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Beach Drive slides briefing: Muddy mess, legal tangleJanuary 25, 2011 at 12:41 pm | In Safety, West Seattle news | 29 Comments
(January 2010 WSB reader photo)
By Tracy Record
West Seattle Blog editor
After two slides in less than a year – most recently, last month – with a road surface crumbling, a fire hydrant buried, and nearby residents afraid for their safety, why isn't the Beach Drive SW (map) slide situation resolved yet?
That's the question the City Council Transportation Committee put this morning to the directors of the two city agencies that are involved – the Department of Transportation and the Department of Planning and Development. Its chair Councilmember Tom Rasmussen, who lives in the Beach Drive/Alki area, expressed frustration, as did a slide-neighboring (across Beach Drive) resident, Mike Winter, speaking in the public-comment time period before the meeting:
He noted that two upslope homes have been recently "yellow-tagged," which DPD director Diane Sugimura later explained means flagged for safety concerns – in this case, residents were warned not to use their decks, because the footings aren't stable. Winter also told the committee about the mud-swamped fire hydrant, which SDOT director Peter Hahn said that Seattle Public Utilities is "taking care of."
Winter also recounted the problems caused when the persistent slope runoff froze recently (January 2nd WSB photo above). He implored city leaders to "stop the blame game" and just "fix .. the hillside. … We need to fix it now before the entire hillside comes down."
However, the "blame game" to some degree resurfaced shortly thereafter when DPD's Sugimura and a rep from the City Attorney's Office discussed a lawsuit that has been in progress for almost two years and does not appear to be likely to get resolved any time soon.
They said the city filed a lawsuit in April 2009 – we are trying to track down a copy of that lawsuit – and it was scheduled for a hearing in fall 2010. The City Attorney's Office had been trying to reach a settlement but says "last week, the defendant pulled out" and the case is now set for trial this spring – though, it was noted that the city believes the defendant is seeking new representation "who might try to move it to Superior Court, and that could add more delay. … It's a frustrating process for us, having the negotiations fall apart under us."
The "defendant" was never identified by name or address in the hearing; later, it was acknowledged that the councilmembers had too many specific questions to ask in an open hearing, so they will schedule this issue for an "executive session" closed hearing at some point in the future.
What preceded the lawsuit was described by Sugimura as "a violation" issued in 2008, involving "fill that wasn't approved" in the Environmentally Critical Area of the slope – the "landslide-prone area (was) disturbed … by doing that"; she said they sought to "require stabilization and a permit for the unpermitted retaining wall built on the south end of the property … also (there was) a code issue, that work was done not 'per plan' in terms of working in the disturbance area that as identified."
She said the city had a "potential landslide area covenant" on file, signed by the owner, identifying the "potential disturbance area," which she said is routine for such areas and puts the property owner on the record of being aware of the risks. (Before the specifics of this situation were discussed, the city reps and councilmembers discussed the process of granting building permits for this kind of area. Councilmember Nick Licata wondered if such permits should be granted at all.)
Whatever is or isn't going on in court, Councilmember Rasmussen said, what is being done or can be done to "keep the hillside from sliding"? Told "it's private property," the councilmember retorted, "But it's damaging city property."
Councilmember Sally Clark asked if it was considered an imminent threat, and if action could be taken based on that; Sugimura elaborated on the "yellow-tagging" of two homes on the slope, mentioning the perceived deck-use hazard but saying it didn't mean the residents "can't be in the house." She and SDOT's Hahn both reiterated that "geotechs" (geotechnical engineers) are continuing to watch the situation.
(WSB photo, taken today)
Hahn talked about the "ecology blocks" that form a retaining wall along the east side of Beach Drive in the slide zone and said they seem to be working so far. But, he acknowledged, "The road condition has deteriorated – it's not a great road. There are a number of measures we need to be taking to steer some of the water away from creating some of the conditions mentioned by Mr. Winter. … We're going to continually monitor the performance of the 'ecology blocks' to make sure the material (sliding down behind it) doesn't over-top it. And there are some worsened potholes that could use some attention."
Despite all that, Hahn said the "road bed" does not appear to be in danger of failing.
From there, the aforementioned future "executive session" was decided on, but Councilmember Rasmussen said he would commit to neighbors to "do all we can to protect you" as well as city property and public safety. He also suggested that DPD and SDOT be more aggressive in letting neighbors know what is being done – even if there is not much major action to report, keeping them informed that the situation has not fallen off the radar.
29 Comments
The substance of the public discussion was that any decisions made on the situation will occur behind closed doors.
Comment by stuart — 1:04 pm January 25, 2011 #
I would not call this transparent government. In fact, I would call this obstructing. I'm surprised Peter Hahn is not being more open. It certainly doesn't bode well when private citizens can wantonly walk away from damage to an entire community. I also hope they are able to afford the civil engineering design and work which they caused to be needed. Better still would be the Kharma of their house(s) literally falling down the hill.
Comment by chas redmond — 2:27 pm January 25, 2011 #
Heard some work going on there today. Went down to check it out, and an asphalt rill has been put in, running parallel to the Jersey barriers. It d diverts water from running across the street, and instead guides it to along the curb northward, and then down the incline north on Beach Drive.
They've also filled a couple of the holes in the street.
Comment by PeterT — 2:46 pm January 25, 2011 #
I know a really great lawyer for the houses around the slide when they become damaged. (sorry about the 'when' not 'if' but it seems inevitable.) Richard Maloney who works in WS and has experience with these types of cases.
Comment by Eliza — 4:23 pm January 25, 2011 #
Once again the ugly heads of ignorance rise and speak when the subject of hillside slides appears on WSB.
This time the usually reasonable and positive comments of Chas Redmond are contravened by his not backed up claim,
"It certainly doesn't bode well when private citizens can wantonly walk away from damage to an entire community."
If Mr. Redmond had read some of the long line of articles on this area, he would know that no one is "wantonly walking away from damage."
And if he is aware, in his frequent walks around West Seattle, that the bluffs all over continue to slide as they have for the past millenniums?
Which homes made the hillside slides in Lincoln Park this year?
Comment by Nulu — 6:07 pm January 25, 2011 #
It's surprising to me how much of this information is not public record.
Comment by Rhonda Porter — 6:57 pm January 25, 2011 #
Rhonda – the city attorney's office didn't answer my inquiry today requesting more info on the lawsuit. I may not have used the correct search terms yet but if I can't find it online by tomorrow, I will go to the courthouse and get a copy there. Have been spending plenty of time there lately, what's another trip… TR
chas you may want to give some thought to your own karma
Comment by steve — 7:58 pm January 25, 2011 #
My point is that for 3 years after a determination that a causation by a landowner is the root of slides in an area where the impact is to anyone living, walking, biking or riding through that stretch of Beach Drive, there is still no solution to the ongoing slide condition. No geotech re-engineering has occurred. Landowners below and adjacent are threatened, as is their lives and their peace of mind. Why has this not been solved by the city in whatever manner is requited? How much weight does a single property owner have versus a community? Landowners near Lowman Beach will see a possible eminent domain action on their land because of the overall requirement of the County sewer folks. Why is not SDOT doing the same thing here for the benefit of Beach Drive and the adjacent and down-hill residents? Just seems to me that a single landowner and legal issues with the city are holding up a safety fix for a much larger number of residents and visitors. My karma, thank you, is actually doing quite fine.
Comment by chas redmond — 8:51 pm January 25, 2011 #
And, yes, I've been following this since the beginning. I can walk to this spot and often do. You seem to somehow be providing cover for the original illegal act. A more interesting question would be why is DPD still permitting construction in slide areas?
Comment by chas redmond — 8:51 pm January 25, 2011 #
Chas appears to be confusing the issues.
One is contaminated toxic runoff from the complete area our streets, nitrogen from our lawns and fecal matter from our pets that is getting swept during storm events directly into Puget Sound thereby violating state and federal mandates.
While the other is the localized failure of a hillside that has a history of failure far before the localized development.
If only anyone could "solve" the problem. This very hillside has long had the attention of civil and geotechnical engineers. There are existing remnant "french drains" and pipes from WPA era attempts to drain water strewn over the hill.
As teenager in the sixties, my buddies and I spent a wet muddy weekend shoveling sliding mud away from the back wall of Mr. Evans' house 100′ north on Beach Drive.
It is unfortunate that we cannot be given by WSB what are preliminary and not yet complete factual reports of certainly complex issues without resorting to nasty innuendos and karma challenges.
I too, welcome full disclosure and transparent government. All sides are compromised by secrecy.
Comment by Nulu — 9:55 pm January 25, 2011 #
Over the holidays, the property owner responded to frustrated comments about this issue, laying out all the details to suggest he was the victim in all of this.
Now today we learn how he is flouting the city codes and law, has pulled out of the agreement he told us all he was close to reaching with the city back in December, and is about to pursue other delaying tactics by switching council and trying to get this case moved to Superior Court, so that the whole thing drags on and on and on — continually endangering our neighborhood, street, and residents, not to mention making the whole area look like a war zone.
Have some decency and take care of your responsibilities! When we bought our house on Beach Drive 11 years ago, we received papers in the mail within 2 months ordering us to repair our sidewalks. You know what we did? We organized 4 neighbors in a row who also received such notices to get the work done immediately and seamlessly, without several different masons involved — so that our sidewalks wouldn't continue endangering pedestrians and runners.
It makes my blood boil that others can't uphold their responsibilities to their neighbors.
The property owner claimed he didn't violate any codes or building permits — that's certainly not what DPD believes.
How do we all band together as neighbors to encourage him to stop wasting time and money and threatening safety?
Comment by Upset — 11:41 pm January 25, 2011 #
Also, at the Transportation Committee meeting today, the folks from DPD and SDOT said they are meeting tomorrow — Wednesday — night with Mr. Winter and others. Is this meeting open to other Beach Drive residents in the area? If so, I would like to attend. If anyone has details of the time and and place, please share them.
Comment by Upset — 11:44 pm January 25, 2011 #
Upset, I am trying to get that information too. SDOT did not answer the inquiry I sent in late morning, which is unusual because its media team is generally very responsive. So I'm trying again bright and early, and trying a few other sources – TR
I am pleased that Upset has confirmed the problem was there at least eleven years ago when Upset moved in.
That makes it eight years before the violation.
In the spirit of neighborly cooperation that Upset reflects upon, lets hope Upset extends such entreaties to the uphill neighbors also.
Comment by nulu — 12:44 am January 26, 2011 #
Chas states, "a determination that a causation by a landowner is the root of slides".
Is anyone else privy to this information?
What determination of root cause was made and by who?
Comment by nulu — 12:51 am January 26, 2011 #
I did see that all the trees on the slope had been cut down months before the first slide event occurred in that area. May just be a coincidence?
Comment by sean — 6:42 am January 26, 2011 #
Sean, I was pretty positive the homeowner cut down a ton of trees prior to/during construction, but he denied that during his holiday posting. There is not nearly enough proper vegetation on that hillside; this is only making matters worse.
Nulu, the 11-year old problem I was referring to was our sidewalks — not the destabilization of the hillside due to improper building.
Comment by Upset — 10:25 am January 26, 2011 #
You guys need to get the mayor's office involved. This road obstruction is clearly a hazard for bicyclists!
Comment by Michael Steiner — 11:07 am January 26, 2011 #
To Upset and other Beach Drive hill slide neighbors:
The meeting tonight between representatives of DPD, SDOT, and the immediate neighborhood is already a full house. But we will try and keep you posted about future developments.
Comment by Jim — 11:19 am January 26, 2011 #
I've been driving by this slide for two years. I used to review landslide hazards for King County. These cases often take a long time to resolve. The City probably has a similar review process to the County and would have, I think, required geotechnical review before building but I found the system somewhat flawed when I worked under it. It depended a lot on which engineer was hired, what the homeowner wanted them to report and how much money the applicant had. The reviews process can be quite long and expensive so if they had assets the applicant could keep filing variances until they got what they wanted. Again, this was the County's process.
I just look at the whole thing as human arrogance when people defy nature to build in a place like this and a reflection of the awesome power of nature that they can't always defeat.
What about the people further down the street that are installing an apparently non-engineered rock wall? That one has me wondering.
Comment by Joanne Hedou — 12:06 pm January 26, 2011 #
Jim — Would you please post a summary of tonight's meeting? Also just curious what defines immediate neighborhood? We're not directly opposite the slide, but are within a handful of houses.
Comment by Upset — 12:37 pm January 26, 2011 #
Check out the link at the bottom of this post:
It's a recorded document for a home around 6300 Beach Drive where the owners acknowledged the risk of landslides & possibility of death by land or mudslide.
Comment by Rhonda Porter — 1:37 pm January 26, 2011 #
I just got a copy of the lawsuit this morning from the city attorney's office – will be publishing a separate update.
"Nulu, the 11-year old problem I was referring to was our sidewalks — not the destabilization of the hillside due to improper building." – Upset
Upset, do you actually believe the galloping of the road and sidewalk on Beach Drive for decades has nothing to do with the hillside and soil stability? For someone who has been there for 11 years, that is an incredibly naive belief and embarrassing falsehood.
Upset's pronouncements about vegetation are breath taking in their ignorance. A knowledgeable WSB post about this slide by Maria-http://www.whereiamnow.net/2010/02/trees-and-mudslides.html explains a more nuanced truth.
Comment by Nulu — 4:01 pm January 26, 2011 #
@Nulu- I'm somewhat confused as to the nature and intent of your defense of the said homeowner here. You've clearly stated that the destabilization of the hillside has been well established and occurring for some time, meanwhile denouncing as ignorance any suggestion that recent alterations to the landscape have contributed to the present situation. Given that your client/friend/family member proceeded to build a home in an area of historical geo-instability are they completely exonerated of any responsibility here? Good luck with this one in court.
Comment by Vladimir — 5:09 pm January 26, 2011 #
I am happy to clear up your confusions.
I did not nor do I claim that code violations are completely exonerated nor that recent alterations to the landscape have not contributed to the present situation.
I argue for a nuanced truth, accepting the facts that this is a historically unstable hillside, there are many houses on the top and the bottom of the hill in what is now defined as Critical Areas that have been there for 100 years, and before that the hillside was clear cut.
Seattle has just received a 100 year storm event that exceeded the capacity of our drains.
All of these elements combine to provide the muddy mess as well as possible errors and omissions by the geotechnical and civil engineers for both Seattle DPD and the builder who signed off and monitored the work and the builder himself.
I hesitate to charge, as others do, that the whole problem was caused by tree removal and or by the new home replacing the old one.
Such charges are from a place of ignorance.
I wrote before and the same holds true now, I do not know nor have I met the homeowner. I do not work for him, his company or anyone else. I do not in any manner represent him or his family and, to the best of my knowledge, we are not related!
Comment by Nulu — 11:10 pm January 26, 2011 #
Congratulations, your pursuit for 'nuanced truth' here has just resulted in more obfuscation. Well done!
Comment by Vladimir — 12:32 pm January 27, 2011 #
Ok Vladimir,
I am an convinced that you can not grasp that there may have been other factors such as an one hundred year storm event, a long established history of slides and any errors or omissions on the part of the City or the homeowner.
I hope we can agree that recent alterations to the landscape are a likely suspect and there are charges and a lawsuit.
I disagree when you claim my, "denouncing as ignorance any suggestion that recent alterations to the landscape have contributed to the present situation."
I denounce as ignorant claims that none of the variables listed had anything to do with the lack of hillside stability.
Comment by nulu — 2:42 pm January 27, 2011 #
Sorry, comment time is over.
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No, the spacebar didn't break on my keyboard. But yes, it's the name of a movie I recently watched.
Griz Unit from the sports desk happens to like the TV "How I Met Your Mother," probably more than I do. Which is of course why he went out and purchased this film written, directed and starting the CBS sitcom's lead character.
Josh Radnor, plays Ted Mosby, aka T Mos, aka, Teddy Westside on the hilarious CBS sitcom. He also is the creative force behind this film.
In "HappyThankYouMorePlease" Radnor plays a guy facing relationship difficulties and what I would think is a felony charge in the state of New York.
But at the end of the movie I thought the characters grew and the screen play was solid. I told Radnor this on Facebook and asked for more please.
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Review: 2012 Lib Tech Birdman 180
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Memphis Hawk
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Okay, I had this thing out for a couple of days now in straight knee deep or higher pow and it flat out ripped. I think part of my earlier problem was the adjustment period to such a long and wide board, but as that wore off it really shined. Control input was met quickly with a response and I never found myself losing control of what I wanted to do at ANY speed. I hit 35 degree slopes and went straight down them with no feeling of looseness or jitteryness. I did get quite a bit of audible chatter from the front at high speed on a rough surface though, which to some degree is unsettling. I moved the bindings (now Burton Diodes) up a notch to take better advantage of the side it and I have to say that livened up the board more than anything. Just because it's designed to have a big nose doesn't mean you have to take it to the extremes. The finish of the board is holding up to a beating and I still get looks
And compliments. It think it's a board I could go on and on about, but essentially if you need a low board and don't want a fish, get this and be very happy.
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Memphis Goes to Downton Abbey
A special celebration at Highclere Castle in England with the Simpsons.
photography by Dave Burlison
The fourth season of PBS' wildly popular British television drama Downton Abbey is over, while a fifth is now currently filming. But for Mary and Jeff Simpson's fortunate friends, fond memories of the actual place itself will transcend many, many seasons.
Mary and Jeff are native Memphians who recently returned home after 40-year careers in technology and private equity. (Now retired, the couple have lived all over the country, including San Francisco, where Jeff worked for Larry Ellison in the early days of the Oracle technology company.) So to celebrate their 40th wedding anniversary last fall, the Simpsons took 34 of their nearest and dearest friends and family on a magical, unforgettable "town and country" trip to England, the high point of which was, yes, a private, black-tie dinner at Highclere Castle, ancestral home of the Carnarvon family and the setting, of course, for the fictitious Downton Abbey series.
This story began with a cocktail party, held almost a year before last September's grand trip, at the home of Dr. Bill and Gayle Bourland, close friends of the Simpsons who were privy to what was in store. At the gathering, the Simpsons proceeded to thank the assembled guests for their friendship and hospitality through the years and then, to the surprise and delight of all present, invited them to be their guests in the fall of 2013 for a celebration they called "Forty at the Four Seasons in London and Hampshire, England." Not surprisingly, the RSVPs were instantaneous!
Five months before the actual event, Mary and her friend, Gayle, took a reconnaissance trip to England where they met with party planners and hotel general managers and ate at the pubs and restaurants which were recommended as perfect for the group. A highlight of this expedition was a visit to Highclere, where it just so happened that the Downton Abbey production crew was filming; the ladies were escorted into the home for their first "real" glimpse of the famous castle.
Later that summer, there was a pre-trip cocktail party in Memphis with special guest Curt DiCamillo, an American historian of British architecture, who whetted everyone's appetites for the upcoming trip. Mary and Jeff provided Highclere Castle goodie bags with brochures, English mints, and maps and magazines to further get everyone in the mood … the shape of things to come!
After months of anticipating this fairy-tale adventure, the Simpsons and their guests set off September 13th for six days and five nights in England. In London the group stayed at the luxurious Four Seasons Hotel at Park Lane, in the heart of Mayfair, and dined at the legendary Ivy restaurant. The next day they were transported to the magnificent grounds of the Four Seasons Hampshire, which was base camp while they were "in the country."
The group dined at a great gastro pub in the area, the Gamekeeper's Inn, where the friends enjoyed traditional English dishes such as beef pot pies and sticky toffee pudding. On Sunday, the group attended church services at the lovely, historic All Saints' Anglican parish church of Dogmersfield. (Jeff Simpson says that this was one of his favorite events of the entire celebration.) Everyone later lunched at Cliveden, one of Britain's most famous stately homes, an estate once owned by American millionaire William Waldorf Astor and now part of Britain's National Trust.
Then came the night everyone had been waiting for — an evening at Highclere Castle, aka Downton Abbey. It began with a one-hour ride through the beautiful Hampshire countryside. Pheasants wandered alongside the road, the views were spectacular, and the castle rose up out of the mist. Lo and behold, "Lord" Jeffrey and "Lady" Mary were out front waving and welcoming their guests at 6 p.m. sharp!
Once inside, a harpist began with the musical theme to television's Downton Abbey, while the group was greeted with glasses of champagne and offered private tours of the castle's main and second floors. Award-winning photographer Dave Burlison, recently named Photographer of the Year by the UK Master Photographers Association, was on hand to capture the guests in their stunning formal evening attire.
Cocktails were served in the grand salon, at which point the "lords and ladies" for the evening were ushered into the candlelit dining room, taking their seats behind placecards prepared by talented Memphis calligrapher (and party guest), Nancy Dorman. Toasts were offered including one "Lady Mary" delivered to her husband of 40 years, "Lord Jeffrey."
An elegant three-course dinner was served. Afterwards, everyone retired for post-prandial glasses of port in the library. There the Simpsons and their guests shared many warm memories of friendships forged in high school, college, and professional careers. It was a night to celebrate life and love, and friendship and marriage. When the evening ended just before midnight, the merry guests partied on in the bus — singing and dancing all the way back to the hotel. "Oh, What a Night!" was surely in the music mix!
In the days that followed, events in the countryside included clay pigeon shooting, canal boating, and falconry. The group gathered for its final evening together with a dinner dance at the Four Seasons Hampshire. And what could possibly be a more perfect way to end this special celebration than with a fireworks display set to the strains of Puccini?
The Simpsons' grateful group of friends presented Jeff and Mary with a beautiful pair of sterling-rimmed, crystal vases designed by Lindley, the company established by Lord David Lindley, Queen Elizabeth's nephew. Claudia Smith, a delighted guest on the trip, prepared a personal journal as a keepsake; for her, a highlight was observing Jeff throughout the trip "watching us all having a glorious time."
And now it seems only fitting to end this idyllic story with a quote from Mary's previously mentioned original toast: "Here at Highclere Castle, in this home of such acclaim, tonight we are the Granthams, and we share with them their fame. But more than that we thank our God. Just look at all of you, here at Downton Abbey. 'Tis a fairy tale come true."
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To successfully implement ICD-10, you need the right plan, the right solutions, and the best support—and that's exactly what ZirMed delivers. We provide resources to help you prepare and plan, offer solutions to help you test and transition, and deliver insight to help you take the right steps the first time. Make ICD-10 less daunting—create a plan for success with ZirMed.
Gain an understanding of the regulatory mandate, give your practice decision makers and staff a high-level overview of ICD-10 and get buy-in to begin implementation preparation. Get organized and figure out what you are going to do and how you are going to do it.
Review the new regulations and requirements.
Prepare a high level report for physicians and staff members to inform them of the upcoming changes.
Perform a high-level assessment of how a diagnosis code is utilized in your practice.
Prepare a high-level report for decision makers to describe ICD-10 implementation impact and what action is required to ensure compliance. It should outline the impact on documentation, billing systems, coding systems, IT, and all other areas.
Meet with practice decision makers to obtain buy-in on the urgency of ICD-10 and the need to begin preparing now.
Establish an ICD-10 project team or point person to oversee the transition. This team will be responsible for overseeing the ICD-10 transition, and will vary based on the size of your organization. Larger practices should have a team with representatives from different departments (e.g., executive leadership, physicians, and IT). Smaller practices may only have one or two individuals responsible for helping the practice make the switch to ICD-10.
Develop and complete a Project Plan that meets the physician's practice and staff needs. Identify specific deadlines and person(s) responsible for each subsequent phase. Keep in mind the implementation deadline.
Establish a risk management identification, documentation, mitigation strategies and contingency plan.
Begin communicating with staff and business partners about ICD-10.
The assessment step will identify changes to clinical documentation and medical coding procedures within the clinical practice. You need to really understand where ICD-9 is currently used and where ICD-10 will be used, and what changes in your practice will need to be made. This is where you really try to work out more of the details.
Identify processes and systems which require ICD code inputs, process ICD codes, or produce outputs using ICD codes.
Verify with your staff where codes are used, such as manuals, superbills, practice management software, and billing software
Assess business and policy impacts - Identify clinical and business processes, policies and supporting systems that must be changed to accommodate ICD-10
Assess technological impacts
Evaluate all systems, coding applications, and software to ensure compatibility with ICD-10. Note: Systems must support both ICD-9 and ICD-10 code sets for a period of time.
Conduct a risk analysis and create a remediation strategy.
Evaluate clinical documentation to determine if current specificity allows an ICD-10 code to be assigned.
Assess by disease process, by provider, by specialty, or by group.
Run a report to indicate the most frequently used diagnosis codes within the practice.
Share results of assessment with providers to educate on new specificity requirements of ICD-10.
Identify mission critical vendors and electronic trading partners to ensure that they meet your clinical and administrative functional requirements. Evaluate their offerings and capabilities.
Determine what plans your mission critical vendors have in order to make sure they are in compliance with the regulation and meeting the deadline.
Determine what personnel will need to be trained on the changes.
Assess skill levels/gaps of personnel for future needs and training. Develop a training plan.
Identify and assess readiness of vendors, clearinghouses, and other business associates whose involvement is essential to ICD-10 implementation;
Identify mission critical payers to determine any anticipated changes in reimbursement based on ICD-10 or any anticipated modifications to fee schedules. Make necessary plans and mitigation strategies.
Review contracts and service level agreements to identify any impacts of ICD-10 and make changes as necessary.
Document and communicate impact assessment findings
This step is where you will identify how you are going to go from your current ICD-9 world to the future ICD-10 world in a step-by-step fashion. This phase of implementation involves organization-wide upgrading/changing of business processes, information systems, software applications, health information management systems, education of medical billers and coders, as well as clinical documentation education for medical staff.
Remember, ICD-10's increased specificity requires more detailed clinical documentation. Clinical Link—ZirMed's HIPAA-compliant messaging platform—automates task tracking and notes, interoperates with all PM and EHR systems, and more. To learn more, visit public.zirmed.com/solutions-overview/clinical-link.
Create a budget.
Figure out how much the ICD-10 transition will cost, this should be comprehensive and include all costs from planning phase to final transition.
Consider software & hardware, training and education, testing, staff etc.
Secure funding for the project.
Identify system migration strategies
Implement issue tracking with mitigation strategies.
Work with vendors to schedule timeframes for practice management/EMR/coding systems upgrades, testing and integration.
Upgrade systems: Implement business processes, information systems, software applications and technical modifications
Work with vendor or develop plan to address claims incurred with dates of service before 10/1/2014 which will be coded with ICD-9 codes and for claims incurred with dates of serviced after 10/1/2014, which need to run concurrently.
Obtain, verify and document that the most recent version of ICD-10 codes have been updated.
Conduct high-level training on ICD-10 for clinicians and coders to prepare for testing (e.g., clinical documentation, software updates)
In-depth training should occur 6-8 months prior to the implementation date.
Identify the level of education needed for each set of staff members: coders, clinicians, physicians and additional staff
Review coder and clinician preparation
Pick best training options
Begin detailed ICD-10 coding training – ICD-10 coding training, procedural training and clinical documentation improvement (CDI) initiatives
Before you implement something, you need to know and make sure that it works. You do this every time you are implementing something new. Test all your business processes and IT systems (internal testing). Test your transactions and medical claims with your Trading Partners (external testing). ICD-10 codes must work in all aspects of your organization.
Create a test plan and test scripts
Use ICD-10 codes for diagnoses your practice sees most often.
Make sure you test using your high volume, high revenue impacted codes
Start testing ICD-10 codes and systems with your practice's coding, billing, and clinical staff.
Test ICD-10 compliance across internal policies, processes, and systems to ensure compliance.
Re-evaluate clinical documentation for ICD-10 readiness. 90% accuracy is recommended.
Test knowledge of physicians and staff to validate preparedness for ICD-10.
Determine what percentage (%) of mission critical external Trading Partners you will be testing.
Begin testing claims and other transactions using ICD-10 codes with business trading partners such as payers, clearinghouses, and billing services
Complete end-to-end testing with the identified percentage (%) of mission critical external trading partners if available.
How do you actually make the jump and what do you need to look for while you are making that transition? Appoint a Post ICD-10 Committee to review implementation results, evaluate success against established criteria and to identify what works and doesn't work, especially in revenue cycle, HIM, and IT areas. The Post ICD-10 Committee must quickly identify any issues, establish feedback loops and work the established solution path to completion.
Identify Go-Live tasks and associated actions.
Prepare and establish the production and go-live environments.
Create a back-up plan in the event there is a problem with moving to production.
Develop a plan for post implementation data analysis – focus on identifying high volume code/code categories.
Prepare your practice to take corrective action
Identify Operational impacts and strategy and key transition components with respective action.
Develop post-Implementation audit processes and procedures
Contingency planning – identify what to do if payers aren't ready or if vendors aren't ready
Complete ICD-10 transition for full compliance. Upgrades to systems should be pushed live and systems should be turned on in production mode
Begin using both ICD-10 and ICD-9 code sets in tandem.
ICD-9 codes continue to be used for services provided before the deadline and ICD-10 codes required for services provided on or after the deadline.
Make all new policies and procedures effective
Monitor systems and the impact of ICD-10 on your business operations and revenue
Re-evaluate medical record documentation for compliance through readiness assessments. Re-train providers as necessary
Analyze any claim denials and make appropriate adjustments to reduce them
Assess whether new policies are being followed and the effectiveness of each. Compare expectations to actual results.
Monitor and measure coding and billing productivity. Set goals and plan for ongoing training to improve productivity.
Audit systems and software for accuracy.
Analyze all changes and look for gaps between what were expected and actual results to determine areas that need additional adjustments.
Provide additional training as needed in the areas where deficiencies are identified.


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October 12, 2007
Blair Sanderson
Three-star wide receiver Supo Sanni will make his second official visit of the year this weekend when he travels to Iowa City to watch the Hawkeyes host Illinois on Saturday. The 6-foot-3, 197-pound Sanni will make the trip with Homewood-Flossmoor teammate Russell Ellington, who gave a verbal commitment to the Hawkeyes last week. After visiting Iowa this weekend, Sanni will head out on an official visit next week to West Virginia, where his sister is currently a senior on the Mountaineers' basketball team. Over the next month, the three-star prospect then hopes to decide between his four finalists of Iowa, West Virginia, Illinois, and Louisville.Rivals.com ranks Sanni as the No. 81 wide receiver in the nation and the No. 17 top prospect in the state of Illinois this year. ...More... To continue reading this article you must be a member. Sign Up Now!
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Korean 1st Birthday
- Uploaded By flagcakes
- 2012-06-11 19:25:02
I was given photos of the birthday boy's special outfit which had intricate embroidery highlighted with gold thread. I copied the embroidery onto the cake in fondant and painted edges with Aztec gold luster dust.
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San Andreas Highway Patrol
this wiki
The San Andreas Highway Patrol (SAHP) are state level agency that appears in GTA V and are based off the California Highway Patrol. So far they have only been seen driving Police Bikes in GTA V. Their units can rarely be seen taking radar in Blaine County and even more rarely in Los Santos. The agency, like the real California Highway Patrol, is a state level agency which would mean it has jursidiction over the entire state.
The San Andreas Highway Patrol dress in a desert brown shirt with a blue stripe going down the side of each leg on their brown pants. Officers also wear a solid blue tie and equipment belt which carries items such as their weapon, handcuffs and radio. Since their primary vehicle is a motorcycle, officers also have to wear a blue helmet and black boots for protection.
- Michael and Trevor dress up as SAHP troopers during the mission, I Fought The Law. The uniforms can be found in their wardrobe after you beat the main storyline.
- To remove the helmet as Michael enter a car when wearing the uniform. Then switch to another person and switch back. The helmet will be gone when you exit the car. To remove the helmet as Trevor go to a clothing store and select no hat under hats. To undo this select the uniform again in your wardrobe.
- San Andreas Highway Patrol is reference to California Highway Patrol.


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Logistics giant Stobart Group delivers profit warning
Last updated at 12:18, Monday, 21 January 2013
Logistics giant Stobart Group has issued a profits warning in response to the "uncertain economic environment".
An interim management statement, covering the period from September 1, cautions that operating performance for the year will be "slightly below current market expectations".
Stobart, which began as an offshoot from an agricultural merchant in Hesket Newmarket, owns the iconic Eddie Stobart road-haulage business.
It now has diverse interests including property, civil engineering, air and biomass.
Its proposals to redevelop Carlisle Airport are due to go back before city councillors on Friday when planning officers will recommend that planning consent is confirmed, subject to conditions.
In the interim statement, Stobart says its transport and distribution division "continued to perform" despite the challenging conditions. Its chilled operation will no longer operate as a stand-alone unit, however.
The statement adds: "December trading was comparable to last year within similar economic circumstances.
"In the traditionally quieter months of January and February, the division will be focused on cost control to reduce risk to the final quarter's trading."
Growth in biomass has been delayed by the timing of UK Government legislation but, Stobart says, the division performed well against "realigned expectations".
Stobart Estates continues to work on developing sites and profitable disposals but progress has been "slower than anticipated". Negotiations are continuing on the disposal of several properties.
The air division, centred on Southend Airport in Essex, incurred higher-than-anticipated costs.
The statement says: "The group invested heavily in training and service delivery to meet the faster than expected initial growth.
"This infrastructure and investment in the employees and their training is now in place to support future growth.
"Passenger movements were very strong at London Southend Airport with the numbers passing through our terminal in the period since launching in April exceeding 600,000, and ahead of our expectations."
Work has started on extending the passenger terminal.
EasyJet is planning to locate a fourth aircraft at Southend from June and Stobart says that it is in talks with "other European airlines" about new routes.
Stobart has outlined plans for twice-daily scheduled flights between Carlisle and London Southend, if its development proposals for Carlisle go ahead.
That is by no means certain, however, because objectors have threatened to seek a judicial review if Carlisle City Council confirms planning consent.
First published at 11:48, Monday, 21 January 2013
Published by http://www.newsandstar.co.uk
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Gone Home for PCOn: PC
You arrive home after a year abroad. You expect your family to greet you, but the house is empty. Something's not right. Where is everyone? And what's happened here?
Review Verdict Read Review
9Out of 10
Gone Home cancelled on console
Fullbright pulls plug on console versions as partnership deal with Majesco comes to a close.
Gone Home gets UK retail release on July 3
Special boxed edition includes DRM-free game, Steam key, sticker, poster and art book.
Gone Home coming to consoles in 2014
Thanks to a partnership with Midnight City, Majesco's new indie publishing label.


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REDDING, Calif. (AP) - A state judge has suspended a Redding heart surgeon's license for performing unnecessary surgeries six years ago.
Administrative Law Judge Stephen Smith says Kent Brusett performed at least five unnecessary coronary bypasses while at Redding Medical Center.
Brusett, 49, can't practice medicine for 120 days and he will be monitored by another physician for the next eight years. He performs surgeries at Shasta Regional Medical Center and Mercy Medical Center.
Brusett was one of three doctors caught up in a 2002 FBI investigation that found that doctors performed unnecessary procedures to boost Redding Medical Center's bottom line.
The doctors, the hospital's parent company and their insurers have paid out nearly a half-billion dollars in civil settlements. No criminal charges were ever filed.
Brusett's office referred calls to his attorney, Robert Zaro. Zaro did not immediately respond to a call Friday by The Associated Press.
Information from: Record Searchlight, http://redding.com
(Copyright 2008 by The Associated Press. All Rights Reserved.)


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It is difficult to imagine two cities more unalike than Albion and Marshall, or a merger more unlikely than that of their high schools. If that merger is indeed inevitable, the leaders of both districts face the most difficult work of their careers.
The Albion Board of Education's decision Tuesday to close its high school and send its students to Marshall sets in motion a process for which the outcome is anything but certain.
Our sincere belief is that the leaders who have made this decision have the interests of the students at heart; our ardent hope is they, and their students and their communities, are up to the challenge.
History, however, provides little reason for optimism, and indeed our anxiety is that the optimism of those who have the best of intentions blinds them to the forces working against them.
The brutal facts of our current reality in the United States suggest that the groundwork necessary to overcome generations of distrust, antipathy and indifference toward racial inequities has been far from adequate. In almost every aspect of our lives - education, financial status, health indicators and employment - racial inequality is the norm in our nation.
In a sense, Albion and Marshal are microcosms of that failure.
Consider the demographics: Nearly 79 percent of the students attending Albion public schools are people of color, compared with about 9 percent at Marshall. The disparity in economic opportunity is just as stark: All of Albion's students qualify for free or reduced lunch, where as less than a third of Marshall's students are low-income.
What, exactly, does that mean for the merger of the two high schools and, more importantly, the students themselves? Surprisingly, we have little research on the subject, and there are no comparable examples from which we might seek guidance.
What we do know is that the Albion students will bring with them a keen sense of loss and, after participating in a dramatic academic turnaround at their school, a sense - justified, we would add - of betrayal.
Here we have a mostly white, wealthier district benefiting from the demise of a poorer, mostly African-American district, whose students will ride a bus to a place they will no doubt feel, at times, unwelcome.
How will that seem fair?
That the world isn't fair is among the most brutal facts of life, a lesson Albion students will have learned far too early in life, just one of the many differences between them and many of their peers to the west.
The success of this merger will require the willingness of all involved to confront the brutal facts of the current environment, even when they are unsettling. That's far easier said than done.
But it can be done, and there are many people in this community who stand ready to support Albion and Marshall leaders in this edeavor.
Working together in love, empathy and common cause, the two communities could become a shining example to us all.


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40 years ago, a young Tasmanian photographer with a passion for the ocean was trying to carve a niche for himself in the competitive world of photography. In 1974 he took to the skies with a daring young pilot in a fixed wing aircraft with the door off to chase the yachts of one of greatest ocean races in the world. Hanging out the door to the hip he captured the drama, the beauty and the brutality of this world famous race and a career was born.
Richard Bennett at work
The signature bronze beard (now white) and wild mane, masked by a heavy black camera have become as exciting to spot in the Bass Strait crossing for yachties as the iconic Cape Raoul on Tasmania's rugged coastline – for they know that their epic adventure is being captured for perpetuity.
Experienced crews that once waived at the camera in their youth, now tighten the jib, take to the rail and go to work, in the hope of securing the perfect shot.
Perfecting the art of capturing not just the yacht but explaining the sea state, the many moods and scale of the vast ocean and the signature Tasmanian landscape, Richard's photographs have been celebrated around the world, winning multiple awards and gracing the covers and pages of sporting magazines across the globe.
Forty years on the Richard Bennett Archives have been opened to celebrate 75 years of iconic Sydney Hobart racing in a one-off black and white limited edition release of Richard's favourite images from the past 40 years.
These iconic images will be presented in black and white for the first time. Personally hand-printed to order by the photographer using archival materials, these beautifully crafted prints are finished with the photographers signature with logo embossed on the border of the print. Each print is titled and numbered on the reverse, with only nine prints in each edition at this size.
Available for purchase through the website or direct from the photographer, yachties won't want to miss this opportunity to own a piece of yachting history.
Richard's images will be on display and for sale outside Mures Fish Centre at Constitution Dock, Hobart, for the 74th Sydney to Hobart Yacht Race 29 December 2013 – 2 January 2014.
Aero Commander
Pilot Nick Tanner at work


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The legality of the UN Security Council Resolution 1696 demanding that Iran give up its right to use nuclear technology is highly questionable and is ultra vires.
(NOTE: This post has been updated)
The claim: UNSC Resolutions Trump the NonProliferation Treaty
Article IV of the Non-Proliferation Treaty (NPT) recognizes (does not "grant" - recognizes) the "inalienable right" of signatories such as Iran to have access to nuclear technology "to the fullest extent possible" and "without discrimination".
Those who claim that Iran must give in to the UNSC demands under Resolution 1696 point to Article 103 of the UN Charter to claim that the UNSC resolutions take precedence over the NPT:
In the event of a conflict between the obligations of the Members of the United Nations under the present Charter and their obligations under any other international agreement, their obligations under the present Charter shall prevail.
They claim that since Iran's rights under the NPT conflict with the UNSC resolutions, then according to Article 103, the UNSC resolutions trump the NPT.
The Error: Iran's nuclear rights are not solely Treaty-based
The error in the above argument is to assume that the conflict over Iran is simply about the NPT versus the UNSC. That's not true, and Article 103 does not even apply to this case.
Why? Note that Article 103 applies to conflicts betwee 'agreements' (treaties) and UNSC resolutions. Iran's right to have nuclear technology does not arise from any agreement or treaty - rather Iran's right to nuclear technology is a sovereign right which is independent of the NPT. The NPT simply recognizes Iran's pre-existing sovereign right to nuclear technology - it does not grant Iran this right. Under the NPT, Iran agreed to simply suspend and limit some of those rights (by promising not to build nukes and by allowing IAEA inspections, in return for some promises from the Nuclear-armed states.) However, if Iran ever theoretically decided to pull out of the NPT (as the NPT permits) then Iran would have be free to exercise her full nuclear rights.
Nuclear Power is a Sovereign Right
The right to develop technology of any sort is a sovereign right of each state; it is not dependent on the NPT. That's why countries which haven't signed the NPT have the right to nuclear technology too - because they are sovereign nations.
India, Israel, Pakistan aren't violating any international laws by having nuclear technology even though they haven't signed the NPT. Similarly, Iran's "inalienable" right to access technology arises from the same fundamental principle of state sovereignty (known as "jus cogens" or peremptory norms of international law) that even the Security Council cannot trump.
UNSC Resolutions cannot trump Sovereign Rights
Those who argue that the UNSC resolution is "binding" forget that there are well-recognized limits to the UNSC's power.
When it comes to fundamental, overriding principles of international law (known as "jus cogens") the UNSC is not free to do as it wishes. When a UNSC resolution conflicts with a principle of jus cogens, the resolution is not binding.
Regarding limits on the UNSC, ICJ Judge Sir Gerald Fitzmaurice has been quoted to say:
The Security Council, even when acting genuinely for the preservation or restoration of peace and security, has a scope of action limited by the State's sovereignty and the fundamental rights without which that sovereignty cannot be exercised.
And as ICJ Judge Lauterpacht has written:
"The relief which Article 103 of the Charter may give the Security Council in case of conflict between one of its decisions and an operative treaty obligations cannot - as a simple hierarchy of norms - extend to a conflict between a Security Counsel resolutions and jus cogens"
And what are some examples of these fundamental, overriding preemptory laws? Some are listed in the "Purposes and Principles" section of the UN Charter (Articles 1 and 2): respect for equal rights and self-determination of peoples; sovereign equality of States; fulfilment in good faith of international obligations; settlement of international disputes by peaceful means; prohibition of the threat or use of force against other States in any manner inconsistent with the purposes of the UN. All of these principles ensure and protect a state's right to technological progess as a fundamental principle of international law, including Iran's right to nuclear technology.
Since Iran's right to technological progress and nuclear power is protected as a fundamental principle of sovereignty, and Article 103 is inapplicable. The UNSC resolutions against Iran, to the extent that they seeks to deprive Iran of her "inalienable right" to nuclear technological progress, are contrary to fundamental principles of international law and are therefore non-binding.
Note further that the Iranian file was brought to the UNSC in an illegal manner. Iran's safeguard agreement with the IAEA, and the IAEA statutes only permit a referral to the UNSC when there has been a diversion of fissile material for non-peaceful use. The IAEA has confirmed that there has been no such diversion, and that all declared fissile material in Iran has been accounted for. Thus, there is no basis for a referral of Iran's file to the UNSC and the decision to do so was ultra vires - but it happened anyway because of US pressure on the IAEA Board member nations (plus a juicy bribe to India in the form of nuclear cooperation - which was itself a violation of the Non-Proliferation Treaty)
I don't pretend to be a legal expert on such matters, but all this does raise (at least in my opinion) enough issues to doubt assertions that Iran is "legally obligated" to implement UNSC resolutions demanding that Iran give up its right to nuclear technology.
(NOTE: This post has been updated)


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Transforming any room into your own wild safari is quick and easy at Murals Your Way. You may want to showcase zebra pictures, or tiger and lion images for a playroom or pick best sellers Small Safari or Nature?s Harmony. Transform your child's room into a miniature safari where he or she can let creativity run wild and enjoy endless animal adventures. With our animal safari wall murals, creating your own custom safari theme is easy. Simply select an image, choose the appropriate size, and we will make a Mural Your Way.
Having a hard time finding the right animal safari mural design? Create a custom wallpaper mural using your own artwork or photography.


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Modern Solar Powered Mobile Home by Waskman Design Studio
I think that's a brilliant idea from Waskman Design Studio's, the solar powered mobile home that perfect for anyone who could not leave the technology from them self. This home was made using white polyethylene panels and transparent polycarbonate, the home is consist of two floor structure with dimension 6 meters in length, 2.5 meters of width and 3.85 meters high. At a glance it organizes like a loft with an office room and kitchen space on the bottom floor and the second floor is a bedroom. This house especially designed for Vodafone and off course this house features the high end telecommunication devices such as phone and wireless internet service. Towed by patrol four wheel drive vehicle these houses enable to bring anywhere you need.


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There are many customs and traditions that identify the Hispanic culture. These customs and traditions are passed on from generation to generation and one of the most important traditions is the quinceañera celebration. With the planning for this special occasion comes the most important element that makes a girl feel like a princess: the quince gown. For this reason, the latest Quinceanera.com Expo and Fashion Show in Studio City honored this tradition with a fashion show that left all quince girls breathless.
Raul Corona's collection was one of the main attractions in a day full of excitement for all those who attended the event. His designs were inspired in the 2012 color trends, which include deep blue, violet, coral, and green tones. In addition to the colors, the dresses became the center of attention due to their long trains and heavy designs, two of the reasons why Raul Corona is known to make quinceañeras look like brides.
In the following Quinceanera.com Expo and Fashion Show events on April 1 in Bakersfield and May 20 in Los Angeles, you will have the chance take a closer look at the stunning gowns of the young Mexican fashion designer. Make sure to register for the next event to live the best moments of the fashion show with Raul Corona.


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Half Sleeve Tattoos for Men – If you come across a person with any tattoos, chances are that they'll probably have one on their arms, and even probably they might have one inked on either their higher or lower arms. half sleeve tattoos are one in every of the favored spots to ink for men, and there's no denying that they look nice on those muscular striated muscle or forearms of yours. it's additionally an ideal space for tattoos because it is one in every of the comparatively less painful areas to ink and additionally for those that might need to hide them whereas at work.
Half sleeve tattoos for men ar out there in numerous sizes and designs, reckoning on your style moreover as any inter-connecting theme you would like to ink onto yourselves. merely visit a number of the suggested tattoo studios in your neighborhood and let the tattoo artists understand your most well-liked half sleeve tattoo concepts, and that they would be glad to assist construct a style which will suit your temperament. [*fr1] sleeve social group tattoo styles ar one of the foremost standard tattoo inks among men. Their dark and thick crescent strokes not solely offer your arms a additional manly look however additionally connected with some style of religious and historic which means too. If you're a lady, then tropical or floral tattoos ar a number of the additional standard selections. Hawaii Tattoos, that is additionally referred to as the social group tattoo of Pacific, also are nice tattoo concepts for women. we tend to hope you fancy the gathering of half sleeve tattoos we've got gathered for you below!
Half Sleeve Tattoo Designs for Men


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Mullet seeks pages for 2013 Legislative session
January 21, 2013
Sen. Mark Mullet, D-Issaquah, invites middle and high school students in the 5th Legislative District to apply for one of the weeklong paid page positions available in his office during the 2013 Legislative session.
"This is a great way for students to gain firsthand experience with the Legislature and the legislative process," said Mullet. "This is an exciting opportunity to go beyond the classroom and see how the decisions we make as legislators affects them, their friends and their families."
Pages travel and relay messages on the Senate floor, deliver packages and mail throughout the Capitol campus, and bear the flag at legislative ceremonies. Read more


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All articles tagged with 'crafts' are listed below. If you still can't find what you are looking for, try using the search box.
Uptown and Downtown Toledo joined together to hold their final Art Walk of the summer season. The Arts Commission of Toledo premiered these events during the second Thursday of each summer month. For three hours of these evenings, local artists display their work on street corners and inside storefronts of restaurants and artist galleries.
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Popular tags: Art, Toledo, Crafts, Events, Social Life
General inquiries:
Email Vitruvian
Pat Pickering
Faculty advisor:
Noah Roderick


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Flip Flops Grill + Chill
Flip Flops VB Grill is the place to enjoy fine food and top notch service in a laid back atmosphere of tropical sophistication.
The menu is based heavily on coastal cuisine with a Caribbean twist. In addition to fresh local seafood, there's a variety of killer burgers, pastas, meat and poultry dishes.
11-9 Mon-Thurs
11 to ... Fri-Sat
10-3 Sunday
Happy Hour 3-7 daily and all day Sunday!


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The 1st StudioLine mouse enriched with Silk Micro Fibres creates styles with volume, strand by strand. Holds all day, hair shines and feels as soft as silk.
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Historical researches indicate that the Jewish presence in Portugal remounts before the formation of the kingdom of Portugal. On this half day tour, you have the opportunity to explore the Jewish site of Lisbon. Visit Rossio Square, the synagogue Shaare Tikva (own expense) and the Jewish cemetery.
- Private tour of Jewish sites in Lisbon and Sintra
- Learn about Portugal's Jewish history
- Visit the beautiful Shaare Tikva synagogue
- Enjoy photo opportunities at Rossio Square
- Local guide
- Private tour ensures a more personal experience
What You Can Expect
In the 12th century, Portugal became a nation, and the first Jewish communities appeared in Lisbon. But in the 15th century, King Manuel I enacted a law that prohibited Jewish people from departing Portugal, and he force them to convert to Christianity.
You will begin your visit at the place where the Saint Catholic Inquisition burned thousands and thousands of Jews that refused to accept the Christian faith in the bonfires of the Square of Rossio in Lisbon.
Visit the Synagogue Shaare Tikva (own expense), as well as the cemetery which was built when the Jewish settled into Lisbon. The first to be buried in this cemetery was Jose Amzalaga, who died on February 26, 1804.
Please note: The Synagogue Shaare Tikva is closed on Fridays. If you choose to book a Friday tour, then more time will be spent at Sintra where you will have longer to explore the many monuments which are there.
Customer Reviews
Warren K
July 2012
Cristina was our guide and this was a great private walking tour. Over a span of 4.5 hours she took us to the very interesting lisbon synagogue and walked us all all across the city showing us the jewish history of Lisbon. We toured the alfama district and she pointed out details of the jewish heritage still visible on a street, on a wall or in a church. No tour book can substitute for her personal knowledge and expertise. It was well worth it for those that are want ot learn mor eabout jewish history. The only negative commentary we have is that for the price of the tour we thought the entry fee to the synagogue could have been eliminated. Otherwise we highly recomment the tour !
November 2014
It was not very informative and we spent 3 hours walking single file and only about 45 mins
Actually seeing or hearing anything related to Portugese Jewish History!


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Rock & Roll Hall Of Fame Inductees Announced
Time once again for the debate to start.
Time once again for the debate to start.
Earlier today, the Rock and Roll Hall of Fame announced a new round of presenters and performers who will take the stage at the 2013 induction ceremony on Thursday, April 18. Legendary rockers Jackson Browne and John Fogerty have been added to the evening's star-studded performance roster.
With their induction into the Rock and Roll Hall of Fame coming soon, Heart have taken the opposite approach as Guns N' Roses. On Saturday (Feb. 16), it was revealed that the band's original lineup will reunite and perform at the ceremony in April.
This is a big year for Rush, who will finally be inducted into the Rock and Roll Hall of Fame this April after more than a decade of being turned down for the honor. And who will be on hand to deliver the induction speech for the legendary Canadian prog-rockers? None other than "self-professed Rush superfans" Dave Grohl and Taylor Hawkins of the Foo Fighters, reports the Cleveland Plain Dealer.
We've all been glued to our television sets with great concern as we watch the reports of the devastation caused by Hurricane Sandy. The massive size of the "superstorm" has caused its effects to be felt beyond the East Coast and as far west as Cleveland, where the Rock and Roll Hall of Fame has suffered damage as a result.
For many, the induction of Guns N' Roses into the Rock and Roll Hall of Fame is a sort of validation of hard rock and metal. After all, it's long been a point of contention among rock fans that certain popular and influential bands of the 1970s and 1980s have been overlooked by the museum...
The Rock and Roll Hall of Fame has mailed out the ballots for its 27th annual list of potential inductees, leaving it to the organization's 500 voters to pick the winners from an eclectic group that includes first-time nominees as well as returning contenders.


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Thanks to Times' changes no trash diving
It is time for me to be added to the job loss list even though I was never paid for the work I did.
Over 30 years ago we started receiving the Shreveport Times in the rural area of Haughton and over those years our very dedicated delivery people have had our newspaper in our driveway by 5 a.m. each morning 99.99 percent of the time. This has assisted me in having a dedicated time to read my paper and enjoy my coffee in the mornings.
My very dear wife is a tidy housekeeper who first reads the paper, then puts it back together, folds it and puts it in the trash where it belongs.
But ... many, many times over the years, I have read the paper, then later on or the next day I want to reread an article, get a phone number, name or an email address, I start looking for the old paper, (I know I am not the only one that does this) it caused me to become a "trash diver."
Over the many years I have become very good at it, so much so that I am a professional. There was not a union, no pay, no health care, no vacation and no retirement, but I lost my job anyway.
A while back the Shreveport Times sent me an email that said I had to set up my account for my email newspaper. I did, "Oh, What Relief it is" just like an Alka-Seltzer. I lost my trash diving job immediately. I do not receive any unemployment check but now I can find out all the information I want and need a week later if need be.
- Dalton R. Borchardt


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Did you know we're available on other areas of the internet other than the blog? We know, we know — you love us bloggers so much you just can't tear yourselves away! (Just kidding. We're not that self-obsessed... all the time.) While you guys give the blog plenty of love, our other platforms could always use some love, too.
So if ever you decide you'd like some ticketing news or to interact with us elsewhere, we're on Facebook, Twitter, and Google+. ;) How about you?
Find us on Facebook
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Tags: TicketNetwork, social media, Facebook, Twitter, GooglePlus
Twitter is good for a couple of things — personal updates that don't belong on Facebook, promoting yourself, and following celebrities. There's a reason so many musicians and actors have verified Twitter accounts. It gives them a chance to connect with fans (if they want to), release official statements, make announcements, and overall seem less like this untouchable, otherworldly being and more like regular people.
Some celebrities take tweeting very seriously, some use their accounts strictly for promotional purposes, some probably shouldn't tweet at all — but some are really amazing. Here are five of the best celebrities to follow on Twitter.
Twitter handle: @kanyewest
Why you should follow: Kanye used to be the master of tweets, even once inspiring Josh Groban to dramatically sing them aloud on a late-night show (see video above). Most of his tweets were written in capital letters and they were always amazing. Although Kanye's tweets have calmed a bit since — they're in lowercase letters and his recent batch include info about his latest video — you never know when CAPS LOCK KANYE WILL RETURN.
Sample tweets:
Tags: Twitter, Kanye West, Anna Kendrick, Mindy Kaling, Aziz Ansari, Retta, Parks and Rec
This week, Jay-Z released a (fantastic) new album (that you should definitely check out), NASA remained wonderful, and ESPN gave us another heartwarming story.
Although Jay-Z's new album, "Magna Carta Holy Grail," was available last week for Samsung users, it was officially released on Tuesday and immediately became his 12th platinum album. He collaborated with artists like Justin Timberlake, Beyonce (of course), and Frank Ocean, and producers like Timbaland and 16-year-old girl Ebony Oshunrinde aka Wondagurl. There's been plenty of hype surrounding the album, especially because RIAA changed one of its rules in order to certify "Magna Carta Holy Grail" platinum even before it was released to the public. Then, of course, Jay-Z took to Twitter to do an impromptu Q&A with his followers, where he addressed his favorite cereal growing up (Cap'n Crunch); ranked MCHG as his fourth best album (behind "Reasonable Doubt," "Blueprint," and "The Black Album"); shared his favorite track ("Oceans"); and ended most tweets with #factsonly and #mylaugh. It's been a pretty good week for Jay-Z.
Tags: What People Are Talking About, Jay-Z, Magna Carta Holy Grail, Twitter, NASA, Mars, astronaut, ESPN, wrestling
Ready for another contest? It's time for some Halloween fun! Between now and 12:00 p.m. EST next Monday, October 31, tweet your best Halloween-themed pic @TicketNetwork and you'll be entered to win a $50 gift card to TicketNetwork.com.
It can be a picture of you and friends at a Halloween party all decked out in costumes, or maybe a picture of ridiculously awesome house decorations...whatever you've got! We'll pick our favorite and post it on our blog! So start tweeting!
To recap:
--Use TwitPic or a similar service to upload your favorite pic
--Tweet the link to the pic, mentioning @TicketNetwork
--Check back to see if you won!
Complete contest rules can be found here.
Tags: Contests, Halloween, Twitter
That's right, everyone! TicketNetwork will be hosting a Twitter party next Monday, August 29, from 7-9 p.m. EST. We will be asking some fun questions about concerts, the blog, and a host of other topics. We'll also include contests to win $50 and $100 TicketNetwork.com gift cards and some pretty sweet TN swag.
All you have to do is search for the hashtag #tntwitterparty and you'll be able to see all of our tweets. Don't forget to use the hashtag in your replies!
So mark your calendars! That's August 29, 7-9 p.m. EST. Because, really...what else are you going to be doing on a Monday night?
Tags: Contests, TicketNetwork, Twitter
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text: Yes definitely! it would depend on total space rent / sqr footage etc... So probably can't answer that until we land a new space. Though I would hope it would be in the $100 - $200 range. just my off the cuff take on it... Clif James Hukill wrote: > Codechops lets you rent a desk/office. > If you we do end up getting a bigger space like the one on Danebo. > How much would EMS charge if they do decide the is extra room for something > like that. > > aka.. If I can stop working from home on the kitchen table that would be > great. > > > > _______________________________________________ > Discuss mailing list > EMAIL HIDDEN > http://eugenemakerspace.com/mailman/listinfo/com.eugenemakerspace.discuss


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Prometheus Design Werx Dog Tag Tool - A one piece milled titanium tool with the same footprint as the universally recognized American Military issue "Dog Tag".#57885
The NOTlabs Instagram - join us here for a peek into real life! From projects we're working on to products we're trying out to the adventures of the NOTpuppy and the NOTFZJ80 Project!#57882
Berlin-based sneaker store Solebox recently took on a new design, including the birth of the store's new robot, Solebot#57881
Wokamon - virtual pet app for your phone where it only grows if you walk/exercise! "The Pedometer + Virtual Pet Mashup App"#57880
Ninety Six by Nils Völker - The plastic bags are selectively inflated and deflated in controlled rhythms, creating wavelike animations across the wall.#57879
The One Man Sauna stands on an abandoned factory site in Bochum, Germany. A stacked tower of concrete shaft mine components containing a plunge pool, a sauna, and a meditation room with a skylight.
David Leslie, French designer for the studio TH Manufacture MIX AND MATCH presents a collection of plates silkscreened.#57875
The Eco Edo Nihonbashi Art Aquarium has opened again in Tokyo for the summer, turning goldfish into spectacular art exhibits.#57873
Free Jeremy Fish Print with orders at Upper Playground ~ fun turtle/skull in a burger helmet/shell...#57872
Jeremy Fish Walrus Cruiser Skateboard for Upper Playground's 15th Anniversary! Limited Edition of 75.#57870
City Hive, a rooftop beehive to promote urban beekeeping, and raise awareness of the importance of honey bees. Designed by the National Design Collective.#57868
Rafael Gómezbarros 'Casa Tomada' installations showing huge ants on buildings all over the world.#57867
Directory of Scottish Industry from Make Works, featuring 10,000 photographs, 70 films and 30 illustrations of manufacturing.#57861
General Electric has created a wonderful 3D model of a jet engine that anyone can build themselves with a 3D printer. It is complete with moving parts and a cutaway design so you can see everything in motion.#57860
STELLAR - an art show by Stasia Burrington in Seattle, WA - features 50 paintings of tiny cosmonauts and large washy sumi moons.#57858
French designer Laurent Corio and Gallery S.Bensimon have created a furniture collection for seller by mail La Redoute.#57857
Diablo, compact hard-case clutch, distinctive geometric character and luxurious two-tone leather appearance. Handmade in Belgium.#57856
The deep red-brown of the Mahogany shows off the intricate carvings that act as the grip for the top of your board, no need for ugly black grip tape on these beauties!#57855
Unruly Sprits, from Wayward Distillation House are made from a honey base. The bottle housing illustrates the the Unruly partnership that exists between this Wayward distiller and the bees.#57854
Light Barrier, phantoms of light crossing millions of calibrated beams. The light installation creates floating graphic objects which animate through space as they do through time. By Kimchi and Chips.#57853
The Carbon Fiber Eames Sofa is a sofa reborn using the most modern materials and the most traditional methods.#57852
Rosone, a large wall clock with cuts and inlays, designed to create a strong visual impact. A tribute to the rose windows of Gothic cathedrals. By Eloisa Libera.#57851
Port Wine Holder by Clinica de Arquitectura and Museu do Douro. One of the cavities is dimensioned to fit the bottle. The other is designed to land the stopper, in a way the cork does not touch the support itself.#57849
Meet the makers of the World Cup. A short film that visits the family factory in Italy where the World Cup has been designed and then produced since 1974#57848
Reiko Kaneko launches her first jewelry collection - the Hula! Lovely bone china and fine metal blend together for these loops that layer so nicely together.#57846
Lakeland Flare with FIN-X technology - this new line of pots and pans are making the rounds designed to heat more efficiently by rocket scientist from the UK, Dr. Tom Povey.#57845
The Open Company Go Bag Kickstarter: A pack with all the gear you need to keep yourself and your community safe in the aftermath of a natural disaster
Fundamentals: Form-ContraForm installation by Bekkering Adams architects at Venice Architecture Biennale 2014
Triumph & Disaster Rock & Roll Suicide - amazing/intense Volcanic Ash and Green Clay face scrub (that can easily double as a mask if you leave it on a little longer)#57840
Alite Designs Bison Chair - a full sized lounger that works as well at home as it does on car camping adventures! Packing down to a small 4.6lb pouch with an aluminum frame that folds down like tent poles.#57839


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Elvis Week
Today is the first day of the first day of Elvis Week in Memphis, Tennessee and the beginning of a week long remembrance of the 33rd anniversary of Elvis' death. Some of the planned events include a tour of the Graceland Mansion, Shake, Rattle & Roll at the Shell (a benefit concert for the Alzheimer's Association), the Elvis Presley 5K Run, Walk, Rock & Roll to benefit cerebral palsy, and a tour of the Elvis Presley Automobile Museum. The week's celebration will conclude on Sunday night with a candlelight vigil from Graceland to Presley's gravesite, ending in the early morning hours of August 16 — the day on which Elvis passed away in 1977.
[Photo courtesy of AP Images]
[Photo courtesy of AP Images]


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The Graduate Center offers more than thirty doctoral programs in the arts, humanities, social sciences, and natural sciences, including History.
Learn about the Graduate Center's core faculty,
including Distinguished Professor David Joselit (pictured),
on the Faculty Profiles page.
Through its extensive public programming, the Graduate Center contributes to the intellectual and cultural vitality of New York City.
The Graduate Center has announced its
Doctoral Student Parental Accommodation Policies.
Support for the Graduate Center ensures continued excellence in arts and
sciences graduate education, research, and public programming.
The IRADAC advisory committee consists of faculty members and graduate students from the CUNY system who are committed to sharing their ideas concerning IRADAC programming and funding.


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|Expression level of novel tumor suppressor gene FATS is associated with the outcome of node positive breast cancer.
MedLine Citation:
|PMID: 22040499 Owner: NLM Status: In-Data-Review
|BACKGROUND: Recently, we reported the identification of a previously uncharacterized and evolutionarily conserved gene, fragile-site associated tumor suppressor (FATS), at a frequently deleted region in irradiation (IR)-induced tumors. However, the role of FATS in breast cancer development and its clinical significance has not been defined. The aim of this study was to determine the role of FATS in breast cancer development and to evaluate its clinical significance in breast cancer.
METHODS: The expression level of FATS mRNA was determined in 106 breast carcinomas and 23 paired normal breast tissues using quantitative real time reverse transcription-polymerase chain reaction (RT-PCR). The relationship between FATS expression and clinicopathological parameters were also analyzed.
RESULTS: The mRNA level of FATS was down-regulated in breast cancer compared with paired normal tissues. Low expression of FATS was correlated with high nuclear grade. There was a tendency to a favorable outcome for patients with high expression of FATS (P = 0.346). However, low expression of FATS was associated with poor outcome of breast cancer patients with node positive (P = 0.011). Furthermore, the mRNA level of FATS showed an independent value in predicting the outcome of breast cancer patients with positive lymph nodes.
CONCLUSION: FATS is involved in the carcinogenesis and development of breast cancer and could be a potential biomarker and prognostic factor for breast cancer therapy.
|Jun Zhang; Lin Gu; Lu-Jun Zhao; Xi-Feng Zhang; Li Qiu; Zheng Li
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Publication Detail:
|Type: Journal Article
Journal Detail:
|Title: Chinese medical journal Volume: 124 ISSN: 0366-6999 ISO Abbreviation: Chin. Med. J. Publication Date: 2011 Sep
Date Detail:
|Created Date: 2011-11-01 Completed Date: - Revised Date: -
Medline Journal Info:
|Nlm Unique ID: 7513795 Medline TA: Chin Med J (Engl) Country: China
Other Details:
|Languages: eng Pagination: 2894-8 Citation Subset: IM
|Department of Biochemistry and Molecular Biology, Key Laboratory of Ministry of Education for Breast Cancer Prevention and Treatment, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China.
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|MeSH Terms
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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