text:
- Early Learning
- Alphabet Letters and Pictures Super Set
Alphabet Letters and Pictures Super Set
Large View | View Related Items
Product Description
For your Common Core curriculum.
Designed with younger students in mind! Sets includes foam picture magnets to bridge the gap in learning sounds and oral language.
Great for small group instruction and independent practice! Children use the large, easy-to-grip magnetic foam letters to explore and practice sound-letter relationships.
Set includes:
228 easy-grip, upper- and lowercase die-cut letters - the blue consonants and red vowels provide cues for learning how words are formed
52 phonemic pictures - two for each initial letter sound
32-page teaching guide with assessment strategies, lesson plans, and dozens of activities and word-building reproducibles
Ages 4-7.
CCSS Product Alignment
ELA Kindergarten
RF.K.1b Recognize that spoken words are represented in written language by specific sequences of letters.
RF.K.1c Understand that words are separated by spaces in print.
RF.K.1d Recognize and name all upper- and lowercase letters of the alphabet.
RF.K.3a Demonstrate basic knowledge of one-to-one letter-sound correspondences by producing the primary sound or many of the most frequent sounds for each consonant.
RF.K.3b Associate the long and short sounds with the common spellings (graphemes) for the five major vowels.
RF.K.3c Read common high-frequency words by sight (e.g., the, of, to, you, she, my, is, are, do, does).
RF.K.3d Distinguish between similarly spelled words by identifying the sounds of the letters that differ.
b>ELA Grade 1
RF.1.3a Know the spelling-sound correspondences for common consonant digraphs.


text:
wheezy.routing is a python package written in pure Python code. It is a simple mapping between URL patterns (as plain simple strings, curly expressions or regular expressions) to a handler that can be anything you like (there is no limitation or prescription what handler is or could be).
The mapping can include other mappings and constructed dynamically.
It is optimized for performance, well tested and documented.
The source code is available on bitbucket.
wheezy.routing requires python version 2.4 to 2.7 or 3.2. It is independent of operating system. You can install it using setuptools:
easy_install wheezy.routing
Get the source code using mercurial:
hg clone https://bitbucket.org/akorn/wheezy.routing cd wheezy.routing
Prepare virtualenv environment in env directory and run all tests for python2.6 (default):
make env test VERSION=2.6
doctests can be run with python3.2:
make env doctest-cover VERSION=3.2
If you run into any issue or have comments, go ahead and add on bitbucket.
User Guide and Examples
Please see the user guide and examples for more information.

subset: commoncrawl


text:
nice things no.5 – just some cool stuff i've spotted over at etsy lately.
nice things no.5 – just some cool stuff i've spotted over at etsy lately.
Sammy says
These items are so beautiful. I can think of so many pretty places to put that spotted leopard. to die for! So happy I stumbled across your lovely blog
sage says
oh my the first one of the cat is out of control, i've never seen anything like it. i love the birdhouse, beautiful.
kate says
That brass cuff is SO rad.
Alexandra Roche says
My friend Annie and I have started a tumblr for our etsy finds! Great to see things we might have missed.
annie says
That cat bag makes me want to die, it's so cute! My friend and I started a tumblr to document our etsy finds, great to see stores that we might have not heart of yet!
Monique says
i love that edith piaf quote poster! great lovely list of things
Maria says
i love the poster "non je ne regrette rien"….i love that song!
Bethany Susan says
I get sooo much inspiration from your blog and rarely comment. I apologize for being a bad commenter! Thank you for your awesome posts!
altinkum says
never seen anything like here,


text:
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text:
With 1.7 million freelancers, we'll match you with the perfect talent.
The client has made the following changes to the job.
Job awarded.
Client prefers freelancers from:
You are still able to submit a proposal for this job.
The client prefers freelancers from
a different location.
I am looking for someone to write content on an ongoing, project to project basis. You should be familiar with SEO and writing web content for search engine rankings.
I am looking for someone who is fast, efficient, has English as their primary language, delivers on time, provides value for their work, has very clear communication and is willing to take on more work once this project has been completed.
The project you are bidding on is for the creation of 50 content articles for a catalog printing.
Project Details:
- 50 articles with 450-600 words per page in .txt format.
- Each article must be individually researched and written and not the output of an article re-writer / spinner. MUST be 100% original material.
- Content should be accurate, informative, well researched, benefit oriented and engaging to the reader. Quality and originality are a higher priority than cost
- 1 keyword phrase per article will be provided and must be included in the title, short description (exc...
Sign in or Register to see more


text:
This site is targeted at medical and radiology professionals, contains user contributed content and material that may be confusing to a lay audience. Use of this site implies acceptance of our Terms of Use.
Multiple meningiomas
Patient Data:
Age: 75
Gender: Female
Race: Indian/Pakistani
From the case: Multiple meningiomas
Modality: MRI
Loading images...
Loading Stack -
0 images remaining
MR with contrast reveals multiple right convexity, tentorial occipital and left Meckel's cave meningiomas.
Case Discussion:
Multiple meningiomas are sometimes seen outside the neurofibromatosis.
Multiple meningiomas in NF-2 is termed as Meningiomatosis.


text: I'm seriously looking into buying a car that's in Lawrenceville, Georgia. Problem is, I'm in Salt Lake City, Utah. Is there anyone on here that might be heading that direction with a trailer? It's non-running, so I can't quite fly out and drive it back, and I'm just trying to figure out how to get it home. Any info would be appreciated.


text:
Click any word in a definition or example to find the entry for that word
90% of the time, speakers of English use just 7,500 words in speech and writing. These words appear in red, and are graded with stars. One-star words are frequent, two-star words are more frequent, and three-star words are the most frequent.
The thesaurus of synonyms and related words is fully integrated into the dictionary. Click on the thesaurus category heading under the button in an entry to see the synonyms and related words for that meaning.more
|present tense
|present participle
|past tense
|past participle
Excellent performances from the opening batsmen have tilted the balance in favor of the home side.
This is the American English definition of tilt. View British English definition of tilt.
Change your default dictionary to British English.
to fall over forwards so that your face hits the ground or another surfaceBuzzWord Article
More BuzzWordsBuzzWord archive
Open Dictionary
the activity of exploring abandoned buildings and other manmade structuresadd a word
More submissionsview entries
A must for anyone with an interest in the changing face of language. The Macmillan Dictionary blog explores English as it is spoken around the world today.global English and language change from our blog


text:
Voir les hôtels à Prague
Carte et directions pour Hostel One Home
Auberge de jeunesse | Hybernska 22, Prague, République Tchèque 11000
158 clients sur un total de 159 recommanderaient cet établissement
- Cartes de crédit acceptées
- Service de restauration
- Pas de couvre-feu
- Change de devises
- Salle de jeux
- Casiers sécurisés
- Salon
- Internet / Wi-Fi
- Réception 24/24h
- Douches chaudes 24/24h
- Informations touristiques
- Machines à laver
- Pressing
- Service de réveil
- Salle / espace commun
- Cuisine commune
- Accès internet dans les espaces communs
- Animaux de compagnie autorisés
- Salle télévision
Ce qui est inclus
- Literie
Information Importante
Dear guest! Thank you for making a reservation with our Hostel One Home! This property has a 2 days cancellation policy. (e.g. if your check in is on Friday, the last day for free cancellation is Tuesday). Please note that we only accept cancellations via email. After your stay, you will receive an email which gives you the chance to rate our hostel. Please leave comment for the follow travellers. its very important for us. City tax 15 CZK per person per night will be charged extra upon your arrival. Please note: Cancellation policy: 48h advance notice Late cancellation or noshow – one night charge Payment upon arrival by cash or credit cards Check in from 15.00 Check out before 11.00 Breakfast not included Taxes not included - 15 CZK per person per night Age limit 18 - 45 years old. If you are outside of this age range upon the arrival to our hostel, we have the right to cancel your booking without a refund of your deposit. PAYMENT AND CANCELLATION POLICY FOR NYE 2015: Bookings including the nights of 29/12/15 till 01/01/16, require a 4-nights minimum stay. We will cancel bookings made for one, two or three nights only. -We will pre-charge client's credit card for the entire amount of reservation. If the reservation cannot be precharged in full, it cannot be guaranteed by the hostel and will be cancelled. Bookings for those dates can be cancelled free of charge at least 20 days before arrival. If cancelled later, charges will be applied by hostel up to full cost of reservation. In case of no show hostel will charge cancellation fee of whole reservation and your reservation will be cancelled. Cheers for reading this, we look forward to meeting you in person.
Réservation de groupe ?
Groupe de 15 personnes ou plus voyageant à Prague?Contactez-nous directement
Voir les autres établissements à Prague
ACE - Apartment
ATS Hostel Jednota
Auberge de jeunesse
Hostel Marrakesh
Auberge de jeunesse
A Plus Hostel
Auberge de jeunesse
Hostel Rosemary
Auberge de jeunesse
Art Hole Hostel
Auberge de jeunesse
Perfect Days Apartments
Sélectionnez les dates pour voir les tarifs
Carte GPS et directions
Plan de la rue
As you leave the terminal in Prague Airport you catch AIRPORT EXPRESS bus with direction Praha Hlavní nádraží (Praha hl. n.). You will get off on the penultimate stop called Masarykovo nádraží. As you depart the bus you keep on walking in the same direction as the bus.Our hostel is just 50 metres from the stop. Ring the bell "Hostel One Home" and we will take care of you.
From the bus station Florenc:
Hop on to the yellow metro line with direction Zlicin and get off on the first stop named Namesti Republiky. Take exit Masarykovo nadrazi. If you leave the station turn left and left again at the corner. The street you are on is Hybernska (our street), walk 200 metres and we are situated on number 22, on your right hand.
From the train station Hlavni Nadrazi:
If you leave the station, walk straight through the park to get to street Opletalova. Turn right and walk along Opletalova street for about 300 metres till it gets to its end. At the end of the road turn left into our street Hybernska. We are situated on number 22, on your left hand.
* If you choose to take a taxi, please take note of the following fares:- from the train station Hlavni Nadrazi, the fare should be about 100 CZK. From the train station Nadrazi Holesovice, the fare should be about 200-250 CZK. From the bus station Florenc, the fare should be about 100-150 CZK. From the airport, the fare should be about 600-700 CZK.
Voir les hôtels à Prague


text:
Andrej Stropel
From Wikipedia, the free encyclopedia
|This article needs additional citations for verification. (January 2013)
Andrej Stropel was a politician of the early 17th century in Slovenia when the country was under the Holy Roman Empire. He became mayor of Ljubljana in 1631.[1] He was succeeded by Kristof Otto in 1634.
- ^ "Mayors of Ljubljana:1600-1702". The City Council of the City of Ljubljana. Retrieved November 28, 2008.[dead link]
|This article about a mayor in Slovenia is a stub. You can help Wikipedia by expanding it.


text:
The Mac Center offers technical support for Student Macbooks. The Center is located at the IT Department Room, beside the Aesthetic Department, at level 1 below the Tennis Court.
The counter operating hours are:
Mon, Tues, Thurs, Fri:
1100 hrs to 1130 hrs
1430 hrs to 1500 hrs
1330 hrs to 1500 hrs
The support personnel can be reached at 8673 2785,
Monday to Friday, 9 am to 5 pm,
Excluding Saturday, Sunday and Public Holidays.
More information on the 1:1 programme can be found in the 1:1 Learning website.
Our Address: 60, Barker Road, Singapore 309919 Tel: 6256 1633
Fax: 6256 1366 Email: email@example.com More Details >


text:
Saturday, August 22, 2015
Nottingham Swim Club
1104 Kingsbridge Terrace
Mount Airy, MD
Transition open 6:30 a.m.
Race start 8 a.m.
Now in its eighth year, the Nottingham Kids Triathlon will serve as the fourth and final stop of the Maryland Youth Triathlon Series. The Nottingham Kids Triathlon is also proud to be a part of the new-for-2015 USA Triathlon Mid-Atlantic Youth Regional Series, a first of its kind region-wide series. Now triathletes participating in our Columbia Association Kids Triathlon and/or Nottingham Kids Triathlon can earn points towards two great youth series!
The swim takes place in the Nottingham Swim Club's 25 meter, six lane, outdoor pool. The bike course is a two mile out-and-back through the rolling hills of Nottingham. The run course is flat and fast with a cross country style finish.
Online Registration, Field Limit, and Fees
Register online at imATHLETE.com/events/nkt. Registration closes at 11:59 p.m. Saturday, August 8, 2015.
Registration fee February 1 – July 31, 2015 $60
Late registration fee August 1–8, 2015 $75
The registration fee does not include USA Triathlon youth membership or registration transaction fees.
Confirm and Edit Your Triathlete's Registration
Confirm a registration or edit a registration to the Nottingham Kids Triathlon.
USA Triathlon Youth Membership Required
The Nottingham Kids Triathlon is a USA Triathlon Sanctioned Event. Participants must be USAT youth members. If your triathlete's membership has expired, expires before race day, or he/she is not a USAT youth member, you may renew or purchase a youth membership at the time of registration. An annual (12 calendar months) USAT youth membership is $15 and includes these benefits. Parents may purchase a one day membership for this event for $10, but given the small price difference we encourage parents to opt for the annual membership, especially if your triathlete plans to participate in a second USA Triathlon Sanctioned Event in the next 12 months.
USA Triathlon Age Group Competition Rule in Effect
Triathletes compete based upon their age on December 31 of the year of the event. For example, the event is August 22, your triathlete is 10 on the date of the event but turns 11 before or on December 31. His/her race age is 11 and he/she would compete in the 11–12 age group. We'll automagically place your triathlete in the correct age group based on the gender and birthdate you enter, so there's nothing for you to think about—aside from entering the correct gender and birthdate (it's happened). Your triathlete needs to know his/her race age and age group and complete the corresponding swim, bike, and run distances (see below).
Age Groups and Swim, Bike and Run Distances
Born in 2007, 2008: 7–8 age group: 50 meter swim, 2 mile bike, .5 mile run;
Born in 2005, 2006: 9–10 age group: 100 meter swim, 2 mile bike, .5 mile run;
Born in 2003, 2004: 11–12 age group: 100 meter swim, 4 mile bike, 1 mile run;
Born in 2000, 2001, 2002: 13–15 age group: 150 meter swim, 6 mile bike, 1 mile run
Age Group Awards and Post Race
The Nottingham Kids Triathlon will award first, second, and third place across four age groups for both girls and boys. Each triathlete will receive a commemorative Nottingham Kids Triathlon race tee and finisher's medal, be eligible for our popular themed door prizes, and enjoy healthy post-race refreshments and snacks.
USA Triathlon Bicycle Equipment Rules
The Nottingham Kids Triathlon will follow all USAT Competitive Rules including the USAT Supplemental Youth Rules. Please note, "Bicycles may be on-road, off-road or youth style. The bicycle shall have two wheels. No training wheels are allowed." Also, "Only standard drop, straight, or curved handlebars are allowed. No aero or time trial bars may be attached to the bike or used during competition" and "No time trial, 'chrono,' or 'aero helmets' with a tail may be used."
Triathlete Guide
Our Triathlete Guide—chock full of important pre-race and race day information—was emailed to parents August 14. Didn't get it? Email the Race Director.
Triathlete Check-in, Packet Pick Up, and Bike Racking
Triathlete check-in and packet pick up for the Nottingham Kids Triathlon will be the day before the race on Friday, August 21. Bike racking will be the morning of the race.
Refund and Cancelation Policies
There are no refunds, deferments, or transfers of registrations. That said, we're parents too and we know life happens. You may cancel your triathlete's registration for any reason up to 21 days before the event date and receive a discount code valued at 50% of the registration fee paid (excluding USA Triathlon youth membership and/or registration transaction fees). This discount code may be applied towards a future MINI COW TRI CLUB event within 12 months of the original event date.
Race management reserves the right to modify or cancel the race for safety reasons. In the event the race is canceled, there are no refunds.
Contact the Race Director at firstname.lastname@example.com or 301.524.0777.


text:
Web Courses & Training
Web Topics
- Web Design (2)
- Web Fonts (2)
- Web Foundations (1)
Web Skill level
- Beginner (2)
- Intermediate (2)
- Advanced (2)
Web Software
- Bare Bones (1)
- TextWrangler (1)
More options
- Closed captioning
Focuses on the theories behind web fonts: showing what makes a good font, why different fonts look the way they do, and how they affect the look of your web page.
Choose fonts for a web site and create beautiful, readable type, incorporating web fonts, CSS styles, and simple typographic rules.
"Through lynda.com, I've helped our firm branch out into the world of web design. We now are able to post our client's videos to the web and even offer total web development and design solutions." —Joel M.
more from our members »


text:
DS9 ruined Alexander Rozhenko
View Single Post
December 3 2012, 10:52 PM
R. Star
Rear Admiral
Location: Shangri-La
Re: DS9 ruined Alexander Rozhenko
Yeah, a badass Klingon kid running around the Enterprise decking the adults would've been amusing, if crude and predictable. Turning him into a whiney, emo, sissy... ugh. Didn't we have enough of that with Wesley Crusher?
He didn't improve any on DS9. The only episode I liked him in was that Bloodlines episode, with his future self... who then attempts to murder his past self for the aforementioned reasons.
"I was never a Star Trek fan." J.J. Abrams
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text:
BNA - For Australian and visiting cyclists from Road to MTB, to Track to Freestyle
WTB: Aerospoke or Trispoke.
Members classifieds for selling bicycles / parts. PRIVATE OFFERS ONLY
Forum rules
INCREASE IN FRAUDULENT SALES - Protect yourself from scumbags and thieves
NEW MEMBERS, read the Market Place Rules first before posting.
Post Title Format: [Your Location] Item Title
1 post • Page 1 of 1
WTB: Aerospoke or Trispoke.
Front wheel, don't mind if it's tubular. Preferably black.
1 post • Page 1 of 1
Return to Member to Member Bike and Gear Sales
Who is online
Users browsing this forum: familyguy, MSNbot Media
Popular Bike Shops


text:
Conor Murphy, costumed as Rocket Frog strikes the now-iconic pose from the NASA photo. He was part of the Halas family's Rocket Frog tent at the 41st Annual Chincoteague Island Oyster Festival. / Staff photo by Connie Morrison
CHINCOTEAGUE — Oyster lovers from Connecticut to North Carolina converged on Toms Cove Campground in Chincoteague for the islands 41st annual Oyster Festival, sponsored by the Chincoteague Chamber of Commerce.
First-year attendees and 32-year veterans alike were meeting up with friends and eating up the oysters. Fried, frittered, steamed, and raw were all aplenty, in addition to other seafood and landlubber options.
First-year patron and Chincoteague resident Matt Nicholson, sitting before platters heaped with steamed oysters and crabs, tried his first oyster.
It kind of tastes like clams, he said.
John and Rachel Mercer, of Arlington, Virginia, were back for their 32nd year.
We just love it. Its the party, its the friendship, its the family that is here; its just marvelous, said John Mercer.
Everyone who comes is just so friendly, added Rachel.
Festival-goers are encouraged to decorate their tents, and oyster themes abounded. Oysteropoly, complete with a Monopoly-modeled gameboard; 50 Shades of Oysters; Shuck of the Irish; and the pirate-speaking Arrrr-ster tent were among the competitors for the festival prize.
Don Halas, a quantitative analyst in Connecticuts banking sector was also in the running. He and wife Darlene have been coming to Chincoteague for 23 years, and this is their seventh Oyster Festival.
I love this island! he exclaimed.
Halas picked Rocket Frog for his first-ever themed tent, a nod to the frog that was blasted into an official NASA photo as rocket engines ignited to launch the LADEE unit into space in September.
Friend Conor Murphy obligingly donned a white NASA jumpsuit and Kermit the Frog mask, and struck the iconic pose, as steam poured from under the cardboard rocket to simulate rockets igniting.
Though Murphy joked the Halas family kept his future appearance as Kermit under wraps until the last minute, he was clearly enjoying the role as person after person asked to make his photograph.
Everybody loves it, he said.
Suzanne Taylor, executive director of the Chincoteague Chamber of Commerce said that like last year, this years festival was a sell-out.
The wet conditions, and off-and-on rain, did not deter the crowd.
Even with the rain, people were still calling for tickets, she said.
John Mercer summed it up for many.
Sometimes the sunshine is liquid, sometimes it comes from the sky. Its all good, he said.
757-787-1200, ext. 112
On Twitter cmorrison_esn


text:
Positron emission tomography (PET) is a non-invasive imaging procedure used for measuring the concentrations of positron-emitting radioisotopes within the tissue of living subjects. 2-[F18] fluoro-2-deoxy-D-glucose (FDG) is a radiopharmaceutical that is attracted to higher areas of metabolism.
There has been a formal request for reconsideration of FDG PET for broad coverage of all oncological indications, heart disease, and neurological disorders. Evidence that supports FDG PET broad-based coverage has been submitted to the Health Care Financing Administration (HCFA).
HCFA must evaluate whether the current empirical scientific literature and the potential value of PET in clinical practice supports that FDG PET is a "reasonable and necessary" diagnostic imaging procedure for all cancers, heart diseases, and neurological disorders.
Agenda for November 7, 2000 Meeting
Baltimore Convention Center - Room 337
Harold C. Sox, M.D., Chairperson
Robert H. Brook, M.D, Vice Chairperson
Constance A. Conrad, Executive Secretary
Minutes of November 7, 2000 Meeting
Baltimore Convention Center
One West Pratt Street
Baltimore, Maryland
Harold C. Sox, M.D.
Robert H. Brook, Ph.D.
Constance Conrad
Executive Secretary
Voting Members
Leslie P. Francis, M.D., J.D.
John H. Ferguson, M.D.
Robert L. Murray, Ph.D.
Alan M. Garber, M.D., Ph.D.
Michael D. Maves, M.D., M.B.A.
Frank J. Papatheofanis, M.D., Ph.D.
Ronald M. Davis, M.D.
Joe W. Johnson, D.C.
HCFA Liaison
Sean R. Tunis, M.D., M.Sc.
Consumer Representative
Linda A. Bergthold, Ph.D.
Industry Representative
Randel E. Richner, M.P.H.
Expert Consultants
Kathy Helzsouer, M.D., M.H.S.
Ellen G. Feigal, M.D.
Manuel Cerqueria, M.D.
Tuesday, November 7, 2000, 8:20 a.m.
The Executive Committee of the Medicare Coverage Advisory Committee met on November 7, 2000, to discuss the framework to be used by the MCAC panels when evaluating diagnostic tests, and to evaluate the evidence related to several applications of Positron Emission Tomography (PET). The meeting began with the introduction of the Committee, a reading of the conflict of interest statement, and the call to order.
Opening Remarks. The Chairperson informed the Executive Committee that he and Dr. Garber had developed draft guidelines for evaluating evidence about diagnostic tests. He further informed the panelists that following discussion and refinement of these guidelines, they would be used by the Executive Committee to advise HCFA on the quality of the evidence related to PET as applied to colorectal cancer management, differential diagnosis of dementia, and lung cancer diagnosis and staging and the magnitude of the effect for each application. The Chairperson also noted that a third purpose of the meeting was for the Executive Committee to render an opinion about whether conclusions about PET are readily generalizable to other cancers and other uses not considered at the meeting.
Science and Biology of PET Scans. Dr. Michael Phelps presented the Executive Committee with an overview of the development of PET, discussing the history of the procedure, and citing studies showing its diagnostic efficacy, particularly when compared to CT and MRI. Dr. Phelps stressed to the panel that PET is a molecular imaging technique based upon basic biochemistry and biology. In response to questions from the panel, Dr. Phelps indicated that there are currently about 800 PET scanners worldwide, with about half located in the U.S. and that to date, over two million studies had been performed.
Discussion on Framework for Evaluating Diagnostic Tests. Dr. Sox explained the document that he and Dr. Garber had drafted, followed by extensive discussion by the panel. After discussion, it was the sense of the panel that they should consider as a first question, whether the evidence was sufficient to establish that the test under consideration provides diagnostic information that is at least as accurate as standard alternatives. The panel then made suggestions about how future panels may want to assess differences in health outcomes.
Public Comments and Presenters. The panel heard from nine speakers and presenters, including four individuals in support of PET, a representative from the FDA concerning the FDA approval process of the PET scanners and radiopharmaceuticals, and two individuals who presented the technology assessments performed by the Blue Cross Blue Shield Technology Evaluation Center and the Department of Veterans Affairs. In addition the New England Medical Center presented a critique of the evidence summary prepared by Dr. Phelps and colleagues in support of coverage for FDG-PET.
Open Committee Discussion and Public Comments. The Chairman asked for a motion that the Committee could discuss and the public could comment on. There were no formal motions made nor votes taken; however the sense of the Committee was as follows:
Following discussion by panelists, members of the public were given the opportunity to address the panel. Four speakers made comments focusing on PET applicability to broad coverage matters, including myocardial variability.
Adjournment. The meeting adjourned at 5:25 p.m.
Constance Conrad
Executive Secretary, HCFA
I approve the minutes of this meeting
as recorded in this summary.
Harold C. Sox, M.D.
When they are asked to evaluate diagnostic tests, panels can apply criteria that are similar to those used for other health interventions that come before the Medicare Coverage Advisory Committee. The panels will need to determine whether the evidence is adequate to conclude that the diagnostic test improves outcomes and, if the evidence is adequate, to classify the magnitude of the health benefit, when a test is used for a specific purpose.
When more than one application of the test is under consideration, the panels will need to evaluate each application. Although this document refers to diagnostic tests, it is important to recognize that tests have four principal uses in clinical settings, and that the comments in this document refer to all four uses.
Screening: screening refers to the use of a test to detect either asymptomatic disease or a predisposition to disease (i.e., a risk factor such as elevated blood pressure or high blood cholesterol). Typically, the pre-test probability of disease (i.e., the prevalence or probability of disease in the population to be screened) is very low in such individuals. The purpose of screening is either to take action to prevent disease by modifying a risk factor, or to detect and treat disease early. In both cases, screening is presumed to be advantageous because early treatment of disease, or modification of a risk factor, improves health outcomes.
Diagnosis: a test is used to make a diagnosis when symptoms, abnormalities on physical examination, or other evidence suggests but does not prove that a disease is present. Making a correct diagnosis improves health outcomes by leading to better clinical decisions about further testing and/or treatment.
Staging: a test is used to stage a disease when the diagnosis is known but the extent of disease is not known. Staging is particularly important when stage of disease, as well as the diagnosis itself, influences management. For example, an early stage cancer might be treated surgically, while the same cancer at a more advanced stage might be treated with chemotherapy alone.
Monitoring: in a patient known to have a health condition, a test is used to monitor the disease course or the effect of therapy. A monitoring test helps to evaluate the success of treatment and the need for additional testing or treatment.
Although an effective diagnostic test reduces the morbidity and mortality of disease by guiding clinical decisions, direct proof of effectiveness is usually unavailable. Few studies have directly measured the effects of a diagnostic or screening test on health outcomes (studies of occult blood testing for colon cancer represent one such exception). Typical studies that evaluate the effectiveness of diagnostic, screening, or monitoring tests focus either on technical characteristics (e.g., does a new radiographic test produce higher resolution images) or effects on accuracy (does it distinguish between patients with and without a disease better than another test).
An improvement in the technical performance of a test can lead to improved diagnostic accuracy. For example, a higher resolution imaging study is more likely to distinguish between normal and abnormal anatomic structures, since it is able to delineate both types of structures more clearly. It may seem self-evident that improved technical characteristics would routinely lead to greater test accuracy and clinical utility, but that is not always the case. Often the factor that limits the ability of a test to distinguish between diseased and non-diseased, or between a person at high risk for disease and a person at average risk, is not the technical performance of the test. Sometimes the indicator that we are trying to measure (e.g., the risk factor) is only imperfectly correlated with the health condition, and improved measurement of the indicator will not lead to greater accuracy. Occasionally technical performance can improve in one respect but worsen in another; for example, MRI scans have higher resolution than most CT scans. Thus MRI scans were initially believed to be superior to CT scans for most indications. However, because CT scans are better able to distinguish certain tissue types, they proved to be better at detecting some abnormalities than the higher-resolution MRI scans. Thus improvements in aspects of technical performance are not sufficient to establish improved diagnostic accuracy.
When good quality studies directly measure how the use of a diagnostic test affects health outcomes, the panel can easily determine that the evidence is adequate and draw conclusions about the magnitude of the health benefits. But when the best studies only measure the accuracy of the test itself, the panels will have to determine whether the evidence is adequate to conclude that the test improves the accuracy of diagnosis or staging of disease and that the improvement in accuracy leads to better health outcomes.
We suggest that panels evaluating diagnostic test answer the following question:
Is the evidence adequate to conclude that the use of the diagnostic test leads to a clinically significant improvement in health outcomes?
If direct evidence linking the use of the test to health outcomes is not available, the panels should answer the following questions, which collectively determine whether there is convincing indirect evidence that the test will lead to better health outcomes:
Question 1: Is the evidence adequate to determine that the use of the test provides more accurate diagnostic information?
The definition of "more accurate" is crucial. The standard measures of accuracy are sensitivity (probability of a positive test result in a patient with a disease or risk factor or other health condition) and specificity (the probability of a negative test result in a patient who does not have the disease). Ideally a new test would increase both sensitivity and specificity. Often that is not the case. A test that has a higher sensitivity is not unambiguously more accurate than an alternative test unless its specificity is at least as great. For most diagnostic tests, a change in the definition of an abnormal result will change the sensitivity, but improved sensitivity is obtained at the cost of worsened specificity, and vice versa. For example, if the diagnosis of diabetes is made on the basis of a fasting blood sugar, the use of a lower blood sugar level to define diabetes results in greater sensitivity and lowered specificity when compared to a diagnostic threshold at a higher blood glucose level. By choosing a different threshold, it is possible to change sensitivity without changing the test. Thus, if only sensitivity (or specificity) were considered, the same test might appear more accurate solely because the definition of an abnormal test result was changed.
The foregoing discussion leads to the following definition of "more accurate:" A more accurate test is not only more sensitive (or specific); it has a higher sensitivity for a given level of specificity when compared to another test. At a minimum, then, to conclude that one test is more accurate than another, its sensitivity (or specificity) is must be higher while its specificity (or sensitivity) is the same or better than the alternative test or diagnostic strategy.1
In deciding whether one test is more accurate than a second, established test, the panels will find the following steps helpful.
Step 1: Evaluate the quality of studies of test performance
The panel should first address the quality of the studies that are used to determine test accuracy. In assessing the quality of studies, panels might first consider the characteristics of an "ideal" study of test accuracy and compare the existing studies to the ideal. "Ideal" and "typical" studies of a screening, diagnostic, or monitoring test differ in these ways:
*The reference test is a test that is considered the "gold standard," i.e., a test that is used to define the disease. Tests commonly used as reference tests are coronary angiography, for coronary artery disease, and histopathology, for cancer. Reference test can be interpreted more broadly to mean any method that is considered the definite basis for determining whether a disease or risk factor is truly present.
The panels will need to decide whether the results of studies that fall short of the ideal are likely to be due to bias, or whether their limitations are sufficiently minor that it is possible to draw conclusions about the accuracy of the test.
Step 2: Evaluate the possibility that the two tests are complementary
The sensitivity and specificity of a new test can be the same as - or even worse than - the sensitivity and specificity of an established comparison test, yet still provide valuable information. It can add value if it provides complementary information. In this circumstance, a combination of the two tests leads to more accurate distinction between patients with and without the disease (or risk factor) than either test individually. The information is likely to be complementary if the other test or tests detect other features of the disease (for example, one test measures a physiological phenomenon while the other is an imaging test that detects structural abnormalities). A direct comparison between strategies using the two tests and those using only the standard test can be made by studying patients who receive both tests as well as the reference test (or any direct measure of whether disease is actually present). The appendix describes how such a study can be used to determine whether the combined testing strategy improves the accuracy of diagnosis.
Question 2: If the test improves accuracy, is the evidence adequate to conclude that the improved accuracy will lead to better health outcomes?
To determine whether a difference in test accuracy would lead to important improvements in health outcomes, the panels may find the following steps helpful.
Step 1: Calculate the post-test probability of disease
The purpose of testing is to reduce uncertainty about the presence of a disease or risk factor, or about the extent of a previously diagnosed disease. The pre-test probability of disease is the probability of disease before the test has been performed, based upon history, physical examination, and preliminary diagnostic tests. The pre-test probability is often used interchangeably with the term "disease prevalence," but the two terms are only equivalent when prevalence and pre-test probability are based on the same population (i.e, adjusted for history and other information).
The post-test probability is the probability of disease after learning the test results. A test result should only change patient management if it changes the probability of disease. Bayes' theorem is the formal approach used to calculate the post-test probability. Application of Bayes' theorem in this context requires the sensitivity and specificity of the test and the pre-test probability of disease. Generally, tests alter probability the most (i.e., in comparison to the pre-test probability) when the pre-test probability is intermediate (i.e., not near a probability of either 0 or 1). Conversely, tests alter probability the least when the pre-test probability is close to zero or close to 1.0. If the patient's symptoms, abnormalities on physical examination, and other evidence strongly suggest that the patient has the disease in question (i.e., the pre-test probability of disease is high), unless a test is extremely sensitive the patient is likely to have the disease even if the test result is negative, and should be managed accordingly. Similarly, if the pre-test risk of disease is very low, the probability of disease in a patient with a positive test result remains very low, unless the test is extremely specific (i.e., rarely produces false-positive results). The accompanying graph of post-test probability for two tests illustrates this point. Panels may find these graphs helpful in interpreting the possible impact of a difference in test performance.
The same principles apply to the use of testing to stage disease or to monitor the effect of treatment. In these situations, the uncertainty is not about the diagnosis, but the test is needed to reduce uncertainty about the current status of the disease. Learning more about stage or response to treatment is important insofar as it will influence management options - for example, disease progression while on one treatment will often lead to a change in therapies, or cessation of a potentially toxic therapy. A false-negative staging test result (i.e., one that implies the disease is more limited than it really is) may lead to treatment that is both ineffective and harmful. In some situations, a false-positive staging test result can have even more harmful consequences; the physician could withhold potentially curative treatment if he or she interprets the staging test as indicating that cure is not possible, dooming a patient to die of a disease that could have been treated effectively.
In the absence of direct evidence of the effects of a test on health outcomes, it will sometimes be possible to conclude with great confidence that improved accuracy will lead to better outcomes. This is particularly likely to be true when the treatment or management strategy is effective for patients with the disease, but poses risks or discomfort that would not be acceptable when administered to patients who do not have the disease. Then, improved accuracy leads to effective treatment for more people who truly have the disease, and helps avoid unnecessary treatment in people who would not benefit from it. Thus, although the evidence that diagnostic tests for cancer and for heart disease alter health outcomes is largely indirect, it is also compelling. For these categories of disease, there is often strong evidence that treatments with significant adverse consequences are effective when used appropriately. Panels will need to judge whether the test leads to better patient management by increasing the rate at which patients with disease receive appropriate treatment and the rate at which patients who do not have the disease avoid unnecessary treatment.
If management changes, the improvement in health outcomes should be large enough that the panel believes it is clinically significant. A small increase in accuracy can lead to substantial improvements in health outcomes if treatment is highly effective. Improved accuracy is of little consequence, however, if treatment is either ineffective, so there is little benefit to patients with the disease, or very safe, so there is little harm to patients without the disease. Then improved accuracy is unlikely to lead to improved health outcomes or even to influence clinical decisions.
Under exceptional circumstances, prognostic information, even if it did not affect a treatment decision, could be considered to improve health outcomes. The panel should be alert for circumstances in which patients would be likely to value the prognostic information enough to significantly alter their well-being.
The recommended approach for evaluating diagnostic tests is as follows:
Decide whether studies of test accuracy are sufficiently free of bias to permit conclusions about the accuracy of the test under consideration, in comparison either to another test or another screening, diagnostic, or staging strategy
Evaluate the potential impact of improved accuracy (or complementary information) on health outcomes. Evaluating the effect of test accuracy on post-test probability is one part of this step. The other part is deciding whether the change in patient management that results from the test will improve health outcomes. Improved outcomes are likely to occur when the management strategy is effective in patients with the disease and does not benefit those without the disease. A test can also improve health outcomes when the treatment poses significant risk, so that it is very important to avoid unnecessary treatment.
To test the hypothesis that two tests are complementary, several approaches are possible. The best way is a study in which a series of patients receive both tests as well as the reference test. The analysis compares the sensitivity of the second test in two groups of patients: those with a negative result on the first test and those with a positive result, as shown in the table.
Test 2 results
Reference standard positive
Reference standard negative
If the sensitivity of Test 2 when test 1 is negative (A'/[A'+B']) is greater than zero, Test 2 is able to detect patients that Test 1 cannot, and the two tests are complementary. If, on the other hand, the sensitivity of Test 2 is zero when Test 1 is negative, Test 2 is unable to detect patients that Test 1 would miss, and it is of minimal additional value.
Many studies of two tests do not provide the information in this table. However, the studies may still provide useful data that reflect what is in the table. The best way to think about using two tests is to consider them as a sequence of tests, in which the post-test probability after the first test becomes the pre-test probability for the second test. Suppose that the test under consideration is the second test in the sequence. It would add information when compared to the established test alone under two circumstances:
Arguments that consist largely of inductive reasoning (based upon a different physiological basis for Test 2) are much weaker than empirical eevidence.
1 The more technical expression of this condition is that a more accurate test is one whose receiver operating characteristic (ROC) curve is above and to the left of the ROC curve for the alternative test.


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Public to blame
In the news story "8 charged in alleged turnpike corruption" (March 14 and TribLIVE.com), former Democrat Gov. Ed Rendell was quoted as saying, "... nor was I aware of any inappropriate activity. ... Joe Brimmeier made significant improvements in the operation of the PA Turnpike during his tenure."
The story later contradicts Rendell: "Political pressure stemming from the turnpike's legacy of patronage, runaway debt and allegations of corruption during Brimmeier's tenure prompted Port Authority's board instead to name the agency's chief financial officer, Ellen McLean, as interim transit chief."
How did a mental midget like Rendell get elected, then re-elected, governor? Why was a career political pimp like Brimmeier allowed to allegedly ravish the public purse for four decades? Who must accept the ultimate blame?
Pennsylvania voters and taxpayers, look in a mirror.
Frank C. Nugent
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Art of Sand: The event is open from 9:30 a.m. to 5 p.m. daily Feb. 16-May 27 at the Brevard Zoo.
- Filed Under
Here are your entertainment best bets for Wednesday, Feb. 27, 2013:
Want to be in the best bets? Send us an email with a brief description of your event, time, day, cost (if any), and contact phone number at least two weeks in advance to email@example.com.
Dixie Melody Boys concert: The concert starts at 7 p.m. Wednesday at First Baptist Church of Mims, 2395 Kentucky Ave. Admission is free. Call 321-285-9731. ...


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Cinema News – Kollywood News
Ajith by career is a motorist and a sports person. He started his life as a two wheeler mechanic and hence has a passion for motor bikes. He used to ride expensive motor bikes from Chennai t... Read more
Ilayaraja might be a great musician and he can play any instrument in any given condition. But, for this, if you plan to test his common sense, then you will get surprised to know that, it s... Read more
Movies from the desks of director Bala, Sundar C, Sasi Kumar, Surya, Simbu, Vishal and Jayam Ravi will be hitting the screens for 2016 Pongal season. While Deepavali found only two movies, o... Read more
Sruthi, daughter of Kamal, entered into her acting career through a hindi movie titled Luck. In that movie itself she appeared in bikini and sent shock waves among audience and in particular... Read more
Nayanthara and Kisu Kisu cannot be separated as from the day she started her acting career, she is always in news and most of the time that relates to her dating kisu kisu. Nayanthara, a Mal... Read more
While Rajini's yesteryear blockbuster movie's titles are of great demand, Vadivelu's dialogues are doing a good business in Kollywood. While in the case of Rajini, the titl... Read more
Kollywood biz wants only success and for the same it hesitates to take risk. For them, using the same title of any blockbuster Kollywood movie will be an easy job, as the title itself might... Read more
Music director Deva is relative of Ilayaraja. Deva used to do lot of copy cat works, mostly taking music themes from Ilayaraja albums. Like that of Ilayaraja, whose sons are musicians, Deva... Read more
Superstar Rajini Kanth's Tamil film "Kabali" features a heroic fire sequence in which Kabali Rajini saves about 200 girls from a fire. The scene is said to have been recent... Read more
Yesterday, Paandavar Ani, which has won the recently held election for Nadigar Sangam, held cheyaRkuLu koottam in which all office bearers of Paandavar Ani participated. 19 executive members... Read more


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Eveready's Schick, Energizer Brands May Boost Profit, Daily Says
Eveready East Africa Ltd. is counting on an expanded product range that includes Schick razors and shaving foam to help reverse declining sales, Business Daily reported, citing Managing Director Steve Smith.
Eveready's new product lines, which also include Energizer batteries, currently account for about 30 percent of revenue and their sales are growing by about 20 percent, the Nairobi-based newspaper said.
Eveready said last week profit in the 12 months through September may decline because of increased global metal prices and rising financing costs following the depreciation of the Kenyan shilling.


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iHerb Customer Reviews
Nurture Inc. (Happy Baby), Organic Baby Food, Banana, Beets & Blueberry, Stage 2, 6+ Months, 3.5 oz (99 g)
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Your body is your most valuable resource. Do the best you can to take care of yourself by making regular exercise and nutritious eating a priority. Pursue playful, healthful activities while improving your digestion, bone regeneration, and immune system functioning as well as your stamina, flexibility, and muscular strength. Keeping fit reduces your risk of premature death from debilitating illnesses such as heart disease, adult-onset diabetes, and some forms of cancer. Live longer, healthier, and better by developing the enjoyable exercise and eating pattern that's right for you.
Jim, a 33-year-old father of four, is currently eastern regional manager for a large pharmaceutical company. Until a few years ago, he had always questioned the need for regular exercise. He had assumed that occasional but rather strenuous weekend sports endeavors were enough to keep him healthy. Only after suffering a severe heart attack did Jim become aware of the importance of engaging more consistently in moderately intense fitness activities. He is now grateful that he has had a second chance to learn the value of staying in shape.
Friends and co-workers sometimes joke with 45-year-old Millie, a tax attorney, about her daily calisthenic and walking endeavors. Even during the busiest of times, she does not waiver from her playful exercise pattern. Millie's determination to stay fit began during her teenage years when she was confronted with a tragic lesson about the risks of a sedentary lifestyle. Her obese mother developed adult-onset diabetes and died before


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Discover New Zealand's best kept secret, the Nelson Tasman region, home to three of New Zealand's most spectacular National Parks with hiking, sea-kayaking, cruising, canyoning, biking, rafting, jetboating, stand-up paddleboarding and great seafood, wine and beer on offer.
The compact geography means most activities are within 1-2 hours drive of the city. We have rental vehicles, guided coach/minivan tours and a great accessible airport if arriving by air. It's really easy to get around.
Come October the Nelson Tasman region offers even more enticing reasons to visit, discover and enjoy. Find out more.


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Vitale Ta'aga Magauli So'oto
Position: LB
Height: 6-3 Weight: 263 lbs.
Born: August 19, 1987 in Oceanside, CA
High School: Carlsbad
College: BYU (school history)
Weighted Career AV (100-95-...): 1 (12777th overall since 1950)
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Output includes all games from 1920 to 2015.


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10) Trying to convince people to do something that's immoral, unethical, or just plain old wrong so that you'll feel better about doing it yourself.
11) Spreading a conspiracy theory you don't believe in to draw in traffic for your website.
12) Spraying graffiti on someone else's property.
13) Watching someone drop money on the ground and keeping it instead of giving it back to him.
14) A pastor who waters down his Christian beliefs because they conflict with political correctness.
15) Hacking into someone else's computer.
16) Choosing not to help pay for your own children's livelihood.
17) Spreading malicious rumors about friends and co-workers.
18) Aborting your child because it's inconvenient.
19) Deliberately undermining someone else's marriage.
20) Trying to rig an election, win a seat in the courts that you lost at the ballot box, or trying to insure phony votes are counted.
21) An atheist trying to ruin other people's faith in God to make himself feel better about his own unbelief.
22) Writing a virus that infects someone's computer.
23) Living off the charity of others or the government dole AND feeling no shame over it.
24) Mocking someone whose politics you disagree with right after he dies.
25) Knowingly accusing an innocent person of racism.
John Hawkins runs Right Wing News and Linkiest. You can see more of John Hawkins on Facebook, Twitter, Pinterest, G+,You Tube, and at PJ Media.
15 Excerpts That Show How Radical, Weird And Out of Touch College Campuses Have Become | John Hawkins
"Your Republican Uncle": DNC debuts new website to help slow-witted young liberals talk politics with family on Thanksgiving | Allahpundit
Obama 2013: Assad must go. Obama today: Hopefully Assad won't run for president again. | Allahpundit


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"The University of Illinois is also in turmoil. The university sports an Interim Chancellor, an Interim Athletic Director, and an Interim Football Coach; the game will be played at Soldier Field, making this an Illini Interim Home Game."
Michigan hockey
Pacioretty's and Pateryn's Habs advance
A couple more Wolverine hockey alumni will be heading to the second round of the Stanley Cup playoffs, and both had a hand in tonight's Montreal win over Ottawa. The Canadiens won the series four games to two behind outstanding Carey Price goaltending, but tonight Pateryn assisted on Brendan Gallagher's first-period goal, the game-winner, and Pacioretty sealed the deal with an empty-netter from deep in his own end with 0.03 to go.
Wolverines whose teams remain in the playoffs as of this post include:
-Andrew Cogliano (Ducks)
-Luke Glendening (Red Wings)
-Carl Hagelin (Rangers)
-Matt Hunwick (Rangers)
LET'S GO RED WINGS, plus the Habs and Rangers otherwise, and to a lesser extent, the Ducks.
Michigan hockey vs MSU open thread
Game starts at 7:30 on Fox Sports Detroit.
Michigan leads the all-time series, 152–128–19
Michigan leads the 'Rivalry at the Joe' series, 14–9–4
WJC: Dylan Larkin 2nd straight POG
For the second straight day Dylan Larkin was named the player of the game for Team USA. Had an assist on the opening goal by Sonny Milano then added a goal of his own to make the game 2-0.
USA went on to win 3-0 and remain in 2nd place (8 pts) behind Canada (9pts). USA will play Canada in what should be a preview of the finals in Montreal on Dec. 31st at 4:00pm.
Congrats to Dylan on what is quickly becoming a very impressive WJC for him.
All time Frozen Four Bracket Voting
NCAA.com is hosting a voting bracket for the all time Frozen Four Champion.
Today, the 1956 M team is facing the 1985 RPI team, which is a bad match up IMO. I voted with my head (the RPI '85 team), but can't blame you for voting with your hearts (MICHIGAN).
LINK: 1985 RPI vs 1956 M
Right now, M is down 73-27%.
AFAIK, all voting is via twitter:
VOTE now – Use #RPI85 for @RPIAthletics or #Michigan56 for @umichhockey. Votes must be user-initiated. RT don't count pic.twitter.com/QNOG9hDApe
Michigan Hockey Early Departures: PDG and Guptill
Per Michael Spath on twitter, Michigan forward Phil DiGiuseppe has signed with the Carolina Hurricanes which voids his last year of eligibility with the team.
And so begins another summer of Michigan Hockey and seeing who will still be here once the new season begins. Losing him is not crippling, but also not ideal. Hopefully everyone else stays because the depth still eligible and the incoming recruiting class has the ability to make some noise next year.
EDIT: per Mark Edwards on twitter, Alex Guptill has also signed an entry level deal with the Dallas Stars
B10 Hockey Tournament
Is anyone here planning on traveling to the Twin Cities for the tournament? I'll unfortunately be out of town when UM comes here to play the Gophers but will be back in time for the tournament.
Would love to know which section to look for tickets in.


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Iron Mountain Convenes Third Annual Symposium on Information Governance for Law Firms Law firm information management leaders will explore key industry, privacy and security topics impacting information governance Business Wire BOSTON -- April 9, 2014 Iron Mountain Incorporated (NYSE: IRM), the storage and information management company, is hosting its third annual Law Firm Information Governance Symposium from April 9-11 in Washington, D.C., bringing together some of the legal industry's leading information governance thought leaders to discuss ideas for improving how law firms protect and manage information. This year, for the first time, symposium participants will drive the agenda and discussion, helping to advance the standard for information governance within law firms. "It's been a privilege to see how the symposium has grown and evolved over these last three years, mirroring the growth and evolution of information governance itself," said Rudy Moliere, director of records and information, Morgan Lewis & Bockius LLP and a member of the symposium's steering committee. "When we first started, information governance was an emerging practice. But as the stakes for managing information have grown, information governance has increasingly become a key part of law firm information managers' daily lives. As a steering committee member, it's been a thrill to see symposium participants take on the responsibility of continuing the information governance conversation in the weeks and months following the 2013 meeting, and I'm excited to see the results of all that hard work." Following a request from symposium participants, the steering committee commissioned four task forces to analyze and report on protocols and best practices for the most pressing governance issues of the day. The task forces will present initial findings and recommendations at this year's symposium, in a peer review format with 30 law firm and industry leaders. Iron Mountain will publish the final task force reports this summer focused on: *IG & the New HIPAA Omnibus Rules. Led by Brian McCauley, director of Information Governance at McDermott Will & Emery LLP, this team focused on what law firms need to do to comply with the 2013 Health Information Portability and Accountability Act (HIPAA) Omnibus Rule, which expands the security and protection requirements for organizations that store or access private patient information. *IG & Lawyer/Matter Mobility. Led by Terrence Coan, senior director for HBR Consulting, this team explored the information governance ramifications of lawyers, clients and information moving from firm to firm, or matter mobility. *IG & eDiscovery. Led by Brian Donato, chief information officer at Vorys, Sater, Seymour and Pease, LLP, this team looked at how information governance can help properly manage and protect the large volumes of emails and other electronic records generated by electronic discovery requests from existing and prior cases. *Emerging IG Trends. Led by Samantha Lofton, director of records information, risk management & practice support at Ice Miller LLP, this team explored two key areas: The skill set requirements for emerging law firm information governance professionals, and how increasing client demands in outside counsel guidelines impacts law firms' abilities to win business. "We're excited that the symposium continues to grow and gain momentum, including new topics and, for the first time, a new participant-driven format," said Carolyn Casey, Esq., senior manager, legal vertical for Iron Mountain. "Clients are now asking law firms if they have the appropriate measures in place to protect their information. In response, our task forces explored the intersection of information governance with privacy, security and compliance topics to help law firms create the right mechanisms and ensure they can address client demands. We are honored that the industry has embraced the symposium as a platform for creative dialogue and problem solving on these and other important governance topics." For more information on Iron Mountain's services for law firms, visit www.ironmountain.com/Solutions/Law-Firms. About Iron Mountain Iron Mountain Incorporated (NYSE: IRM) is a leading provider of storage and information management services. The company's real estate network of over 64 million square feet across more than 1,000 facilities in 36 countries allows it to serve customers with speed and accuracy. And its solutions for records management, data management, document management, and secure shredding help organizations to lower storage costs, comply with regulations, recover from disaster, and better use their information for business advantage. Founded in 1951, Iron Mountain stores and protects billions of information assets, including business documents, backup tapes, electronic files and medical data. Visit www.ironmountain.com for more information. Contact: Media Contacts: Iron Mountain Christian T. Potts, 617-535-8721 firstname.lastname@example.com or Weber Shandwick Katie Carbone, 617-520-7135 email@example.com
Iron Mountain Convenes Third Annual Symposium on Information Governance for Law Firms
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- ACTI Campus Cyberinfrastructure (CCI) Meeting
October 18, 2011
A session at the EDUCAUSE 2011 Annual Conference
The Advanced Core Technologies Initiative Campus Cyberinfrastructure Working Group will report on its latest projects and upcoming work. This is an excellent forum to share your insights and exch…
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October 19, 2011
An update on the Advanced Core Technologies Initiative ( ACTI ) and its working groups, provided at EDUCAUSE 2011. Provides a look at its members, activities, the upcoming in-person member meet…
- ACTI-CCI Working Group Status Report (1/10/12)
January 10, 2012
Presentation from the ACTI Campus Cyberinfrastructure (ACTI-CCI) Working Group at the ACTI 2012 Member Meeting on January 10, 2012. This presents on the group's 2012 agenda, focusing on the …
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April 29, 2008
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August 20, 2009
Abstract This 2009 ECAR research study explores a multitude of strategies used by colleges and university information technology organizations to deliver the breadth of technologies and servic…
- Alternative IT Sourcing Strategies: From the Campus to the Cloud–Key Findings
August 17, 2009
This document presents the key findings from the 2009 ECAR study, Alternative IT Sourcing Strategies: From the Campus to the Cloud , by Philip J. Goldstein. The study explores a multitude of s…
- Alternative IT Sourcing Strategies: From the Campus to the Cloud—Roadmap
August 20, 2009
This ECAR roadmap synthesizes the important issues and recommended actions drawn from the 2009 ECAR research study, Alternative IT Sourcing Strategies: From the Campus to the Cloud , by Philip…
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September 12, 2014
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September 2, 2008
This ECAR research bulletin discusses the role cyberinfrastructure will play as higher education evolves. Changes in the job markets, in higher education research and teaching, and in emerging ac…
- Cyberinfrastructure for the Humanities, Arts, and Social Sciences
January 13, 2009
This research bulletin describes a framework for cyberinfrastructure for the humanities, arts, and social science (HASS) disciplines that is rooted in the history and challenges of those discipli…


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Atlantic City Hotel Experts, LLC
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After arriving in Stone Town from Nungwi we looked for a reasonably priced hotel as close to the waterfront as possible. We found Manch Lodge by walking around and paid US$30 a night for two people in a room with a double bed, single bed, fan and nets. Breakfast is included. Bathrooms are shared. There is an outdoor courtyard for eating and drinking. We organised a Spice Tour through reception for US$15 per person. Staff were helpful with information. Forodhani Gardens and the Old Fort at the waterfront are 5-10 minutes walk. Zanzibar Ferry Terminal 20-25 minutes walk. Creek Road Dalla-dalla Station 10-15 minutes walk. Manch Lodge has some narrow alleyways around it but check its website http://www.manchlodge-zanzibar.net/ for directions and more information. As other hotels nearby were charging US$50-130 a night, Manch Lodge is recommended as a cheap option in Stone Town for anyone on a mid-range budget.
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Cowboys Photos
What to watch for at Cowboys minicamp: QB questions, defensive line rotation and more
Photo: Louis DeLuca/Staff Photographer
5. What does the defensive line rotation look like? It was interesting to see how Rod Marinelli was splitting reps during team drills up front. Rookies Ken Bishop and Davon Coleman were getting a lot of opportunities to play with the first team throughout OTAs. With Henry Melton easing his way back from ACL surgery, there are plenty of chances for the young players to work against the first-team offensive line.
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- Filed Under
Four Lakeland College faculty members have received tenure and were promoted to associate professor. April Arvan, Rick Dodgson, Alicia Helion and Nathan Lowe have been full-time Lakeland faculty members since 2007.
In addition, Meg Albrinck, the college's vice president for academic affairs and dean of the college, was promoted to full professor.
According to a news release: ...


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Doña Ana County Americans with Disabilities Act Advisory Committee: Meets at 4 p.m. today in multi-purpose room 1-117 at the Doña Ana County Government Center, 845 North Motel Blvd. The purpose of the self-evaluation is to identify barriers to accessibility and establish a plan to remove the identified barriers. Public input is encouraged. Agenda or info: donaanacounty.org.
Big Band Dance Club: Spring Ball Dance from 8 to 10 p.m. today at the Court Youth Center, 402 W. Court Ave. Music by Ron Theilman's Orchestra. Formal attire. Admission is $9 nonmembers and $7 members. Info: 575-526-6504.
Charles Schwab Workshops At-A-Glance: Seven Tips for Getting Your Financial House in Order workshop at 11:30 a.m. today at 141 S. Roadrunner Pkwy., Suite 141C. These simple ideas for cutting through the clutter, avoiding pitfalls and organizing wisely help you take control of your finances. Workshop is free. Anyone wishing to attend must RSVP, but there is no charge and you don't have to be a Schwab client. They are educational workshops. Info: 575-993-5050.
Bluegrass concert: At 7 p.m. today at Good Samaritan auditorium, 3011 Buena Vida Circle. Bluegrass band Jeff Scroggins and Colorado will play. The band includes former Las Cruces resident K.C. Groves. Free but donations for the band will be accepted. Info: Julie Maager, 575-556-2119 or email firstname.lastname@example.com.
"Coppelia" ballet: At 7 p.m. today and Friday at Oñate High School Performing Arts Center, 5700 Mesa Grande Drive. Las Cruces School of Dance and Music presents "Coppelia," a comical ballet. Reserved seating is $15 for adults and $10 for students and children. Tickets are available at Las Cruces School of Dance and Music or day of performance. Info: 575-525-5670.
Doña Ana County Food Protection Alliance: Meets from 10 a.m.-noon today at the Office of Emergency Management, 1170 N. Solano Drive, Suite O. Meeting topic is a presentation on the importance of protecting critical infrastructures such as electricity, water supply, food production/distribution, hospitals etc., during an emergency situation. Come learn about an outreach program that works with public and private sectors to help with their critical infrastructure needs. This free assistance includes support with planning, training and information sharing in addition to other services. Info: Doña Ana Cooperative Extension Service, 575-525-6649.
Submarine New Mexico talk: At 1 p.m. today at Branigan Cultural Center, 501 N. Main St. Do you know what naval vessel is named for the Land of Enchantment? The USS New Mexico—SSN-779 is the Navy's sixth Virginia-class fast-attack nuclear submarine. Come learn about this technologically advanced submarine. Also a family-oriented program will take place at 10 a.m. Saturday. Free. Info: 575-541-2154 or las-cruces.org/museums.
Night at the Museum: From 7-10 p.m. Friday at the New Mexico Farm and Ranch Heritage Museum, 4100 Dripping Springs Road. The exhibits at the museum will come to life. Encounter characters who step out of photographs, paintings and vignettes and learn about New Mexico history as you listen to stories and interact with an interesting array of people. Celebrate the end of the school year during this second-annual family event. Discounted admission is $3 and free for children 10 and under. Info: 575-522-4100.
Mayfield Cheer Varsity and JV Tryouts: The 2014-15 tryouts will take place Friday and Saturday at the Mayfield gym, 1955 N. Valley Drive. Sports physical must be obtained before tryouts. Sign-up or info: email firstname.lastname@example.com.
Coping With Guilt Explored: At 5:30 p.m. Friday at Lifetree Café, 901 University Ave. Guidance for dealing with guilt will be considered at Lifetree Café. The program, titled Unburdened: Letting Go of Guilt, features a screening of the award-winning short film "Unburden." Admission is free. Lifetree Café is a place where people gather for conversation on life and faith in a casual coffeehouse-type setting. Info: Mary Jo Ruthven, 575-526-6333 or email firstname.lastname@example.com.
Doña Ana Republican Party meet and greet: From 6-7:30 p.m. Friday at De La Vega's Pecan Grill, 500 S. Telshor Blvd. Come and meet Allen Weh, running for U.S. Senate. Light refreshments will be provided. Cash bar. Suggested contribution is $50 per person. RSVP: Chelsea Stallings, 505-828-4876 or email email@example.com.
Know Your Rights Checkpoint: At 9:30 a.m. Friday at the ACLU office, 600 Montana Ave. Suite G. Lunch will be provided. Join the ACLU-NM Regional Center for Border Rights for an orientation and then caravan to the rest area just north of the Border Patrol checkpoint on I-25. Motorists will be invited to pull over to learn about their rights or report any abuse they have experienced at checkpoints.
Back by Noon outing: Join the Southwest Environmental Center at 7:30 a.m. Saturday for an outing to Slot Canyon Adventure near Radium Springs. Most hikes are free for SWEC members and $5 per person for nonmembers. Registration or info: 575-522-5552 or wildmesquite.org.
Breast Cancer Support Group of The Community Foundation: Meets from 10-11:45 a.m. Saturday at Memorial Medical Center, 2450 S. Telshor Blvd. Join them for, Support Among Ourselves. Free and no pre-registration required. Open to all who have been touched by breast cancer. Info: 575-524 4373.
Pan American Round Table Club: Meets at 11:30 a.m. Saturday at the Double Eagle in Old Mesilla Includes a luncheon and installation of new officers. The new officers are Sadie Valverde, director; Eleanor Smith, associate director; Donna Vargas, recording secretary; Ann Palormo, corresponding secretary; and Yolanda Kinman, treasurer. This will be the final meeting until September.
Bicycle Basics for Adults New or Returning to Bicycling: From 8-10 a.m. Saturday at Peace Lutheran Church, 1701 E. Missouri Ave. Learn how to lube a chain, change a flat, dodge a rock and ride in a straight line looking over your shoulder, plus much more. No preregistration required. Open to the first 10 people on a first come-first served basis. Info: email email@example.com.
Animal Services Center of the Mesilla Valley adoptions event: From 8:30 a.m.-1 p.m. Saturday at the Farmer's Market, Downtown Mall. Also from 10 a.m.-3 p.m. at PetCo, 3050 E. Lohman Ave. Adoption fees are $75 for dogs/ puppies and $50 for cats/kittens. The fee includes the first set of vaccinations, spay/neuter and microchip. Info: 575-382-0018 or ascmv.org.
Music in the Park Series: The free summer outdoor concert series kicks off with the Mayor's Jazz Fest at 5:30 p.m. Sunday at the Main Street Downtown. Featuring Poncho Romero of Las Cruces and Son Como Son and Super Sax NM, both of Albuquerque. Info: Parks and Recreation Department, 575-541-2550. TTY number, 575-541-2772.
City and county offices: Closed Monday in observance of the Memorial Day holiday.


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At Thompson Homes we have more than 50 years of experience and we've built hundreds of quality dream homes but our very best ideas come from our homeowners. That's why we have developed a proven process to let the homeowners be involved through the planning and construction of every new home. We make sure you get your dream home with the highest quality materials and craftsmanship at the very best price. And we make sure that each homeowner enjoys every step of the process. That's the Thompson Homes difference.
Boise Idaho Parade Homes | Boise Custom Luxury Homes | Idaho Acreage Homes | Homes Eagle Idaho | Custom Homes Boise Idaho | Custom Homes Meridian Idaho
Our customers come to us after many years of dreaming about their home. �From past experience they have learned what they like in a home. �This particular design/build home was no different. �Our clients had hand picked the perfect acreage lot right
Thompson Homes, Inc., a residential builder headquartered locally, has received the "2013 Builder of Integrity" award from Quality Builders Warranty Corporation (QBW). Recipients of this exclusive award demonstrate a commitment to excellence in cust
1st Place Exterior Architecture
1st Place Interior Architecture
1st Place Interior Finish
1st Place Master Suite
1st Place Kitchen
1st Place Energy Efficiency
Best Overall in Price Category 2007
"The experience with Thompson Homes was outstanding. Jeff and his crew was great to work with, very responsive. Now being in the home for a year, I appreciate the quality of the home. It's enjoyable to find craftsmanship that stands up to time throughout the home."
Mark A.
"I really enjoyed it from the beginning all the way through. It was easy to choose things. Jeff made the process very simple and it was fun too. I knew that I was in good hands right from the beginning knowing that I didn't have to worry about little details; that was comforting and reassuring to me."
Joanne G.
"There weren't any surprises as far as the finances go. It was nice to know upfront, how much it was going to be. Everything was laid out for us and after that I felt pretty good and just coasted."
Dr. Mike G.
"Right after I met with Jeff, I knew that his style was my style or my style was his style. I knew the whole selection process, from the beginning, was going to go smoothly and easily and it did!"
�"Our energy bill was only $140 in January, it was below freezing most of the month and it was less than our last home's bill and this house is twice as big as our last home."


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Jerry asks for the list of customer suggestions that was triaged this month. Good question, here they are:
Votes Subject Action
5 Distribute Campaign Activities should allow an attachment – dupe, tell newsgroup thank you.5 CRM should let me have multiple lookups to the same entity – work around with left nav page5 Email Templates should have option for attachments – dupe, write back newsgroup5 Records should allow multiple owners – add to work tracking database5 Feature request - advanced find record counter – add to work tracking database5 MSCRM Opportunity's to allow price override and write in products – already answered in newsgroup6 Feature request - Bulk edit of Activities – add to work tracking database6 How can I close multiple activities at once – dupe, tell newsgroup thanks6 Add hot keys to increase usability – add to work tracking database6 Should be able to create recurring service activities – dupe, thanks for the suggestion6 allow multiple choices as an option when creating lists – add to work tracking database6 Dramatically improve the migration from ACT to MS CRM – add to work tracking database7 Allow full editing capability in Microsoft CRM – add to work tracking database7 Add a REAL Outlook Client (rich client) – add to work tracking database7 CRM should be able to publish KB articles to our customers – add to work tracking database8 Actual mail sent date field – add to work tracking database8 CRM Alerts – add to work tracking database8 New Field Type - Button – add to work tracking database12 Roaming Profiles & Outlook – add to work tracking database15 CRM in OWA – add to work tracking database
Some of these that have been put in the work queue may already be under consideration. By adding the suggestion to the work database, the dev and PM team will review and prioritize the suggestion for possible implementation.
From my PM connection: Ah.. sorry I still haven't gotten around posting the workaround. Here's my answer:
"For custom entities, it is possible to work around this by creating a one-to-many relationship between a system entity and a custom entity. This way the multiple custom entities associated with the system entity show up as a left navbar item. However today (in 3.0) it is not possible to add relationship of multiple system entities to another system entity. This issue is being tracked in our database for future releases of CRM."
I've come across this issue many times. Most of the requests I get is having the Opportunities associate to multiple contacts/accounts. From the user perspective, when they work an Opportunity, there are always multiple contacts involved and they want everything tracked.
This is usually the biggest obstacle to overcome with the users. Is there any chance this can be resolved with a Rollup update instead of waiting for the next version? The next version is at least several years away.
It shoud be interesiting to implement a new task: Send SMS, who obtnain the mobile number and send a text to the service configured previously in Outlook and in Web page, as a new task.
Some tasks can be managed using Activity task, but sometimes it is not necessary to control the service activitity, of example, a Task to remote control of another computer, using some kind of software to connect remotey (as Terminal Services clieint, VNC, Inquiero (NTC), etc.
A easy mode to connect from a portal, for example, a webservice, to give the option to open anonimously and search published Kbase documents in CRM. from a corportate portal, giving our costumers to look for information by theyselves, without the need to contact with us.
the cRm, the Relashionship with the customer is poor.
It shoud be interesting to have an option to relate contacts to MS Passport account, to give the customers to acces a our system, and, depending of a permission configuration, allow them to:
- Change by byselves their information: Email, address, phone numbers, etc.
- Have the option to send a mail to them to ask for update their information perioracy, for exmple 1 time every year.
- Have the configurable option to give acces to their cases, to know how it is, without the need to call us asking for it.
- Have the option to search to the knowdlegbase (and give the option to add documents attached to the Kbase).
- It is silly to do not give an import option to massively import contacts form outlook. The verion 1.2 give this option, but not in 3.0 & 4.0. Also it is horrible to remember the problem affected to import CSV files "," as separator, when you have a codepage diffent to the expected.
PingBack from http://fixmycrediteasily.info/story.php?id=17122


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1996 Chrysler Cirrus
My 1996 chyrsler cirius has an alarm going off on it ever time I start the car the alarm cuts the car back off and it is some how draining the battery. I have to keep getting a jump than start the car the alarm kicks in and the car cuts off. The thing is I don't know where the alarm is coming from. Can you please help me. Thank you
January 6, 2011.
January 6, 2011.
I have to be honest, it must have an aftermarket alarm system. Because of that, I won't have schematics or electrical information on it.
Mar 21, 2011.
Mar 21, 2011.
I just replaced the battery in my 2008 pontiac g6 and now the alarm wont stop going off
3 answers • 2008 Pontiac G6
Hi, My car alarm starts to go off for one of the 2 reasons(rain and heavy winds OR when hood is opened) or a combination of both Last fall, I took it to the local mechanic for an ...
5 answers • 2000 Honda Accord • 96 miles
I have a 97 bmw 528. This model seems to be notorious for intermittent electrical problems followed by an alarm that goes off for no apparent reason. I have been having these problems ...
2 answers • 1997 BMW 528 • 150,000 miles
I have a 2002 honda crv. I was on vacation for 10 days in July and left the car with my parents. They used it at least once while I was gone, no problem. Now since my return the car ...
9 answers • 2002 Honda CRV • 156,000 miles


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Album Summary
- Sarah Walker (Mezzo-soprano)
- Arthur Davies (Tenor)
- Thomas Allen (Baritone)
- Alan Opie
- Martyn Hill
- Gwynne Howell (Bass)
- John Connell (Bass)
- John Ainsley (Tenor)
- Elizabeth Connell (Soprano)
- Maldwyn Davies (Tenor)
- Maciej Rakowski (Violin)
- Diana Montague (Mezzo Soprano)
- Jean Rigby
- Linda Kitchen (Soprano)
- Anne Dawson (Soprano)
- Amanda Roocroft (Soprano)
- Charles Tunnell (Cello)
- Nobuko Imai (Viola)
Notes & Reviews:
'Performances like these don't come along very often; each one is an absolute winner, and with rich, atmospheric recording quality the satisfaction is of a very special quality' (CDReview)
'Profoundly moving' (Gramophone)
'Strongly recommended!' (Fanfare, USA)
Gramophone Classical Music Guide
In 1938 Sir Henry Wood celebrated his 50 years as a professional conductor with a concert. Vaughan Williams composed a work for the occasion, the Serenade to Music, in which he set words by Shakespeare from Act 5 of The Merchant of Venice. Sixteen star vocalists of the age were gathered together for the performance and Vaughan Williams customised the vocal parts to show off the best qualities of the singers. The work turned out to be one of the composer's most sybaritic creations, turning each of its subsequent performances into a special event. Hyperion has gathered stars of our own age for this outstanding issue and Best has perceptively managed to give each their head, while melding them into a cohesive ensemble. A mellow, spacious recording has allowed the work to emerge on disc with a veracity never achieved before.
The coupled vocal pieces are given to equal effect and the disc is completed by Nobuko Imai's tautly poignant account of Flos campi, in which the disturbing tension between solo viola and wordless chorus heighten the cryptic nature of the work.
ReviewsThere are currently no reviews, be the first one!
Also Purchased
Ralph Vaughan Williams conducts his own Music
Pilgrimage to Santiago / Gardiner, et al
English Choral Music - Britten: St. Nicolas, etc / Bedford
Sullivan: Haddon Hall / Lyle, The Prince Consort, et al
Vaughan Williams: Toward the Unknown Region, etc / Best
Edward Elgar / DREAM OF GERONTIUS (BBC Symphony) / Andrew Davis / Langridge, Wyn Rogers [DVD]
Works DetailsVaughan Williams, Ralph : Serenade to music
- Performers: Sarah Walker (Mezzo-soprano); Arthur Davies (Tenor); Thomas Allen (Baritone); Alan Opie; Martyn Hill; Gwynne Howell (Bass); John Connell (Bass); John Ainsley (Tenor); Elizabeth Connell (Soprano); Maldwyn Davies (Tenor); Maciej Rakowski (Violin); Diana Montague (Mezzo Soprano); Jean Rigby; Linda Kitchen (Soprano); Anne Dawson (Soprano); Amanda Roocroft (Soprano)
- Conductor: Matthew Best
- Ensemble: Corydon Singers
- Notes: 02/18/1990-02/19/1990
- Running Time: 13 min. 45 sec.
- Period Time: Post Romantic
- Written: 1938
Vaughan Williams, Ralph : Mystical Songs (5) for baritone, chorus ad lib & orchestra (or organ)
- Performer: Thomas Allen (Baritone)
- Conductor: Matthew Best
- Ensemble: English Chamber Orchestra
- Notes: 02/18/1990-02/19/1990
- Running Time: 19 min. 1 sec.
- Period Time: Post Romantic
- Form: Vocal
- Written: 1911
Vaughan Williams, Ralph : Fantasia on Christmas Carols
- Performers: Thomas Allen (Baritone); Charles Tunnell (Cello); Maciej Rakowski (Violin)
- Conductor: Matthew Best
- Ensemble: English Chamber Orchestra
- Notes: 02/18/1990-02/19/1990
- Running Time: 12 min. 35 sec.
- Period Time: Post Romantic
- Form: Christmas
- Written: 1912
Vaughan Williams, Ralph : Flos campi
- Performers: Maciej Rakowski (Violin); Nobuko Imai (Viola)
- Conductor: Matthew Best
- Ensemble: Corydon Singers
- Notes: 02/18/1990-02/19/1990
- Running Time: 22 min. 13 sec.
- Period Time: Post Romantic
- Written: 1925


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The Ultimate Dehumidifier Quiz
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Have you ever come home from a trip and found that your home smells stale and musty? That smell could be from too much moisture in your home. Take this quiz to learn how a dehumidifier can help control moisture levels -- and make your home a more comfortable place to be.