text:
Congenital deafness and childhood-onset hearing loss is caused by genetic mutations in a large percentage of cases. Genetic testing for hearing loss is primarily intended either to determine whether hearing loss is hereditary, or to determine carrier status of parents in order to better define the likelihood of hearing loss in their offspring. The definition of nonsyndromic hearing loss (NSHL) is hearing loss that is not associated with other physical signs and symptoms. It is differentiated from syndromic hearing loss, which is hearing loss associated with other signs and symptoms characteristic of a specific syndrome. Physical signs of a syndrome often include dysmorphic changes in the maxillofacial region and/or malformations of the external ears. Malfunction of internal organs may also be part of a syndrome. The physical signs can be subtle and easily missed on physical exam, therefore exclusion of syndromic findings is ideally done by an individual with expertise in identifying dysmorphic physical signs.
Description of disease. Hearing loss is a common birth defect. Approximately one of every 500 newborns in developed countries is affected by bilateral, permanent hearing loss of moderate or greater severity (≥40 db). (1) Syndromic hearing loss refers to hearing loss associated with other medical or physical findings Since syndromic hearing loss occurs as part of a syndrome of multiple clinical manifestations, it is often recognized more readily as hereditary in nature.
Nonsyndromic hearing loss (NSHL) is defined as hearing loss that is not associated with other physical signs or symptoms. For NSHL, it is more difficult to determine whether the etiology is hereditary or acquired, since by definition there are no other clinical manifestations. NSHL accounts for 70% to 80% of genetically-determined deafness. (2)
Autosomal recessive patterns of inheritance predominate and account for 80% of congenital NSHL. A typical clinical presentation of autosomal recessive NSHL involves the following characteristics:
The majority of the remaining 20% of patients have an autosomal dominant inheritance pattern, with a small number having X-linked or mitochondrial inheritance. Patients with autosomal dominant inheritance typically show progressive NSHL which begins in the 2nd through 4th decades of life. (3)
Diagnosis of nonsyndromic hearing loss requires an evaluation with appropriate core medical personnel with expertise in the genetics of hearing loss, dysmorphology, audiology, otolaryngology, genetic counseling, and communication with deaf patients. The evaluation should include a family history, as well as a physical examination consisting of otologic examination, airway examination, documentation of dysmorphisms and neurologic evaluation. (4) However, the clinical diagnosis of nonsyndromic hearing loss is non-specific since there are a number of underlying etiologies, and often it cannot be determined with certainty whether a genetic cause for hearing loss exists.
Treatment of congenital and early-onset hearing loss typically involves enrollment in an educational curriculum for hearing impaired persons and fitting with an appropriate hearing aid. In some patients with profound deafness, a cochlear implant can be performed. Early identification of infants with hearing impairment may be useful in facilitating early use of amplification by 6 months of age and early intervention to achieve age-appropriate communication, speech and language development. (5) Delays in development of hearing treatment have been shown to delay development of communication. The primary method for identification of hearing impairment has been newborn screening with audiometry. Genetic testing has not been proposed as a primary screen for hearing loss.
Genetic mutations in NSHL. The genetic loci on which mutations associated with NSHL are usually found are termed DFN, and NSHL is sometimes called DFN-associated hearing loss. DFNA3-associated NSHL is caused by autosomal dominant mutations present in the GJB2 or GJB6 genes, which alters the coding sequence for the connexin proteins Cx26 or Cx30, respectively. (6) DFNB1-associated NSHL are autosomal recessive syndromes in which more than 99% of cases are caused by mutations to the GJB2 gene with less than 1% of remaining cases arising from mutations to GJB6. (7) A list of available tests for genetic mutations at the DFNA3 and DFNB1 loci is given in Table1.
There are more than 300 individual mutations known to be associated with NSHL. (8) Two of the most commonly mutated genes are GJB2 and GJB6. GJB2 is a small gene with a single coding exon. Mutations of this gene are most common in NSHL, causing an estimated 50% of the cases on NSHL. (9) The carrier rate in the general population for a recessive deafness-causing GJB2 mutation is approximately 1 in 33. (1) Specific mutations have been observed to be more common in certain ethnic populations. (10, 11) Mutations in the GJB2 gene will impact expression of the Cx26 connexin protein and almost always cause pre-lingual, but not necessarily congenital, deafness. (8)
Differing mutations to GJB2 can present high phenotypic variation, but it has been demonstrated that it is possible to correlate the type of associated hearing loss with findings on molecular analysis.
Mutations in the GJB6 gene are the second most common genetic defect in NSHL and lead to similar effects on abnormal expression of connexin protein Cx30. However, GJB6 mutations are much less common than mutations in GJB2. Of all the patients with NSHL, approximately 3% are found to have a mutation in the GJB6 gene.
Table 1. Clinical Characteristics and Testing Methods for GJB2 and GJB6 Mutations at the DFNA3 and DFNB1 Loci
Locus Name
Gene Symbol
Test Method
Mutations Detected
High frequency progressive
Sequence Analysis/ Mutation Scanning
Sequence Variants
Targeted Mutation Analysis
Specified sequence variants
Deletion/ duplication analysis
Exonic or whole-gene deletions/ duplications
High frequency progressive
Sequence Analysis/ Mutation Scanning
Usually stable
Sequence analysis 2
GJB2 sequence variants
Deletion/ duplication analysis 4
Exon(s) or whole-gene deletions
GJB6 deletions
Mutation analysis for GJB6 and GJB2 mutations can be performed by Sanger sequencing analysis of individual genes. This method has a high degree of validity and reliability, but is limited by the ability to sequence one gene at a time. With Sanger sequencing, the gene with the most common mutations is generally sequenced first, followed by sequencing of additional genes if a pathogenic mutation is not found.
Less Common NSHL-related mutations
In addition to the most common mutations that are associated with NSHL, GJB6 and GJB2, there are many less common pathologic mutations. Some of these are: ACTG1, CDH23, CLDN14, COCH, COL11A2, DFNA5, DFNB31, DFNB59, ESPN, EYA4, GJB2, GJB6, KCNQ4, LHFPL5, MT-TS1, MYO15A, MYO6, MYO7A, OTOF, PCDH15, POU3F4, SLC26A4, STRC, TECTA, TMC1, TMIE, TMPRSS3, TRIOBP, USH1C, and WFS1 genes.
Because of the large number of genes associated with NSHL, there are a variety of genetic panels for hereditary deafness. Next generation genetic sequencing technology allows targeted sequencing of multiple genes simultaneously, expanding the ability to examine multiple genes. These panels are alternatives to sequencing of individual genes such as GJB6 and GJB2. Some examples of these panels are given in Table 3. These panels include the most common genes associated with NSHL. They may also include many of the less common genes associated with NSHL, as well as genes that are associated with syndromic hearing loss.
Regulatory Status
No FDA-cleared molecular diagnostic tests were found. Thus, molecular evaluation is offered as a laboratory-developed test. Clinical laboratories may develop and validate tests in-house (laboratory-developed tests, formerly "home-brew") and market them as a laboratory service; such tests must meet the general regulatory standards of the Clinical Laboratory Improvement Act (CLIA). The laboratory offering the service must be licensed by CLIA for high-complexity testing. More than a dozen commercial laboratories currently offer a wide variety of diagnostic procedures for GJB2 and GJB6 genetic testing.
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.
Genetic testing for NSHL mutations (GJB2, GJB6 and other NSHL-related mutations—See Description section for more detail) in individuals with nonsyndromic hearing loss to confirm the diagnosis of hereditary nonsyndromic hearing loss may be considered medically necessary. The phenotypic presentation of NSHL varies, but generally involves the following features (see Description section for more information):
Preconception genetic testing (carrier testing) for nonsyndromic hearing loss (NSHL) mutations (GJB2, GJB6 and other NSHL-related mutations) in parents may be considered medically necessary when at least one of the following conditions has been met:
Genetic testing for nonsyndromic hearing loss mutations is considered experimental, investigational and/or unproven for all other situations.
Policy Guidelines
As of November 2013:
Tier 1 CPT codes:
81252 GJB2; full gene sequence
81253 GJB2; known familial variants
81254 GJB6; common variants
Tier 2 CPT codes:
81400, including ACTG1, PCDH15
81401, including MT-TS1
81402, including COL11A2
81403, including MT-TS1
81405, including DFNB59
81406, including PCDH15, SLC26A4
81407, including MYO7A, PCDH15
81408, including CDH23
Other mutations:
Literature Review
Literature was sought on genetic testing for hereditary hearing loss in the following areas: analytic validity (ability to detect a mutation that is known to be present and the ability to rule out mutations when they are absent); clinical validity (ability to detect a mutation in a patient with hereditary hearing loss, or to exclude a mutation in a patient without hereditary hearing loss); and clinical utility (the impact of a mutation on the management of patients and on relevant health outcomes).
Analytic validity
Sequencing analysis. The analytic validity of Sanger sequencing is known to be high. Although there is not a robust evidence base, it is reasonable to assume that sequencing has an analytic sensitivity and specificity that approaches 100% under ideal testing conditions.
The analytic validity of targeted panels, such as the available microchips for nonsyndromic hearing loss (NSHL) mutations that have been described, is less certain. The studies identified for this review are summarized in Table 3. These data are only available for some of the panels that are commercially available. In all cases where data were presented, the analytic sensitivity was >99%, and in the majority of studies it was 100%. The analytic specificity was 100% when it was reported, usually in a small number of normal individuals. Table 3 summarizes some of the commercially available targeted panels for hereditary hearing loss.
The largest of these studies was published by Abe et al. (15) This study included 338 patients from Japan with congenital or childhood onset hearing loss before age 10 years. The population included a broad range of patients with hereditary hearing loss, including those with inheritance patterns that were autosomal dominant, autosomal recessive, mitochondrial, or sporadic. A targeted microarray panel (Invader Assay) was used to detect genetic mutations, which included 41 mutations in 9 different genes, one of which was GJB2.
A total of 13,858 assays were performed. The correct genotype was identified after a single Invader analysis in 13,748 cases (99.2%). A total of 110 assays incorrectly identified the genotype. When these samples were re-assayed with a larger amount of DNA, 108/110 were correctly genotyped. The remaining 2 assays were invalid because of insufficient DNA.
Other studies used different patient populations and different panels of genes, but all included the GJB2 mutations as part of the panel. Despite the heterogeneity in populations and genes examined, the analytic specificity was 100% in these other studies. (16-18)
Section summary. There is limited evidence on the analytic validity of testing for NSHL mutations. When performed by direct sequencing, the analytic validity approaches 100%. When performed as part of a next-generation testing panel, the error rate is expected to be higher than for direct sequencing. However, the available evidence reports high sensitivity and specificity for available next-generation genetic panels, and the difference in accuracy between direct sequencing and targeted panels is not well-defined in the literature.
Table 2. Mutation Chips Including GJB2 and GJB6 Genes
Genes Tested; Mutations Tested
Analytic Sensitivity
Analytic Specificity
Hearing loss biochip (Murdoch Children's Institute, Australia) (18)
4; 15
Allele-specific PCR-based universal array (ASPUA), China (17)
4; 11
SoundGene screening panel (Pediatrix Medical Group, 2010, USA
Invader array, Japan (15)
9; 41
Hereditary hearing loss arrayed primer extension microarray (APEX array) (Stanford University Medical Center, USA)(16)
8; 198
Array CGC (CGC Genetics, 2010: USA, Portugal, Spain)
31; 312
Otochip: oligonucleotide hybridization Affymetrix Genechip Cutomseq sequencing microarray (Harvard Medical School/Cincinnati Children's Hospital, USA)(19)
PCR, polymerase chain reaction
Table 3. Genomic Mutations Panels for NSHL(8)
Partners Healthcare (OtoGenome™)(20)
Resequencing microarray
63 genes*; NA
University of Iowa Healthcare (OtoSCOPE®)(21)
Massive parallel sequencing
Stanford University (Hereditary Hearing Loss APEX) (22)
Single-basepair primer extension
8 ; 198
*This result is for version 1 of the OtoGenome Test™; an additional 52 genes will be added to the panel to increase clinical sensitivity
Clinical validity
A number of publications have evaluated the clinical sensitivity and specificity of genetic testing for NSHL. The clinical sensitivity is reported as the percent of patients with nonsyndromic hearing loss (NSHL) who have a pathologic genetic mutation, and the clinical specificity is reported as the percent of patients without NSHL who do not have a pathologic genetic mutation. The clinical validity will vary as a function of the number of different genes examined, and also by whether the population includes patients with hearing loss that is not strictly NSHL.
A representative sample of articles on clinical validity is given in Table 4. Studies were selected that were published within the past 10 years, had populations of primarily NSHL. Mixed populations that included patients with syndromic hearing loss, or with non-hereditary hearing loss were not included.
Table 4: Clinical Validity of Genetic Testing for Hereditary Hearing Loss
Testing Method/(Genes tested)
Clinical Sensitivity
Clinical Specificity
Dalamon 2010 (23)
Sanger sequencing (GJB2, GJB6)
De Oliveira 2007(24)
Sanger sequencing (6 genes, including GJB2 and GJB6)
Duman 2011 (25)
Targeted microarray (38 genes)
Green 1999 (10)
Sanger sequencing (GJB2)
Joseph 2009 (26)
PCR/sequencing (GJB2)
Siemering 2006 (18)
Targeted microarray (15 mutations)
In general, these studies indicate that the clinical sensitivity is low to moderate and the clinical specificity is high. There is a high degree of variability among these studies in the type of sequencing used and the number of genes examined. For example, the study with the highest sensitivity (62%), Duman et al. 2011, tested for mutations on 38 different genes, which was the highest number examined in any of these studies. The other studies generally tested for one or several genes, and reported lower sensitivities in the range of 30-40%.
Section summary. There is some data on clinical validity, but it is incomplete. The available studies indicate that a substantial percent of patients with NSHL will have a pathologic mutation (clinical sensitivity). This rate varies widely in available studies due to differences in specific genes tested, patient population used, and the type of genetic testing performed. As a result, the clinical sensitivity is not well-defined. There is limited information on the clinical specificity. Some studies with relatively small numbers of normal individuals have reported specificities approaching 100%.
Clinical utility
There are several potential ways in which genetic testing for NSHL may have clinical utility. For this policy review, clinical utility will be considered in the following areas:
Diagnostic test for etiology of NSHL. Genetic testing in patients with NSHL can be performed to confirm the diagnosis of hereditary hearing loss, which is distinguished from acquired hearing loss. There is no direct evidence on the impact of genetic testing on outcomes when used as a diagnostic test in this manner. Therefore, an indirect chain of evidence is considered to determine the impact on health outcomes.
The high analytic sensitivity indicates that if a genetic mutation is present and included within test repertoires, it is very likely to be detected by current testing methods. The high analytic specificity indicates that if a genetic mutation is absent, a false-positive result on genetic testing is very unlikely to occur.
Therefore, a positive genetic test with a known pathologic mutation indicates that hereditary hearing loss is present with a high degree of certainty. In contrast, the low to moderate clinical sensitivity indicates that a negative test is not definitive for ruling out hereditary hearing loss. False-negative results on genetic testing are not uncommon, therefore the utility of a negative test in discriminating between hereditary and acquired hearing loss is low.
In order to have clinical utility, the confirmation of the diagnosis must be accompanied by changes in clinical management that improve outcomes. No published evidence was identified to evaluate whether management changes occur, and no clinical practice guidelines were identified that recommend these actions. However, the confirmation of a genetic basis for NSHL may be useful in differentiating NSHL from other causes and deafness, and thereby precluding other testing such as computed tomography (CT) or magnetic resonance imaging (MRI). It has also been suggested that specific mutations should prompt additional action. For example if a KNCQ1 mutation is found, additional cardiac workup may be warranted since mutations in this gene are also associated with cardiac rhythm abnormalities. In addition, genetic counseling can provide patients and families with further information and assistance on issues such as reproductive decision making.
Genetic testing has also been proposed as a method to predict response to cochlear implantation. Expression of GJB2 and GJB6 is in the cochlea. In addition, patients with NSHL mutations have been found to have intact spiral ganglion cells in the cochlea. Intact spiral ganglion cells have been associated with success following cochlear implantation. These factors lend credence to the theory that patients with GJB2 and GJB6 mutations may have a favorable prognosis following cochlear implantation, and that patients with other mutations or without a documented mutation may have a less favorable prognosis.
The evidence on this question consists of several small, retrospective, single center studies that compared outcomes of cochlear implantation in patients with and without genetic mutations. Two small series from Japan initially reported that hearing outcomes were superior in patients with genetic mutations. Fukushima et al. compared 3 patients with genetic mutation to 4 patients without mutations. (27) Patients with GJB2 mutations had a larger vocabulary compared to patients without a mutation (1,243 words versus 195 words), and a higher mean developmental quotient. Matsushiro et al. evaluated 15 patients with hearing loss, 4 with genetic mutations and 11 without. (28) These authors reported that speech perception was higher among patients with mutations compared to those without.
At least 2 similar series have been published in the U.S. Sinnathuray et al. published 2 articles on overlapping series of patients who were treated with cochlear implants. (29, 30) In the larger series, 38 patients were included, 14 patients with genetic mutations and 24 without. A standardized measure of speech, the Speech Intelligibility Rating (SIR) score, was used as the primary outcome measure. At 1 year, the median SIR scores were higher in the patients with GJB2 mutations (median 3, range 2-4) compared to patients without mutations (median 2, range 1-4), and the difference between the 2 groups was statistically significant (p=0.007). The percent of patients achieving intelligible speech was 82% in the GJB2 group compared to 30% in patients without mutations (p=0.02).
In a second U.S. study by Connell et al., (31) the above findings were not completely replicated. This series included 31 patients with congenital hearing loss, 12 with genetic mutations and 19 without. The main outcome measure was speech perception category ranging from 1 to 6. The mean speech perception category was not different between patients with and without mutations (4.1 versus 4.9 respectively, p NS). The percent of patients achieving speech perception category 6 was higher in the mutation group (75% versus 53%), but statistical testing for this difference was not performed. On multivariate analysis, the variability in speech perception was explained primarily by the length of time since cochlear implantation, and cause of hearing loss was not a significant predictor of outcomes.
Section summary. Hereditary hearing loss can be confirmed if genetic testing reveals a pathologic mutation known to be associated with NSHL, but a negative genetic test does not rule out hereditary NSHL. For the individual patient, there is no evidence from literature and no specialty society guidelines that recommend specific actions or changes in management as a result of a positive genetic test. However, the use of genetic testing can streamline the diagnostic workup, and knowledge of specific mutations may prompt further action such as referral to specialists. Also, genetic counseling can be provided and may impact future decisions by the patient in areas such as reproductive planning.
It is possible that the presence of a genetic mutation, and/or the presence of a specific type of mutation, is associated with the degree of response to cochlear implantation. This evidence is from small case series and therefore is not definitive. In addition, there are not treatment guidelines that recommend genetic testing as part of the decision to perform a cochlear implant. Therefore it is not possible to conclude that genetic testing has clinical utility in predicting response to cochlear implantation.
Carrier testing. Parents who are contemplating having children may desire to know the probability of hereditary hearing loss. This is most relevant when parents have had a previous child with hearing loss, or when there is a strong family history of NSHL. In this situation, testing of the index case for a genetic mutation can first be performed. If a pathologic mutation is found, then targeted testing for that specific mutation can be performed in the parents to confirm the presence of the carrier state, and to determine the risk of NSHL in future offspring. The specific mutation identified will give substantial information on the usual inheritance patterns, and the probability of a future offspring being affected.
Carrier testing can also be performed in parents who do not have an offspring with hereditary hearing loss. If there is a strong family history of hearing loss, the likelihood of a genetic mutation is increased, but is still considerably less than for parents with a child who has hereditary hearing loss. For individuals with neither a family history of hearing loss nor an offspring with hearing loss, the probability of detecting a pathologic mutation is much lower. For individuals with a low pre-test likelihood of being a carrier for a NSHL mutation, the positive and negative predictive values of testing is not certain. Since the clinical specificity is not well established, it is not possible to determine the likelihood that a positive result represents a true positive versus a false positive. At prevalences that approach the population rate, it is possible that a substantial number of positive results are false positives, even in the presence of a low false-positive rate.
Carrier testing has clinical utility if it aids in reproductive decision making. Parents may decide to change their plans for attempting pregnancy based on results of genetic testing. Carrier testing, combined with preimplantation genetic testing and in vitro fertilization, may be effective in reducing the number of infants born with hereditary NSHL. While there is no direct evidence that carrier testing leads to a higher percentage of live births without NSHL, there is evidence from other disorders, such as Tay-Sachs disease and cystic fibrosis, that carrier testing can result in a decrease in offspring with those disorders. Theoretically, a similar decrease should be expected with carrier testing for NSHL.
Carrier testing is most accurate when the mutation in the index case with NSHL is known. In those cases, targeted mutation testing for a single mutation can be performed in lieu of comprehensive genetic testing for the full range of mutations associated with NSHL. Targeted testing has a higher accuracy for confirming and excluding the presence of a pathologic mutation. It is particularly useful for excluding the presence of a mutation, since comprehensive testing has a suboptimal sensitivity and negative predictive value. Therefore, targeted testing can rule out a genetic mutation with certainty whereas comprehensive testing cannot.
Section summary. Carrier testing can be performed in parents who are planning offspring to determine their likelihood of a child with NSHL. If there is a previous child with NSHL, there is a high likelihood of subsequent offspring having NSHL. In other situations, a family history of NSHL is sufficient to conclude that the likelihood of an offspring with NSHL is increased. Examples of these situations are when a first- or second-degree relative has NSHL, or when a first-degree relative has an offspring with NSHL. Carrier testing has clinical utility in these high-risk situations when used as an aid in reproductive decision making. Carrier testing is most useful when the specific mutation causing NSHL in the family is known, since targeted mutation testing is more accurate than comprehensive testing, and can confirm or exclude the presence of a mutation with higher certainty.
Because of the low prevalence of mutations in unselected populations, the positive predictive value of finding a mutation is not known in unselected populations and the value of carrier testing is uncertain for these individuals.
In 2013, Blue Cross Blue Shield Association (BCBSA) received clinical input on the medical necessity indications and the clinical utility of carrier testing. There was support for testing the index case to confirm NSHL among a majority of reviewers. Reviewers in favor of genetic testing cited the ability to distinguish NSHL from other causes of hearing loss, to streamline the diagnostic workup and avoid further unnecessary testing and to provide referrals to specialists when specific types of mutations were identified that are associated with disorders in other organ systems. It was considered that two contextual factors were present: barriers to performing high-quality trials, and the potential to reduce harms by avoiding unnecessary testing.
Genetic mutations in GJB2, GJB6, and numerous other genes are found in a substantial percent of patients with nonsyndromic hearing loss (NSHL). The analytic validity of genetic testing for NSHL is high. Of all patients with suspected NSHL after clinical examination, a substantial minority, in the range of 30-60% will be found to have a genetic mutation. False-positive results on mutation testing are expected to be very low.
There are several situations for which there is potential clinical utility of testing for NSHL mutations. For diagnosis alone, there is a lack of evidence from the literature or from clinical practice guidelines on specific management changes that result from genetic testing. The results of BCBSA's clinical vetting demonstrated support for genetic testing to differentiate NSHL from other causes of hearing loss, and to improve the efficiency of the diagnostic workup by avoiding unnecessary testing. BCBSA's clinical vetting also suggested that knowledge of specific mutations may lead to further management changes, such as referral to specialists. Therefore, genetic testing to confirm the diagnosis of hereditary NSHL may be considered medically necessary.
For parents at high risk of an offspring with NSHL, genetic testing can be useful as an aid in reproductive decision making. Parents may alter their attempts at pregnancy following testing, or can increase the likelihood of a birth free of genetic mutations through preimplantation genetic testing followed by in vitro fertilization. Based on the available evidence and results of clinical vetting, genetic testing for NSHL carrier status may be considered medically necessary when one of the following is present: 1) an offspring with hereditary NSHL, 2) one or both parents with suspected hereditary NSHL, 3) A first-degree relative with an offspring who has hereditary NSHL, 4) a first- or second-degree relative with NSHL, and the parents desire to have further offspring and wish to know the likelihood of another offspring with NSHL. Therefore, carrier testing of parents for mutations associated with NSHL may be considered medically necessary in these populations.
Practice Guidelines and Position Statements
The American College of Medical Genetics released a position statement in 2002 (4) recommending:
The Joint Committee on Infant Hearing issued recommendations in 2007 (14):
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.


text:
7.16 out of 10 (what is this?)
• smartwomantrav • smartwomentrav • 40425531@N07 • CarolMargolis •
Public Records
Carol Margolis smartwomantrav, smartwomentrav Social Search
Find Hidden Profiles & Photos on Facebook, Instagram & More...
Arrest Records
Search Their Arrest Record, Driving Record, Marital Status and More...
Possible Username
Social Profiles and Hidden Pictures for smartwomantrav
Social Profiles and Hidden Pictures for smartwomentrav
As founder of Smart Women Travelers, Inc. and Business Travel Success, Inc., Carol shows travelers, for business or pleasure, how to travel with less stress, increased productivity and more confidence. Carol is the author of Business Travel Success...How to Reduce Stress, Be More Productive and Travel With Confidence, is a speaker and consultant to meeting planners, the travel industry and companies and organizations with business travelers. She leads seminars to show business travelers how to live their life successfully while on the road, and consults with the travel industry on how to attract more business travelers. Project Manager professional with over years of global system implementations experience and years of successful hands-on Oracle HCM implementations. Specialties Travel Business Travel Speaking, Consultant, Author, Project Management Oracle HCM

subset: commoncrawl


text:
Cheap LBV to Bonaventure flights
Popular Flights from Libreville, Gabon
Top Libreville Flights to US Destinations
Top Libreville International Destinations
Popular Flights from Bonaventure, Quebec
Top Bonaventure Flights to US Destinations
Top Bonaventure International Destinations
LBV to YVB Route Map
Libreville to Bonaventure Flights, Stats and Airplanes
Route information for flights from Leon M'ba Intl. to Bonaventure PQ.
5,500.33 miles
LBV - Leon M'ba Intl. Airlines
Browse the most popular airlines servicing the Libreville (LBV) airport. Visit their flights pages to learn more about the most popular routes these carriers fly.


text:
Help, I need some advice.
Have decided to blue print another engine for my "77 MG. I could go through the whole execise of rebore, pistons and rings, head upgrade etc.
OR I could buy a 2000cc stage 2 Performance unit. OR a stage 2 head on a rebored 1.8 to 2000 with a new cam and carbs.
Does any know the best way to go about this convertion.


text:
Receive Breaking News updates as they occur
While many voters in Ireland's referendum on introducing same-sex marriage were strolling around Dublin wearing "Yes" stickers Friday, many "No" voters were quietly keeping it to themselves. The heated campaign has stirred emotions on both sides, with many voters in both camps wary of voicing their standpoint for fear of being dragged into an emotion-fuelled argument. Final opinion polls suggested the "Yes" camp was heading for victory, but campaigners warned against complacency, wary of a large block of 'shy' "No" voters reluctant to disclose their opposition.
Janet Yellen said Friday she expects the Federal Reserve to begin raising interest rates "at some point this year," saying delaying the long-awaited move risks the economy overheating. The comments came two days after minutes of the Fed's policy board made clear that slow economic growth in recent months meant it was not expecting to increase the benchmark Fed funds rate before late July, despite earlier forecasts of a mid-year hike. Yellen said she expects the economy to bounce back from the stall in the first quarter, which she attributed to "transitory" factors like severe weather and labor disputes at West Coast ports.
Macabre heavy metal giants Slayer have announced a new album to come out on September 11, the band's first since the death of founding member Jeff Hanneman. Slayer, known for intensely dark lyrics, faced a backlash in 2006 over a song about the September 11 attacks entitled "Jihad," which took the point of view of the Al-Qaeda assailants and quoted plot leader Mohammed Atta. "Repentless" is Slayer's first album since 2009 and the first since guitarist Hanneman's death two years ago.


text:
Mon-Fri: 7am-1am EST / Sat-Sun: 7am-11pm EST
ApplianceMaytag Range
Level of DifficultyA Bit Difficult
Time to do repair30 - 60 mins
Age of Appliance5 - 10 years
Screw driversSocket set
6 out of 10 people found this instruction helpful
we removed the old cook top sixteen screws and four bolts was removed put the new top back on and put all the screws and bolts back in job done
Help other customers find the most helpful instructions.
Were these instructions helpful?
Part Number: PS336606
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:
If any cheese embodies September, it's aged Gouda. Its color mirrors the hues you see at farmers' markets this time of year -- in butternut squash, Indian corn, Bosc pears, cider.
I asked cheese lovers from across the United States to send in a picture and description of a local cheese board. They had to create it themselves, and in addition to local cheese they could add local specialties – beer, wine, produce, etc.
Back in July, I decided to host a contest – I wanted to support readers from around the United States who are committed to exploring local cheese. So the folks at Di Bruno Bros. and I decided to offer a copy of our book, The Di Bruno Bros. House of Cheese, to one person from each of the 50 contiguous United States. The best "state cheese board" would win a free book.
All my life I've avoided Provolone – to me, it's always been a "meh" cheese, a bland, moonish slab that I associate with deli counters. Then I went on a book tour with Emilio Mignucci, Mr. Tastebuds of Di Bruno Bros., and wasn't I surprised to learn that the ONE wedge Emilio always has in his home fridge is Grandé Aged Provolone?
Next week the Di Bruno book tour crew heads to Madison, Wisconsin for the annual American Cheese Society Conference. Come join us at one of our three book events to celebrate The Di Bruno Bros House of Cheese: A Guide to Wedges, Recipes, and Pairings, written by yours truly:
This month, we're on a mission to give away copies of our new book, The Di Bruno Bros. House of Cheese, to 48 cheese lovers around the United States. We're calling it the "United States of Cheese Plates Giveaway."
Behind the scenes at any cheese counter, there are rockstars – cheeses with fan clubs, particularly among the staff. I'm talking about cheeses that inspire tattoos, baby names, pilgrimages, and the like.
Book events for July and August.
They're stinkers. There's no other way to describe washed-rind cheeses as a category. Since so many artisan cheesemakers in the United States are exploring this style – from Doe Run Dairy's new Bathed in Victory (PA) to Canal Junction's Charloe (OH) – I thought I'd offer a few pointers about identifying and tasting this full-bodied favorite.
Hey there, cheese lovers. Our new book, Di Bruno Bros. House of Cheese: A Guide to Wedges, Recipes, and Pairings, is out and we've got a load of upcoming events where we'll be showing it off. Come join us for a gander and nibble!


text:
Key things you need to know aboutDr. Austad:
Dr. Austad's Experience
Research training, expertise and qualifications
Dr. Austad's Specialties
- Dentistry
- View 1 specialty
Procedures Dr. Austad Performs
- Dental Cleaning
- Dental Crown
- See all 8 procedures
Conditions Dr. Austad Treats
- Dental Disorders
More About Dr. Austad's Background
Patient Satisfaction
Patients' feedback on their experience with Dr. Austad
Likelihood of recommending Dr. Austad to family and friends is 4.8 out of 5 5 1 5
See More Survey Results
Appointments & Offices
Check insurance plans, locations and make an appointment
- Thomas Austad's Office
- 1737 N 2000 W Ste G
- Clinton, UT 84015
Oops, you entered a bad link for Dr. Austad!
The link you entered contains bad characters or identifiers. Please enter the link exactly as it appears in your email or text message.
Thank You
This confirms that we have received your survey about Dr. Austad. Please note: it will take 24 hours for your survey results to show up on the doctor's profile.
Thank You
Our records show that you have already confirmed your survey for Dr. Austad. Please note: it takes 24 hours for your survey results to show up on the doctor's profile.


text:
More discoveries, more Miles, more luxury. Browse our current offers below or log into your Emirates Skywards account to see at a glance all the offers available for your tier. We add new offers all the time so remember to check back for the latest deals.
Enjoy 7% saving on your next holiday
Expires 31 Jul 15
For UK & Europe students from TWD 14,500
Expires 31 Oct 15
Triple Miles, 15% off, upgrade and more
Expires 30 Jun 15
A warm welcome to our new members
One combined ticket to North America
Expires 31 Dec 15
Extend your travels in the Middle East
Expires 31 May 16
Maximise your Skywards Miles
Double Miles and 15% off selected rentals
Bonus Miles, upgrade, breakfast and more
Expires 25 Jun 15
Double Skywards Miles everywhere
Expires 31 May 15
Enjoy triple Miles and a room upgrade
Expires 31 Aug 15
Triple Miles, 30% off and Wi-Fi
Quadruple Miles, 10% off and more
Visit us at
Subscribe to email
© 2015 Emirates. All Rights Reserved.


text:
Department > Clothing > Collections > Adidas Skate Copa Collection >
Adidas Gonz Slip Shoe World Cup
Available Colors:World Cup
Additional Views:
Available Sizes:Select a Size
Availability: Select a Size/Color
Notify Me! The product you are searching for is out of stock. If you wish us to notify you when the product is in stock please submit your name and email.
Gonz Slip Sh
© 2000-2012 ASLU LLC. all rights reserved


text:
Legendary Shotguns
Edit Page Last Edit: 2 years 5 months ago
A list of the Legendary Shotguns, where they are found, and any special properties they may have.
|Enemy Dropped From
|Special Properties
|Conference Call
Slot Machine
|Vault of the Warrior
| "Let's just ping everyone at once."
Low pellet count. When fired, main spray projects forward as normal, but an additional two streams of pellets fly across the screen perpendicular to initial shot. Forms a "T" pattern.
|Old Slappy
|Highlands Outwash
| "Fandir? Thirteen."
Very high accuracy, low spread shotgun. Like all other Jakobs shotguns, fires as fast as trigger is pulled. Grants additional Critical Damage, often around the magnitude of 72% additional Crit. Damage.
| Wildlife Exploitation Preserve
| "Kiki got a shotgun."
When reloaded, shotgun is thrown like other Tediore weapons. Discarded weapon then homes in on enemies while firing remaining ammo and explodes on contact.
|The Warrior
|Vault of the Warrior
| "Flak the World"
Many projectiles are fired in a flak-like pattern in the direction in which the player is facing.
|Sledge's Shotgun
|Smash Head
|The Fridge
| "The Legend Lives."
Fires two shots in rapid succession. High pellet count. May be accompanied by a random elemental status effect.
What Links Here
From Around The Web
You must be logged in to post a comment.blog comments powered by Disqus
Top Wiki Contributors
Edits: 1,246
Edits: 1,031
Edits: 952
Edits: 932
Wiki Help
Need assistance with editing this wiki? Check out these resources:
Expand Navigation


text:
Arlington Purses to be Based on Field Sizes
By Bob Kieckhefer
Arlington Park and Illinois horsemen have agreed to tie individual race purses to field size this year in an effort to ensure more bettable races.
Arlington general manager Tony Petrillo said bigger fields benefit all parties. "The reduced wagering on short fields results in a significant loss of handle and purse money generated for the horsemen," he said. "The banking program will allow us to maintain a sustainable purse structure at the most competitive time of the year."
Copyright © 2015 The Blood-Horse, Inc. All Rights Reserved.


text:
Ca' de Baran Apartments Reviews
- Info
- |
- Rates
- |
- Map & Directions
- |
- Reviews
- |
- Facilities
Reviews & Ratings Explained
The rating percentage is calculated from customers who booked within the last 12 months.
All ratings and reviews are based on the feedback and opinions of the customers who submitted them and do not express the opinions of Hostelworld.com. This way, you get an up-to-the-minute opinion of just how good a hostel really is.
Read our review guidelines »
Amazing location in the middle of Manarola village, 50m from the sea as advertised. Easy to find from the train station. Great value for money.
- Avid Traveller
- Anonymous
- Australia
- Female, 25-30
- (13 reviews)
We could hear the trains all the time it is very close to the railway line
- Novice Nomad
- Anonymous
- South Africa
- Male, 41+
- (1 review)


text:
Daily Kos memberGive a gift subscription to this user
JenniferInOK's Profile
Home Page: http://www.skippydoodlesadventures.com
Comments posted: 61 (526 days since last comment on Wed Dec 18, 2013 at 04:42 PM PST)
Diary frequency: never
Comment frequency: often
Total Recommends: 0
Total Comment Ratings: 90
People Following JenniferInOK: 0
JenniferInOK's Most Recent Diaries:
|This user has not yet authored any diaries.
Recommended by JenniferInOK
- What a wild story we have here in 1% Jokes and Plutocrats In Drag: What I Saw When I Crashed a Wall Street Secret Society, by Kevin Roose in the New York Magazine. This expose of the secret ...300 comments 626 Recs
- Well here's a heartwarming day-after-Christmas story . Dr. Mary Pham, a resident of Irvine, California, decided last April to show her support for the LGBT community by raising a rainbow flag. Not ...318 comments 596 Recs
- Scientists have found that mercury is "wafting" out of oil sands operations in NE Alberta. Oilsands development in northern Alberta, Canada. CREDIT: Shutterstock According to Canada.com ...100 comments 289 Recs
- In 1956 then-President Dwight David Eisenhower, a Republican, signed the National Interstate and Defense Highways Act . Construction of the Interstate highway system began ...134 comments 158 Recs
- After the most recent charges against George Zimmerman were dropped , he announced he was broke and put a "George Zimmerman original painting" for sale on eBay. As of this morning, the highest bid ...58 comments 6 Recs
- That bird's gonna poop on Free Enterprise? Let's kill it. Dear God, no. I realize that attempts to ...126 comments 98 Recs
- It began innocently enough. I was having a conversation in the laundry room with one of my neighbors down the hall. He's a single guy in his 40s who works as a security guard. I asked him how ...397 comments 331 Recs
- in fact, you yourself are much more like former South African President Botha, fighting to return us to a system of Medical Aparthied - to torture the analogy - that we've been suffering under for ...87 comments 137 Recs
- The Koch Brothers are crying uncle. They have abandoned the Tea Party government shutdown strategy. In fact they make the claim in their letter (the entire letter can be found below) that, Koch has ...218 comments 336 Recs
- Nancy Salgado interrupted a speech by Jeff Stratton, President of McDonald's USA, LLC, telling him she's worked for McDonald's for 10 years and can't even afford to buy shoes for her two children. ...116 comments 254 Recs
JenniferInOK's Tags
- No current results.
JenniferInOK's Blogroll
- No current results.


text:
Global Health Equity Scholars Program
The Global Health Equity Scholars (GHES) program offers a unique international experience for postdoctoral fellows, and advanced PhD and professional school students. It provides one-year research training fellowship opportunities in global health at top-ranked, NIH-funded centers abroad.
The GHES program is one of five supported by the Global Health Program for Fellows and Scholars funded by the Fogarty International Center at NIH. This program brings together a consortium that includes the University of California, Berkeley, Florida International University, Stanford University, and Yale University.
This program supports a one-year mentored research fellowship for trainees to study slum-related health topics/challenges. Fellows will spend eight to ten months in low-resource settings at one of the 20 program project sites. The research topics can range from infectious diseases to non-communicable chronicle diseases, environmental health, mental health, urban planning, engineering, education and others.
This fellowship is designed for citizens or permanent residents of the U.S. Low- and middle-income country scholars who work at a pre-approved fellowship international site are also eligible. The deadline for this round of awards has been extended to December 15, 2014. For more information on eligibility, specific aspects of the fellowship award, and an application, please visit http://ghes.berkeley.edu/.
Yale Sites
Additional sites include:
- Bangladesh:International Center for Diarrheal Diseases Research (Michele Barry and Steve Luby, Stanford)
- China: Environmental health and dam construction (Robert Spear and Edmund Seto, UC Berkeley)
- India:Environmental health and air pollution (Kirk R. Smith, UC Berkeley)
- Kenya:Infectious diseases in urban vs. rural slums (Michele Barry and Brian Blackburn (Stanford)
- Nicaragua:Dengue, influenza transmission (Eva Harris, UC Berkeley)
- Zimbabwe:AIDS prevention; STDs (David Katzenstein, Stanford)


text:
Email: email@example.com | Twitter: @WWLTV
NEW ORLEANS -- A faithful pooch struck by a bullet protecting his family is out of the hospital and back at home.
After 36 hours of surgery, veterinarians were able to save Zeus. The doberman was shot in the mouth by an intruder about two weeks ago.
His owners couldn't afford the thousands of dollars in medical bills for his surgery. That's when the Humane Society of Louisiana stepped in, collecting donations locally and across the country to help out.
'It just lets me know that people are still good. You hear a lot of bad things that go on in the world, but there are a lot of good people. Times like this they really came together, and I'm just thankful and grateful,' said Henry McCaskill, the dog's owner.
Once Zeus' medical bills are paid for, his owner says the remaining money will go towards helping dogs across the state who've been victims of abuse or neglect.


text:
Alpha DC Plus - Shaky Base Problem
Did anyone who owns a pioneer dc/dc+/revo develop a problem with the rotating base of the machine becoming shaky? I tighten the little horizontal screw underneath the rotating base and it seems fine until I spin it, maybe once or twice, and it becomes loose again. Any suggestions?
does it rock from side to side... like a see-saw?
yep, side to side depending on how I shake it.
bumpity bump
shaky base
Remove rotating base,cleanshaft and washer with alcoholand coat both with a heavy grease. This worked for me.
|All times are GMT -8. The time now is 05:55 PM.
Powered by vBulletin® Version 3.8.8
Copyright ©2000 - 2015, vBulletin Solutions, Inc.
© 2006 - Tennis Warehouse


text:
Suggested Reading on Anxiety by Our Doctors
Related Diseases & Conditions105 articles
Lyme Disease
- Lyme disease is a bacterial illness, which is spread by ticks when they bite the skin. Initially the disease affects the skin causing a reddish rash associated
Muscle Spasms
- Muscle spasms are involuntary muscle contractions that come on suddenly and are usually quite painful. Dehydration, doing strenuous exercise in a hot environment,
- Rosacea is a skin disease that causes redness of the forehead, chin, and lower half of the nose. In addition to inflammation of the facial skin, symptoms
Intestinal Gas (Belching, Bloating, Flatulence)
- Gas or "intestinal gas" means different things to different people. Everyone has gas and eliminates it by belching or farting (flatulence). Bloating is
Chronic Rhinitis and Post-Nasal Drip
- Allergic rhinitis symptoms include an itchy, runny nose, sneezing, itchy ears, eyes, and throat. Seasonal allergic rhinitis (also called hay fever) is
Restless Leg Syndrome
- Restless leg syndrome (RLS or restless legs syndrome) is a common cause for painful legs that typically eases with motion, and becomes worse and more noticeable
Dry Mouth (Xerostomia)
- Dry mouth is a common side effect of many prescription and non-prescription drugs and certain medical conditions. Symptoms of dry mouth include a sticky,
Wisdom Teeth
- Wisdom teeth are the third set of molars that people get in their late teens or early twenties. Impacted wisdom teeth that only partially erupt allows
- Fatigue can be described in various ways. Sometimes fatigue is described as feeling a lack of energy and motivation (both mental and physical). The causes
Burning Mouth Syndrome (BMS)
- Burning mouth syndrome (BMS) is a condition that causes pain in the mouth. BMS may be caused by menopause, dry mouth or allergies. Signs and symptoms include
Panic Attacks
- Panic attacks are sudden feelings of terror that strike without warning. These episodes can occur at any time, even during sleep. A person experiencing
Tension Headache
- A tension headache is a headache previously thought to be caused by contraction of the muscles in the back of the neck, on the scalp, and sometimes in
- Fibromyalgia is a chronic pain condition characterized by symptoms such as fatigue, sleep disturbances, and tender points. Stress reduction, exercise,
PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infections)
- PANDAS is in part caused by an autoimmune response to a strep infection. Symptoms mimic those of OCD, ADHD, and include motor and verbal tics. Treatment
Parkinson's Disease
- Parkinson's disease is a slowly progressive neurologic disease characterized by a fixed inexpressive face, a tremor at rest, slowing of voluntary movements,
- Stress occurs when forces from the outside world impinge on the individual. Stress is a normal part of life. However, over-stress, can be harmful. There
- Cancer is a disease caused by an abnormal growth of cells, also called malignancy. It is a group of 100 different diseases, and is not contagious. Cancer
Sleep Apnea
- Sleep apnea is defined as a reduction or cessation of breathing during sleep. The three types of sleep apnea are central apnea, obstructive apnea (OSA),
- Rabies is a viral disease that is transmitted via the bite of an infected animal. Symptoms include fever, headaches, and weakness. Treatment involves a
- Alcoholism is a disease that includes alcohol craving and continued drinking despite repeated alcohol-related problems, such as losing a job or getting
Jet Lag
- Jet lag (desynchonosis) is a temporary disorder that results from travel across time zones. Symptoms include anxiety, constipation, headache, nausea, dehydration,
Drug Abuse
- Drug addiction is a chronic disease that causes drug-seeking behavior and drug use despite negative consequences to the user and those around him. Though
Dissociative Identity Disorder
- Dissociative identity disorder (formerly known as multiple personality disorder or split personality disorder) is a mental illness in which a person has
- Depression is an illness that involves the body, mood, and thoughts and affects the way a person eats and sleeps, the way one feels about oneself, and
Sexual Addiction
- The term sex addiction describes the behavior of someone who has an unusually strong sex drive or sexual obsession. Sex and thoughts of sex dominate a
Head and Neck Cancer
- Head and neck cancer is cancer of the oral cavity, salivary glands, paranasal sinuses and nasal cavity, pharynx, larynx, or lymph nodes in the upper part
Mitral Valve Prolapse (MVP)
- Mitral valve prolapse (MVP) is also also known as "click murmur syndrome" and "Barlow's syndrome." Mitral valve prolapse is the most common heart valve
Erectile Dysfunction (ED, Impotence)
- Erectile dysfunction (ED, impotence) is the failure to achieve or maintain an erection. There are many potential underlying causes of erectile dysfunction,
Indigestion (Dyspepsia, Upset Stomach)
- Dyspepsia (indigestion) is a functional disease in which the gastrointestinal organs, primarily the stomach and first part of the small intestine, function
- See All Related Diseases & Conditions »
- Lyme Disease
Medications28 articles
Procedures & Tests1 articles
Pictures, Images & Quizzes16 articles
Doctor's & Expert's Views22 articles
Health News480 articles
Health Features31 articles
Depression Newsletter
Sign up to stay informed with the latest depression-related updates on MedicineNet delivered to your inbox FREE!
BONUS! Get a Free PDF Depression Health Report when you sign up!*Privacy Policy


text:
Cairns, Australia
My Rating
The most amazing experience of my life. I want to do this again!
I did feel scared beforehand but the tandem guys were brilliant.
The adrenalin rush was unbelievable. And the view!!!
If you do one thing in Cairns - do the skydive.
The most memorable experience of my Aus travels.
Cairns, Australia
My Rating
Great tour at the beginning of a Cairns visit to orientate you.
The guide was friendly and knowledgable.
Good value for money and the cream tea was delicious.
Brisbane, Australia
My Rating
Tour did not go ahead as I was the only one booked on it.
They upgraded me to the Moreton Island Adventure Day. AWESOME. 5 STAR RATING.
A ferry to the island, snorkelling at the wreck (amazing fish), tasty lunch then sand surfing.
I still cannot believe I surfed down that sandblow on a piece of waxed hardboard!
I would never have chosen to go on this trip (I am 60) however I had a fantastic day and loved every minute.
Brisbane, Australia
My Rating
Great experience. Fab view. Fun activity for all. I did the night climb.
Good value for money.
I have already done Sydney so NZ here I come.
Just a pity they did not give an experience certificate!
However the pics were fairly cheap to buy and were good quality.
Some content licensed under a Creative Commons Attribution 3.0 License.
© 1997–2015 Viator, Inc. 330215 All rights reserved. Viator is a registered trademark of Viator, Inc.
is a Service Mark of Viator, Inc. Travel with an Insider is a Service Mark of Viator, Inc.
Use of this website constitutes acceptance of Viator's Terms & Conditions.
Viator uses cookies to improve your experience on our website. Learn more about how we use cookies and how to change your cookie settings | Close message


text:
Tandoori Chicken with Brown Rice
- Preheat oven to 400 degrees.
- Place chicken in a 9x9 baking dish and pierce chicken pieces with a fork all over.
- In a small bowl, whisk together lemon juice, yogurt, garlic, cumin, paprika, turmeric, ginger and pepper.
- Add mixture to chicken, turning to coat, let stand 20 minutes (or refrigerate overnight). Bake for 15 minutes, turn chicken and bake 15 minutes more.
- While chicken bakes prepare rice to package instructions.
- Serve chicken over rice.
Additional Tips
Leftover ingredients? Use them in these recipes!
- Asian Marinated Vegetable Salad with Citrus Vinaigrette
- Cantaloupe Cucumber Gazpacho
- Citrus Ginger Honey Glazed Salmon
- Pork and Cabbage Stir-Fry
- Tandoori Spiced Halibut with Steamed Vegetables
- Szechuan Chicken Stir Fry
- Tandoori Chicken with Brown Rice
- Simple Chicken or Shrimp Stir Fry
- Moroccan Chicken with Brown Rice and Sauteed Spinach
- Slow Cooker Sauerbraten
- Tangy Asian Salad Dressing
- Creamy Ginger Salad Dressing
- Chicken and Black Bean Tostada with Avocado Cream
- Crockpot Pulled Orange Chicken Tacos with Pickled Vegetables
- Fish Sticks with Tartar Sauce
- Kid-Friendly Chicken Enchiladas with Black Beans and Corn
- Apple and Walnut Chicken Salad with Green Salad
- Bacon Mushroom Mac and Cheese
- Cantaloupe Cucumber Gazpacho
- Chicken Pot Pie
- Creamy Chicken-Broccoli Casserole with Whole-Wheat Pasta
- Crockpot Lean BBQ Beef with Homemade Sauce and Sweet Potato Salad
- Mini Meatloaves with Low-Fat Creamed Spinach
- One-Pot Tuna Casserole with Green Beans and Almonds
- Salmon or Chicken Kabobs with Creamy Tzatziki Sauce
- Tandoori Spiced Halibut with Steamed Vegetables
- Zippy Southwest Chicken Fajita Salad
- Quick Chicken Chili
- Quick Chicken Fajitas with Black Beans & Spanish Rice
- Tandoori Chicken with Brown Rice
- Pan-Fried Pork Chop with Mashed Sweet Potatoes
- Salmon Bake with Creamy Cucumber Sauce
- Creamy Spinach Feta Dip
- Green Bean Casserole
- Zucchini Salad
- Creamy Ginger Salad Dressing
Nutritional Info
- Nutritional Analysis
- Per serving
- Calories Per Serving
- 243
- Total Fat
- 4.0 g
- Saturated Fat
- 0.5 g
- Trans Fat
- 0.0 g
- Polyunsaturated Fat
- 1.0 g
- Monounsaturated Fat
- 1.0 g
- Cholesterol
- 73 mg
- Sodium
- 162 mg
- Potassium
- 569 mg
- Carbohydrates
- 22 g
- Fiber
- 1 g
- Sugars
- 2.9 g
- Added Sugars
- 0 g
- Protein
- 28 g
- Calcium
- 78 mg
Recipe copyright � 2015 American Heart Association. This recipe is brought to you by the American Heart Association's Simple Cooking with Heart � Program. For more simple, quick and affordable recipes, visit heart.org/simplecooking.
Related Recipes
Moroccan Chicken with ...Try this special dish featuring the spices of Morocco!
Lemon Chicken and Cinn...This American chicken dish is so, so easy to make and let's just sa...
Orange Glazed Turkey w...Try this new take on traditional turkey.
Easy Oven Baked Chicke...This is a great recipe to ease you into the kitchen, or a reliable ...
Pollo GuisadoThis one-pot Dominican meal can be on the table in less than a...
Szechuan Chicken Stir FryThis recipe will get you to put that Chinese take-out menu back in ...
Related Videos
Butterflying ChickenLearn how to butterfly a chicken breast for heart healthy cooking i...
Chopping Bell PepperLearn how to bell peppers simply and neatly in this video from Amer...
How to Add Flavor Usin...Discover a world of flavor that exists outside the salt shaker. Fre...
Chopping or Mincing Ga...Learn how to chop or mince garlic with these quick tips in this vid...
Trimming ChickenLearn how to trim chicken (remove excess fat) like a chef in this v...
How to Cook Whole Grai...Fiber-rich whole grains contain all three parts of the natural grai...
How to Avoid Freezer B...With grocery prices at an all-time high, one of the easiest ways to...
View This Recipe on Mobile
Scan this QR code with your phone to take this recipe with you.
Scan this QR code with your phone to take this recipe with you.


text:
Presbyterian Partners From Malawi Arrive in Pittsburgh
By Matthew Santoni
Waving the flags of Malawi, about 30 Pittsburgh Presbyterians filled baggage claim J at Pittsburgh International Airport with a traditional Chichewa song of welcome for missionaries concluding a 19-hour flight Friday.
In their native tongue, eight men and 18 women from Malawi were greeted before being swept up in hugs, kisses and praise, kicking off a two-week visit from Africa that organizers hope will deepen a 17-year partnership and reinvigorate the Presbyterian church at home.
"It was a grand welcome," said Andrew Maere, deputy secretary- general of Malawi's Synod of Blantyre, which runs 430 Presbyterian churches and 600 smaller "prayer houses" in the southern part of the central African nation.
The partnership that brought them here pairs 39 Presbyterian churches around Pittsburgh with churches around Blantyre, sponsoring the exchange of hundreds of missionaries and hundreds of thousands of dollars in aid.
The church is losing congregants in the United States, but it's thriving in Africa, said Nora Goetz of Turtle Creek, co-chair of the partnership program. Malawians are able to show the Pittsburgh Presbyterians a deeper faith and their more exuberant form of worship, she said.
"They are clearly doing something right, because their churches are growing by leaps and bounds, whereas ours are shrinking," Goetz said.
Waiting for the bus to take them from the airport, two of the women led the group in a song telling people to be pleased doing God's work.
"We live with safeguards to fall back on like insurance and savings. All they can do is trust the Lord," Goetz said. "They know a lot more about faith than we do."
Since the partnership began, the Pittsburgh Presbytery has tried to incorporate some of the spirit of the Malawians' worship into their own contemporary services, said the Rev. Dan Merry, pastor of Southminster Presbyterian Church in Mt. Lebanon.
The Rev. Bill Paul of Ross said he got the idea to co-found the partnership in 1991 after several years of missionary work that included trips to Mexico, India, Nepal and Pakistan. His experiences — including sharing a meal and discussing faith with Mujahadeen fighting Soviet forces then in Afghanistan — convinced him he wanted to do more.
"I vowed to do all I could to introduce the world to the people of the Pittsburgh Presbytery," said Paul, 73. "You get an experience like that, you get back and share it through photos and stories, and people's hearts are just opened."
Individual churches can join with others around the world, but the Malawi partnership was the first effort involving the whole Presbytery, he said.
In the town of Domasi, the partnership built a reservoir to bring in fresh water from a mountain stream — saving the town's women a four-mile walk, Paul said. They refurbished and expanded a school, restored the church and built a new health clinic. In 2003, a family at Shadyside Presbyterian Church donated enough money to add several buildings to a nursing school in another village, including a dormitory and a lecture hall.
Not all of the "cultural exchange" will be aimed at bettering the churches, Paul said. On Sunday the 13 host families will be encouraged to watch the Steelers game with their guests, and Monday and Tuesday might be spent touring the city.
(c) 2008 Tribune-Review/Pittsburgh Tribune-Review. Provided by ProQuest LLC. All rights Reserved.


text:
An apparatus for use in assembling a disc storage system includes a modular input/output board. The modular input/output board includes at least one modular input board configured to receive sensor inputs from an assembly system and at least one modular output board configured to drive actuators of the assembly system. A header board is configured to transfer input signals from the modular input board and to transfer controller outputs to the modular output board.
1. An apparatus for use in an automated assembly system, comprising:
an assembly controller configured to receive a plurality of sensor inputs and provide a plurality of controller outputs to thereby control the assembly system; and
a modular input/output board including at least one modular input board configured to receive sensor inputs from the assembly system, at least one modular output board configured to drive components of the assembly system, and a header board configured to transfer input signals from the modular input board to the controller and to transfer controller outputs from the controller to the modular output board.
2. The apparatus of
3. The apparatus of
4. The apparatus of
5. The apparatus of
6. The apparatus of
7. The apparatus of
8. The apparatus of
9. The apparatus of
10. The apparatus of
11. The apparatus of
12. The apparatus of
13. The apparatus of
14. The apparatus of
15. The apparatus of
16. The apparatus of
17. The apparatus of
18. The apparatus of
19. The apparatus of
This application claims priority benefits from U.S. provisional patent application Serial No. 60/133,021, filed May 7, 1999 and entitled "COMPACT MODULAR DIGITAL INPUT/OUTPUT BOARD."
The present invention relates generally to disc storage systems. More particularly, the present invention relates to an apparatus for use in assembling disc storage systems.
Disc storage systems are used for storing information on one or more disc surfaces. The discs typically rotate at a relatively high speed while transducing heads which are carried on actuator armatures of an actuator assembly move across the disc surfaces. If multiple discs are used, they are typically carried on a single spindle.
As storage density has increased, the size of the transducing heads has been reduced while storage systems have simultaneously become more delicate and require improved alignment accuracy. A tool, known in the art as a "merge/demerge" tool, is used to assemble an actuator assembly with the disc surfaces. The merge/demerge tool can be used for both assembly and disassembly. During assembly, the tool brings the actuator assembly together with the disc surfaces and loads the transducing heads onto the disc surfaces without damage to the heads. This process is reversed for disassembly. Such merge/demerge tools are shown in, for example, U.S. Pat. No. 5,150,512 entitled "METHOD OF ASSEMBLING A DISK FILE" which issued Sep. 29, 1992 to IBM Corporation.
These merge tools are typically fairly large and relatively complex devices which must be customized for a particular model of disc drive. Their physical size make their transportation cumbersome. It is also typically fairly difficult to build these devices as they require a large number of sensors and actuator devices which must be individually wired and customized for each application.
The present invention provides a solution to this and other problems, and offers advantages over the prior art.
The present invention relates to merge and/or demerge tools which can be easily reconfigured and solve the above-mentioned problem.
In accordance with one embodiment of the invention, an apparatus for use in assembling a disc storage system includes an assembly controller configured to receive a plurality of sensor inputs and provide a plurality of controller outputs to thereby control a disc assembly system. A modular input/output board includes at least one modular input board configured to receive sensor inputs from the assembly system, at least one modular output board configured to send control outputs to the assembly system, and a header board configured to transfer input signals from the modular input board to the controller and to transfer controller outputs from the controller to the modular output board.
These and various other features as well as advantages which characterize the present invention will be apparent upon reading the following Detailed Description and review of the associated drawings.
FIG. 1 is a simplified diagram illustrating a merge/demerge tool for assembling or disassembling disc drives.
FIG. 2 is a simplified block diagram showing a controller of the tool shown in FIG. 1 coupled to modular input and output boards.
FIG. 3 is a more detailed top plan view showing a header board coupled to a modular input board and a modular output board.
Referring now to, FIG. 1 an apparatus 100 for use in assembling (or disassembling) a disc stack 102 with an actuator assembly 104 is shown in a simplified block diagram. Such an apparatus is known in the art as a merge/demerge tool. Disc stack or pack 102 includes a plurality of individual discs 106 carried on a spindle 108. Actuator assembly 104 includes a plurality of actuator arms 110 which carry transducing heads (not shown) on their distal ends. During assembly, the disc stack 102 and actuator assembly 104 are moved together as indicated by arrows 105 and the transducers are delicately positioned on the appropriate disc surfaces. In various embodiments of apparatus 100, the disc stack 102 itself can be assembled, the elements can be coupled or decoupled to/from motors such as spindle motors or voice coils for the actuator mechanism. The casing or other components can also be manipulated.
Apparatus 100 includes a control system 120 which couples to sensors 122 and actuators 124. Control system 120 also provides an output on output device 126 which may comprise, for example, a display and receive input through input device 128. Input device 128 can be, for example, a manual input for use by an operator or a network or computer input for receiving digital commands.
In operation, control system 120 causes the merge (or demerging) of disc stack 102 and actuator assembly 104 using actuators 124 which are controlled by actuator output 130. Actuators 124 can include a device which can be controlled by control system 120 including display devices. The position and movement of components of disc stack 102 and actuator assembly 104 are sensed using sensors 124 and provided to control system 120 using sensor input 132. This allows control system 120 to act as a controller based upon feedback from sensors 122 when controlling actuators 124. Sensors 122 and actuators 124 can be any type of sensors or actuation device known or developed in the art which is used in a merge/demerge tool.
FIG. 2 is a simplified diagram of control system 120 showing controller 150 coupled to a modular input/output board 152 through a data bus 154 in accordance with one embodiment of the present invention. Controller 150 typically includes a microprocessor or other device for controlling operation of the actuators 124 in response to the sensors 122 illustrated in FIG. 1.
Modular input/output board 152 includes a header board 160 which couples to controller 150 through bus 154. Modular input/output board 152 also includes a modular output board 162 and a modular input board 164 which couple to header board 160 through bus 166. As illustrated in FIG. 2, modular output board 162 couples to actuators 124 and modular input board 164 couples to sensors 122. A plurality of output boards 162 and input boards 164 can couple to header board 160 through bus 166. In one preferred embodiment, a total of six input boards 164 or output boards 162 can couple to a single header board 160. Header board 160 couples data bus 166 with data bus 154 such that controller 150 can send commands to individual actuators and receive data from individual sensors. In one preferred embodiment, each output board 162 can provide a total of eight different outputs to eight different actuators and each input board 164 can receive a total of eight sensor inputs from eight sensors.
The modularity offered by the embodiment of input/output board 152 set forth in FIG. 2 offers both size reduction and design efficiency in comparison with prior art control systems used in merge/demerge tools. Using the embodiment set forth in FIG. 2, only the desired number of input boards 164 and output boards 162 need to be provided and coupled to the header board 160. This allows the control system 120 to be smaller than in comparable prior art designs and allows greater design flexibility for changing the configuration of the merge/demerge apparatus 100 to be modified to function with different types of disc drive systems.
FIG. 3 is a top plan view of header board 160, output board 162 and input board 164 shown assembled together. Header board 160 includes bus connection 200 which is configured to couple to bus 154 for communication with controller 150 shown in FIG. 2. Header board 160 also includes bus connections 202, 204, 206, 208, 210 and 212 which are used for coupling in input boards 164 or output boards 162. Header board 160 can, therefore, support a total of six input or output boards. Boards 160, 162 and 164 can be secured together using any appropriate technique, such as track which holds boards 160, 162 and 164.
Input board 164 includes bus connection 214 for coupling, for example, to bus connection 202 of header board 160 through bus 166 shown in FIG. 2. Input board 164 includes sensor input plugs 216, 218, 220, 222, 224, 226, 228 and 230 for coupling to a total of eight sensors 122 through sensor inputs 132 shown in FIG. 1. Each sensor plug 216-230 includes two sensor input connections 232 and 234 and a sensor power connection 236. Further, a light emitting diode (LED) or other display device 246, 248, 250, 252, 254, 256, 258 and 260 is associated with each sensor input 216-230, respectively. LEDs 246-260 are used for diagnostic purposes to indicate the receipt of data. Further, the power output 236 from each sensor input plug 216-230 can be used to power those types of sensors which require an external power source for their operation.
Output board 162 includes bus connection 280 for coupling to, for example, bus connection 204 of header board 160 through bus 166 shown in FIG. 2. Output board 160 includes a total of eight output plugs 282, 284, 286, 288, 290, 292, 294 and 296. Each output plug 282-296 includes output terminals 298 and 300 for coupling to actuators 124 shown in FIG. 1 through actuator outputs 130. Further, eight LED or other display devices 302, 304, 306, 308, 310, 312, 314 and 316 are associated with each respective output plug connection 282-296 and can be used for diagnostic purposes.
Although FIG. 3 only shows two modular boards, one input board 164 and one output board 162, additional modular boards can be configured to couple to header board 160. In the embodiment shown, a total of six modular boards can be coupled to bus connections 202-212 of header board 160. This configuration allows a total of 48 total input and/or output connections to be supported by a single header board 160.
The configuration provided with the present invention provides for a relatively small input/output board assembly with relatively inexpensive modular boards. Preferably, the output board 162 are capable of driving actuators requiring relatively large currents, for example 2 amps direct current (DC) or 1 amp alternating current (AC), using commonly available driver chips. In one embodiment, a solid state power relay available from International Rectifier, part number PVG 612 is used to drive the output. In one embodiment, each modular board has dimensions of 1.125″�4.25″�0.5″ and typically requires less than half of the total size required in prior art designs. Each input and output uses a single removable connection with makes connection fast, simple and reliable. The header board 160 can be modified for use with different types of controllers 150. However, the modular boards 162 and 164 do not require reconfiguration for each type of controller. Instead, the header board 160 handles the interface between the controller 150 and the modular boards 162 and 164. This allows cost reduction because only a single input board 164 and output board 162 need be designed and can be reused for other configurations. Additionally, the header boards 160 can be designed to function with a bus 154 which is either serial or parallel. In one configuration, input board 164 is configured to receive either AC or DC inputs ranging between 0 volts and 60 volts. In one embodiment, opto-isolators are used to isolate the input signals from the other electronics. Such opto-isolators are available from NEC Corporation, part number P52505-1-NEC. Various sensors inputs through plugs 216-230 can receive either AC or DC sensor inputs.
Aspects of the present invention include input/output board 152 for use in an automated control system. The automated assembly system includes an assembly controller 150 configured to receive a plurality of sensor inputs and provide a plurality of controller outputs. The modular input/output board 152 includes at least one modular input board 164 configured to receive sensor inputs from the assembly system. Further, the modular input/output board 152 includes at least one modular output board 162 configured to drive components of the assembly system. The header board 160 of the modular input/output board 152 is configured to transfer input signals from the modular input board to the controller and to transfer controller outputs from the controller 150 to the modular output board 162.
The header board 160 includes a plurality of bus connections 202-212 configured to couple to the modular boards. The input and output boards include bus connections 214, 280 configured to couple to the header board 160 through a bus 166. The modular input board 164 includes at least one sensor plug 216-230 configured to couple to a sensor and receive sensor inputs. In one embodiment, a power output is configured for each of the sensor inputs to provide power to each of the sensors. LEDs 246-260 and 302-316 are configured to provide diagnostic information for the input and output boards. The output board 162 includes at least one output plug 282-296 configured to drive components of the assembly system. The inputs to the modular input board 164 can access both AC and DC signals ranging between 0 and about 60 volts. Further, inputs from either NPN or PNP transistor type sensors can be received. The output board is configured to provide outputs of up to 2 amps DC and 1 amp AC.
It is to be understood that even though numerous characteristics and advantages of various embodiments of the present invention have been set forth in the foregoing description, together with details of the structure and function of various embodiments of the invention, this disclosure is illustrative only, and changes may be made in detail, especially in matters of structure and arrangement of parts within the principles of the present invention to the full extent indicated by the broad general meaning of the terms in which the appended claims are expressed. For example, the particular elements may vary depending on the particular application for the modular input/output board while maintaining substantially the same functionality without departing from the scope and spirit of the present invention. In addition, although the preferred embodiment described herein is directed to a merge/demerge for a disc storage system, it will be appreciated by those skilled in the art that the teachings of the present invention can be applied to other machine control systems, like automated assembly systems, without departing from the scope and spirit of the present invention.
Patent Citations
Legal Events
Original Image


text:
Developers are forging ahead on a 35-acre commercial development, anchored by a large-format Kroger supermarket, just off Interstate 20's Grovetown exit.
To accommodate a proposed 114,000-square-foot Kroger Marketplace and several retail or restaurant outparcels, Blanchard and Calhoun Commercial is seeking a commercial rezoning of 10 residential, industrial and commercial parcels off William Few Parkway and Lewiston Road.
Columbia County commissioners approved the rezoning of property next to Mullins Crossing shopping center in Evans for commercial development.
The unanimous vote came Tuesday night at the regular commission meeting. On Aug. 21, the county planning commission had approved a request by developer Frank Mullins, whose family owns the property, to zone the land as general commercial from single-family residential.
Bojangles' franchise owner Tim Biakabutuka opened his fourth restaurant in the metro Augusta market.
The former National Football League player opened a 3,800-square-foot store Monday at 4544 Washington Road in Evans, just past the Wal-Mart Supercenter. The new restaurant has about 40 employees.
"That area is just a tremendous area, and the demographics there are probably the strongest in the CSRA as we've seen so far," Biakabutuka said.
A pair of new Appling businesses – a local hardware store and a discount retailer – will give residents more convenient shopping options.
Appling Hardware opened June 7 at 3146 Ray Owens Road. The 1,800-square-foot store carries everything from lumber, shingles and siding to tools, ceiling fans, animal feed and lawn equipment, owner Pat Marano said.
"Everybody out here is tired of running to town, including me," said Marano, who lives in Appling.
A corner lot in Evans currently home to a historic landmark will soon look different as a new fast-casual chain restaurant takes shape.
The small white and stone building at North Belair and Washington Roads, which once served as a teachers' dormitory and later as a gift shop, will be replaced with the state's first PDQ, a Tampa, Fla.-based restaurant that specializes in chicken tenders.
Plans are underway for PDQ, People Dedicated to Quality, to purchase the property in the next few weeks, with an estimated opening this summer, said spokesman Jeff Kamis.
A Sonic Drive-In-turned-barbecue restaurant in Martinez is changing back.
Sonic will reopen at 498 Furys Ferry Road in early August under new management. The chain drive-in restaurant closed Dec. 31.
The new franchisee, Mark Irvin, operates a dozen other Sonic s across the metro Augusta area, said his daughter and marketing coordinator, Jessica Irvin.
"The rest of the Sonics have been hugely successful here," she said.
Richmond County authorities are looking for a man suspected in a shooting Thursday morning on Second Avenue.
At about 9:20 a.m., police said DeShawn Demetrius Lowe, 27, shot a 26-year-old man at least once in the chest during an argument in the 2000 block of Second Avenue, according to Richmond County sheriff's Lt. Calvin Chew.
A nearly $2 million renovation project is underway to turn a vacant Evans storefront into a Walmart Neighborhood Market.
Earlier in May, Columbia County Development Services issued a building permit to Walmart for $1.9 million for renovations at the former Food Lion in the Village at Furys Ferry shopping center on the corner of Furys Ferry and Evans-to-Locks roads. That grocer, in addition to two other Food Lions in Columbia County, closed more than a year ago.
When local KFC franchisee Billy Wingate made the final decision to close his remaining three restaurants, it was done with a heavy heart.
"It was the toughest decision I ever made in my life," said Wingate, owner of the family-operated franchise. "It really hurts."
It was lights, camera, action for the Harlem High School marching band.
As part of Lauren Kent's senior project, the 65-member band and flag corps were filmed for a 30-second commercial the band member created.
The TV ad is meant to drum up membership and booster support.
"I just want people to know that band is out there," said Lauren, a clarinet player in the band. "I wasn't planning for the commercial to have this message but at the end of it, I realized it might just encourage kids to join band."
Follow News-Times:
Columbia County News-Times ©2015. All Rights Reserved.


text:
Pronunciation: meia-direita
Added on: 2012-09-25 Listened: 19 timesin: Add categories to meia-direita
Pronunciation in Portuguese [pt]
- Pronunciation by girafinha (Female from Brazil)
0 votes
Could you do it better? different accent? Pronounce meia-direita in Portuguese
Accents & languages on maps
- Random word: cantoneira
Not satisfied?
Modify word:
· Add languages
· Add categories
Report word:
Is there anything wrong with this word?
Please report it here.


text:
World of HeroesTwitter Statistics
@SLWOH - Tracking since April 19, 2012
The YouTube channel from comic book icon Stan Lee. Find your favorite stars from the geek universe and beyond. PLEASE SUBSCRIBE!!
You are on World of Heroes's Twitter stats page
We track these Twitter stats since April 19, 2012 . You can see how many followers World of Heroes lost or gained and what the prediction is for tomorrow or the next 15 days, together with all kinds of other stats like rank compared to all Twitter users, tweets etc.
Why don't you give it a try and compare World of Heroes to yourself ? Or if you are World of Heroes get even more feature rich & up-to-date stats with Premium & Pro Twitter Stats.
Twitter Counter is the #1 Twitter stats site powered by Twitter. It all started in June 12, 2008 and we grew rather rapidly because of our Twitter Counter badge. The button is a nice small image that shows your visitors how many followers you have on Twitter. Within a year the button was on many many blogs around the world and we displayed more than 100 million buttons in one month. We track follower stats for over 180 million users now.
"I just unlocked the 6-month graphs on Twitter Counter.
Find out more http://twittercounter.com/pages/you via @TheCounter #paidwithatweet"


text:
'Wandering truffle hunter' at Ristorante Bartolotta Wednesday
Everything you've ever wanted to know about truffles: Italian native Vittorio Giordano, who is vice president of truffle importer Urbani Tartufi North America, will be going from table to table tonight at Ristorante Bartolotta in Wauwatosa to talk truffles.
The restaurant will have regular dinner service tonight from 5:30 to 9, but the chef's menu will incorporate dishes with truffles in the tradition of Piedmont, one of Italy's top truffle-producing regions, with wine pairings. »Read Full Blog Post
'Arrested Development' latest show to find new life after TV death
I spent the weekend planting tomatoes, mowing the lawn and not watching "Arrested Development."
Sorry. Unlike the cool kids, I was not a fan of the quirky Fox show that was canceled after three seasons and whose cult following resulted in new episodes being produced and released Sunday on Netflix. »Read Full Article(4)
Art critic Lori Waxman gives her reviews in public
Culture is more than an enveloping painting on a museum wall or the confounding installation at an upstart gallery. It exists in the way we look at, talk about and express ourselves about art.
The idea that the writing of art criticism qualifies as the making of culture certainly fits the professional practice of Lori Waxman, a regular freelance critic for the Chicago Tribune and a frequent writer for publications such as Artforum. »Read Full Article
Badgerland Water Ski Show; brick commemoration; Funky Flea Market
Splash of summer
Summer officially arrives when the daredevil water skiers of Badgerland Water Ski Show Team perform their first strap double in the Fox River. And that day is Monday, Memorial Day, at 7 p.m. The team ranked fifth in the state last year and has been performing in many sites in Waukesha's lake country since 1983. This year it will perform Wednesday nights on the Fox River, adjacent to Frame Park in Waukesha, and monthly on Thursdays on Fowler Lake in Oconomowoc. The shows start at 7 p.m., moving to 6:30 p.m. Aug. 14 through Labor Day. They are free, but donations are welcome. »Read Full Article


text:
Beautiful Beads
Bonus: Get our newsletter & special offers for free. We will not share or sell your email address. View our Privacy Policy
Falling Heart Earrings
By: Fernando DaSilva for Beadalon
We are adding the craft to your Craft Projects.
The project was added to your Craft Projects.
Click here to view your Craft Projects.
The red, orange and brown beads in these earrings add an autumn look to your ensemble.
- 6 - 4mm Red round color coated glass beads
- 6 - 4mm Orange round color coated glass beads
- 6 - 4mm Brown round color coated glass beads
- 24 - 4mm Small jump rings, silver plated
- 6 - 1.5 in. Head pins, white plating
- 2 - Heart three ring ear post findings
- Make 2 dangles of each of the following patterns of beads. You will have six beaded head pins in all. Use head pins to string the beads.
Pattern A: red - jump ring - brown - jump ring - orange
Pattern B: orange - jump ring - red - jump ring - brown
Pattern C: brown - jump ring - orange - jump ring - red
- Make a plain loop above the beads.
- Open a jump ring and string one dangle. Attach it to one of the ear post rings. Arrange the beaded head pin dangles so that each earring gets one pattern A dangle, one patter B dangle, and one pattern C dangle.
Your Recently Viewed Projects
Images from other crafters
Love these projects? Get MORE delivered to your Inbox – FREE Click Here!
Report Inappropriate Comment
Are you sure you would like to report this comment? It will be flagged for our moderators to take action.
Thank you for taking the time to improve the content on our site.
What's Hot
- 129 Free Beading Patterns
- "Beautiful Beads: 45 Beading Craft Projects" eBook
- Briolette Beaded Bangle
- Easy Beaded Bracelets
- Crystal Beads Bracelet
- Byzantine Beaded Chain Maille Bracelet
- Brown Paper Bag Beads and Pendant
- 11 Ways to Make Newspaper Beads
- Beaded Bracelet and Earrings
- Unbelievably Easy Paper Beads
Something worth saving?
- SAVE all your favorite crafts
- ADD personal notes
- QUICKLY reference your crafts
Free eBooks
- 12 Fabulous Picnic Craft Ideas + Restaurant Copycat Recipes
- 14 Toilet Paper Roll Craft Ideas
- 17 Flower Craft Ideas: How To Make Paper Flowers, Easy Fabric Flowers and More
- 4th of July Crafts and Recipes
- Crafts for Father's Day: 36 Homemade Father's Day Gift Ideas
- Crafts for Mom: 30 Free Craft Projects for Mother's Day
- Garden Crafts
- Graduation Crafts
- How To Make Tie Dye Shirts, Dcor & More: 18 Tie Dye Patterns
- The Best Blogger Craft Ideas 2015: Home Decor Ideas, DIY Jewelry, Easy Crochet Patterns and More
Our Newest Projects & Articles
- 14 Beginner Crochet Patterns For Your Kitchen
- Craft-a-Day: 365 Simple Handmade Projects
- Jessica Potasz
- Full of Love Crochet Mason Jar Cozy Pattern
- Colorful DIY Agenda Planner
- Blinged Out DIY Cell Phone Case
- Egg Carton Flower Fairies
- Spring Flower DIY Wreath
- Ric Rac Rose Earrings
- Toilet Paper Roll Paint Stamps


text:
Planning to attend college? At Solarity, we want to help all our members achieve one of lifes most important goals: a higher education! Thats why each year, we offer five deserving Solarity members a $2,000 scholarship to be used toward attendance at a college, university or trade school of their choice. All members with an active Primary Savings account open in their own name are eligible to apply for our scholarships. For questions or to request additional information, contact us at firstname.lastname@example.com.
Click here for a 2015 application. Deadline to apply is February 27, 2015.
Other Helpful Information
Student Debt Repayment Assistance


text:
Trolling The Teacher, Or Just An Amazing Student?
Nailed it. A+ work here. Click for a translation. [Ed. note: This has been around before. But whatever! LOL.]
Via reddit.com
This post was created by a user and has not been vetted or endorsed by BuzzFeed's editorial staff. BuzzFeed Community is a place where anyone can post awesome lists and creations. Learn more or post your buzz!
Preview Your Response


text:
As of Monday, June 25, 2012
© Copyright 2015 Clayton News Daily
A Morrow woman was arrested for allegedly setting her husband's clothes on fire in an attempt to burn down his house, Clayton County fire officials announced Monday.
Angela Faye Harris Watkins, 45, is charged with arson in the first degree and criminal damage to property in the second degree. Clayton County fire Capt. Walter Barber said Watkins was charged with intentionally causing the fire at 2352 Wood Valley Drive in Morrow.
According to warrants issued from Clayton Magistrate Court, Watkins stands accused of deliberately set the fire June 12 about 2:14 a.m. A witness told police she heard Watkins tell her husband, "I set your clothes on fire," according to the warrant.
Watkins has been released from the Clayton County Jail on a $20,000 bond with special conditions that include no violent contact with the victim.
More like this story
- Man falsely claimed benefits, say prosecutors ( May 2, 2013 )
- Atlanta woman charged in Riverdale arson case ( November 1, 2011 )
- Atlanta woman charged in Riverdale arson case ( November 1, 2011 )
- Arson suspected in Stockbridge house fire ( February 16, 2012 )
- Police arrest man in burning of woman ( January 18, 2011 )


text:
News from WTOP
News from the AP
Mike Causey
Shows & Panels
Shows & Panels
- Agency of the Month
- Business of Government Hour
- The CFO Agenda: Delivering value from financial transparency and audit efforts in the public and private sector
- Cloud-Driven Data Insights in Government
- CXO Surveys
- Disaster Resilience for America
- Federal News Countdown
- Government Perspectives on Mobility and the Cloud
- Reducing Risk in the Cloud
- Reimagining the Next Generation of Government
Shows & Panels
- AFCEA Answers
- American Readiness: Renewable Power and Efficiency Technologies
- Ask the CIO
- The Business Case for Cloud Computing in Government
- Cloud-Driven Data Insights in Government
- Connecting the Dots: Digital Authentication in Government
- Cybersecurity Game Changer: Real-Time Event Processing in Government
- Data-Centric Approaches to Government in the Cloud
- Delivering the Digital Government Mission
- Federal Executive Forum
- Federal News Radio's National Cyber Security Awareness Month Special Panel Discussion
- Federal Tech Talk
- The Future of Government Data Centers
- Government Perspectives on Mobility and the Cloud
- Industrialized, Interoperable and Insight-driven Federal Health Panel
- Innovation and Tech Superiority through Acquisition Reform
- Mitigating Insider Threats in Virtual & Cloud Environments
- Moving Agency Applications to the Cloud with PaaS
- Reducing Risk in the Cloud
- Security in the Age of Targeted Attacks
- Air Traffic Management Transformation Report
- The Business of Cloud
- Cloud First Report
- Data Driven Cloud Series
- Disaster Resilience for America
- General Dynamics IT Enterprise Center
- Gov Cloud Minute
- Government in Technology Series
- Homeland Security Cybersecurity Market Report
- The Intersection: Where Technology Meets Transformation
- Modern Mission Critical Series
- National Cybersecurity Awareness Month
- The New IP for Federal IT
- The Social Platform Solution for the Department of Veterans Affairs
- Technology Insights
- The Cyber Security Report
- The Next Generation Cyber Security Experts
Shows & Panels
- Cloud-Driven Data Insights in Government
- Disaster Resilience for America
- F-35 Lightning II Program
- Government Perspectives on Mobility and the Cloud
- On DoD
- Pentagon Solutions
- Reducing Risk in the Cloud
- Reimagining the Next Generation of Government
- Transforming Business Operations at the Defense Department
DOJ: HCA settles feds' complaint for $16.5 million
Wednesday - 9/19/2012, 4:29pm EDT
NASHVILLE, Tenn. (AP) - The Justice Department and HCA have reached a $16.5 million settlement over violations of federal laws that restrict financial relationships between hospitals and physicians.
The case arose after two subsidiaries of the Nashville-based hospital chain gave financial benefits to Diagnostic Associates of Chattanooga, a physicians group, in an effort to get more patient referrals to HCA facilities, the Justice Department said in a news release Wednesday.
The financial transactions in 2007 involved HCA Physician Services in Nashville and Parkridge Medical Center in Chattanooga. Officials said rental payments for offices leased from the physicians group exceeded fair market value, and members of the physician group were released from a separate lease obligation.
Federal law prohibits the payment of medical claims that result from financial relationships between hospitals and the physicians who may refer patients to them.
"Physicians should make decisions regarding referrals to health care facilities based on what is in the best interest of patients without being induced by payments from hospitals competing for their business," said Bill Killian, U.S. Attorney for the Eastern District of Tennessee, in a prepared statement.
Kathy Winn, a spokeswoman for Parkridge Health System, said in a prepared statement, "We are pleased the matter is concluded, and we will diligently fulfill the terms of the corporate integrity agreement."
The case arose from a whistleblower lawsuit filed in East Tennessee. The whistleblower will receive an 18.5 percent share of the settlement money.
The settlement requires Parkridge to hire an independent organization to review its business arrangements and transactions and work with the Office of Inspector General of the U.S. Department of Health and Human Services to ensure compliance with federal laws.
(Copyright 2012 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.)