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My Nonprofit Reviews
Review for Diabetes Foundation Of Mississippi, Inc., Ridgeland, MS, USA
I have a child that has Type 1 diabetes. My first interaction was at the hospital. I was shown such compassion and interest in how my daughter was doing. I was invited and encouraged to attend Camp Kandu, the diabetes camp they sponsor. The camp was a perfect place to meet other parents of children with diabetes. It was also a great opportunity to get more education on diabetes management from the top medical professionals in the field. The Diabetes Foundation has been a godsend to me for support and continued education on the latest advances in diabetes management. Every dollar that is raised in Mississippi stays in Mississippi to help those affected by this disease. I am so grateful to have this wonderful nonprofit available, and for all the many programs they offer.
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Roberto Mancini's side have been in decent form in the Premier League of late and added another win-to-nil during the week, and that's how we'll look to capitalise on their class advantage at Wembley.
Wigan's defeat at the hands of Swansea on Tuesday leaves them on the brink of relegation and they won't receive any sympathy from the favourites.
Manchester City v Wigan (1715 BST)
There's no polite way of putting it, but Saturday's FA Cup final has the look of a game which could be utterly dominated by one side: Manchester City.
Roberto Mancini's side have found this competition a welcome distraction from the disappointments found in both the Premier League and Europe and it's hard not to feel that their semi-final victory over Chelsea effectively secured the trophy.
That game, also played at Wembley, was the first time in this season's competition that a member of the opposition had managed to force the ball over the City goal-line, a fact which rather underlines the task at hand for Wigan.
Of course, this is very good news for us. Back in January, we advised four points on City at 11/2 and there's absolutely no temptation to back Wigan and secure a profit.
This is in no way meant to disrespect Wigan or undermine their superb effort in reaching this stage. It's fair to say the draw has been kind in the main, but their 3-0 quarter-final defeat of Everton was the product of an electric performance and has rightly been rewarded with a trip south to Wembley.
And as recently as a fortnight ago, it may have been possible to build a case for an upset. Wigan managed three wins from four in March and briefly looked ready for what's become an almost expected late-season rally, one which has saved them from relegation in the past.
However, Tuesday's 3-2 home defeat to Swansea suggests that their luck is about to run out and if they defend on Saturday as they did then, City will pull them apart piece by piece.
Even without that defeat, it's clear that where City have nothing else to focus on this season, Wigan have two huge games to come in their battle to stay alive.
With that in mind, the events at Old Trafford this week provide a further unwelcome distraction - Roberto Martinez is being mentioned as a strong candidate to replace David Moyes at Everton and while making all the right noises, it's clear that he would've preferred not to answer questions about his future right now.
History, both in terms of this competition and Wigan's record against City, offers no salvation for the Latics and their fans.
Fifteen of the last 19 FA Cup finals have seen only one team score, including several notable examples where a side has held a clear advantage in terms of class, and the last seven times Wigan have played City they've lost without finding the net.
With that, City's recent record of winning without conceding and our very strong outright position in mind, we'll have a good bet on City winning to nil.
Anything odds-against looks well worth taking, like Sky Bet's 5/4. It's a price which fails to recognise how deflated Wigan looked on Monday, their overall record against City and the recent history of FA Cup finals.
For those looking further afield, Carlos Tevez has five goals in this season's FA Cup already and the evens offered in places about him finding the net here looks perfectly fair, as do quotes of 7/2 that he opens the scoring.
The Argentine striker scored the only goal of the game when City beat Wigan at the Etihad just a few weeks ago and looks the man most likely if awarded a place in the starting line-up.
It may also be worth considering Pablo Zabaleta. The tireless full-back has really impressed with his attacking exploits this season and his first ever goal for City came against Wigan, while he's already scored in the FA Cup at Stoke.
Ultimately, though, everything points towards a straightforward win for City and we'll look to capitalise with an appropriately straightforward bet. They beat Stoke 1-0 in the final two years ago and while I fancy one side of that score to alter dramatically, I don't expect their 2013 opponents to find scoring any easier.
Verdict: Manchester City 3 Wigan 0
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subset: commoncrawl


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When he takes his seat at his desk, business is rolling smoothly as usual. As an MTA dispatcher, it is his job to know every inch of every track in New York City. This skill will prove quite useful when Mr. Ryder (John Travolta) and his band of ethnic nondescript terrorist-types slickly hijack and therefore "take" subway train Pelham 123. The train is in Garber's area, so he gets the radio call, but instead of the motorman calling, it's Ryder, and he wants to chat. His topics of conversation: the weather, sports, the Catholic religion, and sticking it to The Man, but mostly the conversation's about getting Ryder $10,000,000 in 60 minutes. Otherwise, he'll start killing his 17 hostages one by one. Good thing Walter didn't call in sick today, because he might be the only one who can talk Ryder down. Does Ryder know more about Walter than he's advertising? Is Walter hiding a secret? Is it fate or coincidence that Walter gets the call? Is Ryder not as bad as we think? All questions will be asked and conveniently (and expensively) answered by the end of Tony Scott's super-flashy remake of Joseph Sargent's "The Taking of Pelham 123".
This is Denzel's 4th collaboration with director Tony Scott, continuing a relationship that dates back to 1995's submarine classic Crimson Tide. These two obviously like working together and it shows on screen. Denzel looks comfortable, commanding, and believable as an MTA dispatcher with a haunted past. On the other end of the radio mike is Mr. John Travolta, who really crackles as enigmatic thief Ryder. He's a fun character to watch, and easily has all of the best lines. Travolta plays Ryder as Vincent Vega's uptight, meth-addicted cousin, and provides an endless supply of energy that keeps the story interesting. The plot hinges on multiple radio conversations between Garber and Ryder, and both actors work their sides like old pros. These guys could play these characters in their sleep, but their chemistry is the brightest spot in the film. Look out for Luis Guzman of Boogie Nights popping up as Travolta's "inside man." Pun intended.
Just like the actors, director Tony Scott is perfectly at home here—he could direct this in his sleep. It has every trademark overdirection that Scott is known for: constant camera swivels, millisecond shots, music-video editing, choppy aerial shots, and a rockin' techno-serious music score from Harry Gregson-Williams. It's a fun, solid film that delivers on everything its trailer promises. This is a heist film, so the "who," the "what," and the "why" don't really matter. All we want to know is how they are going to pull it off. Ryder's plan is ingenious enough to keep my attention, but the script resorts to simple conveniences to move the plot along. The film ends at the Manhattan Bridge in a final showdown of sorts between humble-cool Garber and deranged-cool Ryder. I won't give the ending away, but needless to say, this film's track record for predictability speaks for itself. Compared to the 1974 original, this film updates the technology and the racial/cultural tapestry of New York City, but mainly sticks to the basic original plot. For all of its bells and whistles, I felt by the end like I had just watched a two hour prequel to Spike Lee's far more superior Inside Man.
Anything Else, Flimgeeks Achievements, Media Reviews, Theatrical Reviews


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The IBM eServer pSeries 630 Model 6E4 with 3D graphics workstation has been withdrawn from the market, effective December 13, 2005. The following links provide information on the p630 6E4.
Learn more
- Outstanding value in a reliable UNIX® system with up to two processors
- Advanced graphics accelerators for excellent 3D CAD/CAM and visualization application performance
- Up to 16GB memory and 587GB of internal disk storage for data- and compute-intensive tasks
More for your money
The IBM eServer™ pSeries® 630 Model 6E4 UNIX system is designed to lower the cost of high-end design and analysis while raising levels of performance. It offers a no-compromise solution for complex mechanical computer aided design (MCAD), computer aided engineering (CAE) and geophysical visualization. The p630 Model 6E4 is also an excellent development and testing platform for 64-bit symmetric multiprocessing (SMP) applications.
Supercharged application performance
The p630-6E4 is designed for technical and graphics users who require high performance and SMP scalability. It incorporates innovative IBM copper/silicon-on-insulator POWER4™ chip technology resulting in some of the fastest 64-bit processors in the world.
One or two 1.20GHz or 1.45GHz POWER4+™ processors are incorporated on a chip with shared Level 2 (L2) cache mounted on a processor card. Also on the card is 8MB of L3 cache, which helps stage information more effectively from system memory to application programs. The processor card is packaged with the system memory to form a processor book—a sealed unit that protects the components in a rigid structure designed to provide higher reliability.
With two POWER4+ processors and up to 16GB of memory, the p630-6E4 is an excellent choice for running MCAD design and analysis applications such as the CATIA suite. The Model 6E4 brings new levels of performance to CAE applications from companies such as Ansys, MSC.Software, AVL, CD/adapco, Fluent, ESI, LSTC and Mecalog.
Graphic advantages
The pSeries 630 Model 6E4 supports the POWER GXT4500P or GXT6500P graphics accelerators using two of the available PCI-X adapter slots. For high-performance 3D applications, both accelerators offer functionality and leading-edge performance in 3D texturing and lighting. For the ultimate in performance, choose the GXT6500P with hardware lighting and transform processors integrated with the accelerator. For less demanding environments, GXT4500P utilizes the host CPU to perform complex lighting and transform tasks. In addition, the p630-6E4 supports a full range of graphics input devices, including SpaceBall® and Magellan.
There when you need it
The p630-6E4 offers advanced reliability via a built-in service processor that is designed to continuously monitor the system's vital signs. It also features advanced memory technologies—ECC (error checking and correcting) and Chipkill™ memory that are designed to detect and correct most multiple bit errors; and redundant memory that dynamically replaces failing memory. These facilities help protect the system from failures that can cause unscheduled downtime.
Packed with value
The p630-6E4 features a deskside design with excellent expansion capabilities. It offers four disk and two media bays, permitting up to 587.2GB of internal disk storage. Two integrated Ethernet and two internal Ultra3 SCSI controllers free slots for other customer requirements.
The AIX® advantage
AIX 5L™ is the IBM UNIX operating system for the p630-6E4. Tuned to maximize graphics performance for the MCAD user, AIX 5L is widely recognized for providing state-of-the-art graphics performance solutions. Included is support for Java™, OpenGL, graPHIGS and X-Windows.
Contact IBM
- Find a Business Partner
Call IBM: 1-866-883-8901
Priority code: 101LW04W
Call IBM: 1-866-883-8901
Priority code: 101LW04W


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Pete Kruchowski Was Not A Knockout Game Victim, According to Police
Categories: Community
|Timothy Lane
|Police say Pete Kruchowski is not a victim of the knockout game.
Today, St. Louis Police officially classified what happened to Kruchowski as a "non-criminal incident." So what happened then?
No one knows for certain. You'd think if Kruchowski had been hit by a car, his bike would be damaged in some way. It could have been a run-of-the-mill cycling accident, but the severity of his injuries would seem to belie that. Kruchowski has no memory of the incident, and no witnesses have come forward with information.
Tonight residents of the Tower Grove Park neighborhood gather to discuss the incident, and the threat of the knockout game returning with the warmer weather. Pete Kruchowski remains in an area hospital recovering from his injuries.
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HARRISBURG, Pa.— Refrigeration manufacturer Hill Phoenix, Conyers, Ga., announced this week that a Giant Food Stores outlet here is using a Second Nature secondary loop refrigeration system for its medium-temperature display cases and walk-in coolers. The system uses a propylene glycol fluid as a cooling medium instead of R404A refrigerant, eliminating the circulation of high-pressure refrigerant throughout the store floor and achieving a 50% reduction in refrigerant charge. The system uses ...
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Jaleel White appears as
his late-era Family Matters suave alter ego Stefan Urquelle lady killer Cee Lo Green in the video for "Cry Baby," the latest single off, erm, The Lady Killer. To its credit, the clip, with which Cee Lo himself has had no discernible involvement, doesn't sugarcoat the caddishness of Cee Lo's persona. White's fancy footwork doesn't hurt either, especially when the video becomes a middle-of-the-street spectacle.
The video looks to have been helmed by "F—k You" director Matt Stawski, but we wouldn't be surprised to learn that director and choreographer Adam Shankman was responsible; while the clip's retro stylings have elements of the sixties-soul revamp of "F—k You," the poodle skirts and dance sequences hearken further back to teen-rebel films, and we wouldn't be surprised if the clip was inspired by John Waters's film of the same name, though filtered through a post-millennial pop lens, like Shankman's re-envisioning of Hairspray. This is retromania we can get behind.


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"Hand over the chicken or I'll cut you"
Not as lame as a elephant-Al. Now that's lame.
Everyone that has been commenting on a new ballpark, need to pledge to the Barons for ticket packages for in the future. You need to show up. The Logan's need a course in etiquette, it would have been nice to inform Petelos of their intentions. Time for all to put their money where there mouth is and pony up for tickets.
I have stated from the start that the hotel and ballpark are being rammed down our throat and they city council just passed in on through. At least Royal has the guts to question Bell and his corrupt cronies. Something smells in Birmingham politics folks. Bell has been trying to pull a fast one from the start and most people in B'ham fell for it again.
Seems like he would be a better fit in Minnesota. Purple and Gold. He could probably fool someone while guzzling his "purple drank" there.
Drive-by out to the ballgame,
Drive-by out to the crowd,
By me some peanuts and flakjackets,
I don't care if I ever go back,
For it's rat, tat, tat for the home team,
If they don't play who's to blame,
For it's one, two, three shots you're out at the old ballgame.
Oooops. I thought this was a safe area from what everybody was saying(Mr.Gordon). Let's build the ballpark here and get robbed on the way to watch a game. Talk about putting money back into the community.
More smokescreens by Bell. "Oh no, not a loan, I meant a bond. Ooops, if we can't use Railroad Park we will built in the safe Titusville near the jail". This just keeps getting more interesting by the minute. I thought the whole idea was to have a ballpark and build up an area around the park for dining and entertainment before and after the game. Looks like that is changing also. Folks, get ready for the next round of the Bell and Birmingham City Council Comedy Tour.
Maybe while they are down there they can both read the Auburn Creed, it states, "I believe in honesty and truthfulness, without which I cannot win the respect and confidence of my fellow man".
Once again, I state that they are trying to ram it down our throats. Trying to rush the approval before gathering all the facts. They so-called survey of 650 was nothing but a sham. What are the next hidden costs? Mr. Royal was the only one that seemed to have his head screwed on straight. The others were the same as usual, the blind leading the blind.
Just another example of Birmingham politics gone awry. John Rogers gets his way as usual. When is his trial coming up on his records seized? Will he be the next to sit with Larry, Gary White, etc. ? All we need is more lobbyists in positions of government.
Roderick Royal may be the only one that is actually looking at a flawed survery of only residents of Birmingham. Sure they are going to say they would go to more games. Do they go to any now? How about paying 12 dollars a ticket? Check the projections of they survey on attendance, they are not even as much as what the Barons currently draw in Hoover. The people who will gain or lose on this are the owners of the Barons(the Logan family). Will they make more money in downtown or in Hoover?
GFOWLKES and jdinthehills good comments as usual. Is a survey of 650 people enough and I am sure they were not biased, correct? Also, if they did not figure in 7-10 million more dollars in land cost for the project, what else are they not telling us? Seems like there is more questions than answers and it does sound like a rush rush jam it down our throat project as someone pointed out. Instead of "If you build it they will come", it sounds more like "ease his pain" to me. Who's pain are we easing?
I still maintain that none of these people jamming down our throats are true baseball fans, but typical politicians with some agenda that on the surface sounds good for the community, but like another person mentioned noses are growing.
Yeaaaauuuuhh. I'm going to rent a backhoe and dig it up.
Mr. Kennedy, I wouldn't exactly say Hoover stole the Barons away from Birmingham. Rickwood was falling apart, and Art Clarkson asked Birmingham to build a new ballpark and they refused, thus the move. Correct?
Mr. Gordon, if you are out there today? You never answered a previous question about how many baseball games a year at Regions Park or elsewhere you have attended. If you do live in Hoover near the ballpark, and are a true baseball fan, you should have attended some games. You say you want a new ballpark downtown, but will you and the people pushing for a new ballpark actually attend the games over the long haul? Have they attended games this year or will in the future or are the just sqawking to get something for themselves that the greater Bham/Metro area already has? Will attendance be more than what the Barons currently draw? They currently have drawn the second most attendance in the Southern League for the last couple of years. Will a new park draw more than the current facility far into the future? The Logan's need to examine the track record for what happens in downtown Birmingham. Before you dribble off some crime statistics, answer the first question and would you and others actually attended many games(not 2 or 3 or 10), but 30 to 50 or buy season tickets?
@jdinthehills, you and I are on the same page. We must be related and don't know it. I have seen what new downtown ballparks can do in a city,(Montgomery and Greenville(SC)) are my favorites. Montgomery had Patterson Field(still there) but not even a mediocre facility(much like Huntsville) and Greenville was the same way. Regions Park draws well for the Southern League, will a downtown ballpark draw better now(probably), but later???? I agree, most of the fans base for the Barons are probably from the southern part of Jefferson County and North Shelby. Will these people travel downtown? Or the question should be, will the true Birmingham residents support a new facility?
Mr. Gordon, Legion Field is about 2.15 miles from Railroad Park. Technically, not in dowtown, but close. Probably most of your so called statistics about crime in Hoover happens on Lorna Road and at the Galleria. I try to avoid those areas also. I can't remember much crime at Regions Park unless you want to consider the Thirsty Thursday night the kids jumped the fence out on the field and ran away from the slightly slow moving Hoover Police. I am not opposed completely to a Birmingham ballpark, maybe the Lakeview district where there is entertainment already around. What are the crime stats in that area of Birmingham? Just asking.
@BHCL you speak the truth. I used to park at Birmingham-Southern when Auburn and Alabama played at Legion Field and walk to the game. One time, we followed some friends to park directly across from Legion Field and guess what? I payed my "fee" to park on public property and got my windows broken out and everything stolen from the car. I don't think things have changed much for the better as far as theft and crime goes. I have not been jumped, mugged, or robbed at Regions Park. Mr. Gordon is living in a fantasy world if he thinks the area around Railroad Park is safer than Regions Park at night.
While the Senator course is the most enjoyable of the 3 full length courses at the RTJ in Prattville, they should re-name the courses, the Legislator #1, Legislator #2, and Legislator #3.


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LAH Mentor Zilker Trip
Thu, September 19, 2013 • 5:30 PM - 6:30 PM • Zilker Park
Hey all! We hope classes have been going well so far for everyone and that your mentors have been helping you in anyway possible. On September 19th, mentors and their freshmen are all invited to come to Zilker Park for a late afternoon/early evening of fun and relaxation.
Bring any kind of sporting equipment you want to play with (volleyballs, kites, frisbees). Unfortunately we won't be having any kind of food for you so bring any snack items you want. Water and Gatorade will be provided so you won't join Pinto yet. Barton is close to Zilker so if your mentor team want to swim feel free, there's a paid entry area which is quieter and a free area.
We hope everyone can make it to our fun day in the sun! Your mentors will be contacting you soon about the event.
Mentors: you'll be responsible for getting your freshmen to Zilker and back, whether that be by car, bus, bike, segway, etc. After the sun goes down we'd encourage your mentor group to go out to eat something local or fun or both and continue to get to know your group.


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Starting to feel safe again after the Sandy Hook tragedy.
A $100 million legal claim filed against the state of Connecticut in the wake of the deadly Newtown elementary school shooting has been withdrawn for now, local media reported Tuesday.
Read more
Sharon Scott-Hunter, 59, a retired assistant superintendent of the Chester Upland School District who spent 25 years teaching special education elementary students in Philadelphia, died of cancer Tuesday, Dec. 11, at Penn Hospice at Rittenhouse. Mrs. Scott-Hunter was a "consummate educator," said Gregory Thornton, former superintendent of Chester Upland.
Donna Page, the retired principal of Sandy Hook Elementary School, will return to her former post when the school reopens, her husband confirmed Tuesday night.
While the controversial right-to-work legislation drew all the attention in the last week, teachers from Plymouth-Canton Community Schools in Plymouth, Mich. tried Tuesday to draw some attention to legislation coming down the road that could affect them as much, or more. While they're concerned about the new right-to-work laws, the legislation that concerns them the most is a revamping of the way public schools are funded and who can get public-school funding, and an extension of the Education Achievement Authority's reach.
The results for international assessments on math, science, and reading are in: Students from East Asian countries, along with a select group of European countries, outperformed those in the United States, according to the results for the 2011 Trends in International Mathematics and Science Study (TIMSS) and the Progress in International Reading Literacy Study (PIRLS), released Dec. 11.
Philadelphia's Superintendent William R. Hite Jr. announced the proposed closures of 37 school buildings, plus multiple other changes to the cash-poor Philadelphia School District. He is proposing the buildings listed for closure, around 20 elementary schools, a handful of middle schools, and about 10 high schools, shut their doors in June, according to sources and documents obtained by The Inquirer. The schools are in nearly every part of the city and include well-known ones with long histories.
Just five weeks after voters ousted him from office, Tony Bennett already has a new gig. The trailblazing but controversial Indiana schools chief, a key force in implementing Gov. Mitch Daniels' broad education reform agenda, was named Florida's education commissioner Wednesday. A hero in the education reform movement and a villain to teachers unions, Mr. Bennett was hailed by Florida Gov. Rick Scott for his "great track record of achievement in Indiana."
New York schools would lose $164 million in federal funding for the 2013-14 school year if Congress does not find compromise on the nation's looming "fiscal cliff," according to a state School Boards Association analysis.
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Resources for Educators
White Papers
The Plagiarism Spectrum: Instructor Insights into the 10 Types of Plagiarism
Related: Webcast | Infographic
SEER (Source Educational Evaluation Rubric) Interactive PDF
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Ratings for Top Student Sources
The Sources in Student Writing
Related: Webcast | Infographic - Secondary | Infographic - Higher Ed
Policy to Practice: Developing Effective Academic Integrity Policies
Featuring Teresa (Teddi) Fishman,
What's Wrong with Wikipedia?
Best Practices for Evaluating
Student Sources
Featuring Renee Bangerter,
Saddleback College
Why Do Students Plagiarize? The Cultural Contexts of Cheating
Featuring Susan Blum,
University of Notre Dame
Students and Plagiarism:
Exploring the Disconnect Between Morals and Behavior
Featuring Jason M. Stephens,
University of Connecticut
Writing Rubrics Aligned to the Common Core State Standards
Teaching Tools
Teaching Tools is an online resource for instructors at all levels to share rubrics and lesson plans with their colleagues.
The Turnitin Blog features stories, news, analysis, and perspectives on topics that impact the Turnitin Community.


text: Tracking and Improving Screening for Colorectal Cancer Intervention: A Tool 2.a-2 Practice Focus Group Guide (Preintervention) SATIS-PHI/CRC Preintervention Practice Focus Group GuideINTRODUCTIONHello. My name is ______________________ and I am the moderator for today's 30 minute group discussion. My colleague, ______________________, is here to take notes and help the session run smoothly. Our main purpose today is to discuss colorectal cancer screening in your practice.MODERATOR INFORMATION[INSERT HERE: INTRODUCE YOUR ORGANIZATION AND WHY YOU ARE CONDUCTING THIS FOCUS GROUP]As part of our work, we are speaking with physicians, other clinicians, clinical staff, and office staff who were part of our intervention. Your input is important to help us understand how to implement an intervention designed to increase colorectal cancer screening and tracking.ACKNOWLEDGMENTI want to thank you for coming in today to talk with us and for fitting this session into your already busy schedules.DISCLOSURESThe session is being recorded in audio to make sure our notes accurately reflect our discussion with you. It's not important who says what; I only care what gets said. Does anyone have concerns about taping this session?Notes will also be taken during the discussion today, but they will not include any identifying information about the group's participants.INFORMED CONSENTYour decision to participate is voluntary. Before we begin, I would like to hand out this consent form for you all to sign, if you still would like to participate in our discussion. [Hand out informed consent, and collect after obtaining signatures]* Are there any questions about your participation?* If you do not want to participate, please take this time to gather your things and leave the room. We appreciate your interest.GUIDELINESA few guidelines before we start:What you say in this room stays in this room. As I already mentioned, all information discussed today will be held in confidence. So, please feel comfortable in speaking openly and candidly with us.Please talk one at a time.Talk in a voice as loud as mine.Avoid side conversations with your neighbors; but it is okay to "piggy back" on comments others have made. Just be sure to talk loud enough so the whole group can participate.Make sure everyone has a chance to talk.There is no one point of view, so please allow all points of view to be heard.Say what you believe. It doesn't matter whether anyone agrees with you.QUESTIONSAre there any other questions before we begin?SELF-INTRODUCTIONSBefore we begin, does everyone know each other? [If not, have participants introduce themselves with first names only]QUESTIONSTheme 1: Understanding Current GuidelinesWhat guidelines for colorectal cancer screening do you follow?What guidelines for colorectal cancer screening followup do you use?How do you keep up to date with changes to the guidelines?Are you familiar with the recent update of the guidelines? If so, can you describe the new guidelines?How do you manage conflicting or confusing statements between the guidelines?Theme 2: Patient AwarenessHow aware do your patients seem to be regarding colorectal cancer screening?What does this vary with (e.g., age, gender, culture)?Do you think your patients are aware of the 2008 ACS/U.S. Multi-Society Task Force/ACR and USPSTF Screening Guidelines?How do your patients get information about colorectal cancer screening?Theme 3: Screening ActivitiesTo whom do you recommend colorectal cancer screening?To whom do you recommend colorectal cancer screening followup?How much time do you spend making the recommendations?Do you offer the patient a range of acceptable screening choices?What percentage of patients agree to be screened?If your patients have an initial positive colorectal cancer screen, what percentage of patients agree to receive appropriate colorectal cancer screening followup?What are the barriers that prevent you from making a recommendation?What are the barriers to patient acceptance?What are the facilitators to patient acceptance?Do you think this practice's current colorectal cancer screening process has an economic impact on the practice? Describe to me how you think it economically affects the practice. What do you think are some positive effects?What do you think are some negative effects?Do you think this practice's current colorectal cancer screening process has an impact on the practice's reputation? Describe to me how you think it affects the practice's reputation.What do you think are some positive effects?What do you think are some negative effects?Theme 4: Process ImprovementWhat would help improve the way colorectal cancer screening is made available to your patients?How could tracking of patient screening be improved?How could tracking of CRC followup be improved?Return to Document Page last reviewed October 2014 Internet Citation: Tracking and Improving Screening for Colorectal Cancer Intervention: A: Tool 2.a-2 Practice Focus Group Guide (Preintervention). October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2a2.html


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What Made Ryan Gosling Cry?
Even Ryan Gosling needs a good cry sometimes.
Although our favorite guy had a lot of feelings in The Notebook and Blue Valentine, his Place Beyond the Pines character — Luke, a bank-robbing, face-tattooed motorcycle stunt driver — sounds like someone who would keep his emotions at bay.
But surprisingly, that's not the case.
During Movieline's chat with Ryan at the Toronto Film Festival, the interviewer mentions a scene in which Luke cries during his son's baptism — and Ryan is the first to admit that his emotions got the best of him.
"I didn't know that that was going to happen," Ryan reveals. "I was just sitting in the church watching the baby be baptized, and I don't know why I was emotional but I was."
But he has an adorable excuse: his love for his onscreen son.
"The kid that Derek [Cianfrance] cast, who plays my son as an infant — his name is Tony Pizza. It's hard not to like a guy named Tony Pizza, Anthony Pizza Jr.," Ryan spills. "So, I just liked that guy, and we really hit it off."
Mr. Pizza isn't the only thing making us cry. Yes, Pines reunites Ryan with stellar Blue Valentine director Derek Cianfrance, but there's another bonus: It co-stars Bradley Cooper! As seen in the photo above, the sexiest man alive and his runner-up get along swimmingly.
Do you think Ryan losing control of his emotions is sexy or a deal breaker? Weigh in below!
Source: Movieline


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Generic: valproic acid
It is used to treat certain types of seizures in patients with epilepsy.
What is this medicine?VALPROIC ACID (val PROE ik AS id) is used to treat certain types of seizures in patients with epilepsy.
What should I tell my health care provider before I take this medicine?They need to know if you have any of these conditions:
How should I use this medicine?Take this medicine by mouth. Follow the directions on the prescription label. Swallow the capsules whole with a drink of water. Do not crush or chew. If this medicine upsets your stomach, take it with food or milk. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking this medicine unless instructed by your doctor or health care professional. Stopping your medicine suddenly can increase your seizures or their severity.
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You may get drowsy, dizzy, or have blurred vision. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. To reduce dizzy or fainting spells, do not sit or stand up quickly, especially if you are an older patient. Alcohol can increase drowsiness and dizziness. Avoid alcoholic drinks.
This medicine can cause blood problems. This can mean slow healing and a risk of infection. Problems can arise if you need dental work, and in the day to day care of your teeth. Try to avoid damage to your teeth and gums when you brush or floss your teeth.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/ booths.
The use of this medicine may increase the chance of suicidal thoughts or actions. Pay special attention to how you are responding while on this medicine. Any worsening of mood, or thoughts of suicide or dying should be reported to your health care professional right away.
Women who become pregnant while using this medicine may enroll in the North American Antiepileptic Drug Pregnancy Registry by calling 1- 888- 233- 2334. This registry collects information about the safety of antiepileptic drug use during pregnancy.
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A method and apparatus for gait measurement in which a walking aid such as a walker, cane, or crutch is instrumented with load sensors to measure the loads in the aid as it is being used. The measured loads are used to analyze the user's gait to insure proper selection and sizing of a walking aid, stability of the user, and proper limb loading. In a preferred embodiment, strain gauges are mounted on the legs of a walker and connected through a signal processing interface to a computer for data analysis and display. The gauges are mounted, calibrated, and connected to the signal processing interface so as to permit measurement of the axial, bending, and torsional forces in each leg of the walker as it is being used. This data is then used for qualitative and quantitative assessment of the user's gait.
1. A system for measuring the gait of a person using a walker comprising:
a walker comprising a plurality of support legs and at least one handle,
at least one first load sensor mounted to at least one of said support legs,
said first load sensor positioned to sense at least one of the axial, bending, or torsional loads in at least one of said legs,
at least one second load sensor mounted to said at least one handle,
signal processing means in electrical connection with said load sensors,
power supply means electrically connected to said signal processing means for supplying power to said signal processing means,
data processing means connected to said signal processing means for controlling said signal processing means and processing the data from said load sensor, and
data display means connected to said signal processing means for displaying the data processed by said signal processing means.
2. The system of claim 1 wherein said first load sensor is a strain gauge.
3. The system of claim 1 wherein said signal processing means, said data processing means, said power supply means, and said data display means are mounted to said walker.
4. The system of claim 2 wherein:
said walker comprises four legs,
each of said legs is instrumented with at least two axially mounted strain gauges for sensing the axial loads in said legs.
5. The system of claim 4 wherein:
each of said legs is instrumented with at least two axially mounted strain gauges for sensing bending loads in said legs.
6. The system of claim 4 wherein:
each of said legs is further instrumented with two strain gauges mounted adjacent to and at opposite 45� angles from one of said axially mounted strain gauges for sensing the torsional loads in said legs.
7. An instrumented walker system comprising:
a walker having a plurality of support legs and at least one handle,
a plurality of load sensors mounted to each of said legs,
a signal processing interface electrically connected to said load sensors,
a power supply electrically connected to said interface,
a computer connected to said interface for controlling said signal processing interface and processing the data from said load sensors, said computer having a display for displaying said processed data,
wherein said signal processing interface, said power supply, and said computer are mounted on said walker.
8. The system of claim 7 wherein said plurality of strain gauges are positioned so as to sense the axial, front-to-rear bending, side-to-side bending, and torsional loads in each of said legs.
9. A method for making gait measurements on a person using a walker, the method comprising:
mounting at least one first load sensor to said walker, said first load sensor positioned to sense at least one of the axial, bending, or torsional loads in said walker and capable of supplying an electrical output signal,
mounting at least one second load sensor to said at least one handle, said second load sensor capable of supplying an electrical output signal,
detecting the output signals from said load sensors,
transmitting said output signals to a signal processing means,
processing said signals for communication to a data processing means,
converting said processed signals to values representative of the load sensed by said load sensor, and
displaying said load values.
10. The method of claim 9 wherein said first load sensor is a strain gauge.
11. The system of claim 1 wherein said second load sensor is positioned to sense at least one of the axial, bending, or torsional loads in said handle.
12. The system of claim 8 further comprising an alarm for alerting the user that the walker is imbalanced.
13. The system of claim 8 further comprising an alarm for alerting the user that too much weight is being borne by a limb.
14. The system of claim 8 further comprising an alarm for alerting the user that additional weight should be borne on a designated limb.
15. The system of claim 12 wherein said alarm is an audible alarm.
16. The system of claim 13 wherein said alarm is an audible alarm.
17. The system of claim 14 wherein said alarm is an audible alarm.
18. An instrumented walker system comprising:
a walker having a plurality of support legs and at least one handle,
at least six strain gauges mounted to each of said plurality of legs, said at least six strain gauges comprising three axially mounted strain gauges and a strain gauge rosette, said axial gauges and said rosette spaced 90� apart, wherein said rosette comprises an axial mounted strain gauge and two strain gauges mounted adjacent to and at opposite 45� angles from said axial strain gauge,
a signal processing interface electrically connected to said strain gauges, said interface comprising a Wheatstone bridge circuit for each strain gauge,
a power supply electrically connected to said interface,
a computer connected to said interface for controlling said signal processing interface and processing the data from said strain gauges, said computer having a display means for displaying said processed data.
19. The system of claim 18 wherein said strain gauges are positioned to sense the axial, front-to-rear bending, side-to-side bending, and torsional loads in each of said legs.
20. The system of claim 7 wherein said load sensors comprise strain gauges.
This invention relates generally to the principle of using data related to the forces exerted on a walking aid by a user to assist in the medical evaluation and treatment of the user. In particular, this invention relates to a system and method for aiding the treatment of these patients by measuring the loads in the walking aid being used by the patient and using this data to analyze and correct any deficiencies in the person's gait.
Generally, walking aids may be used in any instance where an individual's ability to ambulate normally has been impaired or decreased. Many people, including the elderly, use a walking aid. Such users often consist of patients suffering from injuries or other disabilities that affect their lower extremities, including the legs and feet. For example, in the instance where an individual has suffered a leg injury, therapy is often required to retrain the person to walk properly. Patients with various disabilities, such as those who have suffered from a stroke, amputations, deconditioning, and Parkinson's disease, often have difficulty walking following the onset of illness and must use a walker or other walking aid. Similarly, many patients with fractured lower extremities and other injuries require the use of walking aids during their recovery phase. Numerous types of walking aids of varied designs are available and utilized for the treatment of these and many other pathological conditions. Examples of such devices may be found in U.S. Pat. Nos. 3,517,677, 5,020,560, 5,167,597, and 5,172,715.
During these instances, and in many cases permanently, a walking aid is required to assist the patient to walk safely. In order to ensure maximum freedom and safety, and track the user's physical condition and progress in using the walking aid, it is necessary to evaluate the user's gait both qualitatively and quantitatively. Therefore, in order to aid patients with disabilities in the rehabilitation process and to allow them to stand and walk in a stable manner, it is necessary to be able to monitor their dynamic gait performance and correct any deficiencies detected. Also, measurement of the user's performance with the walking aid is necessary to assure that patients remain stable not just while walking but also when reaching for objects, transitioning from standing to sitting positions, and in other situations encountered in daily life. It is also important to know the weight distribution between the individual and the walking aid to determine if the user is leaning too far backwards and therefore might fall.
In addition, patients with lower extremities fractures are commonly instructed by their physicians to use a walking aid and bear only a certain percentage of their weight on the fractured lower extremity. Too much weight can cause further injury and too little weight can slow the healing process. A typical current practice calls for instructing the patient to stand on two scales, one beneath each leg, and learn to shift his/her body weight to reduce the load on the injured leg to within the prescribed range. However, this static teaching technique does not work well when the patient begins to walk and cannot sense the weight distribution.
There is thus a need to monitor a person's dynamic gait while using a walking aid. This is commonly done by having a therapist assist the user of the walking aid and monitor his/her performance. This method, however, provides for only limited qualitative analysis and no quantitative analysis of a person's gait.
Several gait measurement techniques of limited utility are known. For example, devices have been developed to determine the dynamic loads exerted on patients using crutches at the crutch handles and axilla as described in Wilson, et. al. The device uses force plate type transducers and other stationary sensor systems to indirectly measure the forces. However, this system is not capable of measuring dynamic gait performance. In addition, load cells have been used to study the forces exerted on a crutch, but this approach has many drawbacks. The crutch must be cut apart in order to place the cell in the crutch which alters the construction of the crutch. In addition, load cells can only measure either axial or bending forces, but not both simultaneously. Furthermore, an appropriate load cell for this application is too heavy to mount in the crutch because it will alter the crutch's characteristics by changing the weight and balance.
None of the known devices and techniques are capable of adequately measuring the dynamic gait performance of the user/patient. One problem is that there is no reliable way to measure the stability of a person using a walking aid. Often while a patient may successfully use a walking aid during normal ambulation, a fall may occur while reaching for an item on a shelf or opening a door. The standard method for the evaluation of an individual using a patient aid is by subjective observation by a physician or therapist (clinician). Stability determinations, however, require quantitative measurements, which obviously cannot be determined in this manner.
There is thus a need for walking aids that provide biofeedback to the patient in order to assist the patient in proper use of the device.
There is further need for walking aids that can be interfaced to an electronic or computer system to quantitatively define the deficiencies in ambulation and gait.
There is a further need to track patient progress through defined parameters such as stability and the percentage of body weight borne by the walker so as to insure proper rehabilitation and recovery.
The primary object of the invention is to provide a method and apparatus for measuring the gait of a patient using a walking aid.
It is a further object of the invention to provide a method and apparatus for measuring the loads in a walking aid being used by a patient.
It is a further object of the invention to provide a method and apparatus for measuring the limb loads in a patient using a walking aid.
It is a further object of the invention to provide a method and apparatus for assisting in the selection and configuration of a walking aid for a patient.
It is a further object of the invention to provide biofeedback to the user of a walking aid to instruct the user on proper use of the aid.
It is a further object of the invention to detect and indicate to the user of a walking aid that too much or too little weight is being placed on a particular extremity.
It is a further object of the invention to detect and indicate whether the patient using the walking aid is doing so in a stable manner.
It is a further object of the invention to provide a system that can monitor the loading of a walking aid with respect to time as it is being used.
The present invention achieves these and other objects and overcomes the disadvantages associated with existing gait measurement devices and techniques. A standard walking aid such as a walker, crutch, or cane, is instrumented with at least one load sensor. These sensors detect, either directly or indirectly, stresses and forces within the device as it is being used by the patient. The sensor outputs are transmitted to a signal processor and then to a data processor. Signals from the signal processor are converted to load data by the data processor and displayed on a display device in order to quantitatively and qualitatively measure the gait performance of the patient. The data may also be used to generate visual or audible signals to indicate to the user if the walking aid is being used properly.
FIG. 1 is a block diagram of the preferred embodiment of the system showing a walking aid instrumented with strain gauges, a signal processing interface board, a bus card, a computer, and a power supply.
FIG. 2 is a diagram of a walker showing the mounting locations of twenty-four strain gauges.
FIG. 3 is a view of the four quadrants of the outer diameter of a section of the leg of a walker showing the locations of the strain gauges mounted thereon.
FIG. 4 is a block diagram of the signal processing interface board used in the preferred embodiment.
FIG. 5 shows alternate embodiments of the walker with force sensors mounted to the handles.
FIG. 6 is an enlarged front view of the base of a leg of the walker showing a load cell mounted to the base of the leg.
FIG. 7 shows a biofeedback module attached to the walker.
FIG. 1 shows the system block diagram of the preferred embodiment of the gait measurement apparatus and method claimed herein. In FIG. 1, a walking aid 1 instrumented with strain gauges is electrically connected to an interface board 2. Board 2 processes the resistance values of the strain gauges which are representative of the loads in the walking aid 1. After processing by interface board 2, the signals are routed to A/D bus card 3 which is resident in computer 4. A/D Bus card 3 performs analog to digital conversion of signals from board 2 and transmits digital control signals from computer 4 to board 2. Computer 4 performs data processing and display functions. Power supply 105 supplies power to interface board 2.
The elements of the system will now be described in detail. FIG. 2 shows a walking device instrumented with strain gauges. A standard, aluminum walker constructed from 1 inch outer diameter thin wall tubing is shown for illustrative purposes. It will be understood by those skilled in the art that alternative types of walking aids, e.g., a cane or crutch as well as alternative constructions of such walking aids, may be similarly instrumented without departing from the spirit of the invention claimed herein. The walker 1 is constructed of side members 6 and 7, and cross members 8 and 9. Side member 6 forms legs 10 and 11 and side tube 7 forms legs 12 and 13.
The walker shown in FIG. 2 is instrumented with twenty-four strain gauges (14-37). The strain gauges may be placed in any configuration on the walker depending on the particular clinical application and corresponding measurements required. In order to measure the axial, bending and torsional forces on each leg, the preferred mounting scheme illustrated in FIGS. 3(a)-(d) was developed. FIG. 3(a)-(d) illustrates a section of the outer circumference of the lower portion of leg 10 of the walker divided into four 90� quadrants. In the preferred embodiment, legs 11, 12 and 13 incorporate the same mounting scheme. FIG. 3(a) shows the front quadrant of leg 10 which faces the patient as the walker is being used. FIG. 3(b) shows the left-facing quadrant, FIG. 3(c) the rearward-facing quadrant, and FIG. 3(d) the right-facing quadrant of leg 10. As shown in FIG. 3(a), a strain gauge rosette consisting of three gauges 14, 15, and 16 is mounted on the leg of the walker below the point of attachment of cross member 8. Gauge 15 is axially mounted along the length of the leg and gauges 14 and 16 are mounted at opposite 45� angles from gauge 15. FIGS. 3(b)-3(d) show the remaining three strain gauges (17, 18, and 19) axially mounted on leg 10 in each of the other three quadrants of the circumference. Thus, a total of four axial strain gauges spaced 90� apart are mounted on each leg.
The strain gauges 14-37 are wired to an interface board 2 with a shielded cable 38. This cable should be constructed so as to minimize noise, such as by making it as short as practical. The interface board 2 is shown in FIG. 4. All functions on the interface board 2 are controlled by a computer 4 through A/D bus card 3. The interface board 2 includes one Wheatstone bridge circuit 39 for each strain gauge. The Wheatstone bridge circuits convert the resistance-reading of the strain gauge to a voltage reading. In the preferred embodiment, 24 bridge circuits are required. Utilizing a Wheatstone bridge circuit for each strain gauge permits isolation of the axial, bending (both front-to-rear and side-to-side), and torsional forces in each of the four legs from the strain gauge outputs. For example, in leg 10, the axial forces are determined by summing the outputs of the four axial gauges (15, 17, 18, and 19) and computing the mean. Front-to-rear bending in leg 10 is determined by subtracting the output of gauge 18 from that of gauge 15 to isolate bending from axial load and then computing the mean. Side-to-side bending is determined by subtracting the output of gauge 19 from that of gauge 17 to isolate bending from axial load and then computing the mean. Finally, the torsional load is determined by subtracting the output of gauge 16 from that of gauge 14.
The interface board also includes multiplexers 40-42 and an instrumentation amplifier 43. The multiplexers are controlled by the computer through control line 49. Each output from the bridge circuits is sent to one of two-16 channel multiplexers 40 and 41. Multiplexers 40 and 41 are simultaneously switched through channels 1-16 by computer 4. A third, 8 channel multiplexer 42 enables either multiplexer 41 or 42 so that only the output of one of multiplexers 41 or 42 is routed to the instrumentation amplifier 43. The multiplexers are switched through software on command from the computer 4 so that all strain gauge outputs may be read and the data accumulated in the computer 4.
After the interface board 2 has amplified the strain gauge signals, they may be transmitted through significantly longer shielded cables 44 to the A/D bus card 3 and the computer 4.
A power supply 105 is used to supply power to interface board 2. The power supply consists of a 15+ and 15- volt d.c. source 105a and a 5+ volt d.c. source 105b. Source 105a powers the integrated circuits on the board 2. Source 105b powers the strain gauges 14-37. The 5+ volt power source 105b is preferably rated at 150 microvolt rms, 1 millivolt peak to peak ripple and noise. The power source 5b should have low ripple and noise because the signals from the bridge circuits have a magnitude on the order of millivolts. This signal is amplified with a gain on the order of 500. The output from the amplifier 43 and the ground are connected with two 18 AWG wires each (biwiring) to reduce loss through the cables that connect the interface board 2 to the A/D bus card 3.
A National Instruments AT-MIO-16L-9 bus card 3 was used for analog/digital conversion. Basic data acquisition functions are accomplished with National Instruments LabWindows software. Signal conditioning and data acquisition procedures were written in the C programming language using LabWindows subroutines. A strain gauge is selected for reading and its output switched through the multiplexers 40-42 to the instrumentation amplifier 43. The gauges are alternately sampled at a rate of 12 Hz and the data stored in RAM.
The raw data is then digitally filtered using a low-pass Butterworth filter and signal averaging. The filtered data, indicative of the amplified voltage outputs from the Wheatstone bridge circuits 39, is converted to strain values using the calibration curves already determined for each strain gauge as discussed below. The use of calibration curves reduces the errors caused by installation of the strain gauges 14-37 and the non-uniformity of the tubes of the walker 1.
The procedures for sampling and conditioning the data are well known to those skilled in the art. It will be appreciated by those skilled in the art that any number of commercially available software packages may be used.
The strain gauges must be calibrated before initial use. This is accomplished by loading the walker with precision weights for axial, bending and torsional loads. Data is digitally filtered and averaged to reduce noise and the strain is calculated and plotted against load to obtain calibration curves for the gauges. The system is programmed to automatically "zero" each strain gauge output while the walker is unstressed. This eliminates the necessity of manually balancing each Wheatstone bridge before every use.
In addition to calibrating the strain gauges, an algorithm was developed to account for the errors in strain gauge outputs caused by the imperfect mounting of the gauges to the walker. Due to the fact that the gauges cannot be mounted perfectly along the principal axis, an additional component of strain in each axially mounted gauge is caused by a bending component in an orthogonal axis. This mounting error associated with each gauge was determined by solving the set of equations relating the total strain to the bending, axial and error components of strain for each gauge.
For example, the total strain in axially mounted strain gauge 15 is equal to the bending strain in gauge 15 plus the axial strain in gauge 15 plus an error component associated with orthogonal bending. Since four gauges 90� apart on each leg are utilized for measuring axial and bending forces, there are four equations with twelve unknowns for each leg (bending, axial, and error components of strain for each gauge). The equations are solved by making the following assumptions: 1) the axial component of strain is the same in each gauge; 2) the bending components of gauges 180� apart are equal and opposite; and 3) the orthogonal error component is linearly related to the bending component in adjacent (orthogonally mounted) gauge 17. The constant by which the two are related is determined from the calibration data. Alternatively, the orthogonal error component of gauge 15 could be related to the bending component of adjacent gauge 19 since these gauges are 180� apart and it is assumed that their bending components are equal and opposite. By making these assumptions, the system of equations is reduced to four equations and three unknowns. The linear relationship between the orthogonal error component for gauge 15 and the bending component in adjacent gauge 17 is used as a first approximation. To account for actual non-linearities and obtain a close fit of the data, a numerical iterative procedure is used. Thus, the equations are solved to obtain calculated bending and axial strains from the total strain data. This enables calculation of bending and axial stresses and, using the calibration curves for the strain gauges, the bending and axial forces.
While the walker is being used by a patient, the axial, bending, and torsional forces in the walker legs are measured and recorded. Stored in the computer 4 are relevant attributes of the patient, including weight, height, age, diagnosis, and any other desired parameters. Included in this data is the position of the legs of the walker, which are adjustable according to the height of the user. This dimension must be known because the height of the walker determines the moment arm of the legs of the walker, thereby affecting the strain measured by the gauges. A minimum of thirty seconds of data is acquired, which corresponds to several gait cycles. The force distributions in each leg of the walker are displayed to the operator of the system so as to permit the operator to quantitatively and qualitatively monitor the patient's stability and gait. In addition, data from previous trials is displayed and compared with the present data in order to monitor the patient's progress. The availability of this data also allows the operator to make decisions concerning the proper size and type of walker for the patient. It will be understood by those skilled in the art that the computer may be configured to compare any sets of parameters, produce printouts of the data, and interface with other programs, for example, spreadsheet software.
Once the loads in each leg are determined, limb load monitoring of the legs may be achieved as follows. The user of the walker is instructed to begin the gait cycle on a specified foot. Peaks in the forces in the walker legs correspond to the interval when only one foot is in contact with the ground. During this interval, the percentage of the body weight borne by the walker is determined. The remaining portion of the body weight is thus being borne by the limb in contact with the ground. In this way, dynamic limb load monitoring of each leg is accomplished. In an alternate embodiment, a sensor may be attached to the foot of the patient to detect which foot is contacting the ground. This eliminates the need to instruct the user of the walker to begin his/her gait on a specified foot.
The force data may be manipulated in many ways. Biofeedback may be provided which includes the following: the amount of weight bearing on the lower extremities and the stability of the user. This information is useful to both the user and the clinician during the user's training. For example, biofeedback may be provided to a patient who has suffered a broken leg and may only place limited weight on the leg in the form of an audible or visual signal if the patient exceeds the maximum recommended weight. Alternatively, two audible tones may be utilized, the first indicating too little loading and the second too much loading in cases where a minimum amount of force should be placed on the limb to ensure speedy recovery. In addition, a series of tones can indicate to the user the direction of the loading on the walker to alert the user to potential hazards, such as imbalance as a result of the user reaching for a doorknob or an item on a shelf.
In certain clinical situations, it may also be desired to measure the forces exerted by the walker's user at the handles of the walker. FIG. 5 shows an enlarged side view of the handle at the top of side members 6 and 7. A sensor 45 (e.g., piezoelectric, capacitance, thin-film, load cell) is mounted on the handle. Alternatively, a strain gauge rosette 46 may be bonded to the underside of the handle.
FIG. 6 shows an alternate method for measuring the axial forces at the interface between the walker legs and the floor. A load cell 47 is mounted at the bottom of the leg. The signal from the load cell is then processed similarly to those of the strain gauges.
It will be appreciated by those skilled in the art that, although strain gauges are used in the preferred embodiment, any number of force sensors may be utilized for measuring the loads in the walker, including piezoelectric, capacitance, thin-film and load cell. The quantity, location and type of sensor used is based on the static and dynamic requirements of the clinical application.
Once the data is reduced by the computer, it is displayed so as to facilitate the clinician's understanding of the stresses realized by the walker. Real-time data as well as that from previous trials can be viewed to analyze the progress of the user. Feedback may be provided both for the clinician and the walker's user.
FIG. 7 shows a system where the walker 1 is interfaced with a biofeedback module 48 to provide visual and/or auditory feedback. The biofeedback module can contain all necessary signal and data processing functions and may be attached to the walker (via a cable or telemetry unit) or worn by the user. This embodiment has the advantage of a free standing system that does not hinder the mobility of the user.
It is possible to use only five strain gauges per leg consisting of a rosette and two single strain gauges mounted 120� apart on the leg. Obviously, the equations for resolving the forces in the legs to axial and bending components must be modified and the accuracy will not be as great as that of the six gauge per leg system.
Whereas the preferred form of the invention has been illustrated and described, it will be apparent to those skilled in the art that various changes and modifications may be made without deviating from the inventive concepts set forth herein.
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- Willamette
- Athletics
- News Archive
- 2010
- Willamette Volleyball Earns Day 1 Split at Cal-Lu-fornia Invitational
Volleyball | Friday, September 10, 2010
Willamette Volleyball Earns Day 1 Split at Cal-Lu-fornia Invitational
WU Defeats Whittier, Drops Close Match to Chapman
THOUSAND OAKS, CALIF. -- The Willamette University volleyball team earned a win in straight sets over Whittier College to complete the first day of the Cal-Lu-fornia Volleyball Invitational on Friday, Sept. 10. The Bearcats defeated the Poets, 25-18, 25-18, 25-17.
Earlier in the day, Willamette was defeated by Chapman University to open the tournament. Chapman won in five sets, 14-25, 26-24, 25-21, 25-27 and 19-17.
Molly Blankenship (Sr., OH, Spokane, WA/Spokane Falls CC) had seven kills in the win. Freshman Kirsten Brehmer (MH, Evergreen, CO/Evergreen HS) provided six kills for the Bearcats.
Madisyn Leenstra (So., MH, Bellingham, WA/Sehome HS) also provided a strong effort. The sophomore had four block assists, one solo block and two serving aces.
"The team played really well," said Head Coach Tom Shoji. "After losing the morning game in five, we really responded and came back ready to play."
In the first game against Chapman, Carly Hargrave (Fr., MH, Happy Valley, OR/Clackamas HS) had 14 kills and only one hitting error. She added four solo blocks and five block assists. Leenstra contributed 10 kills and five solo blocks. She also had one block assist.
Blankenship added 18 kills and nine digs for the Bearcats. Compton dished out 55 assists and had nine digs. Glenn achieved 25 digs.
Computer statistics were not available. Willamette, now 4-3 on the season, will face Occidental College at 3 p.m. (PDT) tomorrow, Sept. 11. Following that match, the Bearcats will face Claremont-Mudd-Scripps at 5 p.m. (PDT) to close out the tournament, which is being hosted by California Lutheran University.
BOX SCORE (WU stats only)
Willamette University 3
Whittier College 0
25-18, 25-18, 25-17
Opponent stats not yet available
BOX SCORE (WU stats only)Chapman University 3
Willamette University 2
14-25, 26-24, 25-21, 25-27, 19-17
Opponent stats not yet available


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Respighi's Roman Trilogy
Thursday 16 Apr 2015, 7.30pm
Royal Festival Hall, London
Juraj Valčuha conductor
Ingrid Fliter piano
Respighi, Fontane di Romabiography | programme note
de Falla, Nights in the Gardens of Spainbiography | programme note
Respighi, Feste romanebiography | programme note
Tonight's concert provides a rare opportunity to hear Respighi's exuberant, super-virtuoso Roman trilogy of symphonic poems, which paints in striking hues and colours the city's Renaissance fountains, its imposing pine-groves and exuberant annual festivals, while relishing the dramatic contrasts between modern Rome and her Imperial splendour.
This concert was originally to have been conducted by Maestro Lorin Maazel, who sadly died in July 2014. The repertoire remains as he programmed it.
Audio clip courtesy of Chandos Records (CHAN 10035)
- Respighi - Feste romane
- Bachtrack (16 April 2015)
- Classical Source (16 April 2015)
- The Guardian (16 April 2015)
- Seen and Heard (16 April 2015)


text:
Development of Albendazole Nanosuspension by Various Techniques
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Volume 5, 3 Issues, 2015
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Drug Delivery Letters
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Marc Schneider
Biopharmaceutics and Pharmaceutical Technology
Department of Pharmacy
Saarland University
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Development of Albendazole Nanosuspension by Various Techniques
Drug Delivery Letters
(2): 87-95.
Akshay Koli, Himanshu Bhatt, Ashish Patel, Sandip Bhagat, Shailesh Shah and Ketan Ranch
Maliba Pharmacy College, Department of Pharmaceutics, Uka Tarsadia University, Gopalvidyanagar- 394350, Dist. Surat, Gujarat, India.
Albendazole, an anthelmintic drug belonging to BCS class II, has poor bioavailability. Bioavailability is dissolution rate dependent and hence needs novel approach for enhancement of bioavailability. The aim of the study was to develop nanosuspension of albendazole by using various techniques like nanoprecipitation, emulsion template and sonication. Nanosuspensions were prepared using polyvinylpyrrolidone K30 as a stabilizer and Tween 80 as a surfactant. Average particle size, zeta potential, particle size distribution, pH, viscosity, photomicrography, sedimentation, redispersibility and % drug content were determined to characterize prepared nanosuspensions. In vitro release study was performed in 0.1N HCl using cellophane membrane and compared with marketed product. Residual solvent determination was carried out by gas chromatography for nanosuspensions prepared by nanoprecipitation and emulsion template techniques. All the results obtained for characterization were satisfactory. The prepared nanosuspensions showed particle size 673±9.18 nm to 893±21.6 nm, zeta potential -8.70±0.5mV to -8.96±0.8, polydispersity index 0.204±0.04 to 0.644±0.07. In vitro release study of the nanosuspensions showed 33.80% to 42.92% drug release in first hour which was higher than the marketed suspension (16.19% release in first hour). The optimized nanosuspensions showed up to 97.05 % drug release within 6-8 hours while marketed product showed up to 91.03% drug release within 10 hours.
Albendazole, bioavailability, dissolution, emulsion template, nanoprecipitation, sonication.
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text:
In 2012, Green Start challenged Calgarians to feel good and do good, calling on the most progressive citizens to shape colourful progress. Their community directly reached over 80,000 people with a cause for a cleaner city and conscience.
Their goal was to divert more than 25,000 lbs of waste from Calgary landfills. More than 60,000 lbs later, Green Start's 2012 contribution to the environmental movement far exceeded its expectations:
But Green Start wanted to generate social benefits with its work too. So, in 2012, it founded the Earth Hour Recycling Drive, formed a relationship with Vecova to fund social programs for the disabled, and enhanced public awareness and education through a burgeoning network and a series of successful events.
Through inspiration, collaboration and with the added awareness achieved by a couple of awards, Calgarians are continuing to join Green Start in its celebration of healthy-happy. Let's multiply this momentum by spreading the word and inviting others to join the movement.
Green Start has challenged its community to break the six-figure barrier, and recycle 100,000 lbs in 2013!


text:
While most of the smartphone buying public is captivated by either Apple or the big Android players – Samsung, HTC, etc. – there's a host of smaller companies releasing killer devices that most people will never hear about. The majority of these companies emerge from China or Southeast Asia, and Oppo is no exception to that rule; they're a Chinese company, and they have a new flagship smartphone with some seriously impressive specs.
Called the Find 5, the new flagship from Oppo has a 5-inch, 1080p screen similar to that of the HTC Droid DNA. Backing up that 441ppi display is a Qualcomm quad-core CPU, 16GB of internal storage, 2GB of RAM, and Android 4.1.2 Jelly Bean. There's all sorts of other bells and whistles included in the Find 5, too: a 13 megapixel camera with hardware-based HDR and the ability to shoot 5fps, or as much as 120fps in video mode; a 1.9 megapixel front camera; NFC, LTE, and a 2500mAh battery. Pretty solid stuff, though the lack of a MicroSD expansion slot is disappointing, since the 16GB storage option is the only configuration that's currently available.
The Oppo Find 5 hasn't arrived outside of China yet, but it's supposed to arrive in the United States and other markets worldwide within the next couple months. In China, the device sells for the equivalent of $480 USD, and they've already announced that the American price will be $499. That's a pretty good deal for a phone that can go toe-to-toe specs-wise with just about any other Android device on the market.
At this point, our only concern is the build quality of the Find 5. The construction and materials on devices from these smaller Chinese companies can be pretty hit or miss, and we won't know how the new Oppo unit stacks up to more reputable stuff like HTC and Samsung's flagships until reviewers here in North America get their hands on the device. Our fingers are crossed, though, and we'd definitely like to see this phone live up to the specs we've seen for it. If it's a solid, reliable device, $500 is a pretty serious bargain for the specs on offer.


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Amit Kapoor
4 Amit Kapoor Articles
One By Two Song I'm just pakaoed: Abhay Deol convinces as the guy who is bored to death2 years ago 0
The actor-producer's antics throws us in the mood of retrospection and the lyrics help us establish the connect Abhay Deol's character Amit Sharma… Read Article ▶
Aamna Sharif excited to marry producer Amit Kapoor2 years ago 0
This is the second attempt in marriage for the groom, but one cannot control the matters of the heart, no? Aamna Sharif became popular as Kashish… Read Article ▶
Aamna Shariff getting married!2 years ago 0
One of the prettiest leading ladies of tellyland is ready to tie the knot to beau Amit Kapoor Aamna Sharif recently got engaged to her boyfriend… Read Article ▶
Abhay Deol and girlfriend Preeti Desai start shooting for a romantic comedy2 years ago 0
And the movie titled One By Two will be co-produced by Abhay Abhay Deol and Preeti Desai have been seeing each other for quite some time now. And… Read Article ▶
More Amit Kapoor


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superior epigastric arteries (anatomy)
You have 3 open access pages left.UK healthcare workers and students can get FREE subscriptions... click here.
The superior epigastric artery is a branch of the internal thoracic artery on each side. It forms deep to the sixth intercostal space on each side. The superior epigastric artery then runs from the plane superficial to the transversus thoracis muscle inferiorly to pass between the diaphragmatic origins on the xiphoid process and costal margin respectively.
The superior epigastric vessels run inferiorly deep to rectus abdominis and superficial to the fibrous layer that forms the posterior leaflet of the rectus sheath. Within this layer it ramifies to widely anastomose with the inferior epigastric artery.
The superior epigastric artery supplies the:


text:
American Forces Press Service
WASHINGTON, Oct. 20, 2004 U.S. forces continue to zero in on terrorist activities in the Iraqi city of Fallujah, as air strikes today destroyed four more insurgent safe houses and Marine aircraft knocked out an enemy outpost.
The strikes destroyed meeting places for militants loyal to fugitive Jordanian terrorist Abu Musab al-Zarqawi, whose terror network now has formally tied itself to Osama bin Laden's al Qaeda terror organization. The United States has issued a standing offer of $25 million for information leading to Zarqawi being killed or captured.
A U.S. Marine air strike today destroyed a known insurgent command and control facility in northern Fallujah. Multinational forces observed activities at the outpost for 30 days, officials said. The insurgents were seen reinforcing fighting positions, storing ammunition and emplacing improvised explosive devices.
U.S. and Iraqi forces now ring Fallujah, a hotbed of insurgent resistance against the interim Iraqi government and the presence of U.S. and coalition forces in Iraq.
An Oct. 19 in southern Fallujah severely damaged or destroyed some other suspected insurgent safe houses that contained explosives or ammunition caches, officials said.
Multinational Force Iraq operations in Fallujah disrupt terrorist planning activities, save innocent Iraqi lives, and help effect stability in the country, officials said.
Meanwhile, an Iraqi child was killed and 11 1st Infantry Division soldiers and one civilian interpreter were wounded when a pair of bombs hidden in vehicles exploded near the city center in Samarra today. The soldiers were evacuated to a Multinational Force medical center for treatment, and were reported to be in stable condition.
In other news, a suspected terror cell leader and recruiter of insurgents was apprehended in eastern Baghdad by U.S. troops during an Oct. 18 raid.
The suspect was hard to capture, Platoon Sgt. Robert Fisher, Company C, 3rd Battalion, 153rd Infantry Regiment, noted, because "he had several places he lived" and "didn't stay in one spot."
The detainee, who's accused of masterminding 200 mortar attacks on a U.S. troop compound in Baghdad, apparently remained elusive by moving among dwellings in Fallujah and in the Baghdad neighborhoods of Damyia and Rusafa.
During a search of the suspect's house, U.S. troops found a mortar tube, a mortar plate, and bomb-making material used to fabricate roadside bombs.
(Compiled from Multinational Force Iraq and U.S. Central Command news releases.)


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Cashel Stirrup Slipper
The Cashel® Stirrup Slipper will keep you stirrups from slipping and scratching your saddle while longeing, trailering, or in the tack room. Made of soft quilted poly cotton twill to fit any size stirrup or saddle, it lays across the saddle with the weight of the stirrups keeping it in place.
Machine wash, tumble dry low. Size: 35"L x 8"W
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Narrow your search
The most important things to know when shopping for a cell phone.
A 3-2 vote is the first step in allowing municipalities all over the country to offer their own Internet service in the name of competition.
Want to build one PC to rule all your living room media needs? Meet Kodi! In part one of this series we show you how to set up the media player software formerly known as XBMC.
The Local Motors Strati EV isn't just the world's first 3D-printed car, it'll also be the first car that you can download and print yourself.
FCC Chairman Tom Wheeler is at the center of a historic debate over how we'll all use the Internet. Fans applaud a consumer-friendly approach. Critics say he'll strangle innovation. Both sides agree he's not afraid to do what he thinks is right.
Windows 8.1 will sync your cloud account with your PC. But what if you're running out of space? Here's how to relocate the cache.
A 3D-printed Portal turret makes for the perfect watchdog for your very own Enrichment Center.
Ideal for dens and bedrooms, this TV also makes for a perfectly good PC monitor.
Google brushes off a self-described Google employee's account of serious and widespread AdSense fraud as a "complete fiction."
But who is? You might be surprised.


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Ok this is my little poem corner.I hope you don't mind me saying this but it's true i am a poet.I may suck at times but i think i'm really good but if you waant i can post some of your poem's on my site.remeber i'm just like anyone else.
Anywho plz if you enjoy my poem's plz write a comment about it and if you didn't think much of it still write me a comment .Don't need to tell me why you didn't like it just tell me a few simple words such as "i didn't like your poem" and that's all.Don't go all out and be mean by saying something like "you suck" ok cause i won't like that at all.
I write about personal things on here and those are turned into poetry!!!!So i hope you enjoy.
Bye Bye and enjoy


text:
A Multimedia Exhibition for Visitors of All Ages
Native Voices explores the interconnectedness of wellness, illness, and cultural life of Native peoples.
Health Hotlines
A community service helping the public locate health-related toll-free telephone numbers and health information links.
Where to Find History of Medicine Collections
Look to the Directory of History of Medicine Collections for unique medical history near you. Learn more on NLM's Circulating Now Blog.
Spring 2015 NIH MedlinePlus Magazine Available
Free publication features actress Jennifer Esposito speaking out about her battle with celiac disease – and the enemy is gluten.
Explore NLM
Research at NLM
NLM for You
News, Events, Videos
- NLM Mourns Loss of Clifford A. Bachrach, MD, Editor and Division Chief at the National Library of Medicine (07/15/15)
- NLM Digitizes Unique Early English Books, Allowing Free Online Access (07/13/15)
- HOSA-National Library of Medicine Health Information Ambassador program to begin in August 2015 (06/23/15)
- NLM Releases Beta Phase of MeSH RDF (06/19/15)


text:
Bruce Forman profiled in interview with Tuscon Weekly
May 23, 2014
Tucson Weekly featured Studio/Jazz Guitar faculty Bruce Forman's Cow Bop, a jazz and Western music-themed band. The story noted he teaches guitar at USC and has invited younger students to perform in Cow Bop. "While I love serious music, and I play just as much to challenge myself, I think… read more


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|Application for Admission Deadlines
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Summer 2015:
You must register before you can be admitted into a class.
Late registration will result in a $100.00 fee.
*Change of Major or Update Status
*Due to new Federal Financial Aid regulations, we will not be able to process your request to change your major until the end of each semester.
*Please be aware, change of major requests will only be processed at the end of each semester through the day before the next semester begins.
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Jacksonville State University has authorized the National Student Clearinghouse to provide transcript ordering via the internet. The National Student Clearinghouse provides an online ordering service for Jacksonville State University students and alumni 24 hours a day, 7 days a week. Orders placed after hours are processed the next working day by the University Registrar's Office. Online transcript requests submitted while we are closed for holidays will be processed in the order they were received when our office reopens.
To order a transcript, go to the Clearinghouse secure site.


text:
Golf In The Olympics
Golf's Olympic History
With the 2012 London Games upon us, and with golf set to return at Rio in 2016, we take a look back at the sport's sometimes dubious history at the Olympics
July 2012
The first modern Olympic Games, held in Athens in 1896, had 14 nations represented with 43 events. However, it wasn't until the 1900 Paris Olympics, where 28 nations were represented, that golf was listed as one of the 75 events. The men played two rounds (36 holes) to decide the medals, and women played a 9-hole tournament. Pictured above are the small number of American men who made the cross-Atlantic trip to the 1900 Games.
- Keywords:
- golf,
- olympics,
- rio de janeiro,
- derek evers


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Below is the poem entitled AM I which was written by poet
Poet Destroyer
A . Please feel free to comment on this poem. However, please remember, PoetrySoup is a place of encouragement and growth.
Read Poems by
Poet Destroyer
Poet Destroyer A
Am I Just Standing Here, or Am I Just Dead?
Am I So Full Of Fear, I Lost Myself Instead?
Am I A Nobody, that you can't defend me?
Am I Just Invisible, and you really don't pretend.
Am I Blind, Or I Just Don't Wish To See?
The Love I Cannot Find Is Right In Front Of Me!
Am I Hearing the Truth,
Or Have I Just Been Deceived?
Who Can I Trust?
Who Can I Believe?
Am I So Mad I Just Can't Understand,
Or Am I So Sad I Need A Shoulder And A friend?
Is It Just Me,
Or Am I All Alone?
I wrote this poem 22 years ago
I was pregnant, scared and alone:-(


text:
COLUMBIA Site operators didnt take all possible precautions to prevent a radioactive water leak that led to shutdown of a South Carolina nuclear reactor, officials with Duke Energy said Thursday, also saying theyd learn from their mistakes.
Duke Energy agrees that there were apparent violations, Scott Batson, site vice president for the Oconee Nuclear Station, said during a U.S. Nuclear Regulatory Commission meeting in Atlanta.
Engineers and regulators examined the situation last November at the Oconee plant near Seneca, about 30 miles west of Greenville.
The shutdown came after engineers detected flaws in the airtight, steel-lined concrete containment building designed to prevent radiation from leaking into the air or ground.
Officials said there was no threat to employees or the public, and the crack was quickly repaired.
Regulators made no decisions public Thursday about the leaks safety significance. In June, the NRC issued a notice to Duke of an apparent violation that had a safety significance of greater than green -- the lowest of the agencys graduated safety system -- and ordered the conference to hear from Duke before making a final determination on the severity of the penalty.
Both Duke officials and an independent consulting firm said the risk associated with the leak was very low and was traced to a flaw that was confined to an individual pipe and weld. NRC officials said Duke needed to change the way it looks for these kinds of flaws in the reactors systems.
Oconee has three reactors, and one of them was already offline for refueling before the shutdown of Unit 1. On Friday, all three reactors were listed as fully operational.
Several weeks before the November incident, Oconees Unit 3 was shut down when engineers discovered a faulty control valve was causing changes in the flow of water in a different system that generates steam to turn the turbines and create power. That reactor started generating power again three days later and was quickly fully operational.
In October, a Government Accountability Office report found that, since 2000, the Oconee Nuclear Station reported the most safety violations of any nuclear plant in the Southeast, with 163 lower-level violations and 14 higher-level violations.
Lower-level violations pose very low risk, such as improper upkeep of a transformer, while higher-level violations range in significance, like an electrical system that caused a fire.
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Aiken Standard is pleased to offer readers the enhanced ability to comment on stories. Some of the comments may be reprinted elsewhere in the site or in the newspaper. We ask that you refrain from profanity, hate speech, personal comments and remarks that are off point.
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VIEWS: 1 PAGES: 1 CATEGORY: Personal Finance POSTED ON: 11/26/2010 Public Domain
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