society.[2] Tracts were used both within England - affecting the conversion of pioneer missionary to China, Hudson Taylor - as well as in the cross-cultural missions movements such as Taylor founded: the China Inland Mission. Charles Spurgeon wrote many tracts, and in addition to these evangelical writings, his "Penny Sermons" were printed weekly and distributed widely by the millions and used in a similar way - and they still are today. In America, the American Tract Society distributed vast quantities of tracts in multitudes of languages to newly arriving immigrants at Ellis Island, and sought to assist them in their struggles in their new country.[3]
The publishing of tracts for religious purposes has continued unabated, with many evangelical tract ministries[who?], in particular, existing today.[4] In the United States, the American Tract Society has continuously published literature of this type since 1825. By the late 19th century, Bible Students associated with Zion's Watch Tower Tract Society were distributing tens of millions of tracts each year;[5] by the start of World War I, they had distributed hundreds of millions of tracts in dozens of languages worldwide.[6] The Watch Tower Society continues to publish hundreds of millions of religious tracts in more than 400 languages, which are distributed by Jehovah's Witnesses.[7][8]
As evangelistic tools, tracts became prominent in the Jesus movement. One of the most widely distributed was "The Four Spiritual Laws" authored by Bill Bright of Campus Crusade for Christ and first published in 1965. "This Was Your Life" was the first of many tracts written by Jack Chick. Later Chick tracts followed the pattern of vivid cartoon images and began to focus on issues of Fundamentalist Christianity, including vehement Anti-Catholic opinions.
In the 1980s and 1990s Last Days Ministries reprinted articles in the Last Days Newsletter by Keith Green and other contemporary and historic writers including David Wilkerson, Leonard Ravenhill, Winkie Pratney, Charles Finney, John Wesley, and William Booth. More recently Living Waters Publications prints tracts such as "The Atheist Test" or "Are You Good Enough to Go to Heaven?", as well as tracts which feature attention-getting illusions or gags. These include the "Million Dollar Bill", which caused a legal controversy in June 2006. Most Christian tract ministries operate as non-profit "faith" organizations, some to the degree that they do not require a fee for their tracts. One of the most productive among these is Fellowship Tract League, which has printed over 4 billion Gospel tracts since 1978, available in over 70 different languages, and have been distributed into more than 200 countries.[9]
"Tracting" is a colloquialism commonly used by Mormon missionaries to refer to door-to-door proselytizing, whether or not actual tracts are dispensed.[citation needed]
Political tracts[edit]
Brochure-like tracts, also known as pamphlets, advocating political positions have also been used throughout history as well. They were used throughout Europe in the 17th century. In the 18th century, they featured prominently in the political unrest leading up to the American Revolution, and in the English response to the French Revolution, a "pamphlet war" known as the Revolution Controversy. A well-known example of a far-reaching tract from this era is Common Sense by Thomas Paine.
Tracts were used for political purposes throughout the 20th century. They were used to spread Nazi propaganda in central Europe during the 1930s and 1940s. According to Jack Chick, his impetus to design cartoon-based religious tracts was brought on by hearing of a similar promotional tool used by Communists in China to wide success.[10] In the months before the John F. Kennedy assassination, Lee Harvey Oswald handed out pamphlets promoting Fidel Castro and Communist Cuba on the streets of New Orleans, Louisiana.
See also[edit]
- ^ Modern History Sourcebook: The Tracts for the Times, 1833-1841
- ^ The article traktatsällskap in Nationalencyklopedin, web edition, visited 2006-11-22 (Swedish)
- ^ The New York Times, The Gospel in 30 Tongues, February 24, 1907
- ^ http://www.tractlist.com
- ^ "Kingdom Proclaimers Active in All the Earth", The Watchtower, May 1, 1994, page 15, "In 1881, just two years after the Watch Tower was first published, ... In a few years, tens of millions of tracts were being distributed annually in many languages."
- ^ "Witnesses to the Most Distant Part of the Earth", Jehovah's Witnesses - Proclaimers of God's Kingdom, ©1993 Watch Tower, page 421, "Before the devastation of the first world war was unleashed, an extensive witness had been given worldwide. ...Millions of books, as well as hundreds of millions of tracts and other pieces of literature in 35 languages, had been distributed by the Bible Students."
- ^ "Presenting the Good News—With Tracts and Handbills", Our Kingdom Ministry, January 1991, page 8, ©Watch Tower
- ^ ""The Silver Is Mine, and the Gold Is Mine"", The Watchtower, November 1, 2007, page 18, "Tracts, brochures, magazines, and books have been translated into 437 languages."
- ^ http://www.fellowshiptractleague.org/about.htm
- ^ Biography of Jack Chick


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Tuesday, April 21, 2015
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Displaying lyrics for Elvis Presley's Love Coming Down:
Love Coming Down(Jerry Chesnut)
I remember how your eyes used to light upOver promises that I madeBut for the first time in my lifeI know now how it feels to be afraidI don't know what Id do if you go awayThis would sure be one lonely old townFor a man's so busy going up in the worldThat he couldn't see love coming downLove coming downI remember all the times you told meLove's all that matters to youAnd looking back now, wondering how I believedI had things more important to doI can see how I must have looked to youLike some fool on a merry-go-roundAnd that a man's so busy going up in the worldThat he couldn't see love going downLove going downCan't you see how everything Ive learnedWould just be wasted if you leave meIf you just give one more tryI swear Ill always be here when you need meIf you can find it in your heart to forgive meI'll try to keep both my feet on the groundBut if a man's so busy going up in the worldThat he couldn't see love coming downLove coming down
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Henry Lawson
Henry Lawson
(17 June 1867 – 2 September 1922 / Grenfell, New South Wales)
Skeleton Flat
Here's never a bough to be tossed in the breeze,
For it's long since the forest was green;
And round all the trunks of the naked white trees
The marks of the death-ring are seen.
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Which Anchor?
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Senior Member
Join Date: Jun 2004
Location: western LI sound, L.I., N.Y.
Posts: 503
Thanks: 1
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Rep Power:
"I normally anchor in mud, but who knows what I may find. My current set-up is a no name danforth style anchor with 5 feet of chain (coated) and 200 feet of 7/16 3-strand nylon, which came with the boat. I figure that this is the minimum set-up for normal conditions. I would like to add a more robust system giving me more confidence that I'm secure when the wind gets up unexpectedly in the middle of the night.p.s.
I'm now over 68 and not as robust as in the past and have to be able to handle the anchor alone. "
Suggest if your current "no name danforth style" anchor is properly sized that you extend chain to approx. 30' and use when you
anchor in known good bottom in benign conditions for afternoon.
Will be easier to handle than below suggest...
Also suggest you go with Manson Supreme 25 for other situations
...questionable bottom, unsettled weather, overnight.
Reason for going against conventional wisdom and basicly using a
lunch hook (your current set up plus more chain) is that your
biggest problem with the Manson Supreme will come when it comes
time to haul back on board by hand...it sticks good...something you don't want to do every day...but something you will be happy to do after a rough night and it has done its job.
Above is based on my experience on my 30', (8500#)in mostly sand and mud, with danforth and 50' chain up to 30 kts consistant wind...if questionable weather/several days anch out comes Delta 35
Above may help keep you on the water for years to come...
or maybe you can angle for a windlass for your next birthday!
hopefully replacing danforth with Manson Supreme 25 this spring
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Reward: The First Hero
The story of Alethrion and Amerath, the original creators of the map.
4.82 / 5.00 18,443 ViewsPart 1 of a 2 parter i'm doing with my frien Mattuiop.
REMEMBER- pickles aren't always what they seem................
Music by Alice in chains, lenomus and Tomoyasu Hotei.
oh yeah
this is awsome you do it verry well
your awesome
Well, thankyou very much!^_^
quite liked this keep it up!
I'll get part 2 out soon!
this was pretty good! would like to see more.
Pretty good.
Oh BTW I love Alice in Chains! Awesome band!
Thanks, the only song i've actually heard by them is Would.
Thanks for reviewing!(:
Above average storyline.
Graphics - 7
Yes, the quality was a little bad, but I understand it wouldn't have been if there were no size limit on Newgrounds.
Style - 6
This promotes a low rating due to my preference of just not being a clamation fan. Nonetheless the storyline was well played and longer than most clamations.
Sound - 4
Ahh, now I'm thinking that you are in need of a better mic, not only that, it was also very quiet. I also suggest sound effects, not overdone, but in suitable parts of the flash.
Violence - 8
Well of course, being a clamation, it wasn't the most convincing, but it was definitely there.
Interactivity - 5
There's a play button.
Humor - 7
It had it's moments where I laughed to myself.
Overall - 7
Overall this flash warrants a 7/10, which is not bad considering my preference on a clamation, so take it from me, it was above average. I also found the alien to be nicely made, unfortunately there didn't seem to be any other original characters, but there you go, when it comes to a clamation there isn't really much original you can do that hasn't been done countless times before, there is always a limit.
Well, basically, the only things that need work is most definitely the sound quality and volume, and if possible a quality upgrade is always welcomed ;)
K, i'll use that advice in future!^_^


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Will Bloody Texting PSA Get The Message To Teens?
Filed under: In The News, Health & Safety: Teens
Texting behind the wheel qualifies as irresponsible and completely stupid. There's even a word for it: intexicated. But is a gory British public service announcement going to reach kids who believe they are immortal?
Be warned: The four-minute PSA is extremely graphic, showing not only the realistic bloody injuries of three pretty teenage girls, but also an unresponsive infant in a car seat and a preschooler asking her unconscious and bleeding parents to wake up.
Mike Stout, director of the Division of Traffic Safety for the Illinois Department of Transportation, said that he didn't know if this kind of message would deter teens from texting behind the wheel -- and he wouldn't take the risk of trying to find out.
"This is way too gory," Stout told ParentDish. "...sometimes you have to push the envelope, but if you put this on TV, you'd have no control over who your audience was. Younger kids could see it, and I know some teens that it wouldn't affect at all."
As I watched the clip with my baby nearby, tears came to my eyes when the camera lingered on what appeared to be a dead infant in a car seat with a preschool-age sibling pleading for her parents in the front seat to "wake up."
So the PSA gets right to the hearts of parents to avoid the lure of a quick text. But would the teenagerin the car behind me do the same?
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ReaderComments (Page 6 of 98)
Coop said...You've said it as well as it can be said. Teens who don't already realize that texting while driving is stupid won't get the message from this video. They'd only get it if that baby in the back was their kid brother. . .
Marc Micozzi, MD said...This is nothing compared to what really happens in motor vehicle accidents.
condoleomp said...Two weeks ago, my 58 year old cousin was riding his motorcycle and stopped at a red light. The driver of a Fed Ex truck behind him was texting and ran over my cousin, who lost a leg. This video is so graphic that it is disturbing, but this is reality. If you get into an accident, these are the horrible things that happen. If one person sees this video and has a second thought before picking up their cell phone while driving, then it is worth it. If teens and adults didn't have a problem with texting while driving, then we wouldn't need this video. Also, kids may think their bulletproof, but that doesn't mean that this kind of truth should be kept from them because we don't think it will make a difference. It will always make a difference to someone, and that is who you want to reach.
Dee said...Yes, teens consider themselves "bullet-proof," immortal ... it will only happen to the other guy, therefore they are immune. For all of us, teens and adults, who have this possibly fatal perspective, we will continue to do what we want to do simply because we want to do it. More males succumb to this way of thinking, genetics making them risk-takers, the natural explorers of the universe of risks. This is why I didn't let my son to drive alone in the car until he was older than the law allowed. Not that females can't also be dangerously foolish behind the wheel.
Do we pass laws to ban cell phone usage? Then hope they will be adhered to because they are in place? I'd like to now play devil's advocate, with anyone who might read this knowing that I don't have the answers and want all of us to drive safely and be safe on the roads. Cell phone usage is a distraction to drivers and so are conversations with other people present in the car, as well as listening to the radio and CD's. All of these most especially distractions for the inexperienced drivers among us.
Perhaps there is a change in behavior when someone we love is damaged/killed by careless driving. When I was a junior in high school, Sue, a popular girl whom we all liked, was beheaded one weekend in a car accident. Everyone I knew drove with a great deal more caution ... for about two weeks. Then the "it won't happen to me" suit of protection kicked in once again.
scoobe2 said...i recommend any who sees this fwd it to their friends and loved ones. it is a grim reminder of what can happen in a split second to anyone. if it saves one life it has done its job.
Jean said...I was waiting in the airport for a morning flight and this came on the television that was in the waiting area. There were little kids in the waiting area. The sounds were terrible and when I turned to see what it was the image was terrible. I don't think this helps much of anything and it might frighten the wrong people at the wrong time.
iowaboy said...I, personally, know I won't be texting and driving anymore and I'm 23 years old. This is a great wake-up message to myself and I feel it could be for other people around my age group (16-25).
Becky said...It happened to one of my son's good friends this summer. Lilly is gone, but her friends have learned a very painful lesson. Showing this video to your teens isn't going to hurt them. Even if it saves ONE, it is worth it. Ask Lilly's parents...
jackacracker101 said...I'm seventeen years of age, and I know for a fact that many of my peers would simply laugh at this video... as serious as it is. I agree that texting while driving is incredibly unsafe, but if one is doing it responsibly, such as when they are stopped, it doesn't cause much harm but an angry follower. But there are also many other dangerous things to be doing out there while driving, which are nowhere near as publicized as the texting issue. Basically I feel it is necessary to come up with something realistic that addresses all of the issues at once, while keeping away from the gore. Its incredibly unnecessary, and painful to watch someone go through something like that... even if they are only actors.
derek said...im a teen as well as an emergency responder with my local fire dept... this is the most ineffective PSA ive ever seen... not only would it damage many viewers young and old but i believe it would scare more teens into being afraid of driving in general then it would texting... if anything a mandatory seminar about the dangers of using a cell phone while driving for new drivers would be more effective, it would also prevent the viewing of this PSA for ages that are two young to witness a tragedy like this
rod mcclellan said...I ride a motorcycle and it scares me to death. You think they cant see you now, how about when they aren't even looking!
Tami said...I watched this viedo with my teen daughters. It was a tough thing to watch seeing as we lost a stepsister/stepdaughter, and her boyfriend in May do to over correcting while driving. As a parent I wanted my remaining children to learn all there is about the dangers of texting while driving. As an adult I am guilty of texting while driving, and I asked my self, "what am i teaching my children". I will walk away from this viedo with tears of a learning experence and hope to teach my children not to do as I have done. Its is my responsibility to lead by example. So I have turned off my texting on my phone. Nothing is worth loosing a life over. My daughters all agree with me. The viedo is direct and to the point. I only hope others learn as I am from watching this viedo and will go forth and teach their children/ teens as well.
kitten said...Perhaps this is gory but...to be honest...I'd risk it, if it would just save the life of one person. Once a life is gone, there is nothing you can do to bring it back
sarah said...I completely agree with len. I have a feeling the end of humans will be from our own doing. Humans will destroy themselves in the end.
Paula said...The video is graphic, realistic, frightening, and disturbing...which is EXACTLY why I think it should be shown as a public service announcement. Kids need to understand the consequences of distracted driving--how quick things can happen--and how many people it can affect. It pushes the envelope--but if it prevents one accident, it is worth it. Kids today get a full palate of gratuitous sex and violence through a variety of media sources-- this is at least thought provoking.
By the way, I see just as many adults texting while driving!
tutti1970 said...Teens should see the video. They watch worse than this for entertainment. It's not exactly correct to assume that they will not take it serious or at least thing twice before pulling over for a quick minute rather than driving unattentively. True teens don't follow every rule or do as they should but it's a fair warning, then consequences should be tougher, as if cause another's death isn't price enough.
Ian said...Your comment on teens being "bulletproof" is accurate. However...I personally, will use anything within my power to keep my children safe.
The director of transportation says this is "way too gory"? Where has this guy been? Has he watched any television, or gone to the movies lately? This is tame comparatively speaking to what our children are exposed to these days.
Unfortunately, along with the bulletproof comment, the writer eluded to the fact that the kids won't pay any attention to this...I am afraid that they are correct about that as well. The only thing that snatches them into the reality of this nightmare scenario, is when it happens to a friend or family member. Too bad, because then it has already been "too late" for someone else.
Many teens live inside of their " I am indestructible" world, until it gets smashed by an event such as this.
I wish I knew how to make all of them see the light, but I don't. I do the best I can, and pray to God to keep them safe.
Ryan said...I work for the fire department and have for 15 years. We do a live mock car wreck right around prom every year for all the counties high schools. We put fake blood on them put sheets over some and fly some out on a life flight helicopter! If it makes just one of them think twice its working!
mermaid02 said...YES! every teenager should see the reality of how deadly it is to NOT pay full attention when driving! They showed those type of films to high schoolers in Driver's Ed back 30-40 yrs ago and you NEVER forget it. It would eliminate alot of tragedies.
Scott said...As horriffic as it is, the simple fact is teens will be teens and until this (god forbid) would happen to someone they know, this would just be considered another parental scare tactic to most teenagers