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Get noticed! Create a powerful online marketing platform that draws customers-and increases profits
There are few guarantees in business today, but here's one: If your message or product isn't easy to find online, you won't be in business very long.
Whether you own a small business or plan to launch a new product or service, getting your message out to the right people has to be one of your top priorities. One of today's top search marketing strategists, Ric Dragon offers all the tools and techniques you need to make an instant splash online. DragonSearch explains everything you need to know about:
You can come up with an iPad equivalent of your industry and the slickest website to promote it, but it won't do you much good if your customer has to scroll and scroll . . . and scroll . . . to find it.
DragonSearch provides everything you need develop your online platform from scratch and manage it effectively to drive long-term success. Build it right, and they will come.
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Robert J. BlanchardNovember 15,2012Robert J. Blanchard Rites
PROCTOR The funeral service for Robert J. Blanchard, 71, who died Thursday, Nov. 8, 2012, was held Tuesday, Nov. 13, at Union Church of Proctor.
Officiating was the Rev. Howard Gunter, pastor of Pittsfield Federated Church.
Organist was Alan Walker.
Words of remembrance were offered by Kevin Blanchard and Steven Myhberg.
A reception followed in the church hall.
A private graveside service will be at a later date in Lyndon Center Cemetery in Lyndon.
Arrangements are under the direction of the Clifford Funeral Home.MORE IN ObituariesConstance Lilly Full StoryAnn L. Brown Full StoryMary A. Turpin Full Story
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Published on Mar 03, 2012
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|Quick links:
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August 19, 2011
Mailbag on the Mesa
[email protected], @EdwardLewisASR on Twitter, post questions on the message board or put questions on ASR's Facebook page.Editor's note: Every Friday ASR Publisher Edward Lewis will answer some questions from fans about the Aztecs in this weekly mailbag. Send questions to
Brandon: None of the players or coaches will say it, so why don't you: Who has stood out to you at camp this year?
Rob: With the QB Matt Morin committed to SDSU, how much does that help recruiting, not only the kids from his HS but in general?
Antonio: Brady Hoke raved how Aaron Wellman was a big part of the success the team last year. How is the new strength coach?
Steve: What are the chances that Dwayne Polee receives eligibility for the 2011-2012 season? Do you think Steve Fisher will add anymore scholarship players for 2011-2012 season?
Want to talk more Aztecs with ASR Publisher Edward Lewis? Head over to the premium message board!
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100 Points GiveawayJournal Entry: Thu Oct 31, 2013, 1:22 PM
YAY. Thank you all for entering. The winner is...
CONGRATS! You will get your points soon. :'3
OoooOOOOoooOOOooooOOo It's that time of the year again! The time of year where everybody dresses up to occassion and wander the streets to hoard oneself with delicous treats. Since I can't really give you guys candy, I'm putting points in place of it. The rule of the giveaway is very simple. All you must do is.. Favorite this journal! That's it! This next part is totally optional and you can choose to comment if you would like to. The question is.. What are you dressing up as on this spooky night? Make sure to have fun tonight and stay safe and don't eat too much candy! xP Happy Halloween guys!
100 Points Giveaway by iDJPandaWatch
I was a tiger. I even had a cute little tail!
Arrr, I be stolen plenty o' booty on ye ole night o' plunderin'!
I was Hoody from MarbleHornets~
I was an axe wielding neko.


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This Twelve Hour Paediatric First Aid course was designed in conjunction with the National Childminders Association and Preschool Learning Alliance specifically for those working with young children. It is the twelve hour paediatric first aid course as detailed in the Early Years Foundation Stage.
Designed for people who work with children - from birth to 16-yearolds. Apprentices will be provided with a broad understanding of the children and young people?s workforce sector, as well as develop the practical skills and knowledge required in order to work effectively in their role.
This is a generic qualification for the Children and Young People's Workforce and confirms competence under supervision. This also serves as a progression pathway to the required qualification at level 3.
" Children's and young person's development Maintain and support relationships with children and young people Contribute to the support of positive environments for children and young people Understand partnership working in services for children and young people Introduction to communication Introduction to equality and inclusion Safeguarding the welfare of children and young people Support children's and young people's positive behaviour Contribute to the support of child and young person development Contribute to children's and young people's health and safety Paediatric emergency first aid Managing paediatric illness and injury You may also have to study Functional Skills in English, Maths and ICT dependent on your GCSE results.


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Gray Skips Cop's Funeral For Lunch With Kwame
Is making your boss look like a total heartless and incompetent boob a fireable offense?
That's the question o' the day, after news broke that Almost Mayor Vince Gray was dining at the Fourth Estate with Almost Chairman Kwame Brown instead of going to the funeral of MPD officer Paul Dittamo, who died early Saturday morning in a car crash while on duty. (H/T to WeLoveDC for the initial report.)
Gray's spokeswoman Doxie McCoy tells ABC7 that Gray's staff goofed and didn't tell him about the funeral. Ok, fair enough, but what is Gray going to do about it?
This is the third time this week the Gray camp has been caught flat-footed. First, it's the election party at a club that's hasn't paid its city taxes, then there's the disclosure that transition director Reuben Charles' has even more financial problems, and now this.
So, sweet readers, LL puts it to you: does someone's head need to roll? Clumsy communications, after all, can come back to cost politicians down the line—just ask the guy Gray beat to get his next job, Still Mayor Adrian Fenty (who, by the way, did get to the funeral today).


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Stratford Career Institute can help you earn your diploma from home in as little as six months, thanks to their proven study methods.
- Video Game Design
- Photography


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How to be Pretty Plus cats making out
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- Description: In this edition of the Digital Buzz, everybodys Favorite Naked Nerd Kat Curtis checks out a tutorial on how to trick people into thinking youre really goodlooking, even if you were born ugly Also, our cute kitty video of the week features a couple of
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PetSafe Flags Boundary - Bundle of 50
Extra boundary flags for training your pet to use an in-ground or wireless fence. Place flags approximately 10 feet apart to remind your pet of his off-limits area. Between days 15 and 30, you will be monitoring your pet's progress. After you are satisfied your pet's training is complete, remove every other Boundary Flag every 4 days until all flags are removed. In about a month, your lawn will be free of training flags and your pet will know his limits. We recommend keeping a flag or two in your yard to let neighbors and passerby know that your pet is safely contained.
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Announcing Cotton Spandex Jersey!
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2014596901 Paul Jackson 13.05.14 Evesham From left - Lorna Waters nee Southern, Elaine Clements nee Cole and Amanda Mumford nee Kinchin, are organising a reunion for Evesham High School leaver from 1987. (6183147)
/ News
AS the class of 1987 from Evesham High School have reached their 40s a few former classmates decided it was time for a reunion.
The event, which will mark 27 years since the group left school, is set to take place at the BBC Club, also known as the St Egwin's Club, in Evesham High Street on Saturday, June 14, from 7.30pm until 11.30pm.
There will be 80s music and admission is £5.
All profits will be donated to the Bell Tower Appeal.
The reunion coincides with the school's own celebration of 60 years.
For more information contact Amanda Mumfor, nee Kinchin, on 07969103369 or Lorna Waters, nee Southern, on 07592359599.
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I'm originally from Miami, but am living in San Fran with my boyfriend while he finishes his residency at UCSF. I am currently working on my masters in special education at USF. I am also the special education teacher at a local elementary school.


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Note: Supplemental materials are not guaranteed with Rental or Used book purchases.
Families, Schools, and Communities : Building Partnerships for Educating Childrenby Barbour, Chandler; Barbour, Nita H.; Scully, Patricia A.
Prentice Hall
Questions About This Book?
What version or edition is this?
This is the 4th edition with a publication date of 1/1/2008.
What is included with this book?
- The Used copy of this book is not guaranteed to include any supplemental materials. Typically, only the book itself is included.
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A basic tenet ofFamilies, Schools, & Communities: Building Partnerships for Educating Children, fourth edition, is that schools will always be a primary venue for educating the young child, and educators must be in the forefront of any endeavor to bring about change. However, the authors stress that to accomplish the tasks at hand, all school districts must develop vibrant partnerships--uniting parents and community members with teachers in educating tomorrow's citizens. Schools are where the action will bloom, but respectful collaboration is the key to success.
Table of Contents
|Home, School, and Community Influences on Children's Lives
|Historical and Philosophical Perspectives
|Viewing Family Diversity
|Parenting the Child
|Meeting Child Care Needs from Infancy Through School Age
|Including Children with Disabilities
|Responsibility for Educating and Protecting Children
|Curriculumnbsp;of the Home
|Curriculum of the School
|Curriculum of the Community
|Strategies for Working Together
|Models for Parent--School--Community Partnerships
|Bibliography of Children's Books
|NAEYC Code of Ethical Conduct
|Table of Contents provided by Publisher. All Rights Reserved.


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Title III Programs
Check out the timeline of all of our Title III Activities HERE!
SIC's traditional Practical Nursing program has been converted to a hybrid format in order to be more accessible to potential students. It is a 36 credit hour program with lab and clinical components. The program was piloted in the summer of 2012.
Curriculum Guide:
Practical Nursing - Online/Hybrid
SIC's traditional Business program has been converted to online format. It is a 24 credit hour program. The program was piloted in the fall of 2012.
Curriculum Guide:
Business Administration - toward a Bachelor of Science Degree through SIU-C's Online Degree Program
SIC's traditional Criminal Justice program has been converted to online format and is 24 credit hours. The program was piloted in the fall of 2013. New courses have been added to the curriculum in order to provide more options for students.
Curriculum Guide:
Criminal Justice - AAS Degree (ONLINE OPTION)
Courses in the field of Biotechnology have been created. There are 15 credit hours available to utilize toward a transfer degree.


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Olympus introduced today a new OM-D series camera. It is called E-M5 I or E-M5 Mark II. As a hand held stills camera it is sort of child of E-M5 and E-M1. Basically it has E-M5 form factor with E-M1 brains. The highlights of this camera are totally newly done and vastly better video capabilities and 40/64 megapixels Hires shooting mode.
I will not go through all specs lines. They can be found at various Olympus sites worldwide. I guess the interesting thing for most of readers is how this camera compares to E-M5 and E-M1.
Compared to
Here's a short list which shows where E-M5 II stands compared to the original E-M5 and E-M1:
- Size: E-M5 II has no EP-2 port below hot shoe which makes it lower than E-M5 and E-M1. I am not quite sure if leaving EP-2 away is a good sign for the future.
- Image processor True Pic VII: Better than E-M5 (TruePic VI), same as E-M1. Many of features below come from TruePic VII processor.
- Image stabilization: Improved in stills compared to E-M5 and E-M1. Plus new video IS mode. I have not tested how big (or small) this improvement is in practise. Will do it later on. According to Olympus CIPA tests, this IBIS should be the better than you can find in any other camera.
- EVF: Better than E-M5, same as E-M1. Same panel, same processor and same main features.
- Swiveling touch screen: E-M5 and E-M1 have tiltable. This is better for video. Panel has same higher 1M resolution as in E-M1.
- Autofocus: Better than E-M5, not as advanced as E-M1 for stills with moving subjects. Only E-M1 has PDAF ability. E-M5 II should be better than either for video because of new optimization. I have not tested if it is true.
- Dust, splash and freeze sealing: Better than E-M5, same as E-M1.
- Video recording: Better than E-M5 or E-M1. E-M5 II has video IS, more than double bitrate (55 Mb/s), all standard frame rates, time code, adjustable exposure parameters while recording, adjustable sound level while recording, in/output for external microphone and headset. 77 Mb/s bitrate with HDMI out into recorder.
- 40/64 MP Hires shooting: Not available in E-M5 or E-M1. Gives (almost?) true 40MP resolution JPEG file with (almost?) true colors for every pixel straight out of camera. 64 MP RAW file can be opened with downloadable Photoshop plug-in.
- WiFi: Not available in E-M5, same features as E-M1 with free Olympus Image Share 2.5.
- Tethered shooting: Not available in E-M5, same as E-M1 with free Olympus Capture.
- HDR: Not available in E-M5, same as E-M1.
- Back side function switch: None in E-M5, same as E-M1
- Two part battery holder / grip: Like E-M5 (new grip, same battery holder), E-M1 has grip built-in.
My verdict
As a hand held stills camera E-M5 II slips easily into OM-D family. If you have used one, you will know how to use the newcomer. On the surface it even might seem like not much has changed. Configurability is better than with E-M5 but not as extensive as with E-M1. Handling is roughly the same as with E-M5 but compared to E-M1 it is inferior with or without grip. As an example, I can't understand why Olympus has not kept AEL/AFL thumb button as it is in E-M1. Here we have a puny, unresponsive, almost unusable button. When shooting everything is faster and more responsive than with E-M5 and E-M5 II has superior EVF. It lacks phase detecting AF which makes it a lesser action camera.
The highlights and reasons to choose this body rather than any other OM-D really are video and Hires modes.
With E-M5 II Olympus has brought video features to the level where it should stand today. Only it has no 4K. Personally I would say that we could benefit more from higher dynamic range in HD videos than from present low dynamic range 4K videos. The dynamic range in videos is so miserable when compared what RAW gives in stills photography. Even so, mainstream is going for 4K and high dynamic range (RAW) will be left as an exotic high end option in video.
Who needs a 4K video camera then? Well, who ever wants to have one, of course. Still, day-to-day professional video production seems to stay for a while at HD level. Big money productions are naturally made on 4K because TV business needs content. This creates a steady drift towards 4K. I have no opinion on whether this camera should have had 4K. Personally I don´t need it yet for what I want to do with video.
I shot dozens of clips at a motor bike show and they look mostly good to me. What I have not done is to compare HD video quality from other new cameras lately, so I can´t say where this is in general. It is far better than anything from Olympus before and better than some professional footage I have seen. Maybe the biggest notion was that now with higher bitrate IBIS really shows its strength. It is so smooth and steady. My problem is that I am such a lousy video shooter. It is better that I return to this subject later on when I have done some home work.
40 Million Pixels
E-M5 II has a new multi-shot mode where camera takes 8 consecutive shots with half a pixel sensor shifts between each image. I wrote a separate blog on sensor shift. I do not know in which directions E-M5 II does it's sensor shift movements and what kind mathematics is done while creating the final image file. When asked, anything related to sensor shift was said to be "highly classified". Obviously very few people outside Olympus Inc. Japan know much about it. Some things are known:
- You can only shoot on tripod if you want sharp images. Camera must stand absolutely still while exposure process goes on.
- Sensor shifts are done with image stabilizator which means it is not availble for it's normal task.
- It takes roughly 1 second to take these 8 exposures with fast shutter speeds.
- It takes some 2,5 seconds to combine exposures into one and save them on card.
- Camera uses electronic shutter for exposures.
- Available exposure times are 1/16000 - 8 s.
- You can set a delay between shutter pressing and first exposure. This is very advisable.
- You can set interval time between exposures, which good for studio flash shooters.
- It produces a 64 MP RAW file, which has extension .ORF. Also the first of eight exposures is saved as a an .ORI RAW file. This .ORI is not a regular Olympus RAW file even if it contains one... Don´t ask why... (This may be a fluke caused by pre-prod body. I am still waiting for explanation on this issue. The idea of naming Hires ORF simply as ORF is plain stupid. It should be ORH or something, actually anything but ORF. The regular first shot RAW file should be ORF!)
- 64 MP is 9216 x 6912 pixels, or 192 MB when opened in Photoshop.
- The size of .ORF file is roughly 100 MB
- This RAW file can not at the moment be natively opened with Adobe Camera Raw. Olympus will have a plug-in for Photoshop CC. At least now there is no plug-in for Lightroom. Hopefully Olympus and Adobe will sort this out.
- Camera can save also a 40 MP size JPEG file. It is 7296 x 5472 pixels or 120 MB when opened in Photoshop.
- You can process JPEGs with various parameters from Hires .ORF files in-camera.
In my blog on sensor shift I figured out a color array for an eight-shot file.
This file has 216 pixels and it can be done with a 54 pixel Bayer-array.
Let's see, 54 x 4 = 216, just like 16 MP x 4 = 64 MP. A normal 16 MP .ORF file is roughly 16 MB by size, which means that 1 byte corresponds to 1 pixel. Half of pixels in "my" color array need 1 byte, a quarter needs 2 bytes and another quarter 3 bytes. 64 + 16 + 32 = 112, ie. this array would give a roughly 112 MB RAW file. While I do not know anything about possibly used lossless compressions etc. I am inclined to think that this is in the ballpark and Olympus is using something in those lines.
Obviously this kind of file is vastly superior to a single shot and it also should give better quality than a 64 MP single-shot Bayer file. Naturally this is only true if there are no hickups in sensor shifting system and camera stays absolutely still during exposures.
I have no idea on how Olympus is creating a 40 MP in-camera file from this 64 MP RAW file. Other than they are interpolating downwards somehow, of course. I would suspect they get close to true full color resolution because they claim that a file created in computer from 64 MP RAW file is not sharper than 40 MP file (saved as best quality SF-JPEG) from camera.
Preliminary tests
I did not have Photoshop plug-in available which meant I could natively work only with JPEG files. Some converters open Hires .ORF files but again I have no idea on how they decode/demosaic the colors. (It is possible that Hires .ORF is a 12-bit TIFF-type file with colors coded as YCbCr - or not) That's why I stick with JPEG for now.
As I had no suitable cameras to compare, I am comparing to my earlier test target shots with 36 MP Nikon D800 E. I was using 35mm lens while testing D800E, which is why I chose corresponding focal lengths for E-M5 II. This test target setup is 100% repeatable.
I had in-camera JPEG in E-M5 II set at as low contrast and sharpening as possible. Also I exposed for RAW (as I expected to get a compatible version of Olympus Viewer which I have not gotten yet) which is too light for best JPEG quality. E-M5 II JPEG compares favorably with D800E NEF. Also it has no moiré in high frequency areas like D800E has. I have not tested other cameras and lenses like this since D800E. E-M5 II at 8 shots with 12-40mm PRO is the sharpest combination I have seen so far at this test. It will be interesting to see if RAW files give something extra.
The last image with Olympus kit zoom shows how Hires sensor is nothing without the very best lenses. There are no more actual details in 40 MP file from kit zoom than what 12-40mm PRO lens can bring out in single 16 MP image.
How about moving subjects?
Shutter speed 1/50 s. There is a feeling of movement but also you can see separate exposures. As you can see here it takes one second to capture 8 frames, unless slow shutter speeds make total duration longer.
Shutter speed 1/13 s. While you still can faintly see separate exposures this gives a good sense of movement.
Shutter speed 1/6 s. Surprisingly separate exposures start to be seen again. Also there is discolorisation because movement is captured through different filters during each exposure. Because of slower shutter speeds total capture time is now nearly two seconds.
This example shows that moving subjects is not a strictly forbidden area for multi-shot photography. There are some potential problems. Some can be solved by slight softening, some by color correction. Then there are situations where movement is too fast to be captured as movement unsharpness. An example of this would be a car moving across the frame during one second. With a fast shutter speed you would get eight "ghost cars" in your final image. Luckily the first exposure is also saved on card as a separate file. It can be used to mask ghosts away.
The entire wristwatch image looks like this as single shot.
What I found impessive in my first 8-shot trials was the cleanliness of images. Even while they were JPEGs there were no artifacts, no moiré... Also grain is invisible when compared to image size. This feature needs more testing to find out what are the limits of usable envelope. Also lenses need to be sorted out, but I guess Premium and Pro series lenses are all worth using.


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Before firing Peter Arnett - the Tokyo Rose of our time - NBC issued a ludicrous statement defending Arnett's interview on Iraqi TV as a "professional courtesy." When the condemnations started rolling in, NBC saw the handwriting on the ratings wall and quickly cut him loose. NBC News President Neal Shapiro said, "It was wrong for Mr. Arnett to grant an interview to state-controlled Iraqi TV - especially at a time of war - and it was wrong for him to discuss his personal observations and opinions in that interview." Arnett later apologized on the "Today" show, but the damage to what remains of his career was already done (Arnett was reprimanded by CNN in 1998 for a report that accused U.S. forces of using sarin gas on a Laotian village in 1970 to kill U.S. defectors and left that network).
Would Edward R. Murrow, William Shirer or Walter Cronkite have allowed themselves to be interviewed on German radio as a "professional courtesy" during World War II? No, because they correctly viewed the Nazis as the enemy of humanity and American forces as the liberators of Europe. What did they study in school that Arnett skipped?
Arnett gave aid and comfort to our enemy when he delivered these gems on Iraqi TV: "Clearly the American war planners misjudged the determination of the Iraqi forces," and "Clearly (Baghdad) is a city that is disciplined .. My Iraqi friends tell me there is a growing sense of nationalism and resistance to what the United States and Britain are doing," and "Our reports about civilian casualties here, about the resistance of the Iraqi forces are going back to the United States and help those who oppose the war." It took 63 days to get the Taliban out of Kandahar, Afghanistan, and Peter Arnett is declaring a more formidable war that is less than two weeks old a "failure"?
Arnett's remarks may encourage Saddam Hussein to fight on. This could lead to the deaths of more American and British soldiers. Arnett is a naturalized American. He does not deserve his citizenship, and his comments go far beyond any journalistic ethic with which I am familiar.
Cal Thomas is co-author (with Bob Beckel) of the book, "Common Ground: How to Stop the Partisan War That is Destroying America".
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Trump: If Ted Cruz doesn't stop cheating and attacking me, I have standing to sue him over his natural-born status | Allahpundit


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Felt Christmas Garland
This charming garland is versatile enough to decorate your mantel, Christmas tree, buffet or any room in your home.
From: DK Books - Greener
Materials Needed:
- large piece of cream felt
- brown felt for the gingerbread man
- scissors
- pins
- permanent marker
- colored embroidery thread (for blanket stitching and features)
- needle
- rickrack trim
- 5 lengths of wire, each about 3" long
- 3' twine or string
- ribbon
- old, unwanted wool garment or scarf
- buttons
- Download: Fabric Garland Pattern
Step 1
Cut and pin together two of each shape from cream felt and two gingerbread men from brown felt. Decorate one stocking with the pen.
Step 2
Sew the shapes together. Leave the mitten and stocking tops unsewn. Sew on the features and rickrack trim.
Step 3
Thread a piece of wire through the top of each shape and secure in a loop. Thread the twine through the loops and tie ribbons onto the twine.
Step 4
Cut strips from the garment for scarves and sew them, adding some decorative ribbons and buttons, onto the fabric shapes.


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New Sportsbook.ag customers: Make your 1st bet, get your 2nd bet free, 100%, winnings paid in cash.Join Now
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JAKARTA, Indonesia (AP) - Thongchai Jaidee of Thailand had a 7-under 65 Friday to lead by two shots after the second round of the Indonesian Masters.
Scott Barr of Australia trails with a 68, a stroke ahead of countryman Wade Ormsby (68).
British Open champion Ernie Els (70) headed a group of five at 6 under.
Copyright 2016The Associated PressAll Rights Reserved


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Happy Holidays
Hello all!
Thanks so much for your continued support. If/when we hit 17k I'm going to post a Jason Molina song from the 10" as a thank you FYI. Either that or a sampler of the 10" (30 secs from each song). I'll let you guys decide that in the comments. To make your holidays that much better, here is a new page from the GG Allin coloring book (and yes, we know enema is misspelled).
Happy Holidays!
Ryan Graveface
Creator kim bye on December 21, 2011
A full song would be pretty awesome.
Creator Stuart Galbraith on December 21, 2011
Full song please...
Creator Julien Guillot on December 21, 2011
I'd rather listen to a complete song than to a sampler...
Creator superfuzz on December 21, 2011
my vote is: molina!


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News for Monday, May 5, 2014
Mary Hardin-Baylor set for women's D-III defense
Mary Hardin-Baylor set for women's D-III defense
Defending champion Mary Hardin-Baylor will look to win its second NCAA Division III women's championship in program history May 13-16 in Howey-in-the-Hills, Fla.
Dawson leaves R&A poised for future
Peter Dawson leaves R&A poised for future after his retirement
Peter Dawson, a native of Scotland, has presided over radical change in golf's governance on his side of the Atlantic -- his legacy sure to be a Royal & Ancient vote this fall to allow women into the club for the first time.
Mickelson seeks out Stockton for putting woes
Phil Mickelson seeks out Dave Stockton to cure putting woes at TPC Sawgrass
You won't typically see Phil Mickelson on the range or a practice green on Mondays, especially after he played the previous week on PGA Tour. But at TPC Sawgrass he was grinding with putting guru Dave Stockton.
Complete coverage: U.S. Open Local Qualifying
Complete coverage: 2014 U.S. Open Local Qualifying
Tis the season of U.S. Open qualifying. From now until May 19, we'll update you on all 111 local qualifiers around the United States as we see who will advance to sectional qualifying.
Team of the week: Minnesota
Team of the week: Minnesota
Minnesota won its first Big Ten men's golf title since 2007 on May 4 at the Pete Dye Course at French Lick (Ind.) Resort.
Player of the week: Bryson Dechambeau, SMU
Player of the week: Bryson Dechambeau, SMU
SMU sophomore Bryson Dechambeau took medalist honors April 29 at the American Athletic Conference Championship at Innisbrook Resort's Copperhead Course in Palm Harbor, Fla.
Johnson, Garcia's scripted apparel for The Players
Dustin Johnson, Sergio Garcia's scripted apparel for The Players
Adidas Golf released Dustin Johnson and Sergio Garcia's scripted apparel for The Players Championship this week in Ponte Vedra Beach, Fla.
Western Michigan's Trout announces retirement
Western Michigan's Cindy Trout announces retirement after 16 years
Cindy Trout, the only women's head golf coach Western Michigan has had in the program's 16 years, has announced her retirement.
Winner's Style: J.B. Holmes, Wells Fargo Championship
Winner's Style: J.B. Holmes, Wells Fargo Championship
J.B. Holmes won the Wells Fargo Championship on May 4 in Charlotte, N.C., collecting his first win since 2008. See what Holmes wore from adidas Golf apparel for his victory at Quail Hollow.
TaylorMade SLDR irons
TaylorMade SLDR irons join already popular lineup of drivers, woods, hybrids
TaylorMade predicts its new SLDR iron will appeal to a wide spectrum of golfers, from touring pros to average amateurs, joining a successful line of drivers, fairway woods and hybrids.
TaylorMade SLDR S woods
TaylorMade SLDR S drivers, fairway woods and hybrids
TaylorMade has a new version of its SLDR woods on the way to market, called the SLDR S and available in drivers, fairway woods and rescue hybrids.
Texas takes road less traveled into postseason
Texas Longhorns men take road less traveled into postseason golf
The Texas Longhorns hope their experience playing a tough schedule and winning the Big 12 Championship will pay off in the postseason.
Alabama, Cal, Ga. Tech among top regional seeds
Alabama, Cal, Georgia Tech among top regional seeds
Here is the complete list of teams and individuals competing in the NCAA Division I men's golf regionals at six sites May 15-17, with Alabama, Cal and Georgia Tech among the No. 1 seeds.
Cal's Hagy wins 2014 Byron Nelson Award
Cal's Brandon Hagy wins 2014 Byron Nelson Award
Brandon Hagy, a senior at Cal, was awarded the 2014 Byron Nelson Award on Monday.
Tiger on rehab: "Very slow process," no timeline
Tiger Woods on back-surgery rehab: "Very slow process," no timeline
Tiger Woods says his back is still sore from the incision that was part of his microdiscectomy surgery before the Masters, while offering no timeline for his return to the PGA Tour.


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Accuray's CyberKnife M6 system receives Shonin approval in Japan
Accuray received Shonin approval from the Japanese Ministry of Health, Labor and Welfare to market the CyberKnife M6 System to treat radiation therapy patients. The system enables patients to lie comfortably and breathe freely while receiving precise, high dose radiation therapy in a relatively short number of treatments, reducing side effects and preserving quality of life.
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#RHOBH Joyce Giraud and hubby Michael Ohoven sample Sabra Hummus and Jackson's Honest Chips at GBK's 2014 Movie Awards Gift Lounge #Getmybuzzup
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Banana Bread With Sour Cream
60 minutes
1/4 cup white sugar
1 teaspoon ground cinnamon
1/2 cup butter
2 cups white sugar
2 eggs
4 very ripe bananas, mashed
12ounces sour cream
1 1/2 teaspoons vanilla extract
1 1/2 teaspoons ground cinnamon
Pinch of salt
2 teaspoons baking soda
3 cups all-purpose flour
1 cup chopped walnuts (optional)
How to make it
1.Preheat oven to 300 degrees F (150 degrees C). Grease loaf pans. In a small bowl, stir together 1/4 cup white sugar and 1 teaspoon cinnamon. Dust pans lightly with cinnamon and sugar mixture.
2.In a large bowl, cream butter and 3 cups sugar. Mix in eggs, mashed bananas, sour cream, vanilla and cinnamon. Mix in salt, baking soda and flour. Stir in nuts. Divide into prepared pans.
3.Bake for 1 hour, until a toothpick inserted in center comes out clean.
4.Makes 1 large loaf and 6-8 muffins or small loaf.
Print it!


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During the 2013 Tokyo Motor Show, Volvo Cars continued to introduce its new design direction to customers and media around th0e globe. In Tokyo Volvo Cars shows the Volvo Concept Coupé, which demonstrates the new design direction and showcases the capability of the company's new Scalable Product Architecture. Speakers at the press conference were Lex Kerssemakers, Senior Vice President Product Strategy & Vehicle Line Management, and Thomas Ingenlath, Senior Vice President Design at Volvo Cars.
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Robert Michael Mischak
Position: G-TE
Height: 6-0 Weight: 237 lbs.
Born: October 25, 1932 in Newark, NJ
Died: June 26, 2014
High School: Union
College: Army (school history)
Drafted by the Cleveland Browns in the 23rd round (276th overall) of the 1954 NFL Draft.
Weighted Career AV (100-95-...): 32 (3081st overall since 1950)
2-time Pro Bowler & 2-time First-Team All-Pro (fine print)
Output includes all passing, rushing, and receiving plays.See all Bob Mischak Super Bowl plays using the Super Bowl Play Finder


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Order auto parts from us using our secure order process system. We protect your privacy by not revealing any information you give us. Stop waiting 4-6 weeks for credits for returns, we usually credit your account within days of receiving your return. We have been selling Nissan 240SX Timing Chain parts for nearly 30 years. Call us at (800) 240-4620 with any questions regarding Nissan 240SX Timing Chain parts. Online purchasing of Nissan 240SX Timing Chain auto parts is the future of fixing your vehicle. Join the Nissan 240SX Timing Chain online parts revolution and order Nissan 240SX Timing Chain auto parts from us.
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With market-rate housing construction booming, Kim abandons effort to balance it with more affordability
EDITORIAL Under the misleading guise of encouraging the development of more affordable housing in San Francisco, Mayor Ed Lee and Sup. Jane Kim have sponsored a pair of fall ballot measures that actually weaken existing housing policy in San Francisco. It's a ruse that shouldn't fool politically savvy San Franciscans.Read more »
EDITORIAL When lawyers become politicians, and when those politicians assume offices where they can exercise discretion about when to appeal judicial rulings, the decision to do nothing can be as big and impactful as the decision to file a lawsuit.Read more »
EDITORIAL The footprint of Big Tech companies and their employees continues to spread through San Francisco, gobbling up the vast majority of commercial office space this year, driving up rents, and creating pressure to build ever more office towers. With Wall Street and Silicon Valley investors focusing so much wealth on this one economic sector, in this one once-dynamic city, this trend is threatening to squeeze out every other civic interest and sector in its path.Read more »
EDITORIAL As we reported two weeks ago ("Breaking the chains," June 17), the San Francisco Planning Commission will soon consider rival measures to modify the city's decade-old policies regulating chain stores (aka formula retail businesses) and giving neighborhoods the ability to reject them. This should be viewed as a chance to strengthen protections, not to weaken them at a time when small businesses need all the help they can get.Read more »
EDITORIAL Big, powerful corporations seem to always find a way to get what they want out of City Hall, particularly under the administration of Mayor Ed Lee, and often at the expense of people who really do need the help.
For example, why is a city that projects annual budget deficits getting steadily bigger over the next five years spending almost $17 million annually on corporate welfare programs, including giving millions of dollars in tax breaks and other city perks to Twitter, a company worth $24 billion?Read more »
EDITORIAL Members of the San Francisco Board of Supervisors who try to identify with both the progressive movement and business-oriented Mayor Ed Lee — most notably, Sups. David Chiu and Jane Kim — engaged in a strange bit of self-congratulations during their June 10 meeting, patting themselves on the back for a trio of "progressive" reforms.Read more »
Waterfront luxury condos aren't the path to affordable housing.
EDITORIAL Does the construction of brand new high-end towers represent the only possible opportunity for new affordable housing in San Francisco? To hear the arguments of those bemoaning the passage of Proposition B, the ballot measure overwhelmingly approved June 3 requiring voter approval for increased building heights along the waterfront, one would think so.Read more »
This week's primary election on June 3 occurred after Guardian press time for this issue, but there's one conclusion that we can draw about it without even knowing the results: This is a pretty shabby form of democracy that few voters cared about. California's experiment in open primaries is a disaster, and it's time for a new model.Read more »
EDITORIAL Mayor Ed Lee has repeatedly overstepped his authority on behalf of the entrenched political and economic interests who put him into office, and we're happy to see Sup. John Avalos and his progressive allies on the Board of Supervisors starting to push back and restore a more honest and equitable balance of power at City Hall.Read more »
Global capitalism is a wasteful system that produces way too much stuff and uses too much energy shipping that stuff all over world, causing problems ranging from global warming and pollution to trade deficits and exploitation of workers. It certainly makes sense to facilitate more local economic transactions, include peer-to-peer transfers of services, goods, and other resources.Read more »


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Manny Pacquiao v Manuel Marquez - Weigh In
Jeff Bottari December 7, 2012 7:00 PM
LAS VEGAS, NV - DECEMBER 07: Boxers Manny Pacquiao (L) and Juan Manuel Marquez pose during the official weigh-in for their welterweight bout at the MGM Grand Garden Arena on December 7, 2012 in Las Vegas, Nevada. Pacquiao and Marquez will fight each other for the fourth time on December 8 in Las Vegas. (Photo by Jeff Bottari/Getty Images)


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January 4, 2009
Fearless predictions set the stage
Kendall Rogers
Rivals.com College Baseball Editor
With the 2009 season just over a month away and a new year recently ushered in, it makes sense to hand out our predictions for the upcoming year.
Barring a major surprise, there won't be a repeat national champion this season. Michigan, however, will continue to highlight the northern region while North Carolina's Dustin Ackley and San Diego State's Stephen Strasburg are my picks to win National Player and Pitcher of the Year honors at the end of the season.
We make 10 fearless predictions for the upcoming campaign.
North Carolina will play for the national title again
Even without Tim Fedroff, Rob Wooten, Tim Federowicz and other key cogs, the Tar Heels will have another solid team this spring. Assuming he's healthy and ready to go in a few weeks, first baseman Dustin Ackley spearheads another talented offensive lineup. Veteran Alex White and sophomore Matt Harvey, meanwhile, spearhead the pitching staff. The Tar Heels are in great shape on the mound, while the offense has a little something to prove. Still, the Heels once again are motivated and have the tools to go the distance.
Fresno State will fall, but not as much as some think
There are many teams considered to be national title contenders this spring, but lost from the mix thus far is defending champion Fresno State. I'll be the first to admit I don't think Fresno will be back in Omaha this season, but no one thought it would be in Omaha last season, either. As for this season, I think the Bulldogs will be down a little bit. However, they're not going to plummet. Sure, Fresno must replace almost every important pitcher from last year's team, but it returns a stout offense led by Tommy Mendonca, Steve Detwiler, Danny Muno and others. The Bulldogs will be fine because of their offense. They also will have a good overall record after racking up wins in the WAC.
San Diego State's Stephen Strasburg will be National Pitcher of the Year
This certainly isn't a revolutionary thought, but I see Strasburg winning National Pitcher of the Year honors going away at the end of '09. Strasburg almost picked up the honor from Rivals.com last season, but was narrowly defeated by San Diego's Brian Matusz. Now it's Strasburg's turn to be the nation's premier pitcher. In '08, Strasburg started 13 games and had an 8-3 record. He also had a 1.57 ERA in 97 1/3 innings of work, while striking out 133 and walking 16. Opponents only hit Strasburg at a .181 clip last season. In addition to his amazing career numbers, Strasburg likely will be the top pick in the '09 MLB Draft.
North Carolina's Dustin Ackley will be National Player of the Year
Few players have accomplished more the past few seasons than Ackley. As just a young freshman two seasons ago, Ackley hit .402 with 10 homers and 74 RBIs. He didn't slow down as a sophomore last season, hitting .417 with seven homers and 51 RBIs. After watching Florida State's Buster Posey win National Player of the Year honors last season, it appears to be Ackley's turn to take the reins. Though surgery this past fall could slow down Ackley to start the season, he once again is expected to have a monster offensive campaign. There's not a hitter more consistent than Ackley.
Georgia will not succumb to history this season
History suggests Georgia will struggle this season, but I believe otherwise. The Bulldogs have several important holes to fill without shortstop Gordon Beckham, third baseman Ryan Peisel and closer Joshua Fields. But the Bulldogs still should have a good team this spring. Trevor Holder and Alex McRee will spearhead the pitching staff, while Rich Poythress, Bryce Massanari and Matt Cerione are expected to have productive offensive campaigns. The Bulldogs also have an influx of young talent, which includes highly drafted players such as Chad Davidson, Mike Palazzone and Zach Cone. The Bulldogs probably won't play for the national title again this season, but they also shouldn't struggle.
The state of Texas will have three national title contenders
It's really not a surprise the Lone Star State once again will be littered with great teams this spring, but it does come as a surprise to some that it should have three national title contenders, including Texas A&M, Rice and Texas. If they meet expectations this season, the Aggies should be the team to beat in the state with the return of an excellent pitching staff and a few key offensive cogs. Rice also will have another solid team with the return of weekend starters Ryan Berry and Mike Ojala and position players Rick Hague, Chad Mozingo and Diego Seastrunk, among others. Then there's Texas. The Longhorns probably have the most talented team in the state, but have lacked a championship pedigree the past three seasons. Will that change in '09?
Cal State Fullerton will return to the College World Series
It's sometimes scary to say anyone for sure will be in Omaha in June, but I have a strong feeling the Titans will return to the CWS this season. Though critics will point to the departures of weekend starters Jeff Kaplan and Cory Arbiso as reasons to doubt the Titans this spring, the pitching staff actually should be fine with the return of sophomore Daniel Renken and junior Mike Morrison. The Titans also are very excited about JUCO transfer Kyle Witten and freshman Nick Ramirez. While the pitching staff leaves at least some doubt heading into the spring, the offense should be potent with the return of outfielder Josh Fellhauer, shortstop Christian Colon, first baseman Jared Clark and utility player Gary Brown. Look for the Titans to win the Big West and march on this season.
UC Santa Barbara will be the sleeper on the West Coast
The Gauchos will be one of the more motivated teams on the West Coast entering the season. After compiling a respectable overall record last season, the Gauchos narrowly missed an NCAA regional. Still stinging from that decision by the NCAA Selection Committee, the Gauchos have something to prove this spring. Though there are some holes to fill at the plate, the Gauchos welcome back Shane Carlson and Gunnar Terhune. Carlson batted .349 with six homers and 53 RBIs last season, while Terhune hit .336 with 12 RBIs. I especially like what the Gauchos have on the mound, particularly with the weekend rotation. The Gauchos welcome back Mike Ford and Mario Hollands. Ford had a 2.96 ERA in 94 1/3 innings last season, while Hollands had a 4.03 ERA in 82 2/3 innings of work. UCSB should be an NCAA regional team this spring.
Even with departures, Michigan will be the class of the north
After losing key players such as Zach Putnam, Nate Recknagel, Adam Abraham and Jason Christian to the MLB Draft this past summer, many observers seemed to believe Michigan's successful run was finished. Well, let me be the first to say I think that opinion is wrong. Though it's true the Wolverines have some huge holes to fill this spring, coach Rich Maloney has recruited well the past few seasons and also has some tricks up his sleeve. The Wolverines welcome back weekend starter Chris Fetter, who finished last season with a 2.47 ERA in 94 2/3 innings of work. The Wolverines actually should be in OK shape at the plate, where they welcome back Mike Dufek, Ryan LaMarre and Kevin Cislo.
Oklahoma State's Andy Oliver will have suspension removed or reduced
No prediction story would be complete without addressing the most dramatic story line of the past few months. Oklahoma State junior left-handed pitcher Andy Oliver goes to trial with the NCAA Monday morning, and how much he actually plays this spring could be completely determined by a possible court order. Though the NCAA currently has Oliver set to sit out 70 percent of the upcoming season, I have a feeling a court order in Oliver's favor will come through at the conclusion of the trial. That then would put the ball in Oklahoma State's court. Based on the documents I've read, I find it a little hard to believe the Erie County, Ohio court will side with the NCAA in this case.
Kendall Rogers is the college baseball editor for Rivals.com and Yahoo! Sports. He can be reached at firstname.lastname@example.com.
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VIDEO: Gary Moore's key guitars examined
Blues legend's collection on show
The Gibson Les Paul was designed in 1952 by Gibson president Ted McCarty in collaboration with popular guitarist Les Paul, who was looking for an instrument that better served the need of jazz guitarists. Almost 60 years later, the Gibson Les Paul is inextricably linked with rock and electric blues.
Master the styles of 10 key Bowie players, including Mick Ronson, Nile Rodgers and Carlos Alomar
Class up your metal game with this signature model
Jack Fowler and his 1977 Les Paul Customs
Bonhams offers guitar from legendary Free guitarist
Musician-specific insurance policies now available


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Azealia Banks on ASOS
Playfully gracing the January cover of ASOS magazine, "Fierce" rapper Azealia Banks talks about her upcoming album, Broke With Expensive Tastes, which she feels will quiet those who doubt her talent. We'll see when the album drops in February.
(Photo: ASOS Magazine)
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AACD's Blog
Researchers identify 7 parameters to assess dentofacial aesthetics
A team of German researchers has identified seven quantifiable parameters that can be used for the assessment of dentofacial aesthetics, according to a recent article in Dr.Bicuspid.
Through their review, the authors identified seven parameters that are sufficiently and reasonably quantifiable: the smile line, lip line, incisal offset, location of dental and facial midline, incisor angulations and width-to-height ratios of the maxillary anterior teeth, gingival contour, and root coverage and papilla height.
For more, click here: http://www.drbicuspid.com/index.aspx?sec=sup&sub=cos&pag=dis&ItemID=310681&wf=1213
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by Lauren Shanard, DDS, AAACD Becoming an Accredited Member of the American Academy of Cosmetic Dentistry represents the... Read More
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Page 1
Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleeding: a systematic review of clinical effectiveness and cost-effectiveness analysisS Bhattacharya,1* LJ Middleton,2 A Tsourapas,2 AJ Lee,1 R Champaneria,2 JP Daniels,2 T Roberts,2 NH Hilken,2 P Barton,2 R Gray,2 KS Khan,2 P Chien,3 P O'Donovan,4 KG Cooper5 and the International Heavy Menstrual Bleeding Individual Patient Data Meta-analysis Collaborative Group1University of Aberdeen, Aberdeen, UK2University of Birmingham, Birmingham, UK3Ninewells Hospital, Dundee, UK4Bradford Royal Infirmary, Bradford, UK5Aberdeen Royal Infirmary, Aberdeen, UK*Corresponding authorExecutive summaryHealth Technology Assessment 2011; Vol. 15: No. 19DOI: 10.3310/hta15190Health Technology AssessmentNIHR HTA programmewww.hta.ac.ukHysterectomy, endometrial ablation and Mirena® for heavy menstrual bleeding
Page 2
iiExecutive summary: Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleedingExecutive summaryBackgroundHeavy menstrual bleeding (HMB) is a common problem that affects approximately 1.5 million women in England and Wales and accounts for 20% of gynaecology outpatient referrals. Although objectively defined as cyclical loss of > 80 ml of blood during each menstrual period, HMB is diagnosed clinically in the presence of excessive menstrual blood loss that interferes with a woman's physical, emotional, social and material quality of life.Medical treatments for HMB include oral drug regimens, such as tranexamic acid and mefenamic acid, and the combined oral contraceptive pill as well as the levonorgestrel intrauterine system (LNG IUS) (Mirena, Bayer Healthcare Pharmaceuticals, Pittsburg, PA, USA), which can reduce menstrual loss by local release of progestogen. Surgical treatments include first- (hysteroscopic) and second- (non-hysteroscopic) generation endometrial ablation (EA), which destroys the lining of the cavity of the uterus (endometrium), and hysterectomy (surgical removal of the uterus). First-generation ablation techniques include endometrial laser ablation, transcervical resection of the endometrium and rollerball (RB) ablation. Examples of second-generation ablative techniques are fluid-filled thermal balloon endometrial ablation, radiofrequency (thermoregulated) balloon endometrial ablation, hydrothermal endometrial ablation, microwave EA (MEA) and impedance-controlled bipolar radiofrequency ablation (NovaSure; Hologic Inc., Bedford, MA, USA).In 1999–2000, half of the 51,858 hysterectomies performed in the public sector in England were for HMB. In contrast, 7179 hysterectomies were performed for HMB in 2004–5 while 9701 women underwent EA – over half of these (5457) by means of second-generation (non-hysteroscopic) techniques. The use of Mirena has increased concurrently, although its widespread use for contraception across a number of clinical settings in primary and secondary care means that it is difficult to gather accurate data on numbers prescribed for HMB.ObjectiveThe aim of this project was to determine the clinical effectiveness and cost-effectiveness of hysterectomy, first- and second-generation EA, and Mirena for the treatment of HMB. To address this question, the specific objectives were:1. To determine, using individual patient data (IPD) meta-analysis of existing randomised controlled trials (RCTs), the short- to medium-term effects of each class of treatment in terms of patient dissatisfaction, time to resumption of normal activities and complication rate, and to explore these outcomes in clinical subgroups.2. To report, using population-based data from record linkage, the long-term effects of ablative techniques and hysterectomy in terms of failure rates and complications.3. To inform current treatment policy in this clinical area, while the value of information component serves to highlight future research needs and agendas, and inform possible future research funding decisions.
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iii Health Technology Assessment 2011; Vol. 15: No. 19 (Executive summary)DesignSystematic review and individual patient data meta-analysis of available evidenceA detailed search was carried out to identify systematic reviews and RCTs involving hysterectomy, EA and Mirena. IPD were sought from RCTs of hysterectomy, EA techniques and Mirena to examine their relative effectiveness. A systematic review was conducted based on a protocol designed using widely recommended methods that complied with meta-analysis reporting guidelines.Individual patient data on 2814 women were available from 17 of the 30 RCTs identified (14 trials including 2448 women for first- vs second-generation EA; seven trials including 1127 women for hysterectomy vs first-generation EA; five trials including 304 women for second-generation EA vs Mirena; three trials including 190 women for first-generation EA vs Mirena; one trial including 236 women for hysterectomy vs Mirena). Direct and indirect comparisons were made where appropriate to assess the effect of interventions on the primary outcome measure of patient dissatisfaction.Follow-up of women following hysterectomy and endometrial ablation by record linkagePatient-based data for inpatient and day case activity from the whole of Scotland which are routinely collected as Scottish Morbidity Returns (SMR) by the Scottish Information Services Division (ISD) were used for this study. Following linkage with the Scottish Cancer Registry, an anonymised data set containing follow-up hospital data on all women who had undergone either hysterectomy or EA for HMB between 1989 and 2006 was made available to the researchers. Socioeconomic status was assessed using the Carstairs index, which was divided into quintiles for analysis. Descriptive statistics were used to summarise each of the surgical outcomes and potential predictor variables (age, year of procedure and Carstairs quintile). Appropriate univariate analyses across the hysterectomy and EA groups were performed. Cox proportional hazards regression analysis was used to examine the survival experience for different surgical outcomes in the hysterectomy and EA groups and then between different types of hysterectomy following adjustment for age, year of primary operation and Carstairs quintile.Cost-effectiveness evaluationThe authors developed a state transition (Markov) model using Microsoft excel (Microsoft Corporation, Seattle, WA, USA). The structure was informed by the review of the clinical literature supplemented by clinical input. The model allows a comparison of four hypothetical cohorts of women with HMB who are treated separately by one of four alternative strategies: (1) Mirena coil; (2) first-generation EA techniques; (3) second-generation EA techniques; and (4) hysterectomy. Given the reliance on secondary data and the availability of data, the model-based economic evaluation takes the form of a cost–utility analysis and was carried out from the perspective of the UK NHS in a secondary care setting. The results are reported in terms of incremental cost per quality-adjusted life-year (QALY) gained based on quality of life data available from published sources. The presentation of results in QALYs allows comparison of the results with other available and recently published studies [Garside R, Stein K, Wyatt K, Round A, Price A. The effectiveness and cost-effectiveness of microwave and thermal balloon endometrial ablation for heavy menstrual bleeding: a systematic review and economic modelling. Health Technol Assess 2004;8(3)]. Resource use was estimated from the existing published evidence and additional cost data from other sources such as the annual review of unit health and social care costs (Personal Social Services Research Unit) and national schedule for reference costs.
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ivExecutive summary: Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleedingResultsClinical effectiveness from individual patient data meta-analysisAt around 12 months, 7.3% more women [12.6% (57/454) vs 5.3% (23/432)] were dissatisfied with the outcome of first-generation EA than with hysterectomy [OR (odds ratio) 2.46, 95% confidence interval (CI) 1.54 to 3.93; p = 0.0002], but hospital stay [WMD (weighted mean difference) 3.0 days, 95% CI 2.9 to 3.1 days; p < 0.00001] and time to resumption of normal activities (WMD 5.2 days, 95% CI 4.7 to 5.7 days; p < 0.00001) were longer for hysterectomy. Unsatisfactory outcomes were comparable with first- and second-generation EA techniques [12.2% (123/1006) vs 10.6% (110/1034); OR 1.20, 95% CI 0.88 to 1.62; p = 0.2], although second-generation techniques were quicker (WMD 14.5 minutes, 95% CI 13.7 to 15.3 minutes; p < 0.00001) and women recovered sooner (WMD 0.48 days, 95% CI 0.20 to 0.75 days; p = 0.0008) with fewer procedural complications. Indirect comparison suggested more unsatisfactory outcomes with second-generation EA techniques than with hysterectomy [10.6% (110/1034) vs 5.3% (23/432); OR 2.32, 95% CI 1.27 to 4.24; p = 0.006].Rates of dissatisfaction with Mirena and second-generation EA were similar [18.1% (17/94) vs 22.5% (23/102); OR 0.76, 95% CI 0.38 to 1.53; p = 0.4]. Overall rates of dissatisfaction were 17.2% (22/128) for Mirena and 18.2% (25/137) for both first- and second-generation EA. Lack of IPD prohibited any further investigation of subgroups or repeated measures.Indirect estimates suggest that hysterectomy is also preferable to second-generation EA (OR 2.32, 95% CI 1.27 to 4.24; p = 0.006) in terms of patient dissatisfaction. This is confirmed by the repeated measures analysis over all three time points, which only include IPD (OR 3.06, 95% CI 1.59 to 5.90; p = 0.0008). The evidence to suggest that hysterectomy is preferable to Mirena was weaker (OR 2.22, 95% CI 0.94 to 5.29; p = 0.07), but given the lack of precision from Mirena comparisons this was not a surprising result.Medium- to long-term surgical outcomes following endometrial ablation and hysterectomy for heavy menstrual bleedingBetween 1989 and 2006, 37,120 Scottish women underwent hysterectomy and 11,299 had EA as a primary surgical procedure for HMB. The median [interquartile range (IQR)] duration of follow-up was 6.2 (2.7–10.8) and 11.6 (7.9–14.8) years, respectively, in the EA and hysterectomy cohorts.A total of 2779 women in the original EA group went on to have a hysterectomy and were excluded from further analysis.Of the remaining women originally treated by EA, 962 (8.5%) underwent further gynaecological surgery. While the risk of adnexal surgery was similar in both groups, women who had undergone hysterectomy were more likely to need further surgery for stress urinary incontinence. Vaginal hysterectomy was associated with a significantly higher chance of further surgery for urinary incontinence and pelvic floor repair than hysterectomy carried out through the abdominal route. The incidence of endometrial cancer following endometrial ablation was low at 0.02%.Cost-effectivenessThe results of the cost-effectiveness model show that the strategy of hysterectomy is the most cost-effective. Hysterectomy dominates the first-generation EA strategy and, although more expensive, produces more QALYs than the other strategies of second-generation EA and Mirena. The incremental cost-effectiveness ratios for hysterectomy compared with Mirena and
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v Health Technology Assessment 2011; Vol. 15: No. 19 (Executive summary)hysterectomy compared with second-generation ablation are £1440 per additional QALY and £970 per additional QALY, respectively.DiscussionStrengths and limitations of the analysisFor the systematic review, an extensive literature search was conducted, with no language restrictions, minimising the risk of missing information.A limitation of the systematic review was the unavailability of IPD from at least 35% of randomised women, which could not be accessed as a number of triallists did not agree to collaborate or could not be contacted. Received data were sometimes incomplete and, on occasions, failed quality checks, and so were unusable. The review's inferences are also limited by the inconsistent outcome measure used across trials; studies involving endometrial destruction (ED) and Mirena focused on comparing reduction in bleeding, while hysterectomy trials focused on patient satisfaction and quality.The follow-up study on women who had undergone hysterectomy or EA is, to our knowledge, the first large population-based study to use national data. Use of the International Classification of Diseases codes allowed us to define both the cause of HMB as well as the nature of surgery, but, as the diagnosis of dysfunctional uterine bleeding was performed by a process of exclusion, it is possible that the hysterectomy cohort could have included a few women with other causes of HMB. As a retrospective observational study, it is not free from problems of bias and confounding. The analysis was compromised by the limited availability of key socioeconomic as well as clinical variables. Although the numbers of women in the hysterectomy and ablation cohorts were large, a major drawback was our inability to discriminate between the individual types of first- and second-generation EA or adjust for the experience of the operator as has been done in previous national audits. We were also unable to analyse the long-term outcomes following laparoscopic hysterectomy as numbers were small and these were grouped with abdominal hysterectomy.The major strength of the economic component of this study is that it was based on a state-of-the-art Markov model which was informed by data from an IPD meta-analysis of randomised trials. A multidisciplinary team including economists, expert clinicians and statisticians provided input into the model structure, primarily based on the evidence in the literature. All assumptions used in the model were made a priori, and were based on the best available evidence.The quality of the health economic model was affected by the paucity of good-quality data such as those related to adverse outcomes following some types of EA and follow-up data on Mirena use. In addition, the complexity of the model meant a long running time, which inevitably affected the number and nature of additional sensitivity analyses undertaken. Interpretation of available evidence and consensus regarding treatmentMore women were dissatisfied following EA than hysterectomy. However, dissatisfaction rates were low after all treatments and hysterectomy was associated with an increased hospital stay and recovery period. The paucity of suitable trials means that definitive evidence on the effectiveness of Mirena compared with more invasive procedures is lacking. Hysterectomy would be considered the most cost-effective strategy in the light of the acceptable thresholds used by the National Institute for Health and Clinical Excellence (NICE). The results concur with those of other studies, but are sensitive to utility values used in the analysis.
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viExecutive summary: Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleedingA summary of the results on the clinical effectiveness and cost-effectiveness of Mirena, EA and hysterectomy was sent electronically to 15 national experts (gynaecological surgeons) along with a short questionnaire to encourage rapid response. After two mailings, responses were received from 10 clinicians, 9 of whom indicated that having considered effectiveness, cost-effectiveness and invasiveness/risks they would favour HMB LNG IUS (Mirena), second-generation EA techniques and hysterectomy as first-, second- and third-line approaches to HMB resistant to oral medication. This view was endorsed by three consumers who highlighted the need for a degree of flexibility in order to accommodate the preferences of individual women.ConclusionAlthough hospital stay and time to resumption of normal activities were longer, more women were satisfied after hysterectomy than after first-generation EA. In the absence of head-to-head trials, indirect estimates suggest that hysterectomy is also preferable to second-generation EA in terms of patient satisfaction. Dissatisfaction rates were comparable between first- and second-generation techniques, although second-generation techniques were cheaper, quicker and associated with faster recovery and fewer complications. There are few comparisons of Mirena with more invasive procedures.The few data available suggest that Mirena is potentially cheaper and more effective than first-generation ablation techniques with rates of satisfaction that are similar to those of second-generation techniques. Owing to a paucity of trials, there is limited evidence to suggest that hysterectomy is preferable to Mirena. Hysterectomy is considered the most cost-effective strategy, but, owing to its invasive nature and higher risk of complications, is considered a final option by gynaecological experts and consumers.Implications for service provisionOur review provides evidence that hysterectomy reduces dissatisfaction compared with EA, and this information could contribute to a consultation with women making a choice about treatment options when initial drug treatment fails to control HMB. EA is satisfactory for a very high proportion of women, but, if complete cessation of bleeding is sought, then hysterectomy may be offered. A decision to opt for hysterectomy needs also to take into account the invasive nature of the procedure and its potential for short- and long-term morbidity in some women.Although conclusive evidence from randomised trials is still awaited, the evidence from our review is consistent with a recent NICE recommendation that women should be offered Mirena before more invasive procedures. This view reflects the minimally invasive nature of the intervention as well as the ability to offer it in primary care. This piece of research has highlighted the benefits and risks associated with the three broad strategies for the treatment of HMB and, while supportive of the existing NICE guideline on this subject, our results underline the need for a degree of flexibility in accommodating women's preferences.Need for further researchThis project has uncovered a number of areas for future research. These include: ■evaluation of the clinical effectiveness and cost-effectiveness of the best second-generation EA technique under local anaesthetic versus Mirenaexploring the safety of second-generation EA and Mirena through a national auditlonger term follow-up of randomised cohorts of women treated for HMB ■ ■
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vii Health Technology Assessment 2011; Vol. 15: No. 19 (Executive summary) ■evaluation of the clinical effectiveness and cost-effectiveness of hydrothermablator (HA, the second-generation EA device which can be used under direct vision) against other second-generation techniquestrials assessing conservative and less morbid types of hysterectomy such as laparoscopic supracervical hysterectomy versus conventional hysterectomy and second-generation EA. ■FundingFunding for this study was provided by the Health Technology Assessment programme of the National Institute for Health Research.PublicationBhattacharya S, Middleton LJ, Tsourapas A, Lee AJ, Champaneria R, Daniels JP, et al. Hysterectomy, endometrial ablation and Mirena for heavy menstrual bleeding: a systematic review of clinical effectiveness and cost-effectiveness analysis. Health Technol Assess 2011;15(19).
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NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'.The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects.First is the commissioned route. Suggestions for research are actively sought from people working in the NHS, from the public and consumer groups and from professional bodies such as royal colleges and NHS trusts. These suggestions are carefully prioritised by panels of independent experts (including NHS service users). The HTA programme then commissions the research by competitive tender.Second, the HTA programme provides grants for clinical trials for researchers who identify research questions. These are assessed for importance to patients and the NHS, and scientific rigour.Third, through its Technology Assessment Report (TAR) call-off contract, the HTA programme commissions bespoke reports, principally for NICE, but also for other policy-makers. TARs bring together evidence on the value of specific technologies.Some HTA research projects, including TARs, may take only months, others need several years. They can cost from as little as £40,000 to over £1 million, and may involve synthesising existing evidence, undertaking a trial, or other research collecting new data to answer a research problem.The final reports from HTA projects are peer reviewed by a number of independent expert referees before publication in the widely read journal series Health Technology Assessment.Criteria for inclusion in the HTA journal seriesReports are published in the HTA journal series if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the referees and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search, appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others.The research reported in this issue of the journal was commissioned by the HTA programme as project number 05/45/02. The contractual start date was in September 2007. The draft report began editorial review in February 2010 and was accepted for publication in September 2010. As the funder, by devising a commissioning brief, the HTA programme specified the research question and study design. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the referees for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.The views expressed in this publication are those of the authors and not necessarily those of the HTA programme or the Department of Health.Editor-in-Chief: Professor Tom Walley CBESeries Editors:Dr Martin Ashton-Key, Professor Aileen Clarke, Professor Chris Hyde, Dr Tom Marshall, Professor John Powell, Dr Rob Riemsma and Professor Ken SteinAssociate Editor:Dr Peter DavidsonEditorial Contact:email@example.com 1366-5278 (Print)ISSN 2046-4924 (Online)ISSN 2046-4932 (DVD)© Queen's Printer and Controller of HMSO 2011. This work was produced by Bhattacharya et al. under the terms of a commissioning contract issued by the Secretary of State for Health.This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (http://www.publicationethics.org/).This journal may be freely reproduced for the purposes of private research and study and may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising.Applications for commercial reproduction should be addressed to: NETSCC, Health Technology Assessment, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.Published by Prepress Projects Ltd, Perth, Scotland (www.prepress-projects.co.uk), on behalf of NETSCC, HTA.Printed on acid-free paper in the UK by the Charlesworth Group.


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I have been away for a few weeks so sorry this is being posted so late.
It appears that ebay is going to buy Skype (see http://www.eweek.com/article2/0,1895,1857847,00.asp?kc=ewnws091205dtx1k0000599) which seems like a very interesting move in the world of collaboration. As yet there is little information on what they are going to be using it for so it will be interesting to see what develops over the next few months.
Will keep you posted !


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The Rockies' No. 19 prospect retired the first 24 batters before allowing a leadoff infield single in the ninth inning Tuesday as the Double-A Tulsa Drillers blanked the Corpus Christi Hooks, 4-0.
Cabrera struck out eight before Chris Wallace lined his 102nd pitch of the night up the middle. Second baseman Angelys Nina made a diving backhanded stop, but his throw just missed getting Wallace at first base.
"It was really close," Cabrera said. [Nina's] a really good fielder and I thought when he threw the ball he was out."
Cabrera exited to a standing ovation and was relieved by Coty Woods, who retired all three batters to complete the one-hitter.
"I was really happy," Cabrera said. "It was exciting. Eight perfect innings, I'm excited."
Tuesday's gem was nothing new for the 24-year-old left-hander, who's dominated the Texas League in his first three starts. He's allowed only 11 baserunners while striking out 16 over 20 innings.
"My fastball was working, my changeup was working and my breaking ball was working a little," Cabrera said. "My changeup was working a lot, I threw like 30."
The non-drafted free agent out of the Dominican Republic had a whirlwind 2011 season in which he led the Minor Leagues with 217 strikeouts, establishing a Rockies organizational record. He finished 8-3 with a 3.34 ERA in 26 starts for Class A Asheville and Class A Advanced Modesto.
Lars Davis broke up a pitchers' duel and staked Cabrera to a 2-0 lead in the fifth with his first homer of the season. Cabrera praised his batterymate's skills behind the plate.
"He's a really good catcher, he called a really good game," he said. "It's awesome."
Kiel Roling padded the lead with a solo shot in the sixth and Rockies No. 16 prospect Josh Rutledge capped the scoring an inning later with an RBI single.
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NHL Playoffs: Grades for Night 10
More NHL Playoffs: Scores | TV Schedule | Expert Picks | Odds | Mock Draft | Rumors
|The first 20 minutes were ugly, but after that the Penguins kicked it into gear and looked like the heavy favorites they're supposed to be by rolling to a win on Thursday to take a 3-2 lead as the series heads back to New York on Saturday. Sidney Crosby had a big game while Tomas Vokoun entered the starting lineup in net and was rock solid, keeping the Penguins in the game when they were getting outplayed in the first period.
|They played great for 20 minutes but a couple of defensive breakdowns and a bad play by Evgeni Nabokov on Douglas Murray's second-period goal shifted momentum to the Penguins and the Islanders were never able to catch up.
|Tomas Vokoun was big for the Penguins, especially early, and helped to solidify -- for one night anyway -- what's been a position of weakness in the playoffs for Pittsburgh.
|Goaltending was quite simply the difference in this game and this series. Ottawa received very good goaltending and Montreal did not. I thought there were a lot of times in this series that the Senators were outplayed on some nights but got by on the strength of their goaltending. Story of their season, actually.
|The Canadiens didn't play poorly in this game, and it's not going to make them feel any better now that their season is over, but they weren't as bad as their five-game exit in this series might indicate (well, there was that one meltdown in Ottawa that was pretty bad). With better goaltending (or worse goaltending from Ottawa) this series might be going six or seven games instead of being over.
|This went the way it was expected to go. The Wild played them tight in a couple of games, but Chicago just had too much firepower. Perhaps the biggest surprise out of this series was how well Corey Crawford played in goal after such a disappointing performance in last year's playoffs. It will be interesting to see if he's able to maintain that level of play in the second round against what will surely be a more potent offense (either San Jose or Detroit) than the one Minnesota provided.
|It was nice step forward for a franchise that had fallen short of the playoffs for so many years, but there is still quite a ways to go before the Wild become serious contenders. The biggest positive for Minnesota wasn't necessarily a playoff spot (though, that was nice) but the development of young guys like Jonas Brodin, Charlie Coyle, and Jason Zucker. Zach Parise and Ryan Suter were big additions over the summer, but this franchise needed more than just two big-name free agents to become a factor in the Western Conference. The development of young players like the aforementioned trio is a nice starting point. Josh Harding also gets high marks for coming off the bench and playing the way he did after everything he has gone through off the ice.


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Retox Party HostelBudapest, Hungary
I stayed in the winter, which I'm sure it totally different than the summer. Staff were a little burnt out, but it made for a more chill environment. I've heard stories of how horrible it is and it's a dump etc. I'm 24 and my friend is almost 30. We're not "college kids". We're adults. I thought it was fine. The staff are also total professionals. You may not realize it when you're 18, but we were amazed at how good they were at making it an enjoyable experience for guests
- Avid Traveller
- All Male Group, 18-24
- (20 reviews)
Kismet Dao HostelBrasov, Romania
A little away from downtown. Great homey vibe. The beds are on a different floor than the common area so very quiet. When I was there it was more of a "come here to sleep" vs. travelers mingling but it's definitely set up for interaction. Brasov is a cool city.
X Hostel BucharestBucharest, Romania
Went in the winter so a different vibe but not one of my favorites. The staff was cliquey and seemed more interested in each other than the guests (volunteer staff). Ideal location though. Might be different with more travelers.
Jetpak AlternativeBerlin, Germany
Very good environment. Kicks people out so they can enjoy the city. Definitely feels like a hostel with people gathering in the common area and bonding. 10 minute walk to the metro though.
PLUS BerlinBerlin, Germany
Feels more like a hotel than a hostel. Has a bar so able to meet other travelers but it's huge. Amazing beds super comfy and great staff. Easy to get to Kreuzberg and near public transit.
Copenhagen Downtown HostelCopenhagen, Denmark
Great hostel. Does free dinners which encourages people to get there early and co-mingle. Awesome and not super expensive bar. A great hostel for a single traveler. Ideal location.
Chef Hostel Tel Aviv Montefiore City CenterTel Aviv, Israel
Great hostel. One of the best I've been in. It really creates a family atmosphere unlike any I've ever seen. Events everynight at the terrace. Great for meeting people.
Youth Hostel AnnaSantorini, Greece
Good sociable hostel. It's basically 4 dorm rooms all connected by a porch... so it's great for meeting people but bad if you go to bed early since everyone hangs out on the porch. It's not by the towns but right next to a great beach.
Francesco'sIos, Greece
Absolutely amazing location. Right in the heart of everything. Good vibe. When you're stumbling back drunk at 8 Am you don't want to go anywhere else.
The Pink Palace Hotel & HostelCorfu, Greece
This hostel is a pale shale of what it apparently used to be and you can tell. While you'll have a good time it just seems a bit off. Like it's trying too hard to keep it's glory days while also transitioning into a more family friendly place. That being said the facilities are nice, free dinner is by far the best food I've had in a hostel, staff was pretty hit or miss some were cool some seemed completely useless. I ran into a bunch on another island since they all quit due to working condition
Old Town Hostel East WingKotor, Montenegro
Great hostel. Good location, very homey. They try to do a nightlife even though it's Kotor. Absolutely no complaints.
Villa DivineDubrovnik, Croatia
Easily the nicest hostel I stayed in on my Balkan trip. Amazing view of the water and right near the major beaches. It is quite a busride to Old Town but the hostel is close to the bus stop. A bit pricey but it is Dubrovnik so to be expected. Staff is super attentive more like a fancy hotel than a hostel.
Hostel NinaMostar, Bosnia And Herzegovina
Great hostel. The war tour was super informative. The hostel is in a very nice house in Mostar. The owner, Zika, also oowners a bar in town where hostel guests get one euro drinks and his mother in law made us homemade Bosnian food.
Hostel City Center SarajevoSarajevo, Bosnia And Herzegovina
Good hostel. Nice large common area. Centrally located in the center of town. Only stayed one night but it's just a totally solid well run hostel.
Madness HostelBelgrade, Serbia
Super cozy hostel. It's literally someone's apartment. The owner is really cool and funny and occasionally makes food that he shares with you. The locks and shower have a little wear and tear but nothing too bad and the homely feel of the place more than makes up for it. Also free laundry and they dry it for you. Really like staying in a friend's apartment the owner added me on facebook afterwards to keep in touch.
Hostel Mostel Veliko TarnovoVeliko Tarnovo, Bulgaria
Great place. Do the UFO tour one of the best I've ever done and lasts up to 12 hours if you're group is interested. Very beautiful hostel in a scenic city.
X Hostel VarnaVarna, Bulgaria
This hostel definitely caters to a certain kind of person... although if you're looking here you're probably that kind of person. The owner, Chris, has one priority in mind... making sure everyone has a good time. It did not feel like a business but rather visiting a good friend's beach house. I was there early (season doesn't start till July) but not everything listed was there. That said you're next to Golden Sands. If you're looking for a chill place to party on the Black Sea this is it.
Bahaus HostelIstanbul, Turkey
Absolutely amazing hostel. Rooftop bar gives you a great view of the city and there's always people there. You're maybe a 2 minute walk from all the sights in the historic district. Barry is super knowledgeable and knows everyone and everything. Take advantage of him. Within a couple days you really feel like family here... people who had been just a few days were working behind the bar, you befriend all the staff, etc. Amazing location and awesome vibe..
M MontrealMontreal, Canada
Spent 2 nights here. Great atmosphere. When I got there there was a beer pong tournament that the hostel had organized just finishing up. The downstairs bar scene was crowded both nights and a great environment to meet people. The staff was helpful in having me plan my day in Montreal. Bed was pretty comfy. There's parking in the back I think it was a little over $20 for 2 nights. Overall a great visit.