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Pet Parrot - 2D Pet Simulator
500,000 - 1,000,000 downloadsAdd this app to your lists
+ By Play Ink Studio
Build a fun place for your lovable virtual pet parrot to share with your friends! Play with, care and feed your parrot to maximize happiness. Happy parrot award more money if you well maintain your pet.
You get 100 pet points at the beginning of the game to buy different items for your virtual pet
You can enrich your experience by purchasing game items with pet points online
Running your pet shop is amazing fun with these features:
★A tutorial is included in the game to get you started quickly.
❤OWN your darling parrot!
❤ Wash them, feed them and play with them
★Parrots have complicated brains. For the well-being of your parrot let him play at times with different toys
❤Your parrot may feel alone at times and loves to be social just like you so let him meet his lady at times or vice versa.
★You have to feed the parrot on time with a variety of foods by tapping on the bowl
★Make sure your parrot is not thirsty and would love to drink beverages other than water as well.
★Sharp stunning graphics and animations
★Your pet does not like himself dirty or his surroundings. So give him a shower occasionally and keep his environment fresh and clean with the tools provided in the game
Rate Pet parrot 5-Stars NOW to support us bring more fantastic gorgeous things for your pet in upcoming updates.
Parrot Pet Shop is part of our other panorama of games such as:
- Bridge the Train
- Gingerman - Multiplayer Hangman
- Auto Car Salon
- Monsters & Dragons
- Tennis Masters
- Temple Fighter
and many more...
TAGS: Parrot, Pet, Simulator, Birds, Animals, virtual, Darling, Social, Kids, Best, Fun, Zoo
This game contains ads in the notification bar.
You can also write to us to improve the game at firstname.lastname@example.com
Tags: parrot game, bird pet shop games, parrot pet store, parrot pet shop, jugar al juego de parrot pet shop, parrotcreatorgame, 飲み物を飲む アニメーション, bird pet shop game, pet parrots, bird petshop games.
** ver 1.2.5 **
- New google policy support added
- minor bug fixes
** version 1.2.2 **
- minor bug fixes
** version 1.2.0 **
- parrot more generous in Pet Points and more fun ...
- don't get bothered with too many ads now...
- minor bug fixes
(59 stars)
Love it
(59 stars)
Love it
(59 stars)
Le le le
(59 stars)
So cute little bit boring but it OK
(59 stars)
(59 stars)
It i okay because it makes me feel proud hope people have this game
(59 stars)
Not fun at all..


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DEReC › Publications & Documents › All
English, , 624kb
This evaluation of DFID's country programme in Sudan is one of a series of regular Country Programme Evaluations (CPEs) commissioned by DFID's Evaluation Department.The evaluation underlines that DFID's programme in Sudan remains one of the most complex and challenging in its portfolio.
French, , 1,887kb
L'unité d'évaluation de la Direction générale du Trésor s'est livrée à un exercice innovant: demander à une équipe indépendante de chercheurs d'étudier quantitativement et qualitativement l'efficacité de l'action conjointe de quatre organisations multilatérales.
English, , 1,122kb
This report is a summary of the "Country Assistance Evaluation of Bangladesh"undertaken by the External Advisory Meeting on ODA Evaluation requested by theInternational Cooperation Bureau of the Ministry of Foreign Affairs (MOFA) of Japan.
English, , 1,699kb
This independent evaluation of SDC support for research related activities focuses on four sets of issues: policy, portfolio, results, and management.
English, , 1,698kb
This independent evaluation of SDC support for research related activities focuses on four sets of issues: policy, portfolio, results, and management.
Finnish, , 3,435kb
The purpose of the evaluation was the identification of the evolution of the development cooperation in the water sector, extraction from the lessons learnt and recommendations for the future support to the sector.
English, , 1,684kb
The report is based on two mass surveys among 2000 respondents in about 80 villages in the districts of Taloquan and Warsaj in Takhar Province and Imam Sahib and Aliabad in Kunduz Province.
English, , 899kb
Concern about the ability of the world's ecosystems to continue supporting human life on earth is resulting in a renewed attentiveness to agriculture and its multi functional character. In 2008 alone three major publications reported on the need to focus policy attention on food and farming.
English, , 947kb
The overall objective of this evaluation was to increase the effectiveness of future CIDA TRTA/CB projects by providing elements for a new trade program and an optimal strategy to deal with trade-related cooperation with developing countries, by means of lessons learned.
English, , 1,624kb
In early 2009, the Indonesia Resident Mission of the Asian Development Bank requested the Independent Evaluation Department to conduct an urban services study to provide sector-specific input to the forthcoming ADB country partnership strategy for Indonesia.

subset: commoncrawl


text:
An albumn to upload all photos that you have taken of your creations made from LLB Printables.
Get Deals, Giveaways & More
"...the prints have made many people so happy that they cried when they received them. Thank you!!"
Your import is in the queue.
We will email you when your albums are available.


text: 482 S 300 W, Silver Valley Est, Leeds, UT 84746 Status: Off Market MLS#: 12-135482 Contact Email this listing Share on Pinterest Share on Google+ Share on Facebook Share on Twitter Calculate Mortgage Print Flyer Get Directions Request a Showing Off Market 482 300 W, Leeds, UT 84746 is no longer on the market or has been removed from the MLS. Similar to 482 300 W: Ask an Agent About 482 300 * Required fields Send Your Question × Monthly Payment Estimator Price: Down Payment: % Loan Amount: Loan Type: 30 Year Fixed 15 Year Fixed 5/1 ARM Interest Rate: % Est. Tax & Insurance: % ($/mo.) Est. Monthly Payment: $478 per month × Email a Listing 482 300, Leeds UT, 84746 From: Name: Email: To: Name: Email: Subject: Message: Take a look at this property I found on FindStGeorgeRealEstate.com: http://www.findstgeorgerealestate.com/homes/482-S-300-W/Leeds/UT/84746/20386415/ Send a copy of this message to me Send Email


text:
Mon-Fri: 7am-1am EST / Sat-Sun: 7am-11pm EST
ApplianceKitchenAid Small Appliance
Level of DifficultyA Bit Difficult
Time to do repairLess than 15 mins
Age of Appliance5 - 10 years
Screw drivers
0 out of 2 people found this instruction helpful
Kitchen aid recomended "prying" the coupling off. . This is also a "left hand thread,( turn to the left to screw on )" need to pay attention there. Using a hammer and a screw driver you have to turn the drive wheel to the "right" acouple of sharp blows with the hammer and screw driver will loosen the gear off of the shaft. Remove gear and install the new one. Off you go.
Help other customers find the most helpful instructions.
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Part Number: PS401661
All brand logos are trademarks of their respective owners.
The PartSelect logo is a Registered Trademark of Atlantic Laundry Centres, Ltd.
Copyright © 1999-2015 , Eldis Group Partnership. All rights reserved.


text:
In its first comprehensive test of web browser protection against socially engineered malware, NSS Labs found that Internet Explorer 8 (RC1) was best among the six browsers tested. More than 154,000 individual tests were run during 12 days of 24x7 testing against Apple Safari v3, Google Chrome 1.0.154, Microsoft Internet Explorer v8 (RC1), Microsoft Internet Explorer v7, Mozilla Firefox v3.07 and Opera 9.64. IE8's catch rate was 69%, well ahead of the nearest browser in the test, which scored a 30% catch rate.
See the Microsoft security bulletin summary for March 2009.
More to come,
Subscribe to the TechNet Flash newsletter
Follow us on Twitter
PingBack from http://www.ditii.com/2009/03/24/ie8-tops-socially-engineered-malware-test-nss-labs/
8 browser and install the internet my friend take a few days the problem was a service pack be removed and I thank you for writing should be corrected
8 seems to be good, but a few internet update should be done
Introducing such a topic you'd like to congratulate you've let us know. Have good work
couple month ago I have bought a book which talks about how to use ie8 and handle


text:
ROCKINGHAM — The Rockingham City Council has finalized funding for the razing of the Steele building on East Washington Street and the construction of a multipurpose building to take its place.
Council members voted 4-0 to accepted a second grant, this one for $281,331 from the Richmond Community Foundation, to cover the cost of razing and construction. Council member John Hutchinson was absent.
Initially, a $475,000 grant from the Cole Foundation was intended to cover the entire cost of the project but that concept was shot down when the lowest qualified bid of eight received was $952,907.
Through value engineering — that is, eliminating elements of the project deemed unnecessary — City Manager Monty Crump and others worked with Carpenter Construction, of Oakboro, to whittle the cost of the project down to $756,331 — still more than $280,000 than the original Cole Foundation grant.
The city applied to the Richmond Community Foundation in March for the additional funds but it wasn't until Tuesday the city made the grant award official.
The final cost of the project, which includes the construction of a new multipurpose building across from Discovery Place KIDS to serve as one part lunch room for children visiting the nonprofit museum and one part restaurant, is $806,831. That figure includes the city's contribution of $50,500 that covers professional services.
Workers with Carpenter Construction began razing the Steele building nearly a month ago. Crump said Tuesday the project is on a 240-day timeline.
Gardner's replacement
In other city news, Crump told Mayor Steve Morris and council members that he had received 34 applications for the position of fire chief. Current Chief Charles Gardner announced March 11 he would step down in August after 11 years at the helm of the city's fire department.
Crump said he intends to begin interviewing candidates next week and hopes to whittle the list to up to five applicants. He remains on target, he said, to find Gardner's replacement so the new chief has a period of time to work with Gardner.
RCC turns 50
Morris read a proclamation commending Richmond Community College for reaching its 50th anniversary.
The college was organized as Richmond Technical institute on April 2, 1964 and became Richmond Technical College in 1980. In 1987, the name changed again to its current designation.
Morris emphasized RCC's place as a "regional hub" and service to more than 3,100 students in degree and diploma programs.


text:
Richard Donahoe
|The Hon.
Richard Alphonsus Donahoe
|Senator for Halifax, Nova Scotia
|In office
|Appointed by
|Joe Clark
|Personal details
September 27, 1909
Halifax, Nova Scotia
|April 25, 2000(aged 90)
|Political party
|Progressive Conservative
Richard Alphonsus Donahoe, Q.C., K.S.G. (September 27, 1909 – April 25, 2000) was a Canadian lawyer and politician.
Born in Halifax, Nova Scotia, the son of James Donahoe and Rebecca Duggan, he was educated at Dalhousie University and set up practice in Halifax. In 1936, he married Mary Boyd. Donahoe ran unsuccessfully for the House of Commons of Canada as the National Government candidate in the riding of Halifax in 1940 federal election. In 1951, he was elected an alderman on the Halifax City Council. He was elected mayor in 1952 and was acclaimed in 1953 and 1954.
He was elected to the Nova Scotia House of Assembly in a 1954 by-election held after the death of Angus L. Macdonald and was re-elected four times in 1956, 1960, 1963 and 1967. He was the Attorney General and Minister of Public Health in the cabinets of Robert Stanfield and George Isaac Smith. Donahoe helped implement the Medical Insurance Program in Nova Scotia. He was defeated when he ran for reelection in 1970 and returned to his law practice.
In 1979, he was summoned to the Senate of Canada representing the senatorial division of Halifax, Nova Scotia. A Progressive Conservative, he served until his mandatory retirement at the age of 75 in 1984.
In 1969, Pope Paul VI made him a Knight of the Order of St. Gregory the Great.
His sons, Terry Donahoe, and Art Donahoe were Nova Scotia politicians.
He was president of the Canadian Curling Association from 1955 to 1956.
- "Debates of the Senate (Hansard), 2nd Session, 36th Parliament, Volume 138, Issue 50".
- Marble, AE Nova Scotians at home and abroad: biographical sketches .... (1977) p. 142 ISBN 0-88999-074-3
External links[edit]


text:
Prices and availability are subject to change from the time and date that you print this page.
5/29/2015 7:46:52 PM. For Customer Service, please call 800.967.6696
Pickup Check store pickup options
The Story
Sparkling clear glass is handcrafted to form an elegant silhouette with effervescent detail. Floating bubbles are encased in the curved sham base, a unique design element captured during the artisan process of sculpting molten glass.
Details and Dimensions
Mira Vase. 5" dia. x 10"H
- Handmade
- Clear glass
- Made in Poland
Overall DimensionsHeight: 10" Diameter: 5"
Return/Exchange Policy
We will accept merchandise returns of non-furniture items within 90 days of customer receipt.
Outlet purchases and purchases made outside the U.S. may only be returned to the purchase location. All other Crate and Barrel non-furniture merchandise may be returned in person to any U.S. Crate and Barrel store (excluding Outlets) or by mail (if the item was ordered online or by phone and received by mail).
Bedding items can be returned or exchanged only if in their original packaging.
An appropriate exchange, credit or refund will be issued for the item(s) and any taxes due to be refunded in accordance with applicable state law.
Depending on the nature of the return/exchange and the presence of an original receipt or packing slip, we will issue an appropriate credit or refund in one of the following ways:
- With an Original Sales Receipt or Packing Slip, the item's purchase price will be refunded in the Original Form of Tender (cash refunds are limited to $100 in store with any balance refunded as a check by mail).
- With an Original Gift Receipt or Gift Packing Slip, the item's purchase price will be refunded via a Shop Card.
- Without an Original Sales Receipt, Gift Receipt or Packing Slip, the item's current retail price will be refunded via a Shop Card, regardless of amount. Valid photo ID is required for store returns without an Original Sales Receipt, Gift Receipt or Packing Slip.
Please note: Shop Cards, Gift Cards and eGift Cards are valid for Crate and Barrel, CB2 and The Land of Nod purchases and are not redeemable or subject to exchange for cash or a cash equivalent, except as required by applicable law.


text:
StLouisRams.com expects the Rams to approach OT Wayne Hunter about a pay-cut.
Rams OT Wayne Hunter (back) is set to return to game action.
Rams declared LT Wayne Hunter, LT Rodger Saffold, QB Austin Davis, WR Danny Amendola, RB Terrance Ganaway, LB Mario Haggan and DT Matt Conrath inactive for Week 7 against the Packers.
Rams LT Wayne Hunter (knee) is listed as questionable for Sunday's contest against the Seahawks.
Rams acquired RT Wayne Hunter from the Jets in exchange for RT Jason Smith.
The Jets have removed Wayne Hunter as their starting right tackle.
Coach Rex Ryan said Tuesday the Jets are not in the market for a new right tackle.
Jets coach Rex Ryan wouldn't commit Monday to Wayne Hunter as his Week 1 starting right tackle.
Jets RT Wayne Hunter was predictably manhandled in pass protection during Saturday night's preseason game against the Giants.
Jets GM Mike Tannenbaum says the team is standing by Wayne Hunter as their starting right tackle following the voided Jeff Otah trade.
Jets RT Wayne Hunter gave up 8.5 sacks and was flagged for 11 penalties in 2011.
Jets OL coach Dave DeGuglielmo was adamant Wednesday that Wayne Hunter will keep his starting right tackle job.
Jets OC Tony Sparano was noncommittal Thursday when asked about his team's starting right tackle.
Jets GM Mike Tannenbaum says OT Wayne Hunter "is our right tackle now."


text:
Tap Crazy Free
50,000 - 100,000 downloadsAdd this app to your lists
+ By Exit4Games
Pop the balls by tapping them before they reach the top of the screen. But don't pop your friends as the race to the bottom. As the numbers increase, everyone starts bouncing off of everyone else. It is your job to sort through the ensuing comic mayhem. Seven distinct enemy types. Tons of fun!
Please support Exit 4 Gaming by downloading the full ad free version for just 99 cents!
Game Features
* OpenGl 3D Graphics.
* Outstanding ball animation and movement.
* Spectacular particle graphics system that fills the screen with destruction.
* Expert tap recognition TBQ technology for superior tap recognition.
* Three game modes - Normal, Hard, and Insane.
* Graphics setting (High, Medium, and Low) for different levels of phones.
* Swipe to pause system to pause the game while playing
* Automatic pause when getting a call or going to the home screen.
* Wave based gameplay. Play a wave whenever you have a minute.
* Single save feature keeps progress while maintaining high score integrity.
* Scoreloop high scores.
Good Guys:
Green Balls - get points for every Green Ball that reaches the bottom. Don't tap 'em.
Red Cross Balls - give you back a life.
Bad Guys:
Red Balls - simple to kill with one tap but plentiful in numbers.
Yellow Balls - Faster and blast through green balls to get to the top.
Armor Balls - Red has put on armor. Break through the armor to get to the meat below.
Purple Balls - On each tap, they divide. Get 'em quick or look out.
Pink Balls - These magical balls switch places with Green balls when they are tapped.
Blue Balls - Switch places with every ball they strike. Be careful tapping them during a switch.
Orange Balls - Turn Green balls they hit into more orange balls. Watch out for the cascade.
Similar: Bomberman Mafia Farm Fruit Devil Jewels Night Flier Joyland Bounce Super Blue Rabbit World Jelly Band Zombies Bumbledore Ninja Dash iRunner Tap Fish Jumping Monkey Zombie Dash Ant Smasher Air Penguin Ice Runner Wacky Duck Planet Runner Fluffy Birds Worlds & Friends Minicraft Dragon Ball Crash Boy Ball.Hop Bowling Ball Hop Bowling spider ninja roller ball dream zoo ninja chicken cheese tower lep's world tilt racing bubble monkey fruit devil
Tags: tap crazy, crazy taps, quick tap game blue red green star, crazy taps game, crazy tap, red and blue tapping game, tap crazy free review, free crazy taps game, crazy tap tap game, crazy taps игра.
Tap Crazy is now FREE!
Enjoy all 150 levels of action without paying a cent or download the full version to enjoy tap crazy without ads.
(43 stars)
Hey guys. If you want to get free gifts from your phone check out (www.AndroidPrizes.net.tc) Just got myself a free $250 Visa gift card.
(43 stars)
I love playing this game
(43 stars)
This game is awesome gets gets faster very quickly but still very fun!!!!!!
(43 stars)
It's gets boring pretty fast and doesn't always kill what you tap.
(43 stars)
This game is making me crazyyyyy. Too cool.


text:
TURNLEAF APARTMENTS3201 Loma Verde Dr, San Jose, CA 95117 View On Map (408) 378-9138
For rates, availability, and other information fill out the availability request form and a representative from TURNLEAF APARTMENTS will contact you shortly
Turnleaf Apartments is located in the San Francisco Area in the 95117 zip code. View this apartment on a map.
Back to Top
Maps & Directions
click to view interactive map


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Run Ninja 3.4
Fast and energetic and fun platformer centered on a Ninja. Run, jump on the wall and just like that, do everything you can to make it to the end and score maximum points. Active gameplay and nice looking graphics make things much more interesting.
Download now
Retail Man POS 2.1a
Retail Man, powerful Point of Sale (POS) and inventory software with accounting. Supports most POS hardware :- docket printer, bar code scanner, cash drawer, pole display, touch screen, scales. Simple user interface with powerful security. POS with stock control, inventory, invoicing, debtors control, purchasing, creditors control. Support for web stores including OpenCart. Menus in English, Arabic, Chinese, Dutch, French, Portuguese, Spanish.
Download now
Pirates Treasures 4.6
Pirates Treasures All pirates should have a treasure map these days. And in treasure should contain more treasures. Treasure galore! But nothing worth doing is ever easy, and it takes not just a saber but brains too to find what you are looking for. Use your brain to arrange the valuables three abreast to receive them. The classical mechanics and intricate gameplay are treasures in their own right!
Download now
Master Ninja 4.9
Since ancient times, the true Ninja mastered the art of cutting fruit. Now you can too, try to learn like a real Ninja master! Cut the fruit, carefully! Bombs can wipe out your score in a flash! Compete with other players, and post your scores to the online record table and prove that you are the best!
Download now
Maya Gold 4.0
Excellent graphics, beautiful music and interesting gameplay will entice you to play the new casual game "Maya Gold" and enter the world of the Mayan. Get what you came for by clicking on a button, above which a block is pushed to create a coin that in turn pushes the block. Because coins are pushing, they have to fall vertically down for collection of points. The game also offers interesting bonuses.
Download now
A Dream 2.7
A Dream is dramatical first person shooter with beautiful graphics. The game has very interesting and unusual gameplay and also very interesting story. You are the lead character of a Dream. Help him survive!
Download now
Cool Races 3.4
Cool Races is a simple racing game in which you can play without rules, if you want. Choose from 9 cars or more cars and several different tracks. Many 3D effects including realistic car damage. This is a great game for racing fans.
Download now
Dissolute Pair 5.8
The game "Lecherous pair" is an arcade puzzle that requires quite a bit of logic to solve. You need to free 30 virgins who are held captive by a villain named Necropuzzle. The goal is to find identical images, which are hidden in the playing field. If you open 2 slots with the same icons they will be destroyed and a section of blocks holding the girl in prison will vanish.
Download now
Chess Tournament 3.1
Whether you're an old pro, someone who wants to improve his skills or a novice who wants to learn how to play, Grandmaster Chess Tournament has the features you're seeking! Experts will appreciate the challenge of playing against the computer at one of the higher difficulty levels. Intermediate players will enjoy playing at the lower difficulty levels and using hints to learn new tactics. And novices can begin their training with the tutorial and
Download now
Sky Aces 1918 5.8
Sky Aces 1918 is an arcade aviation simulator dedicated to the events of WWI, and the airplanes participating in the conflict over the Western Front. This updated version includes improved graphics, better frame rates, new features, improved user interface & HUD plus experimental support for local network games with two players.
Download now
Shping Shpong 3.4
Whether or not you are a fan of table tennis, you will enjoy this game. Now it is possible to play at home, pick up that racket and swing away! The game mode is as standard ping-pong, to reach 15 points. Good Luck!
Download now
SuperLauncher 22.214.171.124
Powerful launcher and scheduler that provides quick access to your favorite applications, folders, websites, and documents. Input new shortcuts by drag-n-drop, launch shortcuts using hotkeys, schedule shortcuts to run one or many times, group shortcuts, automatically insert commonly typed text, display reminders, and automate system shutdown and restart. SuperLauncher is an extremely easy to use productivity booster.
Download now
Virtual Billiard 5.1
Pool simulator that will amaze its realism Eight, Nine, Snooker and other games. Want to play in the world-famous American Billiards without leaving home? Then this game is for you! Rules of the game, a game table, balls - everything is real! You only need to fix the cue to strike a blow coming and implement movement of the mouse! Like it? Then go ahead!
Download now
Helic 5.8
Helicopter arcade game. Shoot-'em-up action with plenty of adventures and adrenaline. The game is aimed at all players, from novices to hardcore action gamers. Players can try their skills at three campaigns: Islands, Europe and the Middle East. As they complete levels, players gain access to new, more maneuverable helicopters, more powerful enemies and unexpected surprises.
Download now
Flappy Time 1.4
FlappyTime is an arcade game that perfectly combines classic retro style games of the 80s and 90s with dynamics of modern gameplay. Stylish pixel graphics coupled with unobtrusive music make this a very pleasing game. Help the flying turtle get past many obstacles in the form of pipes and collect the maximum number of coins to set the record. The player can control only a flick of the wings of our character, and a correct calculation of strokes w
Download now
Block Temple 2.6
Ancient evil seems to be awaken. It is imprisoned, but soon it will become powerfull enough to break out. Prison keeper, an ancient spirit who has some control over prison dungeon floors, involves some person to defeat evil being. Player plays as prison keeper. At the moment of game start, hero is on first floor of dungeon. Hero has its own will, and moves independently of player. He will move straight to enemy, treasure, or any another point of
Download now
Air Cruise 2.5
You begin play as a beginner pilot, but you'll soon develop into an experienced pilot. The objective of this game is to fly from one airport to ferry passengers elsewhere. But beware, the routes are often fraught with many hidden dangers including Zeppelin poachers which must be picked off. Set the optimal screen resolution and take flight. Good luck!
Download now
Arcanoid Ball Of Destiny 2.6
Arcanoid Ball of Dastiny - This is an incredible mystical breakout 5 evil bosses, bolie 50 levels, incredible graphics, addictive gameplay, you tightened in this amazing magical world.
Download now
Astrology II 2.9
Astrology 2 is an unusual breakout game. Incredible graphics, addictive gameplay, interesting story and many, many levels! I walked along the old path, when I heard "Call" and the legs got stuck in a quagmire. Swamp goo oozed under my boots, and a terrible fog enveloped the rotten trees coating outlines of branches and turning them into predatory paws. I walked for about an hour on shaky ground when I came across a windmill made out of the old mi
Download now
Funny Halloween 3.0
Used to think that Halloween should be scary? No way! It should be Happy and Funny! You can celebrate Happy and Funny Halloween with your children. You will delight in cheerful pumpkins flying around kind magicians and fairies playing with merry ghosts. Festive sounds and solemn music become a hymn of your Funny Halloween!
Download now
Sokoban Champions 1.0
An arcade puzzle game in which you need to strategically position the boxes. Nice graphics and unusual sound effects will give guide you along the way. The unique gameplay will keep you intrigued for hours.
Download now
Eat Them All 2.8
Many times you fought aliens, mercilessly killing them to repel their attacks. But have you wondered about those moments later? Eat Them All will help you visit the home of the alien. The action takes place in medieval times, and you play as a very hungry and lonely stranger, so eat plenty of knights, archers and magicians who have only one goal; to return home.
Download now
Small Tanks 3.9
Small Tanks is a 3D game based on the popular tank theme. A simple mission begins and ends with a meat grinder. If it becomes very difficult, you can call a second player to join the fight. Successful missions require sweat and blood, and you will earn points and raise your rank along the way. Good luck!
Download now
NOV Gauge for .NET 2015.1
Gauge controls can be very useful when you need to create user interfaces for dashboards, KPIs, dials, stopwatches, clocks, thermometers, LEDs and simple indicators. Some of the major benefits of the NOV Gauge control are: Radial and Linear Gauges, LED Displays and State Indicators; Multiple Gauge areas and Gauge combinations; Advanced Gauge Axis Model and Scales Configuration; Unmatched Visual Styling; Import Gauges into NOV text documents.
Download now
Gold Ball 3.8
Another iteration of the timeless Arkanoid with interesting graphics, special effects, and many types of blocks and bonuses. But this time it's not so simple. A distinctive feature of the breakout from the others is the ability to buy upgrades for the platform and for the world. Number panel is to the right of the screen. Collect money from the blocks to enhance gameplay!
Download now
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Lewis Mesa Fire: This fire began early afternoon on Ute Mountain Ute lands in La Plata County, north of County Road 100, near County Road 114. At 6 PM, the fire was estimated at 10 acres and was 45% contained. There were 2 crews, 5 engines, and several aircraft on scene. No structures were threatened.
Pam Wilson, Public Information Officer970-799-1179
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I have a love hate relationship with this time of year. First of all, it's spring! The lambs are leaping and the sun is shining, well supposed to be shining, and it's the month I grow by one whole year. The thing is, it's also the month that the majority of my friends and family do the same thing. My purse quivers and I'm stuck eating beans on toast for a month. But, all of that is worth it when you get to give your nearest and dearest something that makes their face light up. And that's exactly what this cupcake did.
Tate and Lyle were something of a saving grace this year. The lovely Jo contacted me asking if I'd like to try some of their fair trade sugars out as part of their We Love to Bake initiative. Well, anything that makes the next few weeks easier on my purse strings is fine by me. So I accepted and a wonderful hamper of sugars were soon winging their way to me. Thanks Tate & Lyle!
Using their array of ethical sugars I set about making a giant cupcake for my soon to be sister-in-law's birthday. This is only the third giant I've baked so I was slightly worried about my amateurish icing and slightly wonky sponge, so I decided to try my hand at a fondant bow to distract from my shaky hands work. Considering it's my first real attempt at sculpting I'm quite happy with the result, and it's made me hungry for bigger and better things. I think I'll get my little self booked onto a sugar crafting course this summer. The day I can hand craft a delicate sugar rose is the day I'll jump for joy!


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Serologic Tests
The antibody response to infection with B. burgdorferi follows a typical pattern. During the first few weeks after the initial onset of infection, there is no antibody production. The specific immune globulin M (IgM) response characteristic of acute infection peaks between the third and sixth week. The specific immune globulin G (IgG) response develops only after months and includes antibodies to a variety of spirochetal antigens. IgG antibodies produced in response to Lyme disease may persist for months or years. Thus detection of IgG antibodies only indicates exposure, either past or present. In Lyme disease endemic areas, underlying asymptomatic seropositivity may range up to 5%–10%. Thus, as with any laboratory test, interpretation of serologic tests requires close correlation with the patients' signs and symptoms. For example, patients with vague symptoms of Lyme disease, chronic fatigue syndrome, or fibromyalgia may undergo multiple serologic tests over many weeks to months in an effort to establish the diagnosis of Lyme disease. Inevitably, in this setting of repeat testing, one enzyme-linked immunosorbent assay (ELISA) or test, whether IgG or IgM, may be reported as weakly positive or indeterminate. These results most likely represent false positive test results in the uninfected patient who has had long-standing symptoms from a different condition and previously negative test results.
Currently, the CDC recommend a two-step method for the serologic diagnosis of Lyme disease:
Step 1. Enzyme-Linked Immunosorbent Assay (ELISA) for Borrelia burgdorferi Antibodies.
This test is a screening serologic test for Lyme disease. ELISA tests are available to detect IgM or IgG antibodies or to detect both antibody types together. More recently developed tests using recombinant or synthetic antigens have improved diagnostic sensitivity. For example, the Food and Drug Administration (FDA)-approved C6 ELISA is highly sensitive to infection, and is under study as an indicator of antibiotic therapy efficacy. A positive or indeterminate ELISA test result alone is inadequate serologic evidence of Lyme disease. All of these tests must be confirmed with an immunoblot test. In addition, results must be correlated with the clinical picture.
Step 2. (Western) Immunoblot
This test is used to confirm the serologic diagnosis of Lyme disease in patients with positive or indeterminate ELISA tests. In contrast to the standard ELISA test, the immunoblot investigates the specific antibody response to the different antigens of B. burgdorferi. Typically, several clinically significant antigens are tested. According to CDC criteria, the test result is considered positive if two of the three most common IgM antibody bands to spirochetal antigens are present, or five of the 10 most frequent IgG antibody bands are present. Because the CDC criteria were developed for surveillance, they are conservative and may miss true Lyme disease cases. Some support the use of more liberal criteria for a positive result in clinical diagnosis; however, alternative criteria have not been well validated. Criteria for interpreting immunoblot results are different in Europe than in the United States due to differences in prevalent Borellia species causing disease.
Other Tests
1. Polymerase Chain Reaction (PCR)
In contrast to the above two serologic tests, which only indirectly assess prior or present exposure to B. burgdorferi, PCR directly tests for the presence of the spirochete. Because PCR technology involves amplification of DNA from a portion of B. burgdorferi, there is a high risk of exogenous contamination, resulting in false positive results. Positive results in the absence of clear clinical indicators or positive serology are not definitive for diagnosis. In addition, the test cannot distinguish between live spirochetes or fragments of dead ones. The PCR technique has been studied using a variety of specimens. PCR has the best detection rates for skin biopsies from patients with erythema migrans and for synovial tissue (and synovial fluid, to a lesser extent) from patients with Lyme arthritis. CSF may be positive by PCR during the first two weeks of infection, but thereafter the detection rate is low. PCR is not recommended for urine or blood specimens. Borrelia PCR also provides information to which of the three major species pathogenic for humans has been found in the specimen tested (genotyping).
2. T-Cell Proliferative Assay
T-lymphocyte proliferation assays are not recommended as diagnostic tests; they are difficult to perform and standardize, and their sensitivity is not well characterized.
3. Evaluation of Cerebrospinal Fluid (CSF)
Aside from the standard evaluation of CSF for pleocytosis, protein levels, and glucose levels, various tests are available to determine whether anti-B. burgdorferi antibodies are being selectively produced within the central nervous system. Techniques include a variety of immunoassays. For example, intrathecal antibody production can be detected by the CSF/serum index of B. burgdorferi antibodies. CSF and serum samples diluted to match the total IgG concentration in CSF are run in parallel in an IgG ELISA. Excess Borrelia-specific antibody in CSF indicates a positive result. As noted, PCR can also be used to detect the spirochete in the CSF, most successfully within the first two weeks of infection.
Lyme Disease
Lyme disease is a multisystem inflammatory disease caused by the spirochete Borrelia burgdorferi and transmitted by the bite of an infected ixodid tick endemic to Northeastern, North Central, and Pacific coastal regions of the United States. The disease is characterized by stages, beginning with localized infection of the skin (erythema migrans), followed by dissemination to many sites. Manifestations of early disseminated disease may include lymphocytic meningitis, facial palsy, painful radiculoneuritis, atrioventricular nodal block, or migratory musculoskeletal pain. Months to years later, the disease may be manifested by intermittent oligoarthritis, particularly involving the knee joint, chronic encephalopathy, spinal pain, or distal paresthesias. While most manifestations of Lyme disease can be adequately treated with oral antibiotics, IV antibiotics are indicated in some patients with neurologic involvement or atrioventricular heart block. However, over-diagnosis and over-treatment of Lyme disease are common due to its nonspecific symptoms, a lack of standardization of serologic tests, and difficulties in interpreting serologic test results. In particular, patients with chronic fatigue syndrome or fibromyalgia are commonly misdiagnosed as possibly having Lyme disease and undergo inappropriate IV antibiotic therapy. The purpose of this policy is to provide diagnostic criteria for the appropriate use of IV antibiotic therapy. The following paragraphs describe the various manifestations of Lyme disease that may prompt therapy with IV antibiotics and the various laboratory tests that are used to support the diagnosis of Lyme disease.
Neurologic Manifestations of Lyme Disease (Neuroborreliosis)
Lymphocytic meningitis, characterized by head and neck pain, may occur during the acute disseminated stage of the disease. Analysis of the cerebrospinal fluid (CSF) is indispensable for the diagnosis of Lyme meningitis. If the patient has Lyme disease, the CSF will show a lymphocytic pleocytosis (lymphocyte count greater than normal) with increased levels of protein. Intrathecal production of antibodies directed at spirochetal antigens is typically present. A normal CSF analysis is strong evidence against Lyme meningitis. Treatment with a 2-week to 4-week course of IV antibiotics, typically ceftriaxone or cefotaxime, is recommended.
Cranial neuritis, most frequently Bell's palsy, may present early in the course of disseminated Lyme disease, occasionally prior to the development of antibodies, such that a Lyme disease etiology may be difficult to rule in or out. While Bell's palsy typically resolves spontaneously with or without treatment with oral antibiotics, some physicians have recommended a lumbar puncture and a course of IV antibiotics if pleocytosis in the CSF is identified, primarily as a prophylactic measure to prevent further neurologic symptoms.
A subacute encephalopathy may occur months to years after disease onset, characterized by subtle disturbances in memory, mood, sleep, or cognition accompanied by fatigue. These symptoms may occur in the absence of abnormalities in the electroencephalogram (EEG), magnetic resonance imaging (MRI), or CSF. In addition, the symptoms are nonspecific and overlap with fibromyalgia and chronic fatigue syndrome. Thus diagnosis of Lyme encephalopathy may be difficult and may be best diagnosed with a mental status exam or neuropsychological testing. However, treatment with IV antibiotics is generally not indicated unless CSF abnormalities are identified.
Much rarer, but of greater concern, is the development of encephalomyelitis, characterized by spastic paraparesis, ataxias, cognitive impairment, bladder dysfunction, and cranial neuropathy. CSF examination reveals a pleocytosis and an elevation in protein. Selective synthesis of anti-spirochetal antigens can also be identified. A course of IV antibiotics with three to four weeks of ceftriaxone is suggested when CSF abnormalities are identified.
A variety of peripheral nervous system manifestations of Lyme disease have also been identified. Symptoms of peripheral neuropathy include paresthesias, or radicular pain with only minimal sensory signs. Patients typically exhibit electromyographic (EMG) or nerve conduction velocity abnormalities. CSF abnormalities are usually seen only in those patients with a coexistent encephalopathy.
Cardiac Manifestations of Lyme Disease
Lyme carditis may appear during the early dissemination stage of the disease; symptoms include atrioventricular heart block, tachyarrhythmias, and myopericarditis. Antibiotics are typically given, although no evidence proves that this therapy hastens the resolution of symptoms. Both oral and IV regimens have been advocated. Intravenous regimens are typically used in patients with a high-degree atrioventricular block or a PR interval on the electrocardiogram of greater than 0.3 second. Patients with milder forms of carditis may be treated with oral antibiotics.
Manifestations of Lyme Arthritis
Lyme arthritis is a late manifestation of infection and is characterized by an elevated IgG response to B. burgdorferi and intermittent attacks of oligoarticular arthritis, primarily in the large joints such as the knee. Patients with Lyme arthritis may be successfully treated with a 30-day course of oral doxycycline or amoxicillin, but care must be taken to exclude simultaneous central nervous system (CNS) involvement, requiring IV antibiotic treatment. In the small subset of patients that do not respond to oral antibiotics, an additional 30-day course of oral or IV antibiotics may be recommended.
Fibromyalgia and Chronic Fatigue Syndrome
Fibromyalgia and chronic fatigue syndrome are the diseases most commonly confused with Lyme disease. Fibromyalgia is characterized by musculoskeletal complaints, multiple trigger points, difficulty in sleeping, generalized fatigue, headache, or neck pain. The joint pain associated with fibromyalgia is typically diffuse, in contrast to Lyme arthritis, which is characterized by marked joint swelling in one or a few joints at a time, with few systemic symptoms. Chronic fatigue syndrome is characterized by multiple subjective complaints, such as overwhelming fatigue, difficulty in concentration, and diffuse muscle and joint pain. In contrast to Lyme disease, both of the above conditions lack joint inflammation, have normal neurological test results, or have test results suggesting anxiety or depression. Neither fibromyalgia nor chronic fatigue syndrome has been shown to respond to antibiotic therapy.
Treatment of Lyme Disease
As noted above, treatment with IV antibiotics is generally indicated only in patients with symptoms and laboratory findings consistent with CNS or peripheral neurologic involvement, and in a small subset of patients with heart block or documented Lyme arthritis who have not responded to oral antibiotics. Typical IV therapy consists of a 2-week to 4-week course of ceftriaxone or cefotaxime, both third-generation cephalosporins, or penicillin or chloramphenicol. No data suggest that prolonged or repeated courses of IV antibiotics are effective. Lack of effect should suggest an incorrect diagnosis or slow resolution of symptoms, which is commonly seen in Lyme disease. In addition, some symptoms may persist after treatment, such as Lyme arthritis; this phenomenon may be related to various self-sustaining inflammatory mechanisms rather than persistent infection.
Each benefit plan, summary plan description or contract defines which services are covered, which services are excluded, and which services are subject to dollar caps or other limitations, conditions or exclusions. Members and their providers have the responsibility for consulting the member's benefit plan, summary plan description or contract to determine if there are any exclusions or other benefit limitations applicable to this service or supply. If there is a discrepancy between a Medical Policy and a member's benefit plan, summary plan description or contract, the benefit plan, summary plan description or contract will govern.
Prevention of Lyme disease:
Administration of the Lyme disease vaccine, recombinant OspA, may be considered medically necessary if the patient is between 15 to 70 years of age and lives or works in a grassy or wooded area where ticks may be present that may be harboring the bacterium Borrelia burgdorferi (B. burgdorferi).
NOTE: The U.S. Food and Drug Administration (FDA) has not approved the Lyme disease vaccine for use in children less than 15 years of age.
Treatment of Lyme disease:
Treatment of Lyme disease consists of oral antibiotics; however, intravenous (IV) antibiotics may be considered medically necessary for the following indications:
1. Neurologic Manifestations of Lyme Disease (Neuroborreliosis)
A 2-week to 4-week course of IV antibiotic therapy may be considered medically necessary in patients with neuroborreliosis, who have objective neurologic complications of documented Lyme disease:
2. Cardiac Manifestations of Lyme Disease
A 2-week to 4-week course of IV antibiotics may be considered medically necessary in patients with Lyme carditis, as evidenced by positive serologic findings (defined above, also see Description section below) and associated with a high degree of atrioventricular block, or a PR interval of greater than 0.3 second on electrocardiogram. Documentation of Lyme carditis may include PCR-based direct detection of B. burgdorferi in the blood when results of serologic studies are equivocal.
3. Lyme Arthritis
A single 2-week to 4-week course of IV antibiotic therapy may be considered medically necessary in the small subset of patients with well-documented Lyme arthritis who have such severe arthritis that it requires the rapid response associated with IV antibiotics. Documentation of Lyme arthritis may include PCR-based direct detection of B. burgdorferi in the synovial tissue or fluid when results of serologic studies are equivocal.
4. Other
Intravenous antibiotic therapy is considered not medically necessary in the following situations:
Repeat or prolonged courses (e.g., greater than 4 weeks) of IV antibiotic therapy are considered not medically necessary.
Treatment of Lyme disease is considered not medically necessary when the following situations exist, because the risks of treatment with antibiotics outweigh the benefits and costs:
Repeat PCR-based direct detection of B. burgdorferi is considered experimental, investigational and unproven in the following situations:
The following tests for Lyme disease are considered experimental, investigational and unproven in all clinical situations:
Direct Detection of B. burgdorferi with PCR Technology
While diagnosis of Lyme disease is generally based on the clinical picture and demonstration of specific antibodies, PCR-based technology can detect the spirochete in the CSF in cases of neuroborreliosis, in the synovial fluid of cases of Lyme arthritis, and rarely in skin biopsy specimens of those with atypical dermatologic manifestations. However, a PCR-based test is generally considered a second tier test, performed only when the results of serologic tests and clinical evaluation are equivocal. For example, while PCR-based tests can identify organisms in skin biopsy specimens of patients with dermatologic manifestations (i.e., erythema migrans), this diagnosis is typically made clinically and antibiotic therapy started empirically. A skin biopsy is rarely necessary. Similarly, diagnosis of Lyme arthritis is based on clinical and serologic studies without the need for synovial tissue or fluid. Finally, intrathecal antibody production is considered a more sensitive test than PCR-based CSF detection in patients with suspected neuroborreliosis, but a PCR-based technique may be useful in patients with a short duration of disease (i.e., <14 days) during the window between exposure and the emergence of detectable levels of antibodies in the CSF. However, it should be noted that the test cannot distinguish between live and dead organisms. PCR-based detection is typically not performed in the urine due to the variable presence of endogenous polymerase inhibitors that have an impact on the test sensitivity.
PCR-based technology has been used as one step in the genotypic analysis of B. burgdorferi. B. burgdorferi was originally characterized as a single species (B. burgdorferi sensu lato), but genotypic analysis has revealed that this group represents three distinct species and genomic groups. Of these, the following have been isolated from patients with Lyme disease: B. burgdorferi sensu stricto, B. garinii, and B. afzelii. The prevalence of these different genospecies may vary among populations and may be associated with different clinical manifestations. However, no data were found in the published literature regarding whether or how knowledge of the genotype or phenotype of B. burgdorferi could be used to improve patient management and outcomes. In the U.S., B. burgdorferi sensu stricto is the only human pathogenic species, but in Europe all three species cause infection. Recently a new human pathogenic species, B. spielmanii, was found in a small number of European patients; therefore, criteria for interpreting immunoblot results are different in Europe than in the U.S.
In 2005, the CDC published "Caution Regarding Testing of Lyme Disease." They stated that the "CDC and the Food and Drug Administration (FDA) have become aware of commercial laboratories that conduct testing for Lyme disease by using assays whose accuracy and clinical usefulness have not been adequately established. These tests include urine antigen tests, immunofluorescent staining for cell wall-deficient forms of Borrelia burgdorferi and lymphocyte transformation tests. In addition, some laboratories perform polymerase chain reaction tests for B. burgdorferi DNA on inappropriate specimens such as blood and urine or interpret Western blots using criteria that have not been validated and published in peer-reviewed scientific literature."
Role of Intravenous (IV) Antibiotics
A diagnosis of Lyme disease requires appropriate epidemiologic data, supporting clinical observation (including exposure to ixodid ticks in an endemic area), and supporting laboratory findings. However, over-diagnosis and over-treatment of Lyme disease is common. Intravenous antibiotic therapy in patients with presumed Lyme disease would be inappropriate in the following situations: an incorrect diagnosis, a history of prolonged or repeated courses of IV antibiotics, and use of IV antibiotics when oral antibiotics are adequate. An incorrect diagnosis of Lyme disease includes those patients with positive serologies without characteristic signs or symptoms of Lyme disease, those with non-specific symptoms and no known exposure to ticks in an endemic area, and those without supporting serologic evidence.
In 1993 the American College of Rheumatology published a position paper on IV antibiotic treatment for Lyme disease, which concluded that "empiric treatment of patients with nonspecific chronic fatigue or myalgia on the basis of positive serologic results alone will result in many more instances of antibiotic toxicity than cures of atypically symptomatic true Lyme disease...In patients whose only evidence for Lyme disease is a positive immunologic test, the risks for empiric IV antibiotic treatment outweigh the benefits…." Other studies have also supported the use of oral, not IV, antibiotics in patients with Lyme disease without neurologic involvement.
Practice guidelines regarding the treatment of Lyme disease and including discussion of supportive evidence have been issued by the Infectious Diseases Society of America (IDSA). The IDSA also endorsed the American Academy of Neurology evidence-based practice parameter for the treatment of nervous system Lyme disease. The IDSA guidelines recommend IV antibiotics only in the following situations (note: none of the recommendations suggest longer than a one-month course of IV antibiotics):
In the particular case of cranial nerve palsy (Bell's palsy) associated with Lyme disease and without clinical evidence of meningitis, the evidence indicates that oral antibiotic therapy is satisfactory. Cranial nerve palsy may resolve without treatment, but treatment should be administered to avoid late complications of Lyme disease.
In addition, guidelines recommend symptomatic treatment for symptoms that persist after appropriate antibiotic therapy. For example, in a small number of patients with known prior infection, arthritis may persist despite negative B. burgdorferi DNA by PCR in synovial fluid or tissue. Such persistent arthritis is termed "antibiotic-refractory Lyme arthritis," defined as "persistent synovitis for at least two months after completion of a course of intravenous ceftriaxone (or after completion of two four-week courses of an oral antibiotic for patients unable to tolerate cephalosporins), in conjunction with negative results of PCR." Symptomatic treatment, rather than additional antibiotic treatment, is recommended.
The evidence generally does not support persistent B. burgdorferi infection in patients with well-documented infection who have received recommended antibiotic therapy. Blinded, randomized controlled trials of extended antibiotic therapy versus placebo in such patients have shown no differences in outcomes (summarized in the table below). Therefore, prolonged courses of antibiotic therapy, which may be associated with adverse events, are not recommended.
Table. Summary of randomized, controlled trials of prolonged antibiotic therapy in patients with well-documented, previously treated Lyme disease.
Patient Description
Experimental Treatment
Control Treatment
Klempner et al. 2001
1) Positive for IgG Abs to B. burgdorferi; persistent symptoms that interfered with patient function
IV ceftriaxone daily for 30 days, oral doxycycline for 60 days
IV and oral placebos
No significant difference in quality of life outcomes for both 1) and 2). Studies terminated after interim analysis indicated that it was highly unlikely that a significant difference in treatment efficacy would be observed.
2) Negative for IgG Abs to B. burgdorferi; else, as above
Kaplan et al. 2003
Same trial as Klempner et al. 2001
Both treatment and control arms showed similar and not significantly different decreases in Medical Outcomes Study cognitive, pain, and role functioning scales; and improved mood as assessed with the Beck Depression Inventory and Minnesota Multiphasic Personality Inventory.
Krupp et al. 2003
Patients with persistent severe fatigue of duration six months or longer
IV ceftriaxone daily for 28 days
IV placebo
Ceftriaxone treatment arm showed no significant improvement in primary outcome of laboratory measure of persistent infection.
Significant improvement in the secondary outcome of disabling fatigue; no significant treatment effect on cognitive function; no difference in change in SF-36 scores.
Patients in ceftriaxone group were significantly more likely to correctly identify their treatment assignment.
Oksi et al 2007
Consecutive patients treated with standard antibiotic regimen for 21 days
Amoxicillin twice daily for 100 days starting immediately after standard regimen
Placebo twice daily for 100 days starting immediately after standard regimen
Both treatment and control arms showed similar and not significantly different decreases in patient and investigator VAS outcomes (VAS evaluation of symptoms, range 0-100, 0=no symptoms) at 12 mos. B. burgdorferi-specific antibodies declined similarly in both groups over 12 mos.
Fallon et al. 2008
Patients with documented objective memory impairment
IV ceftriaxone daily for 70 days
IV placebo daily for 70 days
Primary outcome of cognitive function across six domains was similarly improved in both groups at week 24, and was not significantly different between groups; improvement between groups was marginally significantly different at week 12 (p=0.05).
Exploratory subgroup analyses suggested significantly better improvement in ceftriaxone-treated patients with more severe baseline pain and physical functioning.
Cameron 2008
Patients with symptoms of arthralgia, cardiac or neurologic involvement with or without fatigue after previous successful antibiotic treatment of Lyme disease; study conducted in a primary care internal medicine practice
(52 assigned, 31 evaluable)
Oral amoxicillin 3 gm daily for 3 months
(34 assigned, 17 evaluable)
Oral placebo daily for 3 months
44% of enrolled patients not evaluable at 6 months; 17 of these had poorer baseline quality of life and were lost due to treatment failure
SF-36 improvements for antibiotic vs. placebo arm were significant (46% vs. 18%, p=0.007) but text not clear if analysis of all or only evaluable patients;
SF-36 physical component improvement not significantly different between treatment arms for evaluable patients (8.5 vs. 7);
SF-36 mental component significantly improved in antibiotic arm for evaluable patients (14.4 vs. 6.2, p=0.04)
A search of peer reviewed literature through October 2010 identified no new clinical trial publications or any additional information that would change the coverage position of this medical policy.
Disclaimer for coding information on Medical Policies
Procedure and diagnosis codes on Medical Policy documents are included only as a general reference tool for each policy. They may not be all-inclusive.
The presence or absence of procedure, service, supply, device or diagnosis codes in a Medical Policy document has no relevance for determination of benefit coverage for members or reimbursement for providers. Only the written coverage position in a medical policy should be used for such determinations.
Benefit coverage determinations based on written Medical Policy coverage positions must include review of the member's benefit contract or Summary Plan Description (SPD) for defined coverage vs. non-coverage, benefit exclusions, and benefit limitations such as dollar or duration caps.
049.0, 088.81, 99.21, 323.1, 323.9, 350.9, 351.0, 351.9, 352.0, 352.2, 352.3, 352.4, 352.5, 352.6, 352.9, 356.9, 377.49, 378.51, 378.52, 378.53, 378.54, 388.5, 426.10, 429.89


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Val Kilmer
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Daybreak Daily's afternoon hike through the pop-culture forest finds blood that's thicker than water, strange feeding habits, other things, and the mystery music video.
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HERMAN: Check out long-term care plans
It's important to know what Medicare, Medicaid and personal supplemental insurance policies provide. We are at a crossroads at this time, with cuts threatening around us. Long-term care, when it is beyond the realm of informal or family assistance, is expensive, and if one has resources, there is no federal, or state assistance available. Modest personal, informal care can cost at least $18,000 a year without insurance.
Medicare doesn't usually pay for long-term care or custodial care. Public help is provided according to who has the greatest functional (serious health problem) and financial need. When my father-in-law needed serious custodial care, the state of Maryland would not help until we "spent down" the small resources Dad had banked to leave to his heirs.
Medicaid is different in every state. It generally helps when resources are depleted. Medicare may help under the same circumstances if short-term recuperative or skilled care is required.
A variety of insurance policies can cover these events, leaving us, the insured, with co-payments that are, we hope, affordable. Some policies will pay a family member who is the caregiver, willing to follow specific guidelines. Policies differ; it is important to do serious comparative shopping. If you have an insurance broker that you have confidence in, talk it over and learn from the broker's insights and experience.
In answer to my friend's question, I recommend long-term care. Investigate the possibilities thoroughly.
Agnes Herman is a freelance columnist. Contact her at 760-744-6878; e-mail to email@example.com.


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The largest civic transport public body in the world, the Brihanmumbai Electric Supply and Transport Undertaking (BEST), ferries around five million commuters daily and supplies electricity to an equal number of residents in the island city of Mumbai. Without either service, Mumbai is unthinkable.
While the BEST bus is the most affordable and reliable mode of commuting, the electric supply round the clock at reasonable tariffs is the backbone of Mumbai's swelling service sector. The Undertaking, famed for its efficiency and sterling public service, has developed into the juggernaut that it is today over the decades, continuously strengthening its USP.
Its predecessor, the Bombay Tramway Company Limited, was formed in 1873 to provide the general public with a means of transportation. The government gave the Mumbai Municipality the right to buy up the concern after the first 25 years or after every gap of seven years thereafter.
The Government enacted the Bombay Tramways Act, 1874, under which the Company was licensed to run a tramway service in the city. The tram-cars in initial years were of two types - drawn by one horse and drawn by two.
In 1905, a newly formed concern, 'The Bombay Electric Supply & Tramways Company Limited' bought the Bombay Tramway Company and the first electrically operated tram-car started operating on Mumbai's roads in 1907. Double-decker trams were introduced in September 1920 to cater to the increasing commuter load.
Mumbai's first BEST bus ran on July 15 1926. For several years, the bus was considered as a means of transport for the rich. The tram was the ordinary commuter's transport.
While a tram ride from Sassoon Dock in Colaba to Dadar cost just an anna and a half (6 paise), the bus fare for the same journey was four annas (16 paise). But the trams were slow while the buses were faster.
The bus services were extended into the northern Mumbai in 1934. Double-deck buses were introduced in 1937. The first Limited bus service in the country was launched in 1940 between Colaba and Mahim.
The Bombay Electric Supply and Tramways Company was acquired by the Brihanmumbai Municipal Corporation (BMC) on August 7, 1947. The Corporation also took over the operation of the bus services, which were run by the B.E.S & T Company Ltd. Thus, the Bombay Electric Supply & Transport Undertaking (BEST) was born.
The BEST's electric supply side has a similar eventful history. It was in 1905 that the B.E.S.& T Co. Ltd. commenced electric supply to Mumbai by installing its own generating station of 4300 KW. This was replaced by a station of larger capacity in 1912. It was closed down in 1925 and the Company's entire requirements were supplied by Tata Hydro Electric Power Supply Company.
Though the municipal limits of Mumbai were extended to the suburban areas and the BEST expanded its bus services to cater to the entire municipal jurisdiction, the electricity supply has been restricted to only the island city area of about 75 sq km from Colaba to Sion and Mahim.
Significantly, the BEST electric supply is so guaranteed round the clock that even a brief interruption of just a few minutes becomes the talk of the town.
The BEST undertaking has always remained ahead of the others. For instance, realizing the risk posed by the increasing levels of pollution, it introduced CNG buses in its Golden Jubilee year. The suit is followed in other metro cities in India. It has also given a boost to the use of CNG by private operators.
If one compares the BEST bus staff with that in other metros, it is invariably found that the BEST personnel are, mostly, well-behaved and prompt. This has been achieved by the Undertaking paying special attention to human resource development.
Its Training Center for the traffic staff and the specially designed programme re-educates the staff on fuel conservation, safety measures, behaviour with the public and saving electricity. BEST drivers are perhaps the most accomplished around the world.
Their skill of maneuvering buses through busy localities on schedule is unbelievable. In addition, senior officers monitor the habits of drivers constantly. No wonder, the incidence of accidents is minimal. In the training, the emphasis is on an image revamp of every worker from just a BEST employee to a concerned individual who cares for commuter safety and comfort.
The Undertaking has maintained its prime place of remaining in the vanguard of implementing technical innovations. One such achievement is the digitalisation of records of underground cables. This is of immense importance in the location of cable faults.
With reducing the interruption time, the computer-aided design of electricity distribution system achieves minimum distribution losses. Another important scheme is of providing electronic meters for every consumer.
The Undertaking has schemes to computerise the Consumer and the Commercial departments of the Electric Supply Division. Decentralisation of the consumer and commercial services at all levels will prove to be a boon for the consumers whose problems will be dealt with through a single-window redressal system.
Some of the initiatives of the Undertaking include special bus services for female commuters, reserving six rows of seats in each bus for them, reserved seats for the specially challenged and senior citizens, point-to-point services and digital bus tickets.
The BEST Undertaking has been known for its path-breaking initiatives and even after fuming and fretting over the traffic chaos, a true Mumbaikar will invariably say, " The BEST is really the best."


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To go (much) later in the use of Dropbox, visit: http://wiki.dropbox.com/ You'll learn (among others) to customize your Dropbox, take control of your PC remotely synchronize a USB key (always... More
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Faster then networking
Sending a file to the computer next to you with dropbox appears to be faster and more easy then opening the network connection, or sending it by e-mail as a work around. Accessing your dropbox,... More
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Articles Dropbox
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Questions and answers Dropbox
What is dropbox used for ?
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The first day of school is just around the corner! And before that first day arrives...I love to have a visit from the "Magic School Bus" to get my kiddos excited. I pick up a few fun items here and there during the summer and fill some little bags for each child. Inside these bags might be a cute book like "The Night Before Kindergarten," a coloring book, some new school supplies, a toy or treat, stickers, and more! This could even be a way to give new shoes or a back to school outfit to your kiddo. (But I love to do back to school shopping together...so this wouldn't be a surprise!)
Then all of my little gifts that I have collected over the summer are arranged in a gift bag and I create a cute label for the front. This year I added a bus from clipart and a little note from the Magic School Bus.
Then the fun part comes. The bags get placed on the front porch. And you can pretend you heard a knock on the door or have your hubby knock and run! Ask the kiddos to get the door for you and they will be so excited to see a surprise waiting for them. It's now a fun tradition in our house and my kiddos can't wait to find out when the Magic School Bus is going to visit us and get us excited about heading back to school!
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Little Birdie Birthday Party - [image: Little Birdie Birthday Party via Kara's Party Ideas | KarasPartyIdeas.com (5)] This adorable *LITTLE BIRDIE BIRTHDAY PARTY* was submitted by Jesi C...
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'Kinky Boots' Cast Features the Stars of the Audition Room
Casting directors Bernard Telsey and Justin Huff assemble a cast of hard-working musical theater actors for Tony-winning "Kinky Boots."
'Kinky Boots' Cast Features the Stars of the Audition Room
Casting directors Bernard Telsey and Justin Huff assemble a cast of hard-working musical theater actors for Tony-winning "Kinky Boots."
Casting Search For the Next 'Newsies' Goes National
Telsey + Co casting director Justin Huff and associate choreographer Lou Castro went on a seven-city tour and saw about 350 performers for future replacements and casts of the show.
The Best of the Week Ahead: July 18–24
W. Kamau Bell at Largo; "Sister Act" at the Pantages; "First Date" on Broadway; Martha Graham Dance Company at SummerStage; and a double-header of forgotten Jack Nicholson films from the 1970s at Film Society at Lincoln Center are what we're looking forward to this week.
The 'Hard-Knock Life' of Casting Annie on Broadway
Casting director Pat Goodwin of Telsey + Co shares about the casting process for the Broadway revival of "Annie," and discusses the upcoming PBS documentary "Annie: It's the Hard-Knock Life, From Script to Stage."
5 Acting Tips from Tony Winner Nikki M. James on Putting on a Cabaret
In 2011, Nikki M. James won the Tony Award for best featured actress in a musical for the role of Nabulungi in "The Book of Mormon." James spoke to Backstage about putting together her first cabaret.
The Secret to Landing a Broadway Chorus Gig
From the leaping paperboys of "Newsies" to the trained circus performers of "Pippin," Broadway musicals today require young performers to add acrobatics to their repertoire.
VIDEO: Tony Award Winners and Nominees' Best Acting Lessons!
Watch the video below to hear from some of Broadway's biggest talent about what acting advice and life lessons they wish they knew early in their careers.
'Kinky Boots,' 'Pippin,' 'Vanya,' 'Woolf' Lead Tony Winners
Everybody say yeah! The Cyndi Lauper tuner "Kinky Boots" pulled what many saw as an upset over the West End hit "Matilda" for the best musical trophy at the 67th annual Tony Awards at Radio City Music Hall on Sunday night.
Follow Backstage at the Tony Awards on Sunday!
Broadway's biggest night is coming up this Sunday, June 9 with the Tony Awards! Backstage will be there on the ground to chat with all the guests, nominees, and winners about this momentous evening.
Video: Tony Nominee Gabriel Ebert Learned His British Accent From Monty Python
The Tony Awards are coming up on June 9! Leading up to Broadway's biggest night, we'll be sharing some of our exclusive videos with the nominees as we chat with them about the lessons they've learned along the way.


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Manatees vs. Man and the Caloosahatchie River
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Manatees vs. Man and the Caloosahatchie River
It appears that the "miserable mile" down by Shell Point on the Caloosahatchie River may be made into a "manatee refuge". If this comes to pass it will bring about severe restrictions on boat traffic - all boats - in this area. It is a channel area that is effectively a "choke point" in the river.
For those of you who may be planning to go there for the winter...you may want to put plan B into place. It has not been finalized, but it is in the works. Tentative is the word.
It will be interesting to see how this pans out.
They are also talking about the north end of the Peace River...but for most of us that is not a problem. I have a 47'' mast and can''t get under US-41 anyway.
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There is a news o be announced and I am very happy to be the one to announce it. Namely, our experts have finished working on a new Subway Surfers hack tool, and it is recently released. You do no believe?Check it! The new hack will make you be the master in the game. All the coins, boosts, powe-ups are yours now. Just take over the app, from the Intenet, on you mobile phone and he game can start. Run through the oughest levels with no obstacles. Just decide how many coins you want to have and they will automatically added to you account. Also you can shop, and buy all from the shop, if you want. So, there are no limits with the new hack. You are free to play for and period of time you want and for as many levels as you want. We are sure you would not get bored.
The new hack povides you wih the possibility of having no fierce opponents, and of being the best and of the highes ank. Therefore you will win some awards, of course. Day by day you will be more and more improved as a player, and able to compee even with the best players, that you sometimes watched playing, on the Youtube. By using this app, one who did not like the game will start liking it, because it allows all the players to compete with each other and to have the sam possibilty of winning, because the app is available for all, and completely free for downloading. Due to the way the hack worjs, we can conclue that there are no negaive sides of it. It si really atractive to all of us, since all we have o do is get it on our device, play some music and play the game in a relaxed atmosphere, with no fear of losingthe game.


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Fresenius SE Asked to Take Writedown on Greek Bonds
(Corrects name of company in headline and first paragraph.)
March 6 (Bloomberg) -- Fresenius SE, the German operator of the Helios hospital chain and the Fresenius Kabi infusion-therapy distributor, was asked to take writedowns on Greek government bonds it received in lieu of unpaid hospital bills.
Fresenius accepted in 2010 an amount of bonds in the double-digit millions of euros, a spokesman for the Bad Homburg, Germany-based company said by phone today. Fresenius has already sold the most of the bonds, which were included in the company's profit and loss statement with no significant or material effect, the spokesman said. He declined to be more specific about the original amount or the remainder.
In terms of the company's overall sales, the amount is very small and will have no effect on Fresenius's finances, the spokesman said.
Fresenius SE owns about 30 percent of Fresenius Medical Care AG, the Bad Homburg, Germany-based provider of kidney dialysis.
To contact the reporter on this story: Simeon Bennett in Geneva at email@example.com
To contact the editor responsible for this story: Phil Serafino at email@example.com


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Minimalist play set in poor neighborhood mixes today's language with African mythology
"She was the first to direct 'Brothers Size,' and I think she's an amazing director," McCraney said. "She was really instrumental to giving the piece its vocabulary. I think she understands the freedom (involved). She understands that the script is (just) a list of ingredients you use to tell the story."
After the play's much-heralded debut at New York's Public Theatre, Alagic directed it several more times in much the same style at various festivals. Even when one theater offered her a big production budget for costumes, she opted for minimalism.
"I believe in theater where I can imagine things," she said. "If I can't see it, my imagination works stronger."
After the success of "The Brothers Size," McCraney went on to write the prequel, "In the Red and Brown Water" (which introduced Elegba and chronicled Ogun's doomed relationship with the barren Oya), and the sequel, "Marcus; or the Secret of Sweet" (a coming-of-age tale about Elegba's gay son, Marcus).
Alagic hasn't directed the other two plays in the trilogy, but she said she is returning to "The Brothers Size" with fresh insights about the characters.
"I am discovering new things," she said. "I thought I knew it so well, but in rehearsals this week I'm understanding things I didn't before. A lot of the ideas we came up with back then were more organic, and now they make more sense. There have been a lot of exciting surprises. I am happy to work on the show again, and I hope that people will enjoy it. We always have an good time with audiences wherever it plays."
Staff writer James Hebert contributed to this report. firstname.lastname@example.com (760) 839-3341


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My nephew loves this sweatshirt. His older goes to UW-Madison. The lettering doesn't wash off and looks great. Have had a great experience with this company.
Very thick with lettering that doesn't wash out. Also very happy with how quickly I received the item.
Young Badger fans will stay warm and cozy in this Wisconsin Youth Hooded Sweatshirt. Badger Red with a WISCONSIN applique and the Wave W logo embroidered in white on the front, the hoodie features a front handwarmer pocket and has ribbed cuffs and waist. Available in youth sizes 8, 10/12, 14/16 and 18/20, the sweatshirt is a 60/40 cotton poly blend.


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XIFIN delivers cloud-based revenue cycle management solutions that enable diagnostic service providers to improve cash collections and gain efficiencies that substantially improve the bottom line.
The Opportunity:We are seeking a detail-oriented BI/Analytic Specialist & Dashboards Professional to join the Business Intelligence/Analytics Team and work closely with Engineering, and allied teams to bolster our services and offerings. In particular, your ability to synthesize and simplify large data sets in to understandable representations will be key.
Specific exp/key words for you will include: Data analyst; R; Predictive analytics, text analytics, unstructured data analysis
In this high impact role you will:
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XIFIN is a Software-as-a-Service (SaaS) provider of Revenue Cycle Management (RCM) solutions that enable diagnostic service providers to improve financial performance through a compelling return on investment and rapid time-to-value.
XIFIN is a Equal Opportunity Employer and maintains a drug free workplace, including pre-employment drug testing.
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Sheridan High School announces honor rollsFebruary 3, 2014
From staff reports SHERIDAN — Sheridan High School has announced its first-semester honor rolls: "Principal" honor roll — 4.0 Grade Point Average Danielle Ackels, Sarah Alley, Lyndsee Anderson, Sierra Atwell, Kathryn Beardslee, Heather Belus, Owen Bensel, Heather Bergey, Peyton Bomar, Clara Bouley, Rebecca Bouley, Katelynn Brooks, Brittney Buckler, Cheyenne Buyert, Aaron Campbell, Katherine Read More
After more than 120 years, a box of mysteries surfacesJanuary 31, 2014
SHERIDAN — In August 1812, the Navy frigate Constitution engaged in battle with the British warship Guerriere off the coast of Nova Scotia during the War of 1812. According to witnesses, shots from the British cannons seemed to bounce off the Constitution, giving it the nickname Old Ironsides and launching it into American naval history. Read More
Over 3,000 miles cant stop Bronco mania
SHERIDAN — Super fans everywhere have shown their colors and cheered "time to ride" in preparation for Sunday's game. Let us not forget that the Broncos love is so strong here that sometimes, even when you leave, it sticks with you. Ramon Palacios is currently living in Hawaii with his family, serving his country, but Read More
Tongue River Elementary Adventure Club
RANCHESTER — School may not be in session on Fridays for Sheridan County School District 1 schools, but a program at Tongue River Elementary ensures that students are still learning that day. The Tongue River Elementary School's Adventure Club meets on most Fridays for various learning experiences and even occasional overnight trips. "It is a Read More
'Getting a grip on your student loans' this Wed.
SHERIDAN — The next free class being hosted by the Sheridan County Fulmer Public Library will be held Wednesday. "Getting a grip on your student loans" will begin at noon. The class is one in a series geared toward those seeking grants or those who wish to learn the basics of writing a grant proposal Read More
WYO to present 'Rusalka' Feb. 8
SHERIDAN — The WYO Theater will present "Live from The Met: Dvorak's 'Rusalka'" on Feb. 8 at 11 a.m. The performance is part of the series "The Metropolitan Opera: Live in High-Definition" which transmits opera performances to movie theaters and other venues around the world as part of The Metropolitan Opera's efforts to reinvigorate opera Read More
Best Western hosting Valentine's Day festivities
SHERIDAN — The Best Western Sheridan Center will host a Valentine's Day buffet and dance on Feb. 14. The Jared Stewart Band will perform and a prime rib buffet will be served. Tickets to the dance are $12 per couple, tickets for the dance and buffet are $56 per couple and room packages are also Read More
Compare costs: Officials say statewide study has limits
SHERIDAN — While businesses and banks make regular use of "benchmark" reports that compile financial information for the purposes of self-evaluation and comparison with other businesses, producing similar reports for city and county governments proves problematic, city of Sheridan officials have said. A recent "Cost of City Government Report" released by the Wyoming Department of Read More
SCSD 2 in search of land for new elementary
SHERIDAN — The groundwork is being laid for an eventual new elementary school for Sheridan County School District 2 on the north end of Sheridan. The school, which is likely several years from the start of construction, is planned for the Wrench Ranch area and the school district is currently in the process of seeking Read More
Couple united in orange
SHERIDAN — When you picture a typical household on football Sunday, do you see a husband glued to a television and a wife intentionally absent? Maybe you see the couple battling it out over supporting different teams, or wanting to watch different shows. But if you are picturing the Bowies, you are seeing a couple Read More
Consultants: Arts not strong enough to be economic focus
SHERIDAN — The Sheridan Economic and Educational Development Authority joint powers board received a sneak preview of a new career and technical education and training survey Thursday morning. The team reviewed initial findings of a consulting team comprised of members from the Center for Adult Experiential Learning and Avalanche Consulting during a conference call. The Read More
Start dreaming
CHEYENNE (AP) — Meet YoLo the Jackalope, the face of the Wyoming Lottery Corporation. It beat out the bucking horse and other state icons to star as the centerpiece of the lottery logo. Warehouse Twenty One, a Cheyenne-based marketing firm, designed YoLo and the insignia. The fictitious critter received its name because it is jumping Read More
Man charged with possession of child porn
SHERIDAN — A Sheridan man was arrested by the Sheridan County Sheriff's Office last week for sexual exploitation of a child. John William Zullig, Jr. was assigned a bond of $10,000 or 10 percent cash in Sheridan County Circuit Court Monday for the charge of possession of child pornography. Judge Shelley Cundiff declined to provide Read More
Judiciary Committee brings hard-hitting bills
SHERIDAN — The 2013 interim session for the Joint Judiciary Committee brought some hard-hitting but critical bills before members, Sen. John Schiffer, R-Kaycee, said about his work with the Wyoming Legislature over the last year. Schiffer is chairman of the Senate Judiciary Committee. To date, there are 18 bills listed that came out of the Read More
MSU announces dean's list
SHERIDAN — Montana State University Billings has announced their fall 2013 Dean's list recipients. In order to qualify for the honor, students must maintain a grade point average of 3.5 or more while taking at least 12 credit hours which are not of a pass/fail nature. Jacqueline Minick of Ranchester and Jonathon Ahlquist, Barbara Deveraux Read More
Friendship tea set for Feb. 7
SHERIDAN — The Friendship Club of Sheridan (formerly the Sheridan Newcomers Club) will host a Get Acquainted Tea on Feb. 7. From 10 a.m. to noon at the Inner Circle in Sheridan Fulmer Public Library women of all ages are welcome to enjoy punch or tea and cookies. The tea is a chance to get Read More
SC rodeo banquet to feature live entertainment
SHERIDAN — The fourth annual Sheridan College Rodeo Banquet will be held Feb. 8. The event is a fundraiser benefitting scholarships and operating costs for the men's and women's student-athlete rodeo teams. The evening will begin at 5:30 p.m. at the Holiday Inn and dinner will be served at 6:30 p.m. Silent and live auctions Read More
Volunteers get matched with a local nonprofit
SHERIDAN — Volunteer Wyoming, a project of ServeWyoming, is helping volunteers be part of the solution and organizations be a trendsetter while locating additional support for their cause. Members of the community looking to be more involved but unsure where to start can register their interests and talents at www.servewyoming.org to be paired with organizations Read More
SMH striving to increase use of Transitional Care UnitJanuary 30, 2014
SHERIDAN — In the last year, Sheridan Memorial Hospital has been striving to provide greater continuity of care to its patients who need a step of care between surgery and returning home. Chief Information Officer Nyle Morgan updated the hospital board of trustees Wednesday on efforts in the last year to more fully utilize the Read More
Grant to provide cancer screenings for uninsured, underinsured
SHERIDAN — The Sheridan Memorial Hospital Foundation announced Wednesday that it received a $50,000 grant that will help provide cancer screenings and diagnostic tests for patients who don't have insurance or are underinsured. The announcement was made at the hospital's monthly board meeting. "It's really exciting today to announce the culmination of conversations with the Read More
Sheridan resident charged with reckless endangerment
SHERIDAN — A Sheridan man has been charged with reckless endangerment after he pointed a gun at a woman during an argument. Daniel Lovick appeared in Sheridan County Circuit Court Monday and was assigned a $2,500 unsecured bond. According to court documents, Lovick had spent the evening with a female friend, but when the woman Read More
Lunchtime seminar focuses on controlling fear
SHERIDAN — The Sheridan College Campus on Main Street hosted a "Brown Bag Lunch Seminar" Wednesday. This week's installment of the series of free 40-minute classes taught by Lynn Gordon, a counselor at the Family and Personal Counseling Center in Sheridan, focused on understanding and managing fear. "I have lot of things I've prepared for Read More
'Nominate Your Neighbor' looking for nominees
SHERIDAN — Wyoming Roofing Residential and Commercial is asking residents to "Nominate Your Neighbor" for a free new roof. If you know someone who needs a new roof and cannot afford one, they could be chosen to receive a new Owens Corning TruDefinition Duration roof if you nominate them. Nominations should be submitted online at Read More
Ducks Unlimited hosting next membership banquet Feb. 8
SHERIDAN — The Buffalo Chapter of Ducks Unlimited will hold their 30th annual membership banquet, dinner and auction on Feb. 8. DU works to meet the needs of waterfowl in Wyoming by creating and enhancing wetlands and associated upland habitats. The evening will include dinner, raffles and an auction. Auction items available will be wildlife Read More
Kit Wendtland named to Gonzaga University President's list
SHERIDAN — Gonzaga University in Washington has announced their fall 2013 semester President's list honor roll recipients. In order to qualify for the honor, students must earn a 3.7 minimum grade point average. Kit Wendtland of Sheridan has earned placement on the President's list.


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Sounds Like: Bob Dylan, Eric Clapton, The Beatles, JJ Cale, Robert Johnson
Label: ACM Records (New York), Moon Sound Records (Hamburg), Ultimate Sounds Publishing & Distribution LLC (Sacramento), Dearth Music Licensing (Studio City LA), Swiss Cottage Recordz
Check out my main website at http://www.paullyrics.com
My name is Paul Robert Thomas (a.k.a. Paul Thomas a.k.a. 'Paul Lyricist') & I am a song lyricist (try saying that after a few beers:)! I was born & grew up in North London with Camden Town, Swiss Cottage, Primrose Hill & Regents Park as m...See Full Bio
: If you wanna know about me it's all in the songs,just lean your head in far enough to hear at http://t.co/0XvT8uvUkj! http://t.co/MWJ4VaQI7O


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Rana, S; Kim, YH; Wise, S; (2002) UNSPECIFIED In: Proceedings of the GIS Research UK 10th Annual Conference. (pp. 16 - 21). GISRUK 2002: Sheffield.
Full text not available from this repository.
|Proceedings paper
|Exploring multiple viewshed analysis using terrain features and optimisation techniques
|analysis, CONFERENCE, FEATURES, GIS, multiple, optimisation, Research, technique, techniques, UK
|UCL classification:
|UCL > School of BEAMS > Faculty of Engineering Science > Civil, Environmental and Geomatic Engineering
Archive Staff Only: edit this record


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*shakes pom poms* gimme a G gimme a F gimme an A gimme a Q gimme a S *does a split*
haha yeah I'm glad we did well so far. Tbh I just want to fight/have random matches with the reddit guys as much as I can. Seems like they are all pvp in painted world and not so much in the burg or bf.


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1973 Datsun 240Z, 2.4L 6 Cylinder engine, automatic transmission. Front disc brakes, rack& pinion steering. Burgundy with black interior. The paint is older with... More
Datsun 240Z 1972 20 years California sun baked project car To much sun is bad for humans but also for cars. This 1972 Datsun 240Z... More
1972 Datsun 240Z, Have owned for 25 years, garage kept and well cared for, one respray to original color, no modifications, some rust on... More
1976 Datsun Lil Hustler 720, Excellent condition, 720 Pickup with the extremely rare automatic transmission. This truck was purchased locally and has never left... More
DATSUN: 1974 260, 350 with automatic, $6,500. See: www.425farms.com... More


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Rush Showtimes and Tickets
Read Movie Reviews about Rush Write a Movie Review for Rush
Release Date: 2013-09-20 (Nationwide)
Genre: Action/Adventure,
Rating: R
Duration: 2hrs 03min
Set against the sexy and glamorous golden age of Formula 1 racing, this film portrays the exhilarating true story of two of the greatest rivals the world has ever witnessed-handsome English playboy Hunt and his methodical, brilliant opponent, Lauda. Taking us into their personal lives on and off the track, Rush follows the two drivers as they push themselves to the breaking point of physical and psychological endurance, where there is no shortcut to victory and no margin for error. If you make one mistake, you die.
Cast and Crew
- Starring
Tom Wlaschiha Olivia Wilde Daniel Brühl Chris Hemsworth Natalie Dormer
- Directed by Ron Howard
- Produced by Peter Morgan, Andrew Eaton, Ron Howard, Brian Oliver, Brian Grazer, Eric Fellner
- Written by Peter Morgan