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Altering the function of the posterior tibial nerve with posterior tibial nerve stimulation (PTNS) is believed to improve voiding function and control. While the posterior tibial nerve is located near the ankle, it is derived from the lumbar-sacral nerves (L4-S3), which control the bladder detrusor and perineal floor. Voiding dysfunction includes urinary frequency, urgency, incontinence, and nonobstructive retention. Common causes of voiding dysfunction are pelvic floor dysfunction (e.g., from pregnancy, childbirth, surgery), inflammation, medication (e.g., diuretics and anticholinergics), obesity, psychogenic factors, and disease (e.g., multiple sclerosis, spinal cord injury, detrusor hyperreflexia, diabetes with peripheral nerve involvement).
The procedure for PTNS consists of the insertion of a needle above the medial malleolus into the posterior tibial nerve followed by the application of low-voltage (10 mA, 1–10 Hz frequency) electrical stimulation that produces sensory and motor responses (i.e., a tickling sensation and plantar flexion or fanning of all toes). Noninvasive PTNS has also been delivered with surface electrodes. The recommended course of treatment is an initial series of 12 weekly office-based treatments followed by an individualized maintenance treatment schedule.
PTNS is less invasive than traditional sacral nerve neuromodulation, which has been successfully used in the treatment of urinary dysfunction but requires implantation of a permanent device. In sacral root neuromodulation, an implantable pulse generator that delivers controlled electrical impulses is attached to wire leads that connect to the sacral nerves, most commonly the S3 nerve root that modulates the neural pathways controlling bladder function.
Regulatory Status
In July 2005, the Urgent® PC Neuromodulation System (Uroplasty, Inc.) received 510(k) marketing clearance from the U.S. Food and Drug Administration (FDA) for percutaneous tibial nerve stimulation to treat patients suffering from urinary urgency, urinary frequency, and urge incontinence. The device was cleared as a class II ''nonimplanted, peripheral nerve stimulator for pelvic floor dysfunction" because it was considered to be substantially equivalent to the previously cleared percutaneous Stoller afferent nerve system (PerQ SANS System) in 2001 (K992069, UroSurge, Inc.).
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.
Posterior tibial nerve stimulation (PTNS) administered once weekly for up to 12 weeks may be considered medically necessary for treatment of overactive bladder (OAB) when the patient has ALL of the following:
If the patient has shown improvement as a result of the 12 initial weekly treatments of PTNS for OAB, maintenance PTNS therapy may be considered medically necessary once every 3 weeks for up to 1 year.
For patients showing continued improvement from the first year of treatments with PTNS for OAB, continued PTNS therapy may be considered medically necessary when administered once every 3 weeks to maintain symptom improvement in responders for an additional 12 months, for up to a maximum of 36 months total.
All other uses of PTNS are considered experimental, investigational and/or unproven, including but not limited to:
Overactive bladder
Randomized controlled trials
Two key randomized controlled trials (RCTs) that evaluated percutaneous tibial nerve stimulation for treating patients diagnosed with overactive bladder syndrome have been published. In 2009, Peters and colleagues published an industry-sponsored non-blinded comparison of PTNS and extended-release tolterodine (Detrol LA) in women with overactive bladder syndrome (the OrBIT trial). (1) The study included 100 patients (50 per group); more than 90% were women. Study participants were identified at 11 centers between June 2006 and September 2008. Subjects had to have symptoms of overactive bladder (OAB), with at least 8 voids per 24 hours; the mean daily voids for those entering the study were 12.3. A total of 87 of the 100 (87%) patients completed the study and voiding diary data were available for 84 patients, 41 of 50 (82%) in the PTNS group and 43 of 50 (86%) in the tolterodine group.
The primary outcome was the non-inferiority of PTNS in the mean reduction in the number of voids per 24 hours after 12 weeks of treatment. Non-inferiority was defined as no more than a 20% difference in the mean void reduction. Study findings showed non-inferiority of PTNS based on results for 84 patients. The decrease in number and standard deviation (SD) of voids per day was 2.4 (4.0) in the PTNS group and 2.5 (3.9) in the tolterodine group.
The study also reported a number of secondary outcomes, and findings on these were mixed. There were no statistically significant differences in the PTNS and tolterodine groups for other symptoms recorded in the voiding diary; this includes mean change in episodes of nocturia (-0.7 and -0.6, respectively), episodes of moderate to severe urgency per day (-2.2 and -2.9, respectively), and episodes of urge incontinence per day (-1.0 and -1.7, respectively). In other secondary outcomes, 35 of 44 patients (79.5%) in the PTNS group and 23 of 42 (54.8%) in the tolterodine group reported symptom improvement or cure. This difference was statistically significant (p=0.01), favoring the PTNS group. However, the proportion of patients reporting symptom improvement (excluding the 3 patients reporting that they were cured) did not differ significantly between groups, 34 of 44 (77.3%) of those receiving PTNS and 21 of 42 (50%) receiving tolterodine. For the adverse event data, responses were obtained in person for the PTNS group in conjunction with their weekly treatment sessions and over the phone for the medication group, using standard checklists. It is not clear how response to treatment or quality of life data were collected
Limitations of the OrBIT trial included the lack of blinding of patients and providers and the lack of comparative data beyond the end of the initial 12-week treatment period. Moreover, there was no sham or placebo group to mitigate the potential bias due to subjective outcomes. In addition, the authors did not clearly define criteria for "improvement" or "cure", a key secondary outcome, and did not report the extent of compliance with medical therapy and used different methods of data collection in the 2 groups for adverse event outcomes and possibly also for other self-report outcomes.
In 2010, MacDiarmid and colleagues reported 1-year follow-up data for patients from the OrBIT trial who had been assigned to the PTNS group and had responded to the initial course of treatment, defined as reporting symptom improvement at 12 weeks. (2) Thirty-three of the 35 responders were included. They received a mean of 12.1 (SD=4.9) additional treatments between the 12-week and 12-month visits, and there was a median of 17 days between treatments. Data were available for 32 of the 33 (97%) participants at 6 months and 25 of the 33 (76%) participants at 12 months. The mean reduction in number of voids per day from baseline (the original primary outcome of the study) was 3.2 (SD=3.7) at 6 months and 2.8 (SD=3.7) at 12 months. Other voiding diary outcomes at 12 months, based on 25 responses, were mean changes in nocturia episodes of -0.8, in episodes of moderate to severe urgency per day of -3.7, and in episodes of urge incontinence per day of -1.6.
The second key RCT on overactive bladder syndrome, also industry-sponsored, was published by Peters and colleagues in 2010. (3) This study, known as the SUmiT trial, had a sham-comparison group. Prior to conducting the trial, the researchers performed a pilot study in healthy volunteers to determine the adequacy of a sham PTNS intervention. (4) Findings were that 10 of 30 volunteers (33%) correctly identified the sham procedure. This percentage is below the 50% that could be expected by chance; the investigators concluded that the procedure was a feasible sham. The SUmiT trial included patients with overactive bladder syndrome. Eligibility criteria included a score of at least 4 on the overactive bladder questionnaire (OAB-q) short form for urgency, self-report bladder symptoms lasting at least 3 months, and having failed conservative care. Data were collected from 23 centers in the U.S. A total of 220 patients were randomly assigned, 110 to the PTNS group and 110 to the sham group. Both groups received 12 weekly 30-minute intervention sessions. In the sham group, a blunt (placebo) instrument was used to simulate the location and sensation of needle electrode insertion in active treatment. An inactive PTNS surface electrode was used and also 2 active transcutaneous electrical nerve stimulation (TENS) surface electrodes. The TENS unit was used to deliver low-level sensation to simulate the PTNS intervention. The 12-week course of treatment was completed by 103 of 110 (94%) in the PTNS group and 105 of 110 (95%) in the sham group.
The primary study outcome was response to treatment based on a single-item global response assessment (GRA) variable at 13 weeks. Possible responses were that symptoms were markedly worse, moderately worse, mildly worse, the same, slightly improved, moderately improved, or markedly improved. The proportion of patients who responded to treatment based on the GRA (i.e., answered that symptoms were moderately or markedly improved) was 60 of 110 (54.5%) in the PTNS group and 23 of 110 (20.9%) in the sham group; this difference was statistically significant, p less than 0.001. Intention-to-treat (ITT) analysis was used for the primary endpoint only. Several secondary outcomes also favored the PTNS group. The mean reduction in a symptom severity score (a lower score indicates less severity) was 36.7 (SD=21.5) in the PTNS group and 29.2 (SD=20.0) in the sham group, p=0.01. Similarly, the mean reduction in a quality of life scale, the SF-36 (a higher score indicates higher quality of life), was 34.2 (SD=21.3) in the PTNS group and 20.6 (SD=20.6) in the sham group, p=0.006.
For the 4 voiding diary variables used, there was a statistically significant difference between groups favoring PTNS. The mean change from baseline in the number of voids per day was -2.4 (SD=2.5) in the PTNS group and -1.5 (SD=2.4) in the sham group (difference between groups 0.9 voids per day, p=0.01). The mean change in nocturia episodes was -0.7 (SD=1.2) in the PTNS group and -0.3 (SD=1.4) in the sham group (difference between groups 0.4 nighttime voids, p=0.04). The mean change in moderate to severe urgency per day was -3.7 in the PTNS group and -2.0 in the sham group (difference between groups 1.7 episodes, p<0.001). Finally, the mean change in urge incontinence episodes was -1.3 in the PTNS group and -0.3 in the sham group (difference between groups 1 episode per day, p<0.002). (Standard deviations were not reported for the latter 2 outcomes)
Advantages of the SUmiT trial were that it included a sham comparison and the primary endpoint analysis was ITT. A limitation was that the primary outcome, the GRA, was a single-item subjective measure. For the more objective measures, the voiding diary variables, there was statistically significantly greater benefit with PTNS compared to sham treatment; however, the clinical significance of the difference between the PTNS and sham groups was unclear e.g., on average, there was 1 fewer episode of urge incontinence a day in the PTNS group. In addition, as in the OrBIT trial, the SUmiT trial only reported comparative data immediately following the initial course of treatment; the study did not evaluate the long-term effectiveness of PTNS. Unlike medication which can be taken on an ongoing basis, PTNS involves an initial 12-week course of treatment followed by maintenance therapy, which to date has not been well-defined. Therefore, the assumption cannot be made that short-term treatment effects will be maintained.
As with the OrBIT trial, there was a SUmiT extension study including only those patients who had been assigned to the PTNS group and initially responded to treatment. That is, the extension study did not collect additional follow-up data from patients in the PTNS group who failed to meet the 12-week primary effectiveness endpoint or from patients assigned to the sham-control group. Among the 110 patients assigned to the PTNS group, 60 were initial responders and 50 of these entered the extension study. (5, 6) Data were available on 34 patients at 24 months and 29 patients at 36 months. After enrolling in the extension study, patients underwent a 14-week transitional protocol consisting of 2 treatments with a 14-day interval, 2 treatments with a 21-day interval and then 1 treatment after another 28 days. Following this 14-week period, a personal treatment plan was developed for each patient. PTNS treatments were delivered based on the patient's reporting of symptoms; patients knew that PTNS sessions were available to them as needed when their symptoms increased. Between 6 and 36 months, patients received a median of 1.1 PTNS treatments per month. In a per protocol analysis, compared to baseline, 28 of 29 patients (97%) who completed the 36-month follow-up met the primary efficacy endpoint of moderate or marked improvement in overall bladder symptoms on the GRA. In addition, compared to baseline, all voiding diary measures were significantly improved in this group of patients at every 6-month follow-up.
Several other RCTs have been published; none reported on the efficacy of PTNS beyond 12 weeks. Three trials used a parallel group design. In 2010, Finazzi-Agro and colleagues from Italy was a double-blind RCT that included 35 female patients who had urge incontinence and detrusor overactivity on urodynamic testing. (7) Patients were randomly assigned to 30-minute PTNS sessions 3 times per week for 4 weeks (n=18) or sham treatment (n=17). One patient dropped out of the PTNS group and 2 dropped out of the sham group; analysis was not ITT. The primary outcome, percent responders at 4 weeks (defined as at least 50% reduction in incontinent episodes) was attained by 12/17 (71%) in the PTNS group and 0/15 (0%) in the sham group. Also in 2010, Schreiner and colleagues in Brazil randomized 51 women older than 60 years who complained of urge urinary incontinence to 12 weeks of conservative treatment (Kegel exercises and bladder training) alone (n=26) or conservative treatment plus 12 weekly sessions of PTNS (n=25). (8) The response rate at 12 weeks, defined as a reduction of at least 50% in the number of incontinence episodes reported by the patient in a bladder diary, was 76% in the PTNS group and 27% in the conservative treatment only group; p=0.001. Blinding was not discussed.
In 2012, Gungor Ugurlucan and colleagues in Turkey published findings of an RCT comparing transvaginal electrical stimulation (ES) (n=38) and PTNS (n=21) in women with OAB. (9) The ES protocol consisted of 20-minute treatments 3 times a week for 6 to 8 weeks. PTNS was performed with an Urgent PC device used for twelve 30-minute weekly sessions. A total of 52 of 59 (88%) patients completed the study. The authors assessed numerous outcome variables and did not specify primary outcomes or adjust p values for multiple comparisons. Four bladder diary variables were reported. From baseline to the end of the treatment period, the groups did not differ significantly at the p<0.05 level in mean change in urgency episodes, nocturia or incontinence episodes. For example, the mean number of urgency episodes was 2.9 (standard deviation [SD]: 4.1) at baseline and 1.6 (SD: 0.5) after treatment in the ES group and 2.0 (SD: 3.1) at baseline and 1.3 (SD: 0.5) after treatment in the PTNS group, p=0.54. There was a statistically significant difference in daytime frequency. The mean daytime frequency was 7.8 (SD: 2.7) at baseline and 5.8 (SD: 1.9) after treatment in the ES group and 7.6 (SD: 2.6) at baseline and 7.4 (SD: 2.9) in the PTNS group (p=0.03). The authors reported that a significantly higher proportion of patients in the ES group described themselves as cured, but they did not provide proportions or p values.
One randomized trial, published in 2013, used a crossover design. This study, by Vecchioli-Scaldazza and colleagues in Italy, included 40 women with OAB. (10) The treatments were PTNS (twice weekly for 6 weeks) and medication (oral solifenacin succinate 5 mg/day for 40 days), given in random order, with a 6-week wash-out period between treatments. Group A received medication first and Group B received PTNS first. The primary efficacy outcome was reduction in the number of voids in a 24-hour period. Thirty of the 40 patients (75%) completed the study. The number of daily voids significantly decreased after each treatment compared to before treatment. In Group A, the mean number of daily voids pre-medication was 11.6 (SD: 1.6) and post-medication was 10.0 (SD: 2.1), p=0.004. The mean number of voids pre-PTNS was 11.5 (SD: 1.1) and post-PTNS was 8.5 (SD: 2.3), p<0.001. In Group B, the mean number of voids pre-medication was 11.4 (SD: 1.4) and post-medication was 10.4 (SD: 1.8), p=0.008. The mean number of voids pre-PTNS was 11.4 (SD: 1.4) and post-PTNS was 9.4 (SD: 1.9), p<0.001. In addition, secondary outcomes including nocturia urge incontinence and voided volume significantly improved after each treatment compared to pre-treatment values. The authors did not directly compare the efficacy of medication and PTNS.
Systematic reviews
A Blue Cross Blue Shield (BCBSA) Technology Evaluation Center (TEC) Assessment on PTNS for treatment of voiding dysfunction was completed in December 2010. (11) At that time, initial findings from the OrBIT and SUmiT trials had been published, as well as 1-year findings on OrBIT responders. The Assessment concluded that PTNS as treatment for voiding dysfunction does not meet the TEC criteria due to insufficient data on durability of treatment. The Assessment stated that, although there is sufficient evidence from 3 RCTs to establish a short-term benefit for PTNS, the evidence is not sufficient to permit conclusions on the long-term efficacy of PTNS treatment.
In 2012, 3 systematic reviews of the literature on PTNS for treating overactive bladder were published. (12-14) Only 1 of the 3 systematic reviews, by Burton and colleagues, conducted pooled analyses of study results. (12) The Burton review identified 6 RCTs, the OrBIT and SUmiT trials (1, 3) and trial by Finazzi-Agro and colleagues (7), all discussed above, as well as 3 RCTs only published as abstracts with sample sizes between 16 and 32 patients. A meta-analysis of data from 4 trials (2 of which were abstracts) comparing PTNS to sham treatment found a significantly higher risk of successful treatment with PTNS (risk ratio [RR]: 7.02, 95% confidence interval [CI]: 1.69 to 29.17). The confidence interval was wide, indicating a lack of precision in the pooled estimate. The SUmiT trial contributed 220 of 289 patients (76%) in the pooled analysis.
Also in 2012, the Agency for Healthcare Research and Quality (AHRQ) Effective Health Care Program published a comparative effectiveness review on the broader topic of nonsurgical treatments for urinary incontinence in adult women. (15) The review identified 4 reports of RCTs comparing PTNS and no active treatment in patients with OAB. Two of the 4 articles reported 12-week results of the sham-controlled SUmiT trial; one of these included a subgroup of SUmiT participants and was only published as an abstract. The other 2 studies consisted of the Finazzo-Agro et al. RCT (7), which reported outcomes at 4 weeks, and the Schriner et al. RCT (8), which reported outcomes at 12 weeks. The AHRQ report included a pooled analysis of data from 3 studies that found statistically significantly greater improvement in urinary incontinence in the PTNS compared to control group (RR: 1.9, 95% CI: 1.1 to 3.2). This pooled analysis included a total of 405 patients; 220 in the SUmiT trial, 150 in the SUmiT trial sub-analysis and 35 in the Finazzo-Agro trial. A limit of the analysis was that the 150 patients in the SUmiT sub-analysis were included twice. The AHRQ report did not discuss evidence on the efficacy of PTNS beyond 12 weeks.
Case series
Initial research has also been published on a shortened treatment protocol (weekly 30-minute sessions for 6 weeks) using the Urgent PC device. A study by Yoong and colleagues in the U.K. included 43 women with OAB refractory to medication. (16) Thirty women (68%) responded to the initial course of treatment. Response was defined as a 50% reduction in symptoms and 25% improvement in quality of life. Two-year follow-up data on 23 of 30 (67.5%) responders were reported in 2012. (17) Additional PTNS sessions were available to women on an as-needed basis. Women received a median of 8.4 treatments per year with a median of 64 days between treatments. Among the 23 women, the mean daily frequency was 11.8 at baseline, 6.9 at 6 weeks and 6.5 at 2 years (p<0.05 compared to baseline at both time points). Findings were similar for other outcome measures. This analysis lacks a control group. The shortened protocol has not yet been evaluated in a randomized trial.
Neurogenic bladder
In 2011, 2 case series evaluating PTNS in patients with multiple sclerosis (MS) were published. One study, by Gobbi and colleagues in the United Kingdom included twelve 30-minute treatment sessions with the Urgent PC device. (18) The study included 21 patients with MS who had lower urinary tract symptoms unresponsive to anticholinergics. Overall, urinary symptoms significantly improved at the end of treatment. For example, median daytime frequency decreased from 9 to 6 episodes per day, p=0.04 and median nocturia decreased from 3 to 1 episode per night, p=0.002. The other case series was conducted in France by de Seze and colleagues and used a different protocol. (19) Participants underwent 1 in-clinic treatment session and were then given a TENS device for in-home tibial nerve stimulation; they were told to use the device 20 minutes a day for 3 months. A total of 70 individuals with MS and OAB refractory to medication participated in the study. Compared to baseline, there was a statistically significant reduction in OAB symptoms. For example, the proportion of continent patients increased from 26% to 45% (p=0.005). Both studies were limited by lack of control groups and lack of long-term follow-up; the French study used a different device and different protocol than in the other PTNS studies.
Posterior tibial nerve stimulation (PTNS) is a technique of electrical neuromodulation used for treating voiding dysfunction. The RCTs report short-term (up to 12 weeks) improvements on measures of urinary incontinence, but the long-term effectiveness and the optimal maintenance regimen are poorly defined. Up to 36 months of data are available for some patients enrolled in RCTs who responded to an initial course of treatment, and have sustained improvement Long-term data are needed to show sustained improvement past 36 months in an RCT that was initially randomized to the treatment and control groups. Systematic reviews of the evidence have found short-term improvements with PTNS and have not identified evidence of long-term effectiveness. Until the durability of PTNS has been demonstrated in well-designed long-term comparative studies and its clinical impact more clearly shown, its efficacy for treating chronic urinary dysfunction remains uncertain.
Practice Guidelines and Position Statements
In 2012, the American Urological Association (AUA) and the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction published a guideline on diagnosis and treatment of non-neurogenic overactive bladder in adults. (20) The guideline included a statement that clinicians may offer PTNS as a third-line treatment option in carefully selected patients. The statement was rated as Grade C, indicating that the balance of benefits and risks/burdens are uncertain.
The 2005 (reaffirmed 2009) American College of Obstetricians and Gynecologists practice bulletin on treatment of urinary incontinence in women does not address PTNS or other types of nerve stimulation. (21)
In October 2010, the National Institute for Health and Clinical Excellence (NICE) issued a Guidance—Percutaneous Posterior Tibial Nerve Stimulation for Overactive Bladder Syndrome, which states: "Current evidence on percutaneous posterior tibial nerve stimulation (PTNS) for overactive bladder (OAB) syndrome shows that it is efficacious in reducing symptoms in the short and medium term. There are no major safety concerns. Therefore the procedure may be used provided that the normal arrangements are in place for clinical governance, consent and audit." (22)
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.
04.92, 596.51, 788.20-788.29, 788.30-788.39, 788.41, 788.63


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310,000 Fil-Ams in harm's way due to Hurricane Sandy
More News from Philippine Daily Inquirer
LOS ANGELES—Filipino-American teacher Maryann Abdon vividly remembers the whipping winds, pelting rains and mass evacuations when Hurricane "Irene" struck the US East Coast last year.
"It was terrifying," said Abdon, who fled her home, about 5 kilometers from the bay in Cape May, New Jersey. "But this one (Hurricane 'Sandy') scares us more. We expect it to be really, really bad."
Hurricane "Sandy" is expected to make landfall Monday night (Tuesday morning in Manila) near the southern New Jersey coast, prompting widespread evacuations and mass transit shutdowns.
The National Hurricane Center said Sandy was expected to bring "life-threatening storm surge flooding" to the East Coast.
The storm surge is expected to be as high as 3.3 meters in some areas, including Jersey City, New Jersey, which has a large Filipino-American community.
The Philippine Embassy on Monday issued an advisory urging Filipinos on the East Coast to "take all necessary precautions and brace themselves" for what has been described as the biggest storm in recent history.
The embassy said the advisory was sent to 11 states in the superstorm's path. There are an estimated 310,000 Filipinos living in those states, according to the embassy.
Myrielle Falguera, a medical office administrator who lives in the seaside community of Long Beach, New York, said many Filipinos in the area had already been evacuated.
"Some friends and I decided to stay behind," Falguera said. "It's already cold and windy here. I hope we don't lose electricity."
Washington resident Arnedo Valera said his family stocked up on water, nonperishable food items, batteries and other essentials as early as Friday when they first heard about the approaching hurricane.
"We're glad we made early preparations," he said. "We heard some grocery stores have run out of food items."
Advisory forwarded
Valera, a lawyer and community leader who volunteers for the legal team of President Barack Obama's local campaign, said he removed his "Vote for Obama" signs on his lawn in anticipation of strong winds and heavy rains. He said campaign activities were suspended.
Valera said his nonprofit group, Migrant Heritage Commission, forwarded the embassy's advisory, along with government-issued emergency preparedness guidelines, to thousands of Filipinos by e-mail.
The National Federation of Filipino American Associations on the East Coast also distributed the embassy's advisory to its members, said Washington-based Bing Branigin, the group's assistant director of communications.
"We have full confidence in the government's readiness to respond to emergencies," Branigin said. "But we still have to remind community members not to be complacent and to be prepared."
Philippine Ambassador to the United States Jose Cuisia Jr. said the embassy and the Philippine Consulate General in New York activated 24-hour help desks to assist Filipino tourists traveling to the East Coast who may be affected by the hurricane.
"We advise our [countrymen in places on] the path of Hurricane Sandy to stay indoors and avoid unnecessary travel until the storm has passed," Cuisia said.
The advisory was sent to Filipino communities in North Carolina, South Carolina, Georgia, Virginia, District of Columbia, Maryland, Delaware, Pennsylvania, New Jersey, New York and Connecticut.
Filipinos who need assistance may call the embassy's duty officer at (202) 368-2767 or the Consulate General in New York at (917) 294-0196, the advisory said.
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subset: commoncrawl


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Business Highlights
Stocks end shortened session at new 2009 highs
NEW YORK (AP) - Stocks ended a holiday-shortened session Thursday at new highs for the year following upbeat reports on unemployment and durable goods orders.
A weaker dollar also helped buoy the market, lifting energy and materials stocks. Christmas Eve trading was extremely light.
Stocks have managed to push higher in December on optimism about the economy, but at a more subdued pace than in recent months. As the year winds to a close, the Standard & Poor's 500 index up 66.5 percent since hitting 12-year lows in March.
The Dow Jones industrial average rose 53.66, or 0.5 percent, to 10,520.10.
Jobless claims, goods orders signal modest rebound
WASHINGTON (AP) - A fitful economic recovery is drawing strength from a stabilizing job market and signs that manufacturing will contribute to the rebound.
The Labor Department said the number of newly laid-off workers filing claims for unemployment aid fell more than expected last week. The four-week average for claims, which smooths out fluctuations, fell for the 16th straight week, to its lowest point since September 2008, when the financial crisis hit with full force.
Further evidence of a gradually healing economy was a Commerce Department report that orders to U.S. factories for big-ticket durable goods rose in November.
Shoppers give stores last-minute sales surge
NEW YORK (AP) - Shoppers appear to have given the nation's stores a needed last-minute sales surge.
Early readings from Toys R Us, Sears Holdings Corp. and several mall operators show packed stores on Christmas Eve following a busy week fueled by shoppers who delayed buying, waiting for bigger discounts that never came or slowed by last weekend's big East Coast snowstorm.
Stores are counting on these stragglers in a season that so far appears slightly better than last year's disaster. The jury is still out, because the week after Christmas accounts for about 15 percent of sales as gift card-toting shoppers return to malls.
Treasury removes cap for Fannie and Freddie aid
NEW YORK (AP) - The government has handed its ATM card to beleaguered mortgage giants Fannie Mae and Freddie Mac.
The Treasury Department said Thursday it removed the $400 billion financial cap on the money it will provide to keep the companies afloat. Already, taxpayers have shelled out $111 billion to the pair, and most analysts hadn't expected the companies to hit the limit.
Treasury Department officials said it will now use a flexible formula to ensure the two agencies can stand behind the billions of dollars in mortgage-backed securities they sell to investors. The formula will provide the companies with a sufficient cushion based on projected losses over the next three years.
Energy futures on upswing but retail prices flat
Energy prices are ending the year on an upswing with large storms, falling supplies, a weak dollar and a slightly better employment picture sending futures higher.
Crude futures closed above $78 per barrel for the first time in more than a month Thursday in shortened holiday trading as the government reported that unemployment benefit claims from newly laid-off workers fell for the 16th straight week.


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Five days after his team-mate Jack Bauer was caught by the peloton a few metres from the line after a 222-km breakaway, Lithuania's Navardauskas attacked on a short climb close to the finish and never looked back.
German John Degenkolb took second place, seven seconds behind, and Norway's Alexander Kristoff finished third after the main bunch was split by a late crash. All the riders from the main pack were credited with the same time as the incident happened with less than three kilometres left to run.
"I was the first to crash, I did not know what happened," said Slovakian Peter Sagan, who had been tipped as one of the stage favourites.
Nibali still leads Thibaut Pinot of France by 7:10 and another Frenchman, Jean-Christophe Peraud, one of those who crashed, by 7:23, ahead of today's decisive time trial. That comprises a 54-km solo ride between Bergerac and Perigueux.
Garmin-Sharp, without team leader Andrew Talansky after the American pulled out due to lower back pain, had only a stage win in mind. They had Tom-Jelte Slagter in the day's breakaway and the Dutchman served as a launchpad for Navardauskas after the climb.
"The plan was to attack in the climb and to have one of our riders in the breakaway so he could take a strong relay to help me," said Navardauskas. "It's almost amazing to keep the peloton at bay. Until the last 10 metres I was afraid to turn back."
Navardauskas powered away from the pack on the fourth-category climb of the Cote de Monbazillac, 13km from the finish. Pinot's FDJ.fr team led the peloton in the descent and on the flat portion leading to the line, with Cannondale and Tinkoff-Saxo chasing the Garmin-Sharp rider who was 25 seconds ahead with five kilometres left.
With just under three kilometres remaining, Peter Sagan was involved in the crash as well as France's Romain Bardet who is fifth in the overall standings. "We knew it would be a nervous stage. I did not crash, it's all good," said Pinot.


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Fast shipping from Rocky Mountain. Tires were better than expected so far. Mounted them with no trouble about a week ago. Holding air just fine. Have only rode on them a little, but so far I like them. I chose this tire because they were one of only a few that were the original size for my atv. I didn't want to use spacers or get a wider rim offset, so these were the best choice for me. Fit the machine fine with no rubbing in the front. This is a meaty tire with plenty of tread. We will see how they hold up, but so far I think they will do just fine.Read All Reviews


text: The Wheels Of Chance, Systems Of Control (Part 1) wiki last edited by Billy Batson on 06/24/13 08:32AM View full history 'Wheels of Chance, Systems of Control,' Part 1 of 2. John Constantine is struggling to reclaim control over his life. But first he must gamble everything in a casino that holds a very special place in his personal history. And if he doesn't break the bank, the bank will break him!Something's driven Constantine back to somewhere he spent time trying to get help. It was once a place for aid, now it's a casino and he's going to do everything he can to make sure it's his.Waking up next to a beautiful croupier, Constantine dresses to impress, using the principle of perception is the majority of success. He'd 'won' every roll the night before then seduced the croupier to sleep with him. He'd asked for his old room from back when the hotel was an asylum.Heading down to the casino, he uses his connection to the gangster owner of the hotel to get them to waive the house limit for that evening but the manager of the hotel doesn't trust him. He doesn't trust the croupier either so he takes her off the tables.That night he put all of his chips on number 6. As the roulette wheel spins, he watches the people around him, sees how they react. As the ball finds its slot, he watches them see it land on the 6, the panic and fear as realisation dawns that they've lost the hotel to him. The fact that the ball actually lands on 34 is irrelevant because all they see is the reprisals from their boss.Constantine orders that his name be put on the deed then he waves the staff goodbye, letting them take the excess in his 'winnings' as severance pay. Now he's back in a place that had such a fundamental effect on him and he has unfinished business.


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Serving as home to a population just north of 5,000, as well as the location of Acadia National Park, Bar Harbor is a popular tourist destination in Maine. Enjoy sightseeing tours, cruises, and other activities. Take a whale watching boat tour, ride on a trolley, visit historic landmarks, and much more. Book tour tickets online and save or call us toll free for assistance with reservations, group tour bookings, and private charter transportation services. We look forward to providing you with excellent customer service.
You will receive an E-Ticket for your tour/activity within 72 hours (if your tour/activity is in less than 10 days). If your tour/activity is within the next 72 hours, your E-Ticket will be processed as quickly as possible. Learn more
This is Downtown Maine's premier lighthouse tour! Come aboard our 90 foot jet powered catamaran built brand new in 2000 for ocean going tours. She will cruise gently through islands, around mansions, Acadia National Park and lighthouses offering incredible photo opportunities with ample time at each lighthouse.
As you cruise out of Frenchman's Bay and past Acadia National Park, your professional naturalist will interpret the interesting human and natural history we see. They'll provide fascinating information about the marine wildlife and oceanography of the Gulf of Maine.
Enjoy a 30-minute fully narrated trolley ride that includes a trip into the historic village of Bar Harbor, the mansions along the way, and other points of interest.
Enjoy a 2.5 hour fully narrated tour of Bar Harbor and Acadia National Park. You will pass the mansions of a bygone era and learn the history of Mount Desert Island, Bar Harbor and Acadia National Park including the great forest fire of 1947.
Come aboard the lobster fishing boat for this fascinating and fun tour through Frenchman Bay. Touch and feel the sea creatures in our touch tank while we cruise off in search of seals.


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20th November 2013
Manchester Police Commissioner urges for more action to tackle transphobic hate crime
3:52 PM — The region's Police and Crime Commissioner is calling on Greater Manchester people to take a stand against hate crime directed at the trans community.
European Parliament for the first time allocates major fund to combating anti-LGBT discrimination
3:30 PM — The European Parliament today for the first time allocated part of a major find to combating anti-LGBT discrimination.
Trans duo Zachs & Krieg to perform single live online for Transgender Day of Remembrance
3:04 PM — Stockholm-based transgender musical duo Zachs and Krieg are to offer a performance of their single, released in support of the Transgender Day of Remembrance, this evening in a live feed, as well as listing the list of murdered trans people from the past twelve months.
Tesco launches inquiry into employees posting online photos and videos abusing trans customers 18
2:25 PM — Supermarket chain Tesco has launched an inquiry into employees taking photos and videos of transgender customers, posting them online, and leaving derogatory comments.
US: Restaurant says family which said they did not agree with lesbian waitress's 'lifestyle' can return 49
1:21 PM — A restaurant at which a lesbian waitress was told by a family that she would not receive a tip because of her "lifestyle", has said they can return, as they legally can't turn them away.
Live Blog: Scottish Parliament's Stage 1 Debate on equal marriage 4
12:04 PM — Coverage of this evening's Stage 1 Debate of the Marriage and Civil Partnership Bill in the Scottish Parliament
18th November 2013
LGBT legal group appeals against decision to refuse to give it charitable status 9
7:47 PM — The Human Dignity Trust (HDT) has been forced to appeal against a decision to deny it from holding charitable status, raising concerns across the voluntary sector for groups standing up for LGBT rights.
Nick Clegg: 'Section 28 was divisive but I'm glad to be part of a government fighting for LGBT rights' 10
7:11 PM — Deputy Prime Minister Nick Clegg, has joined colleagues from across the political spectrum in condemning Section 28 on the day of the 10th anniversary of its repeal.
Possession of rape porn will become punishable by up to three years in jail 41
6:16 PM — New Government plans would mean that anybody found with pornography depicting rape, could be jailed for up to three years.
Gay couple threatened and forced to take shelter in pub in Vauxhall hate crime 52
5:45 PM — A gay couple were forced to take shelter in a London pub on Sunday evening, after being pursued and threatened by a gang of teenagers who shouted homophobic slurs.
Crispin Blunt reselected as Tory MP following deselection attempt after he came out as gay 17
5:31 PM — Crispin Blunt has successfully secured an overwhelming vote from local Conservatives to remain as the Conservative Parliamentary Candidate for Reigate at the 2015 General Election, after executive committee members attempted to unseat him, some say, because he came out as gay.
Russian Sports Minister: Authorities should have waited a little before passing anti-gay law 13
3:43 PM — The Russian Sports Minister has again spoken in defence of an anti-gay law passed earlier this year, this time to say that the law may have caused so much controversy because of its timing, rather than its contents.
Ed Miliband: 'The 10th anniversary of Section 28 repeal reminds us we must all speak against prejudice' 3
1:44 PM — The Leader of the Labour Party Ed Miliband, has spoken on the 10th anniversary of the repeal of Section 28, to emphasise the importance of its demise, despite saying there is still more to be done.
Priest who said Catholic Church suffered a 'culture of homosexual bullying' is suspended 8
12:41 PM — A priest, the author of a book which alleged that the Catholic Church suffered from a "culture of homosexual bullying", has been suspended.
16th November 2013
Reporter who received anti-gay slur challenges Alec Baldwin to fight: 'Why don't we settle this like men?' 6
5:21 PM — A reporter present during a recent tirade by actor Alec Baldwin during which he used homophobic slurs, has challenged him to a charity boxing match.
X Factor winner James Arthur apologises for homophobic slur in diss song: 'I'm disappointed in myself' 14
4:57 PM — X Factor winner James Arthur has said he is 'extremely disappointed' in himself for a rap he recorded in retaliation against another artist, which included homophobic slurs, but said 'in rap... words I used have a different intent'.
Jamaican anti-discrimination organisation calls for celebration of Day for Tolerance 2
2:47 PM — One of the first organisations in Jamaica formed solely to tackle discrimination based on perceived sexual orientation, has invited all Jamaicans to celebrate the international Day for Tolerance.
US: Federal judge rules that Pennsylvania must defend its ban on equal marriage 3
1:44 PM — A federal judge yesterday rejected arguments that the court has no authority over equal marriage, to say that Pennsylvania must go to trial to defend its ban on equal marriage.
8th November 2013
Out Now Business Class hosts masterclass in LGBT tourism at World Travel Market
8:36 PM — Out Now Business Class (ONBC) this week hosted a masterclass at the World Travel Market at London's ExCel Centre.
7th November 2013
Study: Gay and straight men have different face shapes, and gay men are more masculine 39
5:57 PM — A new study has suggested that there are physical facial differences between gay and straight men, and that gay men actually rank as typically more masculine.


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Las Vegas casino giant MGM Mirage has plans to take the gambling city in a new direction with an ambitious plan for a sprawling new urban development in the heart of the Las Vegas Strip. The multibillion dollar project, called "Project CityCenter," would include a new 4,000-room megaresort, three 400-room boutique hotels, about 550,000 square feet of retail shops, dining and entertainment venues and a 1,650-unit condo complex.
View Full Article in:NYTimes.com · Wall Street Journal, The
Published in Brief:


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PSY's 'Gangnam Style' wins Korean top song award
More News from Associated Press
KUALA LUMPUR, Malaysia — Rapper PSY's worldwide smash "Gangnam Style" has been crowned song of the year by South Korea's music industry association.
The viral sensation that became an international chart-topper last year won the Digital Daesang honor at the 2013 Golden Disk Awards, considered South Korea's version of the Grammys.
PSY did not attend Wednesday night's awards ceremony at Malaysia's Sepang International Circuit.
"Gangnam Style" clinched the award that's determined largely by downloads and ringtone sales. The song edged out contenders by acts including Big Bang, G-Dragon and T-ara.
The two-day awards ceremony was held outside South Korea for a second year after 2012's appearance in Japan.
Boy band Super Junior captured top album honors Tuesday for its sixth studio release, "Sexy, Free & Single."
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Videos tagged "will wagner live"
Will Wagner - Live @ The Weekender '1004:03
42 Plays / 1 Likes / 0 Comments
Footage courtesy of Aussie Punk Rock Podcast D.I.Wireless www.diwireless.com.au Will Wagner and the Smith Street band kicked things off on the Arty mainstage for the final evening of The Weekender. Apologies to the fellas for the break in filming on this one...my bad. Now this band came out of fucken nowhere for me and I loved their set. I had no idea who they were before the show but will definitely be checking out their album...+ More details
What are Tags?
Tags are keywords that describe videos. For example, a video of your Hawaiian vacation might be tagged with "Hawaii," "beach," "surfing," and "sunburn."


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There's no shortage of functionality built into the .NET framework to help you encrypt and secure your data. Follow along and feel more secure.
Latest Encryption Articles
Using SSH Tunneling in Your Application
Use SSH tunneling to secure MySQL connections.
Securing PDF documents
Review of encryption and signing schemes, offered by PDF specification and supported by PDF management tools and components.
Cryptographic Solutions for .NET Developers: Hashing and Encryption
Learn how to use cryptography to improve the security of your applications. Discover the basic building blocks for encryption and hashing using C#.
ASP.NET Tip: Encrypting a Configuration File Section
ASP.NET 2.0 enables you to encrypt portions of your configuration file. You can pick a section in your Web.config file to encrypt and then decrypt.
VB .NET Tip: Encryption in Just Twelve Lines of Code!
If you don't want the overhead or complexity of a government-standard encryption technique, there is a simple solution.
Latest Developer VideosMore...
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Control Statements and Basic Loops in C++/CLI
Become more proficient on the usage of statements to control the flow of execution through a C++/CLI application.
Manipulating Images with ImageMagik
Discover (Rediscover?) an image-manipulating tool that's been around for ages, but is especially suited to working within the .NET framework.
AlphaBlending with GDI+ and Visual Basic
Learn about AlphaBlending, and how it can assist you in creating nice effects on your pictures or drawings.
The Top Challenge for Developers is...
Most developers face a grueling challenge to please their end users. We asked their top challenge is. With over 3,000 responses, the results are now available!


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Little Club Heads Kids Dance Party
- Family & Education
- 41 Broad Street, New York, NY, 10004
Little Club Heads Family Family Dance Party (Princess&Super Heroes Party)
Sunday, January 20, 2013 from 12:00 PM to 3:00 PM (PST)
Party with the whole family at Little Club Heads Family Dance Party. The suggested ages for kids are 1-10 years old. The party features a live DJ, dancing, face painting, balloon twisting, clown, Little Club Heads mascots Nubby and Bubby, plus live performances. This month is our princess and super heroes party. Hope to see you on the dance floor.
In order to purchase these tickets in installments, you'll need an Eventbrite account. Log in or sign up for a free account to continue.


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Genesee River
Vibrant vintage salmon-painted ash splint pack basket from Maine. Previous paint coats of green and gray show through slightly. A unique piece!
With a passion for all things vintage, Genesee River Trading Co. founders Steve and Brenda Trainor have amassed a unique collection of quirky and unique items. Whether crawling through the rafters of a 150-year old western Pennsylvania barn or sloshing through the rain soaked-fields of some of America's best antiques fairs, they do what it takes to find things they love.


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What Exactly is a Bear Jam in Katmai National Park & Preserve? Let Ranger Michael Glore Explain
Get the Flash Player to see hear the audio.
What, you might wonder, is a bear jam in Katmai National Park and Preserve? To understand this phenomenon, listen to this podcast in which Ranger Michael Glore differentiates between jamming bears and a crush of tourists anxious to see brown bears at Brooks Camp.
I was just in a bear jam at Katmai. A sow and single cub decided to take a little nap on the north side of the Brooks River bridge. Fortunately it was hot and sunny out, which may have helped precipitate the bear nap, so the crowd gathering on the southside viewing platform (where I was) was in high spirits watching other bears while these two slept. There were a couple single adults snorkeling their way across the mouth of the river, looking for fish underwater with just their ears appearing above the water's surface. A sow and two yearling cubs fished, that would be mom, and played, that would be the two cubs, to within feet of the viewing platform, giving everyone great photo opportunities. And then there was the sow and three spring cubs working their way across the marsh beyond the trail on the north side and while we couldn't see them make their way through the camp area, we sure heard the radio traffic as the rangers kept tabs on where they were. Yep, it was a very beary day at Brooks Camp and one that kept the park service busy managing the humans so the bears were not interrupted in what bears like to do. Keeping an area as natural as possible for bears while allowing humans to watch will result in bear jams, not only at the bridge but also along the trails. Its a good thing NPS has the people power to manage all these humans that are both overnighting at the lodge or campground or flying in for the day. Without their ability to keep humans and bears apart - but within viewing distance - this would not be the cool experience that it is.


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Bob Barker Takes a Dig at Drew Carey
The 86-year-old host and long-time animal rights activist taped his last regular episode -- his 6,586th -- of the popular CBS game show in June 2007, retiring after five decades on national television.
Carey's first episode aired that October; the 'Drew Carey Show' vet has kept some of Barker's traditions, including the tagline to "have your pet spayed or neutered."
But it would appear Carey's chill persona and vocal delivery aren't sitting well with Barker, who had a knack for attracting (and harnessing the energy of) wildly enthusiastic contestants during his 35-year run.
Celebrity Pets
- Filed under:
- Celebrity Fights -
- Highbrow -
- TV News -
- Tuesday 27 JulyBy CHAS
- Tuesday 27 JulyBy Titangirl
It doesn't make any difference... I like to see the contestants play the games... that is all. I don't care about the hosts.
- Tuesday 27 JulyBy hello
I think Barkers brain dried up and withered away like his face.
- Tuesday 27 JulyBy Good Bye
I'd like to see how you'll look at 86!
- Tuesday 27 JulyBy Linda
Bob Barker is a Jerk..He is jealous that Drew is doing a better job than he did..Plus Barker is SO Conceited! Time for Barker to crawl in a hole & die!
- Tuesday 27 JulyBy EMM
Why don't you crawl up in a hole and die?
- Tuesday 27 JulyBy lisa
Drew Carrey is boring boring boring. He makes no effort to get energized, or change the same, old tone in his voice. This game show was meant to be fun! Get someone in their with Bob's style!!!!!!!!!!!!!!!
- Tuesday 27 JulyBy Jill
ITA with you lisa, I don't watch anymore!
- Tuesday 27 JulyBy jbsasktheape
Moron if people just don't watch it the show will go off the air.
- Tuesday 27 JulyBy fklftman
Barker and all his cronies ought to be arrested for piracy on the high seas. Since when is it legal to attack another country's ship in international waters and not pay any consequences. Pun intended. What they do in Whale Wars is illegal and dangerous. I am against whaling, but I am also against illegaly putting whalers lives in danger.Discover channel also ought to be ashamed of themselves for showing it. What a bunch of idiots. Barker needs to shut up and retire.
- Tuesday 27 JulyBy Holly
I happen to agree with Bob 100%. I used to watch all the time when Bob hosted. When he left, I tried to see how Drew would be, but the show's boring now, so I don't watch anymore. I do like Drew, I think he's very funny, I just don't think he makes a good host. I bet the ratings have gone down. No one can replace Bob, he was the best.
- Tuesday 27 JulyBy Annie
grew up watching the Price Is Right and am a big fan of Bob Barker's animal rights work but I think he should have retired when Janice and Kathleen did. The show wasn't "fun" after that because Janice and Holly and Diane and Kathleen and Rod were gone and Bob seemed really cranky and irritable with the contestants and the show was flat. I think if Bob had retired a few years earlier it would have been better for the show. I agree that Drew Carey is not a slick polished host like Bob, but I have to say that the show is much better now with Drew because it's fun again and that's what you expect Price Is Right to be. Sorry Bob.
- Tuesday 27 JulyBy Me
Fun again?? I think it's BORING now.
- Tuesday 27 JulyBy Sharon
I won't ever watch the show again now that Bob isn't the host. Bob Barker IS "The Price Is Right !!!" LOVE YOU BOB !!!!!!
- Tuesday 27 JulyBy ruby
I love the show now because Drew seem's more sincere and Barker was geting old and crabby on the show. Need's to be at home, probably can't stand someone doing well. Way to go Drew keep up the good work.
- Tuesday 27 JulyBy B. G. Shapp
Boy! There are some REALLY, really brutal people in this world. Can you imagine being married to any of them? Ye Gads!!!
- Tuesday 27 JulyBy Rose
I love Drew Carey...Bob Barker needs to butt out....I didn't like Bob Barker. He's nothing but a womanizer and should mind his business.
- Tuesday 27 JulyBy gary
Bob's jealous, he thought the show would fold after he left, but Drew proved to be a better, funnier more personable host. Bob would mostly draw the older crowd, while Drew attracts all ages. Face it Bob your a has been.
- Tuesday 27 JulyBy royalemary
at least Drew isn't afraid of the big women who want to hug him when they get to the big stage.GO drew
- Tuesday 27 JulyBy Marsha
Understandable though, Bob was old and fragile and didn't want to break a hip or anything and wind up in the hospital.
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A 54-year-old Dodgeville man died Wednesday morning in an accident at Wick Homes in Mazomanie when a load of trusses collapsed on top of him, authorities said.
About 8:45 a.m., the man was using a forklift to move the trusses onto a flatbed trailer in the work yard of Wick Homes at 341 Walter Road when the trusses collapsed, the Dane County Sheriff said in a news release.
In addition to sheriff's deputies, emergency responders from Mazomanie and Middleton EMS responded, but his injuries were too severe and he died at the scene, the release said.
The Dane County Medical Examiner will release the name of the man once his family has been notified, according to the release.
The Occupational Safety and Health Administration will investigate the incident.


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APARTMENTS FOR RENT: 2 bedrooms & 2 full bathrooms, one with new shower & matching tile throughout. Completely remodeled unit, A/C, porcelain tile & kitchen. If location, outstanding maintenance, security & abundant parking appeals to you, please call me. Amenities include...More info Email a friend
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APARTMENTS FOR RENT: Shenandoah Efficiency.$675+ 1month+deposit.NoSmoking or pets.All included 3058569256.More info Email a friend
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HOMES FOR RENT: DADELAND House. Large Updated, 3 bedroom 3baths. Wood floors, family room, swimming pool, etc. Two car garage. Fenced yard. Pets OK. Must See . ONLY $3500 561-236-9317More info Email a friend
APARTMENTS FOR RENT: Hallandale Large Studio 610 NE 6 st. Next to Avent/Bisc. util. incl. $800. 305-333-3816More info Email a friend
APARTMENTS FOR RENT: SECTION 8 WELCOME 12215 West Dixie Hwy 2 Bed $ 910 Call Rina (786) 355-1424 Gated Parking, Central A/C, Laundry Very Spacious apartments!! Manager on-site and a great on going maintenance crew :-)More info Email a friend
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APARTMENTS FOR RENT: Spacious 3/2, apt includes water, washer n dryer, balcony, parking, gated community 3 pools, 2nd floor, available July 1.More info Email a friend
APARTMENTS FOR RENT: Downtown, $1,300 2 bedroom Near South Beach & Biscayne Bay- Calll 832 403 0075 for more info.More info Email a friend


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The Kashmir Valley is seething with anger over the killing of a 24-year-old youth by the security forces at Nawakadal in the sensitive old Srinagar city on Wednesday.
Police said Bashir Ahmad Bhat was killed when security forces deployed for poll duties opened fire after they allegedly came under severe attack by some miscreants in Nawakadal area on Wednesday evening.
"The miscreants snatched the weapon of a security force personnel. In the ensuing scuffle, two persons, Bashir Ahmed Bhat and Nazir Ahmed Kaloo, got injured. Bashir Ahmed Bhat later on succumbed to his injuries," a police spokesman said.
The incident sparked anger with people taking to streets in several parts of Srinagar city protesting against the killings. Stone-pelting incidents were also reported from different parts of the valley.
Fearing escalation, the authorities clamped curfew in sensitive parts of the old Srinagar city as a precautionary measure on Thursday.
Police and paramilitary forces were deployed in strength to counter any stone-pelting and maintain law and order in the city. Concertina wires have been rolled out at different road axis to restrict the
people's movement and prevent any protest march.
Despite strict security measures, violent protests and stone-pelting rocked several towns in north and south Kashmir districts. Police said there were stray incidents of the stone-pelting in some areas but
there was no loss of life or the property.
A complete shutdown was observed in Kashmir valley against the killing. Shops, and business establishments were closed and traffic was off the roads. The call for shutdown was given by both factions of Hurriyat Conference and other separatist groups.
People's Democratic Party (PDP) cancelled all its campaigning programmes in Baramulla parliamentary constituency on Thursday following the precarious security situation.
"All the programmes of PDP patron Mufti Mohammad Sayeed and president Mehbooba Mufti scheduled for May 1 has been postponed due to the prevailing situation arisen due to unfortunate killing of a youth in Srinagar," a PDP spokesman said
Baramulla and Ladakh parliamentary constituencies are going to polls in the next phase on May 7.
"Omar Abdullah-led coalition has left deep scars of torment on the body and soul of Jammu and Kashmir in its six years of draconian rule. Unfortunately before being voted out, the present government is trying to put Kashmir again on fire," said Muzaffar Hussian Baig, PDP's candidate for Baramulla parliamentary constituency.
Meanwhile, Hurriyat hawk Syed Ali Shah Geelani has called upon people to stage protest demonstrations against the killing of the youth after Friday prayers.


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NYC emcee Torae's first foray into the Booth may have been a bit of a misstep; Somethin' to See found the rapper arguing that hip-hop needed some replenishin' and he was the man for the job, but several site members were critical, accusing him of bringing nothing new to the table. Now, more than nine months later, Torae is back, and he's looking to prove that he's an underground emcee listeners can count on. Wun Tu Thr3, the T. Dragonette-produced B-side to single Switch, opens with a soulful sample and rides a repeated saxophone chord as Torae states his case, deflecting the naysayers and expressing a desire to let his music speak for itself. Will making a good second impression on DJBooth regulars be as easy as Wun Tu Thr3? As always, that's for you to tell us.
Written by richard on Dec 11, 2008
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Without Batting An Eyelash
Carlos Falco, wine aristocrat and Isabel Preysler's 2nd husband, feted by Manila high society
Real-estate businessperson Rosanna Tuason Fores welcomed Carlos Falco y Fernandez de Cordova, Marqués de Griñon, to the country with chic cocktails and an elegant dinner at the Atrium of Enderun Colleges in McKinley Hill, Bonifacio Global City, dahlings.
(Falco was the second husband of Isabel Preysler, with whom she has a daughter, Tamara Falco.)
The restaurant's stylish interiors were the perfect setting for simulating a colorful, high-end bistro in Paris, with flowers by Margarita Araneta Fores, naturellement.
The grand gourmet dinner was prepared by the school's "Chef de Cuisine," Julian Koberi; he provided a commentary for each course, pairing each meal with smooth vintage wines.
Dinner consisted of Amuse Bouche, followed by Lobster and Asparagus Salad with Salmon Caviar; Green Pea Salad and Onion Foam; and Potato Truffle Ravioli with Foie Gras Sauce.
The main course was Braised Oxtail with Air-dried Beef with Red Wine Sauce.
Postres consisted of Pineapple Symphony Confit, Sherbet, Mousse, served with excellent wines from the Griñon vineyard estate, such as the 2007 Marqués De Griñon Summa Varietalis, Cabernet Sauvignon, 2008 Marqués De Griñon Petit Verdot, and Heredad De Hidalgo Moscatel Sherry.
The wines were brought to the Philippines all the way from the grand Griñon Estate in Toledo, Spain.
Rosanna proudly introduced the Marqués to our town's alta sociedad. He was effusive in his reply, saying he was "eternally grateful" to Rosanna for ensuring that he maintained close ties with "my family in the Philippines."
He said the Falco family has maintained the family vineyard and estate "from generation to generation" and, through tradition and sustainability, has "created the best single-estate wine in the world."
"My family," he added, "has dedicated their time and resources to obtain high-quality 'extra-virgin olive oil,' now considered the best in the world."
The Marques said the wine estate's bestsellers are Cabernet Sauvignon and Petit Verdot.
Guests at the affair included Spanish Ambassador to the Philippines Jorge Domecq; Philippine Ambassador to the Vatican Mercedes Tuason; former Philippine Ambassador to Spain Lani Bernado and his wife Conchitina; former Philippine Ambassador to the United Kingdom Antonio Lagdameo; Baby Araneta Fores (wearing marble-size perfect pearls in one-strand necklace); and Victoria Preysler.
During the dinner, moi overheard three members of the Marqués' Spanish entourage saying that, among the many women that night, the most "guapa y exotica" was none other than Bledes Fores-Legarda. And they were absolutely right, palanggas.
Little Singers of Monaco
The Ayala Malls hosted the concert of the Little Singers of Monaco recently.
This group of talented young choirboys instantly won the hearts of music fans in Manila at its show in The Gallery in Greenbelt 5, Ayala Center, dahlings.
The Little Singers of Monaco was founded in 1974 under the directorship of Philippe Debat. He was asked by the Principality of Monaco to form the group and carry out a musical mission in every country.
Prince Rainier III later referred to them as "my little singing ambassadors."
The choir performed an extensive repertoire of classical music from Bach, Mozart and Verdi.
Its Philippine debut was incredibly successful as the crowd applauded thunderously and gave a standing ovation to the boys.
Hosting the event was RJ Ledesma, vice consul of Monaco, who was with his smart wife, lawyer Vanessa Ledesma.
His mother, the Honorary Consul General of Monaco to the Philippines, stylish Fortune Ledesma, welcomed the A-listers to the concert.
"Ayala Malls and Greenbelt continuously aim to bring excitement to all its shoppers as they feature internationally acclaimed talents to offer a world-class entertainment retreat," said Greenbelt GM AC Legarda.
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Doody's Review ServiceReviewer: Willem J de Villiers, MD, PhD, MHCM (University of Kentucky College of Medicine)
Description: This second edition covers both inpatient and outpatient approaches to gastroenterology with the same frontline practicality as the well known Washington Manual of Medical Therapeutics. Presented by residents and senior faculty at the Washington University School of Medicine, the book offers an updated, user-friendly, quick reference for handling everyday problems encountered in the field of gastroenterology.
Purpose: The purpose is to provide trainees a synopsis of GI symptoms and signs, common GI disorders encountered in clinical practice, and up-to-date approaches to investigation and management. It is not meant to be exhaustive, but provides references to more descriptive sources in the literature. Both the content (style and length) and size will appeal to trainees.
Audience: The book is aimed predominantly at internal medicine residents and gastroenterology fellows. The chapters have been written and updated by trainees under the supervision of senior gastroenterology faculty.
Features: The first of the book's two major sections covers common symptoms, signs, and laboratory abnormalities, while the second section focuses on specific GI disorders. The chapters are structured to help develop a logical, systematic approach to common problems. The key points are set out in bulleted lists for easy reference. This edition updates the chapters on nausea and vomiting, abdominal pain, acute GI bleeding, and nutrition.
Assessment: This is a useful pocketbook vade mecum for trainees. The second edition is justified given the fast pace of advances in the gastroenterology field.


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Optimising Subsidiary Crop Applications in Rotations
Project Acronym: OSCAR
Title of project: Optimising Subsidiary Crop Applications in Rotations
Project Call Identifier: FP7-KBBE-2011-5
Project Number: 289277
Project Officer (DG/Dir/Unit): RTD/E/04
Project Abstract:
"There is a need to improve sustainability in farming systems particularly through soil care and improvement, but not at the expense of productivity. One approach is to focus on a comprehensive advance in conservation tillage. This will be developed from improved ways of integrating subsidiary crops (SC) as living or dead mulches or cover crops with the main crops in rotations so as to simultaneously improve crop nutrition, health, and productivity. The SC will deliver multiple ecological services by increasing the duration of soil cover in the rotation overall while increasing species diversity, minimising the use of tillage and agrochemicals, enhancing biological N fixation and soil C content, and both reducing water demand in dry climates and improving soil workability in wetter climates.
The research will draw on a wide range of previous and ongoing EU and related projects and will be based on 11 coordinated field experiments in different climatic regions together with three long-term experiments in Europe and Brazil. These experiments will all be assessed for economic and ecological impact including the often neglected issue of legume root health. Breeding companies and manufacturers of agricultural equipment from all regions of interest will be involved in finding adapted solutions for the different environments by extending the range of potentially useful plant species and by developing appropriate machinery to promote adoption in practical agriculture. The potential for useful chemical extraction from the existing and novel SCs will also be investigated.
A central deliverable will be a database supported 'Cover Crop and Living Mulch Toolbox' and Decision Support Tool which will encourage multilingual stakeholder exchange and dissemination during and beyond the lifetime of the project so as to capture farmer experience. The results of the project as a whole will be of use for and improve sustainability in low-input, organic, and conventional farming systems."
Contact Person: Maria R. Finckh
Project Officer: Annette SCHNEEGANS


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Dublin - This is the city around which most of Joyce's young life centered and where he lived until his move to Paris.
Ireland - This is Joyce's native country with which he has a conflicted, love/hate relationship.
Paris - This is the city where Joyce moved to pursue his medical studies and later to expand his literary career.
Trieste - Joyce first traveled to this city searching for a job teaching for Berlitz; later, he received a teaching position here.
Pola - This is a city in the former Yugoslavia where Joyce had his first job teaching English.
Marseille - Joyce briefly considered moving to this city in France.
Zurich - oyce and Nora passed through this city during their first European trip and later moved there; both Joyce and his wife died here.
Exiles - Joyce wrote this play.
Chamber Music - This is...
(read more Object Descriptions)
This section contains 251 words
(approx. 1 page at 300 words per page)


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Current Mortgage Rates for Monday May 26, 2015Current mortgage rates from the nation's top lenders for this Monday remain mostly stable with a few lenders lowering rates on select loan programs. The national average over all this past week has been pretty much flat with rates going both slightly up and down. Bank... read more
New-Home Sales Rise 6.8% in April(SOURCE: NAHB) WASHINGTON, May 26 - Sales of newly built, single-family homes rose 6.8 percent to a seasonally adjusted annual rate of 517,000 units in April, according to newly released data from HUD and the U.S. Census Bureau. "Sales are moving forward and our... read more
Michigan AG Charges Metro-Detroit Attorney with Thirty Felony Counts Including Racketeering in Fake Mortgage Assistance Scheme(Source: Michigan Attorney General) LANSING – Michigan Attorney General Bill Schuette today announced that his Homeowner Protection Unit has filed thirty felony charges including Racketeering against attorney Steven Barry Ruza, 52, of Orchard Lake and his company,... read more
Mortgage Rate Report for Friday May 22, 2015Current mortgage rates at the nation's top lenders are mostly mixed. This week is ending with mortgage rates remaining mostly stable with a slight upward trend on some loan programs. Freddie reported yesterday that rates for the 30-year mortgage were down a bit to... read more
Foreclosure Starts Down 22 PercentForeclosure Starts Down 22 Percent; Slight Seasonal Increase in Delinquencies Foreclosure starts drop by 22 percent in April; down 7 percent from one year ago Slight seasonal increase in April delinquencies pushes national rate up to 4.77 percent Prepayment rates up... read more
Three Charged in Multi-Million Dollar Foreclosure Rescue ScamComplaint Charges That Defendants Acting Through An Organization That Advertised Help To Those Seeking Home Loan Modifications To Avoid Foreclosure, Obtained Millions Of Dollars By Deceiving Homeowners Into Selling Their Homes (Source: SIGTARP) WASHINGTON, DC -... read more
Businessman Sentenced to Prison for False Statements to a TARP Bank(Source: SIGTARP) WASHINGTON, DC - Christy Romero, Special Inspector General for the Troubled Asset Relief Program (SIGTARP); Zachary T. Fardon, United States Attorney for the Northern District of Illinois; and Robert J. Holley, Special Agent in Charge of the Federal... read more
New Jersey Man Sentenced to Seven Years in Prison for Role in $15 Million Mortgage Fraud Scheme(Source: FBI) CAMDEN, NJ—An Essex County, New Jersey, man was sentenced today to 84 months in prison for conspiring to defraud financial institutions and launder stolen funds as part of a $15 million mortgage fraud scam that used phony documents and "straw buyers" to... read more
Maryland homeowners tell how they were ripped off in loan modification scamHere is another sad story reported by NBC Washington about homeowners in Maryland who were scammed by a loan modification fraud ring. These emotional homeowners explain on TV how they lost thousands of dollars after they handed over their money to some white collar... read more
Current Mortgage Rates for Thursday May 21, 2015The nation's top lenders are reporting mortgage rates are mostly mixed. Freddie Mac issued their weekly rate report today showing the average rate for 30-year mortgage was 3.84%, compared with 3.85% a week ago. The 15-year fixed mortgage averaged at 3.05%, down from... read more
Georgia Real Estate Investor Pleads Guilty to Bid Rigging and Fraud Conspiracies at Public Foreclosure Auctions(Source: FBI) - A Georgia real estate investor pleaded guilty today for his role in conspiracies to rig bids and commit mail fraud at public real estate foreclosure auctions in Georgia, the Department of Justice announced. Felony charges against Eric Hulsman were... read more
NAMB Urges Congress to Act Swiftly on Behalf of Lower-Income Homebuyers(Source: NAMB) Washington, D.C. -NAMB - The Association of Mortgage Professionals - joined other mortgage industry leaders this past week in calling for a good faith grace period for compliance with the massive TILA-RESPA Integrated Disclosure requirements that are... read more
NAR: Existing-Home Sales Lose Momentum in April(Source: NAR) WASHINGTON — Despite properties typically selling faster than at any time since July 2013, existing–home sales slowed in April but remained above an annual sales pace of five million for the second straight month, according to the National Association of... read more
Freddie Mac: Mortgage Rates Little Changed(Source: Freddie Mac) MCLEAN, VA - Freddie Mac (OTCQB: FMCC) today released the results of itsPrimary Mortgage Market Survey® (PMMS®), showing average fixed mortgage rates moving just slightly lower following three consecutive weeks of increases. News Facts 30-year... read more
NAHB: Senate Bill Would Fix Flawed EPA Water Proposal that Harms Housing, the Economy(Source: NAHB) WASHINGTON, May 19 - The National Association of Home Builders (NAHB) today urged the Senate to pass pending legislation that would require the Environmental Protection Agency to go back to the drawing board and withdraw its proposed "waters of the... read more
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Paris, France
My Rating
I thoroughly enjoyed this tour. Our tour guide was incredible. He was friendly, conversational and knowledgeable. Monet's house is worth the visit and the garden is like walking through a painting. Lunch was amazing, again like being in a painting. Unfortunately, l'Orangerie was closed due to electrical problems but we were able to return another day. What an amazing musee. Ii loved this tour and would do it again.
My Photos
Rotorua, New Zealand
My Rating
The bus trip was a hoot - both ways. The performance was interactive, educational and highly entertaining. And the food was plentiful and delicious. Thoroughly recommended!!
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Morning News: Podcasts
Former City Councilor on 30-plus Years Walking Dogs in "Dogpark"
Former Northampton City councilor Fran Volkman gives tips on how Joggers, Doggers, Golfers, Bikers & Hikers can co-exist in the…
Outrageous! Hamp about to Axe Town Crier Position! Woe Upon Us All!
Bob expresses his outrage over the proposed elimination of Town Crier. Photo courtesy of Bristol Press via Daily Hampshire Gazette.
Easthampton's Mayor Mike Looks Back on Career & Forward to Thursday's Farewell Party
Mike Tautznik, Easthampton's only mayor, looks back on his 17 years in office & ponders his future.
New Book Launched On Pearl Harbor Day Offers Fresh Details on WWII's Hidden Player
Andrew Lam's new novel about China's role in WWII is launched on Pearl Harbor Day.
Fired CDH Nurse Steven Coughlin Speaks Out
Bob talks with Steven Coughlin, Cooley Dickinson nurse fired after his arrest for alleged assault & battery on an intoxicated patient in…
Author Susan Stinson on "Spider in a Tree."
On Book Swap, author Susan Stinson talks with Bob about her new novel "Spider in a Tree," about 18th century…
Censorship, Hampshire College, and a Frank Discussion on Race
Bob's editorial on Hampshire College's canceling Afrofunk band Shokazoba because of skin color. The story, broken by WHMP's Mary Serreze, has…
The Gazette's Jim Foudy Retires
The long time editor and publisher of the Gazette retires after 36 years with the paper.


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Natural ingredients
posted 7 years ago
My parrot fish and severum love these cichlid sticks.
It doesn't cloud the water.
Its formulated so that fish utilize more of what they eat creating less waste.
Supports a healthy immune system. Its also color enhancing.
These are slow sinking sticks.
Pros: anatural ingredients
Cons: none
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Sculpted by Joseph MennaThis multi-part statue is a must-have for Superman fans. High atop the roof of a Metropolis skyscraper, a family born from the ashes of Krypton stands tall, guardians and hope bringers to the people of the city.The statue is made up of three separate pieces (sold in two parts) which form a single statue.Solicited this month is Part 2 of the SUPERMAN FAMILY MULTI-PART STATUE featuring Supergirl and Steel, with the lower half of Superman and eagle base detail. Part 1 (solicited last month) features Power Girl and Superboy and the upper half of Superman.The bases of each piece slide together to form a multi-tiered rooftop rooftop on which all the characters stand. Each of the two parts includes a piece of the third portion of the statue, which can be easily assembled to form Superman, who rises up from the center of the piece. Both parts of the statue are needed to make Superman.This hand-painted, cold-cast porcelain statue measures approximately 9.5" high x 5.5" wide x 6.9" deep, while the entire multi-part statue measures approximately 10.15" high x 17" wide x 8.9" deep when fully assembled.The SUPERMAN FAMILY MULTI-PART STATUE is hand-painted, cold-cast in porcelain and packaged in a 4-color box.Limited edition. Minor assembly required.
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23 July 2013 13:57 [Source: ICIS news]
HOUSTON (ICIS)--?xml:namespace>
The decline in margins was caused by significantly lower discounts for heavy sour and light crude oil, as well as higher natural gas costs, the company said.
In addition, Valero incurred higher costs in complying with the US federal Renewable Fuel Standard, it said.
Valero's operating income for the three months ended 30 June was down to $808m, from $1.36bn in the 2012 second quarter. Operating revenues were almost unchanged at $34.0bn, compared with $34.7bn in the 2012 second quarter.
Second-quarter 2013 refining throughput volumes averaged 2.6m bbl/day, a decrease of 52,000 bbl/day from the second quarter of 2012.
Valero had "significant turnaround and planned maintenance activity" at its refineries in
Valero's ethanol segment reported operating income of $95m in the second quarter of 2013 versus $5m in the second quarter of 2012. The increase in ethanol operating income was due to a higher gross margin per gallon and higher production volumes, the company said.
"Valero performed well financially given the margin environment and maintenance activities," said CEO Bill Klesse.
"We also returned $364m in cash to our stockholders through dividends and stock buybacks in the second quarter," Klesse added.
($1 = €0.76)
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My Top 100 Albums Of All Time
View Single Post
I'm Young, I'm Wild, And I'm Free
Join Date: Nov 2012
Posts: 2,464
26.Keep The Faith - Bon Jovi
Year Of Release: 1992
1.I Believe
2.Keep The Faith
3.I'll Sleep When I'm Dead
4.In These Arms
5.Bed Of Roses
6.If I Was Your Mother
7.Dry County
8.Woman In Love
10.I Want You
11.Blame It On The Love Of Rock & Roll
12.Little Bit Of Soul
Genre: Hard Rock
On Keep The Faith, Bon Jovi prove that their not just a hair band, they are a band that knows how to change with the times and still stay on top."Woman In Love" is the only song that has any hint of glam in it.Richie Sambora shows some outstanding guitar playing (see Dry County), with Alec John Such providing groovy bass lines (see title track), David Bryan cutting off most of the synthesizers and bringing in classic piano skills (see "I'll Sleep When I'm Dead"), Tico Torres pounding hard on the drums (see "Blame It On The Love Of Rock & Roll"), and Jon Bon Jovi provides stellar vocals and really delivers on this album.Highlights include the arena-ready opener "I Believe", the extremely underrated "Blame It On The Love Of Rock & Roll", and the best song, the almost ten-minute epic "Dry County".
Standout Track:
"Dry County"
8/16 - Motley Crue/Alice Cooper
9/27 - Styx
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Classes and Education
Use the search options below to find classes of interest to you. Sutter Health affiliates offer classes in locations throughout Northern California.
Search All Events
This low impact physical activity program offers range of motion exercise done seated or standing for women living with any form of arthritis, osteoporosis, fibromyalgia and other chronic illness. Hosted by the WHRC. Next class : May 29
A gentle yoga practice to support overall wellness and the healing process, the class is intended for beginners and those with chronic health conditions such as cancer, diabetes and arthritis. Hosted by the WHRC. No drop-ins. Next class : May 23
This 1 1/2 hour class begins with a 15 minute check in period to build community and answer questions about what women are experiencing during pregnancy and anticipating during childbirth, followed by an extended period of yoga. Next class : June 4
Whole Birth� yoga is a gentle workout that is beneficial to women at all stages of pregnancy and at any fitness level. Please note: This class is offered for pregnant women only. Next class : June 1


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Top Investor Scams
by AccountingWeb on printer friendly
http://www.ssb.state.tx.us/News/Press_Release/08-03-10_press.php [1]
Watch out for the vultures! I am writing a module on investor fraud for my Texas State University online course on the Public Funds Investment Act. Small goverments are particularly succeptible to scammers in dark suits. AND they are managing substantial amounts of the citizen's money.


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The Journal Sentinel sports staff brings Milwaukee Bucks fans the latest news, notes and analysis
Bucks sign Temple to 10-day contract
St. Francis - The Bucks signed 6-foot-5 guard Garrett Temple to a 10-day contract on Tuesday.
The 24-year-old Temple has appeared in 30 NBA games, including four starts, in stints with Sacramento, San Antonio and Houston over the last two seasons. He has averaged 4.6 points and 1.1 rebounds in 11.8 minutes per game.
Temple played in three games earlier this season with the Spurs.
A former Louisiana State player, Temple has appeared in 48 games (41 starts) the last two seasons in the NBA Development League. He averaged 14.3 points and 4.1 rebounds while hitting 37.5% of his three-point attempts.
Temple's addition brings the Bucks roster to the league maximum of 15 players.
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