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Publications (23)109.02 Total impact
Article: Genotypic characterization of Egypt enterotoxigenic Escherichia coli isolates expressing coli surface antigen 6[Show abstract] [Hide abstract]
ABSTRACT: One approach to control enterotoxigenic Escherichia coli (ETEC) infections has been to develop vaccines focused on inducing protective immunity against surface expressed antigenic factors. One such factor is coli surface antigen 6 (CS6); ETEC isolates expressing CS6 may also simultaneously co-express surface antigens CS4 or CS5. However, there is little information regarding the inter-relationships of isolates expressing the CS6 antigen alone or in combination with CS4 or CS5. A total of 62 CS6-associated ETEC isolates were evaluated for their antimicrobial susceptibility, mechanisms of resistance, toxin genes, colonization factor expression, and XbaI-pulsed-field gel electrophoretic profiles. We observed 46 XbaI profiles; 31 were exclusive to ETEC expressing CS6 alone and 15 among the ETEC co-expressing CS4 or CS5. Nearly half (47%) of these isolates were resistant to ampicillin, a third (37%) of the isolates were resistant to trimethoprim-sulfamethoxazole, and 24% of the isolates were tetracycline-resistant. A blaTEM gene was detected in 24 (83%) ampicillin-resistant isolates. Trimethoprim-sulfamethoxazole-resistant isolates (n = 23) carried either sulI (n = 1, 4%), sulII (n = 8, 35%) or both genes (n = 10, 43%); 4 had no detectable sul gene. Our results show a lack of clonality among Egypt CS6 E. coli isolates and supports the use and the further research on vaccines targeting this cell surface antigen.
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ABSTRACT: Background Identification of risk factors of acute hepatitis C virus (HCV) infection in Egypt is crucial to develop appropriate prevention strategies. Methods We conducted a case–control study, June 2007-September 2008, to investigate risk factors for acute HCV infection in Egypt among 86 patients and 287 age and gender matched controls identified in two infectious disease hospitals in Cairo and Alexandria. Case-patients were defined as: any patient with symptoms of acute hepatitis; lab tested positive for HCV antibodies and negative for HBsAg, HBc IgM, HAV IgM; and 7-fold increase in the upper limit of transaminase levels. Controls were selected from patients' visitors with negative viral hepatitis markers. Subjects were interviewed about previous exposures within six months, including community-acquired and health-care associated practices. Results Case-patients were more likely than controls to have received injection with a reused syringe (OR=23.1, CI 4.7-153), to have been in prison (OR=21.5, CI 2.5-479.6), to have received IV fluids in a hospital (OR=13.8, CI 5.3-37.2), to have been an IV drug user (OR=12.1, CI 4.6-33.1), to have had minimal surgical procedures (OR=9.7, CI 4.2-22.4), to have received IV fluid as an outpatient (OR=8, CI 4–16.2), or to have been admitted to hospital (OR=7.9, CI 4.2-15) within the last 6 months. Multivariate analysis indicated that unsafe health facility practices are the main risk factors associated with transmission of HCV infection in Egypt. Conclusion In Egypt, focusing acute HCV prevention measures on health-care settings would have a beneficial impact.
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ABSTRACT: In Egypt, vaccination against pandemic (H1N1) 2009 virus was required of pilgrims departing for the 2009 Hajj. A survey of 551 pilgrims as they returned to Egypt found 542 (98.1% [weighted]) reported receiving the vaccine; 6 (1.0% [weighted]) were infected with influenza virus A (H3N2) but none with pandemic (H1N1) 2009 virus.
Article: Effects of Hand Hygiene Campaigns on Incidence of Laboratory-confirmed Influenza and Absenteeism in Schoolchildren, Cairo, Egypt[Show abstract] [Hide abstract]
ABSTRACT: To evaluate the effectiveness of an intensive hand hygiene campaign on reducing absenteeism caused by influenza-like illness (ILI), diarrhea, conjunctivitis, and laboratory-confirmed influenza, we conducted a randomized control trial in 60 elementary schools in Cairo, Egypt. Children in the intervention schools were required to wash hands twice each day, and health messages were provided through entertainment activities. Data were collected on student absenteeism and reasons for illness. School nurses collected nasal swabs from students with ILI, which were tested by using a qualitative diagnostic test for influenza A and B. Compared with results for the control group, in the intervention group, overall absences caused by ILI, diarrhea, conjunctivitis, and laboratory-confirmed influenza were reduced by 40%, 30%, 67%, and 50%, respectively (p<0.0001 for each illness). An intensive hand hygiene campaign was effective in reducing absenteeism caused by these illnesses.
Article: Discovery and Phylogenetic Analysis of Novel Members of Class b Enterotoxigenic Escherichia coli Adhesive Fimbriae[Show abstract] [Hide abstract]
ABSTRACT: Enterotoxigenic Escherichia coli (ETEC) is recognized to be a common cause of acute watery diarrhea in children from developing countries. Colonization factors (CFAs) have been identified predominantly in ETEC isolates secreting heat-stable enterotoxin (ST) or cosecreting ST with a heat-labile toxin (LT). We hypothesized that LT-only-secreting ETEC produces unique colonization factors not previously described in ST and LTST-secreting ETEC. A set of degenerate primers based on nucleotide sequence similarities between the major structural genes of CS20 (csnA), CS18 (fotA), CS12 (cswA), and porcine antigen 987 (fasA) was developed and used to screen a collection of 266 LT-secreting ETEC isolates in which no known CFA was detected. PCR-amplified products of different molecular masses were obtained from 49 (18.4%) isolates. Nucleotide sequence analysis of the PCR amplicons followed by GenBank nucleotide BLASTn analysis revealed five novel DNA sequences; translated amino acid BLASTx analysis confirmed sequence similarity to class 1b major structural proteins encoded by csnA, fotA, and fasA. Strains expressing the novel CFAs were phylotyped and analyzed using multilocus sequence typing (MLST; Achtman scheme), and the types detected were compared to those of a collection of archived global E. coli strains. In conclusion, application of the degenerate primer sets to ETEC isolates from surveillance studies increased the total number of ETEC isolates with detectable CFAs by almost 20%. Additionally, MLST analysis suggests that for many CFAs, there may be a requirement for certain genetic backgrounds to acquire and maintain plasmids carrying genes encoding CFAs.
Article: Acute Respiratory Illness and Health-Seeking Behavior in Egyptian Villages: Enhancing Pandemic Preparedness by Understanding Local Realities[Show abstract] [Hide abstract]
ABSTRACT: The emergence of influenza viruses has raised awareness worldwide about influenza pandemic risks. Pandemic preparedness emphasizes development of risk communication and surveillance systems. The objective was to explore community classification of Acute Respiratory Illness (ARI) and health-seeking behaviors. Twenty in-depth interviews and 18 focus group discussions were conducted with caretakers in Egypt. The interviews were recorded, transcribed, and analyzed using the thematic analysis. ARI terminology contained few terms, usage of them was complex, and microorganism not part of illness explanation. Severe ARI was associated with social stigma. Homecare included extensive use of medications. In mild and severe ARI, health-seeking determinants varied. Classification of ARI parallels World Health Organization case definitions for ARI, facilitating risk communication. Homecare practices are social norms that can be expanded to include messages on ARI. Risk communication strategies and surveillance systems need to consider socio-cultural understanding of ARI.
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ABSTRACT: During March 2006-March 2009, a total of 6,355 suspected cases of avian influenza (H5N1) were reported to the Ministry of Health in Egypt. Sixty-three (1%) patients had confirmed infections; 24 (38%) died. Risk factors for death included female sex, age > or = 15 years, and receiving the first dose of oseltamivir >2 days after illness onset. All but 2 case-patients reported exposure to domestic poultry probably infected with avian influenza virus (H5N1). No cases of human-to-human transmission were found. Greatest risks for infection and death were reported among women > or = 15 years of age, who accounted for 38% of infections and 83% of deaths. The lower case-fatality rate in Egypt could be caused by a less virulent virus clade. However, the lower mortality rate seems to be caused by the large number of infected children who were identified early, received prompt treatment, and had less severe clinical disease.
Article: Antigenic and Genetic Diversity of Highly Pathogenic Avian Influenza A (H5N1) Viruses Isolated in Egypt[Show abstract] [Hide abstract]
ABSTRACT: Diversidad antigénica y genética de aislamientos del virus de Influenza Aviar de alta patogenicidad subtipo H5N1 en Egipto. El subtipo H5N1 de Influenza Aviar de alta patogenicidad ha mostrado diversidad antigénica y genética desde su detección inicial en Asia en el año 1997. En particular, los virus pertenecientes al clado 2.2 han sido reportados en numerosos países, en su mayoría provenientes de casos observados en Egipto. Reportes previos identificaron similitudes antigénicas entre los virus pertenecientes al clado 2.2. Sin embargo, los virus aviares y humanos aislados en el norte de Egipto durante los años 2007 y 2008 fueron antigénicamente distintos de otros virus del clado 2.2 de este país. El análisis genético de la hemaglutinina reveló un alto grado de divergencia de los nucleótidos y aminoácidos. Los cambios antigénicos observados en los virus egipcios aislados durante el 2007 y el 2008 hacen necesario que dos de estas cepas se consideren como candidatas potenciales a ser virus vacunales H5N1 pre-pandémicos. Abbreviations: CDC = Centers for Disease Control and Prevention; CLEVB = Central Laboratory for Veterinary Biologics Evaluation; GS/GD = A/Goose/Guangdong/1/96; HA = hemagglutinin; HI = hemagglutination inhibition; HPAI = highly pathogenic avian influenza; NAMRU-3 = U.S. Naval Medical Research Unit No. 3; NLQP = National Laboratory for Quality Control of Poultry Production; PBS = phosphate buffered saline; RT-PCR = reverse transcription-polymerase chain reaction; WHO = World Health Organization
Article: Antigenic and genetic diversity of highly pathogenic avian influenza A (H5N1) viruses isolated in Egypt.[Show abstract] [Hide abstract]
ABSTRACT: Highly pathogenic avian influenza A virus (H5N1) has diverged antigenically and genetically since its initial detection in Asia in 1997. Viruses belonging to clade 2.2 in particular have been reported in numerous countries with the majority occurring in Egypt. Previous reports identified antigenic similarities between viruses belonging to clade 2.2. However, poultry and human viruses isolated in northern Egypt during 2007 and 2008 were found to be antigenically distinct from other clade 2.2 viruses from this country. Genetic analysis of the hemagglutinin revealed a high degree of nucleotide and amino acid divergence. The antigenic changes in Egyptian viruses isolated during 2007-08 necessitated that two of these strains be considered as potential H5N1 pre-pandemic vaccine candidates.
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ABSTRACT: Viral hepatitis is a major problem in Egypt. To define the epidemiology of the disease, sentinel surveillance was established in 5 hospitals in diverse areas of the country in 2001. Data were completed for patients meeting the case definition for viral hepatitis. Of a total of 5909 patients evaluated, 4189 (70.9%) showed positive antibody markers for hepatitis. Out of those, 40.2% had evidence of hepatitis A virus (HAV) infection, 30.0% hepatitis B virus (HBV) and 29.8% hepatitis C virus (HCV) infection. This surveillance system was useful in identifying the variable endemicity of acute HAV infection in different regions and for better understanding the epidemiology of HBV and HCV infection.
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ABSTRACT: Hepatitis B virus (HBV) infection is a significant health problem in Egypt. To better define risk factors associated with HBV transmission, we conducted a case-control study among patients admitted with acute hepatitis to an infectious disease hospital in Cairo. A total of 60 cases and 120 controls were interviewed about various exposures within 6 months prior to admission. Univariate analysis revealed HBV case-patients were more likely to report providing injections to relatives or friends, injecting drug use, exposure to a household contact with hepatitis, exposure to invasive medical procedures and being in the military. Efforts should be made to implement strict infection control standards in Egypt.
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ABSTRACT: We conducted a prospective cohort study to determine prevalence and incidence of West Nile virus (WNV) in Egypt. Cohorts were established in Upper (UE), Middle (ME), and Lower (LE) Egypt. Additionally, a cross-sectional serosurvey was performed in the North (NS) and South (SS) Sinai. Cohorts were bled initially and 1 year later. Sera were tested for WNV-IgG by ELISA and positive sera were confirmed by plaque reduction neutralization test (PRNT). Sentinel chicken flocks placed in the above sites were bled monthly for virus isolation and serology. Mosquitoes were collected monthly from the above sites and tested for WNV. Human seroprevalence rates were 35%, 27%, 14%, 1% and 7% in UE, ME, LE, NS and SS, respectively. Seroconversion rates were 18%, 17% and 7% in UE, ME and LE, respectively; 49% of the seroconverters reported undiagnosed febrile illness. Sentinel chickens showed seroconversion in all study sites. WNV was isolated from both sentinel chickens and mosquitoes in cohort sites. This study demonstrates that WNV was actively circulating during the study period in different areas in Egypt and causing febrile illness in a considerable proportion of individuals in the study sites.
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ABSTRACT: The availability of rotavirus vaccines makes the implementation of a national immunization program an important decision requiring economic considerations. A cost-benefit analysis of a national rotavirus immunization program in Egypt, from the perspective of the Ministry of Health and Population, and a cost-effectiveness analysis, from a societal perspective, were conducted. For a birth cohort of 1.9 million children, a vaccination program was estimated to prevent 1,140,496 episodes of diarrhea, 438,395 outpatient visits, and 47,508 hospitalizations and to save 2873 lives, resulting in direct Ministry of Health and Population medical savings of $2,481,792 (14,369,578 Egyptian pounds [LE]). On the basis of a $9.18 (53 LE) single-dose cost, rotavirus vaccine introduction would cost the Ministry of Health and Population $34,203,445.87 (198,037,951.56 LE) in health expenditures. This equates to an incremental cost of $30.22 (174.95 LE) per infection prevented. Vaccination would prevent the loss of 94,993 disability-adjusted life-years, resulting in an incremental cost-effectiveness ratio of $363 per disability-adjusted life-year. The introduction of rotavirus vaccine to the national immunization program was not found to be cost saving based strictly from the Ministry of Health and Population perspective; however, the potential benefits of long-term health and economic gains from reduced mortality and morbidity, decreased direct costs of care for families, and indirect societal costs should be considered in such decisions.
Article: Shedding of Vaccine Viruses with Increased Antigenic and Genetic Divergence after Vaccination of Newborns with Monovalent Type 1 Oral Poliovirus Vaccine[Show abstract] [Hide abstract]
ABSTRACT: For the final stages in the eradication of poliovirus type 1 (P1), the World Health Organization advocates the selective use of monovalent type 1 oral poliovirus vaccine (mOPV1). To compare the immunogenicity of mOPV1 with that of trivalent OPV (tOPV) in infants, a study was performed in Egypt in 2005. Newborns were vaccinated with mOPV1 or tOPV immediately after birth and were challenged with mOPV1 after 1 month. Vaccination with mOPV1 at birth resulted in significantly higher seroconversion against P1 viruses and lower excretion of P1 viruses than vaccination with tOPV. Intratypic differentiation of the viruses shed by the newborns revealed the presence of remarkably high numbers of antigenically divergent (AD) P1 isolates, especially in the mOPV1 study group. The majority of these AD P1 isolates (71%) were mOPV1 challenge derived and were shed by newborns who did not seroconvert to P1 after the birth dose. Genetic characterization of the viruses revealed that amino acid 60 of the VP3 region was mutated in all AD P1 isolates. Isolates with substitution of residue 99 of the VP1 region had significantly higher numbers of nonsynonymous mutations in the VP1 region than isolates without this substitution and were preferentially shed in the mOPV1 study group. The widespread use of mOPV1 has proven to be a powerful tool for fighting poliovirus circulation in the remaining areas of endemicity. This study provides another justification for the need to achieve high vaccination coverage in order to prevent the circulation of AD strains.
Article: Impact of a Community-Based Hand Hygiene and Safe Water Campaign on Knowledge and Practices of Caregivers, Fayoum Governorate, Egypt, 2006
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ABSTRACT: In 1988, the World Health Assembly resolved to eradicate poliomyelitis. Although substantial progress toward this goal has been made, eradication remains elusive. In 2004, the World Health Organization called for the development of a potentially more immunogenic monovalent type 1 oral poliovirus vaccine. We conducted a trial in Egypt to compare the immunogenicity of a newly licensed monovalent type 1 oral poliovirus vaccine with that of a trivalent oral poliovirus vaccine. Subjects were randomly assigned to receive one dose of monovalent type 1 oral poliovirus vaccine or trivalent oral poliovirus vaccine at birth. Thirty days after birth, a single challenge dose of monovalent type 1 oral poliovirus vaccine was administered in all subjects. Shedding of serotype 1 poliovirus was assessed through day 60. A total of 530 subjects were enrolled, and 421 fulfilled the study requirements. Thirty days after the study vaccines were administered, the rate of seroconversion to type 1 poliovirus was 55.4% in the monovalent-vaccine group, as compared with 32.1% in the trivalent-vaccine group (P<0.001). Among those with a high reciprocal titer of maternally derived antibodies against type 1 poliovirus (>64), 46.0% of the subjects in the monovalent-vaccine group underwent seroconversion, as compared with 21.3% in the trivalent-vaccine group (P<0.001). Seven days after administration of the challenge dose of monovalent type 1 vaccine, a significantly lower proportion of subjects in the monovalent-vaccine group than in the trivalent-vaccine group excreted type 1 poliovirus (25.9% vs. 41.5%, P=0.001). None of the serious adverse events reported were attributed to the trial interventions. When given at birth, monovalent type 1 oral poliovirus vaccine is superior to trivalent oral poliovirus vaccine in inducing humoral antibodies against type 1 poliovirus, overcoming high preexisting levels of maternally derived antibodies, and increasing the resistance to excretion of type 1 poliovirus after administration of a challenge dose. (Current Controlled Trials number, ISRCTN76316509.)
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ABSTRACT: To develop better estimates of brucellosis incidence, we conducted population-based surveillance for acute febrile illness (AFI) in Fayoum governorate (population 2347249), Egypt during two summer periods (2002 and 2003). All hospitals and a representative sample of community healthcare providers were included. AFI patients without obvious etiology were tested for brucellosis by culture and serology. Incidence estimates were calculated adjusting for sampling methodology and study period. Of 4490 AFI patients enrolled, 321 (7%) met the brucellosis case definition. The estimated annual incidence of brucellosis per 100000 population was 64 and 70 in 2002 and 2003, respectively. The median age of brucellosis patients was 26 years and 70% were male; 53% were initially diagnosed as typhoid fever. Close contact with animals and consumption of unpasteurized milk products were associated with brucellosis. The high incidence of brucellosis in Fayoum highlights its public health importance, and the need to implement prevention strategies in humans and animals.
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ABSTRACT: Egypt provides ideal conditions for poliovirus (PV) transmission (high population density, high contact rates and low sanitation and hygiene in some areas). Despite excellent program performance, wild poliovirus type 1 (PV1) continue to circulate in 2004. To investigate potential causes for the persistence, we conducted a serological study. Seroprevalence surveys were conducted in "polio-endemic" regions (Greater Cairo and Upper Egypt) and in one control region (Lower Egypt) in December 2004. Sera collected from infants aged 6-11 months were tested for antibodies to poliovirus by neutralization assay. A total of 973 subjects were tested. Seroprevalence to PV type 1 (PV1), PV type 2 (PV2) and PV type 3 (PV3) was 99, 99 and 91%, respectively. Significant variation in PV3 seroprevalence was found (range: 76-100%). Region, density, maternal education, socioeconomic status (SES), stunting and diarrhea were significant risk factors for lower seroprevalence in the univariate analysis. Our study suggested that uniformly high immunity levels (>96%) were required to interrupt PV1 transmission in the last remaining reservoirs (last PV1 was isolated in mid-January 2005 in Egypt). It further suggests substantial regional differences in OPV immunogenicity, with rural areas and low SES achieving the lowest seroprevalence to PV3.
Article: Retrospective serosurvey of leptospirosis among patients with acute febrile illness and hepatitis in Egypt[Show abstract] [Hide abstract]
ABSTRACT: The epidemiologic status of leptospirosis in Egypt has not been well defined because of difficulties in disease diagnosis. A retrospective study was conducted to detect leptospiral antibodies among undiagnosed acute febrile illness (AFI) and hepatitis cases. Approximately 16% of both AFI (141/886) and acute hepatitis (63/392) cases showed seroreactivity to Leptospira IgM by ELISA and microscopic agglutination test (MAT). Canicola, Djasiman, Grippotyphosa, Pyrogenes, Icterohemorrhagiae, and Pomona were the most commonly reactive serovars among patients with AFI. Djasiman, Grippotyphosa and Icterohemorrhagiae were the most reactive among patients with acute hepatitis. This study represents the first systematic report of Leptospira associated with patients with AFI and hepatitis in Egypt. Physicians need to have increased awareness about the importance of leptospirosis in the differential diagnosis of AFI and acute hepatitis in Egypt. In addition, laboratory capacity should be developed at fever hospitals to diagnose leptospirosis.
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ABSTRACT: The high prevalence of hepatitis C virus (HCV) infection in Egypt highlighted the urgent need for implementing infection control (IC) programs in Egypt. The Ministry of Health and Population (MOHP), in collaboration with the US Naval Medical Research Unit No. 3, and the World Health Organization (WHO), developed a national plan to initiate an IC program with the objectives of improving quality of care and reducing transmission of hospital-acquired infections. The strategic plan for this program included setting up an organizational structure, developing IC national guidelines, training health care workers, promoting occupational safety, and establishing a system for monitoring and evaluation. Implementation of the program started in late 2001. The achievements to date include developing a national organizational structure, IC guidelines, and a comprehensive IC training program. To date, a total of 72 hospitals in 13 governorates have been enrolled in the program, and 235 IC professionals have been trained. Many challenges were faced, including administrative, financial, and motivational difficulties. Future plans include expansion of the program to cover all 27 governorates of Egypt and establishment of a surveillance system for hospital-acquired infections. The process of developing the IC program in Egypt may serve as a model for other resource-limited countries that seek to initiate similar programs.
Top Journals
Ministry of Health, EgyptAl Qāhirah, Muḩāfaz̧at al Qāhirah, Egypt
Ministry of Health and Population, EgyptAl Qāhirah, Muḩāfaz̧at al Qāhirah, Egypt
Naval Medical Research Unit 3Al Qāhirah, Muḩāfaz̧at al Qāhirah, Egypt


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Mothers on Medicaid Overcharged for Pain Relief
By ROBERT PEAR
Published: March 8, 1999
WASHINGTON, March 7— Some doctors and hospitals have been forcing poor women to pay hundreds of dollars in cash for a popular procedure to relieve pain in childbirth, Federal officials say, and the Government has ordered hospitals to stop demanding such cash payments.
Federal law says pregnant Medicaid patients may not be charged for prenatal care, delivery or other medical services that relate to pregnancy. Medicaid reimburses hospitals and doctors for such services, but doctors say the payments for pain treatment are grossly inadequate, sometimes only 10 percent or 20 percent of what private insurance companies pay.
In a letter sent recently to state health officials, Sally K. Richardson, the national director of the Medicaid program, said she had received reports that health care providers were improperly requiring patients to pay cash for services covered by Medicaid, especially use of the epidural block to relieve pain in childbirth. Medicaid pays the bills for more than one-third of the births in the United States.
Federal officials say they do not know how widespread the problem is, but doctors and health policy experts say they have heard complaints from patients all over the country.
In some states, Ms. Richardson said, anesthesiologists have insisted that Medicaid patients pay in advance, with their own money, for the epidural block.
''In one instance,'' Ms. Richardson said, ''the obstetrician ordered the epidural in advance, but when the woman was in active labor, she was refused this service for lack of pre-payment.
''Even though she tried to pay by check, credit card and a Western Union money telegram, the doctor refused anything but cash.''
With somewhat more passion than midlevel Federal officials usually express, Ms. Richardson said, ''Treatment of a Medicaid patient in this manner is not just a concern, it is alarming.'' She told state Medicaid directors to make sure that hospitals understood their obligations to provide all medically necessary services, including anesthesia, to Medicaid patients.
Ms. Richardson did not name any of the doctors who demanded cash, nor did she name any hospital. But Medicaid patients said last year that they had been asked to pay cash for epidural injections at a dozen hospitals in the Los Angeles area, and Florida officials say they have received similar complaints. Patients who could not pay were, in many cases, offered less effective and less expensive forms of pain relief, like Demerol and other narcotic medicines.
The epidural injection blocks pain in the lower part of the body, but the mother generally remains wide awake.
A recent article in the newsletter of the American Society of Anesthesiologists quoted doctors who believe they are grossly underpaid by Medicaid. ''Poor people can't expect to drive a Rolls-Royce or to eat at a fine French restaurant, so why should they expect to receive the Cadillac of analgesics for free?'' one doctor asked.
Dr. David J. Birnbach, director of obstetric anesthesiology at St. Luke's-Roosevelt Hospital Center in New York City, said such comments came from ''a vocal minority of anesthesiologists'' and were contrary to the society's official position, which holds that women in labor should not be denied pain relief for financial reasons.
The California Department of Health Services found that anesthesiologists at one hospital, Northridge Hospital Medical Center, had required Medicaid patients to pay $400 in cash for epidural pain relief in labor and delivery, and it said the hospital had helped collect the money. The state demanded that Northridge refund the money to patients, and Ken August, a spokesman for the California Department of Health Services, said 114 women had received such refunds.
Women said it was humiliating to dispatch their husbands to automated teller machines, friends and neighbors to get cash.
One patient, Ozzie Chavez, said she thought the nurse was joking when she asked for $400 in cash just hours before Mrs. Chavez gave birth at Northridge in 1997.
''I'm not a wimp when it comes to pain,'' Mrs. Chavez said in an interview. ''But it was a very painful delivery. The anesthesiologist wouldn't even come into the room until she got her money. I offered her a credit card and a check, but she wouldn't accept it. I was lying there having contractions, and they wouldn't give me an epidural. I felt like an animal. It was degrading.''
Mrs. Chavez's sister called relatives in England, who wired the money to Los Angeles. ''By the time the money arrived, I had had the baby,'' Mrs. Chavez said. Wendell S. Mobley, a spokesman for Northridge, said the hospital had apologized to Mrs. Chavez. Mr. Mobley refused to discuss the hospital practices in detail because of pending lawsuits, including one by Mrs. Chavez.
Dr. John B. Neeld Jr., president of the American Society of Anesthesiologists, said: ''It's unethical to withhold services because of reimbursement. Anesthesiologists share with all physicians the responsibility to provide care for patients irrespective of their ability to pay for their care.''

subset: commoncrawl


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Pondering the paradox of the rock virtuoso with guitar legend Steve Vai
Funny thing about rock guitarists: the more skill they have, the less seriously some people take them. While violinists, drummers and pianists are applauded for their technical proficiency, virtuosos of the electric guitar are often seen as the musical equivalent of overly musclebound bodybuilders.
As one of the fastest, flashiest axe-slingers alive, Steve Vai has learned to take the flak with the flattery. "What one individual sees as moving and inspiring in one performer, another may see as a form of total wankery," offers Vai, who was aptly billed as a "stunt guitarist" during his days as a member of Frank Zappa's band. "I've been the subject of it all, from 'America's best-kept secret musical genius' to 'His parents should have been neutered.' After a while you just stop paying attention, and while critics are trying to figure it out, you just keep creating."


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My hat and me. by smalltownsillygalWatch
©2014-2016 smalltownsillygal
Crochet lessons courtesy: YouTube.com
It looks all warm and comfy
yep! It made a great Christmas gift too!
Super cute!
Aww I liked this image when I first saw it as your ID, You're so pretty and the hat looks great on you, I love the blue pompom! You must be so proud to wear your own creations!
I gifted this hat as a Christmas present! hehehe thankies
aww I hope whoever received the hat truly loved it! You're very welcome Bhakti
Loved it....... yes she did!


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November 13, 2012
Students from the Liverpool High School Marching Band help load donated goods onto a truck for delivery to those affected by Hurricane Sandy. Helping is marching band parent Joe Cavataio, who handles PR for the marching band.
Stories this photo appears in:
Marching Warriors take donations to Sandy survivors
This past Saturday, kids from the Liverpool Central School had the chance to be a part of something bigger than themselves. It wasn't just the opportunity to compete at the USBands National Championships at MetLife Stadium in New Jersey, though the students did have that honor. They also participated in the USBands' food and hurricane supplies drive, carried out in partnership with the Salvation Army, to assist those affected by Hurricane Sandy.
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King of Kings is a web-base strategy game, it allow players to create own area, mob, quests... etc. , and build own Kingdom. we will use pure-PHP tools to develop the game engine system. (PHP SocketServer + Apache with PHP + MySQL).
universal portal
This project is really a nuke-like project. And will lend some elements of portal server. What we want is to create a site that the customer could create it by his self without anyhelp of techonicans.


text:
Amos 7:8New International Version (NIV)
8 And the Lord asked me, "What do you see, Amos?"
"A plumb line," I replied.
Then the Lord said, "Look, I am setting a plumb line among my people Israel; I will spare them no longer.
Cross references:
New International Version (NIV)
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text:
Alan Grayson on Civil Rights
Opponent's Argument for voting No (The Week; Huffington Post, and The Atlantic): House Republicans had objected to provisions in the Senate bill that extended VAWA's protections to lesbians, gays, immigrants, and Native Americans. For example, Rep. Bill Johnson (R-OH) voted against the VAWA bill because it was a "politically–motivated, constitutionally-dubious Senate version bent on dividing women into categories by race, transgender politics and sexual preference." The objections can be grouped in two broadly ideological areas--that the law is an unnecessary overreach by the federal government, and that it represents a "feminist" attack on family values. The act's grants have encouraged states to implement "mandatory-arrest" policies, under which police responding to domestic-violence calls are required to make an arrest. These policies were intended to combat the too-common situation in which a victim is intimidated into recanting an abuse accusation. Critics also say VAWA has been subject to waste, fraud, and abuse because of insufficient oversight.
Prohibits employment discrimination on the basis of actual or perceived sexual orientation or gender identity by covered entities (employers, employment agencies, labor organizations, or joint labor-management committees). Prohibits preferential treatment or quotas. Allows only disparate treatment claims. Prohibits related retaliation.
Christian Coalition publishes a number of special voter educational materials including the Christian Coalition Voter Guides, which provide voters with critical information about where candidates stand on important faith and family issues. The Christian Coalition Voters Guide summarizes candidate stances on the following topic: "Maintaining current federal law defining marriage as one man and one woman"
The Feminist Majority endorses candidates for the U.S. House and U.S. Senate. In addition to the stronger "endorsement," the organization also determines "preferred" candidates in races where they do not endorse. Their mission statement:
"Our mission is to empower feminists, who are the majority, and to win equality for women at the decision-making tables of the state, nation, and the world. The Feminist Majority promotes non-discrimination on the basis of sex, race, sexual orientation, socio-economic status, religion, ethnicity, age, marital status, nation of origin, size or disability. The purpose of Feminist Majority is to promote equality for women and men, non-violence, reproductive health, peace, social justice and economic development and to enhance feminist participation in public policy. Feminist Majority supports workers' collective bargaining, pay equity, and end of sweatshops. We encourage programs directed at the preservation of the environment."
Congressional Summary:Eliminates the time limit for ratification of the Equal Rights Amendment (ERA, which prohibits discrimination on account of sex) proposed to the states in 1972. Declares that such amendment shall be part of the Constitution whenever ratified by the legislatures of 3/4 of the several states.
OnTheIssues explanation:The ERA was originally passed with a deadline of 1979, then extended to 1982. TK states ratified the ERA before that deadline, TK short of the TK required. Hence the ERA failed. The amendment states: "Equality of rights under the law shall not be denied or abridged by the United States or by any state on account of sex."
Opponent's argument against bill:(Editorial in L.A. Times by Phyllis Schlafly, president of Eagle Forum, April 8, 2007)
The ERA was first introduced in Congress in 1923. For nearly 50 years, all subsequent Congresses had the good judgment to leave it buried in committee. In 1971, the women's liberation movement demanded a gender-neutral society in which men and women would be treated exactly the same, no matter how reasonable it might be to respect differences between them. Our Stop ERA campaign, over the next 10 years,
|2012 Governor, House and Senate candidates on Civil Rights:
|Alan Grayson on other issues:
FL Gubernatorial:
Alexander Snitker
Charlie Crist
Jeb Bush
Rick Scott
FL Senatorial:
Bill Nelson
Marco Rubio
Left 113th Congress, 2013-2014:
AL-1: Jo Bonner(R,resigned)
FL-13:Bill Young(R,deceased)
FL-19:Trey Radel(R,arrested)
IL-2: Jesse L. Jackson(D,convicted)
LA-5: Rodney Alexander(R,resigned)
MA-5: Ed Markey(D,elected)
MO-8: Jo Ann Emerson(R,resigned)
NC-12:Mel Watt(D,appointed)
NJ-1: Rob Andrews(D,investigated)
SC-1: Tim Scott(R,appointed)
Newly-elected special elections 2013-2014:
AL-1: Bradley Byrne(R)
FL-13:David Jolly(R)
FL-19:Curt Clawson(R)
IL-2: Robin Kelly(D)
LA-5: Vance McAllister(R)
MA-5: Katherine Clark(D)
MO-8: Jason Smith(R)
NC-12: Pending Jul.15
NJ-1: Pending Nov.4
SC-1: Mark Sanford(R)
Won primary 2014:
GA-11:Barry Loudermilk(R)
MA-6 :Richard Tisei(R)
TX-4: John Ratcliffe(R)
VA-7: Dave Brat(R)
AL-6 :Gary Palmer(R)
AR-4 :Bruce Westerman(R)
CA-11:Mark DeSaulnier(R)
CA-33:Ted Lieu(D)
CA-35:Norma Torres(D)
CA-45:Mimi Walters(R)
CO-4 :Ken Buck(R)
GA-1 :Buddy Carter(R)
GA-10:Jody Hice(R)
IA-1 :Pat Murphy(D)
MI-4 :John Moolenaar(R)
MI-12:Debbie Dingell(D)
MI-14:Brenda Lawrence(D)
MN-6 :Tom Emmer(R)
NC-6 :Mark Walker(R)
NC-7 :David Rouzer(R)
NJ-12:Bonnie Watson Coleman(R)
NY-4 :Kathleen Rice(D)
OK-5 :Steve Russell(R)
PA-13:Brendan Boyle(D)
TX-36:Brian Babin(R)
UT-4 :Mia Love(R)
VA-8 :Don Beyer(D)
Retiring to run for Senate in 2014:
AR-4: Tom Cotton(R)
CO-4: Cory Gardner(R)
GA-1: Jack Kingston(R)
GA-10:Paul Broun(R)
GA-11:Phil Gingrey(R)
HI-1: Colleen Hanabusa(D)
IA-1: Bruce Braley(D)
LA-6: Bill Cassidy(R)
MI-14:Gary Peters(D)
MT-0: Steve Daines(R)
OK-5: James Lankford(R)
TX-36:Steve Stockman(R)
WV-2: Shelley Moore Capito(R)
Former Reps running for House in 2014:
CA-3: Doug Ose(R)
CA-31:Joe Baca(D)
HI-1: Charles Djou(R)
IL-10:Bob Dold(R)
IL-17:Bobby Schilling(R)
KS-4: Todd Tiahrt(R)
MI-4: Peter Konetchy(R)
MI-14:Hansen Clarke(D)
MS-4: Gene Taylor(D)
MT-0: Denny Rehberg(R)
NH-1: Frank Guinta(R)
NY-11:Vito Fossella(R)
NY-18:Nan Hayworth(R)
OH-7: John Boccieri(D)
PA-13:Marjorie Margolies(D)
TX-23:Francisco Canseco(R)
Lost primary 2014:
GA-11:Bob Barr(R)
MA-6: John Tierney(D)
TX-4: Ralph Hall(R)
VA-7: Eric Cantor(R)
MI-11:Kerry Bentivolio(R)
Retiring to run for State Office in 2014:
AR-2: Tim Griffin(R)
CA-35:Gloria McLeod(D)
ME-2: Mike Michaud(D)
PA-13:Allyson Schwartz(D)
VI-0: Donna Christensen(D)
Retiring effective Jan. 2015:
AL-6: Spencer Bachus(R)
AZ-7: Ed Pastor(D)
CA-11:George Miller(D)
CA-25:Howard McKeon(R)
CA-31:Gary Miller(R)
CA-33:Henry Waxman(D)
CA-45:John Campbell(R)
IA-3: Tom Latham(R)
MI-4: Dave Camp(R)
MI-6: Tom Petri(R)
MI-12:John Dingell(D)
MN-6: Michele Bachmann(R)
NC-6: Howard Coble(R)
NC-7: Mike McIntyre(D)
NJ-3: Jon Runyan(R)
NJ-12:Rush Holt(D)
NY-4: Carolyn McCarthy(D)
NY-21:Bill Owens(D)
PA-6: Jim Gerlach(R)
UT-4: Jim Matheson(D)
VA-8: James Moran(D)
VA-10:Frank Wolf(R)
WA-4: Doc Hastings(R)
Civil Rights
Foreign Policy
Free Trade
Govt. Reform
Gun Control
Health Care
Homeland Security
Social Security
Tax Reform
Main Page
Wikipedia Profile
Ballotpedia Profile
FL politicians
FL Archives
Contact info:
Email Contact Form
Fax Number:
Mailing Address:
Longworth HOB 1605, Washington, DC 20515
Official Website


text:
Word Build Free
By Space Research Software LLC
Open iTunes to buy and download apps.
Word Build is a simple yet addictive word puzzle game. Drag letter blocks and connect to other blocks until they form a word. The blocks are continuously moving trying to assemble themselves. When a word is made a reward is given and another word starts moving.
Choose word size
Stop/Start block movement
Toggle sound On/Off
Designed for all ages to help learners develop language skills, these word puzzle games are for the iPhone/iPad and Macintosh computers.
What's New in Version 4
Minor improvements
- Free
- Category: Entertainment
- Updated: Jan 26, 2015
- Version: 4
- Size: 18.8 MB
- Language: English
- Seller: Space Research Software LLC
- © Space Research Software LLC
Compatibility: Requires iOS 6.0 or later. Compatible with iPhone, iPad, and iPod touch.


text:
Parksville Area Cedar guest house nestled in woods
From $79 / night
Description from the owner
Description from the owner
Bedrooms: 2/
Bathrooms: 1/
Sleeps: 4/
Type: House
Welcome to our guest house nestled in a peaceful wooded setting in Nanoose Bay on Vancouver Island, BC, Canada. The entire guest house is for your exclusive use. The guest house sleeps up to 4 people with 2 bedrooms (queen upstairs, double downstairs) and a pull out sofa. Wireless internet is included. A net book can be borrowed by special request.
Our guest house provides all the comforts of home with a full kitchen which is fully equipped with coffee maker, microwave, glasses, dishes, utensils and cooking pots. Enjoy our welcome basket of snacks and breakfast items for your first morning. Relax and enjoy a cup of our complimentary tea and coffee ...Read more
About the owner
About the owner
Cheryl A.
Cheryl A.
- Response rate : n/a
- Response time: n/a
- Calendar updated: today
Overall rating:
Additional Location Information
Nanoose Bay is located on a peninsula on east side of Vancouver island just north of Nanaimo and south of Parksville. Our guest house is nestled in the woods yet only a 5 min drive to the beach where there are numerous water sport activities and fishing available. The area is known for its many pristine hiking and mountain biking trails (for all levels of fitness) many that include beautiful waterfalls and ocean views.
The nearest large shopping complex is only 10 mins away and includes movie theatres and a wide variety of restaurants. Also within a 10 min radius is the world class Fairwinds golfing resort and marina. A 15 min drive takes you to Parksville, which boasts a number of tourist attractions for families, including Coombs marketplace. Horseback riding is only a few mins away from our guest house. Take a day trip to BC's capitol city of Victoria which is approximately 2 hours away.
For those of a more adventurous spirit there are the world famous Horne Lake caves for spelunking, and bungee-jumping, zip lining and high ropes at Wild Play in Nanaimo. Nordic and alpine skiing, snow shoeing and tubing at Mount Washington is just over an hour away. Explore Long Beach and Tofino a few hours away on the west coast where Canadian surfers ride the waves!
More About This Location
Rural retreats, Waterfront, Beach or lakeside relaxation


text:
Customer Q&A
Q1: Are batteries necessary to use the telescope, or just to have the guided help?
A: In order to use this telescope, you must have either batteries or an AC adapter. The mount will not allow you to move the optical barrel without power.
Q2: Can I hook it up to a laptop and if I can what software do I need?
A: Yes, you can control the ETX-80 from a PC or laptop. You'll need Meade's #506 AstroFinder Software and Cable Connector Kit.
Q3: I have a Meade ETX-80BB. I bought 6.4mm eyepiece and I have 9.7 mm 26mm with 6.4mm. Will I be able to bring in the moon, and other planets closer? Will I be able to see in deep space, galaxy ext?
A: You should definitely be able to see objects more closely with the 6.4mm eyepiece than with the others. It will give you 62.5X magnification when used alone or 125X when used with the scope's built-in Barlow lens. Seeing deep-space objects is more a matter of the amount of light a telescope collects than the amount of magnification used. You will be able to see some extra-solar objects, however, like the Andromeda Galaxy and the Orion Nebula.
Q4: I have an apartment high in the city. Will I be able to use this telescope for terrestrial viewing during the night? (with just the city lights?)
A: Yes and no. You'll certainly be able to see objects close to street lamps, and you'll be able to peer into lighted buildings. However, the ETX-80AT-TC is not a night-vision device that will allow you to peer into dark corners. It's subject to the same kind limitation at night that the unaided eye is, even though its 80mm objective lens gathers considerably more light than the 6mm eye pupil does.
Q5: I live in on the outskirts of Tokyo, Japan. Is there filters for this scope that will help with pollution levels in the sky?
A: Yes, the 1.25-inch Celestron UHC/LPR Filter will help. It works by filtering out the wavelengths produced by artificial lights, such as street lamps. It darkens the background and helps bring out detail in nebulae, galaxies and virtually everything you'd want to view.
Q6: I was placing my back lens on the telescope and this small piece broke, but it is a really small piece and now you can't put one of the binoculars on. I was wondering if my warranty covers that or do I have to buy the piece? And if so where do I get it?
A: The piece should be covered by warranty. Your best bet for service is to contact the manufacturer, Meade, directly. Here's the toll-free number so you can make the necessary arrangements: 1-800-626-3233.
Q7: If I have a digital Nikon D50 camera, is there specific accessories I need to buy to take photos with this telescope other than the LPI Imager?
A: The LPI imager is, in itself, a CCD camera. To use your Nikon D50 camera - you would need a Nikon T-ring - and Universal T-Adapter to connect the camera to a telescope.
Q8: If I use this Telescope in Southeast Asia would I be able to use the star finder? Is the star finder program in the telescope only work in United States?
A: The Autostar controller has the entire sky programmed into its database. That means you'll be able to use it no matter where you are.
Q9: Is there a way to observe sun with this telescope if it is what kind of filter I need to use
A: Yes there is. The filter you want is called a solar filter. We have glass cut and standard plastic available. Simply select your filter based on the size of your telescope's aperture and the filter will connect to the end of your telescope.
Q10: We are beginners using a telescope, will this be easy to use?
A: Yes, it will be very easy to use, compared to big, heavy scopes on equatorial mounts. You'll find setup and object location straightforward and well within a beginner's capabilities.
Q11: What is the difference between your XTC-80AT-TC and your EXT 80-BB Telescope?
A: We sell the ETX-80AT-TC. The BB is a version of the scope that folds up into a backpack.
Q12: What is the maximum useful magnification for this telescope?
A: Meade does not list a maximum magnification for the ETX-80. However, it should be approximately 180x.
Q13: Do you always need some sort of power source to operate this telescope? Can it be used without the need of batteries or an AC adapter?
A: The Meade ETX80 does require batteries or an AC adapter to operate.
Q14: What is the total weight of ETX-80AT-TC?
A: The total weight of the ETX-80AT is 15lbs.
Q15: What kinds of photography equipment are available with the ETX-80AT-TC ASTRO TELESCOPE ?
A: All of the photography equipment for the telescope will be sold separately. I would recommend something like the Meade LPI Imager for taking Lunar and Planetary images. If you have a regular camera, we have options available for connecting that directly to the telescope.
Q16: What other eyepieces can you buy to increase the magnifying effects and is there one for solar viewing for this product?
A: For solar viewing you would need a solar filter for the end of the telescope that measures 80mm. When viewing the sun, you should never use any lower size of eyepiece than a 15mm. For standard viewing at night, this telescope could handle up to a 7mm eyepiece for maximum magnification.
Q17: What planets can be seen with ease and how clear? Can we only use this at night?
A: You will be able to see the Moon, Mars, Venus, Saturn and Jupiter through this scope. How large the images will be depends on the focal length of the eyepieces you use with the scope. And, of course, on atmospheric conditions. You can use the ETX-80 for daytime terrestrial observation with the aid of an erecting prism.
Q18: What type of telescope is this? A reflector?
A: The ETX 80 is a refractor
Q19: Will I be able to connect this telescope to my computer and view the stars from my computer?
A: You'll be able to control your telescope from a computer with the Meade #506 connector cable (sold separately) and Astrofinder software. You'll need an Electronic Eyepiece, though, to view live images on your TV.
Q20: Does the ETX-80AT-TC come with the pictured tripod?
A: Yes, this scope does come with the pictured tripod.
Q21: For the ETX 80 AT-TC telescope, how much additional magnification does the built-in Barlow lens provide and does the Barlow lens alter the image clarity of the eye piece lenses?
A: The built-in Barlow lens doubles magnification of the eyepieces used with it. As is the case with all optics, increases in magnification bring some reduction in image brightness and contrast.
Q22: How do you use the Autostar suite with the autostar controller?
A: For questions regarding operation of the ETX-80 your best bet is to contact the manufacturer, Meade. The folks there know the scopes inside and out and are your best source of info. Here's the toll-free number: 1-800-626-3233.
Q23: I am looking to purchase a beginner telescope that will give views of the planets that show some surface detail and color. From what I understand, this scope will do it if I purchase the right eyepieces. What are the right eyepieces?
A: You'll enjoy the ETX-80; it's a nice starter scope. You'll probably get your best magnification (consistent with aperture) out of the Zhumell 6.3mm Super Plossl Eyepiece. It will give 63.5X magnification used alone and 127X when used with a 2X Barlow lens that doubles the power of any eyepiece used with it.
Q24: I bought the Meade ETX-80AT-TC as my first telescope. I love the fact it is portable. What I am wondering is what accessories can I purchase to make things clearer to see? Are there eyepieces that I can purchase that will let me see the planets and galaxies?
A: The Meade ETX-80 ships with a 26mm eyepiece that will produce 15.4X magnification with the scope's 400mm focal length and a 9.7mm eyepiece that will yield 41X. That's adequate for wide-angle views of the Moon, but not for up-close viewing, as you've noticed. A couple of good choices for magnification upgrade are the Meade 6.4mm Plossl eyepiece, which will yield 62.5X, when used by itself, and the Meade #126 Short-Focus Barlow lens, which will DOUBLE the magnification of any eyepiece used with it. The combination of the 6.4mm Plossl eyepiece and the #126 Barlow will yield 125X, which is much better for up-close inspection.
Q25: I currently have the LPI and T adapters and such for the ETX-80. I was wondering if there are any accessories for SLR piggyback mounting available for this model as well?
A: Unfortunately, there is no piggyback mount made especially to fit the ETX-80. All are for larger scopes. You COULD try the TeleVue Piggy-Cam Adapter; however, it may well be too large, as well.
Q26: I have a couple of questions regarding the Meade ETX-80AT-TC and the Celestron Firstscope 90 AT/EQ. What is the "Maximum Practical Visual Power" (Meade) and the Maximum Useful Magnification (Celestron)? What is the difference?
A: There's basically no difference between the two terms; they are simply different ways of saying the same thing. Telescopes gather, focus and magnify light, and the greater the diameter of their objective lens (or primary mirror), the more light they can gather and focus. Magnification, however, "eats" light, and the more magnification one piles on, the darker the image in the telescope becomes. Most telescopes are capable of magnifying up to about 50x to 60x per inch (2x to 2.4x per millimeter) of lens or mirror diameter before the image becomes too dark to see much of anything. Thus the "maximum useful magnification" of any optical telescope. Of the two telescopes mentioned, the ETX-80AT-TC will be the more useful for terrestrial viewing. The FirstScope -- though a very nice refractor and capable of more magnification than the ETX-80 -- has an equatorial mount that is very awkward when used for terrestrial observation. There is, however, a version of the FirstScope with an altazimuth mount that is readily adaptable to terrestrial viewing. Neither of the FirstScopes, however, will give you the computerized object location and tracking that the ETX-80 does. So you will need to decide whether you want the 27% greater light-gathering capability of the FirstScope more than you want the convenience of the ETX-80's GoTo system. The eyepieces in the Eyepiece and Filter Kit will certainly help with land viewing. The eyepieces work with the telescope's optical system to produce the magnification.


text:
Your continuing education starts here. From interactive workshops and specialized seminars to hands-on skill-building sessions, World of Concrete's world-class education program equips field personnel, project leaders, supervisors and owners with the latest knowledge in every facet of the professional concrete business. Learn new skills and techniques, find ways to operate more efficiently, earn professional certifications and improve yourself and your business—for the knowledge you need to finish each job better, faster and more profitably—we've got you covered.
Offering more than 100 expert-led sessions including interactive workshops such as Train-the-Trainer, Boot Camps for Leaders, Hands-On Training, and Live Decorative Demonstration.Questions about the WOC Education Program? Email us.
NEW for WOC 2016! Discounts for Military and Schools!
Approved Military personnel can now register online and receive special discounts on select seminars, workshops, and hands-on training sessions. Military leaders can click here to submit request for discounts.
College/University advisors can register their qualified construction management & engineering students online with special discounts on 90-minute and 3-hour seminars. Approved students who register for at least one seminar will receive complimentary Exhibits-Only admission ($85 value). School advisors/coordinators can click here to apply for this special offering.
Questions should be directed to Bonnie King, Sr. Education Program Manager, at 972-536-6416 or via email.
WOC Education Program Hours:
Monday, February 1 (Pre-show Education all day)
WOC 3-Hour Seminars: 8:00 am - 11:00 am; 1:00 pm - 4:00 pm
WOC 4-Hour Certification Seminars: 8:00 am - 12:00 pm; 1:00 pm - 5:00 pm
WOC 90-Minute Seminars: 8:30 am - 10:00 am; 10:30 am - 12:00 pm;
1:30 pm - 3:00 pm; 3:30 pm - 5:00 pm
Tuesday, February 2 - Thursday, February 4
WOC 3-Hour Seminars: 8:00 am - 11:00 am
WOC 4-Hour Certification Seminars: 8:00 am - 12:00 pm; 1:00 pm - 5:00 pm
WOC 90-Minute Seminars: 8:30 am - 10:00 am; 1:30 pm - 3:00 pm
Friday, February 5
WOC 3-Hour Seminars: 8:00 am - 11:00 am
WOC 90-Minute Seminars: 8:30 am - 10:00 am
WOC Education Program Pricing: (rates below are per seminar*)
DISCOUNTED 12-HOUR SUPER PASS PACKAGES: Save 25% or MORE!
[SP1] Master Certificate Super Pass 1– Select three 3-hour seminars from one 3-hour track above plus any two 90-minute seminars. Includes admission to the World of Concrete exhibits. FEE: $425 ($525 after 12/15/15 and onsite)
[SP2] Master Certificate Super Pass 2 – Select four 3-hour seminars (three from one 3-hour track plus one additional from any 3-hour track above). Includes admission to the World of Concrete exhibits.
FEE: $425 ($525 after 12/15/15 and onsite)
[SP3] Master Certificate Super Pass 3 – Earn a Master Certificate in Concrete Construction Management by selecting total of 12 seminar hours of any combination from any 3-hour or 90-minute program track. (Discounted package excludes workshops, hands-on training and certification seminars & examinations.) Includes admission to the World of Concrete exhibits.
FEE: $525 ($625 after 12/15/15 and onsite)
Exhibits-Only: $65 before 12/15/15; $85 after 12/15/15 and onsite - Restrictions may apply.
3-hour seminars are $140 before 12/15/15; $170 after 12/15/15 & onsite
4-hour certification seminars are $185 before 12/15/15; $215 after 12/15/15 & onsite
90-minute seminars are $100 before 12/15/15; $130 after 12/15/15 & onsite
*seminar rate does not include Exhibits Only registration and fee
Please note: All info is subject to change. WOC is not responsible or liable for any costs incurred due to any cancellations or delays of any type that may affect purchased events, including seminars, training courses, certifications, and luncheons & forums.
During education program hours, children 17 years of age and under will NOT be admitted into seminar meeting rooms. THIS RULE IS STRICTLY ENFORCED. Persons 18 years old and over must register and pay in order to attend seminars.
Seminar Cancellation/Refund Policy
All attendee refund requests must be made in writing to firstname.lastname@example.com. Exhibits-Only fee is nonrefundable. A $35 fee per cancelled seminar &/or $100 per Super Pass package, Workshop, or Hands-on Training course will be assessed on cancellations with requests postmarked or emailed through December 15, 2015. No refunds after December 15. No refunds issued at or after the show.
Tips & Justification To Attend WOC 2017
Below is some sample copy to help you approach your supervisor regarding a trip to WOC 2017.
I am requesting your support of my attendance at World of Concrete 2017. Being at WOC will give me a chance to engage with thousands of industry professionals throughout the week. In addition to networking with these leaders and exchanging ideas and knowledge, I will be able to participate in a world-class education program highlighting what is happening today as well as the future in the concrete and masonry industries.
This industry-leading
event features:
55,000+ concrete and masonry professionals
1,400+leading suppliers
100+ specialized seminars and interactive workshops
70+ teaching pros from around the world
I plan to achieve the following three objectives while attending WOC 2017.
Objective 1: Make three connections that could lead to future business.
Objective 2: Take back three innovative ideas that I can apply in my daily work.
Objective 3: Take a minimum of 1-2 seminar sessions to improve my value to our company.
The sessions I'm interested in attending are:(See this grid)
World of Concrete is over
44 years old and has a stellar reputation in our industry as THE annual show to
attend for anyone working in the global commercial concrete or masonry business, and
I encourage you to give me an opportunity to experience this show.I look forward
to bringing back valuable information, new product info, and plan to implement
and share them with our team to improve efficiency, productivity, and to
positively impact future revenue.


text:
2001 Edition
In the end, Fred saved our sanity.
The Best of Denver 2001 ballots had arrived by e-mail, over the Web, under the front door and via the U.S. Postal Service. We'd wept our way through hundreds of votes for McDonald's as Best French Fries, chewed on Tums through hundreds more for Taco Bell as Best Taco, and tossed out a big stack of bloody ballots stuffed with votes for Best Tattoo Artist -- a category that didn't even appear on our Best of Denver 2001 Readers' Poll.
And then we found Fred.
Fred is the shop dog at Miss Talulah's. Technically, our poll hadn't requested nominations for the town's Best Shop Dog, either, but that didn't stop 69 of Fred's fans from signing a pro-Fred petition -- complete with photo of Fred, tongue lolling and wearing what could be a whistle or maybe a chile pepper around his neck: "As the fuzzy, furry greeter of Miss Talulah's, Fred knows what it takes to make each customer feel important. A dedicated employee, rain or shine, Fred remains focused on the customer. Always making sure that no one enters the shop unnoticed nor leaves without first receiving some love. Support Fred in his quest for greatness!"
We were moved, even tempted, to so anoint Fred, but his quest faced an insurmountable hurdle: We'd previously determined that Miss Talulah's, his home turf, was a truly great addition to Denver's shopping scene and had already tapped it for a Best of Denver award. To also stroke Fred would be a bit excessive, we decided. Still, we appreciated the efforts of Fred's supporters, our readers, who were willing to go the extra distance for a dog.
Like all of the people, places and pooches mentioned in this year's Best of Denver, our readers are something to celebrate.
Thanks to the recently released Census Bureau statistics, we know what Denver looks like at the start of the millennium. How many of us there are, and what ethnic backgrounds we claim. Who lives in the city, who lives in the suburbs. We even know how many of us own our own homes. But these statistics don't capture the Denver we see every day, the one our readers share when they fill out their Readers' Poll ballots.
Through those readers, we discovered:
The Best Place to Find a Famed Photo of Tom Jones in a Pair of Speedos and Boxing Gloves is Eccentricals, which just happens to be the spot we'd already picked for the Best Store Anywhere on Colfax Avenue. The Best Way to Spend a Rainy Saturday Afternoon is looking up your house's history in the Western History Department of the Denver Public Library, an institution that's a frequent high-flyer in our Best of Denver issues. The Best Place to Go When There's Nothing Else to Do at Night is Dave & Busters, where you can always watch a bar fight.
We also discovered that, in addition to being wise, our readers are a funny bunch. They have no more patience with the fabricated "Convergence Corridor" nickname than we do, and suggested that the best replacement might be Mess Trap, Denvoid, Malfunction Junction or Blow Hole. For Wellington Webb's next job, they suggested concessions manager at Invesco Field, chauffeur for Wilma, baggage handler at DIA or superintendent at DPS. Readers got even more creative with the Best Next Job for Wilma Webb, suggesting she consider being a fine-arts dealer in Africa or an Avon lady.
Clearly, Denverites have a healthy disrespect for the trappings of power, which they made clear with their second-place pick for Best Power Lunch. Jamba Juice, anyone?
Find more Best of Denver® winners:
Arts & Entertainment Awards
- Best Rock Club15th Street Tavern
- Best Street Promotion Team3Deep Presents
- Best Perfect ChangeThe cast of I Love You, You're Perfect, Now Change
- Best Living Book1933
- Best Bluegrass VocalistBradford Lee Folk
- Best Uncategorizable RecordingCarnival Detournement
Hamster Theatre
- Best Theater for Younger Audiences...And Now Miguel
- Best Country RecordingAlways Say Please and Thank You
Slim Cessna's Auto Club
Food & Drink Awards
- Best Sunday Brunch BuffetThe 35th Avenue Grille at the Park Hill Golf Club
- Best TostadaMexico City Lounge
- Best Power Munch1876 Restaurant
Hyatt Regency Denver
- Best Original Big BurritoEl Taco de Mexico
- Best Place to Nurse a HangoverJamba Juice
- Best MartiniBlue 67
- Best Chicken-Fried Steak20th Street Cafe
- Best Cheap BreakfastMiguel's Breakfast Club
- Best ServiceBriarwood Inn
- Best Place to Score With a Twenty-Something Whose Parents Still Pay the RentCalifornia Pizza Kitchen
- Best SandwichesThe Spicy Pickle
- Best Old BarCharlie Brown's Bar & Grill
- Best Caesar SaladBravo! Ristorante
- Best New RestaurantTriana
- Best Southwestern RestaurantJulia Blackbird's
- Best Middle Eastern RestaurantPita Jungle
Goods & Services Awards
- Best Place to Find Replacements for Old Light FixturesSpecialty Architectural Products
- Best Quirky New BoutiqueMiss Talulah's
- Best Local CarpetbaggersBorsellino Bags
- Best Place to Buy Pieces of Denver HistoryArchitectural Salvage, Inc.
- Best Mountain-Town Antique StoreRalston Bros. Antiques
- Best Store at FlatIron CrossingColdwater Creek
- Best Store at Cherry Creek Shopping CenterMetropolitan Museum of Art Gift Shop
- Best Store at Park MeadowsPapyrus
- Best Hardware Store for the Handyman-ImpairedAce Hardware Neighborhood Solutions
- Best Place to Get a MuttsterpieceJack Atkinson
- Best Free Pet ServiceBehavior Help Line
- Best Pie PlatesMudworks Pottery
- Best Politically Correct Gift WrapThe Artisan Center
- Best Asian ChatchkesTruong An
- Best Yarn StoreShowers of Flowers Yarn Shop
- Best Inexpensive Dry CleanersContinental Cleaners
Shopping & Services Awards
- Best Local CarpetbaggersBorsellino Bags
- Best Place to Find Replacements for Old Light FixturesSpecialty Architectural Products
- Best New-Style DrugstoreClearspring Pharmacy
- Best Place to Buy Pieces of Denver HistoryArchitectural Salvage, Inc.
- Best Quirky New BoutiqueMiss Talulah's
- Best Mountain-Town Antique StoreRalston Bros. Antiques
- Best Store at FlatIron CrossingColdwater Creek
- Best Store at Cherry Creek Shopping CenterMetropolitan Museum of Art Gift Shop
Sports & Recreation Awards
- Best Moonlight RideThe Moonlight Classic
- Best Place to Cream a Golf BallD'Lance Golf
- Best Rock That Looks Like George WashingtonRoxborough Park
Colorado State Parks
- Best Colorado State University AthleteRick Crowell
CSU Rams Football
- Best Moonlight WalkPlains Conservation Center
- Best Garden of the GodsSacred Earth Garden
Denver Botanic Gardens
- Best Sports Coach -- ProfessionalBob Hartley
Colorado Avalanche
- Best Sports Team -- ProfessionalColorado Avalanche
- Best Way to See the Aspen Turn -- on HorsebackAspen Lodge at Estes Park
- Best Place for a Less Active Family ReunionComo Christian Camp
- Best Place to Do It in the MoonlightDream Canyon
- Best Bike Ride -- RoadLeft Hand Canyon
- Best University of Colorado AthleteMandy Nightingale
CU Buffs Women's Basketball
- Best Dinosaur Tracks --OutdoorsDinosaur Ridge
- Best Rockies ParkingColorado Coalition for the Homeless
- Best Mile High Fans' Salute to the BroncosLoudest stadium roar
Best of Denver Lists
- The Ten Best Date-Night Restaurants in Denver
- The Eleven Best Chinese Restaurants in Denver — 2016 Edition
- The Ten Best Pizzas in Denver — 2016 Edition
- The Seven Best New Coffee Shops in Denver in 2015
- Meet Ross Kaminsky, New Morning Drive Host on KHOW
- 2015: The Year Denver DIY Didn't Die
- The Seven Best Restaurant Comeback Stories of 2015
- The Eight Best Spots in Denver for Tamales by the Dozen
- The Ten Best New Bars in Denver in 2015
- The Fifteen Best New Restaurants in Denver in 2015
- The Ten Best Places in Denver to Eat — With a Toddler
- The Ten Best Denver Coffeehouses With Booze
- The Ten Best Restaurants at Denver International Airport — 2015 Holiday Edition
- The Eight Best Italian Restaurants for Handmade Pasta in Denver


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Premise: A group of superheros with supersenses works to save the day when villainy threatens in the whimsical world of Toobalooba. Each hero has a supersense that can be used with the others' senses to foil trouble. Noonbory and his team also teach children how to use their special skills and talents in combination with others' to solve problems.
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Required Reading:
Jungler · Baron/Dragon · Controlling Buffs
- Quick Guide
- Author / Skins
- Item Build
- Abilities
- Rune, Masteries, and Summoner Spells
- Strategy and Tactics
- Videos
Strategy and Tactics
Farming will always be an important aspect of the game, unfortunately for Aatrox, it's immensely important since he doesn't have a very high base damage from his kit. His ultimate is a lot of free damage, but not enough to carry the game. You shouldn't be concerned, however if the game is going late with Aatrox as every point of AD you get scales about 110% more than any champion without any attack speed steroids. You also essentially get double bonuses from Lifesteal through AD due to Aatrox's Blood Thirst.
Make Informed Decisions: Knowing your target and item-checking
Constantly check everyone's items in the game so you know what you should itemize. It also impacts your decisions on who you should focus as players building no resists or health are easy targets to dispatch. Alternately, because you have a % Max Health nuke, you need to watch players MR compared to their health to know who you want to hit with Massacre every fight to have the maximum impact.
Make Informed Decisions: Protecting your carries or diving the enemy carries
In the situation that your carries have higher range or scale better, it's generally best to protect your carries over diving the enemy. Enable them to carry you by protecting them. However, if they're a Graves or something, he's generally impossible to peel for and doesn't scale better than most enemy carries, you'll probably find it better to dive onto enemy carries to try to kill them.
Split pushing
Aatrox has extremely high dueling potential with his kit and if he starts to snowball in lane no one on the enemy team would be able to duel him. This makes Aatrox a great choice to be able to split push and with Dark Flight he will be able to escape from most dangerous situations
Team Fighting
Aatrox can server as a very tanky initiator with Dark Flight and Massacre spiking the enemy team out of a lot of health. However, due to Dark Flight's relatively short range, it's not an amazing initiate. The importance of knowing when and how to initiate is crucial to knowing how to team fight with heroes that aren't exactly geared towards it. You have to be mindful of your allies' and enemies' positions and make snap decisions. If you see an enemy on the opposite side of the map split pushing? That is your signal to go if your team is grouped. Allowing people to split push unpunished is pretty bad because they're getting XP and gold undivided while you sit diving XP 5 ways.
Be Mindful Of Blood Thirst and Blood Price
You can use Blood Price when you are at high Health and it will allow you to do significantly more damage as it makes your every third auto attack with the cost of your own Health. Remember to switch to Blood Thirst when your Health falls low 50% as it doubles the healing effect and win you the trade.
Tips and Tricks
3rd Hit Toggling
You can prime a 3rd hit of Blood Price or Blood Thirst and swap the toggle to make a choice on which you want: damage or sustain. Be very mindful of this and predict how much damage you'll take from enemies so you can maximize your survival time and your damage. In your mind you should get used to having to count 1...2...Blood Price/Blood Thirst... similar to how Jax's passive on Grand Master's Might works.
Mind Your Blood Well Cooldown and Maintain Blood Well
You generally always want to have Blood Well at its max so that you get the most attack speed and so that if all goes wrong and you die, you come back with the most potential health. It's also important to be sure that your Blood Well is even available to be used assuming you die. If you're not confident in your own play, just be passive while you don't have Blood Well available.
Chaining Crowd Control
When going on the enemy laner aggressively it's often the best to use your Dark Flight first then your Blade of Torment. Blade of Torment gets narrower as it travels so hitting a target from far way is a bit difficult, if you are able to land your knock up first your opponent will not be able to dodge it.
Priming Blood Well
Before entering the lane, if you are not leashing a buff or invading the enemy jungle, you can start with your E, and spam it for a bit before minions spawn to build up blood for extra attack speed thanks you Blood Well. While you may lose some health, it gives Aatrox free early stats that will just be healed back with Lifesteal quints or Blood Thirst.
Synergies and Counters
Jarvan IV works really well with Aatrox because if you time your combos correctly you can perform a back to back knock-up on the enemy team.
Orianna has massive synergies with nearly every champion because of her shield and ultimate combination. Aatrox can Dark Flight into 5 people and Massacre with an Orianna ultimate follow-up.
Sona can easily just maximize the time that Aatrox survives with her defensive aura and heals. She also has a nice AOE stun to pair with Aatrox so that he can do damage for free to the enemy team.
Champion Matchups
This is generally a pretty even lane but both champions has the potential to snowball so it is really up to the jungler. Aatrox and Shyvana won't be able to kill one or the other but Aatrox will be able to out sustain in lane as Shyvana does not have any in her kit.
Renekton is another lane bully that can definitely win trades in the early levels of the game. Doran's Shield would be the idea start against Renekton and you can farm safely with Blades of Torment until your jungler comes to gank your lane. The lane is a skill matchup, if left even Aatrox will outscale Renekton.
Aatrox is able to outsustain and outduel Dr. Mundo in most phases of the game. With percentage damage from Blade of the Ruined King and sustain from Blood Thirst, Aatrox is a perfect counter to Dr. Mundo. In lane, Aatrox has enough burst damage to kill Mundo before level 6.
When playing against Teemo if you sit back and try to farm he will poke you to death with Blinding Dart and posion. You can start with a Doran's Blade and repeatedly all-in Teemo every chance you get to set him so far back that his poke will be negligible.
Jax will be able to out trade and duel Aatrox at any point of the game. Due to Jax's Counter Strike he can dodge all of Aatrox's auto attacks which significantly lowers his dueling potential. Start with a Doran's Shield and poke/farm with your Blade of Torment as he goes in to last hit minions. Ask for early ganks from your jungler so you can snowball and deal with Jax.
Elise is a tough champion to deal with in lane do to her % Health poke and ability to dodge your Dark Flight with her Reppel. She will force you to start Doran's Shield and even a Negatron cloak soon after to survive the lane.
- Page 6 of 7


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Dr. Rocio Benabentos
AAAS Fellow
Directorate for Education and Human Resources
Division of Human Resource Development
Class of 2014
Rocio Benabentos is a molecular biologist with a background in genetics, evolution, and developmental biology. She is joining NSF as a AAAS Science & Technology Fellow, and will be working as part of the ADVANCE program in the Division of Human Resource Development (HRD) in the Directorate for Education & Human Resources (EHR).
As a graduate student at Baylor College of Medicine, Rocio investigated the genetic mechanism of kin discrimination in the social amoeba Dictyostelium discoideum. After receiving her Ph.D., she joined the National Institutes of Health as a postdoctoral fellow, where she studied early developmental mechanisms in echinoderms and their evolution.
Rocio is interested in addressing science education concerns at the undergraduate, graduate, and post-graduate levels. She is particularly interested in broadening participation in STEM and promoting a diverse scientific workforce. In her spare time, she enjoys reading, ice-skating, and baking.


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The Three-Pointer: Wittman Down in Debut
1. Rotation Changes It's easy to overreact to one game and assume it's a trend, but the two most striking differences between Wittman's substitutions tonight versus Casey's general pattern was fewer minutes for KG and more crunchtime for Mike James at the expense of Randy Foye. The first is welcomed, and reprises one of the hallmarks of Kevin McHale's 30-some game stint. Had there been no overtime tonight, Garnett would have clocked in at just 34 minutes. Wittman gave him two 6-minute chunks on the bench, which were extended further by time out for the quarter changes (end of first/beginning second, end of third/beginning fourth). And maybe KG just had extra zip because the team is ensnared in a long losing streak and has a clean slate with a new coach, but he did seem more active and energetic at both ends of the court in the second half, completely getting inside Joel Pryzbylla's head in the third period, drawing a string of fouls that sent Pryz permanently to the pine.
The Foye pare-down was more problematic. You could see that James was giddy to be included for meaningful 4th quarter minutes (and all of the overtime), and he did nail a nice sideline jumper late in the game, played better defense than he has in a long while, and continued his series of impressive a/to ratios with a 5-dime, 1-miscue night. Further justifying the move, Foye didn't have a great night, especially his shot selection (2-6 FG, 0-2 from 3), although his lone assist (versus two turnovers) was a doozy, a dribble-penetration kick to the sideline for a Hassell trey.
But I digress. One of the few indisputably smart things Casey did, in my opinion at least, was give Foye the second quarter substition scrum to get his bearings and learn the point, and the fourth quarter crunch to strut his courage in the clutch and give oxygen to his confidence. Granted, Foye's decision-making is far from perfect; hence my constant hectoring about him not "being a point guard." But the rookie contemporary Foye was traded for and will forever be compared to, Brandon Roy, hadn't scored in the entire second half and yet was still flipped the keys to the game when it mattered in overtime, not Zach Randolph or a hot Martell Webster. On a team with KG, Foye doesn't rate that primacy, but for all sorts of reasons I think he belongs on the court. James had a solid game, has many millions and three more years coming to him as a Timberwolf, and needs to have his self-esteem rehabbed as one of Wittman's top priorities, so I understand the motivation. But the upside on Foye is such that he might be that worthy sidekick this franchise craves for KG, especially when the game is one the line. So it was disconcerting to see him sit the last 3:28 of regulation and all of overtime in a tight 3-point loss, especially since it felt like James was simply trying harder to pretend he was comfortable.
2. Davis Shines I don't pretend to know the relationship between Dwane Casey and Ricky Davis. Just before, and then during, the time when everything went to hell and Davis got suspended and Casey got fired, you heard rumblings that they chronically hadn't gotten along. But if true (and I'm still dubious) Casey had a funny way of venting his displeasure, playing Davis boatloads of minutes whether he seemed to deserve them or not. Tonight, the entire Wolves telecast--commentators, players, filmed clips, etc--seemed to drive home the notion that Wittman is more of a disciplinarian and taskmaster, and vocally aggressive coach than was Casey. To me, it all sounds like code for "whip Ricky Davis into a mental acuity vaguely resembling his gifted athleticism."
Tonight, Davis was arguably the best player on the floor for the Wolves. In the first half there was no doubt, as he canned all 7 of his field goal attempts and hustled in a constant but relatively controlled fashion at both ends of the court. When he began the second half unable to hit anything--he clanked two free throws in addition to his first couple of field goal tries--it seemed like poetic vengeance on the VP McHale, who claimed he canned Casey because the Wolves were too inconsistent and up-and-down.
But even though he only went 3-10 FG in the second half and overtime, Davis played more in the 3rd and 4th quarters than in the first half, and counting overtime logged a team high 45:12 on the court. Perhaps just as important for Ricky's ego, Wittman twice called his number for big, potentially game-deciding shots (he sank one in the 4th, clanked one in OT). For those counting at home, that's two strong games in a row for RD. What's worrisome is that the Wolves dropped them both.
3. Quick Hits One of the things Casey seemed to struggle with was drawing up successful plays coming out of a timeout. Tonight, the Wolves scored 8 times (seven baskets and 2 free throws) in 12 offensive possessions coming out of a timeout, with Davis's 4 buckets leading the way.
Proving he's not in anyone's pocket, Jim Petersen called out Mark Blount's defense while praising the contributions of Madsen and Smith in the third period tonight. Ironically, I thought Blount set a marvelous tone with clamp-down D on Randolph in the first period; the main cause of Portland's horse missing his first four shots.
All nine players in tonight's rotation got some fourth quarter minutes.
Marko Jaric got some early time and continues to look a little over-amped, a disgruntled player stuck in a trade limbo that may never abate until the Feb 22 deadline, searching hard for a niche.
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Job 31:35King James Version (KJV)
35 Oh that one would hear me! behold, my desire is, that the Almighty would answer me, and that mine adversary had written a book.
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The contest is off to an amazing start with over 300 communities nominated in the first 24 hours! This community page will serve as your contest hub for voting, photos, events and even important notifications from the PetSafe team. We'll constantly be working on the site throughout the contest to make sure it's a smooth nominating and voting process for you. Also, please note that the vote counter can take anywhere from 5-15 min to update depending on site traffic, which is why you may not always see the vote counter increase each time you vote. Don't worry, it will but may just take a few minutes. Thanks for participating and best of luck to your community!
Laconia, NH
Vote daily and your community could win $100,000 to build a PetSafe dog park!
Our community needs a PetSafe dog park!Welcome to Happy Tails Dog Park of the Lakes Region's page for the Bark For Your Park contest. We have land the city of Laconia will allow us to use for the park, but we need money to build it, so winning this would really help. Anyone can vote for us, or use the park when it's open, you don't have to live in Laconia. So please vote for us! Scroll down to see more park info and to post a picture of your dog!!
Before you can vote, you must Create your account or Log in
Land Verification
In order to qualify to win a park, your community must find land and approve it's use for a dog
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This step is optional, but getting your pups' faces in the media can't hurt. Get in touch with
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Patrick's Pub Fundraiser and Birdhouse Silent Aucton
Support Happy Tails Dog Park!! From 5-10 p.m., if you eat at Patrick's Pub that night, tell your server you're a park supporter and a portion of your food payment will go to the dog park. From 6-8, participate in the Birdhouse Silent Auction. Numerous local artists have designed birdhouses for us and one could be yours!
Table at Petco in Gilford 10 a.m. - 2 p.m.
Find us outside Petco in Gilford, where we'll have park info, raffles, and our Tail Waggin' Treats dog food and treats cookbook for sale. Come by and say Hi!
Table at Petco in Gilford - 10 a.m. - 2 p.m.
Find us outside Petco in Gilford, where we'll have park info, raffles, and our Tail Waggin' Treats dog food and treats cookbook for sale. Come by and say Hi!
Public Planning Meeting - 6:30 p.m.
Interested in helping plan or raise funds for the dog park? Please join us at the Laconia Community Center at 6:30 p.m. to find out what you can do to help. Hope to see you there!


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Parachutingby Poynter, Dan
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Questions About This Book?
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This is the 10th edition with a publication date of 2/1/2007.
What is included with this book?
- The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any CDs, lab manuals, study guides, etc.
Parachuting, The Skydiver's handbook is directed to those looking into the sport for the first time as well as the advance jumper. Every phase of skydiving, canopy flying, safety and equipment is covered. An appendix of skydiving terminology is included.


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Allman's Electric Stove
Does it seem dangerous that the Centers for Disease Control is asking the general public for suggestions on how to handle/contain ebola? Let's start with banning flights from Liberia. How about Africa in general? Watch the latest video at video.foxnews.com
Anthem – The Fray 520 I'm With You – Grouplove 535 Ashes To Ashes – David Bowie 550 Walk – Foo Fighters 620 Second Hand News – Fleetwood Mac 650 You Are A Tourist – Death Cab For Cutie 720 Hell – Squirrel Nut Zippers 750 Sex Type Thing – Stone Temple Pilots 820 Your English Is...
Survivor's founding member, Jim Peterik, joins Jamie to talk rock n' roll, reminisce and introduce his new book, " Through the Eye of the Tiger ": PRphotos.com
Jim Carafano (@JJCarafano) discusses ISIS v. Al Qaeda. Jimmy also brings to our attention a new film, "Fort Bliss":
Obama beware; Chris Matthews is asking questions. Why try and downplay everything?
Absolutely disgusting. Widow Maureen Faulkner has to waste time protesting Goddard College's invite to her husband's killer. This college must be so proud to have raised a generation of liberal sheep. Goddard spokesman Justin Dyerly gets eaten alive by Megyn Kelly and rightly so...
Matt called Jamie this morning to talk about the escalating ebola threat and what can/will happen if we don't get things under control:
Jamie got the chance to chat with Mr. Humperdinck this morning! CLICK HERE for "Engelbert Calling" PRphotos.com
Anthem – US Marine Band 520 All That You Dream – Little Feat 535 Havana – Jesse Cook 620 A Life Of Illusion – Joe Walsh 650 Come With Me Now – KONGOS 720 No Such Thing – John Mayer 750 Cardiac Arrest – Bad Suns 835 Ashes To Ashes – David Bowie 850 Spanish Eyes – Engelbert...


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