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On September 12, 2001, we had no idea what kind of summer 2002 would be for camps. Would enrollment be affected? Would international staff be available? Would campers want to leave home? Would parents let them?
Now that summary information is coming in from summer programs, it appears that enrollments were strong. Staffing, while still challenging, appeared to be a little easier to contract this year for many camps, perhaps due to the myriad of economic issues affecting the job market.
But the hotline? My, was it busy! We had almost double the number of calls we had a year ago, and those calls brought information concerning:
- Eleven allegations of sexual abuse including three staff to camper allegations, three staff-to-staff allegations (all involving a "victim" who was a minor), and five camper-to-camper incidents (three being between female campers, one between male campers, and one male-to-female incident)
- Eight deaths — seven campers and one staff member (all but one being water-related and at least three occurring in a guarded swimming pool).
- Eight staff/employment issues — staff behavior, termination, sexual activity in front of campers, former staff members now arrested for sexual activity with children.
- Nine medical concerns from anaphylactic shock from an unknown cause, eating disorders, possible Hepatitis A diagnosis, questions about enrolling children with Hepatitis A and B, dead animals on the camp property testing positive for West Nile virus, ADA requirements as they affect camper enrollment, and a camper sent home with an undiagnosed broken leg.
- Two vehicular accidents — one with a bus whose brakes failed, and a boating accident that injured two campers with the boat prop.
- Seven behavioral incidents ranging from behavior that was an alleged result of a Ritalin holiday, several suicide threats, violent camper behavior that aroused a violent reaction from the parents of the camper, and questions about whether to accept children with a past record of sexually abusing other children.
- Five physical abuse allegations including camper-to-camper incidents, staff to camper incidents, and reports of incidents from home.
- Numerous miscellaneous situations involving the right to search camper belongings; drunk parents arriving to pick up their children (would you send them home with a drunk adult?); camps unable to obtain insurance; theft of camper property; demands for refunds; trespassers and security assessments; international campers unable to get entry visas; and missing campers.
While there are many resources available on the Internet (health information sites, sites to help address problem behaviors such as suicide, lists of phone numbers of abuse agencies, etc.), there is clearly benefit to discussing difficult situations with an objective "ear" who can advise based on what other camps have done and what experts suggest.
What Would You Do If…
. . . parents arrived drunk to pick up their children? Send them on home with the "real" parent, or insist on some other arrangement? This director insisted that the parents call someone else to come and pick up the kids. The parent obliged.
. . . there was a death in camp? Most directors immediately bring in a mental health team to help campers and staff deal with the loss. The toll on the director is incredible and for understandable reasons. The toll on the parent is unfathomable. Have you already identified mental health teams, trained counselors or psychologists, crisis teams, or trained clergy who can be at your side upon a moment's notice? Have you thought about who and how you would notify staff? Campers? Families? These are sensitive issues and hard to sort through when you are dealing with your own emotions. We suggest a meeting with your senior management/ownership to discuss such issues and create a plan. The book Crisis Response Planning for Camps & Conference Centers [1] can be a real help in this matter.
. . . state police informed you that there were terrorist threats in your area? Would you be able to report to your camp families and your board/owner that security concerns and practices on your site had been reviewed by security professionals and that their recommendations were being implemented? This is becoming a "best practice" in our industry. See the article, Camp Security: Who to Call, What to Ask, in this issue of CampLine for guidance.
. . . it was reported to you that adult staff members were allegedly having sex in the view of campers? Would your personnel policies give you any guidance? Would specific information have been discussed during staff training about the consequence of such behavior? If not, why not?
. . . with the staff on duty at an activity where there was a serious accident or death? Would you release them? Keep them on duty? Provide counseling for them? Review their record and suspend them until an investigation is complete? While the circumstances will vary, the impact on this staff member and others who observe what you do in this situation will be significant. Again, this is a good topic to discuss with senior staff prior to the season. Access to professional help can make a real difference in this staff member's life in the days and months to come. What if those staff are internationals? How will you provide the mental health support they need at this time?
. . . if there were unusual medical conditions potentially affecting camp — conditions unfamiliar to your health personnel? There are many Web sites the American Camping Association uses for information to help directors talk knowledgeably with their camp doctor or with county health personnel. Among them are sites from the Centers for Disease Control [2]. This is an excellent site that allows many search capabilities and gives unbiased information.
. . . if a camper, recently convicted of crimes against other children, applied to your camp? We have had several situations in the past few years where camp directors have become aware of such situations before the start of the season. Should they deny admittance? Can they? Your lawyer, the child's school guidance counselor, and local mental health agencies may provide you with the best sources of information. You have the safety of other children to consider when they have been crimes of violence or crimes of a sexual nature. Make your decision carefully and deliberately.
Lessons to Learn
- You need legal counsel. Ideally, this should be legal counsel that is expert in liability issues and who knows your program and staffing patterns. The more they know about you, the better advice they will be able to give. Investing several hundred dollars in a legal opinion in the midst of the crisis can give you invaluable guidance.
- You need medical counsel. Hire (if you have to) a camp doctor. This may be someone on site or may be someone in town whom you call for advice. He/she should review your protocols and advise you when you have a camper apply to camp whose conditions you are unfamiliar with handling. He/she will also be your first contact in case of illness or injury.
- You need staff who are ready to partner with parents. Camps that involve parents immediately when there is illness (requires overnight stay in health center), injury that requires a trip to the doctor or the hospital for x-rays, or incidents that can traumatize kids, usually find parents much more responsive and loyal to the camp in succeeding summers. They need to know that you care first about their child.
- You need mental health counsel you can call on in an emergency for campers and staff. Death in the camp family or the home family? Other family emergencies? Suicide threats or attempts? Situations where you have a camper who has been a victim? Quick access to trained people with whom you have made prior arrangements can make all the difference in the world.
- You need to know the child abuse reporting laws in your state. We say this every year, but every year there are directors who call the ACA Hotline and do not know the reporting law or to whom they report alleged incidents.
When we compare ACA Hotline results and the information we gather from parental complaints against camps, the camps with the best practices are those with active and sincere efforts to provide a positive experience for all children. When something unexpected happens, communicate with parents! Keep them in the loop. Treat their concerns with respect. Put the needs of children first. The benefit you reap in the long run will make a big difference.
To this end, take the following positive steps:
- Have a "customer service" oriented person answer your phone. This is important in communicating what you value in your camp and can help you identify problems before they become big.
- Have a policy to contact parents immediately if there is something out of the ordinary. This underscores a commitment to putting the needs of the child first. Camps who convince parents that the child's needs are uppermost are camps that build family loyalty, strong staff, and campers in whose lives you have succeeded in making a difference.
- Make plans now to address the issues identified above. Work with your senior staff team over the winter to address the kinds of issues raised this past summer.
- Finally, let your ACA section president or executive know if there is training you feel would be helpful on the local level. Now is the time to have your plans evaluated and updated in preparation for the year ahead.
About the ACA Hotline
The ACA Hotline is available year-round to ACA-accredited and affiliated camps to help you think through and identify issues related to camp crises. Experienced national staff members including Connie Coutellier, Pat Hammond, Marge Scanlin, Cathy Scheder, and Susan Yoder staff the Hotline. The ACA Hotline may be accessed twenty-four hours a day by calling 317-365-5736.
Originally published in the 2002 Fall issue of The CampLine.


text:
Photo by Ditte Isager
YIELD: Makes 6 servings
ACTIVE TIME: 15 min
TOTAL TIME: 30 min
- 1 pound Japanese or Kirby cucumbers (about 5)
- 1/2 teaspoon wasabi powder
- 1/2 teaspoon water
- 2 tablespoons rice vinegar (not seasoned)
- 1 tablespoon sugar
- 1/4 teaspoon soy sauce
- an adjustable-blade slicer
Very thinly slice cucumbers crosswise with slicer; toss with 1 teaspoon salt and drain in a colander 15 minutes. Rinse cucumbers under cold water, then squeeze handfuls to remove excess water; pat dry.
Stir together wasabi powder and water in a bowl and let stand 5 minutes. Add vinegar, sugar, and soy sauce, whisking until sugar has dissolved. Add cucumbers and toss well.
Cooks' note: Cucumbers can be made 1 day ahead and chilled, covered.

subset: commoncrawl


text:
Welcome to Smogon! Check out the Smogon Info Hub for everything you need to know about starting out in the community. Don't forget to introduce yourself in the Introduction Thread, too!
Welcome to Smogon Forums! Please take a minute to read the rules.
Cereal Killer Mafia - Baker's Guild Wins!
Discussion in 'Circus Maximus: The Competitive Mafia Hub' started by RBG, Sep 29, 2009.
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= Subscribers only.Sign in here.Subscribe here.
Fiction — From the July 1956 issue
A story
By Isaac Rosenfeld
Fiction — From the June 1947 issue
By Ted Conover
By Virginia Sole-Smith
By J. M. Coetzee
By Randall Kennedy
Percentage of Americans who can correctly name the Chief Justice of the Supreme Court:
Washington Post poll
Peak happiness was observed at a per capita GDP of $36,000.
Doctors Without Borders withdrew from the Afghan city of Kunduz after a U.S.-led airstrike destroyed one of the organization's hospitals, killing 22 people.
Subscribe to the Weekly Review newsletter. Don't worry, we won't sell your email address!
"Shelby is waiting for something. He himself does not know what it is. When it comes he will either go back into the world from which he came, or sink out of sight in the morass of alcoholism or despair that has engulfed other vagrants."
© 2015 Harper's Magazine Foundation. October 2015 cover: Monitors inside the Lincoln Memorial protecting the leaders of the March on Washington, August 28, 1963 © Dan Budnik


text:
14 U.S. Code § 562 - Improvements in Coast Guard acquisition management
(a) Project or Program Managers.—
(1) Level 1 projects.— An individual may not be assigned as the project or program manager for a Level 1 acquisition unless the individual holds a Level III acquisition certification as a program manager.
(b) Guidance on Tenure and Accountability of Program and Project Managers.—
(1) Issuance of guidance.— Not later than one year after the date of enactment of the Coast Guard Authorization Act of 2010, the Commandant shall issue guidance to address the qualifications, resources, responsibilities, tenure, and accountability of program and project managers for the management of acquisition projects and programs. The guidance shall address, at a minimum—
(A) the qualifications required for project or program managers, including the number of years of acquisition experience and the professional training levels to be required of those appointed to project or program management positions;
(B) authorities available to project or program managers, including, to the extent appropriate, the authority to object to the addition of new program requirements that would be inconsistent with the parameters established for an acquisition program; and
(2) Strategy.—
(A) In general.— Not later than 18 months after the date of enactment of this section, the Commandant shall develop a comprehensive strategy for enhancing the role of Coast Guard project or program managers in developing and carrying out acquisition programs.
(B) Matters to be addressed.— The strategy required by this section shall address, at a minimum—
(i) the creation of a specific career path and career opportunities for individuals who are or may become project or program managers, including the rotational assignments that will be provided to project or program managers;
(ii) the provision of enhanced training and educational opportunities for individuals who are or may become project or program managers;
(iii) the provision of mentoring support to current and future project or program managers by experienced senior executives and program managers within the Coast Guard, and through rotational assignments to the Department of Defense;
(iv) the methods by which the Coast Guard will collect and disseminate best practices and lessons learned on systems acquisition to enhance project and program management throughout the Coast Guard;
(v) the templates and tools that will be used to support improved data gathering and analysis for project and program management and oversight purposes, including the metrics that will be utilized to assess the effectiveness of Coast Guard project or program managers in managing systems acquisition efforts; and
(c) Acquisition Workforce.—
(1) In general.— The Commandant shall designate a sufficient number of positions to be in the Coast Guard's acquisition workforce to perform acquisition-related functions at Coast Guard headquarters and field activities.
(2) Required positions.— In designating positions under subsection (a), the Commandant shall include, at a minimum, positions encompassing the following competencies and functions:
(3) Acquisition management headquarter activities.— The Commandant shall also designate as positions in the acquisition workforce under paragraph (1) those acquisition-related positions located at Coast Guard headquarters units.
(d) Management Information System.—
(1) In general.— The Commandant shall establish a management information system capability to improve acquisition workforce management and reporting.
(2) Information maintained.— Information maintained with such capability shall include the following standardized information on individuals assigned to positions in the workforce:
(A) Qualifications, assignment history, and tenure of those individuals assigned to positions in the acquisition workforce or holding acquisition-related certifications.
[(e) Repealed. Pub. L. 112–213, title II, § 210(c)(2)(A),Dec. 20, 2012, 126 Stat. 1551.]
(f) Appointments to Acquisition Positions.— The Commandant shall ensure that no requirement or preference for officers or members of the Coast Guard is used in the consideration of persons for positions in the acquisition workforce.
(g) Career Paths.—
(1) Identification of career paths.— To establish acquisition management as a core competency of the Coast Guard, the Commandant shall—
(A) ensure that career paths for officers, members, and employees of the Coast Guard who wish to pursue careers in acquisition are identified in terms of the education, training, experience, and assignments necessary for career progression of those officers, members, and employees to the most senior positions in the acquisition workforce; and
Source(Added Pub. L. 111–281, title IV, § 402(a),Oct. 15, 2010, 124 Stat. 2931; amended Pub. L. 111–330, § 1(4),Dec. 22, 2010, 124 Stat. 3569; Pub. L. 112–213, title II, § 210(c)(2)(A),Dec. 20, 2012, 126 Stat. 1551.)
References in Text
The date of enactment of the Coast Guard Authorization Act of 2010 and the date of enactment of this section, referred to in subsec. (b)(1), (2)(A), is the date of enactment of Pub. L. 111–281, which was approved Oct. 15, 2010.
Prior Provisions
A prior section 562, act Aug. 4, 1949, ch. 393, 63 Stat. 539; Aug. 3, 1950, ch. 536, § 27,64 Stat. 407, related to deck courts, prior to repeal by act May 5, 1950, ch. 169, §§ 5, 14(v),64 Stat. 145, 148, effective May 31, 1951.
2012—Subsec. (e). Pub. L. 112–213struck out subsec. (e) which related to annual report on adequacy of acquisition workforce.
2010—Pub. L. 111–330amended Pub. L. 111–281, § 402(a), which enacted this section.
Effective Date of 2010 Amendment
Pub. L. 111–330, § 1,Dec. 22, 2010, 124 Stat. 3569, provided that the amendment made by section 1 (4) is effective with the enactment of Pub. L. 111–281.
LII has no control over and does not endorse any external Internet site that contains links to or references LII.


text:
|Men's Basketball » Schedule » Roster » News » Statistics » Coaches » Camps » Archives
Lipscomb (6-10, 1-4 A-Sun)
Northern Kentucky (4-9, 2-3 A-Sun)
1/11/2013 | Highland Heights, Ky. | Attendance: 2891
Thursday, January 10, 2013
HIGHLAND HEIGHTS, Ky. – The Lipscomb men's basketball team continues Atlantic Sun Conference play on Friday night at 6 p.m. against league newcomer Northern Kentucky at the Bank of Kentucky Center.
Airing on CSS, the contest is the first meeting between the two schools since the 1971-72 season when there were three meetings with the Bisons (6-9, 1-3 A-Sun) taking 2-of-3 from the Norse (3-9, 1-3 A-Sun). The contest will mark the first visit for the Bisons to the NKU campus.
The reigning A-Sun "Newcomer of the Week", Redshirt freshman center Stephen Hurt leads Lipscomb with a 12.2 points-per-game average along with hauling in a league-best 8.5 rebounds-per-game. Hurt has won A-Sun newcomer honors three times this season and on Thursday was named the A-Sun's Crons Achiever of the Month for his play in the month of December.
Senior forward Eshaunte Jones leads the way for NKU averaging 13.8 points each night. As a team, the Norse rank last in scoring with a 55.2 point-per-game scoring average but NKU is stingy on the defensive end allowing a league second-best 60.2 points.
Northern Kentucky is in their first year in NCAA Division I having made the jump from Division II at the start of the year.
Along with the CSS broadcast, the game is set to air at 6 p.m. on 102.5 The Game with Jonathan Seamon handling the play-by-play duties. ESPN3 will also carry the game for those outside of the CSS footprint.
Men's Basketball Archives
2012-13 Men's Basketball


text:
The Catholic University for Independent Thinkers
To be considered for admission into the School of Ministry, an applicant must provide the following:
For more information on International Student Services, please visit: www.udallas.edu/offices/iss.
Application Form
Application Essays
Recommendation Form
Applications to the School of Ministry are accepted at any time. To ensure your application is reviewed for admission for a specific semester all items of an application should be received by these dates for the noted semester:
To be considered for financial aid, the following deadlines apply:
Any questions about the admissions procedures or any aspect of the application should be directed to the Coordinator of Graduate Enrollment and Student Services.School of Ministry
Online Education Disclosure: Any student outside the state of Texas interested in our online classes and programs must read our Online Learning Disclosure and check with their state about authorization or licensure.
The University does not discriminate on the basis of sex in its programs and activities. Any person alleging to have been discriminated against in violation of Title IX may present a complaint to the Title IX coordinator. The Coordinator assists in an informal resolution of the complaint or guides the complainant to the appropriate individual or process for resolving the complaint.
Title IX Coordinator: The University has designated Janis Townsend, Director of Human Resources, as the Title IX Coordinator. Human Resources is located on the second floor of Carpenter Hall and the phone number is (972) 721-5382.
Unlawful Discrimination and Harassment: The University of Dallas does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Janis Townsend, Director of Human Resources – section 504/ADA Coordinator – Title IX Coordinator – Age Discrimination Act Coordinator – Office of Human Resources, Carpenter Hall 2nd Floor – 1845 E. Northgate Drive, Irving, TX. 75062 – (972) 721-5382.


text:
Our affordable audiophile lineup. High-performance products for music and home theater that represent truly exceptional value.
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A subwoofer is made up of one or more large drivers in a single cabinet. It is specifically designed to reproduce the low-pitched audio frequencies known as "bass" and covers the range between 20 Hz and 200 Hz. A subwoofer enhances the frequency range of a speaker system by delivering the lowest bass notes, a frequency area that a typical speaker cannot fully deliver, and gives dynamic impact to the low-frequency effects in movies and music.
SE Series
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DARIEN, NY - Genesee County Sheriff's Office deputies had a busy night at the Brad Paisley concert at Darien Lake on Friday. A total of 73 people were arrested, most for underage drinking, according to a statement issued by the Sheriff's Office.
Travis J. Sheldraky, 19, of Dunville, Ontario was arrested for disorderly conduct after he allegedly pushed a security guard. Anna K. Rauber, 18, of Dansville, was arrested for trespassing. She was found inside the venue after having been kicked out by security. Ashley L. Shields, 24 of Akron, was arrested for harassment after getting into a fight. Four people were arrested for either having fake IDs or using someone else's driver's license to buy alcohol. The other 73 arrests were all for underage drinking.
Nearly 100 people were arrested at the Dave Matthews concert at Darien Lake on July 3.


text:
Clippers 114, Utah 104
Posted by Kevin Arnovitz on Sat, 02/23/08, 09:53am:
Category: General
Posted by: Kevin Arnovitz
A bunch of encouraging stuff out of last night:
- Corey Maggette is leveraging his hot outside shot into better opportunities. His shot chart is interesting: 7 FGs, but only one inside of 13 feet. This isn't a bad thing. Virtually all of those FGMs were smart one-on-one opportunities - a good number of them generated by off-the-ball work. Exhibit A [2nd, 2:36]: While Knight and Kaman run a S/R at the top of they key, Tim Thomas sets a nice baseline screen for Corey on Andrei Kirilenko. Corey glides across the baseline from left to right. Kaman rolls off the first screen to set another screen - this one for Maggette at the left elbow. Corey swings around, picks up the pass from Knight, then takes it strong to the hoop against a statuesque Okur.
Maggette uses his teammate's screens to perfection. And rather than try to draw contact against Okur, he realizes that a controlled path to the basket is the better course.
- Chris Kaman has begun to call for the ball when he recognizes that he has an advantage in the post. Early on in the 1st [8:29], there's a telling moment when the Clippers are rushing the ball upcourt. It's clear that Kaman is supposed to set up at the right elbow but, for whatever reason, Kaman is way out ahead of the play -- so much so that Mehmet Okur, his defender, is standing straight-legged waiting for the set to materialize. Kaman recognizes this and, instead of parking himself at the elbow, he scoots much, much deeper into the lane to about 12 feet. Knight has to be quick - because Kaman is entirely in the paint. Okur gets between Kaman and the hoop, but Kaman's position is indomitable. Knight bounces the entry pass into Kaman, who doesn't put the ball on the ground, but instead quickly turns for a right-handed jumper with a perfect follow-through.
All you have to do is look at Kaman's FGAs since he got back from the flu to realize that he's having a much harder time getting himself shots. That's a by-product of weariness [the rebounding numbers are even more telling...only 10.5 RPG since he got back]. But so long as Chris can maintain that recognition and cultivate those big man instincts, he's going to be fine.
- Maybe I'm burying the lede, because Al Thornton, once again, is the story tonight. 10-18 from the field; a Maggette-esque 7-8 from the line for 27 points in 29 minutes. He's settling in, maintaining control in the halfcourt, finding space - for instance, his first FGM of the night. He's drawn Carlos Boozer, whom he's desperately trying to post up off the left mid-post on the ball side. Boozer is skillfully pushing Thornton off the block. But here's where Al's offensive instincts kick in. Rather than try to draw blood from a stone, he realizes that, by stepping back off the post-up, he can fill that empty space between the lane and the arc. Just as Al steps out, Maggette delivers him the ball, at which point Al hits a turnaround open J...because Boozer doesn't have time to react.
I'm not sure this is something Al would've instinctively done as recently as eight weeks ago. Here's another [3rd, 1:57]. Al Thornton against Paul Millsap off the high-right post. Dan Dickau gets him the rock. Thornton doesn't waste a lot of time here. With a left-handed dribble, he moves left toward the paint. But here comes the Utah help. Al immediately picks up on it, so he spins baseline, gets way inside, then goes up strongly with two hands, then sinks the two footer - and draws a foul.
Learning to quickly recognize where the help is coming from -- then learning how to elude it on the drive is a crucial skill for any penetrator. Thornton is a quick study on this.
Side Note: Clipperblog apologizes for the diminshing coverage during the work week. Unfortunately, the demands of real life have been calling. Structure is a bitch.


text:
this wiki
A Mastery is an area that a summoner is able to focus their intense magical training into, categorized into three specific categories, which are collectively known as masteries. Some of the more advanced masteries require not only a working knowledge of previous masteries within a single category, but also the knowledge of a specific mastery. As a summoner gains levels of power within the League of Legends, they are able to select which specific areas of interest to focus on.
Summoner masteries are not set in stone; based on the type of champion you wish to control in a battle arena, masteries can be changed to better suit a summoner's needs, simply by pressing the "Return Points" button to completely reset your masteries and allow yourself to choose others in which to spend your points, you can only spend your masteries up to 30 ("re-spec"). Additionally, the available masteries are revamped on a semi-regular basis (once every season or two).
There are three types of trees that your summoner can develop in:
Mastery pages
Mastery pages were released in patch V184.108.40.206b. Mastery pages can be stored and, later, chosen similar to Rune pages during champion selection. You can have up to 20 Mastery Pages.
With each level achieved by a Summoner, the Summoner also receives one mastery point, capped at 30 mastery points, the maximum summoner level. Each mastery takes one point to increase its level and each tree contains at least 37 points worth of masteries, so even at top level the Summoner is not able to completely fill any one tree, let alone all trees. This adds a strategic element to your selection of Summoner masteries, as you can choose masteries that synergize with your champion, spells, and teammates.
It is important to note that most masteries require points in the tree. When moving to higher levels in the tree (higher "tiers"), one will encounter an increasing prerequisite of a 4 points spent in that tree. For example, in order to put points into Alacrity (a tier-2 offense mastery), one must first put a total of 4 points into any of the tier-1 offense masteries, and to put a point into Juggernaut (the tier-6 defense skill), one must have 20 points in other defense masteries. A summoner must have at least 21 points (so level 21) to acquire the last mastery in a tree. The last mastery is usually the most useful and vital to that particular mastery tree.
Some masteries require another mastery to be earned before a higher tier mastery is available. This more direct type of prerequisite is shown by the grey lines that sometimes lead from one mastery to another higher-tiered mastery. These connected masteries usually correlate in some way. The lines denote the fact that all ranks of the lower tier mastery must fully acquired ("maxed out") before the higher tier mastery will become available.
Patch history
- Masteries have been reworked.
- All Mastery Pages have been reset.
- You can find full details on the new masteries on the Preseason 4 website.
- Masteries have been reworked.
- All Mastery Pages have been reset.
- You can find full details on the new masteries on the Pre-Season 3 website.
- Improved Recall no longer causes the Recall sound to keep playing after the player cancels the spell.
- Mastery Pages will now be stored server-side so they can be accessed from any computer.
- Deadliness: Changed to 0.5 attack damage per level (9 attack damage at champion level 18) at 4 points from 4% critical strike chance.
- Alacrity attack speed reduced to 1/2/3/4% from 1.5/3/4.5/6%.
- Summoner's Resolve - Improved Heal reduced to 10% from 15%.
- Perseverance removed, replaced with Strength of Spirit - increases health regen per 5 seconds by 0.4/0.7/1% of maximum mana.
- Masteries have been remade.
- Improved Summoner Spells are now condensed into 3 masteries, each at the first tier of their respective trees.
- Summoner's Wrath improves Offense tree Summoner Spells.
- Summoner's Resolve improves Defense tree Summoner Spells.
- Summoner's Insight improves Utility tree Summoner Spells.
- Havoc mastery changed to increase total physical and magic damage dealt by 4% from increasing base physical and magic damage by 5%.
- Fixed a bug where Strength of Spirit didn't include mana gained from buffs (for example Ryze's bonus mana from Desperate Power or ).
- Strength of Spirit: Mana to health regeneration conversion reduced by about 33% and clarified the tooltip to show that it was regeneration per 5 seconds.
- Meditation: Mana regeneration per 5 seconds reduced to 1/2/3 from 1.66/3.33/5.
- Veteran's Scars: Health reduced to 12/24/36/48 from 15/30/45/60.
- Ardor:
- Now provides all of its benefit at rank 1 rather than half at rank 1 and the other half scaling up to level 18.
- Fixed bugs where Ardor was not counting ability power and attack speed from many sources; essentially anything that wasn't an item.
- Fixed a bug where Ardor and were double multiplicative.
- Clarified the tooltip.
- Fixed a bug with Rank 2 of Utility Mastery where it was not working properly.
- Fixed a bug where Tenacity caused Cho'Gath's Feast to not kill the target.
- Burning Embers: No longer gives a placeholder buff while active.
- Cripple: Armor and magic penetration lowered to 10 from 25.
- Improved Rally: Now gives 20-70 ability power, depending on level, instead of a 20% increase to base magic damage dealt.
- Fixed a bug that caused Utility Mastery to not work properly.
- REMOVED: Demolisher
- Willpower: Cooldown reduction on Cleanse reduced to 20 from 30.
- Mystical Vision: Now properly adjusts Clairvoyance's cooldown.
- Willpower: No longer affects Cleanse's cooldown.
- Mender's Faith: Changed to 30 second cooldown reduction on Heal from +10 × level bonus healed HP.
- Mender's Faith: Now provides 10 × level bonus health on Heal from a flat bonus 75 health. Additionally reduces the cooldown by 10 seconds.
- Preservation:
- Cooldown reduction on Revive increased to 30 from 20.
- Bonus health duration increased to 120 from 90.
- Mystical Vision: Vision duration bonus on Clairvoyance increased to 4 from 3.
- NEW Mastery: Burning Embers - While Ignite is on cooldown, your champion gains an additional 10 ability power.
- NEW Mastery: Insight - Clarity restores 100% of mana to allies.
- Mystical Vision: Clairvoyance duration bonus increased to 3 seconds from 2.
- Mystical Vision: Now increases Clairvoyance duration by 2 seconds and reduces its cooldown by 5.
- Willpower: Now correctly refers to Cleanse instead of Boost.
- Greed: Fixed a bug causing it to not work on some champions.
- Reinforce: Damage boost to minions increased to +9 from +6.
- Harden Skin: Damage reduction now calculated before armor.
- Nimbleness: Fixed a missing buff.
- Offense Tree
- Deadliness - Increases critical strike chance by 0.66% per rank.
- Cripple - Reduces armor and magic resistance by 25 on targets affected by your Exhaustm and increases its duration by 5 seconds.
- Plentiful Bounty - Increases the gold granted by Smite by 5, and reduces the cooldown by 5 seconds.
- Archmage's Savvy - Increases the caster's ability power by 0.2/0.4/0.6 per level.
- Sorcery - Reduces ability cooldowns by 0.75% per rank.
- Alacrity - Increases attack speed by 1% per rank.
- Archaic Knowledge - Grants 15% magic penetration.
- Sunder - Physical attacks ignore 2 armor per rank.
- Offensive Mastery - Increases damage to minions and monsters by 2 per rank.
- Brute Force - Increases physical damage dealt by 1 per rank.
- Master Taunter ( Demolisher) - Increases the armor of a promoted minion by 20, and reduces Promote's cooldown by 15 seconds.
- Lethality - Increases critical strike damage by 3.33% per rank.
- Improved Rally - Increases Rally's duration by 5 seconds. Improved Rally also increases armor and magic damage of affected allies.
- Havoc - Increases damage dealt by 5%.
- Defense Tree
- Mender's Faith - Increases the amount healed from Heal by 75, and reduces its cooldown by 10 seconds.
- Resistance - Increases magic resistance by 2 per rank.
- Preservation - Reduces Revive's cooldown by 20 seconds, and upon resurrection, the revived player has their health increased by 400 temporarily.
- Hardiness - Increases armor by 2 per rank.
- Strength of Spirit - Increases health regeneration by 0.1/0.2/0.3% of your maximum mana.
- Evasion - Increases dodge chance by 0.5% per rank.
- Defensive Mastery - Reduces damage from minions and monsters by 1 per rank.
- Nimbleness - On a successful dodge, your movement speed is increased by 10% for 5 seconds.
- Harden Skin - Reduces damage received by 1 per rank.
- Veteran's Scars - Increases health by 15 per rank.
- Willpower - Increases the duration of Boost by 2 seconds, and reduces its cooldown by 30 second.
- Ardor - Increases attack speed and ability power by 0.66% per rank, and an additional 0.66% at level 18. which increases as your champion levels, per rank. (i.e. 2%->4% with 3 ranks)
- Reinforce - While Fortify is off cooldown, increases damage to minions and monsters by 6. In addition, increases the armor of turrets by 10 seconds after the invulnerability fades.
- Tenacity - Reduces damage received by 5%.
- Utility Tree
- Spatial Accuracy - Reduces Teleport's cast time by 0.5 seconds, and reduces its cooldown by 5 seconds.
- Good Hands - Reduces time spent dead by 3.33% per rank.
- Perseverance - Increases health and mana regeneration by 2% per rank.
- Haste - Increases Ghost's movement speed bonus by 8%, and increases the duration by 1.5 seconds.
- Awareness - Increases experience gained by 1.25% per rank.
- Expanded Mind - Increases your maximum mana pool by 1.25% per rank.
- Greed - Grants 1 gold every 10 seconds for the game.
- Meditation - Grants .33/.66/1 mana regeneration per second.
- Utility Mastery - Increases the duration of buffs from monsters by 15% per rank.
- Quickness - Increases movement speed by 1% per rank.
- Blink of an Eye - Reduces Flash's cooldown by 15 seconds.
- Intelligence - Reduces cooldowns by 2% per rank.
- Mystical Vision - Increases the duration of Clairvoyance by 15 seconds. In addition, the first 15 seconds of Clairvoyance grant stealth detection.
- Presence of the Master - Reduces summoner ability cooldowns by 15%.
- Other
- Expanded Mind and Intelligence are no longer linked.
- Hardiness, Brute Force, and Meditation have one less rank.
- Perseverance: Health/mana regeneration reduced to 4/8/12% from 5/10/15%.
- Good Hands: Death duration reduction reduced to 5/10/15% from 7/14/21%
- Awareness: Bonus experience awarded reduced to +4/6/8/10% from +4/8/12/16%.
- Spatial Accuracy: Cast time reduction on Teleport reduced to 0.5 from 1.
- Plentiful Bounty: Bonus gold from Smite reduced to 5 from 10.
- Mender's Faith: Increases Heal by 75 instead of 100.
- Preservation: Duration of health bonus increased to 2 minutes from 90 seconds.
- Summoner talents now work.
- Fixed an issue where it appeared that you could edit the talents of other summoners when viewing their talent trees.
- Fixed a bug that caused players to lose talent points.
- Fixed a bug where Summoner Tree backgrounds were in the incorrect places.


text:
Moderator: All Things Mods
Ubi Dubius wrote:Not parents, but my brother finally figured it out when he visited us at Chrifsmas and saw our FSM tree ornaments and the selection of books on our shelves. The clincher was when I handed back our present from him - a DVD of "Expelled".
Ubi Dubius wrote:Not parents, but my brother finally figured it out when he visited us at Chrifsmas and saw our FSM tree ornaments and the selection of books on our shelves. The clincher was when I handed back our present from him - a DVD of "Expelled".
black bart wrote:Ubi Dubius wrote:Not parents, but my brother finally figured it out when he visited us at Chrifsmas and saw our FSM tree ornaments and the selection of books on our shelves. The clincher was when I handed back our present from him - a DVD of "Expelled".
Arrgh...wot be 'Expelled' matey...be it thee autobiography o Nef Yoo BB?
Roland Deschain wrote:If it doesn't seem like prying, how did your brother react? If my brother had given me that (He's not particularly religious so it would probably never happen, but hypothetically speaking...), I would have sat down and watched it with him. I would then have enjoyed picking apart every single 'argument' put forward by Ben Stein et al by prodigious use of the pause button on the remote control, and maybe even used the internet to show how interviews with people had been misunderstood (intentionally or not) and quotes taken out of all context. The interview with Dawkins springs to mind (I, for one, bow to our Alien God Overlords ). Maybe i'm just evil, but that would be quite fun for me. He brought it up in a manner of speaking. I know the only arguments back would be ones i've heard before and could easily refute with scientific, peer-reviewed evidence, but it would be interesting to see if there was another angle he could come from.
Ubi Dubius wrote:He asked for an opportunity to discuss "your faith" and that turned into a several weeks long exchange of emails. Highlights included that it quickly turned from "[my] faith" into his faith; Godditit; He thought Expelled would be a good gift because it's science, not religion; and that while he slept in my basement, he had a vision of me and UDK#1 burning in hell.
That exchange is a lot of what prompted me to become active on these forums.
The best magnet message I ever left on a refrigerator was back in college. My [boyfriend] and his roommate had trashed their place to the point that we could barely stand to enter, so one weekend I & BFF put on hazmat suits and cleaned.Roy Hunter wrote:I have a fairly good dialogue going with my moody, angst-ridden teenage son using magnetic fridge poetry. He will put things on the fridge he couldn't say out loud. I have to say I heartily approve of the medium.
pieces o'nine wrote:I say, have your own vision, Ubi Dubium! All the cool kids are doing it.
Get inconsolably weepy at the very *thought* of him being denied a choice spot at the beer volcano, and having to make-do with ugly strippers. Thereafter, every time you have to look at him, let your eyes brim with tears...
Ham Nox wrote:It sounds like he's trying, at least in that strange way where they're trying to be sensitive towards a viewpoint that can't even comprehend comprehending. I can picture the discussion falling towards his faith... Even ignoring the idea of him trying to convert you.. It's hard to discuss our faith out of context of other faiths, I'm afraid, because its origins have deep reactionary roots. He probably thinks "Expelled" really is science, and thought he could discuss it "rationally" with you..
The terrible thing is to know that he's really terrified for you and UDK#1. The fact that his fears are irrational doesn't change the sincerity of his concern. I can't imagine what it must be like to live with that kind of fear everyday
Qwertyuiopasd wrote:Roll to see if I'm getting drunk yet!
Ham Nox wrote:I wouldn't worry about converting him, I'd worry about what kind of logic goes on in his head to think that Dungeons and Dragons is more harmful than drinking and gambling! (Unless you count danger to one's social life..)
Text is notoriously difficult a medium to convey sincerity and sarcasm through without being blatant. On the 'disturbing vision' part, I could take acid, have a bad trip, and still not be right about anything...Ubi Dubius wrote:He came across more as thinking his vision proved that he was right or perhaps trying to make me feel guilty for causing this "disturbing vision". He didn't seem to be upset. However, this part of the conversation was via email, so I might have misinterpreted.
Ah, the old "I'm a real Christian" philosophy. Human nature taking over there i'm afraid. Religion, politics; everyone takes sides eventually. I was lucky. I never did try D&D due to it not being as big at my school, if it was ever played at all. I did dabble in Warhammer 40K though.Ubi Dubius wrote:I actually am not certain he thinks it is harmful. I'll give you the conversation starting right after I mentioned D&D.
Brother's kid, "Dad, YOU used to play Dungeons and Dragons?!"
Brother, "Yes, before I was a Christian."
BTW, we were both raised mainstream Methodists. Apparently that's not Christian.
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Infiniti Repair in King
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Carmine's Import Service can take care of all your service and repair needs from oil changes to major repairs, and you have the confidence of taking your car to a Bosch Authorized Service Center.
Our staff includes two ASE Certified Master Technicians. We specialize in European Imports, (BMW Service, Mercedes Service, Audi Service, Porsche Service, Land Rover Service, Range Rover Service, Fiat Service, Jaguar Service, Volvo Service, Volkswagen Service, SMART Service, MINI Service, and Saab Service),however we can take care of all of your car needs no matter the make.
At Carmine's Import Service, our #1 goal is 100% customer satisfaction and we place a lot of emphasis on strong customer service, high quality workmanship and expert advice so that you minimize your maintenance expenses. You may also take advantage of our Night/Early Bird Drop Service Box. We also have shuttle service and loaner cars available if your vehicle will be with us for an extended stay.
We offer up to a 3 Year / 36,000 Mile Warranty on parts and labor for most service. We promise to provide you with the highest quality of work and customer service you will find in the Piedmont Triad; guaranteed!
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An entirely original translation, by the Jewish Publication Society of Philadelphia, of the Holy Scriptures into contemporary English. The culmination of three decades of collaboration by academic scholars and rabbis representing the three largest branches of organized Judaism in America.
A small paperback edition, perfect to take to class or for use when traveling. Hebrew and English are side-by-side on the same page. Hebrew has vowels.
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21 U.S. Code § 372 - Examinations and investigations
(a) Authority to conduct
(A) The Secretary is authorized to conduct examinations and investigations for the purposes of this chapter through officers and employees of the Department or through any health, food, or drug officer or employee of any State, Territory, or political subdivision thereof, duly commissioned by the Secretary as an officer of the Department.
(i) For a tobacco product, to the extent feasible, the Secretary shall contract with the States in accordance with this paragraph to carry out inspections of retailers within that State in connection with the enforcement of this chapter.
(A) In addition to the authority established in paragraph (1), the Secretary, pursuant to a memorandum of understanding between the Secretary and the head of another Federal department or agency, is authorized to conduct examinations and investigations for the purposes of this chapter through the officers and employees of such other department or agency, subject to subparagraph (B). Such a memorandum shall include provisions to ensure adequate training of such officers and employees to conduct the examinations and investigations. The memorandum of understanding shall contain provisions regarding reimbursement. Such provisions may, at the sole discretion of the head of the other department or agency, require reimbursement, in whole or in part, from the Secretary for the examinations or investigations performed under this section by the officers or employees of the other department or agency.
(B) A memorandum of understanding under subparagraph (A) between the Secretary and another Federal department or agency is effective only in the case of examinations or inspections at facilities or other locations that are jointly regulated by the Secretary and such department or agency.
(C) For any fiscal year in which the Secretary and the head of another Federal department or agency carries out one or more examinations or inspections under a memorandum of understanding under subparagraph (A), the Secretary and the head of such department or agency shall with respect to their respective departments or agencies submit to the committees of jurisdiction (authorizing and appropriating) in the House of Representatives and the Senate a report that provides, for such year—
(i) the number of officers or employees that carried out one or more programs, projects, or activities under such memorandum;
(ii) the number of additional articles that were inspected or examined as a result of such memorandum; and
(3) In the case of food packed in the Commonwealth of Puerto Rico or a Territory the Secretary shall attempt to make inspection of such food at the first point of entry within the United States when, in his opinion and with due regard to the enforcement of all the provisions of this chapter, the facilities at his disposal will permit of such inspection.
(b) Availability to owner of part of analysis samples
Where a sample of a food, drug, or cosmetic is collected for analysis under this chapter the Secretary shall, upon request, provide a part of such official sample for examination or analysis by any person named on the label of the article, or the owner thereof, or his attorney or agent; except that the Secretary is authorized, by regulations, to make such reasonable exceptions from, and impose such reasonable terms and conditions relating to, the operation of this subsection as he finds necessary for the proper administration of the provisions of this chapter.
(c) Records of other departments and agencies
For purposes of enforcement of this chapter, records of any department or independent establishment in the executive branch of the Government shall be open to inspection by any official of the Department duly authorized by the Secretary to make such inspection.
(d) Information on patents for drugs
The Secretary is authorized and directed, upon request from the Under Secretary of Commerce for Intellectual Property and Director of the United States Patent and Trademark Office, to furnish full and complete information with respect to such questions relating to drugs as the Director may submit concerning any patent application. The Secretary is further authorized, upon receipt of any such request, to conduct or cause to be conducted, such research as may be required.
(e) Powers of enforcement personnel
Any officer or employee of the Department designated by the Secretary to conduct examinations, investigations, or inspections under this chapter relating to counterfeit drugs may, when so authorized by the Secretary—
(3) execute seizure by process issued pursuant to libel under section 334 of this title;
(4) make arrests without warrant for offenses under this chapter with respect to such drugs if the offense is committed in his presence or, in the case of a felony, if he has probable cause to believe that the person so arrested has committed, or is committing, such offense; and
(5) make, prior to the institution of libel proceedings under section 334 (a)(2) of this title, seizures of drugs or containers or of equipment, punches, dies, plates, stones, labeling, or other things, if they are, or he has reasonable grounds to believe that they are, subject to seizure and condemnation under such section 334 (a)(2). In the event of seizure pursuant to this paragraph (5), libel proceedings under section 334 (a)(2) of this title shall be instituted promptly and the property seized be placed under the jurisdiction of the court.
Source(June 25, 1938, ch. 675, § 702,52 Stat. 1056; Pub. L. 87–781, title III, §§ 307(b), 308,Oct. 10, 1962, 76 Stat. 796; Pub. L. 89–74, § 8(a),July 15, 1965, 79 Stat. 234; Pub. L. 91–513, title II, § 701(f),Oct. 27, 1970, 84 Stat. 1282; Pub. L. 102–300, § 6(b)(2),June 16, 1992, 106 Stat. 240; Pub. L. 103–80, § 3(dd)(2),Aug. 13, 1993, 107 Stat. 779; Pub. L. 106–113, div. B, § 1000(a)(9) [title IV, § 4732(b)(12)], Nov. 29, 1999, 113 Stat. 1536, 1501A–584; Pub. L. 107–188, title III, § 314,June 12, 2002, 116 Stat. 674; Pub. L. 111–31, div. A, title I, § 103(g),June 22, 2009, 123 Stat. 1837.)
2009—Subsec. (a)(1). Pub. L. 111–31designated existing provisions as subpar. (A) and added subpar. (B).
2002—Subsec. (a). Pub. L. 107–188inserted "(1)" before "The Secretary is authorized to conduct", added par. (2), inserted "(3)" before "In the case of food packed", and substituted "(4) For the purposes of this subsection," for "For the purposes of this subsection".
1999—Subsec. (d). Pub. L. 106–113, in first sentence, substituted "Under Secretary of Commerce for Intellectual Property and Director of the United States Patent and Trademark Office" for "Commissioner of Patents" and "Director" for "Commissioner".
1993—Subsec. (c). Pub. L. 103–80struck out "of Agriculture" after "Department".
1992—Subsec. (c). Pub. L. 102–300, which directed the amendment of subsec. (c) by striking out "of Health, Education, and Welfare", could not be executed because such words did not appear in the original statutory text. See 1993 Amendment note above and Transfer of Functions note below.
1970—Subsec. (e). Pub. L. 91–513struck out reference to depressant or stimulant drugs.
1965—Subsec. (e). Pub. L. 89–74added subsec. (e).
1962—Subsec. (a). Pub. L. 87–781, § 307(b), inserted "the Commonwealth of Puerto Rico or" before "a Territory the Secretary".
Subsec. (d). Pub. L. 87–781, § 308, added subsec. (d).
Effective Date of 1999 Amendment
Amendment by Pub. L. 106–113effective 4 months after Nov. 29, 1999, see section 1000(a)(9) [title IV, § 4731] of Pub. L. 106–113, set out as a note under section 1 of Title 35, Patents.
Effective Date of 1970 Amendment
Amendment by Pub. L. 91–513effective on first day of seventh calendar month that begins after Oct. 26, 1970, see section 704 ofPub. L. 91–513, set out as an Effective Date note under section 801 of this title.
Effective Date of 1965 Amendment
Amendment by Pub. L. 89–74effective July 15, 1965, see section 11 ofPub. L. 89–74, set out as a note under section 321 of this title.
Savings Provision
Amendment by Pub. L. 91–513not to affect or abate any prosecutions for any violation of law or any civil seizures or forfeitures and injunctive proceedings commenced prior to the effective date of such amendment, and all administrative proceedings pending before the Bureau of Narcotics and Dangerous Drugs [now Drug Enforcement Administration] on Oct. 27, 1970, to be continued and brought to final determination in accord with laws and regulations in effect prior to Oct. 27, 1970, see section 702 ofPub. L. 91–513, set out as a note under section 321 of this title.
Transfer of Functions
For transfer of functions of Federal Security Administrator to Secretary of Health, Education, and Welfare [now Health and Human Services], and of Food and Drug Administration in the Department of Agriculture to Federal Security Agency, see note set out under section 41 of this title.
LII has no control over and does not endorse any external Internet site that contains links to or references LII.


text:
Ku mund të Vendosem
Lamai, Koh Samui
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+66 2282 2841
Buddy Oriental Samui Beach Resort creates the ambience of cultured elegance and dreamy nostalgia as it welcomes guests. It combines the truly unique concept of both colonial style luxury and tropical seaside resort. Revive images of living by the sea in olden times, when life is slow and peaceful and dwellings are airy against the backdrop of quiet sea. A stay at this residence is such a happy combination of the old and new as one comes to experience the joys of the beach in the world today and the sentimental yearning for a return to the past as craved by many. Distinctively the best of both worlds can only happen at Buddy Oriental Samui Beach Resort, on the beautiful beach of Lamai, Koh Samui.
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text:
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Cody Lundin wants you to be prepared, not scared. It's with that philosophy that he wrote When All Breaks Loose (Stuff You Need To Survive When Disaster Strikes), and it's why this is not your typical survival manual.
Lundin is the founder of the Aboriginal Living Skills School, an adjunct faculty member of Yavapai College and a faculty member at the Ecosa Institute, a frequent guest on television programs and the go-to guy as a survival expert. He teaches the things he has lived.
Whether you think your crisis will come as a result of a natural disaster, collapse of the government or something else, Lundin wants you to be prepared. And with this book he prepares you for survival in both an urban and rural setting.
This is not the type of book that you can leave on your shelf until disaster strikes. To be useful, it must be read beforehand. Because in it, Lundin covers every aspect of a survival scenario from mental or psychological preparedness to storing food and water to obtaining shelter to bugging out if necessary.
And the methods he teaches are tried and true. They are methods he developed himself after living in a Spartan-like manner in extreme conditions.
Of course he covers all the obvious survival subjects like food and water storage, water purification, shelter, emergency lighting, first aid and food preparation. But he delves deeper and gives you many real-life tips and suggestions you don't get anywhere else.
By the same token, he doesn't spend too much time covering some of the basics such as what foods to store, how much and how to store it. What he does do is introduce a new perspective on eating for survival and shedding the taboos that make you avoid certain foods that can keep you alive (including providing a couple of recipes for rat).
What Lundin accomplishes with this book is to prepare the reader for a long-term survival scenario. And he does it with humor and helpful cartoon characters interspersed throughout the book that provide you with what you need to stay alive when times get really tough.
When All Breaks Loose is an excellent survival manual and great companion book to Lundin's 98.6 Degrees: The Art Of Keeping Your Ass Alive.


text:
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Risperidone and Divalproex Sodium With MRI Assessment in Pediatric Bipolar
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There are two purposes for this project. Study 1 is to determine whether risperidone is better than divalproex sodium in treating/stabilizing pediatric bipolar disorder. Study 2 is to look at the dysfunction in brain activity before treatment, and to look for any alteration after treatment with either risperidone or divalproex sodium. One initial part of Study 2 is looking at 10 healthy control adults to learn what areas of the brain are activated when the subject is exposed to faces showing different emotions, and when the subject is asked to determine emotionality, age, and recall of faces.
Bipolar Disorder
Drug: Divalproex Sodium
Drug: risperidone
Phase 2
Phase 3
|Study Type:
|Study Design:
|Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Double Blind (Subject, Caregiver, Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:
|Controlled Trial of Risperidone and Divalproex Sodium With MRI Assessment of Affected Circuitry in Pre and Post Treatment in Pediatric Bipolar
- Young Mania Rating Scale (YMRS) [ Time Frame: weekly ] [ Designated as safety issue: No ]
- Bipolar Clinical Global Impression Scale (BP-CGI) [ Time Frame: weekly ] [ Designated as safety issue: No ]
- Overt Aggression Scale (OAS) [ Time Frame: weekly ] [ Designated as safety issue: No ]
- Child Depression Rating Scale-Revised (CDRS-R) [ Time Frame: weekly ] [ Designated as safety issue: No ]
- Brief Psychiatric Rating Scale in Children (BPRS-C) [ Time Frame: weekly ] [ Designated as safety issue: No ]
- Child Bipolar Rating Scale- Parent version (subscales: Child Mania Rating Scale [ Time Frame: weekly ] [ Designated as safety issue: No ]
- Child Bipolar Depression Rating Scale, [ Time Frame: weekly ] [ Designated as safety issue: No ]
- Child Bipolar Cycling Rating Scale [ Time Frame: weekly ] [ Designated as safety issue: No ]
- Teacher version (subscales: Child Mania Rating Scale, Child Bipolar Depression Rating Scale)(CBRS-P/T), [ Time Frame: weekly ] [ Designated as safety issue: No ]
- Abnormal Involuntary Movements Scale (AIMS) [ Time Frame: weekly ] [ Designated as safety issue: No ]
- Adverse Events Rating Scale for Bipolar Disorder (AERS-BP) [ Time Frame: weekly ] [ Designated as safety issue: Yes ]
|Study Start Date:
|April 2003
|Study Completion Date:
|January 2008
|Primary Completion Date:
|January 2008 (Final data collection date for primary outcome measure)
|Assigned Interventions
|Experimental: Risperidone, Divalproex
|Drug: Divalproex Sodium Drug: risperidone
Detailed Description:
Pediatric Bipolar Disorder (PBD) severely impairs a child's emotional development, and is associated with alarming rates of suicide, school failure, aggression, risk taking behaviors and substance abuse (Geller et al, 1998; 2001; Carlson et al, 1998). At present, very little is known about the pathophysiology or optimal treatment of PBD. The long range goals of this proposal are threefold: to investigate a range of pharmacotherapeutic agents that are safe and efficacious for PBD, to use fMRI techniques to examine abnormalities in brain function in this disorder, as well as any change in brain function after treatment.
In contrast to the adult literature, we are aware of only two prospective studies assessing the efficacy of standard mood stabilizers in a pediatric sample. In one, lithium was found to be moderately effective in PBD with comorbid substance abuse (Geller et al, 1998). In the other, divalproex sodium, lithium and carbamazepine produced a maximum of 50% symptom reduction (Kowatch et al, 2000). Subsequently, Kafantaris et al (2001) observed a potentiation of lithium's antimanic effect when combined with risperidone. Further, a prospective, open trial of olanzapine for PBD reported a 70% symptom reduction (Frazier et al, 2001) with a retention rate of 96% compared to only 7% with classic mood stabilizers (Kowatch et al, 2000).
Thus, parallelling adult studies (Sachs et al, 2000), novel antipsychotics are a promising treatment in this population. Further, up to 60% of acute PBD episodes present with psychotic features (Geller et al, in press). Finally, the time to full effect with mood stabilizers is often 4 weeks in children (Kowatch et al, 2000; Geller et al, 1998; Kafantaris et al, 2001), whereas antipsychotics usually have a more rapid response onset (Pavuluri et al, in press). Given the potential efficacy of novel antipsychotics for PBD, the aim is to conduct a randomized trial comparing a novel antipsychotic to a standard mood stabilizer:
|Ages Eligible for Study:
|10 Years to 20 Years
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Children with Bipolar Disorder
- Must be able to swallow tablets
Exclusion Criteria:
- Children with general medical condition such as head injury, epilepsy, endocrine disorders
- Those who are on mood altering medications such as steroids, and those diagnosed with mental retardation are excluded to avoid confounding and contributing factors to mood swings.
- If we discover during the interview that the parent and/or child does not understand the consent/assent procedures, we will exclude them.
We expect only a small number of children to be excluded from the study due to exclusionary criteria. Selection of the subjects is not based on sex, race, or ethnic group.
For the fMRI study:
- Given the limited size of the magnet bore, individuals with a body weight over two-hundred and fifty pounds will be unable to be tested within the MRI scanner.
- Women in the latter stages of pregnancy may be excluded due to large body size and potential discomfort while in the MRI apparatus.
- Standard contraindications for fMRI studies include: cardiac pacemaker, aneurysm clip, cochlear implants, shrapnel, history of metal fragments in eyes, claustrophobia
- Participants with an IQ of less than 70 (assessed by WRAT) are likely to be excluded due to difficulties comprehending tasks and procedures.
Healthy Individuals/Controls:
- Healthy participants will have full scale above 70
- A negative family history of psychiatric treatment or diagnosis is necessary for healthy comparison participants
- Individuals with a positive medical history of neurological disease, brain injury, and/or psychotic, mood, or substance abuse disorders will not be admitted
Please refer to this study by its ClinicalTrials.gov identifier: NCT00176202
|United States, Illinois
|Chicago, Illinois, United States, 60612
|Principal Investigator:
|Mani Pavuluri, MD
|University of Ilinois at Chicago
No publications provided
|Responsible Party:
|Mani Pavuluri, Director of BRAIN Center, University of Illinois
|ClinicalTrials.gov Identifier:
|NCT00176202 History of Changes
|Other Study ID Numbers:
|Study First Received:
|September 9, 2005
|Last Updated:
|June 20, 2013
|Health Authority:
|United States: Institutional Review Board
Additional relevant MeSH terms:
Bipolar Disorder
Affective Disorders, Psychotic
Mental Disorders
Mood Disorders
Valproic Acid
Antimanic Agents
Antipsychotic Agents
Central Nervous System Agents
Central Nervous System Depressants
Dopamine Agents
Dopamine Antagonists
Enzyme Inhibitors
GABA Agents
Molecular Mechanisms of Pharmacological Action
Neurotransmitter Agents
Pharmacologic Actions
Physiological Effects of Drugs
Psychotropic Drugs
Serotonin Agents
Serotonin Antagonists
Therapeutic Uses
Tranquilizing Agents
ClinicalTrials.gov processed this record on October 13, 2015


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We work with a great selection of brands, products and people, each with their own story and style. Our 'features' section is here to give you a deeper insight into these brands, the people behind them, and the world of Xile; what we stock, what we listen to and what we wear.
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The sportswear giant and one of the most recognisable brands in the world, Adidas as we know it was born in 1949 by German Adi Dassler. Xile stock a hand picked selection from the Adidas Original line with a mixture of retro and forward thinking designs taking influence from the worlds of sport, street wear and fashion.


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Woman admits to using dating site just to go out to nice restaurants; new website, apps help others
One woman is gaining national attention after she admitted on Tumblr to accepting dates with men just to go out to eat at nice restaurants.
A new dating site, HiDine , is geared toward other women just like her. The site claims to be a site for food lovers where women can set up a profile for free, sharing their "stories," listing their favorite places to eat and "winking" at male users they find attractive. Male members must put down a deposit toward paying for any restaurant rendezvous to take place offline.
"We believe in old-fashioned chivalry," the site states. "You spend enough time and money on clothes, shoes, hair styling, and beauty products. Before you even sit down at the table with a guy, you have made an investment in the date in order to look your best ... And the last thing you should worry about is who is going to pick up the bill."
Another app that launched two weeks ago, Carrot Dating , allows men to virtually dangle meals for a date with an attractive woman. Chosen from a pre-programmed list of 20, these "carrots" or "bribes" can range from spa trips to plastic surgery to even a tank of gas. But according to Carrot Dating founder Brandon Wade, "the most popular items are the most traditional." Namely, flowers and dinner, ABC reported.
"Online dating is very superficial in nature, with most of the decisions being made when looking at someone's profile picture," Wade told ABC News. "Just like a peacock would open up its amazing tail to show off its genetic attributes, us humans do the same in different ways. There are the men who work out at the gym, have excellent physiques from the waist up, and there are men who are very good at pickup lines, and then you have the guys like myself who are a little bit shy or awkward but generous."
While both HiDine and Carrot Dating repeat words like "generous" and "chivalry" throughout their press materials, critics of the pay-to-date sites blast them as being sexist variations on more overt sites rewarding wealth with beauty, such as SugarDaddie.com, MutualArrangements.com or SeekingArrangement.com, which Wade also founded.
"Girls can say they're okay with splitting," HiDine founder Kyle McGinnis told The Cut. "But I think they do appreciate it when a guy acts like a gentleman, like, opens doors for them, and walks on the other side of the sidewalk."
HiDine could not be reached immediately by ABC News. Wade, of Carrot Dating, said that detractors were missing the joke.
"If people want to take the term bribe or bribery literally, it would be really bad," he said. "But many friends of mine use the term bribe in a funny, humorous manner."
Notably, women can offer bribes on the Carrot Dating app too. According to Wade, of the 60,000 downloads since launch, 25 percent of the offers have been initiated by women. But one thing they may not implicitly offer for money is sex.
"On any dating website people are aspiring for intimacy at some point. But in the language and the messaging on the website there is no suggestion that you are paying for sex," he said, adding that escorts posing as dates will be exposed and stopped.
But even if men are content to play into stereotypical gender roles, paying for dinner via these sites, they may still be left with a sour aftertaste. What if the woman on the other side of the table, like Toronto blogger Erin Wotherspoon, is only in it for the free bread basket?
"This girl is looking for love in her lobster roll, not your academic achievements," wrote Wotherspoon.


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(Apr 20, 2011) On April 13, 2011, the Supreme Court of New South Wales, in Australia, held that a school had breached its duty of care to a former student by failing to implement its anti-bullying policy or to take steps to adequately deal with ongoing bullying behavior toward her by other students while she was enrolled at the school. (Oyston v St Patrick's College [2011] NSWSC 269, at 256.)
In 2010, Jazmine Oyston sued her former high school, St. Patrick's College (a private girls' school in Campbelltown), for negligence. She alleged that she had been injured while enrolled at the school, including suffering panic attacks, anxiety, and depression, "as a result of being exposed to bullying and harassment by other pupils of the school between 2002 and 2005." (Id. at ¶ 1.) Her case was that the school's policies and practices, as implemented in her situation, "failed to protect her from a recognized and foreseeable risk of harm." (Id. at ¶ 6.)
The judge in the case considered that there was a foreseeable risk, which was in fact foreseen by the school, that bullying at the school might result in harm, including psychiatric injury. Furthermore, there was no issue that "a reasonable person in the College's position, would have taken steps to protect a student such as Ms. Oyston, from the risks which bullying posed." (Id. at ¶ 15.) The issue for the court was therefore whether the steps taken by the school were adequate to ensure that the duty of care to Oyston was met. (Id.)
The judge found that, despite the school having published clear policies in relation to bullying and having been active in its attempts to deal with what was a recognized problem at the school, its response in Oyston's case was "ad hoc, rather than systematic," and did not demonstrate the types of responses envisaged by the policies. (Id. at ¶¶ 16-37.) The judge therefore held that "the College's response to the bullying problem which existed at the school by way of its implementation of its policies was inadequate, so far as Ms. Oyston was concerned," and that there were significant adverse consequences of this for Oyston. (Id. at ¶¶ 51 & 61.) Furthermore, the judge noted, the school had been aware that Oyston was being seriously affected and had failed to provide adequate safeguards. The judge considered that "[s]uch safeguards required active investigation of the complaints made and monitoring whether any bullying had been brought to a halt." (Id. at ¶ 311.)
In terms of causation, the judge held that, although Oyston was particularly vulnerable to psychological injury and her experiences at home and her parents' inability to effectively deal with the bullying contributed to the harm suffered, her injuries were "the direct result of the College's failure to take the very steps it had devised to prevent such injury being inflicted by one student upon another." (Id. at ¶ 320.)
Oyston sought almost AU$540,000 (about US$571,000) in damages. (Id. at ¶ 339.) In her decision, the judge set out her views relating to particular types of damages in the context of the evidence presented, but she has not yet determined the amount to be awarded. (Id. at ¶¶ 340-380.)
|Kelly Buchanan More by this author
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|Australia More about this jurisdiction
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Last updated: 04/20/2011


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Issued Sept 29, 2014. Includes Annual Fire Safety Report, Disclosure of Campus Security Policy and Campus Crime Statistics Act, Jeanne Clery Report Campus Fire Safety Right-to-Know.
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This is the latest in a series of entries looking at what we can expect in 2013. Each weekday, a guest analyst will look at the key challenges facing a selected country – and what next year might hold in store.
By José Ignacio Torreblanca, Special to CNN
Editor's note: José Ignacio Torreblanca is a lecturer at UNED University and Head of the European Council on Foreign Relations' Madrid office.
How does 2013 look for Spain? Is the worst over? The answer to that question depends largely on how "worst" is defined.
The absolute worst scenario, the collapse of the euro, can now be set aside thanks to the decisive action of European Central Bank President Mario Draghi. The wording he chose in a statement on the issue – "I will do whatever it takes to save the euro and, believe me, it will be sufficient" – was exactly what the markets had been waiting for since 2010. Markets now know that betting against the euro could be dangerous.
But this does not mean that the crisis is fully over.
For domestic political reasons, EU leaders are still reluctant to follow Draghi's lead and do whatever it takes to consolidate the euro. A banking union has been born, but it is still half-baked, while the more ambitious proposals aimed at a fiscal union are still in their infancy. EU leaders are expected to continue with their exasperatingly slow and piecemeal approach. And, especially with German elections looming, expect "too little, too late" to best define the EU's snail-like progress.
The next worst scenario, a Spanish exit from the euro, can also be dismissed. Following some hesitation over the acceptability of a Greek exit, Angela Merkel has realized that the survival of the euro implies and requires the survival of its individual members. With the European Stability Mechanism, the European equivalent of the International Monetary Fund, the EU has erected a financial firewall able to break the vicious link between sovereign and private debt. Spanish banks, which as in the United States were a source of the crisis, won't be able to topple Spain. This means that while Spain might still be pulled out of the markets, be forced to apply for a full rescue and be placed under the supervision of the Troika, it won't be allowed to fail.
More from CNN: Spain's next crisis?
But avoiding two major disasters does not mean that the worst is completely over. Growth prospects for Spain are weak, indeed negative, for 2013. Analysts also believe there is little or no prospect of an improvement in the unemployment situation over the next two years or more. With a staggering 25 percent of the active population unemployed – a figure that climbs to a staggering about 40 percent of those under 25 – joblessness in Spain is now not just a social drama, but risks undermining the legitimacy of the political system.
Five years into the crisis, Spaniards have turned their backs on politicians, who they consider too detached and insensitive to understand the pressing concerns of the average Spaniard. A series of corruption scandals, involving all major national institutions – from the Crown to the municipalities – has demoralized the public and further eroded confidence in democratic institutions. In addition, the tough austerity measures imposed to meet public deficit targets imposed by the EU mean that, for many citizens, the Spanish welfare state (including its world class and free health system) is now being questioned.
To top it all off, Spain faces a secessionist challenge, an issue that is further poisoning politics and stirring passions across the country.
All this means that Spain finds itself squeezed from above, as the EU piles pressure on the country to enforce further austerity measures, and from the market side, as the economy struggles to create jobs. This economic malaise provides the backdrop for a society showing signs of increasing fatigue, and which is now pushing back against cuts to health, pension and education services.
Next year will be a tough one for Spain, and while most of the economic reforms necessary to help it overcome the crisis are already in place, their effects are not yet being felt in a positive way. Spaniards have averted the worst, and are no doubt hoping for brighter days ahead. But the prevailing feeling here is one of despair over the lack of progress in growth and employment, and frustration over the high social costs of the crisis, including rising inequality.
2013 will be a transition year. But Spain should prepare itself for plenty of bumps on the road to better times.
Spain and much of Europe still have farther to fall before any turn towards prosperity will take place.
Is the worst over for Spain? It could be if those idiots in Madrid would only do the following: first by giving the Basques the independence they deserve and then by pulling Spain out of the Eurozone. Unfortunately, those idiots won't have the sense to do either!
What an ill informed post! Since when is splitting up a nation a remedy to solving economic problems. And, pulling out of the European Union, well....enough said I believe!
Wow, you sound like an American that studied abroad in Bilbao......?es cierto?
They are very quiet lately, do you mean Catalans?
The problem of an exit by Euskal-Herria or the Basque homeland of three provinces, Bizkaia, Guipuzkoa and Araba, and then the Roman or Madrid fialty province of Nafaroa, is that these four provinces account for about 40% of the demand deposits of Spain. Including these four provinces there are a total of FIFTY provinces. So a Basques exit would indeed be a blow to the coffers of Madrid. Nonetheless, Madrid returns to the Basques provinces only 60% of the taxes it collect as services back to these four very frugal and productive provinces. That is the main reason why the Basques provinces can be likened to the plight of Germany in picking up the tab for everyone else.
I wonder is there is a moderator in this blog to prevent insulting comments like this one from being posted.
Well, until the people give up on protesting about having to work 12 months for 12 months pay, instead of 14,
the Kingdom has a long, long, way to go. Protesting seems to have become a "hobby" nowadays.
Catalan problem solution – Stop buying Cava and Wine from Catalunia. Catalans vote with their pocket not from ideals.
Corruption problem solution – fast trials with stiff sentences.
Employment problem solution – restructure labor laws to make dismissals less costly.
Eliminate dangerous taxes – Tourism tax
Invigorate Real Estate market – Non-residents exempt from property sales tax when they purchase property.
Deficit Reduction – reduce size of autonomous region governments. Eliminate politicians pensions for life.
Cash flow – incentivise tourism which is one of the things which the country does very well.
Convince the Spanish football coach Vicente del Bosque to enter politics. At least he is good at what he does and that is more than be said of Spanish politicians.
don't worry, have fun like today is your last day. they say the world could end tomorrow.
No, the worst is not yet over in Spain! It is stuck in an economic trap, with large debts, an overvalued currency and collapsing property market. Much of the borrowing is carried out by regional governments and is beyond the direct control of Madrid. Their debts are becoming central government debts. There's also a huge hole at the banks, which are short of 59 bn euros. Foreign lenders and investors started to demand their money back last year.
Just regular propaganda article because there is no freedom of the press. There was a book written by Thilo Sarrazin, a German banker and a politician with a PhD in economics " Europe Does Not Need the Euro" . The book ,so far as I know , as his other book was never published in English-he probably makes too much sernse. The Globalist press puts out lies and little of what is happening makes sense, because the truth is hidden from most people. So called "democracies" in the E.U. are ruled by international bankers to the detriment of the people-be it Spain or Greece. Their economies are destroyed with planning from Brussels, their tourism diminished due to euro , jobs offshored due to Glabalization. Unless there is a change things willl get worse.
I'm going to go rub one out
Judging from the avalanche of negative articles about Spain and the euro in the Anglo-American media during the last year one can only conclude that the Anglos are doing just what they do best, that is spreading their own mess around in order to conceal their own responsibility in this financial and economic crisis we are in. Though they have been very apt at transforming what in origin was a crisis concocted by the corruption and venality in Wall Street and the City into a sovereing debt ( or as they say, a euro-crisis) the truth is plain to see. Thorugh fiat money they have bailed out and de facto nationalised most of their bankrupt financial systems with hundreds of billions of dollars and pounds thus creating a massive distortion in the world economy.
Spain will suffer. Actually having to pay off your debts makes you wish you had not been so stupid to ring them up in the first place. I predict that France will rule the headlines in 2013 in terms of economic trouble in the EU and that the EU will survive. The EU has no growth prospects for the most part. I predict if any countries gets booted out of the EU in 2013, it will be Britain in the Summer followed by Greece in the Fall.
Conservative PM Rajoy´s biggest problem is not economics. It's his public image. He is indecisive. In fact, he does not know how to simplify and say exactly what he intends to do. Actually, the more he explains, the less we know exactly what he's going to do, except to follow what EC requires of him, and this he is doing. Specifically, when he did choose, he chose to raise taxes, lower social benefits and salaries, and ignore reducing unemployment via helping small businesses, the key to any job recovery. Certainly he's more afraid of Catalonia's financial implosion than its continuous corruption scandals. He even finished the year by assuring us that 2013 will worse than 2012. Regardless, his reforms are enormous when compared to former PM Zapatero´s administration, which left the country disoriented and on the verge of bankruptcy. Moreover, though unemployment will continue to rise, his reforms are forceful enough to guarantee a turnaround in 2013 in spite of his eroded image.
Many Catalans don´t vote with their pockets, so if they stop buying cava, that's it, we´ll quickly leave Spain! We want to lleave anyway, (many do), so no problem with that. At least we´ll get rid of a lot of corrupt people! Also we don´t want to maitain a corrupt and useless monarchy, that kills elephants and bears, while many people are thrown out of their houses!
Excellent recite, I just approved this onto a isolated who was doing approximately examination taking place that. And he actually bought me eat as I set up it for him smile Hence consent to me rephrase that: Thanks for lunch! "Bill Dickey is learning me his experience." by Lawrence Peter Berra.
I in the vein of this blog its a master serenity ! Cheerful I bare this on google. "Irrationally held truths may live further hurtful than reasoned errors." by Thomas Huxley.


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Chulalongkorn University Book Center Overview
Chulalongkon University Bookshop is one of the units in the University which is one of the Thai people's favorite book-shop. It is one of the major book-shop with the maximum variety of Thai & International languages books and media that provide reasonable information to customers as well as to the publishers. It runs itself and its business in the form of private enterprise. It doesn't look for the maximum profit but it runs just to compete with the international market. The bookshop is the University's service unit that has the policy and stability to make Thai people better in quality, become more aggressive to learn and make use of the knowledge for personal and public development.
Currently, the book-shop has more than 300 staff working under the supervision of Ms. Uraiwan Konwithaya. It is the center of academic progression, advance in all means, complete source of Thai and International languages books of over 100,000 items including CDs, VCDs, advance Education media & equipments at reasonable price and online enquiry center to search all the books fastly and conveniently.
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