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Group Prenatal Care and Perinatal Outcomes:
A Randomized Controlled Trial
Jeannette R. Ickovics, PhD, Trace S. Kershaw, PhD, Claire Westdahl, CNM, MPH, Urania
Magriples, MD, Zohar Massey, Heather Reynolds, CNM, MSN, and Sharon Schindler Rising,
From Yale School of Public Health, New Haven, Connecticut; Department of Gynecology and Obstetrics,
Emory University, Atlanta, Georgia; Department of Obstetrics and Gynecology, Yale University, New Haven,
Connecticut; Yale School of Nursing, New Haven, Connecticut; and Centering Pregnancy and Parenting
Association, Cheshire, Connecticut.
OBJECTIVE—To determine whether group prenatal care improves pregnancy outcomes,
psychosocial function, and patient satisfaction and to examine potential cost differences.
METHODS—A multisite randomized controlled trial was conducted at two university-affiliated
hospital prenatal clinics. Pregnant women aged 14−25 years (n=1,047) were randomly assigned to
either standard or group care. Women with medical conditions requiring individualized care were
excluded from randomization. Group participants received care in a group setting with women having
the same expected delivery month. Timing and content of visits followed obstetric guidelines from
week 18 through delivery. Each 2-hour prenatal care session included physical assessment, education
and skills building, and support through facilitated group discussion. Structured interviews were
conducted at study entry, during the third trimester, and postpartum.
RESULTS—Mean age of participants was 20.4 years; 80% were African American. Using intent-
to-treat analyses, women assigned to group care were significantly less likely to have preterm births
compared with those in standard care: 9.8% compared with 13.8%, with no differences in age, parity,
education, or income between study conditions. This is equivalent to a risk reduction of 33% (odds
ratio 0.67, 95% confidence interval 0.44−0.99, P=.045), or 40 per 1,000 births. Effects were
strengthened for African-American women: 10.0% compared with 15.8% (odds ratio 0.59, 95%
confidence interval 0.38−0.92, P=.02). Women in group sessions were less likely to have suboptimal
prenatal care (P<.01), had significantly better prenatal knowledge (P<.001), felt more ready for labor
and delivery (P<.001), and had greater satisfaction with care (P<.001). Breastfeeding initiation was
higher in group care: 66.5% compared with 54.6%, P<.001. There were no differences in birth weight
nor in costs associated with prenatal care or delivery.
CONCLUSION—Group prenatal care resulted in equal or improved perinatal outcomes at no added
CLINICAL TRIAL REGISTRATION—ClinicalTrials.gov, www.clinicaltrials.gov,
Corresponding author: Jeannette R. Ickovics, PhD, Yale University, School of Public Health, 60 College Street, Room 432, New Haven,
CT 06520−8034; e-mail: firstname.lastname@example.com..
Financial Disclosure Dr. Westdahl receives approximately $3,000 per year from the Centering Pregnancy and Parenting Association
Inc (Cheshire, CT) for training facilitation. Ms. Rising is the executive director of the nonprofit entity, the Centering Pregnancy and
Parenting Association Inc, which promotes the Centering Pregnancy model of care nationally and internationally. The other authors have
no potential conflicts to disclose.
NIH Public Access
Author Manuscript
Obstet Gynecol. Author manuscript; available in PMC 2008 March 31.
Published in final edited form as:
Obstet Gynecol. 2007 August ; 110(2 Pt 1): 330–339.
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Preterm birth rates have increased globally over the past quarter century. Although assisted
reproductive technology and the increase in multifetal gestations account for some of the
increase, the etiology for most preterm delivery remains elusive. To date, pharmacological,
clinical, and psychosocial interventions have had limited success in preventing preterm birth.
1 Racial disparities persist, with a twofold higher rate of preterm birth and low birth weight
among African-American women. Preterm birth has numerous adverse consequences,
including neonatal and infant deaths, childhood neurologic disability, prolonged
hospitalization, increased cost, and potential lifelong adverse developmental and medical
There have been prior randomized controlled trials on augmented prenatal care to reduce
preterm birth.4–10 Hobel et al4 reported a 19% reduction in preterm birth among high-risk
patients in county clinics randomized to an enhanced program that included education and
increased visits. Klerman et al5 reported significantly increased patient satisfaction and
knowledge. Although rates of preterm delivery, cesarean delivery, and length of stay in the
neonatal intensive care unit decreased, there was no statistically significant difference. Results
of other randomized controlled trials of augmented care are equivocal,6–10 except among
certain subgroups: primiparous mothers7 and high-risk African-American women.8,10 Lu et
al11 suggest that preterm birth prevention will require a reconceptualization of prenatal care
as part of a broader strategic approach.
Group prenatal care (CenteringPregnancy, Cheshire, CT) has been implemented in over 100
clinical practices in the United States and abroad since 1995.12–13 It provides an integrated
approach to prenatal care in a group setting, incorporating family members, peer support, and
education (Table 1). In prior studies of group prenatal care among minority teens14 and women,
13 investigators documented lower rates of preterm birth and low birth weight. However, these
studies were limited by lack of randomization and potential self-selection bias.
The primary objective of this study was to conduct a multisite randomized controlled trial to
evaluate whether group prenatal care would result in decreases in human immunodeficiency
virus (HIV) risk behavior and sexually transmitted diseases. This is a secondary analysis to
determine whether group prenatal care leads to better reproductive health outcomes, such as
reductions in the numbers of preterm births and low birth weight infants, as well as improved
psychosocial outcomes and patient satisfaction, and also to examine potential differences in
health care costs.
Young women (aged 14−25 years, n=1,047) entering prenatal care at two publicly funded
clinics were randomly assigned to standard individual care or group care (Fig. 1). The
differences in the quantity and quality of prenatal care are substantial between individual care
and group care as described in Table 1. Individual prenatal care across the pregnancy occurs
over the course of approximately 2 hours. Group prenatal care across the pregnancy occurs
over the course of approximately 20 hours.
Participants were randomly assigned by using a blocked randomized controlled design,
stratified based on site and expected month of delivery. Allocation was concealed from
participant and research staff until eligibility screening was completed and study condition was
assigned. These tasks were completed by trained research team members who were
independent of prenatal care. A computer-generated randomization sequence, password
protected to recruitment staff and participants, was used to assign participants. Although it was
not possible to have treatment blinded (common practice in clinical interventions), all
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measurement and data collection were conducted in blinded fashion independently of the care
setting. Moreover, medical record abstracters were independent of clinical care.
Participants were recruited from large obstetrics clinics in two university-affiliated hospitals.
Procedures were approved by Human Investigation Committees at both sites (No. 11972, Yale
University, New Haven, CT, and No. 197−2001, Emory University, Atlanta, GA). African-
American women with limited financial resources are overrepresented, reflecting clinic use
patterns. There were no deviations from the study procedures as originally planned, with the
exception of expanded access by age at study entry from 14−19 years to 14−25 years; this
expanded access was implemented before randomization.
Between September 2001 and December 2004, women attending their first or second prenatal
care visit were referred by a provider or approached directly by research staff. Inclusion criteria
were as follows: less than 24 weeks of gestation, age 25 years or less, no medical problems
requiring individualized care as "high-risk pregnancy" (eg, diabetes, HIV), English or Spanish
language, and willingness to be randomized. Potential participants were screened; if eligible,
research staff explained the study in detail and obtained informed consent. Baseline interviews
occurred at an average gestational age of 18 weeks (standard deviation [SD] 3.3). Each patient
underwent second-trimester ultrasonography for confirmation of dating and anatomy.
Estimated date of confinement was established by an attending obstetrician who was
independent of the study, and this was confirmed by ultrasonography. Participants were
followed prospectively through 1 year postpartum. All participants were paid $20 for each
Of the 1,538 eligible women, 1,047 (68%) enrolled. Compared with those who declined
enrollment, participants were more likely to be African American, older, and at a later
gestational age at initial screening (all P<.01). Recruitment was nearly equivalent between the
two study sites: Atlanta (n=546, 52%) and New Haven (n=503, 48%). Intervention effects were
not statistically different on primary outcomes by study site; therefore, analyses were combined
across sites.
Even with randomization, baseline differences can emerge by chance. To evaluate this, we
conducted χ2 and t tests comparing the study conditions on demographic, medical history, and
major study variables assessed at the baseline interview (Table 2). Despite randomization, three
differences by study condition were documented. By chance, individuals assigned to group
prenatal care were more likely to be African American, less likely to have a history of preterm
birth, and more likely to have high levels of prenatal distress. Therefore, all subsequent analyses
controlled for these variables.
Groups of eight women (on average) are formed based on estimated delivery month and led
by a trained practitioner (eg, midwife, obstetrician). The model provides integrative prenatal
care by combining three primary components: assessment, education and skills building, and
support. All prenatal care occurs within the group setting, except for the initial assessment at
entry to care, health concerns involving need for privacy, and cervical assessments late in
pregnancy. After the first visit, participants in the study were randomly assigned to continue
care individually or in the group setting. When group participants arrive, they engage in self-
care activities of weight and blood pressure assessment and update their medical records.
Individual prenatal assessments (eg, fundal height, fetal heart rate) are completed by the
practitioner during the first 25−30 minutes within the group space. The majority of time is
spent with women and clinicians engaging in discussion, education, and skills building to
address explicit learning objectives in prenatal care, child birth preparation, and postpartum
and parenting roles. Handouts and self-assessment sheets facilitate group discussions and
stimulate self-care and evaluation. The full curriculum consists of 10 structured sessions (120
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minutes each) conducted from 16 through 40 weeks of gestation. Table 1 provides a
comparative assessment of traditional care and group care.
Structured interviews by audio computer-assisted self-interviewing (audio-CASI) were
conducted upon study entry: before session 1 among group participants, and before 24 weeks
of gestation in individual care. Audio-CASI allows respondents to simultaneously listen with
headphones and see questions on a computer laptop, facilitating completion for participants
with lower reading skills. Audio-CASI has been previously validated among pregnant women.
15 Trained study staff was present to facilitate the self-interview process by answering any
questions and assisting with any technical issues. Medical records were reviewed for 993
participants (95%) by trained medical abstractors who were independent of care and blinded
to study assignment.
All encounters to one of the facilities (Yale New Haven Hospital) are recorded electronically
in a computerized database used for billing purposes, which identifies sites of care, inpatient
compared with outpatient status, International Classification of Diseases, 9th Revision (ICD-9)
codes, and cost of care. Therefore, cost data were available at this site (n=503). Cost data
included charges, revenue, and actual costs, but only actual costs were used because they are
not dependent on reimbursement rates.
Primary outcomes included gestational age at delivery, dichotomized as term or preterm (less
than 37 weeks), and infant birth weight, dichotomized as normal or low birth weight (less than
2,500 g).16 All patients underwent second-trimester ultrasound examination for confirmation
of dating and anatomy. Estimated date of confinement was established by a consulting
obstetrician who was independent of the study, and the date was confirmed by ultrasonography.
Decisions on inpatient management and delivery were made by attending physicians and
midwives, who were independent of the site of outpatient care, on a pre-established rotating
call schedule.
Adequacy of prenatal care was measured by using standard scoring on the Kotelchuck Index.
17 Apgar scores at 5 minutes were taken from hospital labor logs. Breastfeeding initiation was
based on participant self-report at the first postpartum interview.
All psychosocial outcomes were measured during the third trimester of pregnancy (average
gestational age 35 weeks, SD 3.1). Psychosocial outcomes included five domains. Pregnancy
knowledge was measured by using a tool developed by the research team to assess prenatal
and infant care knowledge; this was not validated. Prenatal distress was measured with the
established Pregnancy Distress Questionnaire.18 Readiness for labor and delivery and
readiness for infant care scales queried preparedness for delivery and infant care. Satisfaction
with prenatal care was measured by using an adaptation of the Patient Participation and
Satisfaction Questionnaire.19
Initial analyses were based on intention-to-treat models, with randomized study condition as
the primary independent variable: individual compared with group prenatal care. General linear
model and logistic regression analyses for basic group differences on birth outcomes,
psychosocial factors, and patient satisfaction were conducted. Given differences despite
randomization, race, preterm distress, and history of preterm birth were statistically controlled.
Additionally, analyses controlled for relevant clinical risks for adverse perinatal outcomes (ie,
smoking, history of preterm birth, history of miscarriage or stillborn birth).
Beyond the primary intention-to-treat analyses, several additional analytic approaches were
used. Cox proportional hazards analysis was conducted to provide more detailed assessment
of time to preterm delivery. Post hoc analysis was conducted to determine if group care had
differential outcome for African Americans, who represented 80% of participants. Finally, we
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evaluated whether there was a potential "dose-response" intervention effect for the primary
outcome variables of gestational age and birth weight.
Because the study was originally powered statistically to detect differences in incident sexually
transmitted infection, secondary power analyses were conducted for the purposes of these
analyses, based on preterm birth as the outcome. With a targeted sample size of 1,040 (n=416
in control and n=624 in the intervention group), we calculated 80% power to detect a 33%
reduction in preterm birth (P<.05). This calculation was based on national U.S. base rates for
preterm birth, weighted by racial and ethnic distribution in this sample, equivalent to a weighted
preterm birth rate of 16.4% (U.S. National Center for Health Statistics, 2006).
The average age was 20.4 years (SD 2.6), with 49% aged 14−19 years. Eighty percent were
African American. Thirty-eight percent had completed high school (or graduate equivalency
degree), 36% were still in high school, and 26% had dropped out. Only 31% were currently
employed; the remainder received economic support from a partner or family member (47%)
or from public assistance (22%). There were no significant differences in age, parity, education,
or median income between study conditions (Table 2). There were no systematic differences
between those who were retained and those who were lost to medical record review nor any
differential loss to follow-up between those randomly assigned to group care and those assigned
to individual care. In addition, among those who were lost to follow-up, there were no
differences between group and nongroup participants on demographic and main study
To examine birth outcomes, only singleton infants were evaluated. Excluded from analyses
were eight sets of twins and three infants not viable using clinical standards, ie, gestational age
20 weeks or less or birth weight 350 g or less. Women assigned to group care were significantly
less likely to have preterm births than those in individual care: 9.8% compared with 13.8% (61
of 623 compared with 51 of 370, respectively; Table 3 and Fig. 2). This is equivalent to a risk
reduction of 33% (odds ratio [OR] 0.67, 95% confidence interval [CI] 0.44−0.99, P=.045), or
40 per 1,000 births. Excluding those with prior pre-term birth (n=48), results remain
significantly different favoring group care (P=.05).
To explore the nature of the difference on pre-term birth, Cox proportional hazards was
conducted to model weeks of gestational age until preterm birth (censored outcome). Results
indicate that group prenatal care significantly influenced the preterm hazard function after
adjustment for race, age, prenatal distress, history of preterm birth, smoking, and prior
miscarriage or stillbirth (χ2=3.79, P=.048). By 26 weeks of gestation, women in individual
care were more likely to deliver preterm, continuing until maximum differentiation between
individual and group care at 35−37 weeks of gestation (Fig. 3).
Post hoc analysis was conducted to determine if group care had differential outcome for African
Americans, who represented 80% of participants. When African Americans were examined
alone, the impact of group care on reduced risk for preterm birth was strengthened: 10.0%
compared with 15.8% (χ2=5.22, P=.02; OR 0.59, 95% CI 0.38−0.92) (Fig. 2).
Using intention-to-treat analyses, we found no significant differences in gestational age
(measured in weeks), birth weight, percentage of low birth weight infants, or percentage of
small for gestational age infants (less than 10th percentile by gestational age) (Table 2).
Therefore, we evaluated whether there was a potential "dose-response" intervention effect.
The number of visits was significantly associated with both gestational age (r=0.31, P<.001)
and birth weight (r=0.28, P<.001). This effect remained significant, although attenuated, when
attendance was adjusted to include eligible visits (ie, date of health care entry to birth or demise,
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WEBSITE OF THE DAY: BBC Torch Cam
The Olympic Games coming to London is a subject that has become a topic of conversation and consternation for may.
The hype, the expected inconvenience, the politics and the sheer cost are what get people most animated.
But none of that has dampened the excitement of people the length and breadth of the country, if the scenes shown at bbc.co.uk/torchrelay are anything to go by.
The Olympic Torch Relay is in Wales today, leaving the town of Aberystwyth and heading to Bangor.
Thousands of people are lining the streets to catch a glimpse of sporting history as those chosen to carry the flame pass through their streets.
Regardless of what you think of the Games themselves, and all that comes with them, you can't escape the sense of occasion as the historic flame heads takes it's meandering route to the nation's capital.
The 'torch cam' is well worth following to see just what a storm the relay is causing.
If you have a useful, funny, or just plain weird website that you want to tell us about, drop us a line using our feedback form.
Master HTML5 and CSS3 web design for 81 per cent off
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subset: commoncrawl


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Wyndham at Waikiki Beach Walk
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TravelPod Member ReviewsWyndham at Waikiki Beach Walk Honolulu
We arrived in the dark and despite using a GPS, we had trouble finding the parking lot to the Wyndham. That's because it's tucked in behind the hotel off a tiny side street. The Wyndham entrance is also non-descript. The easiest way to identify it is by the pair of folks in color-coordinated shirts standing in front of a podium. I think their official job is to attract attention to the time sharing opportunities at the Wyndham, but luckily for us, they were there to direct us to the valet serviced parking lot. The nightly fee is $35 and really if you stay at the Wyndham, there are no real options because the hotel is smack dab in the middle of a very active area with minimal parking opportunities. For us, that was exactly the draw, its awesome location: close to the beach yet right in the middle of the action.
No complaints about the staff. Everyone we met were very helpful and courteous.
We ended up in a two bedroom unit on the sixth floor facing the street with absolutely no view of the beach. Luckily, the street was lovely and provided lots of fun people watching opportunities. The interior of the unit was spacious and resembled the pictures. We were surprised by the mustiness upon entering the unit. Perhaps it's something to be expected given that we are so close to the ocean. Even with the air conditioning running, the musty smell persisted. It wasn't horrible, just something that we eventually got used to. The unit was a little more tired looking than we had expected. In the pictures, the unit appeared practically brand new, but in reality the furniture was beginning to show its age. Nevertheless, everything in the kitchen functioned very well and it was well stocked with almost everything you would need to cook your own meals. The air conditioning in the master bedroom never quite got going and it always seemed a little warmer in that room. Since we were there for only three nights, we never had the chance to take advantage of the facilities the hotel had to offer. The pool did not appear luxurious, just small and basic. Overall, the hotel suited our needs perfectly as a pied a terre for visiting the sights of Oahu.
This review is the subjective opinion of a TravelPod member and not of TravelPod.com.
TripAdvisor Reviews Wyndham at Waikiki Beach Walk Honolulu
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Diamond Head
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... all of the interesting things he said - Sounds like my experience at university, in one ear and out the other! Overall, the tour was pretty good, we got to see so many parts of the island. It's interesting how different the city area is from the rural districts. Surprisingly though, billboards are apparently banned in Hawaii, which seems kind of strange, considering the city itself has everything else but those. The guide called Waikiki the "concrete jungle", I ...


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A Bug's Life
Insect-lovers will be sucked into the wormhole of BugFest at River Bend
Just the facts
What: BugFest
Where: River Bend Nature Center at the entrance to Lucy Park, 2200 Third St.
When: From 6 p.m. to 9 p.m. Saturday
Admission: $5 for those who are not members of River Bend (those 2 and younger are admitted free). Members of the nature center get in for $4 each (two are admitted free and then it's $4 for each additional festival-goer).
Information: (940) 767-0843 or www.riverbendnaturecenter.org
Insect lovers have their antennae out. It's probably because BugFest will be taking Off! at River Bend Nature Center, and for those who don't mind communing with millipedes and centipedes and Madagascar hissing cockroaches, this is not a bug-repellent affair.
In fact, BugFest — coming up Saturday — is one of the most popular in River Bend's much-embraced Family Nature Night Series, when families break away from the television's ethereal glow, and spend an evening being one with nature. It's right up there in popularity with the Halloween-themed Family Nature Night, called the Not-So-Scary Halloween.
For those not bugged by bugs, BugFest is just about the coolest thing.
But Leanne Cottrell, the educational nature center's interim executive director, hopes that the event won't make insect nonlovers too bug-eyed.
"It's to try to let the kids know that there are lots of insects out there, and to get to know them. They want to make a life, too," Cottrell said. "And also, it's to try to take their fear away."
Cottrell herself said she once had a solid case of arachnophobia, until she started to learn more about them, their place on the earth, and their importance to the environment.
"We don't want anybody to be phobic. I was phobic for a long time, until I took araneology. I learned to love spiders," she said.
With that said, festival-goers can expect to see a few spiders at the event.
Of course, one of the most popular guests at BugFest will be the very in-demand Oklahoma State University Entomology Department and its insect zoo. Through the department's outreach program, those of the bug-loving persuasion will be able to see a gaggle of different insects. The group usually brings along tarantulas, vinegaroons (also called whip scorpions) — a bug that emits a vinegary smell when it gets irritated — along with bloated ticks, enormous beetles and katydids. In the past, they have also toted along chubby centipedes and millipedes so fat that they look almost like small snakes.
Before BugFest in 2007, Adrine Morrison, the entomology outreach coordinator at OSU, said that walking sticks are "the most popular of the insects" that they bring. They're easier to handle, she said, than the flat centipedes that skitter around or the tubby, fleshy millipedes that creep along.
The OSU insect zoo usually also brings a display boxes of some of the largest butterflies and beetles in their arsenal.
The goal of the insect zoo, Morrison has said, is not just to entertain, but to educate — the underlying purpose of BugFest, anyway.
"Entomology is one of the largest impact sciences out there, but it's probably the least known and understood … Insects recycle everything. They facilitate life on earth."
In addition to the OSU insect zoo, Dr. Roy Vogtsberger, an entomologist from Midwestern State University, will return to the festival.
"He's going to have an insect collection and a dissecting scope, so kids can get up close and personal with them," Cottrell said.
Visitors will be able to explore River Bend's stroller-friendly nature trail, where a bug hunt will be buzzing. A contest will be under way to find the prettiest, ugliest, biggest and smallest bugs.
There's a scavenger hunt to enter, too.
One of the new additions to BugFest will be that the nature center will open up the Ruby N. Priddy Butterfly and Nature Conservatory, a 7,000-square-foot glass building that houses living displays of the four natural habitats of the Rolling Plains — grasslands, the cross timbers, seasonal wetlands and river trees. Of course, it also houses some butterflies, too.
Bug-themed arts and crafts will be something to join in, as well.
Of course, a Family Nature Night wouldn't be complete without a few campfire eats. Count on s'mores to be at the ready, along with hot dogs. The campfires will be lit to get those marshmallows to the gooiest consistency possible.
Alas, Cottrell's plan for mealworm cookies have gone awry this year because of recent flooding in the Midwest that put a stop to the mealworm supply, but never fear, more than enough insects will make up for the mealworm absence.
Other River Bend goings-on
SPLASH IN THE GARDEN. Every Wednesday in June, July and August, preschoolers can head to River Bend for its Splash in the Garden Series. Sessions are from 1 p.m. to 2 p.m. in June and from 10 a.m. to 11 a.m. in July and August. It's $3 per child (no charge for Mom or Dad).
RUBY N. PRIDDY BUTTERFLY AND NATURE CONSERVATORY EXPLORATION STATIONS. At 2 p.m. every Saturday and Sunday, children of all ages can discover a more personal, hands-on look at different components of the natural world with an emphasis on the native plants and animals of the Rolling Plains. Discover how opossums use their tails or why fish do not float, what do box turtles and trees have in common, and why a butterfly is not a moth. Each exploration is conducted by a trained, knowledgeable docent and designed by the education staff.
NEW DIGS. Leanne Cottrell, interim executive director of River Bend, said the organization is hoping to move its offices into newly constructed buildings around the end of August. It'll include a gift shop, library, chrysalis room and a classroom.
Arts and entertainment editor Lana Sweeten-Shults can be reached at (940) 720-3462 or by e-mail at ShultsL(at)TimesRecordNews.com.
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UAE: Biggest climber in visa index
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MIDEAST STOCKS-Saudi hit by weak oil, commodities; Egypt down modestly
MIDEAST STOCKS-UAE markets narrowly mixed in thin, early trade
Egypt has no plans to issue an international bond currently and will rely on the local market to meet its financing requirements, the country's finance minister said on Wednesday.
September 7, 2011 11:52 by Reuters
Hazem el-Beblawi also said inflation in the North African country is 'relatively under control' at a meeting of Arab finance ministers in the United Arab Emirates capital Abu Dhabi. (Reporting by Mahmoud Habboush and Martin Dokoupil)
Orascom Devt says Egypt regulator drops court case
September 7 2011
Qatar hikes state salaries, pensions up to 120 percent
September 7 2011


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The Black Crowes are one of the all-time great live rock bands. Their shows are legendary and regularly
sell out in record time wherever in the world they play. This new live BRD was filmed on March 20, 2008 at the Wiltern in Los Angeles during the tour in support of their critically acclaimed new studio album Warpaint. The concert features live versions of the whole of the Warpaint album plus a mixture of previously unreleased cover versions and some of their own classics. / TRACK LISTING: 1) Goodbye Daughters Of The Revolution 2) Walk Believer Walk 3) Oh Josephine
4) Evergreen 5) We Who See The Deep 6) Locust Street 7) Movin On Down The Line 8) Wounded Bird
9) God's Got It 10) There's Gold In Them Hills 11) Whoa Mule 12) Poor Elijah Tribute To Johnson 13) Darling Of The Underground Press 14) Bad Luck Blue Eyes Goodbye 15) Don t Know Why 16) Torn And Frayed 17) Hey Grandma
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2013 Junior Season: Named Academic All-Big Ten did not compete.
2012 Sophomore Season: Ran her season-best 6K race at the Blugold Invite (24:01.87) highest team finish was 15th at the Tori Neubauer Invitational (24:10.0) competed in six races overall.
2011 Redshirt Freshman Season: Ran in three races the team's No. 10 finisher at the Blugold Invite with a season-best time of 23:17 raced a 23:27.95 at the Roy Griak Invitational.
2010 Freshman Season: Redshirted the season.
High School: A 2010 graduate of Perham High School high school coaches were Jeff Morris and Kay Morris cross country team placed second twice and third once at the Minnesota Class A state meet was part of a 2007 Minnesota Class A state champion 4x800m relay finished second in the 1600m at the 2008 state meet earned All-Heart of the Lakes Conference honors 2007-09 set school record in 1600m and 4x800m ran at the New Balance Nationals in North Carolina in 2010, placing ninth in the mile graduated with highest honors.
Personal: Born September 23, 1991 nursing major daughter of Kim and Laura Anderson has siblings Zach, Gabriele, Caleb, and a twin brother, Ben sister, Gabriele, finished fourth in the 1500m at the 2012 Olympic Trials Gabriele ran track and cross country for Minnesota and was the 2010 NCAA runner-up in the 1500m enjoys drawing, ice cream, camping, biking, and watching Gopher baseball with Kaitlin Mincke.
More Headlines
9/26/20152015 Griak Invitational Race Recaps
09/17/2015Griak Hall of Fame Feature: Roy Griak
09/15/2015Griak Hall of Fame Feature: Lefty Wright
09/11/2015No. 27 Gophers Win Oz Memorial
09/09/2015Oz Memorial Kicks Off 2015 Season Friday
09/09/2015Griak Hall of Fame Feature: Bill Bergan


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User Reviews & Ratings - minocycline oral
Read user comments about the side effects, benefits, and effectiveness of minocycline oral.
Overall User Ratings184 Total User Reviews
User Reviews
Learn about
User Reviews
Reviewer: casper, Female on Treatment for 1 to 6 months (Caregiver)
Ease of Use
I had a close family member take this drug for acne. After taking for 2 months she developed a rash, shortly after that shortness of breath a skin biopsy was done which indicated DRESS a severe systemic allergic reaction. She was placed on oral prednisone. As she was tapering off the prednisone she developed severe chest pain and extreme fatigue. She was taken to the hospital where she cardiac arr ... Show Full Comment
Reviewer: 45-54 Female on Treatment for 1 to 6 months (Caregiver)
Ease of Use
Landed my daughter in the hospital. Headaches and double vision. Spinal tap to relieve pressure around the brain and blood patch to close the holes from the spinal. It was working on the acne, but the payback was not worth it at all. 4 months of use.
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Reviewer: patricia12321, 25-34 Female on Treatment for less than 1 month (Patient)
Ease of Use
Do not take this drug, it is dangerous and can permanently ruin your teeth and vision! Sadly my teeth are now blue/grey after 1 WEEK of using minocycline. I was prescribed to take one pill every 12 hours for 2 weeks (which is 200mg/day). I stopped taking the minocycline on the 7th day because on the 6th day I was having difficulty breathing and my vision was getting blurry (turns out minocyclin ... Show Full Comment
Reviewer: 25-34 Female (Patient)
Ease of Use
My dermatologist recommended I take minocycline when my cystic acne would flare up (since it's intermittent). Within 48 hour/two doses, I can see my skin calming down and the cysts weakening instead of strengthening. I only take it for a 7-10 days at a time, just to clear things up, then I stop. I've done this several times and I find it quite reliable! I haven't had side effects.
Reviewer: Female (Caregiver)
Ease of Use
My 16 year old started taking this for his acne and the nausea and headaches started right away. I told him to give him a chance to see if his body would get used to it. Now his whole body is covered with large, red hives he had to get a shot for the itching and discomfort. Please do not let her child or yourself take this med.
found this review helpful.
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Wadsworth, Illinois Golf Courses
Click on any the golf course listings below to explore golf courses in Wadsworth, Illinois. Find course information, driving directions, scorecards and Wadsworth, Illinois golf instructors.
Home » Golf Courses » Illinois » Wadsworth, Illinois Golf Courses
PGA of America Championships
Harbor Shores
Benton Harbor, Mich.
Baltusrol Golf Club
Springfield, N.J.
Hazeltine National Golf Club
Chaska, Minn.


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The Thrillingly Original Wisdom of Michael Kay
"Baseball is a game that's certainly very difficult to predict." --Bottom 4th, 2 0ut, Chris Capuano facing Geraldo Parra.
Via IT IS HIGH, IT IS FAR, IT IS caught
1 day ago | Discuss
Capuano back with Yankees for 5th stint
NEW YORK (AP) Chris Capuano is back with the New York Yankees for his fifth stint this season. The 37-year-old left-hander is 0-4 with a 7.71 ERA in four starts and 14 relief appearances was added to the 40-man roster before Monday's game against Baltimore. Capuano started the season on the disabled list after straining a quadriceps while covering first base during a spring training...
Via AP on Fox
28 days ago | Discuss
Has Chris Capuano thrown his last pitch for Yankees?
The New York Yankees felt they needed veteran depth for the rotation during the offseason and signed Chris Capuano to a one-year, $5 million contract to fit the role. Capuano supplied the Yankees with some decent innings in 2014, but at the time of the signing I felt this was an unnecessary deal. After putting up a 6.97 ERA this season, maybe it's time the Yankees felt the same...
Via Yankees Unscripted
July 29, 2015 | Discuss
Yankees' Chris Capuano: Rotation filler
The New York Yankees signed Chris Capuano to a one-year, $5 million contract to be the fifth starter for at least the beginning of the 2015 season. The role of the fifth starter is a tenuous one; falter and there is always a guy ready to take the spot. In Capuano's case there are several.Only a select few teams anticipate much from their fifth starter other than innings, and that's...
Via Yankees Unscripted
February 19, 2015 | Discuss
New York Yankees: Chris Capuano contemplating move to Japan
The New York Yankees may be facing some tough competition against Japan over pitcher Chris Capuano. Capuano has a lot to offer the Yankees after he went 2-3 for them last season. However his 4.35 ERA will be moving alongside with him if he chooses to leave the United States and take his talents across the globe to Japan. Capuano has made it clear that he is definitely considering...
Via isportsweb.com
December 02, 2014 | Discuss
Series against Orioles could determine New York Yankees' fate
It's time for the Bronx Bombers to live up to their name. The team faces their biggest threat as they begin their three game series against the number one team in both the AL East and Central division, the Baltimore Orioles. Four years ago I would have never guessed the Orioles would be a potential threat to the New York Yankees. The O's would end up last in the AL East up until...
Via isportsweb.com
August 11, 2014 | Discuss
WATCH: Dragonfly narrowly avoids death by pitch
Chris Capuano nearly pulled a Randy Johnson move Saturday afternoon. Johnson famously killed a bird with a fastball during 2001 spring training with the Arizona Diamondbacks. Capuano, an ex-Boston Red Sox pitcher making his first start for the New York Yankees, almost did the same thing to a dragonfly at Yankee Stadium. Your browser does not support iframes. The bug was inches away...
Chris Capuano nearly hits dragonfly with pitch (Video)
Your browser does not support iframes.New York Yankees pitcher Chris Capuano nearly hit a dragonfly with a pitch in the early innings of Saturday's game against Toronto.YES Network slow-motion cameras captured the moment as a dragonfly passed just below Capuano's pitch as it was heading towards the plate. The dragonfly it wasn't flying an inch higher, or else it would have been...
Via Holdout Sports
July 26, 2014 | Discuss
2014 Boston Red Sox Player Analysis: Chris Capuano
Early last week, Boston Red Sox pitcher Ryan Dempster announced he would not be pitching in the 2014 season, and as a result of this he was placed on the restricted list, freeing up a spot on the 40-man roster. The 25 man-roster seemed to look all set with the Dempster transaction solidifying Brandon Workman's spot on the big league club, but the Red Sox were not done adding players...
Via CLNS Radio
February 24, 2014 | Discuss
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Book your room at Providence Suites
Room, 2 Double BedsMax Occupancy: 4 guests (up to 3 children, 3 infants)
Room, 1 King BedMax Occupancy: 2 guests (up to 1 child, 1 infant)
Junior Suite, 1 King BedMax Occupancy: 2 guests (up to 1 child, 1 infant)
Junior Suite, 2 Double BedsMax Occupancy: 4 guests (up to 3 children, 3 infants)
Room, 1 King Bed, AccessibleMax Occupancy: 2 guests (up to 1 child, 1 infant)
Get an overview of this hotelHotel with free parking, near Columbia College
Situated in Columbia, this hotel is within 3 mi (5 km) of Columbia College, Stephens College, and University of Missouri. Faurot Field and Mizzou Arena are also within 3 mi (5 km).
Hotel Features
This smoke-free hotel features coffee/tea in the lobby, free self parking, and free WiFi in public areas.
Room Amenities
Rooms provide conveniences like refrigerators and microwaves, plus free WiFi and flat-screen TVs with cable channels. Pillowtop beds, premium bedding, and hair dryers are among the other amenities available to guests.Information missing or incorrect? Tell us!
Hotel Amenities
Hotel Amenities
Providence Suites features coffee/tea in the lobby. High-speed wireless Internet access is complimentary. Complimentary self parking is available on site.
Providence Suites is a smoke-free property.
- Coffee/tea in lobby
- Free self parking
- Free WiFi
- Luggage storage
- Smoke-free property
Family Friendly Amenities
- Free Wi-Fi
- Microwave
- Refrigerator
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking
Room Amenities
- Air conditioning
- Cable TV service
- Climate control
- Free toiletries
- Daily housekeeping
- Desk
- Flat-panel TV
- Free WiFi
- Hair dryer
- Microwave
- Pillowtop mattress
- Premium bedding
- Private bathroom
- Refrigerator
- Shower only
Hotel Policies
Check-in time starts at 3:00 PM
Minimum check-in age is 18
Check-out time is noon
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Children and extra beds
- Children are welcome.
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Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
No cribs (infant beds) available


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We have brought back James Dean to our current days' cool. I could breathe freely again. Cancel my tattoos' removal appointment. Light another smoke.
Read Whole Story
CHICAGO -- Pete Cosey, an innovative guitarist who brought his distinctive distorted sound to recordings with Miles Davis, Howlin' Wolf and Muddy Wate...
Why are teenagers listening to music that their parents were dancing to 25 years ago instead of rebelling against it? When I was 13, I may have had some knowledge of pop stars from a quarter century earlier, but I certainly didn't like any of their music.
John Pizzarelli: Favorite album of all time? ... Abbey Road is pretty close to the top of the list. It's funny. You could say Abbey Road or you could say In The Wee Small Hours Of The Morning, because they're the types of records you put on and say, 'Oh, I'll just listen to one or two tracks.'
PHILADELPHIA — Music enthusiasts in the City of Brotherly Love are looking to rekindle a love supreme for the deteriorating John Coltrane House,...
What does sound look like? Martin Klimas provides a stunning hypothesis by making paint dance to the beat as he captures his splatter sculptures on ca...
Prior to The Oscars' embracing Outasight's "Tonight Is The Night" -- well, not with an award but with broadcast muscle -- the single had airplay on over 115 Top 40 radio stations, sales of over 530,000 copies, over 18,000 daily streams on Spotify, and over 5 million views on YouTube.
WASHINGTON — The Kennedy Center for the Performing Arts on Tuesday tapped 36-year-old pianist and composer Jason Moran to be its artistic advise...
An upcoming Miles Davis biopic looks like it will see the light of day after George Tillman Jr. has agreed to direct. Tillman's resume includes the No...
A great new double CD set has just been released celebrating the unsung musical genius of the late John Martyn called Johnny Boy Would Love This...A Tribute to John Martyn.
A Prayer For The Planet, DJ Logic's latest album, is a collaboration with Jason Miles, his partner, and also Falguni Shah.
Jill has the #1 album in the country, and features Anthony Hamilton on her latest single, "So In Love." Here, she gives us some background on how her duet came about.
Herbie Hancock is doing the European jazz festival circuit this year paying tribute to Miles Davis. Here he talks a little bit about it with me.
Pat Metheny's new album is titled What's It All About, which is based off a line from the song "Alfie." Since this is an unusual approach for Pat Metheny, he tracked him down to talk about it.
Chick Corea's new album, Forever, is a two-disc set, with the first disc being acoustic, and the second disc with a full band and guests. For the first disc, I asked him if it was a return to Return To Forever.
One of my favorite tracks on k.d. lang's new album is the opener, "I Confess," which sounds like Brill Building meets country, meets...okay, I'll shut up now, k.d. lang has the rest.
Billy Currington just released a new single, "Let Me Down Easy," which has a music video to go along with it.
Back in 1981, Marshall Crenshaw's single "Something's Gonna Happen" was released on Shake Records, initiating his string of critically acclaimed classic albums and 45s. Now Marshall, celebrating 30 years of music-making, sits down to talk.
Rock history is littered with juicy memoirs from its most distinguished and deviant sages. From overdoses and groupies to the social upheaval of race relations in America, the tome of rock tell-alls paint a portrait that can serve as a backdrop for our national conscience.
Get top stories and blog posts emailed to me each day. Newsletters may offer personalized content or advertisements. Learn more.


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There are currently 981 sites on the UNESCO list of World Heritage Sites, and 17 of them are in Canada. Here's a little bit more about them.... READ ON
When I saw the Caribbean Sea in person for the first time, my eyes metaphorically popped out of my head. As a kid who grew up in South Jersey, I was used to the dirty, almost brown, kinda-sorta blue color of the coastal Atlantic Ocean. But this was different. Staring at that bright, vibrant, and seemingly crystal-clear water, I had many questions.... READ ON
Carly Simon's dad is the Simon of Simon and Schuster.


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Join Jake and his friends on an amazing adventure! Each Baby Jake figure is great for imaginative play.

Colours and styles may vary.

Catalogue Number: 215-3505
- Jake's friends join him on all his adventures
- Baby Jake collectable figure
- It's time for fun! Role play Baby Jake and Quins
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Comparative effectiveness of cognitive behavioral therapy for insomnia: a systematic review
1 Center for Evidence-based Practice, University of Pennsylvania Health System, 3535 Market St. Mezzanine Suite 50, Philadelphia, PA 19104, USA
2 Behavioral Sleep Medicine Program, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market St., Suite 670, Philadelphia, PA 19104, USA
3 Center for Sleep and Circadian Neurobiology, University of Pennsylvania Perelman School of Medicine, 3624 Market St., Philadelphia, PA 19104, USA
4 Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Blockley Hall, 423 Guardian Dr., Philadelphia, PA 19104, USA
5 Division of General Internal Medicine, Department of Medicine, University of Pennsylvania Perelman School of Medicine, 3400 Spruce St., Philadelphia, PA 19104, USA
6 Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk, Philadelphia, PA 19104, USA
BMC Family Practice 2012, 13:40 doi:10.1186/1471-2296-13-40Published: 25 May 2012
Insomnia is common in primary care, can persist after co-morbid conditions are treated, and may require long-term medication treatment. A potential alternative to medications is cognitive behavioral therapy for insomnia (CBT-I).
In accordance with PRISMA guidelines, we systematically reviewed MEDLINE, EMBASE, the Cochrane Central Register, and PsycINFO for randomized controlled trials (RCTs) comparing CBT-I to any prescription or non-prescription medication in patients with primary or comorbid insomnia. Trials had to report quantitative sleep outcomes (e.g. sleep latency) in order to be included in the analysis. Extracted results included quantitative sleep outcomes, as well as psychological outcomes and adverse effects when available. Evidence base quality was assessed using GRADE.
Five studies met criteria for analysis. Low to moderate grade evidence suggests CBT-I has superior effectiveness to benzodiazepine and non-benzodiazepine drugs in the long term, while very low grade evidence suggests benzodiazepines are more effective in the short term. Very low grade evidence supports use of CBT-I to improve psychological outcomes.
CBT-I is effective for treating insomnia when compared with medications, and its effects may be more durable than medications. Primary care providers should consider CBT-I as a first-line treatment option for insomnia.


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Yannis Stournaras
Greece's Finance Minister Yannis Stournaras, gives a disc containing... News PhotoAthens - Greece,Austerity,Budget,Economy,Eurozone Debt Crisis,Finance,Finance Minister,Freshness,Giving,Government,Greece,Greek Culture,Greek Debt Crisis,Horizontal,Inside Of,Loan,New,Parliament Building,Rescue,Unlocking,Yannis StournarasPhotographer LOUISA GOULIAMAKICollection: AFP 2012 AFPGreece's Finance Minister Yannis Stournaras, (L) gives a disc containing the new draft state budget for 2013 to Parliament speaker Evangelos Meimarakis, at the Greek parliament in Athens, during a presentation of a draft budget to parliament outlining new austerity measures needed to unlock fresh rescue loans on October 31, 2012 in Athens. Greece revised downwards its recovery forecasts in a 2013 budget that predicted an economic contraction of 4.5 percent of output and a public deficit of 5.2 percent. AFP PHOTO / LOUISA GOULIAMAKI GREECE OUT (Photo credit should read LOUISA GOULIAMAKI/AFP/Getty Images)


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Alex Shaw
Palm Beach, FL
Sunday, August 25th, 2013 at 1:00pm
All Ages
Come join Alex Shaw and the South Palm Beach School of Rockers and they say good-bye to summer! They'll be rockin' all your favorite summer time hits so grab your board and lets ROCK!!
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Music for Two Pianos: 2 Pianos, 4 Hands
Hal Leonard Corporation, Jun 1, 2004 - Music - 12 pages
(BH Piano). Available for the first time in print, this piece for 2 pianos, 4 hands was completed in 1937 when the composer was just 19 years old.
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Wet 'n' Wild Color Icon Blusher - Heather Silk
91 reviews
84% would repurchase
Package Quality: 3.0
Price: $
Package Quality: 3.0
Price: $
INGREDIENTSTalc, Nylon-12, Boron Nitride, Zinc Stearate, Aluminum Starch Octenylsuccinate, Mineral Oil/Huile Minerale, Octyldodecyl Stearoyl Stearate, Isostearyl Palmitate, Kaolin, Silica, Lauroyl Lysine, Phenoxyethanol, Lanolin Alcohol, Methylparaben, Propylparaben, Butylparaben, Ethylparaben, Isobutylparaben. May Contain: Mica, Iron Oxides/CI 77491, CI 77492, CI 77499, Titanium Dioxide/CI 77891, Red 7 Lake/CI 15850, Manganese Violet/CI 77742, Bismuth Oxychloride/CI 77163, Ultramarines/CI 77007, Red 28 Lake/CI 45410, Orange 5 Lake/CI 45370, Carmine/CI 75470, Red 6 Lake/CI 15850.
on 5/2/2013 1:03:00 AM
Age: 19-24
Skin: Combination, Fair-Medium, Not Sure
Hair: Red, Other, Other
Eyes: Hazel
Love love love this color :) I think its my favorite blush yet! Beautiful matte shade! And its really matte too! Buy it! You wont regret it! $2.99 for an amazingly pigmented blush you cant go wrong ;)
on 4/27/2013 1:31:00 AM
Age: Unknown
Skin: Dry, Fair-Medium, Neutral
Hair: Other, Wavy, Fine
Eyes: Other
My favorite drugstore blush! I love glitter/shimmer except for blushes, and this one is matte which is tough to find lately! This is a true medium pink..it is not a coral, baby doll pink, berry, etc. It gives my cheeks a healthy, natural, youthful ruddiness. I almost took off a l/s for the insane pigmentation, but after a few applications you get used to it and learn how to apply accordingly. It hasn't shattered on me yet, but I am expecting it to due to my experience with other WnW powdered products. Amazing drugstore find, highly recommended!
Edited: I lowered the rating from 5 to 3. I got sick of how fussy I had to apply it due to the pigmentation and tossed the product.
on 4/24/2013 6:30:00 PM
Age: 44-55
Skin: Acne-prone, Fair, Not Sure
Hair: Brown, Other, Other
Eyes: Hazel
Amazing color payoff and pigment for the money. Very true mauve/pink. I am very fair with slight ruddy cheeks. I cannot wear coral or orange undertones, they turn muddy on me. Will repurchase when necessary, but image this will last ages due to using so little to achieve the desired effect.
on 4/22/2013 1:13:00 AM
Age: 19-24
Skin: Very Oily, Tan, Not Sure
Hair: Black, Other, Other
Eyes: Brown
I love all the Color Icon blushes! The only con about these are that they are SO FRAGILE & will break on you immediately if you hit it too hard or aren't careful & let it drop or clash with something. All of them are super pigmented. Heather Silk has a warmer orangey under tone but still has pink in it, too. I would say this one you have to be just as careful with as Berry Shimmer. Heather Silk is matte. Use a stippling brush or duo fiber brush to help evenly apply the color. Beautiful color for the warmer seasons :)
on 4/5/2013 5:53:00 PM
Age: 19-24
Skin: Oily, Medium, Warm
Hair: Brunette, Wavy, Medium
Eyes: Brown
For reference: nc27-30, warm, oily skin
Holy crap this blush is ridiculously pigmented. I like to apply with ecotools blush brush, which is really big and soft. Perfect for giving a light wash over cheeks. Color is a dark rosy hot pink. I barely touched my brush to the product ANd I already picked up too much color. I always tap off on back of my hand just incase. Packaging is cheap but the product inside is what counts. Wet n wild powder products are fragile so be careful!!! Def would repurchase!
on 4/5/2013 4:00:00 PM
Age: 25-29
Skin: Normal, Fair, Not Sure
Hair: Black, Other, Other
Eyes: Brown
I picked up this product because I needed a quick blush. The pigmentation is incredible! I do not like the brush, but I've got plenty of brushes. Product is definitely worth it.
on 3/18/2013 2:14:00 AM
Age: 25-29
Skin: Oily, Fair-Medium, Cool
Hair: Brown, Wavy, Fine
Eyes: Brown
- pretty color
- super pigmented, you only need a tiny amount of product or else you'll look like a clown
- really cheap for its quality
- breaks easily so be careful not to drop it
- i know you guys know this but just to reiterate, the brush that comes with it is terrible. you're supposed to use your own brush anyway
on 3/3/2013 4:24:00 PM
Age: 19-24
Skin: Combination, Other, Not Sure
Hair: Blond, Other, Other
Eyes: Brown
This blush is beautiful! I picked it up for around $3 at Walmart. The blush is super pigmented to the point that you have to use a VERY light hand with it or you'll end up looking like a clown. Everything about the blush is amazing, besides the durability. This blush breaks SO easily. I bought this while on a trip to visit some family, and the blush shattered on the way back home :( I was able to press it back together with rubbing alcohol though. None the less, I love this blush and I will repurchase this in the future. Just be careful with it!
on 2/21/2013 1:17:00 AM
Age: 19-24
Skin: Combination, Fair, Warm
Hair: Brunette, Straight, Fine
Eyes: Brown
I am very impressed with Wet 'n' Wild products lately, a few of them are part of my everyday staples and compete with my higher-end products! One of them is Heather Silk blush, which is the most flattering rosy-pink color on my neutral fair skin. I like that this color is matte, smooth, and very pigmented. I only need to tap my brush once into the pan very lightly to get the desired color. It also lasts most of the day for me! My former HG everyday blush, Chanel Rose Initiale, was moved over after I discovered this.
on 2/19/2013 5:21:00 PM
Age: 19-24
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With more than 18 years of full-time real estate experience, Petra Richardson is among San Antonio's most qualified Realtors.
She is committed to helping sellers achieve top dollar for their home, and helping buyers find the right home at the right price.
Petra's clients most often comment on her knowledge, experience & willingness to fight and negotiate on their behalf.
Call or email today for your personal real estate consultation.
Latest Updates
8/24/15: Thinking of selling? Let me get these kinds of results for you, too!
More highlights from the summer selling season :) The basics of pricing, presentation & skilled negotiation never go...Posted by Petra Richardson on Monday, August 24, 2015
8/1/15: NEW In Northwest San Antonio: 2902 Desert Morning
See this GEM before it gets snapped up :) JUST LISTED: 2902 Desert Morning, San Antonio, TX 78251. Offered at $117,900. MUST-SEE VIDEO: https://youtu.be/EUn1rYKaN-IPosted by Petra Richardson on Saturday, August 1, 2015
7/21/15: Just SOLD in Northwest San Antonio
Just SOLD - 10522 Appaloosa Bay, San Antonio, TX 78254 - Under Contract in 2 Days pic.twitter.com/SHkkefgyLB
— Petra Richardson (@realtorpetra210) July 21, 2015
7/16/15: "Texas Gold" -- Perfect Name For This Gem :)
Just Listed: 12739 Texas Gold, 78253 in ALAMO RANCH. 2014 Pulte, 4/2.5 + Game & Study. VIDEO: https://t.co/CanLS4l9lU pic.twitter.com/zzZO1gNPcr
— Petra Richardson (@realtorpetra210) July 16, 2015
7/13/15: Newly Listed in Fair Oaks Ranch
NEWLY LISTED: 279 Ranch Pass--Amazing custom-built home located in highly desired Fair Oaks Ranch, TX on 1.05 acre lot....Posted by Petra Richardson on Monday, July 13, 2015
7/9/15: Just Listed in The Park at Deerfield
GORGEOUS HOME ALERT: 1627 Fawn Bluff, San Antonio, TX 78248. Available NOW. VIDEO: https://youtu.be/ectk7fCzv9gPosted by Petra Richardson on Thursday, July 9, 2015
7/8/15: Early morning listing prep at 1627 Fawn Bluff - On the market today!
7/8/15: UNDER CONTRACT: 730 Barchester - Vintage Gem
INVESTMENT OPPORTUNITY: Vintage 1960 home close to Blanco & 410 - As-is cash sale only - VERY CHARMING. 730 Barchester, San Antonio, TX 78216. Offered at $155,000VIDEO: https://youtu.be/zdBCILVOp2cPosted by Petra Richardson on Thursday, July 2, 2015
6/17/15: #3311ravensranch.....JUST LISTED Offered at $360,000
See this before its GONE :)
6/2/15: Gorgeous 1-Story JUST LISTED - Far West/78253
Fabulous 1-story JUST LISTED.....All tile and laminate, open concept floor plan, spacious rooms, covered porch, great Far West side location & immaculate! https://youtu.be/jJk50khEiFAPosted by Petra Richardson on Tuesday, June 2, 2015
5/20/15: San Antonio Market Update
Latest SA real estate market stats for April 2015... We've been posting on this upward trend in average home prices,...Posted by Petra Richardson on Wednesday, May 20, 2015
5/7/15: San Antonio Home Prices Remain on the Rise
Posted by Petra Richardson on Thursday, May 7, 2015
4/24/15: 2131 Preakness Under Contract
JUST LISTED..... and under contract today! 2131 Preakness Lane, San Antonio, TX 78248.Posted by Petra Richardson on Friday, April 24, 2015
4/14/15: Home prices increase in SA
Home prices rise another 6 percent in San Antonio, CoreLogic reports http://t.co/J0R0OO24nV via @SABizJournal
— Petra Richardson (@realtorpetra210) April 14, 2015
SHORT SALE AND WELL WORTH SEEING. Why wait to build when this 1-year new Pulte 'Soledad' is ready now and at an incredible price? This elegant floor plan is gorgeous & has it all: large granite island kit. w/gas cooking, 42" cabinets, SS Appl., high ceilings, tile floors, study w/french doors, game room up, master suite down w/bay windows, huge master closet, Pulte's 'Planning Center'-a unique office nook & organizing area, cov. porch & patio. Located in the private Burnet Grant community


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Puma Golf Spark Sport 2 Golf Shoe - White/Black
A fresh new update for the season, the Spark Sport 2 gets a PUMA facelift with a modernised interpretation. Leading the charge in PUMA's Sport product pillar (and leading on the greens as well) comes one of the market's most lightweight and comfortable shoes. The Spark Sport 2 provides daylong comfort and cushioning with the upper's one-two punch of full-grain and synthetic leathers. The shoes take the focus off your feet so you can focus more on your game.


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Touch Of Class CollisionDecember 31, 2013Automotive • Valley Stream, United States
Good work & not a rip off. What more do you want?
Good work & not a rip off. What more do you want?
Where the stupidest people from all around the world come to shop. Stop clogging the aisles looking so damn confused & bewildered & get with the program.
Umm, there's only 1 floor
Never gas what you need in stock , par for the course at a R Us store
Any taco or tamale is among the best you'll ever have
Back open after Sandy! Place looks fantastic after a remodel & slight expansion of the dining room
Get Clover brewed anything rather than the other crap they sell.
Multiple Dunkin Donuts, Tim Hortons, & Krispy Kreme locations. If you love donuts or claustrophobic/crowded train stations, you've found your spot!
Sad mall. Don't bother.
I am always fascinated by the number of signs they have up, Nothing's (food, decor, uniforms & even some staff) changed in 41 years. Oh & skip the overpriced burger.
Perfectly thin (but not too thin( & crispy crust, the right amount of cheese & sauce. This is the slice that I compare all others to. I grew up on this pizza. White slice is good too!
The only SBux I've ever seen that offers a variety of made to order brewed coffees
Don't forget! The speed limit is 22 MPH. Not 25, not 20...22!
Morty Seinfeld is running a puppet regime through that Kramer character
They have one of those touch screen Coke fountains that dispense all sorts of unique soda varieties
This is one of those new fancy DR's with a Sushi Bar, Juice/Smoothie Bar, & serve your own Fro Yo
...and you thought the downtown store was chaotic?
Croissants are buttery delicious, though maybe a bit too crisp on the outside. A great addition to Forest Hills.


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Bret Visciglia Model
LA Talent SearchPhotographer Female Venice, California, US My MM URL: http://www.modelmayhem.com/LATalentSearch
Mayhem # 2264535
About MeI am known generally for the unique way in which I capture and process the world around me. I have my own "take" on HDR Photography. I grew up color blind in one eye and this might have changed the way I view the world. It's hard to be objective about the way one's brain was wired. My background is in computer science and math, so I bring an algorithm-like process to capturing the scene in such a way that it evokes memories in a palpable manner. Being the only girl in a family of 6 children all of 5 of my brothers were athletes and my father photographed independently for National Geographic Magazine, hence my style is more artistic in its nature though it is all 100 percent real photography, no post painting enhanced techniques which has led me to photograph some of the worlds greatest professional athletes.
Bret Visciglia Model
ryanmalaty Model
MarkJacobC... Model
AaronSwims Model
Dearing Model
Michael Sannicandro Model
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Welcome to Smogon! Check out the Smogon Info Hub for everything you need to know about starting out in the community. Don't forget to introduce yourself in the Introduction Thread, too!
Welcome to Smogon Forums! Please take a minute to read the rules.
Completed Unown battle! DA8828 vs. Doorknob!
Discussion in 'ASB' started by Quagsires, Jan 13, 2012.
- Thread Status:
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- Thread Status:
- Not open for further replies.


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Hales Corners Fire Chief Michael A. Jankowski recently completed the prestigious U. S. Fire Administration's National Fire Academy's (NFA) "Executive Fire Officer Program" (EFOP). This 4-year program is administered through the Federal Emergency Management Agency (FEMA) and U. S. Department of Homeland Security.
The program is designed to provide senior fire officers with a broad perspective on various facets of fire administration, in addition to providing them with the expertise they need to succeed in today's challenging environment.
Completion of the course required extensive study in Executive Development, which emphasized team development and decision-making to enhance organizational effectiveness. The second year studies focused on Leading Community Risk Reduction, focused on identifying risk, assessing, and reducing this threat in their community. The third-year studies included an Executive Analysis of Fire Service Operations in Emergency Management course, which is especially critical for incident response environment. The final course, Executive Leadership, examined all aspects of executive-level leadership and tied together the educational experiences of the three previous years.
Chief Jankowski was accepted into the EFO program when he was the Deputy Chief for the Franklin Fire Department. Fire Chief Jankowski has been with the Hales Corners Fire Department since January 2007 and when asked about this accomplishment, he said, "It was a privilege just to be accepted into the EFO program. That was the first challenge; the second was actually completing it! I could not have done it without the support from my family and co-workers. Completing the course is an important step in achieving my goal to be a leader in the fire service." "The EFO program has provided me with additional knowledge and tools to further enhance services to our Village and surrounding communities".
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- Annual Free Genealogy Workshop to be held at the Milwaukee Family History Center
- Rummage Sale on Oct. 10 by Hales Corners Woman's Club
- All You Can Eat Breakfast Sunday, October 11th
- Community Events at Faith Community Church - Franklin
- United Performing Arts Fund Announces 2016 Campaign Co-Chairs
- Callen Receives 2015 Pulse of the City Star Award
- Sept. 19 booster and car seat safety check in Waukesha
- Heritage Haunted House
- Prepare Plumbing for Cool Weather
- Protect your vision, know the 3 leading causes of blindness


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Barack Obama
US President Barack Obama walks out of the Oval Office on February... News PhotoAir Vehicle,Barack Obama,Budget,Economy,Government,Horizontal,International Landmark,Leaving,Navy,Newport News,Nuclear Energy,Ominous,One Person,Oval Office,People,Politics,Shipbuilder,US Navy,US President,USA,Virginia,Walking,Washington DC,White House - Washington DCPhotographer JEWEL SAMADCollection: AFP 2013 AFPUS President Barack Obama walks out of the Oval Office on February 26, 2013 as he leaves the White House in Washington, DC, en route Newport News, Virginia.Obama will paint a devastating picture of looming government budget cuts, at a fabled shipbuilding yard in Virginia that provides the US Navy's nuclear powered aircraft carriers. The trip will intensify the president's effort to hike pressure on Republicans to agree on tax increases to avert $85 billion in automatic spending cuts this year, which experts warn could stagger the fragile economy. The White House said the cuts, known as 'the sequester' which are due to hit on March 1, would see 90,000 civilian defense workers furloughed in Virginia alone and would hurt companies in 50 states that supply shipbuilders.AFP PHOTO/Jewel Samad (Photo credit should read JEWEL SAMAD/AFP/Getty Images)


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- Course: Side Dish
- Total Time: Under 4 Hours
- Skill Level: Easy
- Cost: Inexpensive
- Favorited: 6 Times
slow cooking
Photo by: Joseph De Leo
© Christopher Idone
Yield: Serves 8
- 5 pounds fresh black-eyed peas, shelled
- ½ pound fresh pork fatback, cut into 1-inch dice
- 6 small yellow onions, peeled
- Salt and freshly milled black pepper
Place the shelled peas, fatback, and onions in large pot and add water to cover. Bring to a boil, reduce the heat, and simmer for several hours, or until the peas are tender. Season with salt and pepper to taste. Serve with Chowchow.
© Christopher Idone
Nutritional Information
Nutrients per serving (% daily value)
Nutritional information is based on 1/8 teaspoon added salt per serving.
486kcal (24%)
133mg (13%)
4mg (6%)
0mcg RAE (0%)
13mg (4%)
307mg (13%)
6g (29%)
15g (23%)
3mg (18%)
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MX Racing
Ukiah MX - MX vs. ATV Money Races - Memorial Weekend...
Quads vs. bikes in a two-moto money race at Ukiah Speedway MX in Ukiah, CA. Quads took 1st and 2nd for the race, leaving the do...
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These $100k+ machines are bad a$$!
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YFZ450R GYT-R Tested at the Track
This thing HAULS!
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Awesome video with some awesome shots!
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This bike is incredible!
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Great video of the two racing!
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This is going to be a great video from Premis Industries!
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|Program Terms:
|OU applicants only
|Fact Sheet:
|Program Type:
|Journey Programs
|Language of Instruction:
|Non-English Language Prerequisite:
|No Language Preqrequisite
|Housing Type:
|Hotel or Guesthouse
|Minimum GPA:
|Study Abroad Adviser:
|Shanna Vincent
|Program Description:
Summer 2016 Highlights
- Travel throughout China with OU professors and other OU students
- See world famous cities and landmarks such as the Great Wall of China, the Forbidden City, and the Terra Cotta Warriors!
- Earn 6 Upper Division General Education credits (pending review by the Provost's Advisory Committee on General Education)
- Use your banked hours and save on tuition/fees
- PITF Airfare scholarship GUARANTEED for ALL Journey Program participants
- Rolling admission begins November 18th
In addition to meeting the study abroad eligibility requirements, you must also have:
- 2.5 Combined Retained GPA
- Passport (valid through eight months after return from study abroad)
- 1 recommendation letter from any OU professor
- Visa
Journey programs are designed to fulfill General Education requirements while traveling throughout a country with OU professors and students. For this program, you will visit several important cities and sites within China, including cultural and heritage sites, temples, museums, and universities.
The Journey to China 2016 program itinerary will be announced in the Fall 2015 semester.
Journey to China will offer the following two courses taught in English, both of which are pending approval for General Education credit. You are required to take both courses in order to participate in this program.
- IAS 3930/5830 - Journey to China: China's Rise: A 360-Degree Examination (Professor Bo Kong)
- IAS 3930/5830 - Journey to China: Chinese Culture, History and Language (Professor Nian Liu)
TBD - Journey programs usually take place between mid-May and early July.
Money Matters
- OU Tuition & Fees - normal in-state or out-of-state rate (financial aid, scholarships and/or banked hours may apply)
- Program Fee - TBA (includes housing, in-country travel, and most meals)
- 1st payment = $500 nonrefundable deposit due with program acceptance
- 2nd payment = half of the remaining nonrefundable program fee due in March 2016
- 3rd payment = nonrefundable program fee balance due in April 2016
- Airfare - ~$1800 (PITF scholarship of at least $500 awarded to all Journey to China participants)
- Visa - ~$275 (more information and guidance will be provided by your OU study abroad adviser)
- Education Abroad Application Fee - $50 (charged to your Bursar account)
There are also a number of scholarships available for study abroad students, including but not limited to the following:
- Study in China Scholarship - provided by the OU Institute for US-China Issues
- Ambassador Perkins Scholarship - awarded to students with at least a 3.0 GPA studying in Africa, the Middle East, Asia, South and Central America.
Accommodations for Summer 2016 are still under consideration. Students generally live together in hotels that vary with each city visited.
Getting Started
Your Study Abroad Adviser for Journey to China is Shanna Vincent. Please contact Shanna by email or make an appointment if you have any questions about this program.
Applications will be reviewed on a rolling basis beginning November 19th. Applicants with complete applications will be emailed and directed to submit their nonrefundable $500 deposit, which guarantees their spot in the program.
Student Experience
"You may be nervous about going to an unfamiliar country thousands of miles away. That is perfectly reasonable. But don't let that stop you from going. Get out there, make friends, go on some crazy adventures. I promise you, it will be so eye opening, and you will have the time of your life." - Brian, Summer 2015
"This Journey program provides the perfect opportunity for students who are looking forward to a short and adventurous study abroad program. Although it was a short trip, we had time for classes and traveling to six different cities was amazing. Traveling in a group setting also gives an opportunity for making new friends. Traveling in a big group like this also made it less intimidating and more fun while being on foreign land." - Ngan, Summer 2015
"The best part of studying abroad on a Journey program was that it was constant traveling and excitement. Every day we were experiencing all parts of the cities. The people on the program, including the advisor, the professors, and fellow students, made the experience even that much better. I can honestly say that I have walked away from this journey program with the experiences of a lifetime and friendships that will last forever. " - Alyssa, Summer 2014
More Information
This study experience will involve some rugged travel and hiking. Each student should consider his/her own physical fitness as well as his/her tolerance to extreme heat and non-standard accommodation. Additionally, students may need to get vaccinations and medications prior to departure. It is each student's responsibility to ensure his/her routine vaccinations are up-to-date and to inquire whether there are recommended and/or required vaccinations or medications for the country/countries he/she will visit (including any countries he/she will visit which are not part of the study abroad program's itinerary). To find comprehensive information regarding international travel, including recommended or required vaccinations and medications, visit the U.S. Department of State's website and the U.S. Center for Disease Control and Prevention's website. We recommend students visit a healthcare provider and acquire any necessary vaccinations and medications at least two (2) months prior to departure. Goddard Health Center (on the OU campus) is a good place for students to acquire the appropriate vaccinations and medications.
|Dates / Deadlines:


text:
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text:
Steever says the only thing that could slow down the pace of the mergers and acquisitions is if the federal government defaults. "That is driving people nuts on many fronts," he says. "We should have this settled in the next week or so, but stuff like that is exactly what tends to slow up activity. People aren't sure what their revenues are going to be."
It was the same scenario in 2010 as Congress wrangled with the healthcare reform bill. "The acquisition activity was impossible to predict. It was very slow," Steever says. "Once healthcare reform passed it really picked up. That is because people finally figured that we know we have what our revenues are going to look like. That means we can place a valuation on companies that want to buy or sell."
Comments are moderated. Please be patient.


text:
Review: 'Over the River' rides to grandma's house for lessons on life, love, growing up
FORT MYERS - What: Comedy about family dynamics, life, love and Italian cooking
When: 8 p.m. Dec. 10, 11, 12, 17, 18, 19; 2 p.m. Dec. 12
Where: Foulds Theater at the Lee County Alliance of the Arts complex, 10091 McGregor Boulevard, Fort Myers
Cost: $22; $10 for students
Information: 239-936-3239 or theatreconspiracy.org
Something Else: Thursdays, December 10 and 17 are "buy one get one half price" nights.
If you've ever had grandparents - and unless you were found under a gooseberry bush, you probably did - you'll want to make the trek up to Fort Myers to drop in on Frank and Aida Cristano's big Italian kitchen, enjoy the veal (from the Shop Rite), have a slice of crumb cake (with the big crumbs, from the A&P) and laugh until your sides hurt and your eyes water.
Playwright Joe DiPietro examines family again and again in his work - turning over the ground of life, death, love and loss with a deft hand. In "Over the River and Through the Woods," 27-year-old Nick Cristano has been riding out to Hoboken every Sunday for dinner with his maternal grandparents. The paternal grandparents, Nunzio and Emma - (the loudest people he's ever met) - live down the street.
Everyone's Italian - but they could just as well be Jewish, Indian, Chinese, Southern or Martian. The play is about family - the grandparents nag incessantly. Emma tells her grandson "I want to see you married before I'm dead." When Nick drops the bombshell that he's moving to Seattle for a big promotion, the canny elders try to bribe him to stay with a pretty neighbor.
Director Karen Goldberg juggles the demands of an ensemble cast perfectly. Christopher Brent is at turns snide, snarky, serious and affectionate as Nick. His character is stuck between fealty to family and following his dreams - and Brent illustrates that passion, whether exasperatedly arguing with one grandmother over eating Chinese food or begging another grandfather to turn on the air conditioner. He won't. It's not July yet, and no windows either, there might be a draft.
The show belongs to the grandparents. John Brothers (Frank Giannelli), Patricia Clopton (Aida Gianelli), J. Mitchell Haley (Nunzio Cristano) and Barbara Becchino (Emma Cristano) work together like a well-oiled comedy machine. It is so easy to get lost in the silliness of DiPietro's quirky dialogue about crumb cakes, provolone, veal and shopping at the Pathmark as opposed to the Shop Rite that you tend to forget that they're creating beautiful, fully formed, living, breathing characters up there on the stage.
And once you've been lulled into a sense of complacency by a big Italian dinner, the play tweaks audiences with what is really important - family. "Over the River" repeats the Italian phrase "tengo famiglia" throughout the night as the entire clan realizes that what defines "family" grows and changes with the passage of time.
Some of the evening's most dramatic moments come courtesy Allen Glass's lighting design. The clever staging often contrasts the stark solitude of a dark stage with a single actor emerging from the shadows, a spotlight and a monologue with convivial scenes of family jollity. Treasure the moments, wherever and whenever they are, DiPietro seems to be urging. Nick learns to. So do his grandparents.
"Over the River and Through the Woods" is a beautiful, touching play about life, love, family and growing up. This is a play for everyone with parents or grandparents. The audience laughs, cries, enjoys some nice provolone and learns where to shop for veal and the best ricotta. Pass the crumb cake, please.
My grandma shopped at the Piggly-Wiggly and nowhere else. Email me, firstname.lastname@example.com or find me online, http://card.ly/napleschris


text:
Manhattan's sales tax receipts were off nearly 7 percent in March, according to figures released Monday by Bernie Hayen, city treasurer. The numbers reflect sales in January due to a lag in reporting and disbursement by the state. Total sales tax revenues reported for March
A 17-year-old Valley Heights High School student died after a single-vehicle collision Sunday morning. Seth McKay of Marysville died around 7 a.m. when his vehicle veered off of Highway 77 and struck a tree. McKay was headed north and hit the tree on the west side
Kansas State University's K-State Theatre will present the madcap comedy "Anton in Show Business" by Jane Martin at 7:30 p.m. April 3-5 in East Stadium's Purple Masque Theatre. This play follows three actresses across the footlights, down the rabbit hole and into a
The Marianna Kistler Beach Museum of Art is inviting everyone to slow down and enjoy a special day appreciating some special art. The Kansas State University art museum is taking part in the sixth annual global Slow Art Day on Saturday, April 12. From 10 a.m.
Naomi McClendon, a Manhattan woman going to college in Arizona, died over the weekend in a fall from a balcony. Story from the Arizona Republic:
In gorgeous weather with the scent of burning prairie smoke filling the air, area residents emerged from a long winter to enjoy the annual open house at Tuttle Creek Lake on Saturday. Visitors ran in a "Zombie 5K," took nature walks, threw tomahawks and shot
Former Manhattan mayor Jim Sherow said U.S. Rep. Tim Huelskamp can't effectively represent his district's agriculture needs. Sherow discussed ag concerns and other issues during an interview at The Mercury on Friday. The K-State history professor and former city commissioner (2007 to 2012) is
Area legislators weighed on Saturday on a couple of warm issues: the Kansas Supreme Court school finance decision and a proposal to hold local elections in the fall. State representatives Sydney Carlin, Tom Phillips, Ron Highland and Sen. Tom Hawk kicked around concerns submitted at "
Q: Time for the annual Kohl's question. Can you confirm the latest rumors? Early Edition is moving from their east location to the old Lemmy's Pizza building. With Kmart and others moving out, Kohl's is building a store at that location. Sam'
The owner of Kite's Bar & Grill, Inc., is appealing a Kansas Division of Alcoholic Beverage Control's decision to suspend the establishment's liquor license for four days. Kite's owner Rusty Wilson will appear at a hearing in the Kansas Court of
Get the latest news, weather and sports updates from The Mercury sent to your phone.
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You are here:
The Governance Committee assists the Board in fulfilling its responsibilities relating to developing and implementing sound Governance policies and practices for the Vaccine Alliance.
Committee member
Committee Term Ending
Flavia Bustreo (Chair)
Board member
31 December 2016
Independent Individual
Gunilla Carlsson
31 December 2015
Civil Society Organisations
Naveen Thacker
Vaccine industry - Industrialised
Laura Laughlin
Board alternate
Bill & Melinda Gates Foundation
Orin Levine
Governments - Developing
Seif Seleman Rashid
Bheri Ramsaran
Governments - Industrialised
Donal Brown
Eivind S. Homme
Javier Hernández Peña
Blair Exell
Research & Technical Health Institute
Samba O. Sow
Geeta Rao Gupta
World Bank
Rama Lakshminarayanan
Gavi CEO (non-voting)
Seth Berkley
Until successor appointed
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