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Tibia shaft fractures (TSF) are common for men and women and cause substantial morbidity, healthcare use, and costs. The impact of nonunions on healthcare use and costs is poorly described. Our goal was to investigate patient characteristics and healthcare use and costs associated with TSF in patients with and without nonunion.
We retrospectively analyzed medical claims in large U.S. managed care claims databases (Thomson Reuters MarketScan®, 16 million lives). We studied patients ≥ 18 years old with a TSF diagnosis (ICD-9 codes: 823.20, 823.22, 823.30, 823.32) in 2006 with continuous pharmaceutical and medical benefit enrollment 1 year prior and 2 years post-fracture. Nonunion was defined by ICD-9 code 733.82 (after the TSF date).
Among the 853 patients with TSF, 99 (12%) had nonunion. Patients with nonunion had more comorbidities (30 vs. 21, pre-fracture) and were more likely to have their TSF open (87% vs. 70%) than those without nonunion. Patients with nonunion were more likely to have additional fractures during the 2-year follow-up (of lower limb [88.9% vs. 69.5%, P < 0.001], spine or trunk [16.2% vs. 7.2%, P = 0.002], and skull [5.1% vs. 1.3%, P = 0.008]) than those without nonunion. Nonunion patients were more likely to use various types of surgical care, inpatient care (tibia and non-tibia related: 65% vs. 40%, P < 0.001) and outpatient physical therapy (tibia-related: 60% vs. 42%, P < 0.001) than those without nonunion. All categories of care (except emergency room costs) were more expensive in nonunion patients than in those without nonunion: median total care cost $25,556 vs. $11,686, P < 0.001. Nonunion patients were much more likely to be prescribed pain medications (99% vs. 92%, P = 0.009), especially strong opioids (90% vs. 76.4%, P = 0.002) and had longer length of opioid therapy (5.4 months vs. 2.8 months, P < 0.001) than patients without nonunion. Tibia fracture patterns in men differed from those in women.
Nonunions in TSF's are associated with substantial healthcare resource use, common use of strong opioids, and high per-patient costs. Open fractures are associated with higher likelihood of nonunion than closed ones. Effective screening of nonunion risk may decrease this morbidity and subsequent healthcare resource use and costs.
Keywords:Tibia shaft fractures; Nonunions; Healthcare resource utilization; Costs; Opioids
Tibia shaft fractures are common but unanticipated trauma in adults resulting in painful and prolonged recovery, often associated with complications. The U.S. National Center for Health Statistics reported annual incidence of 492,000 fractures of tibia, fibula, and ankle [1]. Tibia and fibula fractures annually result in 77,000 hospitalizations accounting for 569,000 hospital days and 825,000 physician office visits [2]. The U.S. Agency for Healthcare Research and Quality (AHRQ) reported 151,966 hospital discharges for which tibia/fibula fracture diagnosis was a reason for a principal procedure in 2007 (Healthcare Cost and Use Project, AHRQ) [3]. A high proportion of Medicare patients – adults aged 65 or older – with tibia fractures undergo an acute inpatient stay (70%), post-acute inpatient stay (50%), and home health care (38%) as well as outpatient visits and physical and occupational therapy [4]; such estimates are missing for young and middle-age adults who also frequently get tibia fractures [5,6]. Tibia fractures are treated medically, and healthcare use depends on treatment options, which, in turn, vary by injury type and severity and the presence of complications [5,7].
Fracture nonunion (sometimes referred to as "delayed union") is a common complication of a tibia fracture; it indicates that fracture healing is not happening in a timely fashion [5,8]. Nonunions put additional burden on the patient because they prolong the disability and are associated with substantial pain [9,10]. There is no standard definition of nonunion, and some authors have defined tibia nonunion as a fracture that has not united without additional surgical or nonsurgical intervention within 6–9 months [8], whereas others waited for six-month to perform surgeries to correct nonunions [11].
A common approach to delayed unions is expectant management, accompanied by non-invasive therapies such as low-intensity pulsed ultrasound [12-14], or vibration [12]. When healing fails within a clinically reasonable time period (6–9 months), a second surgical intervention, aiming to stabilize the fracture, is inevitable [8,11]. Additional therapies used during the surgery, such as bone morphogenetic proteins (BMP's), may further help bone healing, but they are costly.
Nonunions naturally require more healthcare services than fractures without non-unions because of the repeated surgical intervention and the extended patient pain and disability. Understanding of patient characteristics, healthcare use, and costs associated with tibia fracture nonunion is critical to understanding the clinical and economic burden.
Although previous studies investigated nonunion-related healthcare use and costs [15-18], they had a number of limitations: small sample size (n < =27) [15-18], no comparison to patients without nonunion [15-18], outdated estimates [15,18], single healthcare setting [15], and focus on limited therapies: pulsed low-intensity ultrasound [18], autologous-iliac-crest-bone-graft, or bone morphogenetic protein-7 (BMP-7) [16,17]. These shortcomings limit the reliability of the estimates, external validity (the ability to generalize to other patient populations and healthcare settings), and the ability compare with costs of fractures with nonunion to those without nonunion. To address these shortcomings, we conducted an analysis of large U.S. medical claims databases that reflects multiple healthcare settings and therapies. The aim of our study was to describe patient characteristics, healthcare resource use, and costs associated with tibia shaft fractures overall and by nonunion status.
We used data from the Thomson Reuters Marketscan® Research Databases. These retrospective claims databases are fully compliant with the Health Insurance Portability and Accountability Act (HIPAA). The data capture person-specific healthcare use, expenditures, and enrollment in inpatient, outpatient, prescription-drug, and carve-out servicesa from a selection of large employers, health plans, and government and public organizations. The databases link paid claims and healthcare encounter data to detailed patient information (for multiple sites and types of providers) over time. The databases include private sector health data from approximately 100 payers and more than 500 million claim records throughout the United States. The examined data spanned the years 2005 through 2008 and reflected approximately 16 million patient lives. This study did not enroll human subjects.
Patient sample
This study included adult patients diagnosed with a tibia shaft fracture (sometimes accompanied with a fibula fracture), which included ICD-9-CM diagnostic codes 823.20, 823.22, 823.30, and 823.32. The fractures occurred during the calendar year 2006 (the index period). Patients were required to have continuous insurance coverage in the year prior to the index period (2005) and during the two years following the index period (2007–2008). Please see Online Additional file 1 for more details. We excluded patients who were diagnosed with a tibia fracture in the calendar year prior to the index period and patients who were younger than 18 years at the time of their tibia shaft fracture. Nonunion was defined by ICD-9 code 733.82 recorded after the initial tibia fracture date.
Additional file 1. Index Tibia Fracture Diagnosis.
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We extracted the following data for each patient in the sample: age, sex, comorbidities, additional fractures, non-union status (yes or no), open vs. closed status of the tibia fracture, use of pain medications, healthcare resource use, and medical costs. Healthcare use and costs included all inpatient, outpatient, and pharmacy services billed for during the 24 months after the tibia fracture. Costs were divided into tibia related (whenever tibia fracture diagnosis code was assigned to the medical claim) and non-tibia related (whenever tibia fracture diagnosis code was not assigned to the medical claim). Opioids were classified as "weak" (tramadol and hydrochloride) and "strong" (all others). We assigned "open" fracture status to the cases with an open fracture record in the tibia shaft related claims. Cases with fractures (other than the index fracture) recorded in claims in the 2-year follow-up period received the "additional fracture" status.
We described demographic characteristics (age and sex) for all tibia fracture patients (total and by nonunion status). We compared healthcare resource use and medical costs of tibia shaft fracture in patients with and without nonunion. The Charlson comorbidity index (CCI) [18] was used to estimate patient general health status. Costs and health care resources were annualized and converted into 2006 U.S. dollars. Costs were analyzed as tibia-related, non-tibia related, and total.
Statistical methods
In statistical comparisons, we used Chi-square tests to examine differences in patient counts. We used a nonparametric technique - Wilcoxon test - to compare continuous variables (to minimize the influence of cost outliers). P values < 0.05 were considered to be statistically significant. We conducted analyses using SAS, version 9.3 (Cary, NC).
Internal Review Board (IRB) approval was not required for this retrospective database study because the data were de-identified and followed the HIPAA guidelines prior to our analyses.
A total of 853 tibia fracture patients were selected for the study based on the inclusion and exclusion criteria above.
Tibia fracture patient characteristics: age and sex
Average patient age at the time of fracture varied by sex. The male tibia fracture patients were most likely to be between their forties and fifties (Figure 1) with the mean age 50 years old (y.o.) (median age = 51 y.o.). In contrast, the female tibia fracture patients were most likely to be 65 y.o. or older, and the mean age at the time of the fracture in women was 56 y.o. (median age = 57 y.o.). Age difference between sexes was statistically significant (p < 0.001).
Figure 1. Distribution of tibia fractures in age categories by sex.
Tibia fracture patient characteristics by nonunion status
Out of 853 patients with a tibia shaft fracture, 99 (12%) patients had a nonunion diagnosis associated with their tibia fracture treatment. Patients with nonunion had characteristics similar to those without nonunion: there was no statistically significant differences in age, sex, region of residence, type of insurance coverage, or CCI (Table 1).
Table 1. Patient characteristics by the nonunion status
Patients with open tibia shaft fractures were much more likely to develop a nonunion than those with closed fractures. Ten percent (69/721) of patients with a closed fracture developed a nonunion compared with 23% (30/132) of open fractures patients (p < 0.001, Table 1). Also, patients with nonunion were more likely to have additional fractures during the 2-year follow-up (of lower limb [88.9% vs. 69.5%, P < 0.001], spine or trunk [16.2% vs. 7.2%, P = 0.002], and skull [5.1% vs. 1.3%, P = 0.008]) than those without nonunion (Table 1).
Healthcare resource use
Tibia fracture patients consumed a substantial amount of prescription medications (Table 2). Overall, more than nine out of ten (93.2%) tibia shaft fracture patients used prescription medications during the 2-year follow-up period. The most common prescription medications among all tibia shaft patients were strong opioids (78.0%) and non-steroidal anti-inflammatory drugs (NSAID, 35.3%).
Table 2. Prescription medications use in patients with a tibia shaft fracture by nonunion status
A higher proportion of nonunion patients used medications than those without nonunion (99.0% vs. 92.4%, P = 0.009). This disparity was driven by the following medications: strong opioids (89.9% vs. 76.4%, P = 0.002), prescription NSAID's (47.5% vs. 33.7%, P = 0.007), benzodiazepines (36.4% vs. 26.4%, P = 0.037), injectable corticosteroid (28.3% vs. 18.6%, P = 0.022). Nonunion patients not only were more likely to used strong opioids than their counterparts without nonunion, but also used them for almost twice as long as those without nonunion (5.4 vs. 2.8 months, P < 0.001). Interestingly, although a higher proportion of nonunion patients used selective serotonin reuptake inhibitors (SSRI's) than those without nonunion, the duration of SSRI therapy was shorter in the nonunion patients than in those without nonunion (8.1 vs. 12.1 months, P = 0.003).
Nonunion patients received significantly more surgical procedures than their counterparts without nonunion (Figure 2). Almost a third (29%) of nonunion patients required repair, one in nine (11%) required osteotomy, and 4% required osteoplasty, whereas none of those without nonunion required these procedures. Almost five-fold difference existed between the rate of external fixation (25% vs. 4%, P < 0.0001) and percutaneous skeletal fixation (5% vs. 1%, P = 0.0045) in those with and without nonunion. Also, nonunion patients were more likely to receive an open treatment with internal fixation (25% vs. 12%, P = 0.0002) or plates and screws (13% vs. 7%, P = 0.044), a closed treatment without manipulation (18% vs. 11%, P = 0.023), or intramedullary implant (42% vs. 26%, P = 0.0005) than patients without nonunion. No statistically significant difference existed between patients with and without nonunion in two procedures: closed treatment with manipulation and open treatment without manipulation.
Figure 2. Post-fracture surgical procedures by nonunion status.
Other healthcare resources followed a similar pattern (Table 3). Nonunion patients were more likely to be hospitalized for reasons related to the tibia fracture (64.6% vs. 40.3%, P < 0.001) and other reasons (62.6% vs. 31.6%, P < 0.001) and to use tibia-related physical therapy (59.6% vs. 42.4%, P = 0.001) than their counterparts without nonunion. Other services were comparable between the two groups.
Table 3. Healthcare resource utilization in tibia shaft fracture patients by nonunion status
Medical costs
Medical costs of nonunion tibia shaft fracture patients were higher than of their counterparts without nonunion. This was true for services directly related to tibia fractures and other services, even if some of them had a comparable rate of use between the groups (Table 4 lists median and mean treatment costs with standard deviations). This was true for almost all types of healthcare services: directly related to tibia fracture and other services. This resulted in median total care cost for nonunion patients almost doubling that of patients without a nonunion ($25,555.97 vs. $11,686.24, P < 0.001). Median costs of inpatient services not related to tibia fractures were almost 20 times higher in nonunion patients than in those without nonunion ($7,214.43 vs. $368.81, P < 0.001). Although both groups used outpatient services with similar likelihood (Table 3), the median costs of these services were higher in the nonunion patients than in those without nonunion for both tibia related ($674.05 vs. $150.1, P < 0.001) and non-tibia related ones ($9,952.65 vs. $3,850.53, P < 0.001).
Table 4. Medical costs associated with tibia shaft fracture patients by nonunion status
Tibia shaft fractures present a substantial burden on patients and the healthcare system. These fractures are common and cause physical limitations and pain to the patients. Nonunions further worsen the burden of tibia shaft fractures and lead to additional healthcare interventions [9,18]. Although nonunion can occur in any fracture site, tibia shaft is the most common among the long bones [19-21]. The extent of the healthcare burden and costs associated with tibia shaft fractures needs to be well understood to enhance the framework of decision making regarding treatment patterns and health insurance coverage, and to better evaluate the outcomes of nonunion fracture prevention and treatment. This study addressed an important gap in the literature: the lack of recent and broadly representative data on healthcare use and cost of tibia fracture treatment depending on the nonunion status.
Women with tibia fractures were found to be older than men, and this difference was statistically significant. Men tend to break their tibias in sport activities (e.g. soccer and skiing) or motor vehicle accidents [6]. In women, low bone mass and osteoporosis (common for old ages) are contributing factors to tibia fractures [22].
Pain control and medication use is an important issue in tibia shaft fracture treatment, especially when a nonunion is present [21]. Patients reported lower limb fractures as the most painful ones among fractures and injuries [23], which naturally drives the use of analgesics. Consistent with previous literature, we found opioids and NSAIDs to be commonly used for pain treatments among patients with bone shaft trauma [24-26]. Notably, other studies have shown a significant association between the use of NSAIDs [24,26] or opioids [26] with nonunion of long bone shaft fractures. We also found that patients with nonunion were more likely to experience additional fractures in the study period than those without nonunion, which could have increased their likelihood of receiving NSAIDs, opioids, or both. Although our study design precluded us from any inferences of causality, our results suggest that pain medication (especially opioid) use remains high in tibia shaft fracture patients with nonunion and may be a marker for nonunions.
Strong opioid use itself is a difficult issue in pain management of tibia fractures. Opioids are controlled substances that are associated with side effects, physical tolerance, withdrawal, and addiction [27]. We found substantially higher use of strong opioids in tibia fracture patients with nonunion than in those without nonunion. Because extended use of strong opioids may result in patient addiction, and drug misuse and diversion [28], previous research suggested cautious use of strong opioids [28]. Thus, prevention or prompt treatment of nonunions may not only help reduce pharmacy and medical costs, but may also lead to better control over opioid use.
Healthcare use and costs were higher in the nonunion group than in those without nonunion. Although the nonunion patients represented only 12% of the tibia shaft fracture patient population, their total costs were more than twice as much as those without a nonunion. This happened because nonunion patients were more likely to use all types of healthcare services than those without nonunion, and their per-patient cost of care was higher than in those without nonunion. We also found that nonunion patients underwent more surgical procedures post-fracture than their counterparts without nonunion. These findings are consistent with earlier reports suggesting that nonunion patients were more likely to be hospitalized [16,17] and operated on [15] than patients without nonunion. We found that both tibia and non-tibia related costs were higher in patients with a nonunion. This may indicate that tibia nonunion has an overall negative impact on other aspects of people's health and causes further non-tibia-related healthcare resource use. Overall, our findings provide an update on medical costs of tibia shaft nonunion to the existing literature [15,18] and data on healthcare use in a broader patient population group than previously reported (BMP-7 treatment patients) [16,17].
While the healthcare system is under increasing financial burden, many healthcare institutions implement cost control strategies. Screening tibia shaft fracture patients for nonunion risks and addressing nonunions in a timely manner, may not only free up scarce healthcare resources and save healthcare dollars, but also improve patient outcomes [12]. The literature suggests that open fractures are more likely to result in a nonunion than closed ones [21,25,29,30]. Consistently, our study found that tibia shaft fracture nonunions were more likely to occur in those whose tibia fracture was open than in those with closed tibia fractures. Open status of a tibia shaft fracture may serve as a pre-cursor of nonunion.
The findings of this research should be interpreted in the context of the limitations of the study design. First, our study focused exclusively on patients with medical and prescription benefit coverage. Therefore, it may not be appropriate to draw inferences about broader populations (especially those without health care insurance) based on the findings presented here. Second, this study was descriptive in nature and did not investigate the effect of fracture-related characteristics (e.g., displaced, compound, or comminuted) or patient-related characteristics (e.g., smoking [31-33]) on the risk of nonunion. Smoking status, among other patient-related characteristics, was not available in the studied dataset. Third, the limitations of the databases precluded us from detailing specific within-hospital resource use (e.g., surgical theatre vs. other resources) or estimate whether all tibia fracture healed by the end of the study period.
Finally, we were unable to assess the burden of tibia shaft fracture nonunion beyond medical costs: e.g., on patients' health-related quality of life or indirect costs to the society. Previous U.S. and the U.K. studies have found that the indirect costs of tibia fracture management are at least twice that of the direct healthcare costs [18,34,35]. Given the substantial burden of tibia shaft fractures not only on patients, but also on their family members and friends, there is a need to estimate indirect (e.g., productivity) costs of tibia shaft fractures and their nonunion.
In conclusion, this retrospective descriptive analysis of patients with tibia shaft fractures revealed important differences between those with nonunion and their counterparts without a nonunion. Although we identified higher patient comorbidities, resource use, and costs associated with nonunions, many unanswered questions, especially as related to the indirect burden on society and risk factors for nonunion, still remain. Future research (preferably, through a prospective cohort or a placebo-controlled study) should investigate functional and productivity outcomes of tibia shaft fractures, risk factors for their nonunion, and the correlation between risk factors, such as opioid use, and additional fractures.
aCarve-out services are medical services that are separated from a contract and paid under a different arrangement.
Competing interests
All authors were employed by Eli Lilly and Company when the study was designed, analyses performed, results analyzed, and manuscript drafted. The authors declare no other competing interests.
Authors' contributions
All authors have made substantial contributions to conception and design of the study, or acquisition of data, or analysis and interpretation of data, have been involved in drafting the manuscript or revising it critically for important intellectual content and have given final approval of the version to be published. EA led the research concept and design, interpretation of the data, and was the primary writer of the manuscript. TKL contributed to the research design, lead data analyses, and contributed to manuscript writing. RB and JM contributed to research design, result interpretation, and manuscript writing. All authors read and approved the final manuscript.
This study was funded by Eli Lilly and Company.
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Pre-publication history
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text:
Oriental Pasta With Snow Peas And Peppers
|Snow peas
|1⁄2 Pound
|Red bell pepper
|Yellow bell pepper
|Broccoli florets
|2 Cup (32 tbs)
|3⁄4 Pound
|Low sodium chicken stock
|1⁄4 Cup (4 tbs)
|Reduced sodium soy sauce
|2 Tablespoon
|Lemon juice
|2 Tablespoon
|Vegetable oil
|1 Tablespoon
|Minced fresh ginger
|2 Teaspoon
|1 Clove (5 gm), minced
1. Bring a large pot of water to a boil.
2. Meanwhile, string and trim the snow peas. Core and coarsely dice the bell peppers; set aside.
3. Blanch the snow peas in the boiling water 30 seconds, or until they turn bright green. Using a slotted spoon and reserving the boiling water, transfer the snow peas to a colander; cool them under cold running water and set them aside to drain. Blanch the broccoli florets 3 minutes, or until crisp-tender; using a slotted spoon, transfer them to a colander, cool and drain them.
4. Return the pot of water to a boil. Cook the linguine in the boiling water 10 minutes, or according to the package directions until al dente.
5. Meanwhile, cut the blanched snow peas in half diagonally.
6. For the dressing, combine the stock, soy sauce, lemon juice, oil, ginger and garlic in a small bowl and stir until blended; set aside.
7. Drain the linguine and transfer it to a large serving bowl. Add the snow peas, bell peppers, broccoli and dressing, and toss to combine.

subset: commoncrawl


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Can you believe it?! 22.61 acres in the Loganville school district for less that $4,000 an acre. This one will not last long! Property is mostly wooded and features Big Flat Creek running all the way through it! For more information on this property or other properties like this please call Ginny VanOostrom Willett at Algin Realty, 770-616-4460.
Jul 1 - Loganville
If you own an RV and Lot, or just an RV Lot in South Ga., South Al. or South Ms. or Northern Fl. and would be interested in making an equal swap for a beautiful wooded lot in The Fox Lake Sub-division in Blairsville, Ga. please contact me. Blairsville, Ga. is in the extreme northern mountains of Ga. It is just minutes from the borders of Tenn. and N.C. Fox Lake is an up-scale community with ...
Jun 30 - Blairsville
5 adjoining lots on Jackson Lake. Lot 4 has .13 ac, Lot 5 has .12 ac, Lot 6 has .12 ac., Lot 7 has .14 ac, Lot 8 has .16 ac. All are on Southern Shores. Asking $4000 ea. lot. Price is negotiable. Will pay closing costs.
Jun 25 - Jackson
got 2.95 acres in Ellijay Georgia for sale 8 miles from town askin 24,000 or best offer
Jun 24 - Ellijay
7.6 miles from Lexington, GA, in Oglethorpe County, this is 2.06 acres of prime wooded Georgia land. Property is priced at only 57% of the county assessed value. The lot is nicely proportioned, with rolling terrain. We will consider reasonable offers on this already incredible opportunity. Prop. Type: R3-Residential Zoned: AR Property County: Oglethorpe Property city: Property Address: ...
Jun 20 - Lexington
Beautiful 3.25 Acre easy access level lot near the entrance of LAKE LACEOLA. This gated sub-division boasts of privacy yet near to Cleveland & Helen with Lake Laceola access. Clubhouse with Swimming Pool, Mountain Trails, Fishing, Boating and many other accessories.
Jun 19 - Cleveland
Online Auction! We are proud to offer this tract of land that offers versatility for multiple uses. Tract Two offers a 2BR/1BA House on 4 acres. The house is currently tenant occupied on a month-to-month basis with a monthly rent of $600.00. Tracts Three & Four each offer 34.78+/- acres of open and wooded land. The property is in a fabulous location, just minutes from Carrollton and easy ...
Jun 8 - Carrollton
Cedar Ridge Crossing features all custom built homes, oversized lots and good schools!! Cul-de-sac lot ready for your home! Just minutes from Loganville, Highway 78, Highway 20, and Highway 81. For more information on this property or other properties like this please call Ginny VanOostrom Willett at Algin Realty, 770-616-4460.
Jun 5 - Loganville
17 acre Pasture and stalls for rent Great for horse trainer relocating or Berry College student!! 17 acre pasture, fenced with professional size arena, hot/cold wash rack Ideal for Berry College student or horse trainer looking to relocate Located 3 ½ miles from Broad Street 8 Stall barn, 6 stalls for $585/month, 1 stall $250/month
Jun 1 - Rome
Beautiful cleared lot in the Georgia mountains in Blairsville Ga. Underground utilities, paved roads, great mountain view, great school system. The neighborhood is called Nottley Highlands.
May 31 - Blairsville
Blairsville Georgia " Notley Highlands" 1.2 acre cleared lot Paved roads Underground utilities Beautiful new community best mountain view Asking 90,000 just reduced Call Glenn 954-934-2055 / 954-942-0479 See buy Owner for photos
May 31 - Blairsville
Haynes Bridge Land 11760 Haynes Bridge Rd. Alpharetta, Georgia 30009 .91 Acres of land zoned for commercial use on Haynes Bridge Rd. The property is perfect for a free-standing restaurant or commercial building. The property is highly visible and is located near the intersection of Haynes Bridge Road and Old Milton Parkway. It has inter parcel access with the Alpha Soda Center and the ...
May 30 - Atlanta
Bill Cheek Rd. Land Bill Cheek Road Auburn, Georgia 30011-2121 18.45 acres of spacious and beautiful land located in Auburn Georgia at the northwest side of Bill Cheek Road. The land is currently zoned RA-200(Residential/Agricultural). The land has approximately 684.40 feet of frontage on Bill Cheek Road which is a two-laned asphalt paved roadway. Additionally, the property fronts ...
May 30 - Auburn
Year round mountain views from this 1.65 acre building lot, located in Apple Orchard Country. Lot is 7miles from center of Ellijay Ga. Off 52E. The lot is a perfect mountain getaway, with gated entrance,paved roads,community water, & underground utilities available, located in Ellijay, Ga.
May 28 - Ellijay
1.39+/- acre tract sitting on top of a mountain in Ellijay, Georgia. Breathe taking views overlooking the surrounding mountains from this lot & is ready to be built on immediately. Mature hardwoods, close to Dawsonville and Ellijay. Excellent Parcel for Mountain Home/private retreat. Tracts like this one are very hard to find at such a reasonable price. Location Description: Property is ...
May 25 - Ellijay
3.24+/- acre tract sitting on top of a mountain in Ellijay, Georgia. Breathe taking views overlooking the surrounding mountains from this lot & is ready to be built on immediately. Mature hardwoods, close to Dawsonville and Ellijay. Excellent Parcel for Mountain Home/private retreat. Tracts like this one are very hard to find at such a reasonable price. Location Description: Property is ...
May 25 - Ellijay
This heavily wooded and secluded 4.31 acre mountain lot is deep in the woods of the gated Burnt Mountain Private Community, Dawsonville, GA, near the Dawson Forest Wildlife Mgmt. Area on hwy.136. Call Rick or Wanda at 706-301-9377. We will consider all offers.
May 21 - Dawsonville
Exit Chateau Elan exit turn right on Hwy 211 go approximately 7 miles turn left onto Rockwell Church Road go approxmiately 2 miles. Follow Rockwell Church Road until you see East County Line Elementary on the right the subdivision is the next turn on your left Wellington Point Subdivision. Follow street all the way toward the end of Wellington Drive it will be the 16th lot on the left just ...
May 16 - Winder
For Sale by Owner (Agents Welcome) 28.42 Acres in the Valley with Video $20K per ac. 1753 Hwy 114 Summerville, Georgia 30747 $568,500.00 http://www.youtube.com/watch?v=N8AOsfgdavA The property has a high daily traffic count of over 6000 cars per day on Highway 114 with over 1,200 feet of frontage. The property has 5 freshly graded acres. The property also has sidewalks, gas & county ...
May 15 - Summerville
Cheapest Lot, Only $24,900 in a Highly Desirable College Park Subdivision! NO HOA, Utilities Ready, No work needed for the Buyer - the Lot is Ready for a New Build! The debris is being cleaned out and will NOT be an added expense to the Buyer! Only$24,900...Buy now and Build Later! Or Buy Now and put a Manufactured Home on the lot! Call me now - 770-362-7984! The house that used to ...
May 11 - Atlanta


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Lindenhurst will conduct its semiannual water main flushing program beginning Oct. 1, depending on the weather. The process will be performed from 8 a.m. to 3 p.m. Monday through Friday and continue until all mains in the village have been flushed. Residents are urged to refrain from doing laundry during this time to avoid staining. Signs will be posted in each area before the start of flushing. The process is expected be complete by Oct. 31.
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This year, we continued on our three year journey of transformation to become the clear choice. We stimulated growth in our business, turned the spotlight back up on our Values and reflected on and communicated our Purpose
Tech Monitor UK is a joint report released by KPMG and Markit which looks at the health of the UK technology sector.
Explore why technology firms should choose to invest in the UK. We consider what the UK currently has in its favour as it battles for technology investment.
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Explore the opportunities available for school and college leavers at KPMG.
Find out about careers for graduates from all degree disciplines in Audit, Tax, Advisory, Technology, Marketing and HR.
Keep up to date with the latest news and views from KPMG in the UK by following our twitter feed.
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Minnesotans say they treasure the Minnesota Vikings football team, but they don't want to help pay for a new stadium to keep them. That's the dilemma for the Minnesota Legislature that keeps stalling, hoping they can put this decision off until after the November elections. Meanwhile, the Viking...Read More
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On Veterans Day in 1985, President Reagan spoke of those who laid down their lives for our country. "Most of them were boys when they died," he said, "and they gave up two lives — the one they were living and the one they would have lived." When today we honor the men — and [...]...Read More
Looming ahead for 113 school districts in Minnesota are operating levy elections on Tuesday, Nov. 8 whose approval will be critical for the education of Minnesota K–12 students. Where these once were known as excess or extra levies, they now are being called by some "survival levies." Half of ...Read More
Contrary to what critics are saying, the American Recovery and Reinvestment Act (stimulus funds) is creating and saving jobs in Minnesota. Amid the din and chatter during this toxic political campaign season, those who say the stimulus funds have not created or saved jobs in Minnesota are wrong. Acc...Read More
While the Minnesota Legislature, controlled by Republicans, boasted it did not raise taxes last session, it eliminated the market value homestead credit that could increase most homeowners' property taxes by varying amounts on taxes payable next year. For 44 years, the state has partnered with loc...Read More
Compared to other industrialized countries, the United States high school students score in the middle of the pack. The International Student Assessment showed United States students scored 16th in science and 23rd in mathematics. This comes at a time when it's apparent this generation of students...Read More
There's a growing concern over what will happen to care for the elderly if the state legislators significantly cut the health and human services budget. The state sets the rates nursing homes can charge that determine the level of service providers can give the elderly. It also funds waiver progra...Read More


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PETA Urging People to Break the Law?
(The Outdoorwire.com) Courtesy of the U.S. Sportsmen's Alliance. There was no denying that PETA opposes hunting. Now the animal rights group also is on record urging people to violate laws-make that hunter harassment laws. In an October 9, 2012 blog posting, PETA urges its minions to: "Help counter the cruelty of hunting in your area: Post "No Hunting" signs on your land and that of sympathetic neighbors and friends, join or form a local anti-hunting group, protest organized hunts, and spread deer repellent or human hair (from barber shops) near hunting areas. Also, before supporting any wildlife or conservation group, make sure that it opposes hunting."
Fortunately for hunters, these tactics constitute hunter harassment, a practice that is illegal in all fifty states and also on federal land. The U.S. Sportsmen's Alliance (USSA) championed the enactment of these laws during the 1980's and 1990's in response to a campaign entitled "Hints for Hunt Saboteurs" by the anti-hunting organization, Friends of Animals. The Sportsmen's Alliance also helped defend state hunter harassment laws in both Iowa and New Jersey courts when challenged by the anti-hunting lobby. The result has been protection for American sportsmen and women from the exact sort of thing being promoted by PETA.
"It may be hunter harassment in itself for PETA to be encouraging others to break the law," observed USSA president and CEO, Bud Pidgeon. "If indeed there are foolish people out there who follow the PETA directive to harass hunters, I would not be surprised to see the authors of this article charged as well as the perpetrators."
Hunters encountering protestors, deer repellents broadcast or other items placed in their hunting areas to keep deer away should immediately contact their local Conservation Officer (game warden) or local sheriff's department and report the violation. When possible, take photographs of protestors, their vehicles, and their activities.
Full details on PETA's plans are on their website at:
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NBA Slideshow
Wimbledon - Rafael Nadal beats Thomaz Bellucci in straight sets
Two-time Wimbledon champion Rafael Nadal defeated Thomaz Bellucci 6-4 6-2 6-4 to progress to round two. More »Eurosport - 3 hours ago
Athletics - Mo Farah: It is not right or fair, I am 100% clean
Mo Farah has given an emotional interview to Sky Sports News following allegations made against his coach Alberto Salazar. More »Eurosport - 2 hours 56 minutes ago
Football - Sergio Ramos's mum says 'Sergio wants to stay in Madrid'
The Sergio Ramos transfer saga took another bizarre twist on Tuesday when the Real Madrid star's mother spoke to reporters. More »Eurosport - 4 hours ago
Wimbledon - Petra Kvitová crushes Kiki Bertens in 35 glorious minutes
Defending champion Peta Kvitova was in ominous form as she destroyed Kiki Bertens in her opening match at Wimbledon. More »Eurosport - 5 hours ago
Wimbledon - Day two at Wimbledon: LIVE
Follow live updates from across every match on day one at Wimbledon, with Roger Federer and Andy Murray among the players in action. More »Eurosport - Mon, Jun 29, 2015 11:27 BST


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Marsala, Italy Bed & Breakfasts - The Bed & Breakfast Villa Mozia distinguishes itself for the simple elegance environment, the smile, the dialogue and the staff's kindness that create a pleasant
Marsala, Italy Bed & Breakfasts - Start your Sicilian trip from B&B Alle porte di Marsala, centrally located and close to all amenities.
Marsala, Italy Bed & Breakfasts - Suitebeach b&b is a little resort, bordered by the beach.
Marsala, Italy Bed & Breakfasts - Villa Sparta is waiting for you with a warm welcome!
Find a Marsala, Italy bed and breakfast for your romantic weekend getaway. Intimate b & bs are cozy, romantic accommodations that are perfect for a mini-vacation, honeymoon, or wedding anniversary celebration. You will love the unique charm of our Marsala, Italy inns. Many guesthouses include complimentary breakfasts and unbeatable hospitality. Browse our bed & breakfasts and plan your Marsala, Italy romantic getaway today!


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The Carob Chip Protein+ Bar has a rich, brownie like texture and flavor, but is completely chocolate free. Unlike chocolate, carob provides a rich, delicious flavor without any caffeine or theobromine, which are both stimulants for various parts of the body. Both caffeine and theobromine can have adverse effects, such as jitteriness, sleeplessness or anxiety – and even small amounts can create problems to sensitive individuals. Carob also has more calcium than chocolate does! Customers love that the carob chip bar satisfies their craving for chocolate, and can be a perfect afternoon snack to fuel play, or make workouts great!
Breaking Muscle has this to say, in a review on their site:
"Rise Bar's Protein+ Bar product line is made with whey protein isolate (17g), so you can't put this bar in the category of most fruit- and nut-based bars, given that there is a substantial amount of useful protein. Along with the benefit of protein, Rise Bar creates additional value by using a short list of ingredients. The Almond Honey Bar, for example, has just three ingredients, while the Crunchy Carob Chip Bar has five. Not only is the ingredient list minimalist, but none of the ingredients require a science background to pronounce."
The Crunchy carob chip fits into most lifestyles and diets as well. Free of peanuts, gluten-free, soy free, and no preservatives make this bar a filling part of any day – and of course, it is vegetarian friendly, non-GMO and without sugar alcohols, as well.


text: The Zacuto 6.5" (16.51 cm) Female / Female Rods (Pair, Black) is a pair of rods with female on both the ends and 1/2" 13 threads. The black anodizing rods are 0.59" (1.50 cm) in diameter with 2.36" (6 cm) spacing. These rods are lightweight and are made of 6061 aluminum.


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KROHNE currently has a Flowmeter product called the OPTISWIRL that is ideal for Energy Management. KROHNE's all-in-one OPTISWIRL Instrumentation product delivers accurate measurement of standard volumetric and mass flow of conductive and non-conductive liquids, gases and vapors, even in applications that are prone to pressure and temperature fluctuations. Furthermore, the OPTISWIRL Flowmeter is the only device available in a two-wire configuration that combines a vortex flowmeter with a built-in temperature sensor in the flow stream and an integral pressure sensor at the point of measure. This combination is ideal for determining not only the apparent, or actual flow of steam or air, but the actual energy value being delivered, which is the ultimate goal of any energy distribution system.
Joe concluded by informing the audience that when it comes to true Energy Management savings, the OPTISWIRL Flowmeter is ideally suited for a variety of industries, including the chemical, oil and gas industries, and also larger commercial institutions such as central or district heating and cooling facilities, hospitals, and colleges. The OPTISWIRL Instrumentation product is also designed for an assortment of applications in these environments, such as vapor and saturated steam measurement, steam boiler monitoring, compressor control or compressed air systems monitoring. The meter can also be used for measurement of industrial gases, burner consumption measurement, and SIP or CIP processes in the food, beverage and pharmaceutical industries.
To hear the full podcast and learn more about the topic of energy management, as well as KROHNE's OPTISWIRL product line, please click on the following link: http://www.krohne.com/index.php?id=1897
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Applied Developmental Science
Publisher: Routledge
ISSN: 1088-8691 (Print), 1532-480X (Online)
Volume: 15
Publication Frequency: 4
The convergence of these three aspects leads to a fostering of a reciprocal relationship between theory and application as a cornerstone of applied developmental science, one wherein empirically based, developmental theory not only guides intervention strategies and social policy, but is influenced by the outcome of these activities. Furthermore, the convergence calls for a multidisciplinary perspective aimed at integrating information from biological, medical, social, and behavioral science disciplines.
Given this multidisciplinary orientation, the journal publishes research employing any of a diverse array of rigorous qualitative as well as quantitative methodologies, when they have important implications for the application of developmental science across the human life span. Manuscripts pertinent to the diversity of development throughout the life span, cross-national and cross-cultural studies, studies pertinent to social justice, and research about the methods and measures involved in applying developmental science are particularly welcome. The journal does not publish pilot studies. Authors should include analytic techniques that indicate the effect size of findings and information about nature of the sample studied.


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Made of recycled melamine, this Set of 4 Confetti Bowls offers cool, colorful style that's environmentally-friendly. Sturdy enough to stand up to an electric mixer and dishwasher safe, this hard-working set includes four convenient sizes: 136-oz. (red), 72-oz. (green), 40-oz. (purple) and 16-oz. (yellow).
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Sealy Brand Lily Glen Firm Mattress
Item# 511561
$319.99 - $699.99
The Lily Glen Firm Mattress by Sealy Brand offers you firm comfort and value. Featuring a 2.5" layer of Gel Foam, Sealy Brand's Lily Glen Firm mattress will provide you great back support for many years to come.
Price is for MATTRESS ONLY. Bed set and foundation in images are sold separately.Full Details
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Print The Lily Glen Firm Mattress by Sealy Brand offers you firm comfort and value. Featuring a 2.5" layer of Gel Foam, Sealy Brand's Lily Glen Firm mattress will provide you great back support for many years to come. The mattress features a 638 innerspring coil density, and a 2.5" high density foam edge encasement for additional edge support and lasting durability. A layer of Marvelux® foam helps reduce motion transfer while increasing the coil durability. The Lily Glen Firm mattress by Sealy Brand is great for those that are looking for a firm mattress that will provide the comfort and support you need for years to come.
Comfort: Firm; Profile Height: 9.75"; Made in America; Comfort Layer: FlameGuard™ Fiber, .75" SealyFoam®, 2.5" Gel Foam; Support Layer: Innerspring: PostureTech® Solid Edge™ HD; Coil Density: T 378, F513, Q 638, CK 806, EK 812; Pairs with Sealy DuraTech™ Foundation; Adjustable Base compatible; 5 year non pro-rated warranty
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The Pacific Coast Comfort Edge pillow features Ultimate, spiral spun polyester fiber filling and is covered with 400 thread count strip, 100% cotton tick fabric.
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The Degree 2 Choice sheet set includes an extra-large top sheet, a patented self-tailoring fitted sheet, and two pillowcases. One pillow case in twin & twin extra long sizes.


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Shimmy By the Sea draws international artists
Shimmy by the Sea draws variety of artists
CORPUS CHRISTI - Belly dancers from all over the world will shake their shimmy this weekend during the 29th annual Shimmy by the Sea, a three-day international dance festival that will showcase cultural dance highlighted by comedy, passion and lots of shimmying.
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Okay guys Im going to upgrade the Summit to a Single servo setup. I have had some great advice by a couple of you guys already and have read most of the threads I could find, but still looking for more.
I am still trying to decide which assembly to go with, but think I have it narrowed down to either a Hot Racing or STRC. I also cant decide which style of servo horn would be the best; I like the looks of the OFNA and HUDY if I were to go with a straight style?? Is one sytle better than the other?
But here is my main question Servo???? I am looking at the HiTec 7955TG and/or 7950TH or the Savox 1230SG. The specs show the Savox to have more torque but it seems as when the torque goes up the speed goes down .I think???? Where is the happy medium?
And most importantly, I dont understand this whole BEC thing. Besides the fact that a BEC provides a more constant power source to the servo that the ESC can/does. So how do you know if/when a BEC will be required? Are any of you guys able to use a single servo setup without using a BEC?
As always, thanks for your help!!!!!


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Matt Smith's Departure Confirmed.
View Single Post
June 2 2013, 10:20 AM
The Mirrorball Man
Vice Admiral
Location: Switzerland
Re: Matt Smith's Departure Confirmed.
N-121973 wrote:
Now here's an idea, how about David Tennant, anyone have any ideas what he's up to for the next 12 months stage and screen wise? I know it is unlikely and I know there are many who'd groan at the suggestion, but it would be a change to bring back a previous Doctor and could fuel some good story ideas.
I'm opposed to the idea but I guess a way to make it interesting would be to bring Tennant back, but not as the 10th Doctor. He'd be a very different 12th Doctor, one that just happens to look similar to his 10th incarnation.
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Question: What Is The History Of Dessert Apple Enchilada?
February 22, 2010
Permalink Anonymous
February 22, 2010
February 22, 2010
It was created in the 1600's by the Mexican king Ricardo Guiermo the 3rd of the Royal Castle of the CHicharrones.
The history of enchiladas the earliest known indigenous people who lived in a lake region of Mexico according to tradition ate small fish wrapped in corn tortillas. And, Bernal Daz Del Castillo wrote about Europeans enjoying a feast that was given by Hernan Cortes at Coyoacan during the time of Spanish conquistadors.
The food that was served at this occasion was also wrapped in corn tortillas. And that?s not all?others believe that The history of enchiladas comes from the papadzules, a Mayan dish that's been around since before Columbian times and still strongly connected today in the Yucatan.
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Learn more about Marimar Estate Don Miguel Vineyard La Masia Chardonnay 2010:
Manufacturer: Marimar Estate
Mfg Part#: 125720B
Sku: 252677022
See more in Russian River
|Complex nose with intense citrus and floral aromas of gardenia and honeysuckle, plus a minerality reminiscent of wet pebbles. A note of hazelnut and spice from the elegant oak carries through on the palate. Great balance and mouthfeel, with a lingering finish and long aging potential but delightful to drink right now.


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"It's not about this election. It's about the next generation," Cardin said from a pier near the Baltimore Museum of Industry.
- Maryland's Van Hollen at center of deficit fight
- Ivey to challenge Edwards for House seat
- 6th District candidates spar over jobs
- Pictures: Special session in Annapolis
- Pictures: Political activity in Annapolis
- Pictures: Maryland General Assembly's first day of special legislative session
- Elections
- Feminism
- Paul Sarbanes
See more topics »
Supporter Helen Stith-Smith, 66, cheered on Cardin for his near-15-minute speech. He was joined by most of the state's Democratic leaders, including Gov. Martin O'Malley, U.S. Sen. Barbara A. Mikulski and Baltimore Mayor Stephanie Rawlings-Blake.
"He's done the right thing for us," the Pikesville resident said while holding a campaign sign. "He has been there for us. I love him and will support him any way I can."
In Congress, Cardin, 68, has established himself as a leader on fiscal and environmental issues.
He appears well positioned to win a second term. He has been raising cash at a solid clip and has more than $2.3 million in the bank, Federal Election Commission reports show.
Cardin may face a challenge in the April 3 primary from state Sen. C. Anthony Muse of Prince George's County. On the Republican side, the candidate who appears to be campaigning most aggressively is former U.S. Secret Service agent Daniel Bongino of Severna Park.
Bongino welcomed Cardin to the race, saying he looked forward to an issues-based campaign. "Marylanders are eager to turn the page on status quo politics," Bongino said.
Before Cardin's 2006 election to the Senate to succeed Paul Sarbanes, he served in the House of Representatives for 20 years. He also had a long run in the Maryland General Assembly, where he was speaker of the House of Delegates.


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A site I made recently got hacked and defaced. They got into a self-made CMS for administering the website. They were able to retrieve my username and the hashed version of the password and posted it on facebook.
Now my question is, how did they enter the site using the hashed password? Don't they need to decrypt it first? Why didn't they post the decrypted version of the password on their facebook account (when I see a lot of other sites posted there with their human readable passwords displayed).
This is my authentication code:
SELECT * FROM Admin WHERE Username = '$_POST[Username]' // This finds the username
if ($row[Password] == md5($_POST[Password])) {
Save Sessions here
Although I've added mysql_real_escape_string now to the SQL query because this might have been the vulnerability.
Any thoughts?


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Search Results
Keyword Search Results for 'Clunky'
We found 474 results for you. Pages 1 - 30 are below.
Name: Baby Name Agapi
Sweet meaning, but clunky name.
User List: Quirky & Clunky But Lovely Girl Names
A bit quirky and clunky , but lovely CALLIOPE, PHOEBE, JOSEPHINE, JESSAMINE, SHOSHANA, BEATRICE, PIPER, CLEMENTINE, PENELOPE, PERSEPHONE, PRIMROSE, HARRIET, TALLIE, COSETTE, Rafferty
User List: Clunky Quirky Adorable Names
Names that are not for everyone...so clunky they are cool HUGO, IGNATIUS, CAIUS, RAFFERTY, THATCHER, THELONIUS, EVANGELINE, ELOISE, WESTLEY, MAGNOLIA, AUGUST, PENROSE, ALICE, HAWTHORNE, AQUINNAH
Name: Baby Name Ivanka
Cute or clunky ? You decide. In either case, it's very much associated with Ivanka Trump.
Name: Baby Name Wilhelmiina
Burdened with the Old Dutch cleanser image of thick blond braids and clunky wooden clogs.
Name: Baby Name Oslo
Oslo, the capital city of Norway, makes for a somewhat clunky boy's name. Might be better to think about the city's former name, CHRISTIANIA or KRISTIANIA for your daughter.
User List: Spunky Boy Names
Sometimes clunky , mostly old, and generally eccentric boy names for a feisty boy! HUGO, HUGH, HUMPHREY, OTHELLO, SOLOMON, THOREAU, WALDEN, ALASTAIR, OSCAR, WILLOUGHBY, ATTICUS, THOMAS
List: Clunky but Cool Names for Girls
Cool names for girls come in all shapes and flavors. There are some baby names that, like thick black-rimmed glasses and heavy oxfords, are so uncool they're cool. Here are some clunky but cool
Forums: Jamesina
Sorry I'm posting so much, I'll try to tone it down some. WDYT of Jamesina ?It's very clunky . A feminization of a name that really should
List: Clunky but Cool Names for Boys
Cool names for boys come in all shapes and flavors. There are some baby names that, like thick black-rimmed glasses and heavy oxfords, are so uncool they're cool. Here are some clunky but cool baby
User List: Clunky Unusual Girl Names
User List: Sounds Fabulous- Girls List
Most of the names I love have the same clunky , antique, cool sound and loads of nickname potential. This is the girls version CLOTHILDE, DOROTHEA, MEREDITH, TABITHA, THEODORA, WILHELMINA, ARIADNE
User List: Sounding Fabulous - boys list
Most of the names I love have the same clunky , antique, cool sound and loads of nickname potential. This is the boys version ABRAHAM, ALBERT, ALISTAIR, ARCHIBALD, ARTHUR, ATTICUS, AUGUSTUS
Name: Baby Name Gesine
Clunky Gertrude is heading towards obscurity in the US, but here's a variation that might intrigue - Gesine, also spelled Gesina. Gesine comes from the same roots - Geretrudis - and shares
Name: Baby Name Philomena
Philomena is an earthy Greek name now used in various Latin countries. While it has felt simply clunky for many years, it's starting -- along with such sister names as Wilhelmina and Frederica
Forums: Walter or Silas
as Silas. Both of these names are so charming and handsome, and either one of them would fit right in with the siblings' names. That being said, I think Walter has a certain clunky charm that just
User List: Clunky yet sweet old names
Forums: Agatha
likes the nickname. My reservation with Agatha is thats not quite pretty, not quite clunky . its like a clunky name trying to sound more feminine than it is. I think its the "tha" ending
Forums: Edith
/ Emerald as far as clunky or quirky E names. I normally like -th names. So I'm not sure why I don't like Edith
Name: Baby Name Archer
Archer is an Anglo-Saxon surname that feels more modern than most because of its on-target occupational and Hunger Games associations. And it's a nice way to bypass the clunky Archibald
Name: Baby Name Raymond
, the Irish Reamonn (with nickname Rea) and the surname Redmond. Bottom line: Raymond hasn't quite crossed into Clunky Cool territory yet, but he might just follow his own nickname there.
Forums: Help naming our Bearded Collie male puppy!
Firstly, all the names on this list are super adorable and seem to me spot-on for a bearded collie--with clunky -cool factor. 1. Dunlop (number one because I can't get over
Forums: Edith Freesia
I love Edith . Clunky cool. Punk rock. Gosh, Freesia is a fantastic middle name! I just love
Forums: Titus?
11. They're a really religious family made up of nice people. I was talking fast and called him "Titties" by mistake one time. I can't get past the clunky sound and the "tit
Forums: Chance Smaller Family
: Claire Olivia 2. If your favorite pizza topping is cheese, DH's name comes from:
Name: Baby Name Wilhelmina
Wilhelmina was long burdened with the Old Dutch cleanser image of thick blond braids and clunky wooden clogs, but that started to be changed somewhat by the dynamic Vanessa Williams character on
List: Names No Girl May Be Cool Enough For
to Hortense rather than laying it on a poor little kid. The point: While we can appreciate the contrarian cool inherent in these clunky names, we fear that few children at this point in time are cool enough
List: Names No Boy May Be Cool Enough For
name to Elmer rather than laying it on a poor little kid. The point: While we can appreciate the contrarian cool inherent in these clunky names, we fear that few children at this point in time are cool
Forums: names that end in -ora.
" alt="" title="Wink" class="inlineimg" /> Eliora - New name for me and I'm really falling for it Flora - The F makes it feel clunky and vintage but the -ora makes it feel fancy and sweet
Forums: clunky ladies
not terribly excited about it. It seems old-fashioned and rather out of style right now, but not clunky , or ugly. Maybe it's because I went to school with a Frieda


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You can now invite anyone to meet at your favorite Starbucks.
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46 year old man | Cape Coral, FL, USA | Seeking women 35-45 within 25 miles
Active within 24 hours
Looking for someone to navigate through life with. **Recent transplant to SWFL**
I'd like to meet someone with solid morals/values. She lives life to the fullest and tends to enjoy the moment. I hope her cup is half full and she believes in gaining momentum in many aspects of life. I tend ot be attracted to athletic, low-maint, low drama girls. I'm passionate about business, family, friends, kids and certainly my significant other. My family instilled decent ethics, sports gave me a drive and competiveness, and my past relationship/marriage gave me the understanding of what I'd like going forward. I usually eat healthly, but most anything goes on Sundays:) I exercise regularly, play tennis, golf and basketball for recreation. I'm in a decent place in life and would like to find someone to enjoy it with. My buddies and family would say I have a pretty good heart, carry on the Irish spirit well, and am a solid performer on and off the field. I like a glass of wine or ice cold beer while enjoying the company of those I care about. My partner has her own life but along with some dedication, simplicity and passion, our lives could gel together. NOTE: I have recently made a move to the Fort Myers/Cape Coral area and look forward to meeting you. If you bike, play tennis, can show me some fun places, or just want to grab coffee or a adult beverage..I am IN!
Coffee and conversation , Business networking , Cooking , Dining out , Movies/Videos , Music and concerts , Playing sports , Travel/Sightseeing , Volunteering , Watching sports , Wine tasting
Baseball, Basketball, Cycling, Football, Golf, Other types of exercise, Skiing, Swimming, Tennis / Racquet sports, Walking / Hiking, Weights / Machines
I exercise 3-4 times per week.
I have Dogs
My Boxer/English bulldog is named after a NFL quarterback that had a hard time deciding whether or not to retire.
Middle of the Road
Maui, Mexico, Flagstaff, Tahoe, Hermosa beach, poolside at a local resort, most any golf course on a Friday afternoon.
Sports, kids, great food, family, Music, grilling out, working out, golf, tennis, skiing, football season, making others happy, traveling to new places, playing hoops, relaxing poolside or the beach. I'm Learning to fish and like it!
I enjoy most sports both playing/watching. Going to the beach or the mountains. Grilling out poolside with friends/family. Traveling to new places and meeting new people. Anything with my daughter when I see her, or just relaxing.
Training materials.
Z{{Cta}} {{#if HasMoreInfo}} ?{{CtaSecondary}} {{/if}}
|What he is looking for
|6'1" (185cms)
|5'0" (152cms) to 6'0" (182cms)
|Body type:
|Athletic and toned
|Slender, Athletic and toned
|No preference
|Light brown
|No preference
|No Way
|No Way
|Social Drinker
|No preference
|Sales / Marketing
|No preference
Sales and Marketing/Pharma
|I'll tell you later
|No preference
|No preference
|Have kids:
|Yes, and they live away from home (1)
|No preference
|Wants kids:
|Not sure
|No preference
|White / Caucasian
|White / Caucasian
Irish Catholic
|Christian / Catholic
|Christian / Catholic, Spiritual but not religious, Christian / Other
|No preference
|Bachelors degree
|No preference


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Album Rating: 1.5Death
Album Rating: 4.0thats old crap metal lol djent s thr best genere ever r u kiddin
good rifs? listen to monuments and peripehry thats pretty much enuf kthxbye
(sorry guys i really feel like going full retard around here)
U mad buddy ? Don't let that this happen, better start djentin while scum is derpin with lil b, lol.
Mr Derp looks smarter than the generic djent detractor of sputnik, and mr derp is not smart
Album Rating: 4.0yeah dude i love listening to death their new music is so good :^)
Album Rating: 2.5Why do you hurt me so Moreira?
Album Rating: 4.0There are a lot of great riffs here. But a lot of bad ones too.
Album Rating: 4.0http://uberhumor.com/wp-content/uploads/2013/10/wsDwkJK.gif
Album Rating: 3.5listening to this reminds me of summer 2012
forgot how much I loved the interludes
Album Rating: 5.0I hope that you got djent or djerp because while you derp i djent. 5 THIS OR DIE, lololololo
Album Rating: 4.0"listening to this reminds me of summer 2012"
That, so much. If only all were good memories.
Album Rating: 5.0Luck as constant has some sweet moments
Album Rating: 3.5their best song, right besides Letter Experiment
Album Rating: 5.0Erised is da bomb, so stop derpin and start djentin
Album Rating: 3.0erised is probably my favorite periph song
Album Rating: 5.0The Petrucci's solo in Erised is cool. Also have a blast is a really polished and well crafted song, those electronic effects; the intro and the chorus are perfect, besides govan's work in that track is remarkable
5 this or dei
Album Rating: 2.0 | Sound Offlol verm calls me a pitchfork tool but he 5d this
Digging: Main Attrakionz - 808s & Dark Grapes III
Album Rating: 1.5we don't talk about pitchfork here
Album Rating: 1.5wouldn't pitchfork hate this?
Album Rating: 5.0Hi my favorite pitchfork tool, how are you today :D ?
Bands: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


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Farm2grow holding an open day at Consall lane, on the A522 Leek to Cheadle Road
Posted: September 02, 2014|
A SOCIAL enterprise is throwing its gates open to the public.
On Saturday, September 6, Farm2grow will be holding the family event at its site at the top of Consall lane, on the A522 Leek to Cheadle Road.
Entry will be £1 per car for entry to the farm to see not just animals, but a host of stalls selling locally produced crafts and goods including fresh local chemical free produce.
There will be live music and the chance to attend several workshop/demonstrations including grooming a pony, willow weaving, bee keeping and honey extraction, making pure juice and smoothies, chainsaw woodworking and green woodworking crafts, as well as the chance to meet some of the animals at the facility
Related content
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Sheep dog trials at Dovedale prove popular
Farmers in Peak District invited to brush up business skills at Fresh Start Uplands Academy
Derby Market, Thursday, August 21 2014
Leek Market, Tuesday August 19 2014
Bakewell First Store Lamb Sale, Wednesday, August 20 2014
Ostlers Lane, Cheddleton Price: £175,000
Derby Market Report for Thursday, August 28 2014
The event will celebrate the work of the farm's young people who have been involved in the project, including the unveiling of a large hand painted mural.
Farm2grow is a social enterprise set up to help people from all walks of life to access the healing properties of nature.
It does this on the farm by running courses in rural crafts and teaching people new skills.
For more information or to find out more about the work at Farm2grow please call 01782 551833 or email firstname.lastname@example.com


text: > View Product Details Please select the size of the product. Please enter valid quantity. Greylin black 'Thomas' peplum blazer overview details Retail: $128.00 Reduced: $77.99 50% Off : $39.00 color : We're sorry. This style is sold out. Black An essential, easy-to-wear addition to your wardrobe, this comfortable black jacket with a flirty peplum hem works for any season to dress up or dress down. A simple style choice when you want to top off the perfect skinnies and a tee look, or rock the board room. Color: Black Lightweight poly-rayon woven Shawl lapel with shoulder padding Two button closure at front natural waist Loose cuffed sleeves Fully lined Size S measures approximately 28'' from base of back collar to hem, 24'' sleeve length from top shoulder seam; may vary by size Self: 42% Polyester / 58% Rayon; Contrast: 100% Polyester; Lining: 97% Polyester / 3% Spandex; Dry Clean; Imported; style#322831301


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ABBOTT PARK, Ill., Jan. 21 /PRNewswire-FirstCall/ -- Abbott (NYSE: ABT) today announced financial results for the fourth quarter ended Dec. 31, 2008.
-- Diluted earnings per share, excluding specified items, were $1.06, reflecting 14.0 percent growth, in line with Abbott's previous forecast. Diluted earnings per share under Generally Accepted Accounting Principles (GAAP) were $0.98, up 27.3 percent. -- Worldwide sales increased 10.1 percent to $8 billion, including an unfavorable 2.5 percent effect of exchange rates. Full-year 2008 sales were nearly $30 billion. -- Worldwide pharmaceutical sales increased nearly 10 percent driven by double-digit growth in HUMIRA(R), Niaspan(R), and the TriCor(R)/TRILIPIX(TM) franchise. Global HUMIRA sales in the quarter exceeded $1.3 billion; full-year 2008 global HUMIRA sales were more than $4.5 billion. -- Worldwide medical products sales increased 15.6 percent; with 58.9 percent growth in global vascular sales driven by the continued success of the XIENCE V(TM) drug-eluting stent (DES), which became the market-leading DES in the U.S. during the fourth quarter. Last week, Abbott announced the acquisition of Advanced Medical Optics (AMO), strengthening and expanding Abbott's medical device business with a global market leader in ophthalmology. -- Global nutritional sales increased 11.0 percent, up more than 15 percent internationally and nearly 7 percent in the U.S. -- Abbott is confirming previously issued earnings-per-share guidance for the full-year 2009 of $3.65 to $3.70 under both Generally Accepted Accounting Princi
|SOURCE Abbott
Copyright©2009 PR Newswire.
All rights reserved


text:
The Amazing Brooklyn Museum Scavenger Hunt
- 200 Eastern Parkway, Brooklyn, NY, 11238, US
Amazing New York Scavenger Hunt - St. Patty's Edition
Pogo Events
Saturday, March 16, 2013 from 12:30 PM to 4:30 PM (EDT)
POGO Events presents The Amazing New York Scavenger Hunt - part scavenger hunt, part obstacle course and ALL NEW YORK. A series of clues leads you around the city performing physical and mental challenges along the way. This version of the Race is all about celebrating St. Patty's Day in New York! You can sign up as a team or as an individual and we will partner you with a team.
The hunt takes three hours. Please wear comfortable shoes and bring a Metrocard. One member of the team should have a smart phone (either Android or I-Phone). If you don't, please let us know and we will pair you with someone who does.
The hunt is run through an app called ScanQuest. Please download that before you come to the event.
iPhone Download Link | Android Download Link
It is a great way to connect with friends or meet new ones. Go to www.pogoevents.com for more information.
Prizes include:
Tickets to the Off Broadway Show "Totally Tubular Time Machine"
Tickets to the "Big Quiz Thing"
Tickets to "Quiet Events"
Tickets for a Strip Xpertease class
Custom Written Trivia Night for up to 20 people
A fabulous Gold Medal
"i'm amazing" t-shirt
POGO Events plans The Amazing New York Scavenger Hunt, The Amazing Las Vegas Scavenger Hunt, and The Amazing San Francisco Scavenger Hunt - part scavenger hunt, part obstacle course.
We also host a Badass Board Game Battle!
Contact: firstname.lastname@example.com for New York
Contact: firstname.lastname@example.com for San Francisco
In order to purchase these tickets in installments, you'll need an Eventbrite account. Log in or sign up for a free account to continue.