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We're winding up our 29 Days of Great Sex, leading up to the release of The Good Girl's Guide to Great Sex (update: Now Available!)
Throughout the month we've been looking at how to make sex great physically, emotionally, and spiritually. Yesterday we were looking at how to experience true spiritual intimacy while making love: that deep knowing, that mutual experience, and that bonding. Most of our posts this month have been on that vein: ways to see sex more positively, to make it more fun, and to create greater intimacy.
But I can't do the series justice if I don't also have a post giving a warning. And there is one particular attitude that will make true intimacy virtually impossible to experience, and that's selfishness. Two kinds of selfishness predominate in the sexual realm to rob sex of its spiritual intimacy: withholding sex and demanding unreasonable things.
Please, if you're reading this with your spouse, read with an open mind and honestly ask yourself, "am I in one of these categories"? Often we don't think we are. We think our spouse is to blame if we're having problems in the bedroom. But don't look at your spouse; truly look at your own attitude and ask yourself, am I being truly loving and giving with sex?
1. Withholding Sex
Many spouses are just heartbroken and at their wits' end because they are married to people who think sex is a chore, and it is somehow wrong or dirty to desire it very much.
I've received so many emails this month from spouses of both genders who truly want a great sex life, but their spouse rarely consents to making love, and when they do, it often is with a "let's get this over with" attitude. Or else they tell their spouse to go "take care of it yourself."
Are you like that? Is sex a chore? Do you wish your spouse would just leave you alone?
Now, if you have a genuine problem, like sex is uncomfortable because you're too tight, or you're still getting over past sexual trauma, obviously sex is going to be difficult. And as long as you are actively working towards healing, I don't think most spouses would be upset. But if you are saying, "this is the way I'll always be, and he or she should just get used to it", then you're not being fair.
It is not God's will for you that you have a rotten sex life. God created you to have a vibrant, intimate, passionate, sex life. If you do not have that in your marriage, then ask yourself, "what can I do to create one?", because robbing your spouse of that kind of intimacy is not fair.
Maybe you have low testosterone, and you have an abnormally low sex drive (both men and women can suffer from this). That's okay. Just get your testosterone levels checked. Maybe you have some sexual issues, like erectile dysfunction. That's okay, too. Just get it looked at. It is not fair to your spouse to ignore a problem when that problem is robbing you both of intimacy.
And that's really what I want you to understand. You are not just robbing your spouse of sex–though you are doing that. You are not just robbing your spouse of sexual release–though you are doing that, too. You are first and foremost robbing your spouse of that true spiritual intimacy that sex was designed to forge between you. You are robbing your spouse of that connection, and that's something that is such a deep need for all of us. And you are robbing yourself of that, too.
So stop seeing it in terms of simple sexual release, and start seeing it in terms of intimacy. Are you doing everything you can to experience real intimacy in your marriage? If you aren't, then perhaps you need to commit more to embracing all that God designed sex to be, and to figuring out how it can actually be wonderful in your marriage.
2. Demanding Unreasonable Things
The other group that is diminishing spiritual intimacy are those who see sex mostly in terms of how they can get the most sexual release.
Sex is supposed to be a mutual, shared experience. That's what part of the spiritual connection is. That doesn't mean that you never do anything "just for him" or that he never does something "just for her"; those can all be part of play. But these things should never take over, or eclipse, vaginal intercouse, or else you lose that spiritual intimacy because it is not a mutual experience.
I've received a ton of emails this month, and one of the more common themes is along the lines of "my husband would prefer that I just help him to climax another way". That really is quite selfish. One of the reasons that people prefer other kind of release is because they can concentrate on their own pleasure and don't have to think of anyone else at all. But then you're not "getting lost" in another person. You're not "connecting"; you're just using. And it's not right.
Like I said, there's nothing wrong with play every now and then; but that play should be part of a healthy relationship where you're both also experiencing pleasure through intercourse. If the play is taking over, then sex isn't mutual; it's almost like you're having parallel experiences.
If there are health reasons, of course, where this must be the case, that's an entirely different story, and you can both make an effort to involve the other person by telling them that you love them, by trying to pleasure them at the same time, or whatever. But in general these emails are coming from two healthy people, where one just prefers a shortcut rather than intercourse. That needs to stop.
If you are insisting that your spouse bring you to sexual release without vaginal intercourse on a regular basis, then you are not looking for spiritual intimacy through sex. You are seeing sex solely through the physical prism, and you are diminishing what sex is supposed to be. Again, there's nothing wrong with occasional play, but the focus should always be on a shared experience. If you are insisting on things which bring your spouse no real pleasure, then you are being selfish.
Similarly, though we have freedom in bed to do many things, that does not mean that couples MUST do those things. Changing positions is great. Really becoming intimate with all of your spouse's body is wonderful. Insisting on *n*l sex is a horrible violation of marriage. (sorry about the asterisks, but I'm trying to get around the search engine labelling me as something that I'm not). I'm not saying that it's necessarily sinful, since I personally don't believe the Bible addresses it in marriage. But it is painful. It does have medical repercussions. And it is not pleasurable to the woman.
Why in the world would anyone risk losing the beautiful intimacy that can come from sex by insisting that his wife give him this–and being bitter and disappointed when he doesn't get it?
Do you want intimacy, or do you want sex to be solely about the physical? If your spouse is making love frequently and with passion, be grateful. Don't fixate on certain sexual acts, and how you would prefer them. If you do that, you're making sex into something which is not mutual, but which is instead about self-gratification. That is totally the opposite of what God designed sex to be.
Let me end on this: God made sex to connect us spiritually, emotionally, and physically. When I conducted the research for The Good Girl's Guide to Great Sex, I found (as other surveys have found before me) that Christians are the most likely to really enjoy sex, and it's because we experience this threefold intimacy. It isn't just about the physical, the way it is in our culture, because we have the commitment and the relationship, too. And we understand that it's a beautiful gift from God. When all three go together, sex is stupendous.
Do you want stupendous sex, or do you want pornographic sex? God is calling us to make sex holy–and that means that sex will be passionate, and beautiful, and exciting, because God is passionate, and beautiful, and exciting. Are you going to embrace that, or are you going to be selfish? If you do the latter, you virtually guarantee that you will never experience the true intensity of beautiful sex.
Great Sex Challenge 28: If you believe that you might fall into one of these categories–either withholding or demanding–please pray about it. Talk to your spouse about it. Apologize to your spouse. And share with them your dream of achieving a truly intimate and exciting sex life.
Sheila is the author of The Good Girl's Guide to Great Sex.
New! This 29 Days to Great Sex series has been turned into an ebook, the 31 Days to Great Sex (only $4.99!)
It's expanded, it's written for couples (not just women), and it's easy to use! 31 Days to boost your emotional intimacy, spiritual intimacy, and physical intimacy. You'll talk, flirt, and explore! Ignite your marriage here.
29 Days to Great Sex:
Day 1: The Act of Marriage
Day 2: Starting Fresh
Day 3: Loving the Skin You're In
Day 4: Pucker Up!
Day 5: Reawaken Desire
Day 6: Why Your Hubby Wants You!
Day 7: Moving in the Right Direction
Day 8: 14 Ways to Play as a Couple
Day 9: Prepare for Sex throughout the Day
Day 10:16 Ways to Flirt with Your Husband
Day 11: How to Find Your Hubby Attractive
Day 12: If you're Having a Hard Time with these Challenges
Day 13: Getting Your Head in the Game
Day 14: What if You're Not "In the Mood"?
Day 15: What is Foreplay?
Day 16: How to Orgasm
Day 17: The Pleasure Center
Day 18: Foreplay Can Be for Him, Too!
Day 19: How to Come Alive Again
Day 20: Deciding on Boundaries
Day 21: 5 Ways to Spice Things Up
Day 22: How Often is Enough?
Day 23: Quickies Are Great!
Day 24: Initiate, Baby!
Day 25: Sex Once Kids Come
Day 26: Rebuilding Your Sex Life
Day 27: Experiencing Spiritual Intimacy when you Make Love
If you've enjoyed this series, please share on Facebook, Twitter, Pinterest or Google Plus below! Thank you!
Marriage isn't supposed to be blah!
Sex is supposed to be stupendous--physically, emotionally, AND spiritually. If it's not, get The Good Girl's Guide to Great Sex--and find out what you've been missing.


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Al Jazeera Magazine/Democracy Now | October 27 2005
Related: First on the story as ever! Former Abu Ghraib General: Torture Is Continuing; Order Came From Very Top
Speaking to 'Democracy Now', Brig. Gen. Janis Karpinski, former military police commander at the centre of the Iraqi prisoner scandal, published a book, "One Womans Army: The Commanding General of Abu Ghraib Tells Her Story", in which she described her experience at the Iraqi prison.
Karpinski, the highest-ranking officer demoted in connection with the abuse scandal, has admitted she violated the Geneva Conventions, however she said that part of the blame "Goes All the Way to The Top, stated democracynow.org.
The abuse scandal first broke out in April 2004, when photographs depicting the sexual abuse and torture of naked Iraqi detainees were released by the world media, sparking outrage worldwide.
Karpinski said that military intelligence took over part of the Abu Ghraib jail to "Gitmoize" their interrogations, in other words, applying methods and tactics used at the U.S. detention center at Guantanamo Bay, Cuba.
Karpinski, who said she was being made a "convenient scapegoat" for abuse ordered by top-ranking officials, called on holding Donald Rumsfeld, Lt. Gen. Ricardo Sanchez, Alberto Gonzalez and Maj. Gen. Geoffrey Miller accountable for what happened.
AMY GOODMAN: Today, Janis Karpinski joins us for the hour here on Democracy Now! And she has just published a book about her experience. It's called One Woman's Army: The Commanding General of Abu Ghraib Tells Her Story. Colonel Janis Karpinski, welcome to Democracy Now!
COL. JANIS KARPINSKI: Good morning. Glad to be here.
AMY GOODMAN: Its good to have you with us. How did you end up at Abu Ghraib?
COL. JANIS KARPINSKI: Abu Ghraib was one of 17 prison facilities that we were responsible for in Iraq. The units deployed from January throughout 2003 up til about April of 2003 to conduct a prisoner of war mission. The units are trained to do prisoner of war operations, and a prisoner of war camp was established in Iraq, very close to the Kuwait border. So, the units -- the unit members, the soldiers, all believed that they were going to come home after victory was declared on the First of May when the President arrived on the aircraft carrier. They allowed me to deploy to Iraq to join my units, to take command of the units, although I was told that the majority of the units, the soldiers, would be coming back home because the mission was complete.
When I arrived in Kuwait, I was told that the units were going to be staying for an additional two months, because we were assigned a new mission for prison restoration and training, assisting the prison's experts up at Ambassador Bremer's headquarters in Baghdad, with training Iraqi guards to conduct prison and detention operations. So we relocated. There was never any discussion about whether we were properly equipped or prepared to take on this mission. It was simply assigned to us, and very quickly the two-month extension became a four-month extension, and then it became 365 days, boots on the ground, for all of the units that were deployed.
So, soldiers were sent to war with the full expectations that they would be home in six months or less, as they were repeatedly told at the mobilization stations in the United States, and once they were there, they couldn't get out. The extension took them six additional months, tremendous impact on reserve and National Guard soldiers, in particular, but nonetheless, this was the mission. They went forward to different locations in Iraq and took on this new detention operation -- mission.
Abu Ghraib was the largest of our facilities. It was located in the Sunni Triangle. It was never a good location for any kind of detention operations, let alone the largest detention operation and then, subsequently, the interrogation center for Iraq. We were being mortared every night at that location. We received no combat support for force protection to prevent any of those attacks from occurring, and the unit that was out there doing that mission, that particular mission at Abu Ghraib, was not equipped with any kind of combat platforms to give adequate protection to prisoners or soldiers.
AMY GOODMAN: How many M.P.s, military police, were under your command?
COL. JANIS KARPINSKI: 3,400 soldiers were under the 800th Military Police Brigade, and probably 2,400 of them, 2,500 of them were military police personnel.
AMY GOODMAN: And how many prisoners were there?
COL. JANIS KARPINSKI: At Abu Ghraib alone, the prisoner population did reach over 7,000 by the end of -- nearing the end of 2003, but we processed over 40,000 prisoners during the course of the time that the 800th M.P. Brigade was responsible for prisoner operations.
AMY GOODMAN: Talk about General Miller. Who is he?
COL. JANIS KARPINSKI: General Miller was sent to visit Iraq by Secretary Rumsfeld and the Undersecretary Cambone. And they came -- General Miller came to visit from Guantanamo Bay. He was the commander of detention operations at Guantanamo Bay, Cuba, and he was sent to assist the military intelligence interrogators with enhancing their techniques. And he brought with him the techniques that were tested and in use at Guantanamo Bay. And he brought a team of about 20 people, 22 people with him to discuss all aspects of interrogation operations, and actually, he did an in-brief. I was invited to participate or to attend to listen to his in-brief, because he was working almost exclusively with the military intelligence people and the military intelligence interrogators while he was there.
But we owned the locations that he was going to visit, and he ultimately selected Abu Ghraib to be the focus of his efforts, and he told me that he was going to make it the interrogation center for Iraq. He used the term, he was going to Gitmo-ize the operation and use the M.P.s to assist the interrogators to enhance interrogations and to obtain more actionable intelligence.
AMY GOODMAN: What about the dogs? Is that when the dogs were introduced?
COL. JANIS KARPINSKI: Shortly after his visit, he -- again, he was spending most of his time with the commander of the Military Intelligence Brigade, Colonel Pappas. In his in-brief, his introduction when he first arrived there with his team, he responded to one of the interrogators, the military interrogator's question, and he was listening to the comments, the criticisms that they were doing these interviews and they were not obtaining really valuable information, so he was there to assist them with different -- implementing different techniques to get more actionable intelligence.
And one of the interrogators just asked the question about what he would recommend that they could do immediately, because they thought that they were doing a pretty good job with identifying the people who may have additional value or more military intelligence value, and General Miller said -- his first observation was that they were not -- they were being too nice to them. They were not being aggressive enough. And he used the example at Guantanamo Bay that the prisoners there, when they're brought in, that they're handled by two military policemen. They're escorted everywhere they go -- belly chains, leg irons, hand irons -- and he said, You have to treat them like dogs.
AMY GOODMAN: Now, Colonel Pappas ran the prison within the prison, is that right? He ran something called the hard site?
COL. JANIS KARPINSKI: He ran the interrogation operations within the prison, that's correct. And it was -- Cell Block 1A and 1B were the two maximum security wings of the hard site, and during General Miller's visit, either at his order or at his request, General Miller told -- instructed Colonel Pappas to get control of Cell Block 1A.
AMY GOODMAN: Treat the prisoners like dogs. That explains the leashes and making prisoners bark?
COL. JANIS KARPINSKI: It seems to be consistent with those photographs, yes, with the dog collar, the dog leash and un-muzzled dogs. And, in fact, those techniques have appeared in several memorandums that have been signed by senior people.
AMY GOODMAN: When did you start to understand what was happening?
COL. JANIS KARPINSKI: About the situation at Abu Ghraib, I was first informed by an email that I received on classified what they call classified traffic. I opened it up late one night on the 12th of January of 2004. And it was from the commander of the Criminal Investigation Division. He sent me an email and said, Ma'am, I just want to make you aware, I'm going in to brief the C.G., meaning General Sanchez, on the progress of the investigation at Abu Ghraib. This involves the allegations of abuse and the photographs. That was the first I heard of it.
I did not receive that email or phone call or a message from General Sanchez himself, who would ultimately attempt to hold me fully responsible for this, but from the C.I.D. Commander. And I was alarmed at just that short email. I was not in Baghdad at the time. I was at another location very close to the Iranian border, so we made arrangements to leave at the crack of dawn to drive down to Abu Ghraib to see what we could find out about this ongoing investigation and went through the battalion over to Cell Block 1A. The people who would normally be working on any shift were not working. The sergeant that I spoke to said that their records had been seized by the investigators, and they started a new log to account for prisoners, make sure that their meals were on time, those kind of things, and he pointed out a memo that was posted on a column just outside of their small administrative office. And the memorandum was signed by the Secretary of Defense, and
AMY GOODMAN: By Donald Rumsfeld.
COL. JANIS KARPINSKI: By Donald Rumsfeld. And said it discussed interrogation techniques that were authorized. It was one page. It talked about stress positions, noise and light discipline, the use of music, disrupting sleep patterns, those kind of techniques. But there was a handwritten note out to the side. And this was a copy. It was a photocopy of the original, I would imagine. But it was unusual that an interrogation memorandum would be posted inside of a detention cell block, because interrogations were not conducted in the cell block.
AMY GOODMAN: This was the command of Donald Rumsfeld himself?
COL. JANIS KARPINSKI: Yes.
AMY GOODMAN: Talking about the techniques?
COL. JANIS KARPINSKI: The techniques that were allowed. And there was a note handwritten note out to the side of where the list of tactics, interrogation tactics were. It said, "Make sure this happens." And it seemed to be in the same handwriting as the signature. That's what I could say about the memorandum.
AMY GOODMAN: People understood it to be from Rumsfeld?
COL. JANIS KARPINSKI: Yes, they certainly did. And I never heard a word I did certainly did see the reference to photographs in the original email, but when I asked the soldier, when I asked the sergeant, when I asked the commanders out at Abu Ghraib, what did they know about, they knew nothing about it. They had heard that there were some photographs, but they did not know any specifics.
AMY GOODMAN: The Geneva the ghost detainees, is this the only time you believe you broke the Geneva Conventions?
COL. JANIS KARPINSKI: Well, I will tell you that all of the prison facilities were right on the line, not in terms of how the prisoners were being treated, but the conditions were very austere. We were keeping prisoners in the outside camps only for as long as we needed to because the temperatures were 120 degrees, 140 degrees by noontime, so I would say that we were very close to being in violation of fair treatment and humane treatment of detainees.
AMY GOODMAN: Did you ever speak directly to Donald Rumsfeld?
COL. JANIS KARPINSKI: No, I Yes, he came to visit, and I expressed my concerns about the conditions in the prisons. I spoke directly to Ambassador Bremer nearly every week. I spoke to General Sanchez at least once every week, reported it in the updates and the night time briefings to General Wojdakowski, who was the deputy at CJTF-7, about the lack of funding, even the basic supplies: a basin for washing, a change of clothing, and the funding that was supposed to come from the prisons department at Ambassador Bremer's headquarters. We never saw one-tenth of the funds that we were supposed to receive.
INFOWARS.net Copyright © 2001-2005 Alex Jones All rights reserved.

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From beetroot and vegetable terrines to duck, salmon or seafood - find lots of homemade terrine recipes that are perfect for a relaxed weekend lunch or impressive dinner party starter.
A creamy fish terrine makes a sophisticated starter for a special occasion – and requires a surprisingly small quantity of salmon.
Bullys Restaurant on Cardiff Road offers an exciting dining experience. On the menu is selection of mouth watering cuisine cooked by Chef Nordine Zouaoui using a fusion of French and Welsh ingredients
This gorgeous pheasant terrine recipe has been in our family for years and is always requested during the shooting season when there is an abundance of pheasant. This recipe also works great for partridge and grouse in place of the pheasant. Serve with some fresh crusty bread and a nice chutney.
The distinctive duck flavour of this terrine, heightened by the hint of orange, is perfectly complemented by the sweet leeks and fresh green beans. A small amount of duck fat is included, but there is still much less fat than would be found in a traditional recipe. This terrine will keep in the fridge for up to 4 days.
A delicious and very healthy recipe that can be done any time of the year with different vegetables. You can use tarragon if you can't find sorrel. It's perfect for a party!
Lean venison makes a great terrine. Mixing it with pork and then marinating the meats in port and spices will give it extra flavour and add moisture. Serve the terrine sliced with a mixed salad and wholemeal or Granary bread for a delicious lunch, or use it in sandwiches. It can also be served as a starter for 8.
A mixture of haggis, sausage meat and herbs cooked together with soy sauce, Worcestershire sauce and red wine. Great for burns night.
Wrapped in shining green vine leaves and studded with stuffed green olives, this creamy terrine is a real winner. It is made with tender flageolet beans and curd cheese, and subtly flavoured with garlic. Serve it with crisp chicory leaves, fresh orange segments and crusty French bread for an unusual and attractive starter.
A delicious fish terrine made with your favourite white fish, such as cod, haddock, hake or pollock. Easy to make, deliciously light and very impressive.
This luxurious dish can also be served as a meatless main course.


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A commission appointed by a credit union trade association has unveiled its "blueprint" charting the future course of the credit union industry. While the report calls for bank-like powers, it doesn't volunteer acceptance of banks' obligations, such as taxation.
Appointed by the Credit Union National Association (CUNA) a little over a year ago, the so-called "Renaissance Commission" released its report containing "vision statements" dealing with four areas-mission, powers and authorities, field of membership, and regulation and insurance.
Its mission statement calls on credit unions to "provide a secure financial alternative for all consumers" while maintaining their tax-exempt status and their own "unique regulatory and share insurance system." The report argues that credit unions' tax-exempt status should be based on its cooperative, not-for-profit status instead of its original mission to serve people of small means with a common bond.
The report advocates an expansion of credit union powers and authorities, and states that "the decision of what specific products and services should be offered must rest with the member/owners of the credit union." This would dilute the power of the National Credit Union Administration (NCUA), the industry's regulator. The Credit Union Membership Act, passed by Congress in 1998, already expanded the authority of credit unions to make member business loans.
The report does everything but abolish the "field of membership" requirement by stressing that credit union membership should be open to all consumers, and that "credit unions through their boards of directors must have the right to determine their own fields of membership. . . ."
Finally, the report limits the role of the credit unions' regulator, the NCUA, to ". . . only those activities that are materially unsafe and unsound." It also says that "a private insurance alternative should be available to all credit unions."
It is important to note that at this point, this report is little more than a "wish list" for the credit union industry, and one that has not yet even been endorsed by its members. Many of the changes would require congressional action.


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Arizona Glass Company
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We specialize in factory quality automotive glass installation and repair. Arizona Glass Company will come to your work or home to repair or replace your broken windshield. Arizona Glass Company also can replace any window on your vehicle. Arizona Glass Company also offers in shop service. We specialize in factory glass replacement. Many of the valley's auto dealers trust Arizona Glass Company for their Auto Glass needs. Arizona Glass Company not only replaces broken windshields but we also replace window regulators and motors.
Arizona Glass Company will take the hassle out of getting your windshield repaired or replaced. We are a netowrk preferred vendor for all insurance companies. We handle all of the paperwork. Arizona Glass Company backs all of the work we do with a Lifetime Warranty and free lifetime chip repair.
Did you know that your windshield is one of the most important safety features of you vehicle. If the structural integrity of your glass has been compromised by damage, you are putting you and your family at unnecessary risk. In most cases the insurance company will not count a glass replacement claim against you. We also offer spectacular pricing for those you who don't have a glass coverage policy. So there's no need to drive around with a broken windshield for even one day longer.


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One year on from the devastating earthquake of January 2010, millions in Haiti are still struggling to meet their most basic needs. With food and water in short supply in the 1,300 temporary camps, serious threats to women's safety widely reported, and cholera having left its mark on an already dire public health situation, architectural solutions may seem low on the list of priorities.
Haiti key facts
- Capital: Port-au-Prince
- Population (2009): 10,032,619
- Population under 15 (2009): 36%
- Population affected by the earthquake: 3.5 million
- Number of deaths: 222,570
- Number of injuries: 300,572
- Population displaced: 2.3 million
- Houses damaged or destroyed: 293,383
- Total value of damage and losses: $7.8bn
- Population living below $2 a day: 72%
- Life expectancy: 62 years
- Adult literacy rate: 62%
- Schools damaged or destroyed: 4,758
Haiti Institute of
Statistics and Information and World Bank World
Development Indicators
- Track: Haiti's MDG progress
But earthquakes in Chile and New Zealand in the same year are two illustrations that it's not earthquakes that kill people, it's buildings. Despite both measuring higher on the Richter scale than the Haitian quake, intelligent design and safer construction minimised the death tolls in Chile and New Zealand. Article 25, the UK's leading built environment charity, promotes the idea that when we build back in Haiti, we must build back better. Architecture is, as our trustee Lord Foster testifies, "a necessity and not a luxury".
Working with our partner Outreach International, Article 25 is breaking ground on the repair and reconstruction of dozens of schools, reinstating education as a driver for overcoming the trauma of the quake for hundreds of Haiti's children. On the ground for almost a year, Article 25 immediately adopted a long term approach, driven by the belief that without ensuring a sense of permanence in the relief stage, Haitians would remain trapped in a crippling state of dependency. Article 25 sees permanence as intrinsic to genuine recovery.
Our project in Pakistan that trained locals to build seismic-resistant housing within 100 days is an example of how disaster response does not have to adhere to the typical model of sticks and tarpaulin, buffeted by trickling aid agency provision. Following Pakistan's 2005 earthquake, Article 25 worked with communities to build prototype homes using locally sourced materials, designed to withstand future earthquakes. Through effective on-the-job training in construction techniques, locals are still building Article 25 houses, years after the training was completed. In this way, locals are transforming a relief-stage solution into a permanent one.
This experience proves that community participation is at the heart of sustainability in reconstruction projects. By placing local communities at the centre of the decision-making process, Article 25 leaves a community empowered and equipped with the necessary skills to rebuild and maintain their own environment. Article 25's work in Haiti over the past year has included a strong emphasis on community participation, using workshops to diagnose a long list of needs and encourage the community to prioritise those needs. These workshops help parents, staff and children become aware of the strengths and challenges of their existing education infrastructure, and to choose what is most important to them. Asking the community to establish their own needs and preferences means donor money makes the biggest difference on the ground.
With Article 25 staff as facilitators, workshops have included "problem trees", where communities are encouraged to dig deeper and recognise the root causes of problems. What has emerged is that shelter for displaced people, improved nutrition and health, more classrooms, and subsidised school supplies are key collective priorities. These issues are laid out in a "ranking exercise" in which communities asked to vote for the three issues they believed were of highest significance. A lunch programme emerged as the first priority for all participants, with internet access a close second. In a country where just 11% of the population are reported to have internet access, this is a clear sign from the next generation that they want to be better connected.
While the developed world has argued over the right solutions for Haiti over the past year, Haitians have too often been left out of the debate. Our workshop results show the people of Haiti themselves are aware of a lifeline: internet access could empower them with knowledge and and make their views heard. The Observer's recent suggestion box scheme is one that has facilitated exactly that. Recognising that local communities hold the knowledge of vernacular techniques allows a design to develop which becomes more powerful than a building. As a community member commented following an Article 25 workshop: "Thank you for coming to our village: you gave the community a voice."
Oxfam recently called the efforts of the government and international community a "quagmire of indecision and delay". Article 25 finds that only by harnessing local knowledge can we cut through the "quagmire" and make sustainable progress. By placing community participation and capacity building at the crux of reconstruction in Haiti, Article 25 ensures it is the people of Haiti who are becoming the authors of a safer, more sustainable future. It is critical that this kind of work in Haiti continues long after the journalists have gone home, and that we stay with this programme as long as it takes to help Haitians lift themselves out of paralysis and build back better.
• Robin Cross is CEO and Director of Projects, Article 25.


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Citigroup has filed with the U.S. Bankruptcy Court in Manhattan to kill Enron's bid to punish the bank for Enron's 2001 collapse, according to the Wall Street Journal. Citigroup is asking the judge to throw out the $21 billion lawsuit, arguing that Enron, and not Citigroup, is at fault. Citigroup says Enron was run by felons and self-confessed fraudsters and was unsupervised by its board. The lawsuit is a remnant of the so-called "Mega Claims" litigation in which Enron Creditors Recovery sued 11 banks and financial institutions for helping disguise the extent of Enron's financial troubles. Nearly $1.76 billion in settlements has come from the other ten banks. The Citigroup suit goes to trial in April, but a hearing on the filing is set for March 27th.
The Snohomish County, Washington, PUD is expected to write a check for $18 million to Enron as part of a settlement approved by the Federal Energy Regulatory Commission. In 2001, the PUD cancelled a high-priced nine-year electricity contract it signed with Enron after just eight months of service.
A Houston-based firm that provides computer forensics has been granted accreditation by the American Society of Criminal Detectives, making it the first and only private lab in the nation to receive such accreditation.ξThere areξgovernment-run labs,ξbut only twoξprivate computer forensics labs in Texas, and HSSK is used by law firms and businesses, according to shareholder Marc Schwartz.
"What you have to do is be able to, simple case, take a, remove a hard drive then using special hardware and software to protect the integrity of that drive, so that there's no changing done to what's on it. The accreditation is not only the process but also in the, in the protection of the chain of custody of the evidence. Extract the information off the drive, we image it and then analyze that information using, again, specialized software because you not only analyze the stuff that is there that you and I could see, for example, if you opened up your directory, but for example the stuff that was deleted that you can no longer see, but it is still on that hard drive. We can extract that."
Schwartz says the computer forensics business is booming.
"So much business is now done electronically. It never sees paper. Take an international company that has sued just trying to comply with a production request and go through their computers and extract electronic information to the response to two lawsuits is a major undertaking. There's a, any family law matter now, that we see, involves us going into, at least partly going into someone's computer and see what they did, and what's on it." Ed: "It is deleted if it's written over, right? I mean, over time stuff does get written over." "Over time, but with the growth of hard drives, the size of hard drives, you'd be surprised how much information you deleted even four years ago is still on that hard drive. It's just waiting for random chance that that sector will actually be written over."
HSSK computer forensics also helps in investigations of intellectual property and trade secrets.
The chief executive of Ford Motor Company says its stock slide is a reflection of U.S. economic uncertainty. He says it won't change the company's plans to roll out new models and shrink itself to match consumer demand. Alan Mulally told reporters that Ford has financing in place to weather an economic downturn and its restructuring plan is flexible enough to adjust production to a declining market. Despite deteriorating U.S. economic conditions, Mulally said the company still plans to return to profitability in 2009, and when it does, the stock market will reward it.
A Florida Senator says he's getting few answers on whether sexual assaults of employees of contractors in Iraq are widespread. Senator Bill Nelson began seeking the information after a constituent told him she was sexually assaulted in June 2005 while working for KBR/Halliburton in Iraq. Her allegations followed allegations by Jamie Leigh Jones --a Texas woman who says she was raped and held against her will while working for KBR in July 2005. Nelson asked the Defense Department in December to investigate the women's allegations. He also asked how many rape examinations had been performed by U.S. military doctors in Iraq. In a separate letter, he asked the State Department how many allegations of sexual assault or abuse had been reported in Iraq and how many had been investigated. The DOD Inspector General's Office told Nelson its requested information about the number of rape examinations and would provide answers as soon as possible. The State Department did not address the questions on numbers of sexual assaults and abuse reported and investigated.


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- Title
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- Organization
This online tracking tool lets you track what you eat to manage your diabetes and prevent the onset of complications. Explore nearly 5,000 foods and find recipes and healthy alternatives to improve your meals. En español
American Diabetes Association (ADA)
This tip sheet helps Hispanics/Latinos at risk for type 2 diabetes move more and eat less to reduce their risk. En español
National Diabetes Education Program (NDEP)
This comprehensive kit includes reproducible patient education handouts on 29 topics related to cardiometabolic risk reduction, prediabetes, diabetes, and CVD. En español
American Diabetes Association (ADA)
On this website you'll find suggestions for reducing the number of calories in what you drink and help deciphering nutrition facts labels. En español
Centers for Disease Control and Prevention (CDC)
This online program provides free nutrition, health, and fitness tools, support, and resources to help you reach your goals and live a healthier life. Track your calories and exercise and connect with others like you.
This booklet helps people with diabetes make wise food choices to prevent health problems and keep blood glucose levels on target. En español
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
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The moral of the David Petraeus saga is still "keep it in your pants" but nothing in this story surprises in the least
David Petraeus was betrayed by his own bodyguards and vengeful high-ranking enemies in the CIA, who made sure his affair with his biographer was exposed to the public, a new book claims.
MailOnline can reveal a new angle on the story that rocked Washington last fall. It comes from two retired special operations commandos – a Navy SEAL and a Green Beret – who say they discovered a plot against the former CIA director while doing research about the attacks on the U.S. consulate in Benghazi, Libya.
Senior CIA officers targeted Petraeus because they didn't like the way he was running the agency – focusing more on paramilitary operations than intelligence analysis. They used their political clout and their connections to force an FBI investigation of his affair with Paul Broadwell and make it public, according to 'Benghazi: The Definitive Report.'
'It was high-level career officers on the CIA who got the ball rolling on the investigation. It was basically a palace coupe to get Petraeus out of there,' Jack Murphy, one of the authors, told MailOnline.
Go read the whole thing… there's a lot more at the link. Foreign newspapers… the "go to" source for news on America's administration!


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Maime Moy received her master's degree in chemistry from UH in 1952, after earning an undergraduate degree from the University of Texas. After a brief stint in the private sector, Moy returned to the university. She's been on the faculty ever since.
Moy says she developed an interest in education while working as a student teaching assistant but her love of science came earlier. She was inspired by a teacher at her Catholic girls' school in San Antonio.
"She was not really a scientist, but then when we asked questions she said, 'Well, let's find out. Let's do it.' At the end of whatever we were doing she said, 'Oh that's great, I also learned."
Moy began her teaching career instructing World War II veterans who were going to school on the GI Bill. As the years went on and more women started going to college, Moy says she realized the need for more female professors, especially in the sciences.
Today, Moy shares her passion for chemistry not only with her university students, but she also leads scientific workshops for middle school girls. In those workshops girls learn what's behind the ordinary things in the world around them
"We did a workshop and it was a big success. We made lipstick. And we said, 'This is what it's all about.' And they said, 'Well, why do you have to pay so much?' 'It's because you have all these nice things that you put it in, the case that you put it in and all.' They said, 'Oh, okay.' We talk about cosmetics. The girls are interested in that."
Moy also shares her knowledge with kids in underserved communities. She says many students from low-income families don't get to do a lot of activities. Taking part in a hands-on chemistry workshop is a new experience.
"They get to do it. They get to see what happens. They get to feel it and sometimes their hands get dirty, but that's okay. And they also know that if they don't follow directions things could happen that shouldn't happen."
And Moy says the process of scientific discovery is also a powerful emotional experience for both the kids and the teachers.
"The little kids came up and said, 'Are you coming back?' And I said, 'Well, no, you know, we've got to do this with other children now. We've got to spread it around and all.' And they said, 'Well, we want you to come back.' And I said, 'Well, we'll see if we can come back or not.' And three of them started crying. And I just can't take it. I mean, I just couldn't take it."
Moy was recently honored by the American Chemical Society for her work in educating young women about chemical science careers. The award carries a 10-thousand grant.
Moy hopes to use the money for a scientific mini-conference that would bring together women and girls from all academic levels, from post-graduate to kindergarten.


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Comment guidelines: Please be respectful to other people when making comments on this page. Bullying and abuse will not be tolerated and may result in your account being banned. Due to feedback from our user community, comments are now only available to registered users.
Where the Sidewalk Ends is a 1950 American film noir directed and produced by Otto Preminger. The screenplay for the film was written by Ben Hecht, and adapted by Robert E. Kent, Frank P. Rosenberg, and Victor Trivas. The screenplay and adaptations were based on the novel Night Cry by William L. Stuart. The film stars Dana Andrews and Gene Tierney.
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Canada's First Mining Publication
GARLAND, Texas - Atlas Copco has released the latest addition to the reference book "Blasthole Drilling in Open Pit Mining." The third edition was written to provide comprehensive reference on the use of rotary drills in surface mining applications. An overview of the current products offered by Atlas Copco is also available.
Twenty-one technical articles have been included to offer important information that both experienced drill operators and industry novices will find useful. To provide real world scenarios, 25 case studies highlight a variety of successful mining operations around the world.
"Blasthole Drilling in Open Pit Mining: is available through local Atlas Copco customer centers and distributors. It can also be downloaded from the rotary blasthole drilling section on AtlasCopco.com/blastholedrills.
DisclaimerNote: By submitting your comments you acknowledge that Canadian Mining Journal has the right to reproduce, broadcast and publicize those comments or any part thereof in any manner whatsoever. Please note that due to the volume of e-mails we receive, not all comments will be published and those that are published will not be edited. However, all will be carefully read, considered and appreciated.


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1933-1939 Pittsburgh Pirates, 1940-present Pittsburgh Steelers, 1943 Phil-Pitt, 1944 Card-Pitt
First known as the Pirates, the team changed its nickname to Steelers in 1940. The franchise struggled for its first 40 years but made up for those tribulations in the 1970s. In one of the most famous streaks in all of sports, the Steelers dominated the NFL during that decade. Pittsburgh advanced to the playoffs eight straight seasons and won four Super Bowl championships in a six-year span. The team added a record-tying fifth Super Bowl crown in the 2005 season and then in the 2008 season became the first team ever to win six Super Bowls.
Pro Football Hall of Fame
2121 George Halas Dr NW
Canton, OH 44708
Phone: 330-456-8207
© 2015 Pro Football Hall of Fame All rights reserved. Do not duplicate in any form without permission of the Pro Football Hall of Fame.
Website Design and Development by Americaneagle.com
© 2015 Pro Football Hall of Fame. All Rights Reserved.


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Brad Holden 11 M.Div.
B.A Harding University 2003
M.A. University of Central Arkansas 2006
I'll continue my education at Yale this fall—400 years after the publication of the King James Bible—by pursuing a Ph.D. in English Language and Literature and Renaissance Studies. I hope, during the course of this degree, to chart the theological and historical impact of the Reformation on English literature of the early modern period. I want better to understand, for example, how exactly Milton thought his epic would "justify the ways of God to men"; or what led Bunyan to depict himself as "nothing but a poor painted hypocrite." And I want, fittingly in this quatercentenary year of the King James Bible, to explore the role biblical translations had on the imagination of Elizabethan and Jacobean poets.
My training at Yale Divinity School has prepared me to undertake advanced research in this field. The rigorous academic community provided me with challenges and stimuli, and the faculty, with unparalleled instruction. During my time at YDS, I've been able to develop my command of the biblical languages, acquaint myself with the breadth of the Christian theological tradition, and explore the interstices between literature and religion.
And, whether I was reading the Pentateuch in Hebrew or following Dante's progression to God, I had a delightful time doing it. Moreover, YDS provided so many opportunities for intellectual growth that no one person could have taken advantage of them all. In addition to the frequent lectures and concerts at the University, I've had the opportunity to study both in Israel and Germany. Thus, just as the Israelites left Egypt laden with gold, I graduate with a wealth of experiences that will prove enriching in my future studies.
Posted: 07/05/2011


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HHS Reference Tool for Contract Funding, Formation and Appropriations Law Compliance
Option(s) to Acquire Severable Services
Will the option(s) for severable services be funded from an annual or multiple-year appropriation source?
Help Notes
Annual appropriations (also called fiscal year or 1-year appropriations) are made for a specified fiscal year and are available for obligation only during the fiscal year for which made. The federal government's fiscal year begins on October 1 and ends on September 30 of the following year (31 U.S.C. 1102). All appropriations are presumed to be annual appropriations unless the appropriation act expressly provides otherwise.
Multiple-year appropriations are available for obligation for a definite period in excess of one fiscal year (37 Comp. Gen. 861, 863 [1958]). For example, if a fiscal year 2011 appropriation act includes an appropriation account that specifies that it shall remain available until September 30, 2013, it is a 2-year appropriation. As a more specific illustration, the appropriation accounts for military construction are typically 5-year appropriations. Apart from the extended period of availability, multiple year appropriations are subject to the same principles applicable to annual appropriations and do not present any special problems.
For more information, see GAO-04-261SP, Principles of Federal Appropriations Law, Volume I, pp. 5-4—5-7.


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POLL: Cutting the chase: Are new pursuit policies allowing criminals to go free?
The siren is blaring, emergency lights are flashing, but the vehicle ahead refuses to stop.
Adrenaline begins to pump. The police chase is on — or is it?
"Your initial instinct is going to be, you want to catch the guy," said Officer Michael Herman, spokesman for the Naples police department. "The assumption could be, if he or she is running from me, they must have done something worse. But we cannot allow our assumptions to guide how we perform our jobs.
"Our instincts help us, but we have to deal with the facts."
To chase or not to chase is a decision that nearly all officers will have to make at some point in their careers. These days agencies across the country are changing their pursuit policies, limiting pursuits to only the most dangerous suspects.
Over the summer the Naples police department followed suit, limiting pursuits to only those encounters where an officer has "a reasonable suspicion that a fleeing suspect has committed or attempted to commit a violent felony."
"The trend toward changing pursuit policies has been going on for the last five to ten years," Herman said.
The change brings the Naples police department into line with other agencies in the area, including the Lee County Sheriff's Office, and the Cape Coral and Fort Myers police departments, which each have policies limiting pursuits to forcible or violent felonies.
The new policy hasn't necessarily been popular with Naples officers — "All cops want to catch the bad guys," said Robert Young, president of the Naples police union
The Collier County Sheriff's Office, on the other hand, has a less-restrictive pursuit policy, which allows deputies to initiate a pursuit for misdemeanors and traffic violations, as well as for felonies.
"We believe that law enforcement has a basic obligation to arrest violators of the law," said Commander Bill McDonald, a longtime member of the Sheriff's Office's patrol division. "Catching the violator is part of that premise."
The departments with limited pursuit policies say they don't believe their policies encourage criminals, but McDonald isn't so sure.
"I think that if all agencies were to go to a no-pursuit policy, there would be really no reason for a criminal to stop," he said.
All of the policies require officers to take into account the weather, volume of traffic, number of pedestrians, road conditions and speeds involved when initiating a pursuit. They all also require constant radio communication.
"Our ultimate goal is the safety of everyone involved," said Maj. Gene Sims, of the Lee County Sheriff's Office's special operations bureau.
Patrick Flahive, assistant director of the Southwest Florida Public Service Academy, said vehicle pursuits are inherently dangerous.
In 2006, Collier Cpl. Bill Pschigoda was run down by a fleeing driver while he attempted to lay stop sticks across Collier Boulevard. In July, a 61-year-old Fort Myers bystander was killed when he was hit by a Lee County detective involved in a high-speed chase.
"What I tell everybody is the juice has to be worth the squeeze," Flahive said.
Arrests can sometimes be made even without a high-speed chase.
"They're not going to get in a 'Dukes of Hazard' chase, but that doesn't mean that they won't set up a perimeter or use other techniques to stop a vehicle," Flahive said. "What we like to say is, you can't outrun a radio."
Helicopters can track a fleeing car from the sky, and if a suspect's identity is known, a warrant can be issued at a later date. OnStar, an in-vehicle security company, is even developing technology to disable a stolen vehicle at law enforcement's request.
East Naples resident Sonny Gutro, 70, said he doesn't believe law enforcement should engage in high-speed pursuits unless a major crime has occurred.
"I think they jeopardize the public in general for something that's usually ludicrous," Gutro said. "I don't like the whole concept of police chases to be honest with you."
To Weschler, its all about the safety of the community.
"There are other ways to apprehend people," he said. "In the big picture, if we went back over and they did do shoplifting in the mall, and they went out to Goodlette and Golden Gate and had a head-on collision and killed somebody in a car ... in hindsight, was it worth the two pairs of jeans from (JCPenney)?
"It's not."
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My family goes out to the dunes every year and the kids have all grown up offroading. This year, we turned one of our old knee boards into a sand board that's pulled behind the ATV using a ski rope. It's just like kneeboarding on water, but easier. We turned a lot of heads and there were a lot of "thumbs Up". The kids are hooked!
Off roading at the Oregon Dunes
By: hoistboxerSubscribe Channel: Weather & Scenery Location: Oregon Dunes, North Bend
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History and Information About CRC Health Group
A member of Acadia Healthcare, CRC Health Group provides specialized behavioral health care services in the U.S. Each day, we treat more than 30,000 people with drug and alcohol addiction, learning differences, weight management issues, eating disorders, and other behavioral issues. We operate residential treatment facilities, outpatient clinics, boarding schools, outdoor wilderness camps, and a variety of other therapeutic programs making us uniquely qualified to treat patients throughout the life cycle of their disorders, at every level of care.
|Dr. Barry Karlin
Because we have been entrusted with the well-being of our patients, our first priority is helping people get and stay well. CRC provides clinically sound, research-based treatment options at 145 facilities conveniently located throughout the United States. As a service-oriented company that is determined to provide cutting-edge scientific solutions to behavioral health issues, we are constantly working to improve the quality of care and depth and breadth of services available.
Headquartered in Cupertino, California, CRC is deeply invested in the communities and people we serve. We provide high-level, professional care to each client using sophisticated treatment modalities tailored to each person's individual needs. Whatever a patient's needs or preferences, we offer a comprehensive treatment plan to match. With the support and dedication of highly trained, specialized staff, CRC offers a wealth of unparalleled clinical expertise.
Learn more about CRC's national healthcare network:
Click here to download our FREE facility guide!
CRC's treatment programs have enjoyed an industry-wide reputation for treatment excellence over the past 20 years. Leading the field in new and innovative approaches to treatment, our programs are regularly included in scientific studies and are featured in the media through national periodicals and network television programming. As a result of our reputation for providing outstanding services and care, we have been designated as a preferred provider by over 700 major insurance companies, managed care organizations, labor union health and welfare trust funds, publicly funded agencies, and self-funded businesses.
As a leader in behavioral health care, we have extensive resources at our disposal to help people achieve lasting recovery. We also have a responsibility to be a voice for large-scale change in the health care system. Because we take this responsibility seriously, CRC is actively involved on a national level in advocating for better access to behavioral health care and insurance reimbursement for patients.
As CRC continues to set the standards in innovative behavioral health care, we proudly embark on a future of new beginnings for individuals and families in need.


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Turning IOT Data Into Opportunities
Can My Creditors Put me In Jail?
20 Things a Debt Collector Can't Do
5 Reasons Consumers Should File an FDCPA Lawsuit
Why You Should Enter into a Payment Plan with a Junk Debt Buyer
Beginners Guide to Debt Collection Lawsuits by Portfolio Recovery Associates
Quick Guide to Stopping Collection Calls.
3 Proven Strategies to Get the Lowest Debt Settlement Possible
3 Proven Strategies for Dealing with a Midland Funding Lawsuit
BakerHostetler Partner Alan Friel Talks Big Data and Data Collection
BakerHostetler's Tanya Forsheit Discusses Cloud Computing
The TCPA: Deep Dive: Details, Class Actions, Regulations, and Defense Strategies
The TCPA: Basics, Targeted Industries, and Trends
A Moment of Simple Justice - The ABA's Priorities
Class Actions News - Deborah Renner on Dart Cherokee Basin v. Owens
Polsinelli Podcasts - Class Action Lawsuits: What to do When the Claim Arrives
Blecker: GM Recalls Show Need for Harsher Penalties for "Red Collar" Criminals
Polsinelli Podcast - FDA Proposed Changes to Food Labels and What it May Mean for Manufacturers
Manufacturers, Importers and Retailers Must Take Action Following DTSC Reveal of Priority Products
Doing Business in California, Proposition 65, the California Green Chemical Initiative and the Rigid Plastic Packaging Regulations
Depuis l'entrée en vigueur le 1er octobre 2014 des dispositions de la loi Hamon introduisant une action de groupe en droit français, plusieurs actions ont déjà été initiées témoignant d'un vif intérêt des associations de...more
In a decision with potentially far-reaching impacts, a California state court has ordered three major paint companies to pay $1.15 billion to clean up lead paint in homes throughout California. People v. Atlantic Richfield...more
For several years, design and construction professionals have been awaiting word from the Washington Supreme Court regarding whether aggrieved parties are limited to remedies set forth in their written contracts or whether...more
With increasing supply in the Chinese marketplace of senior care facilities, expertise in the operating management is highly urged. The admission contract is one of the essential parts of this management. Having seen poorly...more
This article will tell you about the dangers of childhood lead poisoning, how you can find out if there is lead in your home or apartment, what to do if there is lead, and what protections Massachusetts law provides for you...more
Memorandum opposing a motion to dismiss filed by Wells Fargo Bank, N.A. The case involves homeowners suing to enforce their right to a loan modification....more
In a fair amount of bankruptcy cases that I file medical bills are a significant part of what lead to the bankruptcy filing. Many people simply can't afford health insurance and when they get sick the bills can be...more
We are representing a family with a lead poisoned child. The landlord does not have deep pockets, but the previous owner who had been order to remediate this problem 2 years prior to my clients renting the house is a large...more
RESPA, the Real Estate Settlement Procedures Act, was passed to address abusive practices such as kickbacks or referral fees that can result in higher costs to the home buyer. However, as a lawyer with RESPA experience,...more
On December 19, 2008, the Virginia Graeme Baker Pool and Spa Safety Act, 15 U.S.C. § 8000 et seq. (the "Act") became applicable to all "public pools and spas." The Act was passed following advocacy by the parents of Virginia...more
An analysis of an important Texas Supremem Court case addressing when a condition can be considered "unreasonably dangerous" in the context of the liability of a premises owner....more
This is the Petitioner's Reply Brief in Shell v. Khan, which sets out weaknesses in the brief of Respondent, which had argued that Shell Oil Company had a duty to prevent the shooting of Mr. Khan at his employer's Shell gas...more
This is the brief for the prevailing party in Shell v. Khan, decided by the Texas Supreme Court in 2004. It is the leading case on the liability of oil companies for personal injuries to the employees or guests of...more
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Are Serial Electrocardiograms Additive to SeriAl Second-generations Troponins in Predicting Acute CoronAry Syndromes in PatienTs With Undifferentiated cHest Pain (ASAP Cath)
- Full Text View
- Tabular View
- No Study Results Posted
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- How to Read a Study Record
Our research will examine whether the presence or absence of serial electrocardiogram (ECG) changes aids in reclassifying participants' risk for major adverse cardiac events (MACE) over and above serial blood testing.
Acute Coronary Syndrome
Chest Pain
Device: Serial Electrocardiograms
|Study Type:
|Study Design:
|Observational Model: Cohort
Time Perspective: Prospective
|Official Title:
|Are Serial Electrocardiograms Additive to SeriAl Second-generations Troponins in Predicting Acute CoronAry Syndromes in PatienTs With Undifferentiated cHest Pain (ASAP CATH) Study
- Major Adverse Cardiovascular Events at 30 days [ Time Frame: 30 Days ] [ Designated as safety issue: Yes ]Determine whether serial electrocardiogram changes significantly increase the diagnostic accuracy of serial second-generation troponin measurements in predicting MACE at 30 days in patients with symptoms suggestive of ACS.
- Evidence of acute myocardial ischemia via objective cardiac testing performed during the index hospitalization [ Time Frame: Duration of initial hospitalization, usually 1 to 2 days ] [ Designated as safety issue: No ]Determine whether serial ECG changes significantly increase the diagnostic accuracy of serial second-generation troponin measurements in predicting positive cardiac stress testing or coronary angiography findings indicative of acute myocardial ischemia in patients being evaluated for ACS.
- Major Adverse Cardiovascular Events at 30 days [ Time Frame: 30 Days ] [ Designated as safety issue: Yes ]Determine whether serial ECG changes significantly increase the diagnostic accuracy of serial second-generation troponin measurements in predicting major adverse cardiovascular events at 30 days in patients with symptoms suggestive of ACS.
Biospecimen Retention: Samples With DNA
Whole blood samples are obtained from patients and processed so that the plasma is extracted and frozen for future research.
|Estimated Enrollment:
|Study Start Date:
|January 2013
|Estimated Study Completion Date:
|July 2016
|Primary Completion Date:
|May 2015 (Final data collection date for primary outcome measure)
|Assigned Interventions
Serial Electrocardiogram Arm
All study participants will receive serial electrocardiograms.
Device: Serial Electrocardiograms
All participants will have serial electrocardiograms performed.
Detailed Description:
Chest pain is one of the most common symptoms evaluated in the Emergency Department (ED). One of the primary diagnostic concerns during the evaluation of this presentation is whether there is evidence of acute coronary syndromes (ACS) as ACS is a major risk factor for short- and long-term major adverse cardiovascular events (MACE, defined as acute myocardial infarction, revascularization, or all-cause death). Two of the cornerstones of the guidelines-based evaluation of this patient group are serial electrocardiograms (ECG) and troponin measurements (a serological marker of myocardial ischemia), which have shown to be both independently and incrementally predictive of ACS. Recently, second-generation troponin assays have been adopted into clinical practice as they have higher sensitivity and specificity for ACS compared to older assays. Given the increased diagnostic accuracy of these novel second-generation assays, the proposed study's research question is to investigate whether serial ECG changes significantly increase the diagnostic accuracy of serial second-generation troponin changes in predicting MACE in patients presenting with symptoms consistent with ACS. In order to investigate this question, we originally proposed an observational pilot study ancillary to the HEART Pathway trial (WFUHS IRB00021074), a funded randomized controlled trial investigating a recently developed decision aid tool (the HEART score) designed to identify patients being evaluated for chest pain that can safely forgo further objective testing. We proposed to add the collection of two additional 12-lead ECGs to the protocol in the HEART Pathway trial, which included serial second-generation troponin collection, in order to generate pilot data regarding the research question. As recruitment for the HEART Pathway trial ended in February 2014, we now propose to continue enrollment for the ASAP CATH study independently, as a prospective observational study evaluating the additional prognostic value of serial ECGs to standard care in patients with chest pain being evaluated for acute coronary syndromes in the Emergency Department.
The goal of this project is to produce preliminary data to investigate whether the presence or absence of serial ECG changes suggestive of myocardial ischemia aids in reclassifying participants' risk for MACE and objective evidence of ACS over and above serial second-generation troponin testing.
Adult patients, over 21 years old, presenting to WFBMC ED with chest pain or symptoms concerning for ACS, in which the provider orders cardiac biomarkers and an ECG will be eligible for enrollment. We aim to add serial ECG analysis (one at the time of study enrollment and a second at the time of the study blood draw) to the protocol in the proposed study. The primary outcomes are major adverse cardiovascular events (MACE) at 30 days and evidence of acute myocardial ischemia via objective cardiac testing performed during the index hospitalization.
|Ages Eligible for Study:
|21 Years and older
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
Patients presenting to the Wake Forest Baptist Health Emergency Department with symptoms concerning for Acute Coronary Syndrome (ACS) are eligible for enrollment.
Inclusion Criteria:
- Age greater than or equal to 21 years of age at the time of enrollment
- Chest discomfort or other symptoms consistent with possible ACS as indicated by the treating physician after obtaining an ECG and cardiac biomarkers for the patient's evaluation
- The treating physician feels the patient could be discharged home if cardiac disease was excluded
Exclusion Criteria:
- Evidence of ST-elevation myocardial infarction (STEMI) or left bundle branch block (LBBB) on initial ECG
- Left ventricular systolic dysfunction (history of left ventricular ejection fraction <40% or active symptoms of congestive heart failure)
- New or uncontrolled ventricular arrhythmias on initial ECG
- Hemodynamic instability: heart rate > 120 bpm or < 40 bpm and/or systolic blood pressure <100 mmHg
- Hypoxemia (oxygen saturation <90% on room air or normal home oxygen flow rate)
- Terminal diagnosis with life expectancy less than 1 year
- A non-cardiac medical, surgical, or psychiatric illness determined by the provider to require admission, increase risk of objective cardiac testing, or prevent immediate discharge following negative testing.
- Prior enrollment
- Incapacity or unwillingness to provide consent and comply with study procedures
Please refer to this study by its ClinicalTrials.gov identifier: NCT01953276
|United States, North Carolina
|Wake Forest University Baptist Medical Center - Emergency Department
|Winston-Salem, North Carolina, United States, 27157
|Principal Investigator:
|Robert F Riley, MD
|Wake Forest Baptist Health
|Responsible Party:
|Roberty Riley, Principal Investigator, Wake Forest Baptist Health
|ClinicalTrials.gov Identifier:
|NCT01953276 History of Changes
|Other Study ID Numbers:
|Study First Received:
|September 25, 2013
|Last Updated:
|June 1, 2015
|Health Authority:
|United States: Institutional Review Board
Keywords provided by Wake Forest Baptist Health:
Acute Coronary Syndrome
Chest pain
Risk Stratification
Emergency Department
Additional relevant MeSH terms:
Acute Coronary Syndrome
Chest Pain
Angina Pectoris
Cardiovascular Diseases
Heart Diseases
Myocardial Ischemia
Pathologic Processes
Signs and Symptoms
Vascular Diseases
ClinicalTrials.gov processed this record on October 09, 2015


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Grazer Kunstverein
Inside tip Graz
This institution aims to be a place of artistic production. An estimated 85% of works are made by artists specifically for exhibitions at the Kunstverein, and are financed by it. The program comprises around five annual exhibitions with sought-after Austrian and European artists. They have included solo shows by Michaela Meise, Matts Leiderstam and Henning Bohl & Sabine Reitmaier. The Kunstverein, founded in 1986, has several hundred members and since 2010 has been based in the ground-floor arcade of Palais Trauttmansdorff. It occupies three rooms plus the foyer, with around 350 square meters of exhibition space, in the former brewery with large windows facing the inner courtyard.
Grazer Kunstverein
Address: Palais Trauttmansdorff, Burggasse 4, Graz, opening hours: Mon – Fri 10.30 a.m. – 6 p.m. Sat 10.30 a.m. – 4.30 p.m.; please consult the Kunstverein's Website for opening hours on public holidays.


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Your kids just came home with head lice? Maybe your teen spent the afternoon taking selfies with an infested friend? Don't panic. We can help! Savvy parents know that getting rid of lice eggs is the hardest part of an effective lice treatment. That's why they love the AirAllé® device. Learn more.
Larada Sciences is a world leader in lice-treatment services. Rest easy and let one of our professional lice-treatment centers take care of you today.


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About ABM
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Robert Bosch Foundation Fellowship Program
Publication or Company
Robert Bosch Foundation
Job Title
Robert Bosch Foundation Fellowship Program
Internet/Online/New Media, Magazine Publishing, Newspapers, Non-profit, Other Publishing, TV/Cable
Job Duration
Full Time
Job Location
Various Cities, Germany
Job Requirements
Candidates for the Robert Bosch Foundation Fellowship Program must meet the following requirements:
U.S. citizen
40 years of age or younger at the application deadline
Minimum five years of relevant, full-time work experience in target fellowship field (excluding internships)
Graduate degree preferred
Evidence of outstanding professional performance
Sincere commitment to furthering the transatlantic relationship
About Our Company
The Robert Bosch Foundation and Cultural Vistas invite US professionals to apply for the 2014-2015 Robert Bosch Foundation Fellowship Program. Bosch Fellows work as consultants in their field of expertise at leading public or private institutions in Germany. In addition, Bosch Fellows participate in professional seminars, where they travel to meet and exchange ideas with key figures across Germany and Europe. Fellows are from the fields of business administration, cultural management (ex. museum, theater, orchestra), journalism, law, non-profit, public policy, and urban planning.
- High-level work experience in German institutions including the federal government, private corporations, print and broadcast media, law firms and NGOs.
- Travel, seminars and networking events throughout Europe -- fellows meet with key decision-makers in the public and private sectors, gaining an in-depth understanding of current issues facing the European Union and Germany
- EUR 3,000 monthly stipend and compensation package including health insurance and coverage of transatlantic and program-related travel costs; additional funding is available for families
- Intensive German language training provided as needed in US and Germany. No German language skills required at time of application.
- Professional networking opportunities with 500 Robert Bosch Fellowship Alumni.
Return to job listings page


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eNews Archive
Department Of Labor Announces New
For Immediate Release, November 21, 2000
Contact: Chris Marshall
The Department of Labor today published final regulations in the Federal Register that simplify the claims process for more than 130 million people in employer-based self-insured health plans. These new rules, with an effective date of January 2002, are the first changes to the claims and appeals process since the enactment of the Employee Retirement Income Security Act (ERISA) in 1974. ERISA governs healthcare plans offered by employers that self insure, i.e. firms that use their own funds to cover employee health claims. By self insuring under the federal ERISA law, employers are able to exempt their health plans from state regulation. These rules are therefore an attempt by the Clinton Administration to establish standards for plans that are outside the scope of state law.
The regulations give private-sector employees the right to have their claims resolved more quickly and provide more time to appeal a decision when health plans refuse coverage. These changes are meant to address grievances by enrollees who often wait months for approval of medical procedures and are frustrated by the appeals process.
The new rules instruct health plans to make a decision within 72 hours for initial or pre-service urgent care claims. For non-urgent group health claims, the Department of Labor made a decision to separate time frames for pre-service claims and post-service claims. That is, non-urgent pre-service claims must be resolved within 15 days and post-service claims must be resolved within 30 days. Health plans are allowed one 15-day extension on pre- and post-service claims.
The regulations establish a timeframe for resolving appeals for non-urgent pre-service claims within 30 days and post-service claims within 60 days. Urgent care appeals must be decided within three days. The rules also extend the current 60 day window allowed for healthcare consumers to file a claim to 180 days.
The final rule also provides for:
- A different decision maker to handle appeals, consultation with relevant health care professionals in making decisions about appeals that involve medical judgement;
- enforcement of the claimants rights using the courts;
- timely action on "concurrent care reviews" for patients receiving a course of treatment who face early termination of benefits or have a need to extend treatment;
- more complete disclosure, including a full decision of the plan's claim procedures;
- additional information about the reasons for a denied claim and the criteria and rules applied by the plan.
To access the Department of Labor's final rule covering ERISA-governed health plans in the Federal Register, go to http://www.access.gpo.gov/su_docs/aces/aces140.html and put in 11/21/2000 for Issue Date and use Department of Labor as search terms.
While these new Department of Labor rules will be very helpful to enrollees in ERISA self-insured plans, they will have no effect on individuals who purchase coverage on their own, or workers and their families enrolled in group plans in the "fully-insured" commercial health insurance market. These health plans are regulated by state law. In order to establish national standards for all health plans, Congress must pass legislation governing independent external appeals and other critical access issues such as curbs on the use of restrictive prescription drug formularies. It is expected that in 2001 Congress will again take up the issue of national standards for health plans as part of "Patient Bill of Rights" legislation which stalled at the end of this year's session. For an update on federal "Patient Bill of Rights" legislation, click on: http://www2.nami.org/update/000308.html. To view, NAMI's "Where We Stand" paper on managed care patient protection legislation, click on: http://www2.nami.org/update/unitedbill.html


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Submission Patents Google bought from IBM are "weak"->
holy_calamity writes: "Slashdot noted in September that Google had bought 1023 patents from IBM. Now IP analytics firms IPVision says they're a "mixed bag" of mostly unrelated patents that won't be much use in defending against competitors such as Microsoft or Apple. Patents are most useful when they are tightly linked into clusters by references, such that they cover every angle on an idea, something Google's new collection lacks. Is the search giant clutching at straws in its bid to arm itself against litigious competitors?"
Link to Original Source
Link to Original Source


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The new Larry The Cable Guy & Bill Engvall presale password is now available to our members. This is your best chance to buy tickets for Larry The Cable Guy & Bill Engvall before they go on sale! Don't miss this fantastic opportunity to see Larry The Cable Guy & Bill Engvall's show in Huntington!!
Larry The Cable Guy & Bill Engvall performance details:
Larry The Cable Guy & Bill Engvall
Big Sandy Superstore Arena
Huntington, WV
Fri, May 17, 2013 07:30 PM
Onsale to General Public
Start: Sat, 02/09/13 10:00 AM EST
Venue Presale
Start: Thu, 02/07/13 10:00 AM EST
End: Fri, 02/08/13 10:00 PM EST
You can use the following presale passwords and information to get tickets:
This Code Is Protected
This content is for active WiseGuys members.
Step 1 Choose a membership plan to unlock the presale codes we've found for this event and access to tickets during the presale.
5 Day Total-Access VIP Presale Pass Trial
Includes Fast Email Support
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Most people are thrilled with the Total-Access VIP Pass trial offer and keep their membership active beyond the 5 day trial period (A Total-Access VIP Pass is regularly $19.95/mo). Like all our membership plans it is covered by an unconditional 60 Day Money-Back Guarantee
Please note that our free presale alerts newsletter is not the same thing as having an active VIP Membership. An active membership is required to view some presale codes.
Current Members Login Here
A complete list of plans, including a 3 Day temporary pass ($5.95) which does not auto-renew is available here.


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Where Can Freelancers Go To Get a Design Contract?
In this week's question time video I talk about what to do when a client changes their mind during a project, how design contracts can come to the rescue as a freelancer and where you can go to find yourself a design contract template online.
This week's questions
Tricia Kennedy
When you are near completion on a project and the client sends you a link to an 'out-of-the-box' design which they 'love' and they hint at not liking the current design (which they said yes to) what do you do?
Links from the video
Contract Killer
Web Design Contract Template
Don't Get Screwed Over
Writing the Perfect Web Design Contract
What to Include in Your Design Contracts
Ask a question
If you have a question you would like to submit for an upcoming episode add it to the comments below, or send it to me on my Formspring account.


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Forces of Nature: WispsUse Tessina's Whistle to recall 3 Feathermoon Wisps.
|Wisps Rallied (3)
|Tessina's Wisp Call
DescriptionThe Sentinels make up the bulk of our forces here, but a well-rounded night elf army requires more than just night elves. The creatures of this forest, our ancestral home, have protected us for centuries. We simply need to rally them.
Take this whistle. Our allies know this sound, and you'll be using it to recall them.
Before you start gathering creatures, I'd like you to recall a few of our wisps, just for practice. You can find them just outside the fortress, among the trees.
Wisps have always lived in harmony with night elves, and we depend on them for many things. These little guys you sent back, for example, will be helping us with some new construction and repairs.
Ready for more?
Ready for more?
RewardsYou will receive: 40
GainsUpon completion of this quest you will gain:
- 3,710 experience
- 250 reputation with Darnassus


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NOCO for Café Racer
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$239.95 NOCO Generation 4 2.2-40Ah 12V-48V 4-Bank Genius Battery Charger - G4
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Part #: 283546 Mfg #: G4
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At Dennis Kirk, you will find the best selection of NOCO for Café Racer. We carry more NOCO products than any other aftermarket vendor and have them all at the lowest guaranteed prices. Not only that, but we have them all in-stock and ready to ship to you today. Dennis Kirk has been the leader in the powersports industry since 1969, so you can rest assured that we have your back when it comes to bringing you the best Café Racer products from NOCO. All orders over $89 receive Free shipping. Plus we have a no-hassle return policy, so you can shop with complete confidence at Dennis Kirk!


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The Focal Locus Workstation - Premium lets you bundle together the Focal Locus Desk and Seat with its most popular accessories for a full upright workstation at a discounted price when ordered together. The Premium Focal Locus Workstation includes:
Changing your position throughout the day improves circulation, blood flow and brain activity, and the Focal Locus Workstation - Premium gives you an adjustable, angled work surface and seat and all the accessories you need for a fully engaging workstation.Read More...
|Choose Options Below
|click on for more info
|- required
With the Premium Focal Locus Workstation, the Focal Locus Seat comes standard with the upgraded Black Nubuck seat cushion, and the base is available in your choice of two finishes.
The Focal Locus Workstation desktop is available in two laminate finishes, or upgrade to one of two wood veneer finishes.
Your Focal Locus workstation arrives with each component carefully packaged for maximum protection.
Click here for more information about freight shipping options.
The Goldtouch Go! Travel Notebook and Tablet Stand will come in handy not only when you're traveling, but anytime you want to set your laptop or tablet in an ergonomic position. Choose from seven different height settings to keep your screen at eye-level, which helps you avoid problems like eye strain and neck and back pain. This item also works well as a document holder, allowing you to input data without having to move your neck repeatedly from document to screen. The stand is lightweight and easily portable, yet strong enough to support laptops up to 17'' in length. Best of all, it's free!
The Focal Locus Workstation - Premium doubles as both a standing desk and an adjustable upright workstation, featuring a desktop that is both height- and angle-adjustable and an adjustable seat that moves with you and supports your natural balancing point. With the Focal Locus Desk, you can stand and work or perch on the Locus Seat at a position halfway between sitting and standing. Periodically standing and staying active while sitting are two keys to staying alert and healthy at work, and the Premium Focal Locus Workstation gives you all this, as well as an anti-fatigue mat, a stay-flat shelf, a cable management system and a built-in LED lamp, all bundled together at a discount.
|Desktop dimensions
|48'' W x 30'' D x 0.75'' thick
|Desktop height range
|Desktop tilt adjustment
|0° - 15° tilt
|Seat dimensions
|37'' L x 25.5'' W x 31'' H (shortest position)
45'' L x 25.5'' W x 41'' H (tallest position)
37'' L x 25.5'' W x 14'' H (folded)
|Desktop weight capacity
|180 lbs
|Seat weight capacity
|300 lbs
|Shelf dimensions
|48'' W x 10'' D x 0.75'' thick
|5 years for seating textiles and parts
5 years for the height-adjustable desk mechanism
10 years on laminate and wood veneers
Read more on our blog!
The Human Solution is an authorized dealer of Focal Upright Furniture.
The Focal Locus Workstation - Premium features the same height- and angle-adjustable desk and seat as the standard Focal Locus Workstation, but with the added bonus of an anti-fatigue mat, task light, shelf and wire management system, all at a discount for bundling them together. Go from a traditional desk to a drafting desk with ease, all while keeping your feet comfortable, your desk well-lit, and your peripherals neat and clean with the Premium Workstation bundle.


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Deltec Homes has teamed up with Appalachian State University to bring an attractive, flexible, and livable new net-zero home design to the market. The Solar Homestead, an award-winning entry in the 201 1US Solar Decathlon, has a modern and flexible design inspired by the dwellings of early mountain settlers.
A portion of all sales of the The Solar Homestead package goes to ASU's building science department to fund further innovation. Read the story of the Solar Homestead here.
The Solar Homestead
Main House: 2 bedrooms, 1 bathroom, 1032 square feet + 640 square feet of covered canopy space
Flex "OM:" 1 extra bedroom and bathroom, 135 square feet + 256 additional square feet of covered canopy space
The Solar Homestead design features expandability: add additional outbuilding modules ("OMs") for more living and storage space, arranged according to your needs:
1. The Flexible Outbuilding Module ("Flex OM") is a detached third bedroom or home office which includes:
2. Additional Storage Outbuilding Modules ("Storage OMs") add outdoor storage space to the grand porch.
Because the Solar Homestead is a collaboration project with Appalachian State University, the exterior finish options of this home are limited to match the distinct architectural style of the Solar Homestead. Options include:


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The following tags exist in this scene. You can find similar scenes by combining tags in this scene together using the checkboxes, or just click a tag name to browse...
Starring Enrico Roversi, Luca Milani and Patrizio Romano, DVD: Fruits of Lust
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Brit Floyd - Pink Floyd Tribute Tickets
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Brit Floyd - Pink Floyd Tribute Ticket Information
When you order Brit Floyd tickets through Vivid Seats, you're on your way to experiencing some of the most influential songs in music history. First, choose an upcoming concert for this award-winning tribute band and select "Tickets" to browse the available inventory. Click "Buy" when you find your preferred seats, and then log into your Vivid Seats account to complete the transaction.
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Our customer care team has you covered from the moment you place your order to the time the concert begins. Reach us by clicking the Live Chat link in the upper right corner of the page, or call us at 866.848.8499.


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Dressing makes enough for 2 salads
YIELD: 6 servings
Ingredients10 oz package spinach, cleaned and torn into bite-sized pieces
1 pint sliced strawberries
sliced purple onions
carmelized pecans: 3/4 cup sugar and 1 cup pecan halves-melt sugar and pecans to coat. remove to cool on wax paper.
combine in blender
1/4 cup sugar
1 tsp salt
1 tsp dry mustard
1/3 cup vinegar
2 cups chopped scallions
slowly add 1 cup veg oil
stir in 1 1/2 TBS poppy seeeds
combine spinach, berries, nuts and coat with 1/2 of dressing.


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If you are going to travel on a budget, you might as well go all out and stay at a great budget hotel. Great news for you if you want to stay at one of the best known - Motel 6, for a limited time, they offering 20% off select hotel stays when you book using coupon code CP545856 during check out. You will want to enter the coupon in the "Corporate Plus/ID Number" section.
I don't care what anyone says, I have stayed at a "Mo'6" before, and it was just fine - but I guess it depends on the specific hotel you book.


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Port Ellen 1983
70cl / 53.5%
30 Year Old Douglas Laing Director's Cut
- Islay Single Malt Scotch Whisky
- Douglas Laing
An impressive bottling from Douglas Laing, showing that they still have some interesting and surprising casks hiding in their cellars - a 30 year old, 1983 vintage Port Ellen. Distilled in February, matured in a single refill hogshead and yielding only 102 bottles, this is sure to disappear quickly.
Please note this is limited to one bottle per customer.