text:
Color in Esthetics: The Science Behind Beauty
This presentation will be very different from programs in color matching, communication and reproduction of natural teeth that you may have attended in the past. The didactic part will emphasize the nature, principles and fundamentals of color, and tools that are essential to master a plan for successful color matching in both office and dental laboratory, together with step-by-step instructions. Examples and practical suggestions will be provided, including the latest changes recommended by the presenter. Dental Color Matcher, a color education and training program for esthetic dentistry authored by the presenter and used by dental professionals and students in 100+ countries, will be demonstrated.
The Role of Orthodontics in the Multidisciplinary Treatment of Complex Cases
Today´s practice requires a team approach that will be presented. In order to meet the patient´s demands for better esthetics and to obtain long term occlusal stability of our results. Cases will illustrate how orthodontics combines with distraction osteogenesis & conventional orthognatic surgery in severe dentofacial deformities cases. Orthodontics combined with other dental specialties. Produce an end result that guarantees long term periodontal health and produces patient´s satisfaction with his or her dentofacial esthetics.
Transcrestal Sinus Floor Elevation: The MFAQs (Most Frequently Asked Questions)
As a less invasive alternative to the lateral window osteotomy, many clinicians are anxious to expand its clinical utilization, but are reluctant to do so, based on perceived limitations and confusion generated by the myriad of reported modifications, all proclaiming simplicity with more sinus elevation at reduced risk. While improving upon the original osteotome technique they have not yet eliminated the need for a more invasive lateral approach, especially at sites with very limited (1-2 mm) sub-antral bone. Extensive analysis of the existing research and long-term clinical experience will provide the answers to the most pertinent questions surrounding the transcrestal approach including but not limited to: patient selection, clinical limitations, instrumentation, graft selection/necessity and management of membrane perforations.
Digital Dentures: Revolutionizing Treatment for the Edentulous Patient
While the number of edentulous patients is increasing every year, the access to care is decreasing. In order to streamline the complete denture process, more companies are incorporating CAD/CAM. This lecture will review how digital technology is changing complete dentures, and how it can be incorporated into clinical practice.
Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile.
The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.
Dental XP is an ADA CERP Recognized Provider of Continuing Education Credits
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp.


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text:
The lights are on
We ask the director of Just Cause 3 dozens of questions from our community and learn a ton of new things about the game.
We asked readers for questions about Ready at Dawn's The Order: 1886, and we pose them to creative director Ru Weerasuriya.
We ask Evolve's lead game designer questions from the community about monsters, modes, and when they'll show gameplay.
Creative director Alex Hutchinson answers all of your burning questions about Far Cry 4, including details on multiplayer, the map editor, and animal poop.
Sometimes, a review just isn't enough – even a review that hands out two perfect 10s.
We asked for questions about the upcoming Thief reboot from our readers, then posed them two of the game's leads.
We've visited Kojima Productions and learned about Ground Zeroes and The Phantom Pain, now we're answering questions submitted by our community.
Sony just fired its first salvo of PlayStation 4 news. It's
the talk of the gaming world, and the GI editors assemble to talk about it.
Our month of coverage ends with a Transformers discussion.
Two of the most anticipated
games in history are out, and we're here to talk about
We let our readers ask questions to the designers behind Naughty Dog's gripping horror game.
The Game Informer Show features a special segment on Dota 2, plus Medal of Honor reactions.


text:
Environmental Modeling Companies in Tuvalu
Category: Environmental Management ×
Subcategory: Environmental Modeling ×
Employees number: 11-100 ×
Industry: Manufacturing, Other ×
Location: Australasia ×
Location: Tuvalu ×
Rivo Software Ltd.
based in Warwick, UNITED KINGDOM
Rivo Software is a world leading enterprise safety, security and sustainability platform. We unlock value by providing technology for managing safety, security and sustainability, resulting in increased efficiency, performance and protection of people, assets and reputations. We use our expertise to continually evolve our technology platform maintaining superior quality ...
based in Minneapolis, MINNESOTA (USA)
Verisae delivers a powerful suite of web-based process management solutions for facilities, the assets in those facilities, the energy those assets consume, the carbon emissions they emit, and the people who manage & maintain them. Verisae`s software and services can provide a full suite of site, asset, procurement, enterprise energy management, and maintenance ...
Knowledge Management Innovations, Ltd. (KMI)
based in Oakville, ONTARIO (CANADA)
KMI is becoming the industry standard in flexible, scalable, and usable web-based software solutions that help companies operate more sustainably, safely, and efficiently. KMI enables companies to reduce injuries, increase the effectiveness of regulatory compliance initiatives, perform audits and inspections, manage Greenhouse Gas reporting, and initiate or improve ...
Quantum Compliance
based in Ann Arbor, MICHIGAN (USA)
Quantum Compliance provides Environmental Health and Safety (EH&S) software solutions that help businesses implement and maintain compliant and sustainable EH&S practices. Our cost-effective modules are available individually or as part of the integrated Q EHS compliance system. Founded in 1985 by a team of environmental engineering and computer science professionals who ...
Isodaq Technology
based in Bromyard, UNITED KINGDOM
Isodaq Technology designs and manufactures data loggers and telemetry systems for monitoring water and the environment at remote sites. Our award winning GPRS data loggers have been supplied to drainage authorities, water companies and governmental rivers and environmental regulators for applications including rainfall loggers, water-level logger systems and flood warning ...
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Novatek International
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based in Bedford, NOVA SCOTIA (CANADA)
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text:
What Griner says about us
Over the past four years, a certain segment of "fans" in this country have played a silly little game called, unofficially, "What We Say About Brittney Griner."
The way it works is simple. No matter what Griner does -- win the NCAA championship with Baylor, earn national player of the year honors, break her wrist skateboarding, drop 50 points on Kansas State -- the naysayers hop on message boards and social media to deliver a variety of insults, questioning her fierce on-court demeanor, ...
Read full story
Use a Facebook account to add a comment, subject to Facebook's Terms of Service and Privacy Policy. Your Facebook name, photo & other personal information you make public on Facebook will appear with your comment, and may be used on ESPN's media platforms. Learn more.
Connecticut routed Louisville 93-60 to win its eighth national title
Tourney home » Bracket » Challenge » Video »
- Voepel: UConn, Auriemma win eighth title »
- Smith: Stewart lives up to the hype »
- Fagan: Faris makes championship exit »
- Hays: Louisville's run still great »
- Quick Dish: Five contenders for 2013-14 »
- Instant Analysis: UConn 93, Louisville 60 »
- Numbers to know »
- Voepel: UConn thrives on enigmatic coach »
- Gallery: In the Clutch
- Highlight of the night
- On set: Auriemma, Stewart
- UConn rises to the occasion
- Postgame: Auriemma, Stewart
- NCAA tournament montage
- Championship trophy presentation
- Fans' memorable tourney moments
- Schimmel: No one believed in us but us »
- Dolson: Let's win one for our seniors »
- Diggins: Salute had New Orleans flavor »
- Schimmel: Real fun is about to begin »
- Schimmel: This was Cards' goal all along »
- Diggins: Irish ready for business trip »
- Dolson: UConn looks for longer stay »
- Clarendon: Bears ready for beignets »
- Watch: Salute on Parade all-access
- Gallery: Salute on Parade
- 3 To See: Griner, Diggins, Delle Donne »
- Photos: Tourney around the web
- Blogs: Players check in with espnW »


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Cleveland St. dominates in 67-41 win over Kent St.
Preview | Box Score | Recap
CLEVELAND (AP)—J'Nathan Bullock had 24 points and 10 rebounds to lead Cleveland State to a 67-41 victory over Kent State on Tuesday night.
Cleveland State (9-4) allowed Kent just 17 points in the first half as the Golden Flashes shot 24 percent from the field.
Cedric Jackson added 11 points for Cleveland State, and Norris Cole had 10.
Chris Singletary led Kent State (5-6) with 13 points, and Tyree Evans had 12.
Kent stayed close early until the Vikings took the lead for good on a layup by Cole that made it 11-9 after nearly 8 minutes. From there, it was all Cleveland State, which led 32-17 at the half and by at least 21 for the final 17:46 after a dunk by Bullock.
Updated Tuesday, Dec 23, 2008


text:
Canadian Social Science, Vol.11 No.5, May 31, 2015
To see an article, click its [PDF] link. To see one abstract at a time, click its title link.
Email Submission: email@example.com;firstname.lastname@example.com
Table of Contents
|The UAE Federal Government's E-Participation Roadmap: Developments in UAE Empowerment Initiatives With VGI/PGIS and Location Based Services (LBS)
|Ahmad BinTouq
|Psychological Health and Help-Seeking Behavior Decision Model for New Generation of Migrant Workers
|Chenggang CAO, Huili WANG, Haiyan LI
|The Basic Experience of Seizing the Cultural Hegemony of the CPC in the Liberation War
|Huamin WANG, Yulu YUAN
|Opportunities and Challenges Faced by the Trade Cooperation of China and Africa
|Xiaobin TANG, Shan MA, Li DONG
|Universalism: Ideality? Hegemonism?:Analysis Based on the Golden Rule
|Jie XIONG
|Research on the Modification of Chinese Death Penalty Review Proceedings: Comments on Chinese Criminal Procedure Amendment on the Death Penalty Review Procedure
|Jing LIU
|On the New Town's Rise and Fall and Location Choice Based on Alonso Model: A Case Study of Pukou University Town of Nanjing
|Huaxiang ZENG, Xianchen ZHU
|An Empirical Study on Identification of Corporate Life Cycle Phases
|Cong FENG, Xinyan PENG
|Status Analysis for Ganzi Tibetan Autonomous Prefecture Baiyu County Hepo Tibetan Nationality Metal Forging Technology
|Qi BI
|Japanese Bombing in Beibei Chongqing and the Response of Soldiers and Civilians in Beibei During the Anti-Japanese War
|Liang GUO
|Governance Thoughts and Time Value of Marxism Classics' Authors
|Guokang SU, Weiying KONG
|A Study on College Students' Viewing Behaviors on Stars' Reality Shows
|Chun MAO
|A Study on China's Reform of Teachers' Education: A Narrative Research About the Substituted Post Exercitation of a Junior Student
|Shaojun LI, Jian LI
|The Historical Logic for the Proposal of the Socialist Core Values
|Qianwu LI
|The Rule of Law Guarantee of the Funeral and Interment Reform in China
|Jing SHEN
|The Study Significance and Individual Value Positioning of the Ideological and Political Education of College Students
|Li WANG
|The Competition Strategies of Online Travel Enterprises in China
|Xiaochun SUN
|Establishing Scientific Mechanisms to Maintain Security of the Core Socialist Values
|Jun SHI, Weijun WU
|The Misunderstanding About Inquiry Teaching in High Education in China
|Jinlong ZHANG, Boqin LIAO
|Restricting Factors and Breakthrough Countermeasures of the Citizenization of New Generation of Migrant Workers
|Qi WANG
|Cooperation Behavior Optimization of Chinese Regional Local Government Geared to the Needs of National Governance Modernization: Value Orientation and Path Arrangement
|Lijuan SHEN, Yue CHEN
|Social Organizations' Path to Participate in Social Governance Based on the Perspective of Systematic Theory
|Weiying KONG, Li SUN
|An Empirical Study on Performance of Subsidiary Impacting on the Multi-National Corporation Localization of Human Resources Allocation
|Shijun ZHANG, Qian ZHANG
|The Eighth Route Army's Administrative Offices in the Second KMT-CPC Cooperation
|Jin WANG
|Measurement and Analysis of the Scientific and Technological Contribution Rate of Chongqing City Tobacco Agriculture
|Jin LI, Sangmeng XIAO, Chen XU, Yacheng XIAO
|Ethical Analysis of Corruption
|Yuechun DIAO
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text:
Delaware tops Old Dominion in double overtime
NEWARK, Del. (AP)—Herb Courtney scored 27 points, including a pair of 3-pointers in the first overtime, as Delaware took an 81-74 double-overtime victory over Old Dominion in a Colonial Athletic Association game Saturday night.
Delaware used an 8-1 run to take a 77-71 lead in the second overtime. Old Dominion got back to within 77-74 on a Brandon Johnson three-pointer with 1:03 remaining, but the Hens sank 2-of-6 foul shots in the final 34 seconds to seal the win.
Jim Ledsome's dunk off an offensive rebound just before the final buzzer capped the win. In the first overtime, the Monarchs jumped out to a 65-62 lead, but Courtney hit back-to-back three-pointers, the second with 37 seconds remaining to the score at 68-68.
Alphonso Dawson added 12 points for Delaware, which also received 11 from Brian Johnson and Marc Egerson, whose 3-pointer with 4.4 seconds left in regulation forced the first overtime. Old Dominion received a team-high 20 points from Brandon Johnson.


text:
HIGHGATE CENTER — John Burnor Jr., age 34, passed away Wednesday afternoon, April 1, 2015 at the University of Vermont Medical Center. He was born in St. Albans, Jan. 25, 1981 the son of John Burnor Sr. and the late … Read more
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HIGHGATE CENTER — John Burnor Jr., age 34, passed away Wednesday afternoon, April 1, 2015 at the University of Vermont Medical Center. He was born in St. Albans, Jan. 25, 1981 the son of John Burnor Sr. and the late … Read more
TACOA, GA. — Christopher Wayne Bryce, of Tacoa, Ga., born on Dec. 20, 1963, passed away on March 23, 2015. He is survived by his daughters and grandchildren. A memorial service was held at the Concord Baptist Church in Anderson, … Read more
ST. ALBANS — Daniel Capistrano Pinon, 77, departed from this life on Thursday, April 2, 2015, at UVMC in Burlington with his family and pastor at his side. Dan was affectionately known to his friends as, 'Pineapple' and for making … Read more
BERKSHIRE – Kenneth A. Sweet, age 69, passed away on Thursday, April 2, 2015 at the University of Vermont Medical Center in Burlington. He was born in Richford on March 9, 1946 to the late Douglas and Opal (Sherrer) Sweet. … Read more
ALBURGH — Anne Eleanor (Taylor) Sholan, age 74 years, died peacefully Wednesday, March 25, 2015, at the Franklin County Rehab Center in St. Albans Town following a long illness. She was the beloved wife of the late Charles (Chuck) Sholan … Read more
FLETCHER/DELAND, FLA. — Hugh Thomas 'Tom' Lancaster of Fletcher, Vt./DeLand, Fla., age 80 died on March 3, 2015. Tom was born in Hanover, N.H. on June 29, 1934, and grew up in what is affectionately called, H.E.L.L. (Hanover, Etna, Lebanon … Read more
ENFIELD, CONN. — Mary M. (Lambert) Getty, 91, of Enfield, Conn., beloved wife of the late Carlton J. Getty, died Saturday (March 28, 2015) in Enfield. Born on Nov. 29, 1923 in Highgate, Vt., the daughter of the late Benjamin … Read more
EAST FAIRFIELD — Margaret Mary 'Marge' Maynard, age 81, passed away Monday morning, March 30, 2015 at the St. Albans Health and Rehab Facility with her loving family at her side. She was born March 28, 1934 in Flint Hill, … Read more
BAKERSFIELD — Holden T. Doane, age 89, passed away on Saturday, March 28, 2015 at The Manor long term care facility in Morrisville. A full obituary will follow. Visiting hours will be held on Friday, April 10, 2015 from 5 … Read more
HIGHGATE CENTER — Henriette Choiniere Gagne, age 91 years, died Monday afternoon, March 30, 2015, in the Franklin County Rehab Center with loving family at her side. Born in Sainte Jean, Quebec Canada on, April 2, 1923, she was the … Read more


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Spleen & Heart Harmony Pill / Ginseng & Longan Combination - Tonify the Blood
Six Gentlemen Decoction / major Six Herb Combo - Tonify the Qi Formula


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Yummy Fourth of July treats for every celebration
Painfully shy around guys? Here's how to bust outta your shell
This 11 year-old girls amazing diss to her cheating boyfriend went viral
Exclusive: Teen Beach 2 stars tell all about their thoughts on the movie
July's Back-to-School Style Giveaway: week 1 winners (plus June's grand prize winner)
Turn heads with these adorable DIY American flag shorts
Get your mani ready for Independence Day with this cool nail art inspo
Bust out of the PMS blues with these moves
Have you ever been bullied? Share your story to help other girls!
GL + Disney take a look at the Teen Beach 2 premiere
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47 Comments | Add Yours
by avagurl on 12/23/2012 12:02:34 PM
by girlbeauty on 11/18/2012 11:20:15 AM
YOU ARE BEAUTIFUL!!!! Join my club: Operation: YOU ARE BEAUTIFUL! Our mission is to post anonymous notes in public places for other people to find. The point is that WE ARE ALL BEAUTIFUL!!! In my club, we will have daily quotes that you can put on post- its to uplift girls. We also give advice on how you can make your day better, and everyone else's day better! So please join our uplifting club so we can tell everyone that we are beautiful the way we are!
by coolgal332 on 7/21/2012 6:17:22 PM
hey! im 5' 4 1/2'' and i feel great! im 120lbs, and wear bikinis! (except not to swim team practice) dont lose self confidence. you, rock, no matter what anyone else thinks
by loppyears12 on 7/10/2012 4:57:46 PM
by girlbeauty on 7/6/2012 11:14:32 PM
by girlbeauty on 7/6/2012 11:11:23 PM
by girlbeauty on 7/5/2012 6:04:41 PM
*MODMODMOD* I'm so sorry I'm asking a ton of questions but I'm so confused! Before this summer, I was a flat AA. Nothing to look at. But my boobs just exploded.Now, I'm a bursting D (almost a DD) and my cleavage spills out of anything I own. Nobody in my family is like this so my mom refuses to let me buy shirts with a low cut. So, I go around wearing small and VERY tight shirts with my cleavage spilling that make it seem like I'm showing off my boobs. A guy approached me at the mall and told me my cleavage was sexy and my boobs were huge. I was humiliated. So I secretly bought this tee with a low v-neck cut that let my boobs spill out because that hurts less than keeping them trapped inside. I could literally see guys getting physically "excited". It was disgusting. Nobody noticed me until this summer and I don't like this attention. How do I convince my mom that I need different kinds of shirts??
Hey babe,
I think if you just straight-out told her, she would understand. If you just ask for lower cut shirts, to her it probably seems like you're just trying to show them off. But if you talk it out with her and explain that your old shirts are uncomfortable and they make the situation even worse, she'll likely help you out. I'm sure she's just as shocked by the sudden change as you are. Maybe if you ask her to come with you and help you choose some shirts that wouldn't be too revealing, she might feel better about it.
Good luck! Jordan S.
by FlyingChic on 7/3/2012 10:43:10 PM
by girlbeauty on 6/27/2012 11:37:46 AM
by girlbeauty on 6/26/2012 7:29:54 PM
Win it: Visit all your favorite villains in The Isle of the Lost!
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Jean-Claude Olivier aka "Poke"
Jean-Claude Olivier aka Poke co-wrote and co-produced the album's closer, "Be Happy," one of Mary's signature hits. Along with his partner Tone, he was one half of the Trackmasters production duo, whose beats anchored massive hits from Nas ("Hate Me Now"), LL Cool J ("I Shot Ya") and Destiny's Child "Independent Women Pt. 1"). The duo went on hiatus for a few years while Poke dove into TV production, but after reconvening in 2008, they've landed new credits with Game, Keyshia Cole and LL Cool J.
(Photo: Ray Tamarra/Getty Images)
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10 Deep
The Big 10 Tee in Burgundy
The 10 Deep Big 10 Tee in Burgundy
Our top 10 favorite tees are all 10 Deep. Especially The Big 10 Tee for that iconic style. Stay fresh in this tee plus The Tropics Camp Shorts in Black for a laid back look.
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Marc Mateo
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Cinematography for me is the craft that shapes the images that we use to tell stories. It is the methodology that brings the aesthetic we see in our minds eye into being.
I am a cinematographer living in New Zealand and have been involved in the Film Industry for over 23yrs learning my skills from hands on work and from working alongside many other talented exponents of the craft. In the years gone by I have worked as a Gaffer, a Photographer and as Australasia's key operator for Technocrane's 15ft motion control crane, The Technodolly.
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Clyde E. Hill, PGA
Main Address:
Lindsey Golf Course
Ft Knox, KY 40121
(502) 624-1548
Ft Knox, KY 40121
(502) 624-1548
4024 Bullion Blvd.
Ft Knox, KY 40121
Ft Knox, KY 40121
(502) 624-1548
Clyde Hill is a PGA Professional in Ft Knox, KY. The PGA of America comprises 27,000 men and women professionals with one singular goal in mind - to make the game of golf more enjoyable for you.
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Rotation into Materials is Imminent
- Posted by JC Parets
- on April 2nd, 2012
Sector rotation is something we talk about a lot. This is a really important characteristic for bull markets and we can't ignore it. So with Consumer Discretionaries and Financials sitting at or near their year-to-date highs, we turn our attention to some global growth areas.
Think about how strong the stock market has been without the participation in Energy and Basic Materials. Last Friday we discussed that it was Energy's turn to make some moves. Today let's talk Materials.
This chart shows the Materials Sector Fund ($XLB) consolidating sideways for two months. The correction comes after a 20% move in the sector in the two month period going into early February. The Head & Shoulders set up here is as clear as day. With the neckline just under 38 bucks, the resistance we're watching is approaching quickly:
A resolution to this pattern should take the sector fund well above $40. But more importantly, the relative strength in materials could be about to turn up after two months of declines. Take a look at the $XLB:$SPY ratio at the bottom of the chart. The down trendline is breaking at the same time that the potential head & shoulders pattern is completed. Not a coincidence.
Sector rotation is key. And I think the Basic Materials space is one area that needs to get going if these equity averages are going higher.
Full Disclosure: Nothing on this site should ever be considered to be advice, research or an invitation to buy or sell any securities, please see my Terms & Conditions page for a full disclaimer.blog comments powered by Disqus
J.C. Parets is the Founder & President of Eagle Bay Capital, LLC. He is a 10-year veteran and Market Technician who actively manages money incorporating Technical Analysis and Behavioral Finance into his practice. JC's work has been featured regularly on CNBC, Fox Business, Bloomberg, Business News Network, Wall Street Journal and Yahoo Finance among many other financial media outlets. More...
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Arizona Coyotes
Sellout crowd cheers new Phoenix Coyotes ownership
The Phoenix Coyotes opened the 2013-2014 season on Thursday with a big win over the New York Rangers in front of a sellout crowd at Jobing.com Arena.
But the fans had more than just Radim Vrbata's hat trick to cheer about. For the first time since 2009, a true owner of the team was keeping a watchful eye over the squad.
Numerous members of IceArizona, including Anthony LeBlanc and George Gosbee, were part of a ceremonial puck drop before the game that brought roars of appreciation from the crowd. The atmosphere created by the fans was more like that of a playoff game -- but maybe it was just the white shirts that were given away.
"It was unbelievable," goalie Mike Smith said of the atmosphere. "It felt like a playoff game again. To see all the guys out there, the owners of this team that kept the team in Phoenix, it was unbelievable.
"The response they got from the crowd was well-deserved."
Nope. Not the t-shirts. And it wasn't just the netminder who took notice.
"When the ownership got on the ice, the crowd was electric and we just fed off it," said Vrbata, the hat trick man himself.
After the game, the relief emanating from the Coyotes' locker room was palpable. They did it. They made it through the ownership ordeal and won their first regular season game to start the NHL season. Even head coach Dave Tippett had a smile.
"It was really exciting for us to see how excited those owners were on the ice," he said. "When they walked back off in front of the bench there they looked like they were living their dream, just like we live our dream with the jobs we have. That's a good mix. It made you feel really good."
While the team was sold almost two months ago, Thursday made it all seem real. The Coyotes have an owner. They have a system that works. They won.
And 17,125 fans know this: Hockey is here to stay in the desert.
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Pediatrician, Psychiatrist
39 years of experience
39 years of experience
3291 Loma Vista Rd
Ventura, CA 93003 Phone number & directions
Ventura, CA 93003 Phone number & directions
License & Identifications
A medical license is required for a doctor to practice medicine in a particular state. Requirements vary by state but most require, at a minimum, post-graduate training in the doctor's specific specialty. An NPI number is a national identifier unique to an individual health care provider and is managed by the Center for Medicare & Medicaid Services (CMS).
Learn more about Dr. Myung Ryang:
View the full profile to get information on:
- Qualifications
- What's important to you
View full profile
Patient Reviews
Have you visited Dr. Ryang? Share your experience.
Write a Review
Write a Review
Specialties & Research
Dr. Myung Ryang, MD is board certified in Pediatrics and Psychiatry.
- He has special expertise in 7 areas:
- Attention Deficit Disorder (ADD) / Attention Deficit Hyperactivity Disorder (ADHD)
- Bipolar Disorder / Manic Depressive Disorder
- Depression
- Depressive Disorder
- Insomnia
- Schizophrenia
- Sleep Disorders
Education & Awards
Dr. Ryang graduated from Pusan National University.
- Korean
Home > Find a Pediatrician > CA > Ventura Pediatricians > Dr. Myung Ryang, MD
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- Additional Information
- Dr. Myung Kim Ryang MD is a male Pediatrician, has 39 years of experience and practices in Pediatrics and Psychiatry.
- Where does Dr. Myung K. Ryang practice?
- Dr. Myung Ryang has 1 office location.
Dr. Myung Ryang practices Pediatrics and Psychiatry near Ventura, CA.
See Ventura Pediatricians and Ventura Psychiatrists.


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SOURCE: "Genealogy of the Potter Family Originating in Rhode Island"Rev. Jeremiah Potter, Phenix, R.I., John H. Campbell, Book and JobPJob Printer881. p. 88
"The Kingston Daily Freeman" Friday Evening, September 22, 1933 Linen S h o w er and B r i d ge New Palts, Sept. 22 Katharine I. Cornell, daughter of Mr. andMrs. Peter M. Cornell, of Manchester Bridge and a graduate of New Palti Normal School, was guest of honor at a linen shower and bridge onMonday evening, September 18, given by Betty Wood of Hyde Park andFrances Fitzgerald of Poughkeepie at the home of Miss Wood. MissCornell's engagement to Donald B Vandewater, son of Mr. and Mrs.Frank J. Vandewater, was recent ly "Poughkeepsie Eagle News" [Poughkeepsie, Dutchess Co., NY] Sat., 21Oct 1933 60 WILL ATTEND WEDDING TODAY KATHARINE LOCKWOOD CORNELL AND DONALD VANDEWATER WILL BE MARRIED Approximately 60 guests will attend the wedding of Katharine LockwoodCornell, daughter of Mr. and Mrs. Peter Martense Cornell, Titusvilleroad, and Donald Bettes Vandewater, son of Mr. and Mrs. Frank J.Vandewater of Woodlawn avenue, this day, which will take place at highnoon today at the Cornell home. Dr. Alexander Griswold Cummins, rector of Christ Episcopal church willofficiate at the ceremony, and wedding marches will be played byLouisa Willard Hubbard, daughter of Mr. and Mrs. E. Stuart Hubbard ofthis city. Banks of ferns, palms, chrysanthemums, and baskets of fallflowers will form the background for the ceremony. Miss Cornell, who will be given in marriage by her father, will wear agown of white satin, of princess style, with long full sleeves, andwill carry a bouquet of white roses and gardenias. Her veil, of lodlace and tulle, will be arranged in cap shape. Theodora Hart Cornell,her sister, who will attend her as maid of honor, will be gowned inolive green crepe, with brown velvet turban and accessories of brown,and will carry a bouquet of gold colored chrysanthemums. EdwinVandewater of this city will be best man, and ushers will be LeslieSeaman and Daniel Baright. Out of town guests will be from Peekskill,New York city, and New Jersey. Immediately after the ceremony a reception for relatives and a fewfriends will be given at the home, and the couple will depart for awedding trip. Miss Cornell's going away costume will be a tan tweedtraveling suit with brown accessories. The couple will make theirhome in Brockport, where Mr. Vandewater is a bond salesman. Miss Cornell was graduated from Pocono Manor school and from New PaltzNormal school last June. She was prominent in student activities atNew Paltz, serving as president and secretary of the Student council.She was a member of the Cltonian sorority, the Dramatic club, Arts andCrafts club, Kindergarten club, and the Normal school band. Mr.Vandewater was graduated from Arlington high school in 1929 andattended Syracuse university for three years. In 1930 he rowed in theIntercollegiate Regatta at Poughkeepsie as a member of the Syracusefreshman crew.
Yorktown, Westchester Co., New York - Marriages by Rev. SilasConstant. Extracted from The Journal of the Reverend Silas CONSTANTPastor of the Presbyterian Church at Yorktown, New York With some ofthe Records of the Church and A List of his Marriages, 1784-1825. ByEmily Warren ROEBLING. Edited by Josiah Granville LEACH, LL.B.Philadelphia, 1903http://freepages.genealogy.rootsweb.com/~jdevlin/ny/yorktown_ny_marr.htm
Illinois Statewide Marriage Index, 1763-1900. Christopher Burlingameand Eliza A. Francisco were married in Champaign Co., IL on 15 Jan1878. State file #: 00000012.http://www.library.sos.state.il.us/GenealogyMWeb/MarriageSearchServlet
Rhode Island Marriages, 1696 to 1850. Transcribed at Ye OldeDirectory Shoppe. http://www.yeoldedirectoryshoppe.com. CalebArnold, marr. Anne Arnold. 03/06/1773.
"Ohio, County Marriages, 1789-1994," index and images, FamilySearch(https://familysearch.org/pal:/MM9.1.1/XD4D-7XZ ] Image Name: Earl J. Colvin Event Type: Marriage Event Date: 03 Oct 1910 Event Place: Ashtabula, Ohio, United States Age: 23 Birth Year (Estimated): 1887 Birthplace: Munson, Ohio Father's Name: Silas Colvin Mother's Name: Mary Bartlet Spouse's Name: Nettie E. Cortright Spouse's Age: 21 Spouse's Birth Year (Estimated): 1889 Spouse's Birthplace: So. Euclid, Ohio Spouse's Father's Name: Alfred Cortright Spouse's Mother's Name: Addie Pruden Reference ID: 451 GS Film Number: 890270 Digital Folder Number: 004016983 Image Number: 00564
MAIN SOURCE: W.C. McCaw in a series of emails during 2003/2004 Arnold, James N. "Vital Record of Rhode Island, 1636-1850, firstseries, births, marriages and deaths : a family register for thepeople" Providence, R.I.: Narraganset Historical Publishing Co.,1891, 13030 pgs. Pg 32, 1-101. Burlingame, Sarah, and John Briggs,Jr., June 13, 1742. IGI Extraction at FamilySearch. Batch No. M500011. Dates:1636-1850. Source Call No. 0914406. Printout Call No. 1205007.Type: Film. John Briggs and Sarah Burlingame, married: 13 Jan 1843, Providence,Providence, RI.
"The Wellsboro Gazette" [Wellsboro, Tioga Co., PA], Thursday, 9 Feb1950, p. 10: English-Wieand Miss Wilma English, daughter of Mr. and Mrs. Eugene English ofMechanicsburg, formerly of Wellsboro, became the bride of Donald E.Wieand, son of Mr. and Mrs. Earl L. Wieand of Allentown, last Saturdayin the Methodist Church in Camp Hill. The double ring ceremony was performed by the Rev. Aurance F. Shank,pastor. Nuptial music was presented by John Owens, soloist, and Mrs.Clarence Sipe, organist. The bride, given in marriage by her father, wore a brown ivory satinwith a fitted bodice and long train. Her fingertip veil was held inplace by a Juliet cap trimmed with seed pearls. She carried a bouquetof white roses and orchids. Mrs. Donald Souder, sister of the bride, was matron of honor and thebridesmaids were Miss Vicki Anderson and Miss Myrle Wieand, sister ofthe bridegroom. All wore pastel taffeta gowns and carried bouquets ofroses. David Dietrich of Allentown was best man and the ushers were DonaldFreeman of Allentown and Roy Miller of Carlisle. Following a reception at The Allenberry, the couple left for weddingtrip to New York. Upon their return they will reside at 156 South WestSt. in Carlisle. The bride is a graduate of Wellsboro High School and is employed atthe Mechanicsburg Naval Supply Depot. The bridegroom is a graduate ofAllentown High School and Villanova College and is a senior atDickinson Law School. Mr. and Mrs. Denzel Brittain attended the wedding.
LDS FamilySearch Extraction - Microfilm Image Transcription Vermont Vital Records, 1760-1954 Name: Harvey L Nicholson Event: Marriage Event Date: 19 Mar 1869Event Place: Danby, , Vermont, United States Father: Jonathan [sic]Nicholson Mother: Betsey Spouse: Susan McColley Film Number:0027641 Digital Folder Number: 004667381 Image Number: 00040
Christian County, Missouri Marriage Index - 1859-1940.http://www.Rootsweb.com/~moccl/ccmo_k.pdf. Book 15, Page 294. JoyBelle Baker and Ule Haggard were married 3 Sept 1938 by Willie House,JP
LDS FamilySearch Extracted IGI's - Collection: Connecticut Marriages,1729-1867 Groom's Name: Christopher Stafford Bride's Name: Sarah Ann Fenner Marriage Date: 30 Mar 1824 or 7 Mar 1824 or Marriage Place: Hartford, Connecticut or Providence, Providence Co.,RI Indexing Project (Batch) Number: M01583-3 or M50001-2 System Origin: Connecticut-EASy Source Film Number: 3311 or 915075 Collection: Connecticut Marriages, 1729-1867
Saint Joseph Co, IN Marriage Index 1927-1954 [database on South BendArea Genealogical Society site]: Marriage Record for Betty MarieGoss. Spouse: Robert Charles Kent. Date: 6 Aug 1938. B/G: Bride.Source: Book:108 Page:466. Record #: license date 1938/08/05. Countyand State: St Joseph Co. IN.
"The Illustrated Buffalo Express" [Buffalo, Erie Co., NY] Sunday,June 22, 1902 Dark-Francis The marriage of Miss Charlotte Ethelyn Francis to Mr. George Dark,took place last Saturday afternoon at the home of the bride's parents,Mr. and Mrs. James Morgan Francis, in West Falls, the Reverend H. WyseJones of Buffalo officiating. The pretty country home was tastefullytrimmed with flowers and ferns. The bride wore a gown of whitechiffon over taffeta and was attended by her sister, Miss Leora Francis. The best man was Mr. William E. Jabraus. A supper followed the ceremony, the table being decked in pink andgreen. Mr. and Mrs. Dark will spend their honeymoon in Canada, and will maketheir home for the present in Montreal.
Maine State Archives, 84 State House Station, Augusta, ME 04333-0084Database: Bride Name: STONE EDITH A Bride Town/State: ORNEVILLE, MEGroom Name: MOULTON REINALD C Groom Town/State: BRADFORD, ME Date ofMarriage: Sunday July 26, 1953
Michigan Marriages 1868-1925. FamilySearch IGI Extraction.[Microfilm image] Groom name: Robert C Ingersoll Groom age: 20 years Groom birth year: 1892 Groom birth place: Lansing Bride name: Marion Bice Bride age: 18 years Bride birth year: 1894 Bride birth place: Grand Lodge Marriage date: 14 Feb 1912 Marriage place: Lansing, Ingham, Michigan Father of groom name: C.W Ingersoll Mother of groom name: Mary Hiscock Father of bride name: Harry Bice Mother of bride name: ...nnie Taylor Film number: 2342697 Digital GS number: 4209168 Image number: 87 Reference number: v 2 p 327 rn 5756 Collection: Michigan Marriages 1868-1925
Anthony, Bertha Williams, "Roger Williams of Providence" Cranston,R.I.: B.W. Anthony and H.W. Weeden, 1949, 223 pgs. Pg. 90
Maine State Archives, 84 State House Station, Augusta, ME 04333-0084Database: Bride Name: DUPLISSEA FRANCIS Bride Town/State: LINCOLN, ME GroomName: HANSCOM PITT W Groom Town/State: LINCOLN, ME Date of Marriage:Thursday October 29, 1925
http://portalx.bisoex.state.me.us. Maine Marriage Archives. Bride Name: TOWLE IONE Bride Town/State: LINCOLN, ME Groom Name:HANSCOM PITT W Groom Town/State: LINCOLN, ME Date of Marriage:Saturday July 28, 1945
SOURCE: "Genealogy of the Potter Family Originating in Rhode Island"Rev. Jeremiah Potter, Phenix, R.I., John H. Campbell, Book and JobPJob Printer881. p. 17
SOURCE: Johnson Family Bible USGenWebProject.http://www.rootsweb.ancestry.com/~njmorris/biblerecords/johnson.htm Mary DeCamp Leonard [dau of Wm. H. & Maria Lucy] was married toRichard Wesley Smith October 12, 1926 at Morris Plains NJ by Rev.Arthur Johnson.
SOURCE: "The Notebooks of Sarah Reeves Douglas Written Circa1920-1934 Adams Co., Wisconsin.http://www.wiroots.org/wiadams/jte03.html
"Norwood News" St. Lawrence County, New York Wednesday, October 30, 1935. Copy of Wedding article on file.
Maine State Archives, 84 State House Station, Augusta, ME 04333-0084Database: Bride Name: PAGE MARY E Bride Town/State: LINCOLN, ME GroomName: GRINDELL FRANCIS Groom Town/State: LINCOLN, ME Date of Marriage:Friday July 14, 1944
11 Feb 1934: WED IN CALIFORNIA Friends in Helena have received word of the marriage of Mrs. BeatriceL. Hitchcock and Robert E. Hitchcock of Milwaukee, Wis. The marriagetook place in Los Angeles, Monday, Jan. 29. Mrs. Hitchcock is thedaughter of Mrs. E. L. Goodkind of Los Angeles.
Ancestry and descendants of William Curtis of Marcellus, N.Y. AlsoSome Allied Families , Sperry, Matteson, Worden, and brieflyBeardsley, Blakely or Blakesley, Clap, Dyer, Hinckley, Parker,Templeton and Wilcox. Prepared and published by Mrs. Lorissa E.Steele, 1912. Family History Archives. BYU.http://contentdm.lib.byu.edu. Town of Coventry Marriages, Births, & Deaths.homepages.rootsweb.com/~amaguire/downloads/Coventry.pdf (copy on file)1-199. Colvin, Sarah, and Solomon Matteson, Feb. 5, 1792.
I do not have a source for this information. My source is G. McGowan.Use as clue, not fact.
MAIN SOURCE: W.C. McCaw in a series of emails during 2003/2004 Vital Records of Cranston, Rhode Island, 1636 - 1850, Volume 2 VitalRecords of Rhode Island 1636-1850. First Series. Births, Marriages andDeaths. A Family Register for the Family. By James N. Arnold, Editorof the Narragansett Historical Register. Volume II, Cranston, Part 2.Providence, R.I., Narragansett Historical Publishing Company, 1892.[WorldVitalRecords.com]p. 19. 1-332. Potter, Anthony, of Joseph,dec., and Mercy Burlingame, of Capt. Peter; m. by William Burton,Justice, Aug. 30, 1772.
Arkansas, County Marriages Index, 1837-1957 Ancestry.com M L Oakley GENDER: Male AGE: 25 BIRTH YEAR: abt 1883 RESIDENCE: Horatio, Sevier, Arkansas SPOUSE'S NAME: Lulu Bell Holman SPOUSE'S GENDER: Female SPOUSE'S AGE: 16 SPOUSE'S RESIDENCE: Horatio, Little River, Arkansas MARRIAGE DATE: 7 May 1908 MARRIAGE LICENSE DATE: 6 May 1908 MARRIAGE COUNTY: Little River EVENT TYPE: Marriage FHL FILM NUMBER: 1007916
SOURCE: Poughkeepsie (N.Y.) Christ Church, New York Volume 1 Pgs 24 & 25 1907, Aug. 21, Frost, Anita Merritt, and Ralph Davidson Hornbrook. SOURCE: "The Olcotts and their kindred" Mary L.B. Olcott. NewYork::National Americana Publications, 1956, 403 pgs Pg 190 THE STATES GAZETTE DYERSBURG, TENNESSEE 42ND YEAR NO. 33 AUGUST 15, 1907 HORNBROOK & FROST--Cards are out announcing the approaching marriageof Ralph Davidson HORNBROOK, of this city and Miss Anita MerrittFROST, of Poughkeepsie, N. Y., Wednesday, August 21st. The bride isthe daughter of Mr. & Mrs. Arthur Lockwood FROST. Ralph is the son ofDr. & Mrs. HORMBROOK, of this city. The couple will make their homeat Keobuk, Iowa, where he has a position. http://files.usgwarchives.net/tn/dyer/newspaper/gz0807.txt POUGHKEEPSIE, N. Y., EAGLE. AUGUST 23--Wednesday evening at the familyresidence on Church street, Miss Anita Merritt FROST was united inmarriage to Mr. Ralph Davidson HORNBROOK, of Dyersburg, Tenn. the Rev.Frederick S. ARNOLD, cousin of the bride, officiating. The bride wasattended by her sister, Miss Florence M. FROST as maid of honor. Thegroom was attended by his brother, Rodney Earl HORNBROOK. Stephrn RalfANDREWS, a friend of the groom was usher. Charles P. & Hume M.FROST held the ribbons and the bride's aunts, Mrs. F. M. EASTMAN andMrs. Alfred FROST assistes receiving guests. Mr. & Mrs. HORNBROOK willreside in Keokuk, Iowa, where he will be at the head of a businesscollege. Dr. J. T. HORNBROOK, of Dyersburg, Tenn., father of the groomattended the wedding.
SOURCE: "The Olcotts and their kindred" Mary L.B. Olcott. NewYork::National Americana Publications, 1956, 403 pgs Pg 190
FamilySearch Extracted IGI's Groom's name: Carl J. McnettGroom's age: 20 yearsGroom's birth year:1890 Groom's birthplace: IndianaBride's name: Gladys M. SmeadBride'sage: 16 years Bride's birth year: 1894Bride's birthplace:IndianaMarriage date: 26 Jan 1910 Marriage place: Coldwater, Branch,MichiganGroom's father's name: John L. McnettGroom's mother's name:Edith VailFather of bride's name: Chas. Smead Mother of bride's name:Ada BritzinsFilm number: 2342688Digital GS number: 4209131Imagenumber: 423Reference number: v 1 p 1 rn 5942Collection: MichiganMarriages 1868-1925
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Would it surprise you to know that, when asked, 73% of small businesses said it was important to have one banking provider? Even businesses currently using two or more providers reinforced the importance of using one financial institution.
As a business owner, you know the importance of a strong relationship with your bank. Deciding on a banking strategy, one bank, two banks or many banks, obviously depends on your unique business structure; how you organize your funds, past and current business relationships, funding source needs, and more. Whether you use one or multiple financial institutions, it's important to review this decision on a regular basis and align your financial resources with your goals as you move your business forward.
Making the Case for One Bank
- Simplicity – One bank, means one place to visit, and less account, contact, and login information to keep track of.
- Relationship pricing – Enjoy the discounted pricing and leverage you may receive for keeping all your business under one roof.
- Products just for you – Many banks offer premier personal products and services designed specifically for their business clients.
Making the Case for Multiple Banks
- Your comfort level – Many businesses simply aren't comfortable using one financial institution.
- A better rate – You can shop and take advantage of more rate options.
- Niche products – Due to the industry you serve, your business may need a specialized product not offered at your primary financial institution.
Before deciding which is best for your business right now, take time to compare of the all actual costs and inconveniences of either outcome. The answer may surprise you.
Learn more about what Citizens National Bank can do for you!


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Vegan Crispy Stir-Fried Tofu With Broccoli
@RodOD I'm guessing that the Vodka helps reduce gluten development same as in Kenji's vodka pie dough recipe for Cooks Illustrated.
@RodOD I'm guessing that the Vodka helps reduce gluten development same as in Kenji's vodka pie dough recipe for Cooks Illustrated.
Liquid aminos... I'm not familiar with these, but it sounds like soy sauce is a close substitute, is that right?
I agree, the lighter flavor is pepped up by adding a bit of heat. I used some hot sauce too, but next time I'll try adding some red pepper flakes to the sauce while it's cooking.
Creme Fraiche is also a little hard to come by, I can't get it at my regular grocery store. I'll have to try the DIY method (http://seriouseats.com/recipes/2011/02/how-to-make-creme-fraiche-in-1-easy-step.html) or try out some plain yogurt or sour cream even if they're not quite as optimal.
Also I used lime instead of lemon, which works fine as expected.
This was hot around the blogosphere for a while so many have probably heard of it, but Avocado Egg Salad is also pretty darn good. There are many recipes out there, I used eggs, avocado, salt, cilantro, green onions, lime juice, and a bit of homemade mayo proportioned to taste as I mixed it up. Honestly one of the best sandwiches I've had! Now I'm hungry...
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Consignment Gallery at 56
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Over 9,000 sq ft of Quality Home Furnishings on consignment. Easy ride from routes I-190 & I-495 Something for everyone. You'll be pleasantly surprised!
5 Ways to Enjoy the Boston Harbor in Summer
While winter tends to keep most Bostonians off the water, the onset of summer brings...
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Webserver for win32 programmed in Visual Basic (maybe VC later)2 weekly downloads
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*NOTE: There is currently a security vulnerability in the current version of GeBlog. I am contemplating restarting the projectm but for now please don't use it in it's current 0.1 version!* GeBlog is a weblog (blog) system written in PHP inspired by PHP-Nuke and Postnuke. It is an attempt to replicate some of the functionality of a normal CMS, while keeping a simple blog interface with template capabilities.1 weekly downloads
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FSE is "new-type" website engine (CMS). It "skins" to change the site into any style, like blogs, file sharing sites, or even personal sites, all running on FSE unchanged with no coding required. FSE is coded in ASP.NET & PHP.1 weekly downloads
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The first commerically sponsored open-source Rich Internet Application (RIA) Content Management System (CMS)! Brings the ability to create eye-catching highly-dynamic RIA/AJAX syle sites to non-developers/web admins/general users. Based on OpenLaszlo 3+!0 weekly downloads
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PHPackages is a collection of "packages" written in PHP for use on different PHP-enabled webservers. These packages are simply bundles of PHP scripts that work together to make a solid product that can be used with limited knowledge of PHP.1 weekly downloads
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Simple blogs management platform, with aggregation of blog's post in a sort of "community portal"0 weekly downloads
MajorMUD Control Panel
MajorMUD Control Panel is a PHP website designed so that the users can lookup online information about their in game characters. It also will give Sysops the ability to edit content remotely via an online control panel. http://www.quicksilverbbs.com1 weekly downloads
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CAG's Simple Content Management System
PHP/MySQL-based CMS that allows webmasters to control every element of their site design, while still allowing contributors to dynamically and easily create new public pages for their sites, eliminating the complicated template systems of other CMS2 weekly downloads
The best way to describe openVP is as a "shake-n-bake database-backed web service." It is being built both as a learning experience and as the means from ensuring none of my employers will try to claim ownership of my personal web site code.3 weekly downloads
Abtp Portal Project
Abtp Portal es un diseńo de portal bajo PHP y MySQL que implementa, entre otras, estrictas politicas de seguridad para el control de acceso a las paginas, bloques y elementos de los mismos segun los niveles de los usuarios. Facil de Utilizar y parametriz1 weekly downloads


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Posted 29 November 2012 - 14:05
Posted 29 November 2012 - 14:17
Posted 29 November 2012 - 15:17
Well it says "commencing in the fourth year", so I would think it means sometime during the fourth year. I guess it could mean that it could be granted on day 364 of the 4th year, but realistically it sounds like you would be granted it on the first day of the fourth year. I do think HR is wrong in thinking it means during the 5th year. That doesn't make any sense in the context of it.
Posted 29 November 2012 - 15:17
Could it mean that you accumulate the time in the fourth year and can only use it from the fifth year on?
Also, why do you have to wait four or five years to get four weeks holiday? It seems pretty mean. What happens after 10 years?
Posted 29 November 2012 - 15:23
Posted 29 November 2012 - 15:50


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Clinical Reviews
Does home birth empower women, or imperil them and their babies?
How safe is home birth? Do mistrust of the medical establishment, fear of cesarean, and other variables affect a woman's decision about where to deliver her infant?
The author reports no financial relationships relevant to this article.
Few issues in obstetrics spark as much controversy as home birth—and where controversy rages, media attention follows.
Press reports of a 2008 policy statement on home birth issued by the American Medical Association (AMA) and the American College of Obstetricians and Gynecologists (ACOG) highlight the rift between the formal medical establishment and advocates of home birth. 1-3
On one side, the AMA and ACOG assert that the hospital or an accredited birthing center "is the safest setting for labor, delivery, and the immediate postpartum period." 1 On the other side, advocates of home birth argue that having the option adds to women's empowerment and choice.
Some people have accused the medical community of trying to corner the "baby birthing industry." 4 The title of a recent Baltimore Sun article sums up this sentiment: "Home birth battle: Doctors strong-arm women away from healthy alternative to hospital care." 5
Neither ACOG nor the AMA advocates criminalization of home deliveries, but their statements on home birth have generated considerable fear that they will.
This article explores the controversy, focusing on the literature on home birth, gaps in knowledge, the state of regulation, liaison with midwives, and other issues. It also offers suggestions on how to discuss labor and delivery with patients so that they clearly understand the risks involved and do not feel that they have "failed" at meaningful childbirth when they choose hospital delivery.
Did a rise in hospital births reduce maternal mortality?
Obstetric care changed dramatically in the mid-20th century. In 1940, 55.8% of deliveries occurred in the hospital, but that percentage rose to 99.4 by 1970 and hasn't changed appreciably since. 6
Some proponents of hospital delivery note that, in 1940, when 44% of births occurred outside the hospital, the maternal mortality rate was 608 deaths for every 100,000 live births, compared with 37 deaths for every 100,000 live births in 1960, when fewer than 4% of deliveries occurred outside the hospital. 6 And in 2003, with only 1% of deliveries occurring in a home setting, the maternal mortality rate was even lower: 12 deaths for every 100,000 live births. 7
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Others argue that this sharp decrease in maternal mortality cannot be attributed solely to the change in location of the delivery (and subsequent availability of services and personnel), but reflects universal advancement in safe practices such as aseptic technique. 8
What do the data show? All studies of home birth have serious methodologic flaws, thanks largely to the nature of the subject matter. A recent Cochrane review observes that there is only one randomized, controlled trial—with a sample size of only 11 women—from which to draw conclusions. 9 The review concludes that "there is no strong evidence to favour either home or hospital birth for selected, low-risk pregnant women." 10
Most data come from abroad
Much of the literature on home birth comes from international sites because of the higher prevalence of home delivery in other countries. These data reveal that:
- Two percent of deliveries in the United Kingdom occur in the home. 11 The British National Institute for Health and Clinical Excellence recommended that all women be offered the option to have their baby at home or in the hospital, although, depending on the "trust" (a geographically based public-system cooperative that provides care), 8% to 76% of women weren't given this choice formally. 12
- One study conducted in Switzerland involved 489 women who opted for home birth and 385 who chose hospital birth. Of the former, 37 were referred to a specialist during pregnancy, and 70 were referred during labor. The groups had similar birth weights, gestational ages, and clinical conditions. 13
- In the Netherlands, 30% of infants are born at home. 14 If a woman has an uncomplicated pregnancy, she remains under midwifery care and can decide where to deliver. A study of 280,000 "low-risk" women under primary midwifery care found that 68.1% completed childbirth under that care, 3.6% were referred urgently, and 28.3% were referred without urgency. 14 When referrals were considered as a whole, 11.2% involved urgency, primarily for fetal distress (50.2%) and postpartum hemorrhage (33%). Adverse neonatal outcomes were most common in urgently referred cases, followed by nonurgent referrals. The authors acknowledge the importance of transport time once a referral is initiated, stating that, "The Netherlands is a very densely populated country where the average distance to the hospital is relatively short." (The same cannot be said of many parts of rural America.)
- A study involving home deliveries in Australia from 1985 to 1990 identified 50 perinatal deaths out of 7,002 planned home births. 15 The perinatal death rate of infants weighing more than 2,500 g exceeded the national average (5.7 versus 3.6 for every 1,000 deliveries), with a relative risk (RR) of 1.6 (95% confidence interval [CI], 1.1–1.4). Intrapartum death not attributable to prematurity or fetal malformation was also higher (2.7 versus 0.9 for every 1,000 deliveries), with a RR of 3.0 (95% CI, 1.9–4.8). According to the authors, the main contributors to excess mortality were underestimation of the risks associated with post-term birth, twin pregnancy, and breech presentation, and a lack of response to fetal distress.
Is the evidence on water birth just too murky?
In the summer of 1999, a woman delivered a 7.7-lb infant after 42 weeks of gestation. The birth took place in the woman's home in Japan, and the baby was delivered in a bathtub of warm water. The woman had had an uneventful pregnancy, and the baby appeared to be perfectly normal.
Four days later, the infant developed fever and jaundice and was admitted to the hospital, where she was treated with phototherapy. She improved, but her symptoms recurred 3 days later, and she began to vomit. Eight days after birth, she suffered cardiopulmonary arrest and died. An autopsy revealed the cause of death to be legionellosis—infection with Legionella pneumonia. The most likely source was the bathtub in which she was born. 43
Other case reports describe similar tragedies associated with water birth (among them, drowning, infection, and a snapped umbilical cord), but no randomized, clinical trial has systematically compared delivery in water with conventional land-based birth.
The death, morbidity, and lack of data so troubled members of the American Academy of Pediatrics that the Committee on Fetus and Newborn issued an advisory in 2005:
- The safety and efficacy of underwater birth for the newborn has not been established. There is no convincing evidence of benefit to the neonate but some concern for serious harm. Therefore, underwater birth should be considered an experimental procedure that should not be performed except within the context of an appropriately designed randomized clinical trial after informed parental consent. 44
This statement contrasts the conclusion of the most recent Cochrane review of the subject, which found that, "Immersion in water during the first stage of labour significantly reduces women's perception of pain and use of epidural/spinal analgesia." 45 The review also noted, however, that, "No trials could be located that assessed the immersion of women in water during the third stage of labour." 45
No studies have explored immersion in water during the third stage of labor.
What's in that water?
Amy Tuteur, MD, an ObGyn who publishes a popular blog ("The Skeptical OB"), focused on the topic of water birth earlier this year. "What's in the water at waterbirth?" she asks. 46
To answer the question, Dr. Tuteur cites a 1999 study of 4,030 deliveries in water, which found that 35 infants suffered serious morbidity and three died—although it is unclear if any of the deaths were a direct result of water birth. "However, of the 32 survivors who were admitted to the NICU," writes Dr. Tuteur, "13 had significant respiratory problems, including pneumonia, meconium aspiration, water aspiration, and drowning. Other complications attributable to water birth include five babies who had significant hemorrhage due to snapped umbilical cord. In all, 18 babies had serious complications directly attributable to waterbirth." 47
Dr. Tuteur also points to the poor quality of the water in birthing pools, arguing that it is "essentially toilet water." 46 "The water in a birth pool, conveniently heated to body temperature, the optimum temperature for bacterial growth, is a microbial paradise," she writes. 46 She cites a study of 1,500 water births that included analysis of the water found in the birthing pools (before anyone entered the water) and identified:
- coliforms in 21% of samples
- enterococcus in 19% of samples
- Escherichia coli in 10% of samples
- Legionella pneumophila in 12% of samples
- Pseudomonas aeruginosa in 11% of samples. 48
After a special water filter was installed, contamination diminished but did not disappear completely.
Pools in the home setting were not the only ones implicated in contamination; some hospital pools also were affected.
What's the bottom line?
The American College of Obstetricians and Gynecologists has yet to weigh in on the matter. Until it does, ObGyns may be wise to heed the words of Ruth Gilbert, MD, of the Centre for Paediatric Epidemiology and Biostatistics at the Institute of Child Health in London.
"Can delivery in water cause serious adverse outcomes?" she asks, rhetorically, it turns out.
"Undoubtedly, the answer is 'yes.'" 49 —JANELLE YATES, SENIOR EDITOR
The data we do have are difficult to interpret
Among the limitations of studies of home birth are:
- lack of follow-up after the delivery
- varying definitions of perinatal mortality internationally
- lack of clarity regarding the identity and education of delivering providers
- the fact that there are often "too few neonatal deaths from which to extrapolate reliable rate calculations." 16
One meta-analysis found a rate of intrapartum transfer ranging from 7.4% to 16.5%, and a rate of primary cesarean delivery of 1.4% to 17.7% (it was 13.8% to 28.25% in the "comparison group"). 16
A challenge inherent in many of these studies is identifying exactly what the comparison group is. In addition, some of the data are obtained from discharge summary records, which don't always reflect the level of risk or acuity.
Oft-cited study has weaknesses
The study that many advocates of home birth cite was conducted in the United States and Canada and published in 2005. 17 It evaluated "all 5,418 women expecting to deliver in 2000 supported by midwives with a common certification [certified professional midwives] and who planned to deliver at home when labour began." The hospital transfer rate was 12.1%, in line with other studies. The risk of adverse outcomes was lower in the group that planned to have home delivery, compared with a "relatively low-risk hospital group."
The study focused on:
- electronic fetal monitoring, used in 9.6% of deliveries in the home-birth group, versus 84.3% of the hospital group
- episiotomy, performed in 2.1% of home deliveries, compared with 33% of hospital births
- cesarean delivery, 3.7% of planned home deliveries, versus 19% of hospital births
- vacuum-assisted vaginal delivery, performed in 0.6% of planned home deliveries, versus 5.5% of hospital births
- neonatal death, at a rate of 2.0 deaths for every 1,000 intended home births. No comparison figure was cited.
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in town for free camps
Countdown to Kickoff - Day 28: Schembechler Hall
Patrick Omameh gives a tour of Schembechler Hall.
OT: Did you buy a 4-pack? Looking for a trade...
I bought a 4 pack of tickets, and I am only able to go to three games this year. I am going to Western, Eastern and ND. I also have tickets to the Minnesota game that I want to trade for any of the first three games (two tickets). My seats for the Minnesota game aren't great, but I figure some of you would rather go to a Big Ten game. The seats are in Row 83, Seat 21-22. What are you willing to trade and where are they?
If you're serious about this email me at - email@example.com
Can't wait to go to the Big House this year. Go Blue!!!
Denard: #20 by Rivals
Too low? Too high? About right?
TomVH: OL Jordan Diamond is Visiting
I tweeted on July 29th that Jordan Diamond might swing back to Ann Arbor after his trip to a few southern schools. It looks like he's there right now, according to his mother who is also with him.
They're mainly there to check on Chris Bryant, Diamond's former teammate. Never hurts to be on campus though.
Satellite dish Tailgating Pioneer or AA golf & outing?
Setting up a tailgate for friends for the MI/ND game along with a Dish Network dish, 42 in tv, and all the good stuff so they can see the game while me and my wife go in and watch... I am wondering where anyone that tailgates with a Satellite dish goes?I prefer the golf course... Am I safe at the golf course with a dish? What do the experts do around here? Thanks!
TomVH: 2013 OL Kyle Bosch Visiting
2013 Illinois OL Kyle Bosch is visiting Michigan on Sunday. He's hoping for an offer, he already has a few good early ones so it's not out of the question. He'll be one of the top offensive lineman next year in the midwest.


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These are all the News & Announcements posted on Wednesday, 26 June, 2013.
Library Closed for Independence Day
The Library will close at 5:00 p.m. on Wednesday, July 3, and will be closed the entire day on Thursday, July 4, in recognition of Independence Day. We will resume normal hours on Friday, July 5.
Enjoy your holiday!
Posted By Logan Library at 11:21 AM in Category:Library Closed
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» Library Closed for Independence Day Jun 24, 2015
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Agriculture Targeted by DOL Wage and Hour Division
Time to Prepare: Pre-Season Compliance Checklist
by: Chris Schulte of CJ-Lake, LLC
Spring is right around the corner, but before your seasonal workers arrive and planting kicks into high gear, now is the perfect time to do a self-check of your HR procedures and records. While there is still snow on the ground for most of the country, take the opportunity to improve your practices and avoid costly audit findings down the road. Know the law, follow the rules, and be able to prove it.
CA Controller Jumps on "Wage Theft" BandwagonState Controller John Chiang, who is seeking election on November 4 as California State Treasurer, announced a new pilot program on October 23 -- called "Operation Pay-Up" -- to aid victims of putative "wage theft" committed by employers. Working in conjunction with the state Labor Commissioner's Office and non-profit The Wage Justice Center, the Controller's pilot project addresses the growing number of low-income workers who are owed millions of dollars in back wages unlawfully withheld by exploitive businesses. Between 2008 and 2011 alone, the magnitude of the problem was an estimated $390 million.
IRS Bars Employers From Dumping Workers on Exchanges
From the New York Times, May 26, 2014:
WASHINGTON — Many employers had thought they could shift health costs to the government by sending their employees to a health insurance exchange with a tax-free contribution of cash to help pay premiums, but the Obama administration has squelched the idea in a new ruling. Such arrangements do not satisfy the health care law, the administration said, and employers may be subject to a tax penalty of $100 a day — or $36,500 a year — for each employee who goes into the individual marketplace.
Read more: IRS Bars Employers From Dumping Workers on Exchanges
New COBRA Notice & Guidance Published
The Department of Labor has published a new model general COBRA notice and a new model election COBRA notice. The new model notices reflect that coverage is available in the public health insurance exchanges, i.e., the "Marketplace," and include information on special enrollment rights in the Marketplace. Use of these model notices, properly completed, will be considered good faith compliance with the notice content requirements of COBRA. The new notices may be obtained on the Department of Labor website. (For additional information, please see ourBenefits Law Advisor blog.)
Department of Rehabilitation Releases DVDs to Train Employers Regarding Employees with Disabilities
The California Department of Rehabilitation, in partnership with the Department of Fair Employment and Housing and others, recently released two new DVDs designed to (1) assist employers recruit, hire, and retain employees with disabilities and (2) provide small business owners with helpful tips on welcoming customers with disabilities.


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The Best Thing About You Test
Their result for The Best Thing About You Test ...
Humility is your strongest virtue. You are humble.
Humility is the defining characteristic of an unpretentious and modest person, someone who does not think that he or she is better or more important than others. And you? When you do the right thing, you're doing it for all the right reasons. All 7 virtues are a part of you, but your humility runs deepest.
It is likely you're a quiet type. But if not, then you just have dark, secret side that loves to give.
Humble famous people: JD Salinger, Isaac Newton, Harry Potter (pre-puberty)
Your raw relative scores follow. 0% is low, and 100% is perfect, nearly impossible. Note that I pitted the virtues against each other, so in some way these are relative scores. It's impossible to score high on all of them, and a low score on one is just relatively low compared to the other virtues.
60% Compassion
22% Intelligence
75% Humility
56% Honesty
25% Discipline
29% Courage
33% Passion
Their Analysis (Vertical line = Average)
They scored 60% on Compassion, higher than 73% of your peers.
They scored 22% on Intelligence, higher than 15% of your peers.
They scored 75% on Humility, higher than 86% of your peers.
They scored 56% on Honesty, higher than 40% of your peers.
They scored 25% on Discipline, higher than 25% of your peers.
They scored 29% on Courage, higher than 27% of your peers.
They scored 33% on Passion, higher than 19% of your peers.
All possible test results
Passion is an intense emotion that compels feeling, enthusiasm, or desire for anything, and that often requires action. Get that? Requires action. It's very lik... Read more
Courage, also known as bravery, will and fortitude, is the ability to confront fear, pain, risk, danger, and all that. "P... Read more
Discipline is the act of enduring that which you don't dig ("the shit"), even though you could be doing something else more fun, because the shit is better for you in the long run.... Read more
Honesty is the human quality of communicating and acting truthfully. This includes listening, and any action in the human reperto... Read more
Humility is the defining characteristic of an unpretentious and modest person, someone who does not think that he or she is bette... Read more
Compassion is the most human of the virtues. And you? Your heart has limits far beyond normal levels empathy, and your capacity for feeling the world's pain is boundless.&nbs... Read more
Intelligence (also called intellect) is an umbrella term used to describe a property of the mind that encompasses many related abilities, such as the capacities to... Read more
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Leagues NOW starting at the Blue Pelican Inn/Side Door:
Volleyball - 6 person mixed teams Wednesday 6:30.
Corn Hole League - 2 person teams,2 courts, Thursday 6:30.
Horseshoe League - 2 person teams, Tuesday 6:30.
Call to register for your team at (231)544-BLUE (2583)
Leagues start 3rd week of June for 8 weeks. Substitutes are welcome.
Open play for all games on weekends.
All games are FREE!!


text:
. konichiwa minna-san, Watashi no namae wa aqib desu. I love watching anime and reading manga. Lets see the first anime that got me into anime was, Sword Art Online. My faovurite anime is No Game No Life I would love to meet other people around the world that loves anime and is an Otaku so feel free to add me. :)
Arigato Gozaimasu for reading this.
Peace out
4,958 total episodes
Well actually i am trying to finish the anime i have started but i keep on getting distracted by others....
and facebook no...
Well i would love to but i dont have skype and since i live with my parents they wont let me sorry!!!!
Yea Jibril is amazing plus good looking!!! my favourite character is probably Shiro!!!!
well your profile picture is amazing as well!! since no game no life is your favourite anime who your favourite character in it????
Hello!! i love your profile picture!!
and i was wondering if we could become friend and talk about anime!!!!