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Medicine has long acknowledged the role of chaplains in healthcare, but there is little research on the relationship between chaplaincy care and health outcomes. The present study examines the association between chaplaincy services and end-of-life care service choices.
HealthCare Chaplaincy purchased the AHA survey database from the American Hospital Association. The Dartmouth Atlas of Health Care database was provided to HealthCare Chaplaincy by The Dartmouth Institute for Health Policy & Clinical Practice, with the permission of Dartmouth Atlas Co-Principal Investigator Elliot S. Fisher, M.D., M.P.H. The Dartmouth Atlas of Health Care is available interactively on-line at http://www.dartmouthatlas.org/ webcite. Patient data are aggregated at the hospital level in the Dartmouth Atlas of Health Care. IRB approval was not sought for the project because the data are available to the public through one means or another, and neither database contains data about individual patients, i.e. all the variables are measures of hospital characteristics. We combined and analyzed data from the American Hospital Association's Annual Survey and outcome data from The Dartmouth Atlas of Health Care in a cross-sectional study of 3,585 hospitals. Two outcomes were examined: the percent of patients who (1) died in the hospital, and (2) were enrolled in hospice. Ordinary least squares regression was used to measure the association between the provision of chaplaincy services and each of the outcomes, controlling for six factors associated with hospital death rates.
Results and discussion
The analyses found significantly lower rates of hospital deaths (β = .04, p < .05) and higher rates of hospice enrollment (β = .06, p < .001) for patients cared for in hospitals that provided chaplaincy services compared to hospitals that did not.
The findings suggest that chaplaincy services may play a role in increasing hospice enrollment. This may be attributable to chaplains' assistance to patients and families in making decisions about care at the end-of-life, perhaps by aligning their values and wishes with actual treatment plans. Additional research is warranted.
Keywords:Chaplaincy care; Pastoral care; Health outcomes; End-of-life care; Hospice
Most individuals in the United States (U.S.) who are seriously ill say they want to die at home [1]. Yet, research has consistently shown that the majority of older U.S. adults [2-4], especially those with chronic diseases [2,3,5], die in the hospital. This is the case in other countries, too, according to studies conducted in the 1990's [6,7].
More recent research has found that high rates of hospital deaths among older adults and those with chronic illnesses exists in most of the countries in which it has been studied, including Australia [8], Belgium [9-11], Canada [12], Korea [13], Singapore [14], the U.K. [11], and the U.S. [15]. Exceptions to this observation are The Netherlands [11] and Sweden [16].
A number of factors have been examined that contribute to the high rates of hospital deaths. U.S. studies consistently have found that hospital deaths are related to hospital bed availability and vary across states and regions of the country, with hospital death rates being lowest in the Western states [3-5]. This association between hospital bed availability and rate of hospital deaths has been found in Belgium and the United Kingdom, as well [11].
Another geographically related variable that is associated with rates of hospital deaths is population density. Research in Belgium [10], Germany [17], and Taiwan [18] has shown that people living in urban areas are more likely to die in the hospital than those living in rural areas, although findings from other studies are inconsistent [2,7]. The observed relationship between hospital deaths and population density, as well as the regional differences, may be partly attributable to the number of available hospital beds per capita, with areas that have a greater number of hospital beds per person having higher rates of hospital deaths [3,19].
Geographically based (e.g. census tracks) measures of socio-economic status have also been found to be associated with hospital death rates. For example, Belgian [9] and American researchers [19] have reported that individuals from poorer neighborhoods have higher rates of hospital deaths than those from wealthier neighborhoods.
Recent studies have begun to explore the degree to which different healthcare services are associated with different end-of-life outcomes. For instance, an Australian study reported that community nursing services, which included emotional support for patients and families, were associated with lower hospital death rates [20]. Other Australian studies reported that community-based palliative care services were associated with lower rates of hospital deaths [8,21]. The lower rates of hospital deaths were associated with higher rates of institutional hospice deaths in one study [21] and higher rates of home deaths in the other [8]. A Belgian study also found that community-based palliative care services were associated with lower rates of hospital deaths and higher rates of home deaths [22].
U.S. research suggests that hospital-based palliative care programs can affect hospice enrollment and hospital deaths. One study, for example, reported that inpatient palliative care produced higher rates of referrals to home-based hospice programs than usual acute care [23], and another reported that palliative care teams successfully diverted patients into inpatient and home-based hospice programs [24]. In a randomized control trial, patients who received palliative care services had fewer admissions to intensive care units (ICU) and longer hospice stays [25]. Other research further indicates that palliative care teams may help to reduce hospital deaths, especially ICU deaths [26].
Chaplains have long been considered to be an integral part of the palliative care team [27] and they have routinely provided emotional and spiritual support to patients and family members even when palliative care services were not available [28-32]. However, only two studies to date have examined the effectiveness of chaplaincy care, one of which found chaplaincy care reduced patient anxiety [33] and the other of which reported that it helped patients contend with spiritual distress [34].
Although no previous research has examined the relationship between chaplaincy care and end-of-life outcomes, there is reason to believe that spiritual care, like that provided by chaplains, may affect end-of-life decision-making. Recent research has found that patients who say their spiritual needs were met by hospital staff were more likely to receive hospice care and less likely to receive aggressive treatment [35,36].
We have noticed that one of the things that chaplains do for patients is help them understand and feel comfortable with their core values and how these can be synthetic with their health care goals. Since people generally prefer to die at home, chaplains may help patients and families to resolve issues about end of life care, so that patients are less likely to die in the hospital.
Study aims
The present study was designed to test two hypotheses about the provision of chaplaincy services and end-of-life outcomes. First, hospitals that provide chaplaincy services will have lower rates of hospital deaths than hospitals that do not provide chaplaincy services. Second, hospitals that provide chaplaincy services will have higher rates of hospice enrollment than hospitals that do not provide chaplaincy services.
Study sample
The study combined datasets from the American Hospital Association (AHA) and The Dartmouth Atlas of Health Care. The AHA regularly conducts surveys of its member hospitals in which hospital administrators are asked to report the facilities and services the hospital provides, along with various other characteristics of the hospital. The present study used data from the 2005 fiscal-year survey. The Dartmouth Atlas of Health Care combined data from the Center for Medicare and Medicaid Services on traditional, fee-for-service medical claims to track patients who died between January 1, 2001 and December 31, 2005, and had one or more of nine chronic diseases: congestive heart failure, chronic lung disease, cancer, coronary artery disease, renal failure, peripheral vascular disease, diabetes, chronic liver disease, and dementia. The Dartmouth Atlas uses discharge claims to assign patients to the hospital in which they died, or were admitted most often during the last two years of life. Patients who only had surgical admissions were excluded from The Dartmouth Atlas database.
Of the 4,271 healthcare facilities in The Dartmouth Atlas, 4,180 (97.9 %) were matched by name to hospitals in the AHA database. Of these, 3,603 completed the AHA annual survey for fiscal-year 2005. After excluding children's, orthopedic, and obstetrics/gynecology hospitals, and rehabilitation and long-term care facilities, the sample consisted of 3,585 hospitals: 3,566 general medical, one surgical, eight heart, and ten cancer hospitals.
Dependent variables
Two measures from The Dartmouth Atlas served as dependent variables: (1) the percent of patients who died in each hospital; and (2) the percent of patients who enrolled in home-based hospice.
Independent variable
The independent variable for the study was whether or not a hospital provided chaplaincy services by hospital staff or through a vendor. The AHA Survey's definition for "Chaplaincy/Pastoral Care Services" is: "A service ministering religious activities and providing pastoral counseling to patients, their families, and staff of a health care organization." Hospitals that had chaplaincy services were coded as 1 and those that did not were coded as 0.
Control variables
Six control variables were used in the analyses: (1) whether the hospital was located in a western state (Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon Utah, Washington, and Wyoming); (2) the population density of its catchment area; (3) number of hospital beds; (4) the proportion of Medicaid patients; (5) whether the hospital has a palliative care team; and (6) type of hospital. The three categorical variables (1, 5 and 6) were dummy coded as explained below.
It was essential to control for the region of the U.S. in which the hospital was located (i.e., western states), since several studies have found that hospital deaths are lower in the western states than in other states. [3-5]. This variable also controls for regional differences in palliative care and chaplaincy services [37-39]. Population density was included as a control variable in the analyses because it also has been found to be related to the rate of hospital deaths [17,18,22]. The AHA survey measures population density on a 0-6 scale, reflecting the size of the Metropolitan Statistical Area in which a hospital is located.
The next control variable, hospital beds, was included to control for bed availability, which is associated with hospital death rates [3,11,19], and the fact that larger hospitals (as measured by beds) are more likely to provide palliative and chaplaincy services [37-40]. This variable was measured by the AHA bed size code, which uses a 1-8 scale.
The proportion of each hospital's Medicaid patients was used as a proxy for socio-economic status of patients [41]. It was calculated by dividing the hospital's number of Medicaid discharges by its number of licensed beds. To control for the net effects of palliative care services, hospitals that had a palliative care program were dummy coded as 1 and those that did not have one were coded as 0. Similarly, we controlled for type of hospital by dummy coding the 19 specialty hospitals as 1 and the general hospitals as 0.
Regression models
The association between chaplaincy and each of the dependent variables was tested by using ordinary least-squares (OLS) regression, controlling for western states, population density, number of hospitals beds, socio-economic status, type of hospital, and whether a hospital had a palliative care program. Because 95 hospitals did not have data on hospice enrollment, only 3,490 hospitals were used in the analysis of this dependent variable. Other analyses are described in the results section.
Table 1 presents the univariate statistics for the independent, dependent and control variables. Of the 3,585 hospitals in the sample, nearly 2,457 hospitals provided chaplaincy services (68.5 %), and 1,092 hospitals provided palliative care services (30.5 %). Just under 18 % were located in the 13 western states. The average rates of hospital deaths and hospice enrollment were approximately, 35 % and 29 %, respectively.
Table 1. Univariate Statistics for Independent, Dependent, and Control Variables
On a scale of 0-6, the mean population density of 2.2 indicates that the average hospital in the sample was located in a geographical area with a population of over 250,000 residents. The average size of hospitals in the study was between 100 and 200 beds, based on the AHA bed size code.
Table 2 presents the results of the OLS regression models predicting rates of hospital deaths and hospice enrollment. The values given in the table are standardized beta's (β's). which show the unique association of chaplaincy services and each of the control variables with the two dependent variables: hospital deaths and hospice enrollment.
Table 2. Estimated Net Association of Chaplaincy Services Variables with the Rate of Hospital Deaths and Rate of Hospice Enrollment, Controlling for the Six other Variables in the Model
As hypothesized, chaplaincy services were associated with significantly lower rates of hospital deaths (β = -.04, p < .01) compared to hospitals that did not provide chaplaincy services, controlling for region of the country, population density, hospital beds, socio-economic status, palliative care and type of hospital (see Table 2). As expected, hospitals located in western states and those with palliative care teams had significantly lower rates of hospital deaths.
Number of hospital beds was positively and significantly related to hospital deaths, but population was not. However, these two variables were positively correlated, and the association between hospital deaths and population density (β = 0.14) was statistically significant (p < .001) when the model was re-run without number of beds. This supports previous findings that population density is positively related to hospital deaths and shows that the inclusion of number of beds in the model captured a substantial portion of the variation in hospital deaths that would otherwise have been attributable to population density.
As hypothesized, chaplaincy services also were associated with significantly higher rates of hospice enrollment (β = .06, p < .001). Population density and number of beds were positively related to hospice enrollment, while socio-economic status was negatively related to enrollment.
The findings support both hypotheses: that chaplaincy services are significantly associated with (1) lower rates of hospital deaths and (2) higher rates of hospice enrollment. Although these associations are relatively small, they can have profound consequences for patients and families. One would not expect appreciably larger net effects of specific services, since many unknown variables also contribute to the outcomes being examined. Nevertheless, the fact that the regression model for rates of hospital deaths replicated the effects of variables known to be related to hospital death rates from previous research lends credence to the generalizability of the findings. While palliative care exhibited the expected negative association with hospital deaths, it is not apparent why it did not have a significant positive association with hospice enrollment.
Chaplains often help patients and family members to feel comfortable with their core values and to see how these can be congruent with their health care goals. Since most people prefer to die at home [1,42,43], discussions of values and goals with chaplains might partially account for the observed association of chaplaincy services with decreased hospital deaths and increased hospice enrollment.
The present results are consistent with recent research that patients who said their spiritual needs were met by hospital staff were more likely to receive hospice care and less likely to receive aggressive treatment [35,36]. Related research has found that families of dying patients who felt supported [44], and were able to discuss spiritual issues when making end-of-life decisions were more satisfied with those decisions [44].
Other research has found that meeting the spiritual needs of patients is associated with higher levels of patient [45] and family [46,47] satisfaction with the quality of overall care. Meeting spiritual needs is particularly important at the end of life in order to achieve spiritual and psychological healing when physical healing is no longer possible, and palliation is the goal [48,49]. At this time of life, it is essential to align treatment with the patient's goals [50], which are often influenced by spirituality and religion [51].
A recent study of patients in a palliative care unit with end-stage cancer found that 88 % of patients expressed the desire to work with a chaplain [52]. Roughly half of the patients indicated they would like the chaplain to provide a sense of "presence," listen to them, visit with them, or accompany them on their journey. The more religious patients also desired various spiritual interventions from the hospital chaplain.
Surveys of hospital administrators in the U.S. have found that professional chaplains are expected to play a number of roles [53,54]. In addition to providing spiritual and emotional support to patients and families, generally, chaplains are also expected to help patients and family members address end-of-life issues and deal with difficult decisions. Related U.S. research indicates that hospital staff refer patients and families to chaplains for such reasons [32], and that chaplains spend a considerable amount of time dealing with these kinds of issues [55,56]. Moreover, Australian studies have found that the majority of hospital chaplains helped patients and families make treatment decisions [57], and that many chaplains assisted families and staff dealing with pain control and life support issues [58-60].
This study has a number of limitations, including the fact that the AHA survey only indicated whether or not a hospital provided chaplaincy services. It did not provide information about the specific nature, scope, and quality of the services. Another limitation is that the patient outcome data are aggregated across a 5-year period (2001-2005), and there is evidence that the provision of chaplaincy services increased somewhat during this time [37]. This introduces some degree of error to the models, which are based on the hospital services that existed in fiscal-year 2005 (2004-2005).
Although the analyses controlled for a number of variables that have been shown to be associated with end-of-life outcomes, the presence of chaplaincy services could still be a proxy for some other variable or variables. It could, for example, be an indication that a hospital is committed to providing patient-centered and family-focused care in which all members of the team are dedicated to listening to the patient and aligning care with patient and family wishes. Since the evidence indicates that this stance generally leads to less use of hospital resources at the end-of –life, these hospitals might have fewer hospital deaths even if they did not have chaplains. Nonetheless, this type of care, whether provided by a chaplain or another discipline, appears to have an impact.
Its limitations notwithstanding, we believe the present study provides support for the possible role of chaplains in reducing hospital deaths and increasing hospice enrollment. This could be attributable to the fact that chaplains assist patients and families in making decisions about care at the end-of-life and aligning their values and wishes with actual treatment plans.
The findings suggest that chaplaincy services may play a role in decreasing hospital deaths and increasing hospice enrollment. This may be attributable to chaplains' assistance to patients and families in making decisions about care at the end-of-life, perhaps by aligning their values and wishes with actual treatment plans. Additional research is warranted.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
KJF designed the study with KG, NRS and MC, all of whom wrote the initial draft. KJF, LLE and GFH were the primary authors. KJF conducted the statistical analyses. All the authors reviewed drafts and approved the final content.
This study was funded in part by a grant from the Fannie E. Rippel Foundation.
Fried TR, Bradley EH, Towle VR, Allore H: Understanding the treatment preferences of seriously ill patients.
N Engl J Med 2002, 346:1061-1066. PubMed Abstract | Publisher Full Text
Gruneir A, Mor V, Weitzen S, Truchil R, Teno J, Roy J: Where people die: a multilevel approach to understanding influences on site of death in America.
Med Care Res Rev 2007, 64:351-378. PubMed Abstract | Publisher Full Text
Hansen SM, Tolle SW, Martin DP: Factors associated with lower rates of in-hospital death.
J Palliat Med 2002, 5:677-685. PubMed Abstract | Publisher Full Text
Mitchell SL, Teno JM, Miller SC, Mor V: A national study of the location of death for older persons with dementia.
J Am Geriatr Soc 2005, 53:299-305. PubMed Abstract | Publisher Full Text
Weitzen S, Teno JM, Fennell M, Mor V: Factors associated with site of death: a national study of where people die.
Med Care 2003, 41:323-335. PubMed Abstract | Publisher Full Text
Tang ST, McCorkle R: Determinants of place of death for terminal cancer patients.
Cancer Invest 2001, 19:165-180. PubMed Abstract | Publisher Full Text
Burge F, Lawson B, Johnston G: Trends in the place of death of cancer patients, 1992-1997.
CMAJ 2003, 168:265-270. PubMed Abstract | PubMed Central Full Text
McNamara B, Rosenwax L: Factors affecting place of death in Western Australia.
Health Place 2007, 13:356-367. PubMed Abstract | Publisher Full Text
Houttekier D, Cohen J, Bilsen J, Deboosere P, Verduyckt P, Deliens L: Determinants of the place of death in the Brussels metropolitan region.
J Pain Symptom Manage 2009, 37:996-1005. PubMed Abstract | Publisher Full Text
Cohen J, Bilsen J, Hooft P, Deboosere P, van der Wal G, Deliens L: Dying at home or in an institution using death certificates to explore the factors associated with place of death.
Health Policy 2006, 78:319-329. PubMed Abstract | Publisher Full Text
Houttekier D, Cohen J, Bilsen J, Addington-Hall J, Onwuteaka-Philipsen B, Deliens L: Place of death in metropolitan regions: metropolitan versus non-metropolitan variation in place of death in Belgium, The Netherlands and England.
Health Place 2010, 16:132-139. PubMed Abstract | Publisher Full Text
Motiwala SS, Croxford R, Guerriere DN, Coyte PC: Predictors of place of death for seniors in Ontario: a population-based cohort analysis.
Can J Aging 2006, 25:363-371. PubMed Abstract | Publisher Full Text
Yun YH, Lim MK, Choi KS, Rhee YS: Predictors associated with the place of death in a country with increasing hospital deaths.
Palliat Med 2006, 20:455-461. PubMed Abstract | Publisher Full Text
Beng AK, Fong CW, Shum E, Goh CR, Goh KT, Chew SK: Where the elderly die: the influence of socio-demographic factors and cause of death on people dying at home.
Ann Acad Med Singapore 2009, 38:676-683. PubMed Abstract | Publisher Full Text
Muramatsu N, Hoyem RL, Yin H, Campbell RT: Place of death among older Americans: does state spending on home- and community-based services promote home death?
Med Care 2008, 46:829-838. PubMed Abstract | Publisher Full Text | PubMed Central Full Text
Hanratty B, Burstrom B, Walander A, Whitehead M: Hospital deaths in Sweden: are individual socioeconomic factors relevant?
J Pain Symptom Manage 2007, 33:317-323. PubMed Abstract | Publisher Full Text
Pinzon LC, Weber M, Claus M, et al.: Factors influencing place of death in Germany.
J Pain Symptom Manage 2011, 41:893-903. PubMed Abstract | Publisher Full Text
Lin HC, Lin YJ, Liu TC, Chen CS, Lin CC: Urbanization and place of death for the elderly: a 10-year population-based study.
Palliat Med 2007, 21:705-711. PubMed Abstract | Publisher Full Text
Lackan NA, Eschbach K, Stimpson JP, Freeman JL, Goodwin JS: Ethnic differences in in-hospital place of death among older adults in California: effects of individual and contextual characteristics and medical resource supply.
Med Care 2009, 47:138-145. PubMed Abstract | Publisher Full Text
Howat A, Veitch C, Cairns W: A retrospective review of place of death of palliative care patients in regional north Queensland.
Palliat Med 2007, 21:41-47. PubMed Abstract | Publisher Full Text
Currow DC, Burns CM, Abernethy AP: Place of death for people with noncancer and cancer illness in South Australia: a population-based survey.
J Palliat Care 2008, 24:144-150. PubMed Abstract
Cohen J, Houttekier D, Chambaere K, Bilsen J, Deliens L: The use of palliative care services associated with better dying circumstances. Results from an epidemiological population-based study in the Brussels metropolitan region.
J Pain Symptom Manage 2011, 42:839-851. PubMed Abstract | Publisher Full Text
Reville B, Miller MN, Toner RW, Reifsnyder J: End-of-life care for hospitalized patients with lung cancer: utilization of a palliative care service.
J Palliat Med 2010, 13:1261-1266. PubMed Abstract | Publisher Full Text
Fromme EK, Bascom PB, Smith MD, et al.: Survival, mortality, and location of death for patients seen by a hospital-based palliative care team.
J Palliat Med 2006, 9:903-911. PubMed Abstract | Publisher Full Text
Gade G, Venohr I, Conner D, et al.: Impact of an inpatient palliative care team: A randomized control trial.
J Palliat Med 2008, 11:180-190. PubMed Abstract | Publisher Full Text
Elsayem A, Smith ML, Parmley L, et al.: Impact of a palliative care service on in-hospital mortality in a comprehensive cancer center.
J Palliat Med 2006, 9:894-902. PubMed Abstract | Publisher Full Text
Weissman DE, Meier DE: Center to advance palliative care inpatient unit operational metrics: consensus recommendations.
J Palliat Med 2009, 12:21-25. PubMed Abstract | Publisher Full Text
Vanderwerker LC, Flannelly KJ, Galek K, et al.: What do chaplains really do? III. Referrals in the New York Chaplaincy Study.
J Health Care Chaplain 2008, 14:57-73. PubMed Abstract | Publisher Full Text
Handzo GF, Flannelly KJ, Kudler T, et al.: What do chaplains really do? II. Interventions in the New York Chaplaincy Study.
J Health Care Chaplain 2008, 14:39-56. PubMed Abstract | Publisher Full Text
Flannelly K, Weaver A, Handzo G: A three-year study of chaplains' professional activities at Memorial Sloan-Kettering Cancer Center in New York City.
Psychooncology 2003, 12:760-768. PubMed Abstract | Publisher Full Text
Fogg SL, Weaver AJ, Flannelly KJ, Handzo GF: An analysis of referrals to chaplains in a community hospital in New York over a seven year period.
J Pastoral Care Counsel 2004, 58:225-235. PubMed Abstract
Galek K, Vanderwerker LC, Flannelly KJ, et al.: Topography of referrals to chaplains in the Metropolitan Chaplaincy Study.
Iler WL, Obenshain D, Camac N: The impact of daily visits from chaplains on patients with chronic obstructive pulmonary disease (COPD): A pilot study.
Bay PS, Beckman D, Trippi J, Gunderman R, Terry C: The effect of pastoral care services on anxiety, depression, hope, religious coping, and religious problem solving styles: a randomized controlled study.
J Relig Health 2008, 47:57-69. PubMed Abstract | Publisher Full Text
Balboni TA, Paulk ME, Balboni MJ, et al.: Provision of spiritual care to patients with advanced cancer: associations with medical care and quality of life near death.
J Clin Oncol 2010, 28:445-452. PubMed Abstract | Publisher Full Text | PubMed Central Full Text
Balboni T, Balboni M, Paulk ME, et al.: Support of cancer patients' spiritual needs and associations with medical care costs at the end of life.
Cancer 2011, 117:5383-5391. PubMed Abstract | Publisher Full Text
Cadge W, Freese J, Christakis NA: The provision of hospital chaplaincy in the United States: A national overview.
South Med J 2008, 101:626-630. PubMed Abstract | Publisher Full Text
Flannelly KJ, Handzo GF, Weaver AJ: Factors affecting healthcare chaplaincy and the provision of pastoral care in the United States.
J Pastoral Care Counsel 2004, 58:127-130. PubMed Abstract
Goldsmith B, Dietrich J, Du Q, Morrison RS: Variability in access to hospital palliative care in the United States.
J Palliat Med 2008, 11:1094-1102. PubMed Abstract | Publisher Full Text | PubMed Central Full Text
Morrison RS, Maroney-Galin C, Kralovec PD, Meier DE: The growth of palliative care programs in United States hospitals.
J Palliat Med 2005, 8:1127-1134. PubMed Abstract | Publisher Full Text
Gelfman LP, Meier DE, Morrison RS: Does palliative care improve quality? A survey of bereaved family members.
J Pain Symptom Manage 2008, 36:22-28. PubMed Abstract | Publisher Full Text | PubMed Central Full Text
Flory J, Yinong Y-X, Gurol I, Levinsky N, Ash A, Emanuel E: Place of death: U.S. trends since 1980.
Pritchard RS, Fisher ES, Teno JM, et al.: Influence of patient preferences and local health system characteristics on the place of death. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Risks and Outcomes of Treatment.
J Am Geriatr Soc 1998, 46:1242-1250. PubMed Abstract
Gries CJ, Curtis JR, Wall RJ, Engelberg RA: Family member satisfaction with end-of-life decision making in the ICU.
Chest 2008, 133:704-712. PubMed Abstract | Publisher Full Text | PubMed Central Full Text
Astrow AB, Wexler A, Texeira K, He MK, Sulmasy DP: Is failure to meet spiritual needs associated with cancer patients' perceptions of quality of care and their satisfaction with care?
J Clin Oncol 2007, 25:5753-5757. PubMed Abstract | Publisher Full Text
Daaleman TP, Williams CS, Hamilton VL, Zimmerman S: Spiritual care at the end of life in long-term care.
Med Care 2008, 46:85-91. PubMed Abstract | Publisher Full Text
Wall RJ, Engelberg RA, Gries CJ, Glavan B, Curtis JR: Spiritual care of families in the intensive care unit.
Crit Care Med 2007, 35:1084-1090. PubMed Abstract | Publisher Full Text
Billings JA, Pantilat S: Survey of palliative care programs in United States teaching hospitals.
J Palliat Med 2001, 4:309-314. PubMed Abstract | Publisher Full Text
Sulmasy DP: Spiritual issues in the care of dying patients: ".. it's okay between me and god".
J Am Med Assoc 2006, 296:1385-1392. Publisher Full Text
Meier DE, Casarett DJ, von Gunten CF, Smith WJ, Storey CP: Palliative medicine: politics and policy.
J Palliat Med 2010, 13:141-146. PubMed Abstract | Publisher Full Text
Balboni TA, Vanderwerker LC, Block SD, et al.: Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life.
J Clin Oncol 2007, 25:555-560. PubMed Abstract | Publisher Full Text | PubMed Central Full Text
Mako C, Galek K, Poppito SR: Spiritual pain among patients with advanced cancer in palliative care.
J Palliat Med 2006, 9:1106-1113. PubMed Abstract | Publisher Full Text
Flannelly KJ, Galek K, Bucchino J, Handzo GF, Tannenbaum HP: Department directors' perceptions of the roles and functions of hospital chaplains: A national survey.
Hosp Top 2005, 83:19-27. PubMed Abstract | Publisher Full Text
Flannelly K, Handzo G, Weaver A, Smith W: A national survey of health care administrators' views on the importance of various chaplain roles.
J Pastoral Care Counsel 2005, 59:87-96. PubMed Abstract
Handzo GF, Flannelly KJ, Murphy KM, et al.: What do chaplains really do? I. Visitation in the New York Chaplaincy Study.
J Health Care Chaplain 2008, 14:20-38. PubMed Abstract | Publisher Full Text
Vanderwerker LC, Handzo GF, Fogg SL, Overvold JA: Selected findings from the "New York" and the "Metropolitan" chaplaincy studies: A 10-year comparison of chaplaincy in the New York City area.
J Health Care Chaplain 2008, 15:13-24. PubMed Abstract | Publisher Full Text
Carey LB, Cohen J: Religion, spirituality and health care treatment decisions: the role of chaplains in the Australian clinical context.
J Health Care Chaplain 2008, 15:25-39. PubMed Abstract | Publisher Full Text
Carey LB, Newell CJ: Chaplaincy and resuscitation.
Resuscitation 2007, 75:12-22. PubMed Abstract | Publisher Full Text
Carey LB, Newell CJ, Rumbold B: Pain control and chaplaincy in Australia.
J Pain Symptom Manage 2006, 32:589-601. PubMed Abstract | Publisher Full Text
Carey LB, Newell CJ: Withdrawal of life support and chaplaincy in Australia.
Crit Care Resusc 2007, 9:34-39. PubMed Abstract
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The NAHB Buy Now Advertising Assistance Program initiated by the Capital Region Builders & Remodelers Association (CRBRA) in Latham, N.Y. near Albany helped change the minds of many potential home buyers who were sitting on the fence waiting for prices to fall, according the HBAs executive officer, Pam Krison.
Implementing the Time to Buy/Buy Now Campaign at CRBRA exceeded our expectations, Krison said. It created positive effects on so many levels. In addition, it strengthened relationships within our association and with our media contacts.
The HBAs ad campaign was used to specifically target the potential home buyers who were getting most of their housing news from the national media, Krison said. Her HBA members wanted to tell potential buyers that, locally, the housing slowdown was much less dramatic than what they heard and read in the national news and that buyers shouldnt wait for the market to slip further.

subset: commoncrawl


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Natalie Berg Photo Gallery
Honors: Academic All-Big Ten Team (2013-14, 2012-13, 2011-12)...WCHA Scholar Athlete (2013-14, 2012-13 ,2011-12) ... All WCHA Academic team (2013-14, 2012-13, 2011-12) ... Big Ten Sportsmanship Honoree (2013-14).
2013-2014: Played in all 38 games marking eight points (1G, 7A) ... scored her first goal of the season in the Badgers' 4-1 defeat of St. Cloud State (Oct. 18) ... tallied two assists in the series conclusion against Ohio State, a contest the team won 3-2 (Nov. 3) ... assisted in the Badgers' only goal during its 1-0 defeat of Minn. Duluth (Nov. 30) ... marked her sixth assist of the season in Wisconsin's 7-2 victory over Bemidji State (Dec. 6)
2012-13:Played in 32 games during the season ... had one assist against Lindenwood on Oct. 6 ... netted her first-career goal on Nov. 24 against St. Cloud State ... assisted one goal in first round of WCHA Playoffs against St. Cloud State on March 1
2011-12:Played in 28 games during the season... recorded four points on four assists... recorded a career-high three points against Lindenwood on Sept. 23... ended the season with a +18 plus/minus rating.
2010-11: Dressed in eight games ... made collegiate debut at Robert Morris (Nov. 20) ... was plus-two at Minnesota State (Feb. 19)
Prep: Three-year letterwinner playing hockey for coach Eric Johnson at Minnetonka High School ... named all-state honorable mention by the St. Paul Pioneer Press and Classic Lake all-conference after tallying two goals and 22 assists to help Minnetonka to a 20-4-4 overall record as a senior ... recorded five goals and four assists for Minnetonka's 16-9-3 team as a junior ... named Varsity Most Improved Player and Classic Lake all-conference honorable mention as a sophomore, posting three goals and seven assists for Minnetonka (16-10-1) ... as a freshman, U14A Minnetonka team won state championship ... also played hockey in Minnesota Elite League as a senior ... played varsity lacrosse in high school ... four-year Minnetonka Honors Society Member ... A-Honor Roll all eight semesters ... graduated summa cum laude ... four-year academic letterwinner ... earned all-state academic honors from the Minnesota Girls Hockey Coaches Association as a senior ... member of Tonka Leadership Challenge in high school
Personal: Born in Ann Arbor, Mich. ... parents are Gary and Rita Berg ... has one brother, Charlie ... shoots right ... majoring in biology ... has volunteered with Youth-Teaching-Youth program against teen substance abuse ... has volunteered with the Minnetonka Girls Youth Hockey Association ... interests include lacrosse, golf, and being on the lake ... started playing hockey at age fiveWhy Wisconsin?"For its strong academic traditions and great college environment and campus."
Berg's Career Statistics as of March 22, 2014
Berg's Career WCHA Statistics as of March 14, 2014
2015 Board of Regents of the University of Wisconsin System. All rights reserved worldwide.
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Hockey Players Workout During NHL Lockout
Shane Doan of the Phoenix Coyotes and Sidney Crosby of the Pittsburgh... NachrichtenfotoArizona Coyotes,Eishockey,Fitnesstraining,Ganzkörperansicht,Horizontal,National Hockey League,Pittsburgh Penguins,Scottsdale,Shane Doan,Sidney Crosby,Sport,USAPhotographer Christian PetersenCollection: Getty Images Sport 2012 Getty ImagesSCOTTSDALE, AZ - DECEMBER 03: Shane Doan #19 of the Phoenix Coyotes and Sidney Crosby #87 of the Pittsburgh Penguins participate in a workout at the Ice Den on December 3, 2012 in Scottsdale, Arizona. More than a dozen players from around the league that are not able to play during the NHL lockout have been attending workouts at the Phoenix Coyotes practice rink. (Photo by Christian Petersen/Getty Images)


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AGEIA Joins FutureMark's Benchmark Development Program
"AGEIA Joins FutureMark's Benchmark Development Program"
Published: 29th September 2006 | Source: N/A |
Benchmarking software company Futuremark today announced that PhysX accelerator creator AGEIA has joined the 3DMark Benchmark Development Program.
Oliver Baltuch - FutureMarks VP of Sales and Marketing has been quoted as saying "Futuremark is pleased to welcome AGEIA to the 3DMark BDP. AGEIA brings a wealth of knowledge and experience in hardware acceleration of real-time physics to the BDP, and their advances in the marketplace offer great promise to the PC gaming environment"
AGEIA has also spoken openly about the union stating that " AGEIA recognizes that our participation in the specification and development of Futuremark's 3DMark will help us deliver the best performing physics acceleration solutions in the PC industry."
If you would like to know more about AGEIA's PhysX hardware, head over to their website.
Feel free to discuss this news article in our forum
Most Recent Comments
If you do start a podcast i would help you with the information.
ANYWAYS... good idea!! lol im not really sure what i have to do to help out but im sure someone will show me lol.
What i mean is i dont think that it would be worth the effort but if it is made then i would be more then happy to help in any way.
i new what u ment i was just joshin mate lmfao
Just thinking about it. Need some sort of backing noise or tunes. Suggestions welcomed esp from the DJs that are out there on here. Ill speak to the mods and come up with a trial.
I'd be looking for help on
Audio Editing
Tech knowledge
Tweaking and general advice
Anyone whos done one, got some advice on what to do then let me know. Its not definate yet but something that might be worth a go


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ART HOUSE in great neighborhoodCosta Rica, San Jose, San Jose
About this listing
We're a couple of life lovers, traveling is our favorite activity, next to hanging out with friends and having dinner parties (or just regular parties) We love having people over to share bits of our life, we live in the city and love it.
Read the rules before booking
Space where guests can cook their own meals
Towels, bed sheets, soap, and toilet paper
In the building, free or for a fee
Continuous access in the listing
Space where guests can cook their own meals
Towels, bed sheets, soap, and toilet paper
Central heating or a heater in the listing
In the building, free or for a fee
In the building, free or for a fee
Continuous access in the listing
Breakfast is provided.
The listing can accommodate a gathering of 25 or more attendees
Easy access to the building and listing for guests in wheelchairs
Private or Shared
Free, in the building or nearby
The Space
We've moved!
Now we live in beautiful apartment located in Los Yoses neighbourhood, 15 - 20 min walking distance from San José downtown and 10 min walk to San pedro (Universidad de Costa Rica)
We love art, design & clean organised spaces.
Nice bright bedroom with double bed, lots of sun light through the window.
Fully equipped Kitchen with big Fridge, oven, stove, blender, pans and pots, glasses, plates and everything you could need. Laundry room with washer and lots of space for hanging the clothes out to dry (Dryer available also)
What to expect?
A nice clean place, good vibes, warm friends, open minded people. Art all around. Peace. Security. Comfort.
Located in Los Yoses, a nice neighborhood with access to restaurants, bars, yoga schools and the University of Costa Rica's main campus, a beautiful green place for running and walking.
Taxis 24/7 with service at the door. Cheap buses on the front street. Walking distance from San Pedro & San Jose.
Guest Access
You are welcome to use our kitchen as if yours, our bright and open living room, our balcony where we relax with all our friends who come by for a coffee or to say hi, you're always welcome to join us
Interaction with Guests
We're very social, we treat our guests as friends that we welcome in our city so we try to take you along in our social activities such as going out for a walk, a drink, dinner or also by hanging out at home, sharing wine, beers or any other relaxation elixirs :)
The Neighborhood
Our neighbourhood is vibrant and very well connected with public transportation, lots of options for food & drinks, restaurants, bars and cafès all within walking distance.
Getting Around
Taxis from San Jose downtown cost around $4 (2000 colones)
There's a bus stop less than 100 meters away with buses to San Jose, San Pedro, Cartago, Curridabat, Turrialba & Irazú Volcanoes
The Atlantic train station is 10 minutes walking distance with trains to Heredia, Cartago and La Sabana.
Other Things to Note
Since we're living next to a main street our home can be noisy during the day though not all rooms are.
1. Cigarettes on the balcony or patio only
2. Tolerant/ open minded / respectful
3. The house must be clean.
4. Two Shared Bathrooms with us. Try to be as clean as possible.
5. Must like gay people! :)
67 Reviews
Conveniently located in a nice neighborhood these guys have a really nice place to stay...I loved it and I warmly recommend it!
Safe and great neighborhood (even for two young girls) with a supermarket right below the apartment.
The house is very clean beautifully decorated with Juanjo's art!!!
You can find little restaurants, bars and shops right around the corner.
Oscar and Juanjo were wonderful hosts, very welcoming from the moment we arrived.
Un oasis en la ciudad, es fácil sentirse como en casa. No coincidimos mucho con Juanjo porque se encontraba fuera de la ciudad pero repetiríamos sin duda.
Juan was a great host!! I love this place! Centrally located in San Pedro. Near the mall and Central Cultural! Great restaurants nearby! Bus stop! Will stay here again! Thanks Juan!!!
Staying at Juan's apartment was the perfect start for our trip to Costa Rica. It's located in a nice area, you can walk everywhere and the supermarket is downstairs. Juan and his friends were extremly nice, showed us the city, had coffee and dinner together. Thanks to that we had a wonderful weekend in San José.
Juanjo made us feel very welcomed. He made sure to stay in contact even when he was running a bit late due to traffic. As for the accommodations, it's a open minimal spot located close to the University grounds and main road. It's about 15-20 mins walk to the downtown core. The rooms are pretty basic with a bed, chair and closet. It's located above a supermarket which makes it handy for grabbing a quick bite to eat or drinks to relax. Parking a vehicle can be a bit difficult as there is no guaranteed parking but once you get a spot out front you'll be fine. The bathroom is very basic and would be considered bare minimum. The only major issue is noise. Like any apartment near and downtown core and on a main street it can be quite noisy. This one is very noisy so make sure to bring earplugs or noise cancelling headphones. Overall, pretty good experience.
Great place to stay in San José! Safe and great neighborhood (even for two young girls) with a supermarket right below the apartment. Awesome living room with a nice place to eat. The room itself is quite big and you definitely have enough space for suitcases etc. Small but efficient bathroom and even a balcony.
Juan was a really nice host and made our stay comfortable and made it even possible to leave one of our suitcases at his apartment for a week while we were travelling.
All in all we would definitely come again!
Juan is a very friendly host providing us full access to his home. Easily walkable to the main street in Escalante, and right above a supermarket.
Juanjo has a wonderful, airy and bright apartment that is in a convenient location for getting around San Jose. He is a great guy, his art is wonderful, and his group of friends is friendly and pleasant. There is an awesome market right downstairs and a gas station on the corner. The only thing is that it is a little hard to find if you aren't used to not having a street address. But Juanjo was available by phone and all was easy and great. Thank you, Juanjo! Pura vida!
This host has 6 reviews for other properties.View Other Reviews
About the Host, Juanjo!
Hi! Im Juan, an artist / graphic designer based in San Jose, Costa Rica.
I live in Los Yoses, a neighborhood on the east side of San Jose.
My apartment is nice and bright, with four bedrooms and three bathrooms, in a great location, 20 min walking distance from downtown. Nice neighborhood with bars and restaurants.
I love living in the city but in a comfortable and safe yet lively part of town, right in the border between San Jose and San Pedro.


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Another "Banana Cake" recipe ranks higher.
Delicious Cake
"Very good to be so simple to make!! I added walnuts to the bottom of a bunt pan and also in the mix along with white chocolate chips! I baked an extra 15 min for bunt cake. I also added cinnamon! "
Preheat oven to 350 degrees.
Cream together the butter, sugar and vanilla
Add remaining ingredients and mix
Pour blended ingredients in a greased and floured 9 x 13 pan.
Bake at 350 degrees for 30 minutes. Cake is done when it pulls away from the sides of your pan.
Cool and frost with your favorite butter cream icing, cream cheese or whipped cream.
|My private notes
"I recommend pairing it (i.e., SIMULTANEOUSLY) with this recipe I think the cream cheese would compliment the cake nicely." sprgrtiger
Get the free BigOven app on your phone.
Quickly find any recipe anywhere!
mselane54 5 months agoIt came out moist and very delicious. You can taste the bananas in it. Very easy directions to follow.
BrandiLaShayWesley 1 year agoVery good to be so simple to make!! I added walnuts to the bottom of a bunt pan and also in the mix along with white chocolate chips! I baked an extra 15 min for bunt cake. I also added cinnamon!
tenneekanoble3 2 years agoIve had better.. But over all the icing i used sucked! The cake on its own yum and simple to make..
firstmateschmidt 2 years agoMade into cupcakes, frosted w/ chocolate frosting. Very moist and delicious, great recipe!
1krys 2 years agoI usually can't stand banana cake, but this one has changed my mind! Light, moist, easy...awesome, just add favourite icing!
S10HAD 2 years agoSo simple and very quick to make. I have made this cake a few times, it never fails! TIP: Even more tasty when you add very soft ripe bananas. Yum ;)
benitanaomi 3 years agoEasy to make and tastes lovely -if you like bananas !
mommy1012 3 years agoDelicious! Super moist, I added some chopped walnuts and cinnamon to the batter. I will definitely make this again!!
Nugg3t 3 years agoA stick of butter equals 1/2 cup.
Dmargjean 4 years agoEasy and delicious!!!! I love it this recipe!


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- Infowars - http://www.infowars.com -
How the FBI Monitored Hippies Under Guise of Combating Terrorism
Posted By kurtnimmoadmin On March 15, 2012 @ 10:25 am In Old Infowars Posts Style,Police State,Tile | Comments Disabled
March 15, 2012
The FBI conducted a three-year investigation, dubbed "Seizing Thunder," into a animal-rights and environmental "terrorists" in the Pacific Northwest that devolved into widespread—and seemingly pointless—surveillance of activists for no apparent reason aside from the fact that they were anarchists, or protested the war in Iraq, or were "militant feminists." Here's the file.
I first came across the name "Seizing Thunder" several years ago while rifling through the FBI's investigative files on the Animal Liberation Front. The ALF records obliquely referenced the evocatively named investigation, which I requested via the Freedom of Information Act just for kicks. Last month—after three years—the FBI returned nearly 500 pages (it held back 784).
It turns out that Seizing Thunder, which was based out of the bureau's Portland field office, was one of several investigations into animal rights and environmental activists nationwide that the FBI eventually merged into Operation Backfire, a wide-ranging probe of ALF and the Earth Liberation Front. Backfire concluded in 2006 with the indictments of 11 activists for arson and other "acts of domestic terrorism," including a notorious 1998 destruction of a $12 million ski lodge in Vail, Colo. The Portland portion seemed to focus primarily on gathering general intelligence on activists who used tree-sitting and other monkey-wrench tactics to fight old-growth logging in the Pacific Northwest.
Article printed from Infowars: http://www.infowars.com
URL to article: http://www.infowars.com/how-the-fbi-monitored-hippies-under-guise-of-combating-terrorism/
Click here to print.
Copyright © 2015 Infowars. All rights reserved.


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Jeanne Ivy
July 20, 1923 - March 27, 2012
Betty Jeanne (Anderson) Ivy, was born July 20, 1923, and passed away March 27, 2012. She was born in Walla Walla to Walter and Martha Abigail Anderson. She attended school and graduated from Walla Walla High in 1941. She met Dorman Eugene (Gene) Ivy and they married in 1949. They lived in Richland for eight years and moved to Grandview where she lived the rest of her life. Jeanne was a member of American defenders of Bataan-Corregidor and the Grandview VFW auxiliary.
She was preceded in death by her husband, Gene in 1989; and a daughter, Marigail in 1958. She is survived by her son, David (Christy) of Zillah; and granddaughters Angela of Yakima and Melissa of Richland.
No services are scheduled per her request. Memorials may be given to Yakima Valley Memorial Hospice or your local hospice. Valley Hills Funeral Home in Zillah is in care of the arrangements. Online condolences can be left at www.valleyhillsfh.com.
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Bowling Green, Ky. - The sound of pads hitting rang through Houchens Industries-L.T. Smith Stadium Wednesday afternoon as the Western Kentucky University football team practiced in shoulder pads for the first time during 2009 preseason camp. The Hilltoppers will again practice in pads and shorts on Thursday before working out in full pads for the first time on Friday.
"You could see some different things with the pads on - especially how physical we were able to come out and get after it," said Hilltopper head coach David Elson. "I thought we handled it well. We're still installing quite a bit, so some of the young guys are spinning, but we definitely made some good progress, and I expect it to be even sharper tomorrow."
After going through a number of position drills and shell work, the full team drills at the end of the workout saw WKU working on long yardage situation, and Elson was able to see some of his newcomers continue to make strides.
"We thought all along we had some contributors among our group of newcomers, and there was no question today that some guys showed that capability," Elson said. "We've got guys on both sides of the ball that are exciting to watch. I'm definitely pleased with the early evaluation of our newcomers athleticism and skill level, now we just have to continue coaching them up and moving them along with everyone else."
WKU, the newest of 120 Football Bowl Subdivision Members, is eligible for a post-season bowl berth and the Sun Belt Conference championship in 2009. The Hilltoppers open the 2009 season at Tennessee on Sept. 5 at 11:21 a.m. (CDT), and opens the home portion of its schedule the following week against South Florida at 6:30 p.m.
WKU's 511-337-30 all-time record in 90 seasons of football equates to a .600 winning percentage, ranking 26th among all 120 Division I Football Bowl Subdivision schools and tops in the Sun Belt Conference. WKU's 948 APR in football is also higher than all other Sun Belt Conference programs.


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Nelliefield, Huger
Announcing special builder introductory pricing
on 323 Cypress Walk Way, a 1,436 sq. ft., 3 bath, 3 bdrm 2 story. Now
- Special Builder Pricing & won't last long. Better Act Fast! This home is just going into the framing stage so all selections still available. Pretty water view, dining room, great room, three bedrooms, two full bathrooms, powder room, one car garage, front porch. All homes will have cement plank siding and architectural shingles, 9' smooth ceilings, at least 12 recessed can lights, ceiling fans in the great room and all bedrooms, sheetrocked and primed garage with door opener, gas fireplace, wiring and cable outlet above fireplace for flat screen TV, fiber optic wiring for phone and data, fully landscaped yards with a palm tree. Cabinets are natural Maple color or natural Maple with white or chocolate glazing finish. This neighborhood is located near Charleston, North Charleston, Hanahan, and Mount Pleasant. Near 526 for easy access anywhere in the area. This builder can also build a custom home on your lot. Contact Susan Bryant at AgentOwned Realty for more information.
Susan BryantAgentOwned Realty843-224-0804Email: firstname.lastname@example.com
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Sabur Khan Visits KIITU And KISS in India
Md. Sabur Khan, Chairman, Board of Trustees of Daffodil International University (DIU) has recently visited Kalinga Institute of Industrial Technology University (KIIT University) and Kalinga Institute of Social Sciences (KISS) at Bhubaneswar, Odisha, India.
Dr. Achyuta Samanta, Founder of KIIT and KISS a globally recognized social entrepreneur, accorded a warm reception to Md. Sabur Khan. Together with Professor Dr. Satyendra Patnaik, Rector, KIIT University, they held a valuable discussion on "Quality Education: Sharing and Exchange" to share the experience of quality education and extend the collaboration between KIIT University and Daffodil International University.
KIIT is ranked among top 5 private universities of India. They exchanged opinions and shared views on various educational aspects of the two universities regarding students and faculty exchange program, Internship programs, educational cooperation, scholarship and holding international conference on teaching and learning.
Md. Sabur Khan, Chairman, Board of Trustees highlighted through Web Site the major steps taken by Daffodil International University for ensuring quality and standard education to the students. He presented DIU's views on the development of higher education in Bangladesh, the experiences of the university in developing undergraduate and post graduate degrees and the university's role in meeting the country's human resource needs.
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Scouting Update: Travis Harrison, Tustin (CA) HS (2011 Draft)
By The Baseball Beginnings Guy
September 8, 2010
I have seen Travis Harrison from 2009 and into summer 2010 and will pick up his coverage again soon. The thing you come in to see him for is the raw right-handed power.
Harrison can put balls where few high school guys can. At the Aflac home run derby, he memorably got one way up against the brick wall in left field. That's big boy territory for sure. Harrison himself is a big guy and he does generate an awful lot of twist and torque from his hips and waist. The questions Harrison will likely have to answer in the coming months will probably be centered around consistent contact and defense. Will he put the ball in play and where are you going to play him? That's what Harrison will be dealing with. It is way too early to give up on him, because you don't give up on right-handed power. If you want a comp, try Darrell Evans. We'll be on the trail to see him in 2010.
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We spend lots of time focusing on what stars wear (and any wardrobe malfunctions they may have), but what about what they put on their faces? Although makeup may not seem important, different kinds of makeup styles have now come to mean different things, socially and politically and plenty of women won't leave home without it.
In a survey, two-thirds of British women said that heading to the office bare-faced caused them more stress than public speaking, going on a first date or enduring a job interview. 91 percent of women surveyed would rather cancel a first date altogether than go without makeup on. And in the U.S., women spend around $7 billion on cosmetics every year.
And that doesn't even include hair. The AP recently reported that in 1950, about seven percent of women dyed their hair. Today? 95 percent or more.
With all that beauty-obsession (and our own love of makeup) in mind, we're taking a look at This Week In Beauty. From this week forward, we'll be showcasing the best, worst and most interesting styles of hair, makeup and nails that we came across this week. Take a look, get inspired and vote for your faves!
The sexy 'Hitch' star and Ryan Gosling's girlfriend knows how to rock accessories. Mendes stepped out in West Hollywood on August 20th with a scarf-turned headband, a messy bun and a pair of hot blue shades. This is a perfect look for a low-key, no makeup kind of day. (Getty photo)
We love Julie Bowen as the uptight Claire in 'Modern Family,' but we didn't like her look at the Academy of Television Arts & Sciences on August 20th. The actress had more eyeshadow on one eye than the other, and she was just so...plain. We would have liked to see Bowen try a warm pink lipstick to give her a little more color and maybe some long earrings. (Getty photo)
English actress and model Kelly Brook appeared at the World Premiere of 'Keith Lemon - The Film' in London on August 20th in a red, floor-length gown. Although Brook looked glam, we were mostly taken by her gorgeous hair and fantastic makeup. The model rocked false-eyelashes and bronze blush (but not too much) and looked absolutely fab. (Getty photo)
We loved Isla Fisher in "Confessions Of A Shopaholic" and "Wedding Crashers," which is why we were surprised to see the actress overly made-up and looking a little too red at the Los Angeles premiere of 'Bachelorette' on August 23rd. Her red hair (which had strange darker red tips) clashed with her dress, was flat on top and looked frizzy from straightening. Her eyebrows were very dark, which also made her look much older. (Getty photo)
Funny lady Amy Poehler has never been known for being a beauty queen, but she definitely has good style. At the Academy of Television Arts & Sciences, Poehler showed us that you don't have to pile on the makeup to look beautiful, and you shouldn't. We love the comedian's choice of pink lipstick and her soft curls. Love her! (Getty photo)
Poehler's counterpart on SNL, Maya Rudolf, on the other hand, did not wear enough makeup. The comedian looked oily and could have done with a little powder to matten her look a bit. We would also have chosen a darker shade for her lipstick. (Getty photo)
We remember Caplan from "Mean Girls," but the actress has proved that her goth days are long gone and her newfound glam is here to stay. We love her short, messy but chic 'do and her classic-looking makeup. That red lipstick shade is perfect for Caplan's skin tone. (Getty photo)
Social worker Brittany Holt walked the red carpet at the Substance Abuse And Mental Health Services Administration 2012 Voice Awards in Hollywood on August 22nd. Although Holt may not be used to the flashing lights of the paparazzi, we would have advised her to tone down the bronze makeup (especially on her lids). (Getty photo)
We love Ali Larter's sexy look at the 'Bachelorette' premiere in Los Angeles. Apart from the fact that her top was amazing, we love her simple messy 'do and the sexy pop of lippy. Simple mais sophistiqué! (Getty photo)
We have to admit that with all of the crazy looks Bai Ling has donned over the years, her look at the Kirstos Andrews Birthday celebration in Hollywood on August 23rd was relatively calm. We actually like her blue eyeliner that matched her earrings. However, the actress's orange blush and frizzy hair took Ling's look from edgy to...frizzy.... (Getty photo)
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Clean Cities University Online Learning
Clean Cities University (CCU) provides online learning courses covering alternative fuels and advanced vehicle deployment, laws and regulations, and administrative subjects to help you build your coalition.
Log in to Clean Cities University to explore the course library and launch courses, and start learning today.
Most CCU courses take about 30 to 40 minutes. You can even take courses to help fulfill your Coalition Support Contract if you chose CCU as an option.
Introduction to Clean Cities University
Getting Help
If you need assistance with your CCU account or any of the courses, contact us or click the email link in the footer of Clean Cities University.
Available Course Topics
Clean Cities E-Tools
- Alternative Fuel Life-Cycle Environmental and Economic Transportation (AFLEET) Tool
- Alternative Fueling Station Locator
- GREET Fleet Footprint Calculator
- Maps and Data Section of the Alternative Fuels Data Center
Coordinator Basics
- Boards and Committees
- Capturing Great Video
- Clean Cities: Building Partnerships to Reduce Petroleum Use in Transportation
- Coalition Websites: Strategy, Content, and Design
- Conducting Media Outreach
- Developing an Annual Operating Plan
- Funding Your Coalition
- Giving an Interview
- Making the Most of Social Media
- Promoting and Using Video
- Running Effective Meetings
- Using the Clean Cities Technical Response Service
- Why Video and What's a Story?
Fleet Topics
- Anatomy of a Work Truck
- CNG Infrastructure Costs
- Compressed Natural Gas in Municipal Fleets
- Propane Infrastructure
Fuels and Vehicle Technologies
- Electric Drive Vehicles: Overview and Impacts
- Improving Gas Mileage
Laws and Regulations
- Understanding EPAct-Regulated Fleets
- Understanding the Federal Rulemaking Process
- Understanding the Renewable Fuels Standard
- Understanding the State Rulemaking Process


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- Northern New York Newspapers
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LISBON State police on Thursday charged Martin L. Via, 54, with fourth-degree criminal possession of marijuana, a misdemeanor.
Troopers responded to the Valero Gas Station on Route 37 in Lisbon at 6:15 p.m. where U.S. Border Patrol agents allegedly found Mr. Via in possession of 133.8 grams of marijuana under the front seat of the 2005 Chrysler minivan during a traffic stop.
Mr. Via was issued an appearance ticket for Lisbon Town Court.
Thousands of readers like you have made Northern New York Newspapers the number one ranked website* for local news and sports coverage in the north country.
You can continue on to this article in a few seconds, or you can visit one of our websites:


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This salad has been added by De-Groot (Grower / producer)
- 3 large ripe & tasty tomatoes (on the vine)
- 3 small eggs
- 1 tablespoon mayonnaise
- cayenne pepper, paprika, salt
- a few lettuce leaves
Cut the tomatoes in half and scoop out the flesh (dont discard the flesh)
Sprinkle the inside with pepper and salt.
Boil the eggs, cut them in half and remove the yolks.
Mix the cooled boiled egg yolks with mayonnaise and the finely diced tomato flesh and the herbs. Place teh egg white in the tomato shell then fill each half tomato with the mixture. You can pipe the mixture with a piping bag.
Serve as an appetizer on a bed of lettuce
Additional information
This recipe makes about 3 entree serves.


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When we think about beach vacation spots in the Gulf of Mexico, we often think of destinations in, well, Mexico. We also think of vacation spots like Belize, where the Gulf meets the Caribbean. But we would be remiss to ignore the many Gulf Coast beaches in the U.S., from the Southern tip of West Florida in Naples, north to Tampa and Pensacola, west to Gulfport, Mississippi, the Gulf Coast of Louisiana, and onward to the Gulf shores of Texas. These Gulf of Mexico vacation destinations are close to home and offer all the beauty the Gulf Coast has to offer.
South Padre Island, just off the southern coast of Texas, is a favorite Gulf Coast getaway location, offering plenty of opportunities for rest and relaxation, as well as an exciting nightlife and plenty of family fun.
South Padre Island offers the perfect mix of Texas style and tropical paradise. The low, narrow barrier island (30 miles long and only a half mile wide) offers long stretches of beautiful sandy beach facing the turquoise waters of the Gulf of Mexico. Outside of the spring break season that sees a high volume of students, South Padre Island is quiet and laid back compared to many Gulf-side spots in Mexico.
South Padre features the bounty of the Gulf of Mexico, making a vacation here a pleasure for dolphin watching, kite boarding, fishing, sailing, boating, horseback riding. parasailing, scuba diving and much more. The island's variety of luxury beachfront hotels make South Padre the perfect place to get a taste of the Gulf Coast without venturing too far from home.


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Each person has a story. Write yours in a way that leaves a legacy! Water Missions International's Walk in a Bucket toolkit provides you the opportunity to engage your local community to make an impact in the world around you in a real and tangible way!
We hope you will consider having a Walk for Water for Water Missions International in your community. This is a great event for schools, community organizations and civic groups, churches, and even businesses! We look forward to launching our new website very soon with even more materials to support and equip you and your team to make a real difference and provide safe water!
For more information, please contact Lauren Jernigan, Regional Coordinator, by phone at (630)991-1226 or via email at firstname.lastname@example.com
"Walking all that distance really gave me time to think about how fortunate we are. I don't think I have ever really worried about whether I could get something as simple as water. This event really opened my eyes, and I am so glad my family participated. I wish every family could take time to experience walking for water."
- Mother of Three who participated in local Walk for Water.
Thank you everyone who has already walked with us!
Click here to visit our Walk Photo Gallery, and see how these groups are making a difference in the global water crisis.
Every day millions of women and children in developing countries walk nearly 4 miles to retrieve water to meet their family's daily needs. In most cases, even after all that effort, the water they have access to is unsafe and contaminated. Your Walk for Water can mimic that trek, as you invite participants to carry buckets of water along the walk route while you also bring an increased awareness of the global water crisis through the provided materials, and raise funds that will go towards safe water and sanitation solutions for communities around the world.
Copyright 2015 Water Missions International | Contact Us | Privacy Policy
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text:
Slashdot Items Tagged "filesystems"
|Date / Time
|Friday August 21, 2015 @06:42PM
|Object Storage and POSIX Should Merge
|Saturday June 14, 2014 @09:16AM
|One Developer's Experience With Real Life Bitrot Under HFS+
|Saturday March 22, 2014 @01:41PM
|OpenSUSE 13.2 To Use Btrfs By Default
|Saturday August 25, 2012 @12:37PM
|Ask Slashdot: Best *nix Distro For a Dynamic File Server?
|Monday August 13, 2012 @01:00AM
|Ask Slashdot: Personal Tape Drive NAS?
|Tuesday May 17, 2011 @06:05PM
|GRUB 1.99 Released With Support For ZFS and BtrFS
|Thursday July 01, 2010 @04:22PM
|Best Format For OS X and Linux HDD?
|Sunday May 16, 2010 @09:54AM
|Btrfs Could Be the Default File System In Ubuntu Meerkat


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Instant "Members Only" Coupon Codes Emailed NOW When You Sign Up for FREE Membership!
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text:
Srinivas V. Bettadpur, Ph.D
Research Interests
Dr. Bettadpur's principal research interests are Space Geodesy and Spaceflight Mechanics.
At present he is working on GRACE, the Gravity Recovery And Climate Experiment, which is a joint NASA/DLR space mission launched on March 17, 2002, to map the gravity field of the Earth. In his capacity as the Science Operations Manager for the GRACE mission, he is the interface on science related matters to the multi-national GRACE flight operations team. He is also responsible for managing the GRACE science data processing & analysis activities at UT-CSR. These activities span the range from analysis & interpretation of the Earth gravity field model products derived from GRACE flight data, to the characterization of the GRACE flight system performance on the aspects relevant to the science data quality.
His other research interests and activities include:
Dr. Bettadpur has also taught beginning and advanced graduate classes in the application of statistical methods to orbit determination and satellite geodesy. Additional activities include contributions to the formulation of the Global Geodetic Observation System (GGOS).
Ph.D., Aerospace Engineering, The University of Texas at Austin, 1993


text:
Crafted from the Italian label's signature crochet-knit, Missoni's multicolored dress is spliced with refreshing white trims and ties at the most flattering part of your waist. Wrap it up over your favorite bikini to go from beach to bar.
Multicolored crochet-knitTie fastenings at wrap front100% viscoseDry clean
Product code: 413557 - Need help? Contact us


text:
Boot Room Pre Match
The Boot Room is an ideal place to meet and relax before the game.
Guests booking this package can soak up LFC's history by visiting the Club's Museum, before making their way to the restaurant to enjoy a delicious three-course meal. (Guests may be accommodated on shared tables)


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Chanel Holiday Collection 2009: Chanel Aqualumiere Sheer Colour Lipshine Review & Swatches
As per the Muse's norm the first thing that captures her interest when exploring cosmetics is eyeshadow. I'm an eyeshadow kinda girl first off. Secondly, I go straight for the blush. And of course most important concealer…
After all that I normally explore glosses, base products, etc….
You know what's last? Lipstick. I dunno why that is but it's one of the last things that interests me. Which is why I could have overlooked Chanel Aqualumiere Sheer Colour Lipshine in Grenada if I hadn't gotten a sample to try out!


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VIDEO/PHOTOS/POLL: Cabrera sentenced to 10 years in prison
Samir Cabrera was sentenced late this afternoon to 10 years in prison.
After a long first day of sentencing for his fraud and money laundering conviction, the disgraced real estate agent returned for a second on Wednesday.
A federal pre-sentencing report recommended a term between 12 and 15 years for Cabrera, 32.
Tuesday turned into a day of details, as attorneys battled to define Cabrera's crimes, his victims and Cabrera himself before U.S. District Judge John E. Steele, who will determine Cabrera's sentence.
"This is not a criminal mind," forensic psychiatrist Frederick Schaerf testified near day's end.
Prosecutors argued otherwise.
"The jury's decision was somewhat different from yours, right?" Assistant United States Attorney Jeffrey Michelland asked Schaerf.
Cabrera was convicted in January of bilking $2.8 million from investors in a pair of south Fort Myers land deals. He purchased the pair of properties, flipped them at a higher price to a shell company funded by investors, and split the difference between himself and his colleagues.
The developments never panned out, and investors lost everything.
A handful of those investors were in a federal courtroom on Tuesday. Cabrera's friends and family filled benches on the opposite side of the room.
Cabrera's wife, former NBC-2 anchor Jessica Stilwell, was in attendance, as were Cabrera's father, brothers and other family members. Many awaited an opportunity to address the court and request Steele's leniency. Few received the chance.
Instead, the day belonged to Cabrera's attorneys, who worked to temper Cabrera's culpability. They asked for changes in the pre-sentencing report, sought to limit the number of investors who could be considered victims, and presented testimony that questioned Cabrera's role in investor losses.
Henry Fishkind, an Orlando-based economist, testified that money taken from the land flips did not alone doom the projects. He instead blamed a combination of bad business decisions and a shaky economy.
"I'm sorry, that's just the arithmetic," he answered prosecutor challenges.
When Steele asked whether the projects were so visibly flawed in 2005, when the markets were hot, Fishkind pointed to the pair of high-interest, short-term loans backing the deals.
"This was a bad loan structure that was due to fail," he said.
The court also heard from Schaerf, the forensic psychiatrist, who described Cabrera as depressive with narcissistic traits and a strong desire to please. Schaerf detailed Cabrera's past, from his childhood at a Georgia youth ranch to his years at college to adulthood in the sphere of powerful people.
"He had to please people," Schaerf said.
The psychiatrist said Cabrera was "very intelligent" but "not smart in some areas." In an attempt to please others, he entered the high-octane world of real estate when he couldn't handle it, Schaerf said.
The hearing will continue on Wednesday at 9 a.m.
Posted earlier:
Disgraced real estate agent Samir Cabrera's sentencing is in recess after a morning in which both sides revisited the facts of the January case.
Cabrera will likely be sentenced this afternoon, after court resumes.
He was convicted of 11 counts of fraud and money laundering. A pre-sentencing report by the U.S. Department of Probation recommended he be sentenced to between 12 and 15 years in prison.
Both parties spent Tuesday morning arguing for the actual sentence, to be given U.S. District Court Judge John E. Steele, to move their way.
Government prosecutors asked that Cabrera receive a sentence enhancement for obstruction of justice
Most of the morning has belonged to Cabrera's side, however.
Dr. Henry Fishkind, an expert economist from Orlando, testified that Cabrera's projects would have failed regardless of the property flips and kicker fees. He said a combination of high risk, bad timing, under-capitalization and overly optimistic projections combined to doom the projects.
Prosecutors hold that the projects could have survived if not for the kicker fees. Assistant United States Attorney Jeffrey Michelland challenged Fishkind, who held that inclusion of the money lost by kicker fees wasn't enough to save the projects.
"I'm sorry, that's just the arithmetic," Fishkind said.
Steele asked if Fishkind would have made the same projection in 2005, when the projects were being conceived and the market was still hot. Fishkind replied that a high-interest loan tied to the projects would have lead him to dismiss the projects, even at that time.
"This was a bad loan structure that was due to fail," he said.
Cabrera attorney Russel K. Rosenthal also challenged selected wording and assertions within the pre-sentencing report, and he told Steele that Don Stilwell did not want to be counted as a victim in Cabrera's schemes.
He also asked that the term "O.P.M." which stands for "other people's money" be removed from the report. A former colleague of Cabrera's said the term was often used when referring to investors' money.
Steele overruled that request and most others offered by the defense.
Cabrera has numerous friends and family members inside the courtroom. His wife, former broadcast anchor Jessica Stilwell, is present, as are his father and brothers. Stilwell's father, former Lee County manager Don Stilwell, a presence at Cabrera's trial, is absent.
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text: October 15, 2012 04:15 pm News Staff – Electronic health records (EHRs) improve both care and overall outcomes for patients with diabetes, especially for those with poor disease control, says an Oct. 2 Annals of Internal Medicine study(annals.org). According to the study's authors, EHRs helped improve drug treatment intensification, monitoring and physiologic control for most patients with diabetes, and they saw the greatest improvements in patients with poor control.Researchers took advantage of the results generated by the 2005-2008 implementation of a certified EHR system in 17 medical centers in the Kaiser Permanente Northern California integrated delivery system. Focusing on two clinical measures -- glycemic control as measured by hemoglobin A1c (HbA1c) and low-density lipoprotein cholesterol (LDL-C) -- they were able to determine the effect of EHR use on those measures for nearly 170,000 patients. They also were able to examine differences in the effect of the EHR across different levels of disease control."Across all baseline HbA1c and LDL-C levels, the EHR was associated with statistically significantly reduced follow-up values, with greater reductions among patients with higher baseline values," the authors wrote. "Among patients with a baseline HbA1c value of 9 percent or greater, the EHR was associated with a decrease of 0.14 percent … 0.08 percent for patients with baseline HbA1c values of 7 percent to 8.9 percent and 0.05 percent for those with baseline values less than 7 percent."Patients with poorer control also showed statistically significant improvements in getting follow-up HbA1c and LDL-C tests faster. For patients already meeting recommended glycemic and lipid control targets, EHR use was associated with lower rates of repeated testing within 90 days, which may represent a decrease in potential overtesting."Our findings … suggest actual improvements in the clinical care of patients with diabetes," the authors wrote. "These early effects on linked care processes and patient outcomes also suggest the potential for future downstream improvements in major clinical event rates and health. Overall, our study suggests that the EHR may be a powerful tool to help clinicians deliver well-targeted, high-quality care of chronic disease and improve patient outcomes." Share this page AAFP Print Alert: Message field is required. Message Submitting You must sign in before you can share a page on AAFP connection. Processing


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[skip to content]
The town of Tunbridge Wells owes its birth to the discovery
of the chalybeate (iron bearing) spring by Dudley, Lord North, in
1606. In poor health due to over-indulgence at the court of James
I, the twenty-five year old nobleman was staying at Eridge Castle
with Lord Abergavenny, whose estate adjoined the Manor of Rusthall
at the county boundary (marked at that time by a stream running
along the southern edge of Tunbridge Wells Common).
While riding along what is now known as Eridge Road and London
Road, he noticed some orange coloured water which he recognized as
coming from a chalybeate spring similar to those at the German
resort of Spa which were already famous for their supposed health
giving properties. Borrowing a cup from a nearby cottage (said to
have stood on the site of the present Fonthill pavilion), he tasted
the waters and confirmed his initial impression. Subsequently, Lord
North began to drink the spring water regularly and claimed that it
restored him to perfect health. News of the discovery spread
rapidly, and in 1608 Lord Abergavenny obtained permission from the
Lord of the Manor of Rusthall (as the spring was on the edge of the
Common) to sink the first well on the site for the convenience of
visitors. Mrs Humphreys, the occupant of the nearby cottage, is
said to have become the first 'dipper', inaugurating a long
tradition whereby the women dispensing the water were appointed by
the Lord of the Manor.
See all exhibitions >
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text:
2011 Peterbilt 387
Gulfport, MS
2016 Freightliner BUSINESS CLASS M2 106
Somerville, NJ
2012 Dodge RAM 5500SLT
New Hampton, IA
2013 Dodge RAM 3500
Jacksonville, FL
2007 International 9400i
Lake Butler, FL
2012 Volvo VNL64T300
Des Moines , IA
Trailer for 2016 Fontaine Closed Tandem Steel Single Drops
Voorhees, NJ
2010 Freightliner CA11364SLP - CASCADIA
Healdsburg, CA
2000 Volvo VNL64T660
Ocala, FL
2007 Freightliner COLUMBIA
Kansas City, MO
Description: 95% Virgin Rubber Good Year G 572 Drives, Remaining Factory Major Component Warranty Until 04-01-2016 or 500K, 7.32 Lifetime MPG, Dual Power Windows, Locks and Mirrors W/Heat, CA Cert. Clean IdleMore Information
Didn't find what you were looking for? Click here to request availability from our dealer network.


text:
Why? Because you can! And pickle, and jam, or otherwise celebrate the resurgence of the domestic arts our forebears held so dear. Put on your best apron and step into our kitchen, won't you?
As awesome as a fresh tomato can be, there's only so many BLTs a person can stand (or so I'm told). If you want to preserve that fresh flavor for winter months, you can always can your tomatoes - even without a pressure canner!
Home canned fruit sometimes has a tendency to float. This is not necessarily an indication of food spoilage or poor canning procedures but it can be visually disturbing. Come see why this happens!


text:
Sunday, June 8, 2008
© Copyright 2015 Gwinnett Daily Post
LAWRENCEVILLE - Drought conditions in north Georgia are expected to worsen over the summer, and hot, dry weather could exacerbate the situation, the state climatologist said.One indicator used in drought classification - stream flow - currently shows there is a major concern, said David Stooksbury, who is also a professor of engineering and atmospheric sciences in the University of Georgia College of Agricultural and Environmental Sciences. The Chattahoochee River at Cornelia - the last gauge before the river enters Lake Lanier - was flowing at 233 cubic feet per second on Friday, which is about one-third of the normal flow, Stooksbury said. That matches the point's low flow record set in 1988, he said. "We're starting to beat a 50-year record," he said, adding, "Conditions will worsen if it's just a normal summer. Hot, dry weather will aggravate it even more so - it will make it that much more worse." The 90-day rainfall deficit also indicates worsening conditions, Stooksbury said. At Hartsfield-Jackson Atlanta International Airport, the rainfall deficit is 2.66 inches - and that's been one of the wetter places in the state, he said. In Athens, the 90-day deficit is 4.64 inches. The spring rains may have given some people the perception the drought was improving, but Stooksbury said that's not the case. The rains were "regularly spaced events," but the rainfall was much less than normal. "With a week of temperatures in the 90s, we're starting to see lawns are quickly turning brown," he said. To alleviate the situation, Stooksbury said some sort of tropical disturbance is needed. Scattered thunderstorms may provide temporary local relief, but several inches of rain are needed over several days, he said. Mike Griesinger, a meteorologist at the National Weather Service's Peachtree City office, said scattered afternoon thunderstorms could appear in the area Tuesday or Wednesday.
More like this story
- Gwinnett suffering from extreme drought ( June 26, 2008 )
- Conditions near extreme drought ( June 3, 2007 )
- Forecast calls for dry days ( June 5, 2007 )
- Official: Drought getting worse
Climatologist says lack of winter rains have slowed flow of Chattahoochee ( June 12, 2008 )
- Rain just a drop in drought bucket ( February 28, 2009 )


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Price Increases
Related Searches:
August 20, 2013
Ashland Specialty Ingredients, a commercial unit of Ashland Inc. (NYSE: ASH), today announced plans to increase the price of its global coatings hydroxyethylcellulose (HEC) by 6 percent. The increase is effective September 1, 2013, or as contracts al… Read More »
July 1, 2013
BASF will increase prices in Europe, Africa and Western Asia for Resins and Additives by 3-10%. The price increase is necessary to offset continued high feedstock costs, transportation and energy costs.… Read More »
May 10, 2013
Troy Corporation has announced an increase in prices of Micropel OBPA-based antimicrobial products by up to 9% effective May 15, 2013, or as contracts allow. This price increase is necessary due to escalation in the cost of raw materials, energy, lab… Read More »
April 1, 2013
Effective immediately, or as existing contracts permit, BASF is raising its prices for N,N-Dimethylformamide (DMF) in Europe by 30 € per ton or by the equivalent amount in local currency. DMF is a versatile organic solvent that is miscible with… Read More »
March 29, 2013
BASF will increase the price for all medium solids styrene butadiene emulsion polymers by $0.05 per wet pound in North America, effective March 29, 2013 or as contracts allow. This price increase involves BASF products under the tradename Butofan BAS… Read More »
March 26, 2013
Effective immediately or as existing contracts allow, BASF is raising prices for Lupragen N 100 in Europe by € 0,10 per kilogram with immediate effect or the equivalent amount in local currency.… Read More »
March 18, 2013
WILMINGTON, Del. – Ashland Specialty Ingredients, a commercial unit of Ashland Inc. (NYSE: ASH), is increasing the price of its portfolio of intermediates and specialty solvents sold in North America effective April 1, or as contracts allow. Pr… Read More »
March 13, 2013
With immediate effect, or as existing contracts permit, BASF SE will increase its European selling prices for the following products 1,4 Butanediol (BDO) + 80 EUR/mt Tetrahydrofuran (THF) + 50 EUR/mt Polytetramethylene ether glycol (PolyTHF®) +… Read More »
October 22, 2012
Huber Engineered Materials, a division of J.M. Huber Corporation, announces a price increase for its industrial calcium carbonate products. The price increase does not apply to Huber's food and USP calcium carbonate grades. The increase… Read More »
October 15, 2012
Huber Engineered Materials has enacted a global price increase for its precipitated silicas and silicates. The increase is effective beginning Oct. 30, 2012, or as current contracts allow. The price adjustment of up to 7% is dependent on geographic r… Read More »
September 17, 2012
Oxea will increase off-list prices on a number of products effective September 1, 2012, or as contracts allow. In the United States, Canada and Mexico, n propanol will increase $0.05/lb (list price, Zone 1: $1.45/lb), and n propyl acetate will increa… Read More »
September 17, 2012
Specialty chemicals company Lanxess globally increased its prices for ion exchange resins and inorganic pigments effective July 1, 2012. The inorganic pigments business unit is increasing its prices by a minimum of €100 per metric ton. Customers… Read More »
September 17, 2012
Evonik Industries' coatings and additives business unit announced a price increase for its range of Degadur, Degadeck and Degament reactive resins and Degalan by six percent, effective July 1, 2012, in all regions worldwide. This increase will… Read More »
September 17, 2012
Troy Corp. announced an increase in prices of all Micropel OBPA (oxybisphenoxarsine) antimicrobial products by up to 15 percent effective June 15, 2012, or as contracts allow. This price increase is necessary due to escalation in the cost of raw mate… Read More »
June 5, 2012
Celanese Corporation said it is raising the price of all emulsions sold in Europe, the Middle East and Africa by up to EUR 80/MT effective June 1, 2012, or as contracts allow. This price increase includes all vinyl acetate and acrylic-based emulsions… Read More »


text:
aliada-scanbit-netOpen linked data from the Library and Museum of ARTIUM
BabelNetBabelNet is both a multilingual encyclopedic dictionary, with lexicographic and encyclopedic coverage of terms, and an ontology which connects concepts and named entities in a...
data-szepmuveszeti-huOpen linked data from MFAB Museum
aksw.org Research Group datasetThis dataset contains projects, sub groups, people and pages or the Agile Knowledge Management and Semantic Web (AKSW) Research Group @ University of Leipzig.
AGROVOCAGROVOC is a controlled vocabulary covering all areas of interest to the Food and Agriculture Organization of the UN (FAO). AGROVOC is available as and RDF - SKOS linked...
B3Kat - Library Union Catalogues of Bavaria, Berlin and BrandenburgJoint Union Catalogue of 180 academic libraries in the german states of Bavaria, Berlin and Brandenburg. The data contains descriptions of 25Mio. titles and 58Mio. holdings...
Inspections of the Supreme Audit Office of the Czech RepublicInspections of the Supreme Audit Office of the Czech Republic
List of laws used in inspection reports of SAOList of laws used in inspection reports of the Supreme Audit Office of the Czech Republic
Rijksmuseum Collection DataThe Rijksmuseum Amsterdam collection as Open Linked Data, modelled according the Europeana Data Model.
ECLAPInformation about performing arts related content
linkedarc.net archaeological datasetslinkedarc.net is a Linked Data compliant hosting service for archaeologically themed data. Currently, linkedarc.net hosts the data of a single project, the Priniatikos Pyrgos...
GeoSpecies Knowledge BaseData exposed: Information on Biological Orders, Families, Species as well as species occurrence records and related data The data set currently contains information and linked...
TaxonConcept Knowledge BaseSpecies are known by many different names. The TaxonConcept Knowledge Base provides informative Linked Open Data URI's for species concepts that improve the quality and...
Audited subjects of Supreme Audit Office of the Czech RepublicIndividuals and legal entities audited by Supreme Audit Office of the Czech Republic
OntoBeef DomainOntology of Beef created within ProOptiBeef project (www.prooptibeef.pl). Links with LOD datasets (27.06.2013): 797 links with AGROVOC, 211 links with...
List of prices of reimbursed medicinal products marketed in Czech republicThe dataset provides maximal prices of reimbursed medicinal products marketed in Czech republic. The dataset was created on the base of information published by Czech State...
Medicinal products marketed in Czech RepublicMedicinal products marketed in Czech Republic according to the State Institute for Drug Control in Czech Republic
Active ingredients of medicinal products available in Czech RepublicThis dataset provides data about active ingredients contained in medicinal products available in Czech republic. The dataset was created on the base of information published on...
ATC groupsAnatomical Therapeutic Chemical Classification System
Selected data about active ingredients from NDF-RT databaseThis dataset provides selected data about active ingredients extracted from NDF-RT database.
Du kannst dieses Register auch über der API (siehe API-Dokumentation) abrufen.


text:
The series continues as Michael describes more of his time at the Exploratorium. Be sure to catch up on his other posts.
The problem for this week is a set of buzzers that the kids activate by pushing buttons as part of a storytelling exhibit. The buzzers keep going bad. After a little testing I found that the low quality transformer is providing way too high a voltage. I reduce that with a lower voltage switching power supply. With some further poking around I conclude that there is still a lot of arcing at the contacts of the buzzers so I added a crossover Zener and a blowback diode to dissipate inductive current from the coils. This has solved the arcing problems but there is still the matter of failure due to fatigue. What to do…what to do…what to do…? When you need inspiration at the Exploratorium you wander around with a cup of coffee and look at other peoples projects and fish for suggestions and this time I landed a good one.
After a few phone calls to arrange a meeting, I am off to Alameda to meet with Michael Schiess, the Executive Director of the Pacific Pinball Museum, because if there is one place that will have buzzers and bells that can take a beating its going to be pinball machines. What a great place. It ranges from the very old purely mechanical type machines and slowly works its way up to the most modern machines with monitors in the back and very complex interaction with the player. Michael is a fountain of knowledge on the subject and very enthusiastic, the kind of enthusiasm that is easy to get caught up in. Since these machines reflect the popular culture of the time in which they were made, walking through the museum is like a trip through the popular culture of the U.S. for the last 80 years. While I ultimately got a lot of good information to help me replace the low quality frames, solenoids, and clappers of the old system with high quality industrial ones, what I really got was an education on how we as Americans see ourselves through our entertainment.