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Risk Prediction in Pediatric Cancer Patients With Fever
and Neutropenia
Hana Hakim, MD,* Patricia M. Flynn, MD,*†‡ Deo Kumar Srivastava, PhD,§ Katherine M. Knapp, MD,*†
Chenghong Li, PhD,§ James Okuma, MS,§ and Aditya H. Gaur, MD*
Background: To identify predictors for 2 risk measures—"proven inva-
sive bacterial infection or culture-negative sepsis (IBD)" and "clinical
complications (CC)"—in pediatric cancer patients with fever and neutro-
penia (FN).
Methods: Records of 390 patients with FN hospitalized over 2 years were
reviewed. For the 332 who met inclusion criteria, one FN episode was
randomly selected. Independent predictors at presentation were analyzed
using multiple regression models. Optimal cut-off risk prediction scores
were determined. These models were validated by bootstrap analysis.
Results: Patients' median age was 6.0 years; 66% had an underlying
diagnosis of leukemia. Independent predictors of IBD (n ? 56) were
absolute neutrophil count ?100, temperature at presentation ?39.0°C,
"sick" clinical appearance, and underlying diagnosis of acute myeloid
leukemia. A total weighted score ?24 reliably identified patients at low
risk for IBD. Independent predictors of CC (n ? 47) were relapse of
malignancy, non-white race, "sick" clinical appearance, and underlying
diagnosis of acute myeloid leukemia. A total weighted score ?19 predicted
patients at low risk for CC. Of those misclassified as low risk, 11 of 12 with
IBD and 3 of 9 with CC had the outcome within 24 hours of presentation.
Of the remaining patients classified as low-risk for IBD and CC, 99.5% and
97.1%, respectively, remained outcome-free after 24 hours of observation.
Conclusions: This study identifies predictors of infection/complications in
pediatric patients with FN, establishes clinical cut-off scores and highlights
the importance of the initial clinical impression and 24 hours of observa-
tion. These prediction models warrant prospective validation.
Key Words: fever, neutropenia, children, cancer, risk, prediction
(Pediatr Infect Dis J 2010;29: 53–59)
ment with intravenous (IV) broad-spectrum antibiotics in an inpa-
ever and neutropenia (FN) is a common complication in pa-
tients undergoing chemotherapy to treat cancer. Empiric treat-
tient setting is the mainstay of therapy for FN in pediatric
patients.1–3However, this patient population is heterogeneous, and
not all pediatric patients with FN are at the same risk for compli-
cations and bacterial infections. Models of risk prediction for
FN-related morbidity and mortality and risk-based stratification
of care including outpatient and oral antibiotics have been
suggested4–21and are being increasingly used for adults. Risk
prediction can result in tremendous cost saving, better resource
utilization, and improved quality of care.22
The key factor in risk prediction is to consistently and
reliably identify patients "at risk." Of the several risk prediction
models proposed,23–35few apply to pediatric patients. While many
previous studies focused on derivation datasets using retrospective
study designs, the 2 conducted prospectively,26–28found different
predictor variables, did not establish weighted risk prediction
scores and, unlike the approach now commonly used in adult
patients,23,24had limited focus on clinical complications (CC) as
an outcome measure. Clinical complications evaluated in previous
models did not include adverse events occurring without associ-
ated hemodynamic instability or sepsis syndrome, such as respi-
ratory failure and altered mental status. With the above summa-
rized limitations and needs, as the first step of a planned 3-part
evaluation, we designed a retrospective study to examine candidate
predictor variables for 2 measures of risk for FN: proven invasive
bacterial infection or culture-negative sepsis (IBD) and clinical
complications (CC). The next steps of our planned study will be to
use this information to build prediction models that could be
further optimized and validated prospectively, and as a final step,
to evaluate risk-stratified FN management in a randomized clinical
Study Population and Design
We retrospectively reviewed the records of 390 pediatric
(?22 years) patients with cancer who developed FN in an outpa-
tient setting and were hospitalized for further management at St.
Jude Children's Research Hospital (St. Jude), Memphis, TN from
January 1, 2004 to December 31, 2005. Data for patients who had
already received a stem cell transplant or developed FN during
hospitalization for other reasons were excluded from analysis. We
developed a list of candidate variables (Table, Supplemental Dig-
ital Content 1, http://links.lww.com/INF/A314) on the basis of
variables identified by previous risk-prediction studies23,24,26–29
and by this retrospective medical record review. These included:
demographics; underlying cancer; relapse; granulocyte-colony
stimulating factor (G-CSF) use; steroid use within the past 14
days; duration of neutropenia; presence of indwelling central
venous catheter (CVC); time since last chemotherapy; antifungal
therapy for probable or proven fungal infection within the past 6
months; colonization by methicillin-resistant Staphylococcus au-
reus (MRSA), vancomycin-resistant Enterococcus (VRE), or
Pseudomonas aeruginosa within the past 4 weeks; prophylactic or
treatment antibiotics; vital signs; and laboratory tests. Blood cul-
Accepted for publication October 1, 2009.
From the *Department of Infectious Diseases, St. Jude Children's Research
Hospital, Memphis, TN; Departments of †Pediatrics and ‡Preventive Med-
icine, University of Tennessee Health Science Center, Memphis, TN; and
§Department of Biostatistics, St. Jude Children's Research Hospital, Mem-
phis, TN.
Supported by a National Institutes of Health grant (CA21765) and the American
Lebanese Syrian Associated Charities (ALSAC).
Presented as a poster at the 45th Annual Meeting of Infectious Diseases Society
of America (IDSA), San Diego, CA, October 2007. Another part was presented
as a poster at the 48th Annual Interscience Conference on Antimicrobial Agents
and Chemotherapy (ICAAC)/45th Annual Infectious Diseases Society of
America (IDSA) Meeting, Washington, DC, October 2008.
The authors report no conflicts of interest.
Address for correspondence: Hana Hakim, MD, Department of Infectious Diseases,
Mail Stop 600, St. Jude Children's Research Hospital, 262 Danny Thomas
Place, Memphis, TN 38105-3678. E-mail: email@example.com.
Supplemental digital content is available for this article. Direct URL citations
appear in the printed text and are provided in the HTML and PDF versions
of this article on the journal's Web site (www.pidj.com).
Copyright © 2009 by Lippincott Williams & Wilkins
DOI: 10.1097/INF.0b013e3181c3f6f0
The Pediatric Infectious Disease Journal • Volume 29, Number 1, January 2010
www.pidj.com | 53
Page 2
tures were collected at admission in continuously-read BACTEC
bottles (BD Diagnostics, Sparks, MD), and routinely included both
AEROBIC/F bottles to detect aerobic organisms and MYCO/F
Lytic bottles to detect fungi and mycobacteria. Data on comor-
bidities at the time of presentation were also analyzed. These
included abdominal pain, altered mental status, blood loss requir-
ing transfusion, clinical appearance, signs of viral infection, dehy-
dration requiring IV fluids, mucositis, rectal pain, respiratory
distress, vomiting, and suspected focus of infection. Definitions for
the 2 study outcomes, (1) proven invasive bacterial infection or
culture-negative sepsis and (2) clinical complications occurring
after presentation until fever resolution for 5 consecutive days,
were established a priori. This study was approved by the St. Jude
Institutional Review Board.
Children with FN were managed as inpatients as per insti-
tutional guidelines, which are consistent with the recommenda-
tions of the Infectious Diseases Society of America.3Cefepime
1500 mg/m2/dose IV every 8 hours was empirically started at
presentation. Vancomycin 400 mg/m2/dose IV every 8 hours was
added for any of the following: obvious CVC or soft tissue
infection, history of recent cytarabine treatment, quinolone pro-
phylaxis or therapy at the time of fever, known colonization with
MRSA, evidence of sepsis, suspected central nervous system shunt
infection, and known or suspected infection with Bacillus cereus.
Empiric antifungal therapy was added if the patient remained
febrile on day 5 of antibiotics and if neutropenia was expected to
last longer than 5 to 7 days. After fever resolution for ?24 hours,
patients were discharged on oral cefpodoxime or IV cefepime if
blood cultures remained sterile and there was no evidence of
pneumonia, suspected bacterial infection, or sepsis during the
episode, and no vomiting, stomatitis, or diarrhea at discharge.
Antibiotics were continued until fever resolved for at least 24
hours and there was recovery from neutropenia; if neutropenia
persisted, antibiotics were continued for at least 5 afebrile days and
there was no evidence of documented infection or signs and
symptoms of sepsis. The chemotherapeutic protocol for children
with acute myeloid leukemia (AML) required administration of
voriconazole for antifungal prophylaxis.
Fever was defined as an oral temperature of ?38.3°C or of
?38.0°C persisting for ?1 hour. Neutropenia was defined as an
absolute neutrophil count of ?500 cells/mm3. Hypotension was
defined as a systolic blood pressure less than fifth percentile for
age and sex, or need for vasopressor support. Respiratory failure
was defined as an arterial oxygen pressure of ?60 mm Hg on room
air or the need for mechanical ventilation or oxygen in a patient
with no known supplemental oxygen requirement at baseline.
Clinical appearance was classified as either well, sick, or toxic.28
A patient was classified as "well" if the admitting physician made
no specific comment about the patient's general appearance at the
time of admission, or documented that the patient looked well, in
no distress, or playful. A patient was classified as sick if he/she
was noted to be irritable or looking ill, and classified as toxic if not
breathing or noted to appear toxic, lethargic, or obtunded. Bacte-
remia was defined as a blood culture growing an organism deter-
mined not to be a contaminant. An organism was considered a
contaminant if it was isolated from only one culture receptacle and
was a member of the skin flora (diphtheroids except Corynebac-
terium jeikeium, Bacillus spp. except B. cereus, Propionibacterium
spp., coagulase-negative staphylococcus or Micrococcus spp.).
Proven invasive bacterial infection was defined as isolation of a
pathogen from a sterile body site or as proven by histology.
Culture-negative sepsis was defined, in the absence of a positive
culture, as a systemic response to a possible infection because of
hemodynamic instability; focal or multiple organ involvement; or
altered mental status or lethargy. CC from presentation until fever
resolution for 5 consecutive days included altered mental status,
arrhythmia or new electrocardiographic changes, bleeding requir-
ing transfusion, congestive heart failure, disseminated intravascu-
lar coagulation (DIC), hypotension, admission to the intensive care
unit (ICU), respiratory failure, renal failure, and other complica-
tions that the investigator judged as clinically significant.
Statistical Analysis
Only one episode per patient was randomly selected using a
computer algorithm to avoid bias, given the possibility that mul-
tiple episodes in the same patient may not necessarily be indepen-
dent. Frequency tables for categorical variables and descriptive
parameters (median and range) for continuous variables were
calculated for the predictor variables assessed at the time of
presentation. For each outcome variable, univariate and multiple
logistic regressions were used to determine the association be-
tween the variables and outcome. The multiple logistic regression
model was fit to the data by using a stepwise selection method.
Episodes that had the outcomes present at the time of presentation
were excluded from the model building. A P value of less than 0.1
was used as the criterion for entry of the covariate into the model
and a P value of less than 0.05 as that for staying in the model. The
Hosmer-Lemeshow test was used to evaluate the model's good-
ness-of-fit to the data. A P value of less than 0.05 was considered
significant. All P values were 2-sided. The final multiple regres-
sion model was used to develop a scoring prediction rule by
summation of weights assigned to each variable by multiplying the
?-regression coefficients by 10 and rounding to the nearest integer.
Receiver operating characteristic (ROC) curves were used to
determine the optimal cut-off score. Optimal cut-off points were
determined by 3 methods36: (1) minimizing the absolute difference
between sensitivity and specificity; (2) minimizing the distance to
the point (0, 1), and; (3) maximizing the Youden index, J, the
vertical distance to the chance line. Values equal to or greater than
the cut-off point identified high-risk patients. Misclassification rate
associated with the original predictive model was calculated by
applying the ROC cut-off point to the original data that were used
to develop the model. Predicted low-risk patients were re-evalu-
ated within 24 hours of presentation for occurrence of the outcome.
The predictive model was validated using the bootstrap ap-
proach described by Efron and Chong.37Within each bootstrap
replication, a bootstrap sample was generated by drawing randomly
with replacement from the original data and fitting a predictive
logistic model as well as obtaining the ROC cut-off point using the
same steps described above. The model was validated by applying the
cut-off point to the episodes that were not selected in the bootstrap
sample and calculating the misclassification rate. A total of 500
bootstrap replications were performed; the average misclassification
rate and frequency distribution of each candidate variable selected in
500 predictive models were obtained. SAS version 9.1.3 (SAS insti-
tute, Cary, NC) was used.
Overall Description of the FN Episodes
A list of 885 FN episodes was obtained from the Medical
Records Department. One episode was randomly selected per patient.
Of the 390 medical records reviewed, 58 were excluded because of
absence of: fever (23), neutropenia (23), both (9), or FN development
Hakim et al
The Pediatric Infectious Disease Journal • Volume 29, Number 1, January 2010
© 2009 Lippincott Williams & Wilkins
54 | www.pidj.com
Page 3
while inpatient (3). A total of 332 FN episodes were analyzed. The
median number of FN episodes per patient is 2 (range: 1–12). Table,
Supplemental Digital Content 1, http://links.lww.com/INF/A314,
shows patients' baseline characteristics at the time of presentation.
and culture-negative sepsis (13). Forty-seven patients developed CC:
hypotension (21), respiratory failure (14), altered mental status or
seizure (6), congestive heart failure (1), DIC (1), arrhythmia (1),
paraplegia (1), deep venous thrombosis (1), and persistent hypogly-
cemia (1). Twenty-five patients developed both IBD and CC.
Prediction Rule for the Outcome "Proven Invasive
Bacterial Infection or Culture-Negative Sepsis (IBD)"
Table 1 shows the predictor variables at the time patients
presented with FN that were analyzed. Using multiple regression
analysis, independent predictors in the final model for IBD in-
cluded an underlying diagnosis of AML (OR: 7.46; 95% CI:
2.76–20.14), "sick" clinical appearance (OR: 4.23; 95% CI: 2.10–
8.53), temperature of ?39.0°C at presentation (OR: 2.91; 95% CI:
1.30–6.49), and an absolute neutrophil count ?100 (OR: 2.68;
95% CI: 1.25–5.76). Weighted scores were assigned (Table, Sup-
plemental Digital Content 2, http://links.lww.com/INF/A315) and the
ROC curve was plotted (Fig. 1A). A total weighted score of ?24
points identified patients at low risk for IBD, with a high negative
predictive value (NPV) but a low positive predictive value (PPV)
(75% sensitivity, 77% specificity; 95% NPV, 36% PPV). The 3
statistical methods agreed on the optimal cut-off score of 24 points.
Prediction Rule for the Outcome "Clinical
Complications (CC)"
Table 1 summarizes the results for the outcome CC. Inde-
pendent predictors of CC included "sick" clinical appearance (OR:
7.41; 95% CI: 3.50–15.72), relapse of malignancy (OR: 3.14; 95%
CI: 1.36–7.25), nonwhite race (OR: 2.21; 95% CI: 1.00–4.90),
and an underlying diagnosis of AML (OR: 3.15; 95% CI: 1.10–
9.04). Weighted scores were assigned (Table, Supplemental Dig-
ital Content 2, http://links.lww.com/INF/A315) and the ROC
curve was plotted (Fig. 1B). A total weighted score of ?19 points
predicted patients at low risk for CC (78% sensitivity, 73%
specificity; 29% PPV, 96% NPV).
Bootstrap Validation for the Outcome "Proven
Invasive Bacterial Infection or Culture-Negative
Sepsis (IBD)"
The 4 IBD predictors in the proposed predictive model were
most frequently identified in 500 bootstrap replications, suggesting
the proposed model was appropriate. The misclassification rate of
the original model was 0.23, which is smaller than the average
misclassification rate from the bootstrap replications (0.31). This
agrees with Efron and Chong37who showed that error rate ob-
tained from the original model-building sample is an underesti-
mate of the true error rate.
Bootstrap Validation for the Outcome "Clinical
Complications (CC)"
The 4 predictors in the proposed predicting model for CC
were most frequently selected in 500 bootstrap replications. The
average misclassification rate from the bootstrap replications
(0.28) was similar to that of the original predicting model (0.26).
Inpatient Observation of the Low-Risk Group for
24 Hours
The "serious error" or false-negative misclassification rate
in the predicted low-risk group for IBD was 3.7%. Within the first
24 hours of presentation (Fig., Supplemental Digital Content 3,
http://links.lww.com/INF/A316), 91% of the IBD and 56% of the
CC occurred. Re-evaluating low-risk patients 24 hours after pre-
sentation for IBD occurrence decreased the serious misclassifica-
tion error to 0.3% (Fig. 2A). The one patient who developed IBD
and was misclassified by the suggested prediction scheme did
clinically well. This patient was a 7-year-old with T-cell lym-
phoma, febrile for ?1 day, and hospitalized for 2 days, whose
admission blood culture yielded Capnocytophaga sputigena after
143.7 hours of incubation.
Similarly, the "serious error" or false-negative misclassifi-
cation rate in the predicted low-risk group for CC was 2.7%. By
re-evaluating low-risk patients 24 hours after presentation for CC
occurrence, the serious misclassification error decreased to 1.8%
(Fig. 2B). The 6 patients who were misclassified by the sequential
prediction rule at presentation followed by a 24-hour observation
had an average age of 9.6 years (range: 0.8–18.0 years). Their
complications were respiratory distress (4), seizure (1), and altered
mental status (1). The median time to complications was 86.5
hours after presentation (range: 68.5–130.7 hours). The diagnoses
of their FN episodes were Clostridium difficile colitis (1), pneu-
monia (2), rotavirus gastroenteritis (1), Streptococcus mitis bacte-
remia detected within 11 hours of presentation (1) and no identi-
fied focus (1). No deaths occurred.
This study identifies predictors of 2 measures of "risk" in
pediatric and adolescent cancer patients with FN–invasive bacterial
disease and clinical complications. The 2 outcome measures have
some overlap but are complementary and not necessarily redundant
when making treatment decisions for patients with FN. The risk of
clinical complications influences the decision of whether the patient
should receive care inpatient or outpatient, whereas the risk of IBD
determines the route of antibiotic: intravenous or oral.
Our study highlights the importance of having an initial
period of inpatient observation, which minimizes the chance of a
high-risk FN patient being inadvertently categorized as low-risk at
admission and subsequently managed less aggressively using an
outpatient approach. Risk assessment at admission combined with
24-hour observation shows a high negative predictive value.
Despite the considerable progress made over the last decade
in developing prediction rules for infections or clinical complica-
tions in patients with FN, there remain many limitations to the
universal use of these rules, including lack of direct applicability of
adult models to children, lack of multinational prospective valida-
tion of pediatric models, lack of pediatric prediction models with
weighted scores for ease of use in clinical practice, and fundamen-
tal differences in definitions of "low-risk" and prediction end
points such as bacterial infections, clinical complications or lack of
response to therapy.22To date, our model is the only one that
evaluates clinical complications not occurring in association with
sepsis syndrome, such as altered mental status or respiratory
failure caused by a viral etiology. The presence of hemodynamic
instability or sepsis syndrome is an integral part of the model
developed by Santolaya et al.26
Table, Supplemental
http://links.lww.com/INF/A317, compares the performance of
various prediction models with that of our model. Our study
addresses some of the above-mentioned limitations. Ours is the
first study to examine the ability to predict the risk of invasive
bacterial disease and clinical complications in pediatric and ado-
lescent patients with FN, and provides an easily usable scoring tool
for clinicians. Ours is also the only model that takes into account
the value of including clinical appearance in risk prediction. The
importance of "clinical impression," which all clinicians consider in
The Pediatric Infectious Disease Journal • Volume 29, Number 1, January 2010 Infection and Cancer
© 2009 Lippincott Williams & Wilkins
www.pidj.com | 55
Page 4
medical decision-making but find difficult to define, is a key finding
of this study and perhaps underemphasized in previous studies in the
FN literature.18,34
Consistent with 2 previous reports, nonwhite race (primarily
African-American) was an independent predictor of CC in our
study.38,39A longitudinal epidemiologic study that evaluated sep-
sis-related disparities in risk and outcome in a nationally repre-
sentative sample of hospitalizations in 8.9 million patients with
cancer in the United States has shown that white cancer patients
had lower risk for sepsis than nonwhites.38
Risk Predictors for "Proven Invasive Bacterial Infection or Culture-Negative Sepsis" and "Clinical
Variables (n)
Univariate AnalysisMultiple Logistic Regression*
? Regression
Proven invasive bacterial infection or
culture-negative sepsis†(n ?
Cancer diagnosis (332)
ALL/lymphoma (50%)
Solid tumor (34%)
Receiving G-CSF (332)
Yes (29%)
No (71%)
Tmaxat presentation (332)
?100 (56%)
?100 (44%)
Plts (330)
?50,000 (44%)
?50,000 (56%)
Clinical appearance (331)
Sick/toxic (25%)
Well (75%)
Prior relapse (332)
Yes (18%)
No (82%)
Anticipated neutropenia
?7 d? (319)
Yes (51%)
No (49%)
Clinical complications‡(n ? 324)
Antifungal therapy within the
past 6 mo? (313)
Yes (8%)
No (92%)
Race (332)
Nonwhite (25%)
White (75%)
Duration from neutropenia to
fever onset (304)
?7 d (23%)
?7 d (77%)
Clinical appearance (331)
Sick/toxic (25%)
Well (75%)
Prior relapse (332)
Yes (18%)
No (82%)
At least one comorbidity at
presentation (332)
Yes (50%)
No (50%)
Cancer diagnosis (332)
ALL/lymphoma (50%)
Solid tumor (34%)
1.00–4.201.0675 2.91
1.41–5.650.9864 2.68
2.02–7.281.4423 4.23
1.00–4.90 0.0495
3.18–12.85 2.0032 7.41
1.39–5.92 1.14573.14
*The multiple logistic regression model was built by using stepwise selection method and included only the observations having complete data.
†The Hosmer-Lemeshow goodness-of-fit test for "proven invasive bacterial infection or culture-negative sepsis" did not indicate lack of fit (P ? 0.14).
‡The Hosmer-Lemeshow goodness-of-fit test for "clinical complications" model did not indicate lack of fit (P ? 0.47).
AML indicates acute myelogenous leukemia; ALL, acute lymphoblastic leukemia; G-CSF, granulocyte colony-stimulating factor; ANC, absolute neutrophil count; AMC,
absolute monocyte count; Plts, platelets.
Hakim et al
The Pediatric Infectious Disease Journal • Volume 29, Number 1, January 2010
© 2009 Lippincott Williams & Wilkins
56 | www.pidj.com
Page 5
While our study has limitations that we recognized a priori
and made attempts to minimize, the consistency of study results
with 500 random bootstrap sample runs suggests robust findings.
The retrospective study design introduces limitations because of
the inability to capture clinical information in a standardized,
consistent fashion. This limitation is especially pertinent to an
important variable, "clinical appearance," which came out as a
strong predictor in both risk prediction models. Although we used
a priori definitions while abstracting information on this variable,
it will be imperative to examine it in a prospective study wherein
the definition is available as a guide to the examining clinician.
Overall, to minimize the limitations related to the retrospective
nature of this study, we used a priori definitions, a standardized
data abstraction form, and only 2 chart abstractors. Second, the
exclusion of inflammatory markers in the model because they were
not routinely assessed in patients with FN has both advantages and
disadvantages. While CRP is inexpensive and accessible, other
promising inflammatory markers such as procalcitonin and IL6
remain expensive and not routinely used in patient care.40–44Our
current risk prediction model remains relevant to clinical settings
where access to inflammatory markers is not easy and routine. That
said, the consideration of inflammatory markers in further optimi-
zation of risk prediction is clear and is one of the objectives of our
ongoing prospective validation study.
In summary, the field of risk-stratified management of
patients with FN has advanced and transitioned from research to
practice much more for adult than for pediatric and adolescent
patients. What is lacking is the systematic development of an
easy-to-use risk prediction tool. Our study contributes to the
existing data by providing a simple scoring tool for use by
FIGURE 1. Receiver operating characteristic (ROC) curve for the outcome (A) "proven invasive bacterial infection or cul-
ture-negative sepsis," using the scoring method, AUC (95% CI) ? 0.776 (0.700–0.852) and (B) for the outcome "clinical
complications," using the scoring method, AUC (95% CI) ? 0.803 (0.730–0.876).
The Pediatric Infectious Disease Journal • Volume 29, Number 1, January 2010Infection and Cancer
© 2009 Lippincott Williams & Wilkins
www.pidj.com | 57


text:
Eagles, shmeagles. Gordon Lightfoot showed why he is one of the best songwriters around in a show at the Louisville Palace Theater.
Ahead of his show at the Louisville Palace on October 16, legendary folk-rocker Gordon Lightfoot talks about songwriting and his career in music. He still loves performing and checking out up-and-coming talent in his native Canada.

subset: commoncrawl


text:
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Thanks for helping!
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CALGARY, Alberta (AP) - Lee Stempniak scored a power-play goal and added two assists to lead the Calgary Flames to their first win of the season, 4-3 over the Edmonton Oilers on Saturday night.
The Flames got off to a bad start to the season with back-to-back home losses last weekend before picking up a point in a shootout loss in Vancouver on Wednesday.
Sam Gagner, Justin Schultz and Jordan Eberle scored for Edmonton, which was outshot 35-20.
Stempniak's power-play goal at 14:57 of the second period, restoring a two-goal cushion for the Flames at 4-2, was set up on a beautiful effort by Bouwmeester. The Flames defenseman pinched in from the blue-line, made a slick move to fool Ladislav Smid, then zipped a hard pass across the top of the crease that was neatly deflected in by Stempniak.
That goal would turn out to be the winning goal as the Oilers, with goaltender Devan Dubnyk pulled for an extra skater, got a goal from Gagner with 2 seconds left.
Despite having won two of its first three games, the Oilers entered the night not having led yet in a game and that trend continued as goals by Backlund and Bouwmeester gave Calgary a 2-0 first-period lead.
Backlund's goal at 5:16 came when he banged a loose puck under Dubnyk from the top of the crease after Mike Cammalleri got it there by neatly weaving his way through the slot.
Bouwmeester made it 2-0 at 14:25, ripping a wrist shot past Dubnyk from the blue line with Jarome Iginla providing a screen.
The Oilers cut the gap to one after taking just 5 seconds to convert a power play in the final minute of the first period.
With Glencross off for goaltender interference, Edmonton won the faceoff back to the blue line where Eberle slid the puck across to Schultz and the impressive Oilers rookie wristed a shot past Miikka Kiprusoff at 19:19.
Calgary restored its two-goal lead four minutes into the second period when Iginla's centering pass was tapped in by Glencross who was wide open on the far side of the net.
Eberle got the Oilers back to within one again with Edmonton's second power-play goal of the night. Breaking off the sideboards, Eberle looked off Bouwmeester, then neatly dodged the stick check of Stajan before wiring a shot into the top corner.
NOTES: Calgary has won 10 of the last 12 games between the two teams. ... Since Taylor Hall was born 21 years ago, Calgary and Edmonton have made the playoffs in the same season only once - in 2005-06. ... With the debut of Hudler and Cervenka, the Flames had two Czechs in their lineup for the first time since Jan. 29, 2003, when they had Petr Buzek and Roman Turek. ... The teams don't meet again until April 1. They'll meet three times in the season's final month. ... After this four-day layoff, Calgary's has no more than two days off between games the rest of the season.
Copyright 2015The Associated PressAll Rights Reserved


text: I would love to give this restaurant a "full house" but the waiters where much to fast and seemed to rush the courses through and trying to get a double seating or something. But... the service was great. The restaurant is very well situated 10 minutes walk from the mosque. Starters: goatcheese... read more


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5 bedroom character property for sale Hollingworth Lane, Walsden, TodmordenSet on approximately 7 acres of land, is this Grade II listed building, offering an abundance of period features and the most exquisite and unrivalled 360 degree views across the moorland and countryside. More details ›
5 bedroom detached house for sale Hollingworth Lane, Todmorden, OL14*** A magnificent Grade II Listed farmhouse with barn, outdoor pool and attached holiday cottage set within approximately 7 acres of land *** Located high above the valley and enjoying spectacular panoramic views, this outstanding traditional farmhouse combines the benefits of as truly rural sett... More details ›
5 bedroom detached house for sale Allescholes Road, Todmorden, OL14A superb FIVE BEDROOMED detached farmhouse set in gardens of approximately an acre with a further ten acres of grazing land. A stunning rural location, and yet with excellent easy access, the property has been considerably and sympathetically extended and improved to provide a spacious family hom... More details ›
5 bedroom detached house for sale BOTTOMLEY ROAD, Todmorden, OL14Waterstalls Farm is a stone built detached farmhouse situated at the end of a private lane and sits in a hillside setting enjoying unrivalled views across the valley and beyond. The property is surrounded by approx 6 acres of garden and grazing land including three historic mill ponds. More details ›
6 bedroom detached house for sale Deanroyd Road, Todmorden, Lancashire, OL146 bedroom detached farmhouse, set on the Pennine bridleway positioned within approximately 32 acres of land. Boasting a detached barn with full power and lighting. More details ›
£550,000 Offers in Excess of
Offers in Excess of £550,000
6 bedroom detached house for sale Deanroyd Road, Todmorden OL14** ATTRACTIVELY PRICED PROPERTY from a MOTIVATED Seller ** This Property is COMING AVAILABLE SOON and is being offered at a discount below the market appraisal. Please contact our office on 0800 033 7543 or 01903 331031 for more information on this property and arranging a viewing, strictly by More details ›
£475,000 Guide Price
Guide Price £475,000
4 bedroom detached house for sale Bacup Road, Todmorden, Lancashire, OL14Superior, individually designed 4 bed detached set in enclosed grounds. Gardens, driveway, ample parking, summerhouse. Detached SWIM/SPA POOL supported by a Hydro Turbine. Excellent condition. Viewing highly recommended. More details ›
Added on 31/07/2015 by Ryburne & Co, Hebden Bridge. Call: 01422 757050 Local call rate
6 bedroom detached house for sale Ramsden Wood Road, Todmorden. OL14 7UD UNIQUE EXECUTIVE DETACHED RESIDENCE BEAUTIFULLY PRESENTED THROUGHOUT SITUATED IN THIS SEMI- RURAL LOCATION, CLOSE TO OPEN COUNTRYSIDE CONVENIENT FOR TRANS-PENNINE RAIL LINKS TO MANCHESTER & LEEDS CITY CENTRES EXCELLENT FAMILY ACCOMODATION OVER 3 LEVELS TOTAL FLOOR AREA 2863 SQ FEET ... More details ›
£450,000 Guide Price
Guide Price £450,000
5 bedroom detached house for sale Birks Lane, Todmorden, Lancashire, OL14Elegant and impressive, double fronted, Victorian, former Vicarage with large windows, spacious rooms and many original features. Ample parking facilities. Paved patio and well landscaped front and side gardens. More details ›
Added on 04/08/2015 by Ryburne & Co, Hebden Bridge. Call: 01422 757050 Local call rate
£395,000 Guide Price
Guide Price £395,000
4 bedroom farm house for sale Mellor Barn,Peel Cottage Road,Walsden,Todmorden,OL14 7QJRustic detached farmhouse with 2 storey BARN and approx. 3 acres LAND. Huge potential for further conversion or business projects. More details ›
Added on 07/10/2009 by Ryburne & Co, Hebden Bridge. Call: 01422 757050 Local call rate
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Cultural Display, Activity, Food, Merchandise & Special Interest Booths
Booths are hosted by professional vendors, community organizations, businesses and individuals. In addition, festival organizers run several booths most of which are located near the fountain, they include: merchandise, information, children's activities and passports.
All booths are welcome to bring stamps, stickers etc to put in festival goers' Travel Guides. Templates for flagstamps of some countries are available here.
WKU ISO members - Fill in the application below that applies to what you want to do. At the end of the application check the box to request that ISO pay your fees. All requirements in the application apply. Boothspaces will be assigned throughout the park as described in the application.
Solicitations or circulation of business, religious or political materials,
information or surveys is only permitted at registered booths.
If you will serve food and your menu includes authentic foreign foods click here (general food booths see special interest booth below). No deadline.
* Food booths must also register with the Health Dept and follow Health Department regulations (Deadline Sept. 18 Contact: Susan Davis 781-2490 Ext 254, email@example.com).
Bowling Green International Festival
P.O. Box 50996, Bowling Green, KY 42102-4296 • 270-779-3830
Design by Kim Mason


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Obviously, Israel can not imitate any of its neighbors' democratic models, because it has no democratic neighbors. The nearest democratic state is Turkey. Israel is plotting a new course through uncharted areas in multiculturalism. As for the definition of subversion, that, like 'incitement' has always depended on the definitions of the current government. That is why Meir Kahane was kicked out of the Knesset for 'incitement' while Ahmed Tibi remains in the Knesset despite his own, just as bad or worse, incitement. That is how Arab MKs could go to Syria despite there being a law on the books prohibiting that. Israel must adopt an objective standard of 'treason' or 'subversion,' and 'incitement,' and make them just as illegal for both Israel's Arabs and Jews. And it must follow up with legal steps to stop such activities by anyone, and it must be consistent.
10 arrested at Israeli Arab protest in Ramle (Haaretz)
from the article: PMO to Balad: We will thwart anti-Israel activity even if legal


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Irene Isabelle Flowers, 84, of Borger, died Tuesday, May 1, 2012 in Clinton, Oklahoma.
Graveside services will be 2:00 p.m. Tuesday, May 8, 2012, in Erick, Okla., at the Erick Cemetery with Jake Minton of Borger officiating. Services are under the direction of Minton Chatwell Funeral Directors of Borger.
Early voting in local elections will conclude this Tuesday, so local citizens need to get out and vote!
Voting for the Borger City Council race will take place from 8 a.m. to 8 p.m. Monday, May 7, and Tuesday, May 8, at City Hall in Borger.
Candidates for Borger City Council are William Adams and Brandy Callahan.
William "Willy" Adams is seeking election to Borger City Council, Place One.
Adams was born in Marion, Miss., and has been a resident of Texas for the past 62 years, with the exception of seven years in which he lived in Oklahoma and New Mexico.
His parents moved to West Texas when he was quite young and settled in Slaton, a small farming community southeast of Lubbock some 15 miles. It was there that Adams graduated from high school in 1957 and met and married his wife of 54 years, Pauline.
Richie Alan Eakins, 40, joined the angels in Heaven on Wednesday, May 2, 2012.
Funeral services will be at 11 a.m. Monday, May 7, 2012 at Eternal Light Church with Pastor Willy Adams officiating. Interment will follow in the "Garden Of Hope" at Westlawn Memorial Park under the direction of Minton Chatwell Funeral Directors of Borger.
Richie always saw the beauty in people just as God sees the beauty in all of us. He went to Borger High School and worked at Spradling Drilling Company for many years until he became ill.
Olen Holliman, 80, of Amarillo, died Wednesday, May 2, 2012, in Amarillo.
Memorial Services will be at 10:00 AM Saturday at Lighthouse Baptist Church, 5631 Pavillard Dr. with Rev. Danny Lucas, pastor, and Gerald Owens, assoc. pastor, officiating. Cremation and arrangements are by Rector Funeral Home Osage Chapel, 2800 S. Osage St.
Mr. Holliman was born in Roff, OK. He moved to Borger in 1949. He enlisted in the Navy in 1953. He was honorably discharged in 1956 as a Seaman after injuries he received during his service. He returned to Borger after being discharged from the Navy.
Community Wide Kids' Day, or El DĂa de los Niños, is the latest gift from the Latino community to mainstream US culture.
DĂa de los Niños (Children's Day) is celebrated in many countries throughout Latin America and the world. The United States has holidays for mothers, fathers, grandparents, teachers and a host of other adults, but no day set aside for the appreciation of children.
The church Iglesia Bautista Hispana is planning a Borger National Kids' Day event for Saturday, May 5, 2012, from 10 a.m. 3 p.m. at Huber Park. There will be games, prizes, piñatas, air rides and food.
The City of Fritch is doing its part to safeguard its citizens against wildfires.
City officials signed a County Wildfire Protection Plan during a special ceremony Thursday.
According to Joe Kozlowski, Wildland Urban Interface Specialist for the Texas Forest Service, the CWPP enables a community to plan how it will cut the risk of wildfire.
This plan also identifies strategic sites and methods for fuel reduction projects across the landscape and jurisdictional boundaries.
Benefits of having a CWPP include National Fire Plan funding priority for projects identified in a CWPP.
Thursday was truly a day of prayer in Borger.
Various citizens from across the area came out to Huber Park Thursday afternoon for the 61st observance of the National Day of Prayer.
The theme of this year's observance was "One Nation Under God" and the theme verse was Psalm 33:12, "Blessed is the nation whose God is the Lord." The honorary chairman for this year was Christian speaker David Jeremiah.
On Thursday evening, the Levelland Lobos took advantage of seven walks leading to 10 runs in the sixth inning, on their way to defeating the Borger Bulldogs 16-5 in game one of the 3A Bi-District Playoff best-of-three series.
Control issues plagued the Bulldog pitchers all evening as three pitchers combined to give up 12 walks and hit three batters through six innings of work.
Despite control issues and four errors, the Bulldogs were in position to get a late inning win by only trailing by one run, 5-6, after the fifth inning.
West Texas High took on the Lockney Longhorns Thursday night at West Texas A&M in game one of the best two out of three series. Things did not go the way of the Comanches as they committed 5 errors, left eight base runners stranded, and their hitters struck out 11 times, in a 13-2 loss. Carlos Juarez was the losing pitcher for WT. Juarez is WT's go to pitcher but he left the game in the middle of the third inning. Juarez allowed 10 runs, six of them unearned. He struck out three batters. Alex Ramirez pitched one and a half innings. He allowed three runs and struck out two.


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10 Summer Craft Ideas and Garden Crafts for Summer
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DIY Rainbow Paver Hopscotch
By: Heidi from Happiness is Homemade
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You're just a hop, a skip, and a jump away from an adorable DIY backyard idea. A DIY Rainbow Paver Hopscotch is just what you need to create a paved walkway in your backyard this summer. Doubling as a fun outdoor activity for kids, this colorful hopscotch project will be a memorable addition to your yard. Years later, your kids or grandchildren will still reminisce about hopping along the colored stones out back. Not only can kids play hopscotch, but the pavers double as a nice walkway through your yard. Jump into this cool DIY backyard project.
Estimated Cost: $21-$30
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Difficulty Level: Easy
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The Orthofeet Celina is a casual women's mary-jane with adjustable velcro strap.
Orthofeet is the premium brand of specialty footwear biomechanically designed to provide consumers with ultimate mobility, comfort and protection for an improved quality of life.Orthofeet has become a leading designer and manufacturer of footwear for adults with diabetes and others with medical foot conditions or limited mobility, including adults with arthritis.
Orthofeet Celina Black Leather Women's Shoe
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These shoes work great for a variety of foot conditions, including (but not limited to): Heel Pain, Plantar Fasciitis, Ankle Pain, Arch Pain, Flat-Feet/Pronation, Metatarsalgia, Mortons Neuroma, Bunions, Corns, Hammer Toes, Diabetic Feet, Arthritis and Back Pain.
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A Project for Nike that I worked on as a freelance Compositor/Animator at Superfad Seattle.
This is your Nike+ FuelBand. It measures your all-day activity with a simple number called NikeFuel. Working out, working around the house, or working the dance floor. It all counts.
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Overreliance on a small number of suppliers can leave restaurant chains exposed to contamination.
Brands must face social media challenge proactively if they want to strengthen their reputation.
Recent catastrophes have drawn attention to risks faced by the global mining community
As we approach the year countdown to the London Olympics, lloyds.com takes a look at how business can manage the risk of disruption during the Games.
Counterfeiting is on the increase and we are all paying the price, experts say
The death or illness of a much-loved figurehead can have a big impact on an entire organisation
Lloyd's insurer Kiln and broker Lockton have teamed up to offer cyber insurance to small- and medium-sized online retailers. The security and privacy cover is being made available to members of the e-retailers association Interactive Media in Retail Group (IMRG).
In this 21st century 'digital age' businesses are more vulnerable to industrial espionage than ever before.
Governance systems weakened by the financial crisis might not be able to cope with future global risks, the World Economic Forum warns
Take a journey through Lloyd's extraordinary 325 year history. From sea vessels to space ships, body parts to natural catastrophes.
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Child of Light creative director Patrick Plourde has said in an interview that the upcoming downloadable title, published by Ubisoft, will make full use of the Wii U GamePad. While no specifics were given, it is encouraging to see developers eager to take advantage of the GamePad's functionality.
When announced, Child of Light dazzled with its visuals, which are powered by the UbiArt Framework. It also showcased how it blended together two seemingly disparate genres: the platformer and the RPG.
Now we that we know there are some Wii U-specific features, we are even more intrigued. Igniculus, the companion character of the game, will likely work in a similar fashion as Murphy did in Rayman Legends.
Do you think there are more areas of GamePad functionality the team could explore? How excited are you for Child of Light? Let us know in the comments section!
[Via NintendoLife]
Continue reading:
- Fans resurrect hidden levels from Super Mario Advance 4
- Symphony of the Goddesses on Colbert's Late Show
- English version of Splatnet goes live
- New Smash patch to fix Diddy Kong bug
TAGS: child of light, gamepad, Rayman Legends, UbiArt, ubisoft


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HN-KET089 Kettler
KETTLER Tiffany 16 Position High Back Chair- WhiteItem # HN-KET089
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KETTLER Tiffany 16 Position High Back Chair- White
Spend warm summer days enjoying the poolside views with the Kettler Tiffany High-Back Chair. This deluxe folding chair is crafted from K2 massive molding resin with a UV-resistant, robotically applied lacquered finish. It offers 16 independently adjustable positions, and a contoured extra-wide back and seat for maximum comfort. This durable chair folds for easy storage.About KettlerThroughout the world, Kettler is a leading brand in leisure furniture, sports and fitness equipment, table tennis tables, bicyc


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365 Puzzle Club
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eBay ; Many older games listed on MobyGames are out of print. Auction sites like eBay are the best place to find them.
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Personal Trainer Pamela Hernandez shares five easy ways to get more veggies in your daily meals.
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Fall color wagon rides powered by 1,700-pound horses: The side hustle
When the fall leaves turn bright and the mosquitoes die, Andy Branham is out with his massive Percheron horses.
John Enger is a reporter for MPR News in Bemidji. Enger is a Minnesota native, born and raised near Aitkin and a graduate of MSU-Moorhead. He spent the past few years reporting for the Schenectady Gazette in upstate New York.
When the fall leaves turn bright and the mosquitoes die, Andy Branham is out with his massive Percheron horses.
The Pesticide Action Network and Toxic Taters Coalition plan to gather outside 11 McDonald's restaurants around Minnesota Tuesday, but their main target is potato grower and McDonald's supplier R.D. Offut.
It's been nearly four months since work at Bemidji's Paul Bunyan Park halted amid local outcry. Crews are now rushing to lay concrete before winter.
The White Earth Band plans to build a third casino in its Shooting Star chain near Dent in northwestern Minnesota.
The July storm that ripped through central Minnesota's Brainerd Lakes area dropped hundreds of trees across the region's snowmobile trails.
More than 400 workers were laid off earlier this year when U.S. Steel idled its Keewatin operation on Minnesota's Iron Range. The company warns another 210 workers will be laid off next month.
A St. Cloud State University study offers a hopeful look at the state's business climate and suggests Minnesota is poised for another six months of growth.
A new pilot program will connect miles of ATV trails by allowing riders to use county roads.
Take a drive north and you'll see $50,000 boats and whole communities built off the walleye fishing industry. It wasn't always that way.
The state's longtime position has been that it's illegal to harvest wild rice without a state license off reservation land.
Dozens of Ojibwe tribal members gathered at Hole-in-the-Day Lake to prompt a court battle by harvesting wild rice without a permit. Now, state officials have granted them a temporary permit.
Thirty-six years ago, Marshall County Sheriff's Deputy Val Johnson was on night patrol when he drove into a ball of white light near Warren, Minn. People are still talking.
Scores of White Earth tribe members spoke against pipeline replacement project at a hearing Tuesday night.
It's one of 11 hearings planned this month across the proposed Line 3 route, and one of the rare hearings held on tribal land.
The shelter is the first in the city that allows people who are chronic alcohol and drug users.
Researchers studying post-traumatic stress disorder are seeing hopeful signs among veterans who recently launched a therapeutic trip down the Mississippi from its Minnesota headwaters.
Amid fears of a resurgence of the deadly virus, United States Secretary of Agriculture Tom Vilsack said a private company may manufacture a vaccine.
MnDOT is warning drivers to watch out for a group of 300 cyclists in a loop of Brainerd, Pine River, Crosby and Little Falls.
The suspect allegedly assaulted a woman with a sword and led authorities on a high-speed chase before running over Deputy David Hart.
Scott Leslie Smith was the first of eight men arrested in a Baxter, Minn., prostitution sting to settle his case.


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Trinity, our greyhound mix, was a natural leader. She would break up cat fights by putting her head between the fighting cats. Whenever there was dissent among our dogs, she would stare them down until they retreated. When our cat was dying and had to sleep in the bathroom the night before she took her final trip to the vet, Trinity slept on the other side of the door. We had no idea what a positive effect she had on the dynamics of our household until she passed away. Now the cats fight right next to one of our dogs' heads and they just lie there looking at them as if to say, "Will you look at that!"
The novel Rose in a Storm is Jon Katz's first fiction in 10 years. Jon Katz usually writes nonfiction books about his farm, Bedlam Farm, an hour outside of Albany, NY, where ironically, his lead farm dog is named Rose. It is a wonderful example of how a little book can be so much more than the reader expects. The book is written from Rose's perspective. Rose is the best farm dog in the county, and her reputation is so good that other farmers have borrowed Rose when they have had problems on their farms. She and Sam, the farmer, share an excellent non-verbal bond as they work the farm on a daily basis. But their life is turned upside down when a catastrophic blizzard envelops the farm and all of the animals that they have are in danger of freezing to death or being attacked by coyotes.
The Shame of the Nation tries to explain the troubles within America's inner-city schools. Jonathan Kozol--a writer, teacher, and activist--explores 60 different schools in order to see firsthand the physical and mental conditions of America's educational system. There, he finds an epidemic in which school systems allow some students to fall behind the curriculum. He looks at how the country went from separate but equal schools to desegregation and back to segregated schools.
If you're in the mood for a harrowing reality check, Neil Postman's Amusing Ourselves to Death is the antidote to your craving. Postman's revelatory book was initially published in the 1980s, but his exploration of America's preoccupation with entertainment is still sharp and pertinent. And it has retained its power to make us re-think the role of technology in our everyday lives.
Throughout Amusing Ourselves to Death, Postman questions how the content of our culture has been radically altered by the emergence of new media. As he states, "our notions of truth and our ideas of intelligence have changed as a result of new media displacing the old." The assertion that cultural practices and technologies constantly influence and respond to one another might seem like a value neutral observation, but as Postman delves deeper into his analysis, it becomes obvious that he views the shift from the Age of Exposition (text-based communication) to the Age of Show Business (image-based communication) as a profoundly problematic and troubling phenomenon.
Most people know David Byrne as a musician, with the Talking Heads and as a solo artist. In his three-decade career, Byrne always managed to incorporate a diverse collection of international influences in his sound. In Bicycle Diaries, he has found an equally engaging role as a worldwide cultural critic. The book is much more than a travelogue though. It is a grand celebration of how people live, observed from the seat of a two-wheeler as it whisks through city streets worldwide. It is made up of meditations on art, politics, architecture, and so much more.
When biking through a city, one is more agile than a car, faster than a pedestrian, and taller than anything that isn't a Hum-Vee or on horseback. You see details that others can not, providing a wholly unique perspective of how this particular city works.
It's 1933 and President Roosevelt is having a devil of a time finding someone to appoint to the post of ambassador to Germany in Erik Larson's In the Garden of Beasts. All of the usual picks politely decline the post, as news of Germany's foreboding political atmosphere drifts to America. Roosevelt eventually settles on William E. Dodd, a historian at the University of Chicago whose primary goal is to finish his multi-volume historical treatise on the antebellum South before he dies. By most accounts, Dodd is an odd pick for ambassador, being neither rich nor well-connected. Most ambassadors entertain lavishly during their appointments, and it is expected that the costs will come from their own coffers. Frugal Dodd immediately made waves by pledging to live solely on his meager income, almost unheard of in cosmopolitan Berlin.
Dodd naively sees the appointment as a respite from the trials of University department chairmanship and a boon of time to work on his project. He, like most Americans, is grossly uninformed about the political machinations happening in Germany, as Hitler, Göring, and Goebbels vie for power and German Jews are increasingly menaced. The entire Dodd family decides to come along to Berlin, ready for a new lark: the professor and his wife, Mattie, their son, William Jr., and their beautiful, flirtatious, 24-year-old daughter, Martha (who happens to also be fleeing the wreckage of a precipitous marriage to a banker).
Years ago when researchers were in heated debates about whether or not animals can think, I could have told them that they do. When I was first married I had an incredible dog named Doctor. One day when I was young and stupid, I had a knock on my door. There was a man standing outside my door whom I didn't recognize, so I locked my screen door to keep my dog in and stepped outside to see what this man wanted. He began to ask me some very bizarre questions about the neighborhood. He kept stepping back to draw me away from my front door. Suddenly I found that I had gone into my front yard to talk to this strange young man. Red flags were going off in my brain at this point. He was about to ask me another odd question when he suddenly stopped and said, "I have to go." He turned around and walked quickly away. I thought, "What a strange man that was!" When I turned around I discovered that Doctor had jumped up, unhooked the screen door, and was sitting behind me with his lips curled back in a silent growl. Evidently, he thought that the man was odd also.
When my husband bought me Alex & Me, by Irene Pepperberg, last year and gently said, "I think that you would like this," I politely thanked him and stubbornly put it on the shelf. A year later I picked it up and now I grudgingly have to admit that he was correct. I do love this book!
This readalike is in response to a patron's book-match request. If you would like personalized reading recommendations, fill out the book-match form and a librarian will email suggested titles to you. Available for adults, teens, and kids. You can browse the book matches here.
The Power of Babel by John McWhorter: There are approximately 6000 languages on earth today, the descendants of the tongue first spoken by homo sapiens some 150,000 years ago. How did they all develop? What happened to the first language? In this irreverent romp through territory too often claimed by stodgy grammarians, McWhorter ranges across linguistic theory, geography, history, and pop culture to tell the fascinating story of how thousands of very different languages have evolved from a single, original source in a natural process similar to biological evolution. While laying out how languages mix and mutate over time, he reminds us of the variety within the species that speaks them, and argues that, contrary to popular perception, language is not immutable and hidebound, but a living, dynamic entity that adapts itself to an ever-changing human environment." (Catalog Summary")
If you like The Power of Babel by John McWhorter, you may also like these selections.
The Beginning of Language: Opposing Viewpoints by Clarice Swisher
Discusses historical, philosophical, and scientific theories about the mysterious origins of human language. (catalog summary)
Empires of the World: A Language History of the World by Nicholas Ostler
Head of the Foundation for Endangered Languages, Ostler draws on his extensive study and research, mostly into now dead languages, to trace the history of the world's major languages. Language is always linked to a particular time and place, he says, but at the same time it is a unbroken link to all people in all times, and has played a larger role in history than any prince or economy. First he considers early languages that became dominant in certain areas or by migration, then more recent ones that have spread throughout the world by colonialism.(catalog summary)
For many of us Memorial Day marks the unofficial start of summer. Pools and amusement parks open to a regular schedule, children bring out their water toys, picnics are planned, and moms start dreading the increased loads of laundry.
Amidst all this excitement, we should always pause and take a few moments to honor the service members who have served and given their lives for this country.
One way to honor these brave men and women is to provide resources that can assist their family members and also all the surviving veterans and military members.
"We have no dinosaur, it says on a hand-lettered sign outside a farm that puts on rattlesnake rodeos."
--Werner Herzog
To find pleasure in Conquest of the Useless, you must have at least a passing familiarity with the filmmaker Werner Herzog. Herzog has been writing and directing films for five decades, but only a few of his movies have broken into the American mainstream. The most well known here are the documentary Grizzly Man and the Vietnam War film Rescue Dawn (starring Christian Bale).
Each of Herzog's works oozes with a mood of effortless intensity, as if he has summoned the stress and obsessions of humanity like moths to a flame. Whether it's Timothy Treadwell (Grizzly Man's protagonist, who lived with and was inevitably eaten by bears) or Nosferatu (from Herzog's 1979 remake), the director is singular in his subjects' driven focus on their goals and desire, no matter how self-destructive they may be.
If there was one thing that people across the country could agree on right now, it would be the ridiculously high cost of today's college education. Most parents assume that student loans are a fact of life, and most students assume that student loan debt is a necessary and even positive thing. If you want to get a good job, it's commonly thought that going to a good college (chosen in part by U.S. News and World Report rankings) and getting a good name on your diploma simply costs money and there's nothing you can do about it.


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FURNITURE: Beautiful Double Cross Back 24' Inch Counter Bar-Stool set (Black Iron backing w/ beautiful design, beige cushion. Set of 4. Asking Price for entire set $125.00.**Photo Available Upon Request** . Please send email to email@example.com you,More info Email a friend
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TICKETS: TWO (2) FOOTBALL GAME TICKETS for INDIANAPOLIS COLTS @ CAROLINA PANTHERS, MONDAY, NOVEMBER 2, 2015 @ 8:30pm at the BANK of AMERICA STADIUM. Monday Night Football, AFC South vs. NFC South, Cam Newton vs. Andrew Luck, Luke Kuechly vs. T.Y. Hilton. Need I ...More info Email a friend
FURNITURE: WOODEN DISPLAY CASE with FIVE GLASS SHELVES. Overall dimension: 23" (depth) x 30" (width) x 40" (height). USED but in EXCELLENT condition. Multiple pics included for accurate assessment. $70 or best offer.More info Email a friend
MUSICAL INSTRUMENTS: Eb ALTO SAXOPHONE by LEGATO. Model: AS-590. Serial: 885456. Ideal for BEGINNER or INTERMEDIATE players. Features HIGH F# KEY, ENGRAVED. BRASS on BRASS. Pads, keys, springs, and corks intact. MINT condition. Includes NEW MOUTHPIECE, LIGATURE, and REED, BLACK...More info Email a friend
BUILDING MATERIALS: ROUTER by SKIL. Model 1840, 1.75 HP, 25,000 RPM, 9.0 AMP MOTOR. Features BUILT-IN WRENCH STORAGE. FULLY FUNCTIONAL, in VERY GOOD condition. BLACK & DECKER DELUXE ROUTER GUIDE and VERMONT AMERICAN BENCH VISE ROUTER PAD (NEW, in distressed package).More info Email a friend
MISC MERCHANDISE: COLOR TELEVISION by PHILLIPS. FLAT SCREEN. Model: 27PT643R37A. Serial: YA1A0325002366. DVD, AV via RCA inputs. Includes REMOTE CONTROL. $40 or best offer. Thanks for visiting this site. cgjjadMore info Email a friend
MISC MERCHANDISE: ELECTRONIC BATTERY CHARGER with 100 AMP ENGINE START by SCHUMACHER. Model SC-10030A. Features FULLY AUTOMATIC, MICROPROCESSOR, BATTERY & ALTERNATOR TESTING. FULLY FUNCTIONAL. In EXCELLENT condition.More info Email a friend
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This was a group of avant-garde poets established in 1975 by Robert "Bob" Snyder and P. J. Laska, faculty members at Antioch College/Appalachian, Beckley, WV, and student members: Gail V. Amburgey, Bob Henry Baber, David Chaffins, and Pauletta Hansel (who named the group) along with selected associates: Joseph Barrett, Mary Joan Coleman, Bonni McKeown, and Jim Webb. These poets were an important part of a grassroots literary movement which networked to promote the region's literature and to voice regional concerns.
FSUNow Stories
Fairmont State University's roots reach back to the formation of public education in the state of West Virginia. In 2015, students, faculty, staff, alumni and the community are celebrating Fairmont State's 150th birthday with special remembrances and events.
As part of the Sesquicentennial Celebration, author Dr. M. Raymond Alvarez will present a talk about his recent book "The Normal on Fairmont Avenue." The event will take place at 2 p.m. Sunday, Oct. 11, at the Frank and Jane Gabor West Virginia Folklife Center on the main campus.
The Fairmont State University College of Liberal Arts honored its high achieving students during the fifth annual Academic Awards Ceremony at the end of the spring 2015 semester.
Dr. Deanna Shields, Dean of the College of Liberal Arts; Dr. Maria Rose, FSU President; and Bill Holmes of the Fairmont State Foundation Inc. presented greetings and congratulations to the students for their academic achievements.
Department of Behavioral Sciences
In celebration of Fairmont State University's Sesquicentennial, the Frank and Jane Gabor West Virginia Folklife Center has created an exhibit titled "On a Hill by a Dream," which features FSU history, traditions and lore.
The title for the exhibition was taken from a poem by Louise McNeill, West Virginia's former Poet Laureate who taught history at Fairmont State. The following quote is from her "Chestnut Orchard" ("Paradox Hill: From Appalachia to Lunar Shore"):
"Back through the years beyond time and space,
On a hill—by a dream—we will find that place."


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Latest tweets!
With thanks to the fine folk on the InterPride Solidarity Committee, the expert review panel, and most importantly... fb.me/IaQbkTYa
Great #LGBTHistory fact from #thewelcomingcommittee #lgbt #ncod instagram.com/p/8ozCXFgWvx/
Latest Pride News
Happy Pride 2012 from Wendy Williams!
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Bismarck Jobs
Looking for jobs in Bismarck? Snagajob has great opportunities with the area's leading companies. And applying for Bismarck jobs has never been easier. Look at the job listings below, click on a job title that interests you and hit the "apply now" button. Part-time jobs, teen jobs, student jobs and summer jobs are now just a click away. Start your job search now.
Bismarck, ND Job Openings
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Pizza Hut825 E Broadway Ave
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Cities within 20 miles of Bismarck, ND
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Neutrogena Fresh Foaming Cleanser
790 reviews
65% would repurchase
Package Quality: 4.0
Price: $$
Package Quality: 4.0
Price: $$
INGREDIENTSWater Purified, Glycerin, Lauryl Glucoside, Decyl Glucoside, Cocamidopropyl Betaine, Cocamide DEA, Glycereth 7, Ammonium Laureth Sulfate, Sodium Cocoyl Sarcosinate, Glycol Stearate, PEG 120 Methyl Glucose Dioleate, Tetrasodium EDTA, DMDM Hydantoin, Citric Acid, Fragrance
on 2/27/2003 1:48:00 PM
Age: Unknown
Skin: Other, Other, Not Sure
Hair: Other, Other, Other
Eyes: Other
This is a staple for me. It takes care of all my waterproof eye makeup, makes my skin feel clean without irritation or breakouts.
I'm not a huge fan of the scent, but it's definitely better than most other cleansers scents (or those mentholated ones that sting my eyes).
on 2/10/2003 2:44:00 PM
Age: 25-29
Skin: Oily, Other, Not Sure
Hair: Blond, Other, Other
Eyes: Blue
After switching many years trying to find a good cleanser, I have been using this one for 3 years now. It removes all of my makeup (sometimes it doesn't get all of the waterproof eye stuff) and doesn't leave my skin tight or too dry.
on 2/10/2003 1:59:00 AM
Age: 19-24
Skin: Normal, Medium, Warm
Hair: Brown, Wavy, Medium
Eyes: Hazel
i really like this cleanser because it leaves my face *clean*. it's gentle and not at all drying... however, it does not remove my waterproof mascara completely. no biggie though, it still does a wonderful job on my skin and that's what really counts.
on 2/1/2003 3:48:00 AM
Age: 36-43
Skin: Combination, Fair-Medium, Not Sure
Hair: Brunette, Other, Other
Eyes: Brown
I was very surprise after trying this foaming cleanser GOOD STUFF!It made my skin feel ,fresh & clean, not dry. Removes all types of makeup even eye makeup without burning my eyes.Quick,fast easy to use pump bottle. I'll never use a messy tube again.I will buy this cleanser again......
on 1/24/2003 10:34:00 AM
Age: 19-24
Skin: Acne-prone, Other, Not Sure
Hair: Black, Other, Other
Eyes: Brown
I like this product a lot because it cleans off my makeup, and even waterproof eye makeup. I figure, if it does that w/out drying out my face too much (sometimes a little in the winter months), then it prolly gets the dirt off too...no pore clogging junk! Great stuff.
on 1/11/2003 1:14:00 PM
Age: 30-35
Skin: Very Oily, Other, Not Sure
Hair: Brunette, Other, Other
Eyes: Brown
This stuff is awesome -- I didn't think just using a cleanser with my hands (without an extra scrubber of some sort) would get my face clean, but it does a great job. It removes eye makeup very well, which makes it perfect for travel, too. It has never irritated my eyes, and while it can sometimes be a little drying in the winter (even on my very oily skin), I just follow it right away with Neutrogena's alcohol-free toner and a moisturizer and I'm good to go. Great scent, too. Excellent product!
on 12/29/2002 4:00:00 AM
Age: 30-35
Skin: Normal, Fair, Cool
Hair: Blond, Straight, Fine
Eyes: Green
This is a great cleanser for my normal skin. It is not too drying, not too oily, and it does a great job cleansing. It also smells really nice.
on 12/9/2002 12:52:00 PM
Age: 25-29
Skin: Acne-prone, Other, Not Sure
Hair: Brunette, Other, Other
Eyes: Brown
This is a great cleanser for sensitive, acne prone skin like mine. It removes all makeup (I gave it the toner test). A big bonus is that it easily removes mascara without irritating the eyes. I used to use Cetaphil for my sensitive skin, but this cleanser is much more thorough and doesn't dry out my skin (I also use a retin-a gel so I have to be careful). No sodium lauryl sulfate.
on 11/20/2002 9:02:00 PM
Age: 25-29
Skin: Combination, Other, Not Sure
Hair: Brown, Other, Other
Eyes: Brown
such such SUCH a great cleanser - for me, it gets satisfyingly foamy and really removes every speck of makeup. I use it twice daily, year-round, and have no dryness issues (I have combo skin). *so* recommended. ***ETA: oh noooo, I believe the formula of this cleanser has changed!!! my last two bottles have been much less effective and have left me with some terrible breakouts. I've since switched to Kiehl's Non-detergent Foaming Cleanser, and my skin is much, much happier.
on 9/25/2002 12:16:00 PM
Age: 25-29
Skin: Acne-prone, Fair, Not Sure
Hair: Black, Other, Other
Eyes: Brown
I initially liked how it cleaned my face (even though I always hated the smell), but it started giving me rough patches of dry skin. So into the trash can it goes, and back to good old fashioned Cetaphil as the search continues for my favorite cleanser.
Popular Cleansers
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text:
This pages give information about Syndicate Bank Shevpet branch IFSC code, contact number, services and facilities offered at the branch etc... Shevpet branch of Syndicate Bank is located in Salem, Tamil Nadu. Get the complete postal address of the branch and its working hours.
IFSC code of Syndicate Bank Shevpet Branch is given in the box below.
Syndicate Bank Shevpet IFSC Code: SYNB0006290
Syndicate Bank Toll Free NumberReport Incorrect Data
Additional Information about Syndicate Bank Shevpet Branch
The table below gives information about the Shevpet Branch of Syndicate Bank. You may contact the branch or the Customer Care number of the bank given below for information relating to your Syndicate Bank account.
|Branch Name
|Syndicate Bank Shevpet
115 A MCS Building IST Floor Longley Road Shevapet Salem - 636002
City : Salem
District : Salem
State : Tamil Nadu


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Pictures: Samba Queens ready for Samba night
The Samba queens are pictured here at a press conference held at the Harare International Conference Centre on Wednesday morning.
#AMHVoices:Succession war: Mugabe playing games
The newspapers are full of stories about Zanu PF members warring over the succession race.
#AMHVoices:Succession war: Mugabe playing games
The newspapers are full of stories about Zanu PF members warring over the succession race.
Govt orders industry to cut power use by 25%
GOVERNMENT has ordered all mining companies and other big industries to reduce their electricity consumption levels by 25% with immediate effect
Mbanga elected Harare deputy mayor
THE MDC-T-dominated Harare City Council was yesterday kowtowed into electing opposition leader Morgan Tsvangirai's preffered candidate, Ward 8 councillor Chris Mbanga, as the city's deputy mayor.
'Needless siege on Morgan Tsvangirai '
Today's three separate stories in your newspaper attacking the same man leave no one under any doubt that the mission is a well-orchestrated media crusade to attack the Morgan Tsvangirai brand. (more…)
'Needless siege on Tsvangirai ': Editor's response
We appreciate the concerns raised by the MDC-T party, but wish to state that we will not be drawn into insults. We will not always publish favourable, but critical news articles.
Infighting in opposition parties worrisome
A day hardly passes without news about quarrels in opposition political parties in the country. Such stories flood the media space in an unprecedented manner.
Zim, Zambia's man-made, colonial legacy electricity crisis
It was always going to be a man-made crisis. That is the power shortages being experienced by Zimbabwe and Zambia due to the sharp drop in water levels
Zaha moots ambitious housing scheme
Zaha plans to soon launch an ambitious new housing scheme themed Build Zimbabwe targeting to construct one million structures countrywide by 2019Read more
Zesa employee fakes own death, claims $70 000 from policy
A ZESA employee in Mutare allegedly stage-managed his death and swindled Old Mutual of $70 000 in funeral benefits after murdering an unidentified man and disposing the body in a dam in July last year. David Garudzo is said to have acted in cahoots with Bernard and Brian Garudzo, Obert Chingaipe and Alex Mhlanga when […]
Govt orders industry to cut power use by 25%
GOVERNMENT has ordered all mining companies and other big industries to reduce their electricity consumption levels by 25% with immediate effect
Mbanga elected Harare deputy mayor
THE MDC-T-dominated Harare City Council was yesterday kowtowed into electing opposition leader Morgan Tsvangirai's preffered candidate, Ward 8 councillor Chris Mbanga, as the city's deputy mayor.
Miner crushed to death
A 20-YEAR-OLD miner was killed at a Mutoko gold mine after he was crushed by a falling rock, NewsDay has established.
PSMI rescues war vets, collaborators
THOUSANDS of war veterans and ex-detainees in the country are set to get medical aid cover following talks between the War Veterans ministry and Premier Service Medical Investments (PSMI).
Kereke saga: Tomana seeks postponement
Prosecutor-General (PG) Johannes Tomana yesterday applied for postponement of his contempt of court charge hearing filed by a Harare man Francis Maramwidze
'Communicable diseases remain leading cause of deaths in low-income countries'
Tuberculosis alone kills more than 4 000 people a day
CZI projects flat capacity utilisation
Capacity utilisation for the manufacturing sector is likely to be flat on last year's figure of 36,3% as the sector is beset by a host of challenges, the Confederation of Zimbabwe Industries (CZI) has said.Read more
Dendairy in $18 million expansion
Dendairy will spend $18 million to buy machinery and properties as the dairy products manufacturer moves to expand its capacity and venture into new products.
ZITMA sees 10% growth after secondhand clothes ban
The ZimTextile Manufacturers' Association ) says the ban on second-hand clothes will see the sector doubling its contribution to GDP to 10%.
SA miner buys Aquarius Platinum
A SOUTH Africa-based gold miner Sibanye Gold has bought Aquarius Platinum for $294 million, the two companies announced yesterday.
Zim, Italy trade up by 1%
TRADE between Zimbabwe and Italy grew by 1% to $114 million in 2014 after the European nation opened its market through the interim Economic Partnership Agreement (iEPA), data from ZimTrade has shown.
'An industry without machinery'
The declining capacity utilisation in Zimbabwe's industry shocked a visiting team led by the Office of the President and Cabinet after it emerged that Lobels Biscuits and Sweets is running its Bulawayo factory on antiquated ovens commissioned in 1957.
Govt urged to do more to spur growth in retail sector
BUY Zimbabwe says retailing contributes nearly 10% to the economy and more must be done to spur growth in that sector.
Zimbabwe loses out on export competitiveness
Zimbabwe is failing to generate reasonable export earnings due to competitive issues arising from the use of a multicurrency regime
Zim BMX riders set for SA series
Following an unsatisfactory display at the World Championships in Belgium in July, the Zimbabwe BMX team is back on the road againRead more
Masunga replaces Vincent in Zim amateur golf team
ROYAL Harare Golf Club-based amateur golfer Tonderai Masunga has been roped into the Zimbabwe team to replace his clubmate Kieran Vincent ahead of the prestigious Africa Amateur Golf Teams Championship to be held in Kenya next week.
Promoted sides poised for instant chop
The relegation battle is playing second fiddle to an intriguing Castle Lager PSL championship chase, but it's providing its fair share of entertainment.
Selectors ready to chop and change
THE national cricket team technical department seems to have finally lost patience with under-performing senior players, whom they have shown they are ready to drop and look elsewhere.
Football given second chance: Gwindi
Former Premier Soccer League secretary-general Leslie Gwindi remained coy on whether he would give the Zifa presidency another shot, saying the next board would need to restore credibility with the government and corporate world if the game is to come out of its current crisis. (more…)
Bosso crisis: Dube demands change
HIGHLANDERS long-time benefactor Tshinga Dube has urged the current club leadership, led by Peter Dube, to step down and pave way for the injection of new blood
Jones ready to listen to England approach
LONDON — Eddie Jones is open to an approach from the Rugby Football Union (RFU) about coaching England, but thinks incumbent Stuart Lancaster deserves a fair review first, the Japan coach said yesterday.
Life after Cuthbert Dube: Readers speak on Zifa presidency
The departure of Cuthbert Dube from Zifa presidency has ushered the possibility of a new era in Zimbabwe football.
Pictures: Samba Queens ready for Samba night
The Samba queens are pictured here at a press conference held at the Harare International Conference Centre on Wednesday morning.Read more
Sibiya explores 'spiritual spouses' in new book
THE subject of spiritual husbands and wives has become very topical, particularly with the wave of Pentecostalism from Nigeria,
Momo King Carnival of Brazil arrives in Harare
TOP-notch samba outfit, Momo King Carnival of Brazil, touched down at Harare International Airport yesterday ahead of the no under-18 Samba Night set for Private Lounge in the capital tonight.
Thrilling music shows lined up for Bulawayo
BULAWAYO revellers are in for a treat over the next three weeks when the heir to the Dendera throne, Sulumani Chimbetu, lands in the city for a show
Life's demands play havoc with Chihombori's creativity
ENOCK Chihombori – the man behind the hilarious Gringo character — is not a laughing man
Amber Rose's 'SlutWalk' sparks debate
LOS ANGELES-Amber Rose, an actress and model known for her personal style and steady position on the gossip pages, staged a "SlutWalk" on Saturday that has folks debating the usefulness of the term and what it represents
Fun-lovers throng Horizon Pub for pool party
FUN lovers on Saturday night thronged Horizon Pub and Restaurant for a pool party which saw the venue filled to the brim.
Nyoni in double book launch
SUCCESS coach and author Jonah Nyoni on Saturday afternoon launched two books during a colourful ceremony attended by over 200 people in Bulawayo. (more…)


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San Antonio Spurs v Phoenix Suns
Miles Plumlee of the Phoenix Suns battles for position against Boris... News PhotoBasketball - Sport,Boris Diaw,Marco Belinelli,Miles Plumlee,Motion,NBA Pro Basketball,Phoenix - Arizona,Phoenix Suns,Position,San Antonio Spurs,Sport,US Airways Center,USA,VerticalPhotographer Barry GossageCollection: National Basketball Association 2014 NBAEPHOENIX, AZ - FEBRUARY 21: Miles Plumlee #22 of the Phoenix Suns battles for position against Boris Diaw #33 and Marco Belinelli #3 of the San Antonio Spurs on February 21, 2014 at U.S. Airways Center in Phoenix, Arizona. NOTE TO USER: User expressly acknowledges and agrees that, by downloading and or using this photograph, user is consenting to the terms and conditions of the Getty Images License Agreement. Mandatory Copyright Notice: Copyright 2014 NBAE (Photo by Barry Gossage/NBAE via Getty Images)


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More New and Used
from Private Sellers
The Memory Jarby Goyer, Tricia
Thorndike Pr
Questions About This Book?
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This is the Large edition with a publication date of 2/22/2013.
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- The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any CDs, lab manuals, study guides, etc.
Every year, 30-40 young Amish men descend on a cozy little Montanta town arriving in the spring to live there for six months and receive OresidentO status for the hunting season in the fall. They arrive as bachelors, but go home with brides!