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Home > Services > Maternal Fetal Medicine
1417 S. Cliff AvenueSioux Falls, SD 57105view phone numbers
Not every expectant mother needs the highly-specialized care of Maternal Fetal Medicine. But when pregnancy complications arise, our experienced team works in partnership with your family physician or obstetrician to help ensure a safe delivery with the best possible outcome.
Throughout pregnancy, delivery and recovery, our patients have access to the trusted, high-quality care offered through the Avera Women's Center and entire Avera system of care. And if needed, Avera's neonatologists, NICU team and pediatric specialists are close at hand to provide the best in newborn care.
Meet the Avera Maternal Fetal Medicine Team
Maternal Fetal Medicine is a subspecialty of obstetrics and gynecology, dealing with high-risk pregnancies. We care for expectant mothers who may have a history of pregnancy loss, premature labor, previous pregnancy complications or special health concerns such as diabetes and high blood pressure.
Avera Maternal Fetal Care provides:
Learn about the services we offer »
A perinatologist is a physician who has been trained to manage high-risk pregnancies. In addition to medical school and a four-year residency in obstetrics and gynecology, these physicians have completed a two-year fellowship in perinatology. Meet the Maternal Fetal Medicine team »
You may be referred to a perinatologist if your physician feels that you are experiencing problems, or if you are at risk for complications during your pregnancy. Perinatologists can make a complicated diagnosis in order to effectively prevent or correct a problem before delivery, and may bring together a team of specialists to aid in a successful birth.
Genetic counseling is the process by which expectant parents are advised of their risk of passing genetic disorders on to their children, the nature and consequences of these disorders, as well as management options in order to prevent, avoid or reduce their effects. There are a variety of situations when your physician may suggest adding the services of a genetic counselor, as part of your comprehensive health care team.
Learn more about Genetic Counseling
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ACHICA > Stylish Shades of Summer > Marc By Marc Jacobs Sunglasses, FSMMJ195M
Click image to zoom -- or click here to enlarge
Marc By Marc Jacobs Sunglasses, FSMMJ195M
This product is not available
|Sale closed
|Product Information
100% UV protection lenses.
Presented in a luxury Marc by Marc Jacobs case and cleaning cloth.
Product Code FSMMJ195M
|Delivery & Returns
We hope you will be thrilled with your purchases but in the unlikely event that you want to return something, you can find full return instructions on the back of your delivery note or click here

subset: commoncrawl


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Out of Stock
Item # MAV0419
Don't worry though, we have a lot more 29" Mountain Bike Wheels - Clincher in stock than that.View Similar Products
Mavic Crossride Disc 29in Wheelset - 2013 $0.00
No matter how much money you're willing to drop on Mavic 29er wheels, you can sleep at night knowing that you invested in the highest quality that your money could buy. The Mavic Crossride Disc 29in Wheelset is no exception to this rule. Refusing to make a throwaway 'entry-level' 29er wheelset, the Crossride Wheelset reflects Mavic's devotion to progression and precision in everything they make. Using a lightweight, responsive rim designed to remain strong and true after rocky beatings, the Crossride will satisfy both the 29er loyalist and the newly converted.
Mavic's Crossride Disc 29in Wheelset was developed with rider experience at the forefront of the design. In fact, the pros from teams Orbea, Cannondale, and Luna were integral in the research and development process. With their input, and a dash of French engineering prowess, Mavic was able to make the Crossride a rigid, but comfortable, entry-level wheelset that wants to accelerate and sprint out of the corners. The first step in the new design was incorporating Mavic's Self Lock system. This system uses a specially shaped spoke end that makes it virtually impossible for the spoke's thread to loosen from the nipple. This means that the Crossride's 24/24 straight-pull rims retain a constant, out-of-the-box shape with a tension and true that refuses to deviate. To combine durability and rigidity, Mavic next used the H2, hammer hardened, rims that are locally strengthened where the spokes experience the most stress. Combined, the Crossride wheelset is both strong enough and responsive enough for brutal, technical climbs and descents.
Mavic's technological innovations aren't limited to just the rim, they extend throughout every component of the wheelset. The hubs use Mavic's top-shelf QRM cartridge bearings that feature a protecting double seal, and a C3 internal clearance to nearly eliminate bearing play. For the freehub, Mavic used the FTS-X for its durability derived from strengthened pawls, self-locking axle end screws, and friction torque reducing seals.
This wheelset is part of Mavic's MP3 extended warranty program. The acronym stands for Mavic Product Protection Plan, and it provides you with two years of almost unlimited no-fault protection from Mavic. More details can be found on the MP3 website. Please note that MP3 coverage must be purchased within 5 days of the date that you receive your wheels. Contact one of our customer service representatives for the retailer and product codes that you'll need to register your wheels on the Mavic MP3 site. You'll also need the serial numbers that you'll find on your wheels. The cost for this coverage is approximately 8% of the retail cost of the wheels.
The Mavic Crossride Disc 29in Wheelset accepts only six bolt ISO standard disc rotors. This wheelset is is available in the color Black, and the freehub body accepts Shimano and SRAM 8-, 9-, and 10-speed cassettes. This wheelset has a 15mm thru-axle front hub and a 10x142 QR rear hub. Quick release skewers and hub adapters are included. The thru-axle is sold separately or comes included with most forks.
- Self Lock spoke system
- Hammer hardened reinforced rim
- QRM cartridge bearing hub
- FTS-X freehub
- MP3 warranty available
Tech Specs
View more 29" Mountain Bike Wheels - Clincher
Reviews & Community
Can I mate these with my 2.5" Maxis Minions, or are these rims too narrow? Thanks!
Great UpGrade Wheels for Cheap
- Familiarity: I've put it through the wringer
The best way to make a bike from Good to Great is to upgrade the wheels, I put the Cross Ride on my Townie and it really makes for a great ride. The Light weight and stiffness of these wheels makes the bike roll with ease. Most people don't realize how much better a nice set of wheels improves their ride quality.
hub type correction
For the set I just received, the front hub is a 15mm thru axle (no adapter for 9mm QR). Also, backcountry does not carry the necessary adapters.
The rear hub is a 12mm thru axle but does include adapters for quick release and the appropriate skewer.
So "out of the box" these wheels can be run with 15mm front axle only, rear can be 9mm QR or 12mm TA.
Typically the wheels come with all the adapters for any set up
The comments below indicate these wheels...
The comments below indicate these wheels have a front axle of both 9mm QR (Kyle Smith 12/15) and 15mm TA (Adam D 10/08). Can you confirm which it is?
they should come with the parts for both QR and Through Axle
Can these wheels also be used with cantilever...
Can these wheels also be used with cantilever brakes? What is the maximum rider weight rating?
no. well not in any safe manner at least.
I have a 2014 Giant Trance X 29er 1. From...
I have a 2014 Giant Trance X 29er 1. From Giant, it has:
Hubs: Giant Performance Tracker Off Road, sealed, [F] 15mm axle, [R] 135x5mm QR
Will these wheels (at the $179.40 price point) work?
The option at that price point comes stock with a 9mm quick release front hub configuration and for your bike you would need a 15mm that would require the Mavic 15mm Front Hub Adapter (MAV0440).
I need to know what size you're getting...
I need to know what size you're getting for the 'one color, one size' option that is $179.40.
[front] 9 x 100, [rear] 10 x 135
15mm front, 9mm QR Rear
- Familiarity: I've put it through the wringer
If you want to convert the rear to a 12x142 you need item MAV000A
Hi. what�s the difference between the one for $ 179.40 and the one at $ 324.95. I need 15 mm front and 142 rear, can I purchase the ones at $ 179.4 and use some adapters for the rear wheel?
Thank you
Hi Alejandro,
Here's a link for the 12 x142 rear adapter. NOt in stock at the moment, but give us a call to order and we can backorder a set for you.
Great Value
- Familiarity: I've used it once or twice and have initial impressions
I bought these wheels mainly for the price, I have Easton EA90XC on my 26" bike but didn't want to spend that kind of money on my first 29er. Damn!, these wheels seem lighter than the Eastons and they roll forever. Would have been a steal at the regular price. I highly recommend these for anyone doing light to medium trail riding, they'd probably handle more though. GREAT DEAL BackCountry... Thank you!
Ride On,
Great bargain
- Familiarity: I've used it several times
This wheelset is a great value for the money. I've used it out a couple times now. Climbs quick. Light in the rims. Cushy all around.
Can I set this up with tubeless tires?
Can I set this up with tubeless tires?
Its not UST so not officially. It is possible to use a Stan's tubeless kit but the clincher hook isn't designed for tubeless.
hi, is this pair front and rear wheel set...
hi, is this pair front and rear wheel set for mavic crossride disc wheel set? and can be pair for front is 9x100, and rear 10x135 ? thanks
This is a set. the front is 15mm and the rear is 9mm QR. We don't have the adapters at the moment for a 9mm qr front.


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(USA Today) -- Early in the fourth quarter of a St. Clairsville (Clairsville, Ohio) win over Edison (Richmond, Ohio) on Oct. 5, Michigan recruit Michael Ferns took a sweep 52 yards down the left sideline and had nothing in the way of him and a touchdown.
But he slowed down as he approached the end zone and walked out of bounds at the 1-yard line.
"Mike ran the play to perfection," St. Clairsville coach Brett McLean said.
Two days earlier, freshman Logan Thompson's father, Paul, died from a sudden stroke. Once McLean learned that Logan would indeed suit up for Friday's game against Edison, McLean began to formulate a plan to help his freshman wide receiver "honor his father."
Secretly, McLean instructed Ferns and the other skill players, if given the chance, to stop short on a touchdown so they could get Logan in.
"When I saw Mike break away down the sideline I just started yelling for Logan," McLean said. "He was surprised because he - like everyone else - figured Mike would just run it on in. Logan didn't know anything about what we were doing."
The officials were equally confused.
When Ferns literally walked away from his 12th touchdown of the season, two officials signaled for a touchdown, a call that Boston College-bound receiver Dan Monteroso adamantly argued.
"I think it's the first time that the refs have seen our boys argue against us getting a touchdown," McLean said. "I told Logan, 'We're gonna get you in the end zone."
Thompson, a starter on the freshman team, plays sparingly at best on varsity and never lined up at running back, but McLean simplified the isolation play call with three words: "Just follow Ferns."
"Mike and the line opened up a huge hole for Logan and he ran it right in," McLean said. "He had his first touchdown on his first carry. Mike ran up to Logan and gave him a big hug. It was emotional for everyone."
St. Clairsville ended up winning, 56-27.
Logan's emotion poured out onto Twitter after the game. "Looking straight up into the sky after scoring my first varsity touchdown...i know the old man was watching! love and miss you so much daddy," he tweeted.
Still grieving, Logan and Ferns declined to comment on this story.
"They're teenagers and it's not something they want to talk about today," McLean said. "Last Friday was something that touched the whole team. Logan was going through so much and for a few minutes we helped him get his mind off of things. It honored his dad. It was just an awesome moment."
Reported and written by Jason Jordan, a High School Sports reporter for USA TODAY. He can be reached at firstname.lastname@example.com. Don't forget to follow him on Twitter: @JayJayUSATODAY.


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Veterans Legal Support Center & Clinic
VLSC Events
Annual Veterans Legal Support Center Conference
The issues that are affecting veterans today might not be the issues that veterans are facing tomorrow. In an effort to remain knowledgeable about the new challenges faced by veterans, the VLSC hosts annual conferences. The conferences attract a national attendance and are a way to promote discussion on important veterans law topic areas.
Veterans Benefits Advocacy CLE Programs
The VLSC hosts two CLE presentations a year, one in the spring and one in the fall, for attorneys that need to satisfy the post-accreditation CLE requirement for VA-accredited attorneys. This training is an all-day event that provides a comprehensive overview of Veterans Benefits. The VLSC posts additional information as soon as specific CLE dates and times are determined.


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Essentials Wristlet
- Zippered case opens to an ID holder, and 4 slip pockets for cash and credit cards.
- Exterior has a zippered pocket with key fob, and a pouch with snap closure for your cell phone or MP3 player.
- Adjustable, removable wrist strap and cross body long strap. Water repellant exterior and interior easily wipes clean.
- Eco friendly. HADAKI products are AZO free. We use no Phthalates / DEHP or DBP. Dimensions: 3.75"L x 1"W x 5"H
Showing 1 to 19 of 19 (1 Pages)


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District News
DoDEA Americas Public Affairs
700 Westpark Drive
Peachtree City GA, 30269
Phone: 678-364-8044
Fax: 770-632-8720
DoDEA Americas Schools in the News
Back to Previous Page | All News Items
Fort Rucker Elementary School celebrates Month of the Military Child
By Ariana Diaz, Southeast Sun Staff
Southeast Sun
Enterprise, Alabama | April 15, 2013
As a child of a service member, military children have a lot to deal with from frequent moves, ever changing schools, making new friends and family separation through deployments.
To honor the sacrifices these children make, April is designated as the Month of the Military Child.
"Month of the Military Child is about the hardships that military kids go through," Teresa Orellana, sixth grade student at Fort Rucker Elementary School said. "Military kids have to move to different places and their father or mother are deployed so they miss out on their family."
To recognize everything military children go through, Fort Rucker Elementary School celebrated and kicked off the month with guest readers from Picerne Housing, Youth Services Center and Troy University.
Guest readers participated with all 18 classes at the school and read Dr. Seuss's "The Lorax."
Students were also given a seed packet so they could plant "something wonderful" at home.
Among the many activities planned for the month, students also made "I am a Military Child" murals.
Sixth grade student Kiana Chio-Martinez said this activity was her favorite.
"The mural represents us and what we do as a military child," she said. "I liked that we could express ourselves. I made a little mannequin that looks like me and then I put a book in it because I like to read."
Another activity for the month, was a project for the Deployment Club kids.
Members of the Deployment Club made Flat Brats to send off to their deployed parent.
Flat Brat is an adaptation of the classic children's book "Flat Stanley." In the book, the main character Flat Stanley is flattened and mailed off to adventures all over the world.
In this case, the Deployment Club kids made Flat Brat soldiers and wrote letters for their deployed parent to take with them on adventures and to serve as a reminder of their family back home.
"It feels good to know they'll have it because then they'll know that you're always there," Ruby Moore, fourth grade student said.
Even though military children live the military lifestyle, it is still hard for them to deal with moving around constantly and deployments.
"Military kids and civilian kids, there is a difference," Orellana said. "We have to go through many different things with our family. There's a lot of stress when dad or mom are gone. It's hard on the family."
Sixth grade student Ryan Buchanan said it's also hard leaving friends behind.
"I think it's hard on us because once you move you will miss your friends," he said. "It's happened to me and I know how it feels because I have a best friend in Fort Hood, Texas and I still get to talk to him on the phone, but it makes my heart sad because I can't see him all the time."
Although military children face many challenges, these students all agree the activities at school, at home and in the community help.
Fort Rucker Elementary School Principal Vicki Gilmer said the school tries its best to help the students transition and provide support services to help with the needs of the the military child.
"Fort Rucker Elementary is a part of the worldwide community support network available to military families," she said. "Teachers, counselors and psychologists specialize in promoting a quality education, but also in the unique needs of the military child. Our most important contributions are a high quality education and providing a stable environment for the military child."
The Month of the Military Child was established to bring awareness for the military child and to thank them for the sacrifices they make daily.
"We celebrate the Month of the Military Child so we can feel appreciated and so we can have some fun," Buchanan said.


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Tap into your wild side for your next costume party with one of our sexy animal costumes. Whether you want to look cute as a kitten or as ferocious as a tiger, our selection of animal costumes has just what you are looking for. Our costumes aren't just limited to the typical cats and dogs. We carry great animal ensembles like foxes, leopards, and wolves for anyone looking to break the mold at their next costume party.
Women's Sexy Naughty Raccoon Deluxe Costume
Women's Deluxe Sexy Exotic Zebra Costume
Sexy Feline Bandit Costume for Women
Women's Sexy Tuxedo Bunny Costume
Women's Sexy Foxy Lady Costume
Womens Sexy Wicked Wildcat Cougar Costume
Sexy Women's Black Tie Bunny Costume
Women's Sexy Zebralicious Zebra Costume
Sexy Miss Mikki Costume for Women
Sexy Bronze Leopard Hooded Romper Costume
Sexy Fetish Feline Costume for Women
You don't always have to attend a party as a lone wolf. If you plan on wearing your animal costume as part of a couples costume, try dressing as two animals form the same pack! A sexy wolf costume goes great with a men's costume of the same type, a lioness costume can be paired with a lion outfit, and a cat costume can be paired with a dog costume. Once you have chosen your favorite animal outfit, make sure you have the right accessories. Be sure to pick up the proper tail, ears, and jewelry to make your costume all it was meant to be! When planning hair and makeup, go wild! Draw on whiskers or spots with eyeliner or face paint as is appropriate for your costume. Keep your hair loose and tease it in some areas to get a savage look. For more sophisticated animals, consider keeping your hair sleek and neat. No matter what your favorite animal is, be sure to hunt it down here!


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Komodo Dragon Blend Tumbler, 16 fl oz
Inspired by our Komodo Dragon Blend® coffee, this 16-fl oz acrylic tumbler features a stunning layered metallic design. From the red dragon graphic to the pattern of silver lanterns against a gray background, this coffee tumbler is a work of art. It comes with a flip-top, snap-lock lid and is dishwasher safe. Do not microwave.
Did You Know?
This tumbler, which features the dragon-like creature that's native to Indonesia, is a fun way to celebrate 2012, the Year of the Dragon. The Year of the Dragon in the Chinese Zodiac begins on January 23, 2012 and ends on February 9, 2013.
You may also like


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ABOUT COMBINING DIFFERENT STYLESAll PCA FULL SIZE calendars can be combined in quantities as few as 150 units PER STYLE at no additional charge with a total order of 300 units. When combining styles the absolute total minimum order will be 300 units and the imprint must be the same.
CLICK ON OPTIONAL EXTRAS TO THE LEFT TO ADD: Optional Envelopes
Product 7/21
We take your privacy seriously and use 128 bit SSL encryption to process all orders.
Order securely 24 hours a day, 7 days a week, 365 days a year


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Have restored Zimbra OSE after a dead disk.
All services start.
zmdbintegrityreport comes up clean.
zmfixperms has been run.
ZWC comes up, login accepted, but things never progress past the theme splash screen.
Zimbra Admin console never comes up to login prompt.
No IMAP/POP sessions can pull data.
zmmailbox command can attach/query accounts just fine.
Let me try to ensure all relevant details are included:
ZCS OSE 7.1.4 - RHEL5 x64 build
CentOS 5.8 x64
Run as a VM (2 vCPU, 2GB RAM)
- this is for a 2-user system.
- running under this configuration for ~4 years without perf issues.
Cold backups via Bacula of /opt/zimbra
hypervisor disks dead, so too all VMs sitting on it.
Fix Process
- Fresh install of hypervisor w/ new disks.
Fresh OS install, patch.
Fresh ZCS 7.1.4 Open Source Edition install - RHEL5 x64 build.
Login to the fresh instance admin console fine.
Stop fresh instance.
mv fresh instance from /opt/zimbra to /opt/zimbra.default
Restore from successful FULL backup to /opt/zimbra.
zmfixperms -v run - all reports OK.
zmdbintegrityreport -r -v run - all reports OK.
- actually manually ran the full CLI for the mysqlcheck with the -m and -e options just for giggles
- all report OK.
Can run the zmmailbox command and attach to various accounts.
- all accounts appear OK.
/var/log/zimbra.log empty.
/opt/zimbra/log/mailbox.log showing normal entries.
I'm at a loss to understand where to go to understand the behaviour.


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Washington, DC (Sports Network) - Michael Carter-Williams carried Syracuse
back to the Elite Eight with 24 points, six rebounds and four steals as the
Orange ousted top-seeded Indiana, 61-50, in the second East Regional
Syracuse's zone defense caused problems for the Hoosiers all night, forcing 18
turnovers while holding them to 34 percent shooting, including a dreadful
3-of-15 effort from behind the arc.
Brandon Triche and C.J. Fair chipped in 14 and 11 points, respectively, for
the fourth-seeded Orange (29-9), who advanced to the regional final for the
second straight year.
They will face a familiar Big East foe in Marquette on Saturday, as the third-
seeded Golden Eagles upended second-seeded Miami-Florida in Thursday's first
game at Verizon Center.
The nightcap was headlined by Syracuse's stingy defense, as Baye Moussa Keita
recorded three of the Orange's 11 blocks and helped limit Cody Zeller to 10
points on 3-of-10 shooting.
Victor Oladipo, a Naismith Award finalist, led the Hoosiers (29-7) with 16
points while Christian Watford added 13 points in the loss.
Indiana joined Gonzaga as the only No. 1 seeds to fall thus far.
The Sports Network


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Marquis Gatewood, formerly the assistant director of residence life, takes the reins of the department as the new Director of Residence Life and Conference Housing for the 2013-14 Residence Life team.
Gatewood recently accepted the director position after a challenging summer of being short-staffed.
"Within a matter of weeks, our department went from a team of three to a team of me," Gatewood said. "Even though the transition was a stressful, my amazing student leaders and workers helped me balance and manage our changing department."
As the new director, Gatewood has many plans to change and improve the department.
"I look forward to connecting more with our residents," Gatewood said. "My goal is to have some type of interaction with every single resident that lives in our residence halls. I also want everyone on campus to have an experience with our residents and residence halls. I enjoy seeing faculty, staff and students walk into Guinan Hall for the first time. They are all amazed to find an active community and a warm and inviting living space."
For more information on living on campus, contact the Office of Residence Life at 713-525-3836.
Start planning for your future at UST with our free application.
Apply now
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Business Students Recognized at CSB Honors Convocation5/31/2016
The Cameron School of Business at the University of St. Thomas celebrated the annual CS...
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Out of Stock
Item # STI0016
Don't worry though, we have a lot more Embrocations and Creams in stock than that.View Similar Products
Sportique International Skin Toner - Astringent $0.00
Sportique International designed Skin Toner to clean and revitalize your skin. This blend of botanical ingredients and herbs cleans dirt, oil, and grime from your face and pores while restoring moisture and elasticity to your skin. Aloe provides a bit of cool for itchy skin.
- Sportique products do not use sulfate derivatives, toxic preservatives, parabens, PPG, or PEG
- Sportique products are also free from animal fats and byproducts and Sportique does not test on animals
Tech Specs
5 oz
Recommended Use:
cleaning and conditioning skin


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Funding via CSC MDO "IMON International"
This loan is part of IMON's effort to expand financial access to rural populations through 16 offices located far from regional centers or main towns. By funding this loan, you are enabling rural populations to gain better financial skills, develop businesses and improve their lives.
Success!! The loan was 100% repaid


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Oklahoma City Thunder: All sides irate after Derek Fisher column
I walked into the office Thursday morning, and my sports editor said, "Hey, you took it easy on Derek Fisher."
Then I answered emails from Thunder fans wanting to know why I was supporting Fisher.I went on the radio Thursday afternoon, and Jim Traber was mystified on why I would give the Thunder a platform to defend Fisher, his shooting slump and his playing time, which to some of us seems excessive.
But between those events, I got an email from a reader named Joe, who wrote, "Did your mother ever tell you to say nothing if you can't say something good? Ignoring a subject or person sends a strong message in itself. I'm ashamed of your two recent articles on Fish."
And Friday, I got a phone message from an elderly lady with a 527 prefix who said: "Mr. Tramel, are you out of your mind?. I just read what you wrote, and I'm ashamed of you. I'm ashamed of you for the remarks you made about Fisher and for other things. Sure, you have a lot of freedom with the press. But let's not put down people in this day and time. We need to build up people and share the joy of just enjoying sports. I don't know if I'll read your column anymore. I'm terribly upset with what you have written."
So I feel better about the whole thing. My column on Fisher — which you can read here — apparently was perfect. People on both side of the Fisher debate are outraged.
I stand by what I wrote. If the Thunder wants to play Fisher 10 minutes a game, fine. I wish those minutes were going to Ronnie Brewer, but I'm not going to get worked up about it. However, if Fisher plays 15-20 minutes and takes away minutes from Thabo Sefolosha, then we're going to have some problems.
But it's completely charming how some Thunder fans feel about the players. I wrote about the grandmotherly aspect of the relationship. While the Thunder has plenty of fans who analyze stats and agonize over every possession and occasionally are driven crazy by Scotty Brooks' rotations, the Thunder also has some fans that feel about the team the same way the good folks of Latta feel about their high school team. I wrote about these maternal instincts last summer, after the Heat took out the Thunder in the NBA Finals. You can read that column here.
Some Thunder fans feel an overwhelming connection to the players, even a 38-year-old who might be as old as the maternally-instincted.
The truth is, Fisher is great to have around; there's no doubt he helps the Thunder with his presence. Fisher still can play a little, but not a lot. Some people want that shouted from atop Devon Tower. Others don't want it even whispered.


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Difference between revisions of "Lu,Yi"
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0904 children's hospital lecture
0904 children's hospital lecture
Revision as of 22:37, 4 September 2007
My observations/ideas based on site visit September 3, 2007
1) The emergency department is unbelievable small and crowding. The check-in desk is behind a close door. For the emergency case, someone may miss it. The ED has a complicated layout. The visibility is limited by narrow hallways and many turns. There are some traffic mirrors on the corridor intersections. A simplified layout with great visibility is preferred for the ED design, not only for the staff efficiency, but also for the legibility of the built environment.
2)In the patient-centered care paradigm, a user-friendly wayfinding environment including both indoor and outdoor environment, seems legitimate. However, it is not a easy task to achieve. HKS design team proposes to use single entrance to reduce users' confusing and walking distance between different departments. For instance, a patient think he should go to ED, while he only needs to see the primary care. Whether the solution is good, we need further investigation. A simulated environment could be use to test these hypothesis proposed by the design team.
3) A large body of literature suggests the physical environment has a great impact on wayfinding, including floor plan configuration, spatial differentiation, visual accessibility, and the signage and room numbers system. I am not entirely sure whether the design team considers all these aspects. For the new layout, it seems still lack consideration of research findings. Is there any method to simplify the layout, within the other constraints, such as site, movement flows, and functions?
4) From the environment and behavior study perspective, is there any difference in spatial cognition between a child and an adult? Child may have limited spatial ability, and thus may need different environmental cues to find their way. How to meet the need of both children and adults in the design?
5) According to the design team, the hospital will move into the new site in one weekend and still remain operation. How to make staff familiar with the new environment before they move into it? The training in simulated virtual environment is a good solution. some research support subjects who received training in virtual environment have better wayfinding performance than those who visited the site. All staff members can get adequate training in virtual environment to reduce wayfinding problem and the movement disorder.
6) What is the positive environmental distraction for child? How to integrate it into design?
7) If there any possibility to model the movement of patients from a mathematic/Industrial Engineering perspective? We can verify the model in real life or virtual environment. How to optimize the spatial layout by using the model and other consideration?
0904 children's hospital lecture
THink interaction:
physical design---->care processes Technology--->culture
who are the stakeholders? administrator, healthcare professionals, child and family, donors, facility managers,
Institute of Medicine Targets: The big 6 1.safe-avoid injury 2.effective-Evidence-based,a avoid underuse and overuse 3.patient-centered 4.timely-reduce waits and delays 5.efficient-avoid waste including equipment, supplies, ideas, energy 6.equitable-does not vary in quality due to personal characteristics, eg gender, ethnicity, location, SES
what do children and their families want from health care? (foundation for accountability)
- stay healthy
- get better quickly when ill
- live a good life with chronic illness
- die comfortably and supported
Patient-centered care? (1.what the patient think, 2.what pa need to know, 3.personal preference-pros & cons of different choices), Espezel & Canam (2003) Patient-nurse interactions To customize care to the specific need and circumstances of each individual, that is, to modify, the care to respond to the person, not the person to the care. IOM, Crossing the quality Chasm p51
physical comfort, emotional comfort involvement of family and friends
staff shortage, 100,000 nurses needed average 20 Sec you will be interrupted by physicians
- how to support better systems/processes with design and technology
care processes assess, build relationships, plan, intervene, coordinate, educate, motivate, monitor, evaluate
patient and family self care- at home, school Diet, exercise, sleep, treatments, medication, symptom monitoring, see care in a timely way
child & family centered care- child & family centered environment
- important research
18 patient centered care search shields 2007 Family centered care for children in hospital Weinstein 2007, Informed patient choice Horne 2007, Can asthma be controlled by understanding the patient's perspective Butz 2007, Shared decision-making


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2013-2014 Theme and Program
"Science, Technologies, and the Human Condition"
In this series, the Humanities Center seeks an interdisciplinary exploration of the ways in which different technologies have transformed the ways we perceive the body, time, space, and our environment. Among the themes we hope to explore are the relationship between moral and scientific thought and the human experience of technology.
For a list of speakers and events, please see the Center for Humanities Events.
Student Symposium
The Center for Humanities hosts an annual student conference at which students have the opportunity to present a selection of their papers or creative work. Student submissions can be in the form of essays that show excellent research in the humanities, broadly defined by principles of humanistic inquiry and research, creative writing, art projects, or other forms of creative expression. The Center's Advisory Board will select essays and projects for presentation.
At the symposium, each speaker will present their work for 15 minutes as part of a panel of three, which will include a faculty moderator. Papers should be of appropriate length for this slot, no more than eight pages, and should have been written in the prior calendar year. The Advisory Board expects that students with longer papers from MAPs, independent studies, or seminars will submit an eight-page version of the project for consideration.
Humanities Center email with the subject line "Proposal for Student Symposium". A cover sheet should be submitted with the proposal with the following information:
- Name
- Class year
- Major
- Project title
- Project origin (Seminar, MAP or other)
- Name of faculty
For more information, please contact the Director of the Center for Humanities, Shuchi Kapila.
Visiting Scholars
In keeping with its mission to highlight some of the exciting contributions made by scholars in the Humanities to countless fields of research, the Center for the Humanities invites scholars from various disciplines to share their expertise with the Grinnell College community. Beginning in 1999, the first year of the Center's operation, the Center invited a Distinguished Visiting Professor to Grinnell College. The Distinguished Visiting Professor led both a faculty seminar and a student seminar in their field of expertise. In some years, a single Distinguished Visiting Professor remains in residence for the fall semester, and returns briefly each Spring to participate in our annual symposium. In other years, the Center invites multiple Distinguished Visiting Professors to campus for shorter periods during the Fall Semester, all of whom take turns leading the faculty and student seminars and who also return for the spring symposium.
Book Talks
The Humanities Center will present a series of events entitled "Book Talk" 2-3 times each semester. This will be a panel of three short presentations on a particularly influential work, creative work, or a critical/theoretical text that has been used extensively in teaching or scholarship. The series will consider books that have been re-visited, reconsidered, or had a continuing presence in scholarly and creative worlds. Examples of such works that are studied across disciplines would be Judith Butler's Gender Trouble, Michel Foucault's Discipline and Punish, Edward Said's Orientalism, Benedict Anderson's Imagined Communities, Charles Darwin's On the Origin of Species, and Andres Serrano's Piss Christ. These presentations are open to the public.
Conversations in the Humanities
Faculty may present works at any stage of development to their colleagues at Grinnell College by speaking at one of our regularly-scheduled lunches. Typically the Center hosts 3-4 such lunches each semester, with 1 or 2 presenters appearing at each lunch and presenting to an audience of 10-20 fellow faculty members. We want to emphasize the "in progress" part of these lunches, and invite you to consider this forum as a place to receive useful feedback on a project before final submission or conference delivery. These lunch discussions are open to faculty only. The Center provides lunch to the first 20 participants who RSVP their intention to attend.
Support for Co-Curricular Humanities Programming
To request funding, please complete this form.


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Hello everyone! I am just getting back from my vacation. My cruise was wonderful, thank you for asking. But I was ready to get back to work. The first thing I saw when I returned was that 2 friends have passed away. TERRIBLE SITUATION! Byron of the Softones and John, the former owner of John's Bar. To the family of each individual; you have my deepest condolences for the loss of your love one. We share your sorrow. I want to share that because I am most sure that many of you knew these two wonderful people and did not know they had passed away.
Recently I received a book from a gentleman named, Bill Hennick, that was written by his daughter, Rachel. I became interested in the book because thru our conversation, I discovered it was about Baltimore in its heydays and her father who was a Baltimore city firefighter and paramedic. It is a heart-warming story how her father in 1945 almost lost his life in a fire, burned from head to toe when he was a little boy and but survived and later became a firefighter in the two-story red brick station, Engine 52 or E-52, that stood at 3235 Woodbrook Avenue. The book talks about the race riots in the sixties, the history of Mondawmin Mall; old Provident Hospital; Bolton Hill, Pennsylvania Avenue, Park Heights Avenue; east side and west Baltimore how, as a firefighter, what he experienced in handling life and death in the community. I found this book to be filled with very passionate, but true, stories as seen through the eyes of a dedicated firefighter and medic. I give this book two thumbs up. To learn more at about the book and the author, go to http://www.rachelhennick.com/.
Here lately, the folks at the Arch Social Club on the corner of Pennsylvania and North Avenues are showing off; they are jumping up and down doing the "James Brown" with a lot of activities and entertainment. I am so proud of them. Phil Butts' Big Band is rehearsing every second and fourth Tuesday of every month from 7 p.m.-9 p.m. and the public is invited to watch and enjoy. On Nov. 18 from 6-9, Larry Washington will present a Thanksgiving show at the club featuring Nevitta and Ron Pinder. Tickets include a Thanksgiving dinner as well. For more information, call 410-230-4634. Every Sunday, except when there are special shows, Judson Hughes plays "Old School, Back in the Day" music for your pleasures while you relax with a cocktail and socialize from 5-9 p.m. It's free.
The Poets Athletic Club is still celebrating their "Poets Week" at 918 E. North Avenue with Karaoke on Friday night and the "Class Reunion Cabaret" at the Fifth Regiment Armory on Saturday. For more information, call Carl Beasley at 410-916-2605.
Charles "Big Daddy" Stallings, Baltimore's renowned blues recording artists and his band will perform at Chef Mac's and All That Blues, 4709 Harford Road in Baltimore. The buffet dinner is to die for, which is included with your cover charge. Call 410-319-6227.
Put your shouting shoes on for the big anniversary celebration of Larry Goodwin and the Devine Shepherds. The program includes Kenny Davis and the Melodyaires; United Boyd Gospel Singers, The Extension of Faith, CC Carroll Male Chorus; Minister Joyce Freeland, Soloist and many more at the Empowering Believers Church, 7566 E. Howard Road in Glen Burnie, Maryland on Saturday, November 17 at 6 p.m. For more information, contact Larry Goodwin at 410-977-8864.
Manifest Wonders Christian Center, 3600 Edmondson Avenue and Pastor, Elder Lee Michaels invite you to their free Thanksgiving Dinner with all the trimmings for 3-7 p.m. on Wednesday, November 21. A pre-Thanksgiving Service immediately follows dinner.
Rosedale Volunteer Fire Company is sponsoring a Bull Roast and Shrimp Feast on Saturday, November 17, 8 p.m.-12 mid-night at Rosedale Gardens, 8037 Philadelphia Road. For more information, call 410-866-2598.
First Apostolic Faith Gospel Tabernacle Church, 206 Balnew Avenue in Turner Station, Md., invites you to the "Annual Youth Celebration" on Nov. 18, 11:30 a.m. and 4 p.m. The guest speaker is Minister Jonathan Finger from The Way Back to Pentecost Church of Washington, D.C.
Wear your Ravens gear to the youth and young adults. The Ravens vs. the Steelers "Viewing Party" at St. Phillips Baptist Church, 2136 Woodlawn Drive, 8 p.m. on Nov. 18. Enjoy game food and fellowship.
Bazil A.M.E. Church and Pastor Rev. Benita Keene invite you to a Pre-Thanksgiving Day Service at 3 p.m., Nov. 18 at Gethsemane A.M.E. Church, 3702 Rogers Avenue. The guest speaker is Rev. Dr. James Harrison Bryant of Empowerment Temple A.M.E. Church.
It is Men's Choir Anniversary Day at Jesus is Our Rock Ministries, 5521 Gist Avenue on Nov. 18, at 3:30 p.m. enjoy the music of "Rebirth" and other musical guests.
Your "Thanksgiving Day Feast" is free at Mt. Hebron Memorial Church of God in Christ, 2231 W. North Avenue. Join them and bring a friend for dinner on Nov. 21, 2-6 p.m.
Well my dear friends, I am out of space, if you need me, call me at 410-833-9474 or email me at [email protected]. UNTIL THE NEXT TIME, I'M MUSICALLY YOURS.
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The Icelandic government, two Icelandic municipal authorities and the EFLA engineering company signed a memorandum of understanding to promote the creation of a new port in the northeast corner of Iceland.
SSA Marine's Oakland International Container Terminal will make appointments mandatory for the majority of containerized import pick-ups in order to shorten lines at terminal gates and speed up cargo delivery to customers.
The company plans to accept the weights that clients provide as certified, but if clients are not able to provide the certified weight, it will weigh the cargo on their behalf.
Registration takes less than 1 minute.
Ports that insist on "no doc/no gate" policies with regard to verified container weights could lose business, the company's export manager says.
The Swiss-based freight forwarding and logistics company is best known for its air and freight forwarding business, but has successfully added warehousing and distribution, along with related outsourced services, to its portfolio over the years.
Nearly three-quarters of businesses are lacking a formal supply chain business model centered around collaboration with outside enterprises, according to a white paper commissioned by DHL.


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PLANT CITY, Fla. (AP) - Eight men have been arrested in connection with an underage sex sting in Plant City.
Police teamed up with the Polk County Sheriff's Office and the Florida Department of Law Enforcement in the undercover operation.
Officials told the Tampa Bay Times that officers posted online ads pretending to be minors. The men would respond by text message or email and showed up on Saturday to a pre-arranged location. That's when Plant City police officers arrested the men.
Those men are David Langford, 56, of Alturas; Toby Hebert, 41, of Holiday; David Letchworth, 22, of Tampa; James McGinnis, 46, of Dover; Chuck Lindeen, 53, of St. Petersburg; David Bigelow, 43, of Massachusetts; Peter Ciaverelli, 30, of Tampa, and Joseph Malventano, 23, of Odessa.
All eight men were booked into the Orient Road Jail. They face one felony count of traveling to meet a minor for sex after using a computer. Police say one man faces additional charges for sending links to pornographic photos and for bringing a camera with him to the meeting spot.
(Copyright 2013 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.)


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Award-winning jewelry designer Alice Bilello will be setting up her tools and jewels on Labor Day and Sept. 3 from noon to 3 p.m. in Greater Good Gallery at 228 Craven St. in downtown New Bern.
Bilello will help visitors design their own jewelry. Choose from a variety of colors to assemble a necklace or earrings with semi-precious stones, Czechoslovakian beads, cultured fresh-water pearls, Swarovski crystals, freeform, polished coral, Mother-of-Pearl, variegated green agate, green picture jasper, greenish-grey fluoride, onyx and quartz.
Bilello designed her first piece of gold beads, pearls and Malachite 32 years ago, but it was just a hobby and she kept her full-time job. Four years ago, Bilello�s sister encouraged her to pursue jewelry design and since then, she has won two national awards including a pearl design competition in a national jewelry publication.
Audrey Brinson, a graduate with a bachelors of fine art in jewelry and metals, taught Bilello the tricks of the trade � how a jeweler makes jewelry.
�Audrey sent me to a gem show where I was instantly inspired by the beautiful display millions of stones,� Bilello said. The excitement from the gem show spurred Bilello�s passion to become a full-time jewelry designer. She started her own creative business, Harbor Island Designs.
Bilello will be demonstrating her craft during Artwalk, Sep. 13 at the N.C. History Center Museum store, where her jewelry creations are currently on display.
While in Oriental, visitors can go to Marsha�s Cottage to see more of her contemporary jewelry designs.
For more information, call 649-1712.
On the web: greatergoodgallery.com
Location, ST | website.com


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May 24, 2016
Tallahassee - August 28, 2012 - 11:57 pm
The music and the speeches can be very moving during a national political convention for either party. Many people donned their best red, white and blue and were revved up by the convention. But does this excitement by all the glitz and glam of an RNC or DNC sway Americans at the polls.
"I think it plays a marginal factor," says Tallahassee resident, Booker Daniels.
"I don't think it does at all, or very little," says Tallahassee resident, Rochelle Schweizer.
Many people we spoke to feel most voters have already made up their minds when it comes to who they'll vote for and say conventions serve other purposes.
"The republicans I'm sure watch the DNC to evaluate their position and vice versa," says Schweizer .
"The Republican Convention in Tampa, I suspect, it's more important because the GOP candidate is still defining himself. The democrats, on the other hand, I think it's clear who the president is and what his vision for the country is so it won't be quite so important," says Daniels.
So while the RNC will rage on in the same fashion for the rest of the week, to be followed by similar excitement at next week's DNC.
And with many saying this is a very close election, it's still going to be anyone's guess of who will head to the White House come November.
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text: I have been able to wear both weights of the KUIU merino wool for about two months now. I have worn it skiing, snowshoeing, shed hunting, and just general hiking. This is the BEST next to skin layer I have ever used and the camo is great to boot. Do yourself a favor and give it a try.


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No. 15 Iowa State Upends West Virginia
AMES, Iowa – Georges Niang did his damage in the paint and Naz Long was bombing away from the outside, pacing No. 15 Iowa State (22-5, 10-5 Big 12) to an 83-66 win over West Virginia (15-13, 7-8 Big 12) Wednesday night in Hilton Coliseum.
Niang scored a game-high 24 points, his eighth 20-point game of the season, and Long tallied 15 points behind five triples in the victory.
ISU's other star was true freshman Monte Morris. The rookie dished out a career-high 12 assists to break ISU's freshman single-game assist mark. Jeff Hornacek, Gary Thompkins and Will Blalock formerly held the record with 11 each. Morris had five points, seven rebounds and zero turnovers in 38 minutes of action.
Iowa State held a six-point lead at the half (39-33) after leading by as much as 14 points in the first period.
The Cyclones fell down 9-4 early, but then went on a 24-5 run over a nine-minute stretch to take a 28-14 lead. Naz Long buried a couple of 3-pointers in the run.
Juwan Staten helped the Mountaineers close the gap by the end of the half by scoring 12 points in the opening period.
Iowa State led by 11 points early in the second half until Melvin Ejim was called for a foul and then a technical after arguing the call with 17:13 left in the game. It was his third and fourth foul, and the Mountaineers quickly closed the gap to four points as Ejim went to the bench.
Long and then Niang hit back-to-back treys to put ISU back up by 10 points (59-49) with 11:58 remaining in the game.
WVU never really threatened the rest of the way. ISU had the answer, especially Long, who made the big treys when the Cyclones needed them.
Keys to the Game
Shooting. The Cyclones turned the tables in shooting percentage from the previous outing between the two teams. In Morgantown, the Cyclones shot just 36.6 percent from the field and the Mountaineers made 53.8 percent. It was a different story tonight. ISU shot 50.8 percent and held WVU to just 35.8 percent.
Discuss it now. Visit our Facebook page to have your say on the turning point of today's game.
Cyclone Game Ball Goes to…
Naz Long. The Cyclone sharpshooter made the big 3-pointer multiple times in the victory. Every time it looked like WVU was closing the gap, Long came up with the timely triple. Long was 5-of-7 from 3-point range, his second-best effort from downtown in his career.
Cyclone Nation, who was your player of the game? Tweet the player along with the hashtag #CyclONEgameball to @CycloneMBB and we'll announce the fan's pick on Thursday morning.
Cyclone Notes
*Melvin Ejim played in his 126th career game, tying for second all-time with Stevie Johnson, Julius Michalik and Fred Hoiberg.
*Georges Niang scored in double figures for the 13th-straight game with 24 points.
*Niang recorded his eighth 20-point game of the season.
*Monte Morris had a career-high 12 assists, the seventh-straight game with five or more dimes.
*Morris' 12 dimes breaks the ISU freshman mark for assists in a game.
*Ejim had seven points to give him 1,499 in his career and move past Bill Cain to No. 14 on ISU's career scoring list.
*Morris tied a career high with seven rebounds.
*Naz Long buried five 3-pointers, the fifth time in his career he's made four or more treys in a game.
*ISU is the only team in the nation to score 70 points or more in every game this season.
*Fred Hoiberg won his 84th game in his fourth season as head coach, tying the best four-year mark by a Cyclone head coach with Larry Eustachy, who won 84 games from 1998-2002.
*ISU has won 10 or more league games in three straight seasons for the first time in school history.
Tweet of the Game
Naz Long is a #flamethrowerhttps://twitter.com/search?q=%23flamethrower&src=hash">#flamethrower>������#onfirehttps://twitter.com/search?q=%23onfire&src=hash">#onfire> https://twitter.com/CycloneMBB">@CycloneMBB> ������— Wally Szczerbiak (@wallyball) https://twitter.com/wallyball/statuses/438866216699330560">February 27, 2014
On Deck
Iowa State travels to Kansas State on Saturday. Tipoff is at 6 p.m. CT on ESPNU.


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May 29, 2016
A Democratic aide says the White House and congressional Republicans have reached an agreement to avert the so-called fiscal cliff.
The measure would extend Bush-era tax cuts for family incomes below $450,000 and briefly avert across-the-board spending cuts set to strike the Pentagon and domestic agencies this week.
Vice President Joe Biden was set to sell the agreement to Senate Democrats at a meeting at the Capitol on Monday night.
The aide required anonymity because he wasn't authorized to speak publicly.
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Welcome to CMP
Thursday, 26 May 11:33:04am
CMP - The Cable Gland and Connector Specialists
We design & manufacture cable glands & cable connectors for industrial, marine and explosive atmospheres installations.
Cable Glands are available to suit a range of applications, covering a variety of international wiring codes, and with a wide selection of approvals available on request. Cable Glands are produced in a number of different materials.
With CMP Products you can discuss the whole range of cable gland sizes used during the execution of a typical project development. You could say that terminating cables is our business.
CMP Products will be exhibiting at OTC 2016
CMP Products will be exhibiting at OTC 2016, from the 2nd –5th May at NRG Park, Houston, Texas, US...
PCIC Europe 2015
This year's PCIC Europe...
About CMP CMP Worldwide
Contact us or call us today 0191 265 7411
The Cable Gland, Connector and Cleat Specialist


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Ohio -- A dominant AMA Supercross and motocross champion nicknamed "The
GOAT" (The Greatest Of All Time), a pair of riders who helped raise
tens of millions of dollars in search of the cause of and cure for
pediatric brain tumors, and a founder of one of the aftermarket's most
recognizable brands are among the motorcyclists who are on the 2013
ballot for possible elevation to the AMA Motorcycle Hall of Fame.
Multi-time AMA champion Ricky Carmichael, the Ride for Kids' Mike and
Dianne Traynor, and K&N co-founder Norm McDonald are among the
nominees on the 2013 AMA Motorcycle Hall of Fame ballot that includes
racers, designers, tuners, and ambassadors for motorcycling in
consideration of elevation to motorcycling's highest honor.
"Very few people start their careers in this industry or sport expecting
to end up in the AMA Motorcycle Hall of Fame, however the very best
always rise to the top, as we see again this year," said Jeffrey V.
Heininger, chairman of the American Motorcycle Heritage Foundation,
which oversees the Hall of Fame. "The AMA Motorcycle Hall of Fame truly
encompasses the standout riders and racers, especially those driven to
excel beyond mere greatness. What's particularly impressive this year is
the breadth of that drive across all types of motorcycling represented
on the ballot, from racing, to business, to rights, to engine design and
more. These 2013 nominees epitomize the essence of the American
Motorcyclist Association."
The complete list of 2013 nominees is noted (alphabetically) immediately below, with brief bios of each nominee following:


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I was born in Detroit in 1961 and grew up in a working-class neighborhood just south of the famed 8 Mile Road. My block was stable; most of the fathers of my friends worked in the auto plants. In 1968 my parents divorced and my mother, armed with a high school degree, was thrust into the workforce. We were taken out of our Catholic school and moved into public schools. Dinner was often breakfast foods, which was fine with us. Mom is still a great cook.
Today, I own a small business, an asset management firm with $300 million in assets. Last year we launched the Roumell Opportunistic Value Fund (RAMSX) and hired three more people. We're growing and creating jobs. I suppose I could pound my chest and take credit for my journey from Detroit to Chevy Chase, from working class to professional. I could say I built it myself. But this wouldn't be true.
In 1967, Detroit's riots came to our neighborhood and our dry cleaner was burned to the ground. The National Guard was called in, and peace was quickly restored. Mom found a good job with a trucking company and was able to adequately care for our family on a union wage fought for by the Teamsters in an environment supported by the National Labor Relations Act of 1935.
I went to college with the help of Pell Grants and government loans. Twenty years ago I met Claiborne Pell and was able to thank the former Democratic senator from Rhode Island for introducing the Higher Education Act of 1965, which allowed me to go to college.
My business has been made possible by the Investment Company Act of 1940 and the Investment Advisers Act of 1940. These laws created practices and transparency that enabled a financial services industry to emerge. After the stock market collapse of 1929, the public rightly did not trust Wall Street and needed assurances that the industry would operate within a reliable set of rules.
Nothing in terms of "regulations" or "business uncertainty" has stopped me from investing capital for a return. In fact, the stability that government involvement brought to the capital markets over the past three years, evidenced by a 100 percent increase in the Standard and Poor's 500-stock index since March 2009, probably enabled my business to survive. The federal government's back-stopping of money market funds in the fall of 2008 ended, effectively in one day, what was turning into a 1930s-style bank run.


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Capital Goods: June 2012
Baring their teeth
Its hard to believe, but sinister forces are plotting to change the way your dentist runs his business. At least thats the pitch coming from supporters and opponents of legislation in the General Assembly that would change the way dentistry is regulated in North Carolina. But despite the rhetoric, dont worry about that little hole in your tooth that needs filling. Your dentist will likely be there tomorrow.
Supporters of the legislation mainly the North Carolina Dental Society and the established dentists who make up its membership argue they arent trying to change anything. Rather, they want to protect a concept already written into state law: Only dentists can own and operate dental practices. In other words, no McDonalds or Wal-Mart of dentistry allowed. The idea behind the law is that professional standards and quality care can only be assured if practicing dentists control the practice.
Other dentists dont see it that way, at least not when it comes to controlling every facet of their practices, and are farming out administrative tasks such as billing and payroll. The problem is, some of those arrangements dont look like typical owner-contractor relationships. In a few cases, dentists have sold the equipment used in the practice to for-profit companies, then leased it back. Some have noncompete agreements with them, which regulators say crosses a line. Meanwhile, the footprint of large dental-services companies is growing.
The legislative response may be sweeping new authority for the regulatory State Board of Dental Examiners. Last year, the state Senate quietly passed a bill that includes a long list of no-nos intended to prevent arrangements by which a for-profit company becomes a de facto partner of a dentist. The bill goes on to say that the list isnt exhaustive. It would allow regulators to review each arrangement, which could be stopped on such vague grounds as having a potential negative impact on patient care. In other words, the boards authority to block agreements would be pretty much unfettered.
It was a remarkable piece of legislation during a session in which the new Republican majority crowed about wanting to do away with government regulations that stifle economic growth and impede competition. This year, the House is expected to take its turn drilling into the issue, and a compromise piece of legislation could emerge before lawmakers take their late-summer/fall hiatus. With that in mind, dentists and dental-services companies have begun a knock-down, drag-out that may leave a few of them needing repair to their own pearly whites. Theyve taken to the airwaves with ads to influence legislators and their constituents. A Dental Society one warns of out-of-state special interests that want to force your local dentist out of business in favor of big, for-profit, investor-owned, corporate dentistry. Without the protections, it says, the state will see quality care sacrificed for higher profits. A group called the Alliance for the Access to Dental Care service companies and dentists opposed to the bill is running its own ad proclaiming the evils of powerful lobbyists in Raleigh out to drive up your dental costs and bring Washington-style regulation to North Carolina. The ad concludes, If these powerful lobbyists win, you lose. (The group has hired its own powerful Raleigh lobbyists.)
The judicial system also has been asked to do an extraction. The legislations opponents want the courts to order the dental board to turn over emails they say could shed light on its members motives. The board contends that emails between itself and its staff are exempt from disclosure requirements.
It should come as no surprise that dentists running traditional practices dont want their profession overrun with business arrangements that could put them at a competitive disadvantage and complicate how they deliver care to patients. Theres also nothing particularly startling about regulators, who are charged with overseeing standards designed to ensure patient safety, worrying about profit motives eroding those standards.
What is surprising is that state lawmakers, at least so far, havent taken note of the folds of complexity involved. When the bill cleared the Senate, only two senators voted against it. Apparently their colleagues missed the fact that allowing dentists to contract out administrative tasks might lower costs and make it easier to start a practice. In doing so, the market might see more competition, meaning savings for patients. Isnt that what free-market conservatives are supposed to favor?
Scott Mooneyham is editor of The Insider, www.ncinsider.com. Email him at email@example.com.


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10-Year-Old Sends God's Own Stone (5.14a) in the Red
10-year-old Jonathan Horst has just climbed God's Own Stone (5.14a) in the Red River Gorge this past weekend. That makes him one of the youngest people to climb 5.14.
Brooke Raboutou also climbed God's Own Stone at age 10 in March of 2012. Tito Traversa of Italy climbed Sarsifal (5.14) in Tetto di Sarre, Italy, when he was 10.
Horst comes from a well-known climbing family--his father, Eric Horst, wrote the training guide How to Climb 5.12, and his older brother Cameron sent God's Own Stone last year at age 11.
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|Village continues efforts to enforce dog ordinances, approves water system improvements
|Written by Wauneta Breeze
|Thursday, 20 June 2013 16:20
Dog owners asked to
comply with village ordinances
to avoid legal proceedings
By Sheri Hink-Wagner
The Wauneta Breeze
Wauneta's Village Board extended the deadline to comply with village animal ordinances dealing with dogs to June 24.
The village's ordinance 2008-01 section 4.22 limits the number of dogs permitted in or at the home to two adult dogs.
The board discussed compliance with the dog ordinances at the May meeting. Prior to May's meeting the village sent letters to the three known violators of the ordinance, asking them to attend the May meeting.
Only one resident with more than two adult dogs attended May's meeting. She indicated she could come into compliance with the dog ordinances by June 1.
The village board readdressed the issue at their June meeting on Tuesday, June 11. The village attorney, Arlan Wine, reported that letters were sent to the remaining two known to be out of compliance with the ordinance the week prior. He indicated they were given two weeks from the date of the letters to become compliant.
Village board members stated they would verify compliance or lack of compliance after the two week allowance in the letters. If residents are found not in compliance the village will move forward with court and legal proceedings.
The board also discussed ordinance violations in respect to the appearance of property in a residential district. They indicated a letter would be sent to a resident who appears to be storing scrap metal in a residential neighborhood.
The board meeting finished by going into executive session to discuss a possible issue of eminent domain. The board did not reconvene in public session to make any decisions on the issue.
Water system improvements
Village board members approved allocation of roughly $50,000 to install a 6-inch water main on Cheyenne Street.
The new water main will provide a second connection to the portion of Wauneta east of the river.
The costs for the project will be paid from reserves in the village's water building fund.
At a later date the village plans to complete a second phase of the project, where the currently 4-inch main along Wichita Street will be replaced with a 6-inch main from the river east.
These plans are part of the village's larger comprehensive water plan, which provides a contingency for supplying the village with water from a new source should they not be successful in lowering arsenic levels below the federal standards.
Comprehensive Plan
Brenda Jensen and April Bell with Miller and Associates were present at the June meeting to discuss the village's comprehensive plan.
Wauneta's comprehensive plan was last completed in 2004 by JEO Consultants. The plan allows the village to outlay its plans for the future and also opens the doors for many community development grants.
Significant funding for completion of a comprehensive plan is available to communities under 50,000 residents, if the community's residents meet Low to Moderate Income (LMI) criteria.
Bell explained that when she searched Wauneta's LMI rate on the Census Bureau's website Wauneta was listed as having a 46.2 percent LMI. In order to be eligible for a Community Development Block Grant (CDBG) to help pay for the comprehensive plan the village must have a 51 percent LMI rating.
Therefore, Bell and Jensen recommended the village complete a community income survey to determine if the LMI rate is actually at or over 51 percent.
They explained the surveys are written to be the least invasive way possible, and are kept confidential. She explained the individual surveys are never read by village staff and residents do not have to put their names on the surveys.
The board expressed a desire to complete an updated comprehensive plan, though they did not hire Miller and Associates to do the plan at the June meeting. Instead, they plan to discuss their needs with JEO before continuing down the path to update the plan.
Nursing home budget approved
Board members also approved Sunrise Heights of Wauneta's 2013-2014 budget.
The nursing home's budget year runs from July 1 through June 30.
The budget included an average daily census of 29 residents per day (14 private pay residents, 13 medicaid residents and two skilled care residents).
Included within the budget was a raise to resident room and care level rates. The rates will raise to an average of $155/day for medicaid residents, $181/day for private pay residents and $350/day for skilled care residents.
The budget also included a raise in administrative fees paid to Rural Health Development (RHD) for administration of the nursing home. The administrative fees will increase 4 percent to $8,840 per month.
The end of the budget lists a number of "wish list" items on the facility's capital outlay budget. Administrator Lisa Kissinger explained that this list includes facility upgrades and improvements they would like to complete if the nursing home operation is in the black.
Items on the "wish list" include new point of care software for electronic charting, an upgrade required by nursing home governing bodies by early 2014. Kissinger also stated they would like to perform upgrades in the facility's kitchen including a new stove and flooring for the kitchen.
Other items on the list are new mattresses, updating of six windows, finish the facia wrap to the new sprinkler system, a new dining room table and chairs for the small dining room, new phones, replaced benches for the home's exterior, a new fire alarm dialer, repainting resident rooms, new resident door/name plates and a code alert for the west door.
Superintendent's report
Village superintendent Bill Bischoff informed the board the village has put an underground sprinkler in the upper part of the village park. He also noted the village is working to have more activities for kids.
Bischoff also noted the village plans to armor coat five to six blocks of Arikaree this summer for a total cost of approximately $12,000. Highway allocation funds will be used to fund the project.


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Calling Melbourne Apartment And Townhouse Dwellers
Posted 25 September 2008 - 03:51 PM
"We will survey six hundred sites across the nation to provide estimates of the cost and time-frames needed to rectify problems within different sizes and types of buildings so we can provide timely and practical information to the public," Mr Townend, Executive Director of the Digital Switchover Taskforce, said.
The Taskforce is calling for expressions of interest from relevant parties to have their buildings included in the project. All selected participants will be provided with a free comprehensive technical report.
We are particularly interested in apartment buildings where the owners/occupiers have difficulty receiving free to air digital TV.
You can nominate your building by clicking on the link on the Australian Digital Testing website.
Posted 11 October 2008 - 03:32 PM
Posted 27 March 2009 - 11:19 AM
Click here to go directly to the Registration Page
Posted 15 April 2009 - 11:51 PM
MDU Digital TV Capability Inspections in the Melbourne area will be carried out in May 2009 - make sure you have your building registered to be eligible for selection.
Click here to go directly to the Registration Page
$1666.67 per block of apartments to test and do a report. Good work if you can get it.
How many do you think they do in a day?
Man I could imagine how hard that would be to do. Look at headend. Measure. Go to last point on trunk measure. Single channel headend with no 6, 8, 11, 12. Immediate fail. So glad we have a Rudd government, it feels like Christmas, until we have to pay more taxes...
Could make a wonderful song.
Man many technicians (myself included) will quote an apartment block and look carefully at the system, provided the body corp's serious because there is an immediate need to update most apartment blocks for digital. A government sponsored party just doesn't sound like a wise spend of money.
Posted 04 July 2012 - 12:49 PM
Posted 19 July 2012 - 12:25 PM
Posted 19 July 2012 - 07:53 PM
Edited by nbound, 19 July 2012 - 07:53 PM.
Posted 22 July 2012 - 08:17 PM
Posted 23 July 2012 - 12:04 PM
Posted 22 October 2012 - 10:18 PM


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5905 Ogeechee Rd
Directions Savannah, GA 31419
Coastal Chevrolet's line of used cars in Savannah includes something for everyone. Visit our Savannah, Hinesville, Rincon and Hardeeville area used car lot at 5905 Ogeechee Highway in Savannah, GA to take a used Chevy or other pre-owned vehicle for a test drive. You can also reach us by phone at the number above. Browse our inventory below to see complete specs and pictures or video for each model.
Still looking for that perfect well-maintained pre-owned car, truck, or SUV? We will get you the used car in Savannah that you have been searching for. Just complete our no-obligation Car Finder form and we will alert you when a matching vehicle arrives at our dealership. We have a huge selection of used cars to choose from, and we are confident we can find the vehicle that satisfies all of your requirements.While every reasonable effort is made to ensure the accuracy of the data for this vehicle, including the price, we are not responsible for any errors or omissions contained on these pages. Please verify any information in question with a dealership sales representative.


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May 25, 2016
By Julie Montanaro
February 12, 2013
A Tallahassee man faces another accusation of molesting a young girl.
Stephen Hanf was arrested again last night and charged with sexually molesting a child under 12.
Hanf was initially arrested last month and was accused of lewd and lascivious acts on three teenage girls.
Prosecutors now say a fourth child has come forward and because this one is younger than 12, Hanf could face up to life in prison if he's convicted.
Tallahassee January 3, 2012 by Julie Montanaro
A Tallahassee man is accused of molesting three teenage girls.
60 year old Stephen Hanf was arrested this week and is facing three counts of lewd and lascivious conduct.
The teens told deputies Hanf touched them and in one case took pictures.
The incidents first came to light in June when a 13 year old girl told her mother what happened.
Hanf denied touching the girls inappropriately.
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Call our certified SCUBA Instructors
Mon - Sat - 8AM - 6PM PST
Scuba.com provides free instructional scuba videos which anyone can view directly from their browser. Take advantage of the latest in video technology on the web to learn more about scuba diving equipment and dive gear maintenance.
We have 435 instructional videos covering a broad range of scuba diving topics. Use the video category links on the right of this page to navigate to the specific video you want to view. All videos are hosted by our professionally trained Scuba Diving Instructors with years of experience.
Do you want to make sure your underwater camera stays in top shape? Want to learn how to properly clean and store your BC? Have you ever wondered what's so special about the Spring Heel Straps? Do you ever wonder what the advantages are to using Scooters (DPVs)? What about the differences between L.E.D. and H.I.D. lights? We have answers to all these questions, and many more in a format that is quick and easy to understand.
Take advantage of these informative scuba videos below, or click on one of the video category links to the right.
Length: 01:185791 Views
This demonstration video discusses the features of Henderson´s H2 Hyperstretch Scuba Drysuit Hood. The H2 Drysuit Hood is made of a 4 way-stretch Titanium material for superior warmth and comfort. It has Aquasilk interior and exterior fabric which provides rugged durability with an ultra soft feel. This hood is made using Henderson´s proven comfort hood pattern, wearing this hood is like wearing nothing at all...except a lot warmer. There is also a one-way flow vent to minimize air trapping.


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Most would agree that PR is hard and that to get your brand known, a giveaway is often very useful. This is a great giveaway where everyone will win. Grand prize is a Cuisinart ice cream maker, first prize is a fantastic Silpat, second prize is an insulated grocery tote and everyone who enters can get a coupon to try Safest Choice eggs for free. Why are we hosting such a great giveaway? Well… 2010 was an abysmal marketing year for eggs. Salmonella and eggs were in the news constantly and people were wary about conventially produced eggs. At about that time, I wrote an article for the Huffington Post comparing the flavor of eggs. Although we found that a fresh egg plucked from the nest was amazing, we found that pretty much all the other convential eggs tasted the same. An egg is a perfect flavor conveyor: it tastes exactly like what the chicken ate. Whether cage free, brown, or conventional, if bought at the grocery store, they tend to all be very similar. So… we thought, if we aren't ready to raise chickens, why not try pasteurized eggs? They taste very similar to conventional eggs, actually due to part of their process they taste fresher and are able to last longer; and although they are a bit more difficult to whip, adding cream of tartar is all that is needed and they obliviate the concern of salmonella contamination. This is good for everyone, and especially good for people like me with cancer or immune deficiency difficulties.
Giuliano was so impressed with the Safest Choice brand of pasteurized eggs that he was willing to become a paid spokesperson for them. He has recently done some commercials for them, one of which received the coveted Telly award, and in his travels he teaches recipes using their eggs. They have been gracious enough to sponsor this giveaway on our blog. They are happy to send anyone who writes in the comment section, I give permission, a coupon so that you can try the safest choice brand of pasteurized eggs for free. Once you've written in the comment section, I will send your e-mail to them and they will contact you for your address. In addition, they are sponsoring this giveaway of amazing prizes.
GRAND PRIZE: (1) One 2x Cuisinart ICE-30BC Pure Indulgence 2-Quart Automatic Frozen Yogurt, Sorbet, and Ice Cream maker & 3 coupons for free eggs
FIRST PRIZE: (1) One Silpat Non-Stick Baking Mat, 11 5/8 x 16 1/2-inches, Half Sheet Size & (1) One Safest Choice spatula & 3 coupons for free eggs
SECOND PRIZE: White insulated grocery tote (w/ red circle P) filled with Safest Choice goodies; spatula, recipe cards
All approved entrys will receive a coupon for a free one dozen Safest Choice Eggs.
Giveaway dates: April 17- April 26.
Official rules and methods to enter:
To enter the giveaway, please scroll to the bottom of the page and write I GIVE PERMISSION in the comment section.
This is where we get to put in all of those lovely legal disclaimers. Our intent with this give-a-way is pure enjoyment. Safest Choice Pasturiezed Egg's is responsible for the shipping and product and we assume no liability. We aren't lawyers and we think it is sad that we need to put in disclaimers; however, it is our intent to conform to all U.S. rules and to only offer the possibility of the product to people who will personally enjoy it. Basically, if something "bad" happens, we are sorry but don't hold us liable, we enjoyed the product and are trying to give you an opportunity to do so too! If you are out to "get" us, please stop and think of what kind of world you are creating.
No purchase necessary to enter or win. Entrants can enter twice but will only recieve one coupon or prize. Extra entries can be obtained once per social media outlet (tweeting (please put @educatedpalate in your tweets so we will know), facebooking, or "sharing") with a trackback to this post are fine but one first must write "I give permission" on this post. Give-a-way is open only to those who are 18 years of age at time of entry and have a US address. Educated Palate and Hazan Enterprises assumes no responsibility for late or misdirected entries due to SPAM, technological, or e-mail filtering issues or for lost prizes. The use of any system, robot, agent, or software to automatically submit entries in connection with this Giveaway is prohibited. Educated Palate's decisions concerning all matters related to this sweepstakes are final. Anyone who writes I give permission and fits the criteria in the allotted amount of time wins. Hazan Enterprises employees and their immediate family members are not eligible to win. Winner grants to Educated Palate and Safest Choice Eggs, the right to use his/her name and biographical information in advertising and promotion without compensation or permission. Any tax, is the sole responsibility of the winner. By entering the giveaway through this website you are releasing Educated Palate, Safest Choice Eggs, and Hazan Enterprises from any liability arising out of participation in this Giveaway or the acceptance, use, or misuse of the prize. Void where prohibited by law.


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Roast Coffee Pairing #14: Tasting Varietal Influence Pacamara v. Bourbon
In this pairing, we are offering two coffees that are different varietals, Pacamara and Bourbon. Bourbon is an heirloom Arabica varietal from Reunion Island off the coast of Madagasgar. Pacamara is a more recently developed hybrid. In a thread on the Home Coffee Roasting Forum, Tom has posted with a PDF of an article from the El Salvador Coffee Consejo with more on the origin for both varietals. Besides the differences in the plant itself, how it is grown and where, there is a specifc flavor associated with both these varieties, a profile that can dominate the regional effects,. i.e. Bourbon or Pacamara coffee will tend to taste more like other coffees of the same variety, rather than other varieties grown in the same region. For the El Salvador Siberia Estate Bourbon we targeted somewhere between City+ and Full City. Final thermaprobe temperature readouts were 436 degrees, with roast times in the 15 minute time frame. Roasts were taken a bit darker for the El Salvador Montanita Pacamara into the Full City range with final thermoprobe temperatures of 443 degrees and roast times around 15:30 minutes. In cupping each coffee only a few hours after roasting there are some striking differences in these two varietals grown in the same country. The Bourbon has a bit of the orangey zing Tom mentions in the review and a more mild flavor profile over all. The Pacamara seems more complex, with definite acidity that puckers the cheeks a bit balanced with more foresty notes. Generally, we want you to be able to compare these coffees at the same roast level, here the Bourbon is markedly lighter than the Pacamara but I think both are outstanding coffees at these roast levels and the Bourbon in particular has great flavor both lighter and darker than I roasted it today.


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Cyclones Prepare for Iowa
AMES, Iowa – The Iowa State swimming and diving team (3-1-1, 0-1 Big 12) will host instate foe Iowa (4-2, 2-2 Big 10) this Friday for the state's most historic college rivalry: the Iowa Corn Cy-Hawk Series.
This annual meeting between the Hawkeyes and the Cyclones has proven to be one of the most competitive dual meets on the schedule every year. Historically, the team who hosts the event goes on to win.
Since 2001, Iowa has fallen to the Cyclones four out their last six meetings in Ames, with Iowa State only edging the Hawks by a combined 62 points in those duals. For his team, head swimming coach Duane Sorenson says that tomorrow's matchup is all about pride.
"Both teams are so close. If you hesitate on a turn, that can be the difference," Sorenson said. "When you are at home, you want to protect your house. It's our pool, so more pride is put on the line."
ISU's veteran head coach has led 16 years of Cyclone swimming and diving, but he knows the only thing about tomorrow's meet worth predicting is that it will be unpredictable.
"There are going to be about 12 events that can be swing events, where they can touch us out or we can touch them out," Sorenson said. "We'll win events we didn't expect to, and we'll lose events we didn't expect to. It always happens that way."
With a combined record of 7-3-1, both Iowa and Iowa State are off to hot starts so far through the 2013-14 season. This year's Cyclone squad is the first team to suffer just one loss in their first five dual meets since the 2010-11 team that started the year 5-1.
One Cyclone swimmer who has started her junior year particularly well is two-time ISU most valuable swimmer, Amanda Paulson. As the school record holder in the 50-freestyle, Paulson has 20 career first place finishes in the event.
Paulson's only dual-meet loss in the 50-freestyle in over two years occurred last season at the University of Iowa. Then freshman, Olivia Kabacinski, outpaced Iowa State's top swimmer with a time of 23.10, and went on to set the school record in the event with a time of 22.88 later that year.
According to Sorenson, the second and third place finishers for each team will ultimately decide the meet.
"Team depth always comes into play during a meet like this, and after their performances last weekend, they have a little more team depth," Sorenson said. "Their second and third swimmers swam really well, so our second and third swimmers have to stand up and match their intensity and speed."
One of Iowa State's keys to success throughout the season so far has been newcomer Karyl Clarete. The Canadian native has emerged as the team's top distance freestyler with four times inside of the school's top 15 all-time bests.
On paper, the Hawkeyes hold an advantage over the Cyclones in breaststroke events, which has historically been a strong point for the Iowa State program. Clarete, who learned of the Cy-Hawk rivalry after committing to the team, will have to ward off a number of talented Hawkeye freestylers in her respective events.
"Everyone's expectations are high just because we have had such a great year so far," Clarete said. "I'm pretty confident that we are going to swim fast."
For eight Cyclones, this Friday's dual will be the last opportunity they have to race against instate rival Iowa. According to senior and Davenport, Iowa native Sarah Thompson, she and her teammates are relishing the chance to perform on a big stage.
"This is a meet where we can prove how hard we have been working by swimming against a Big 10 team and coming out on top," Thompson said. "My teammates are giving it their all this week in practice, and we are ready for them."
The Iowa Corn Cy-Hawk Series begins at 6:00 p.m. on Friday, Dec. 12 in the Beyer Hall Pool.


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Photo courtesy Quadbar Australia
The U.S. Consumer Product Safety Commission sponsored an ATV Safety Summit Oct. 11-12 in Bethesda, Md., and one topic of discussion involved roll bars for ATVs.
David Robertson, founder of the company Quadbar Australia, made a presentation on his Quadbar Crush Protection Device, which is a hairpin-shaped hoop mounted on the ATV behind the rider. He says his device, which he only makes for utility quads, has been used successfully in Australia for a number of years and has proven effective at preventing injuries and deaths associated with ATV rollovers.
He noted that Monash University in Australia defines a crush protection device as a structure designed to form a protective space between the ATV and the ground in the event of roll over. Those devices aim to prevent or reduce rider injuries incurred due to crushing or asphyxiation, he says.
"In general, CPDs are not designed to be used with occupant restraints, thereby allowing the use of active riding techniques and rider separation from the vehicle during loss of control events," he says.
Raphael Grzebieta, professor of Transport and Road Safety Research at the University of New South Wales in Australia, noted that 2003 research showed that about half of Australia's ATV fatalities and injuries were caused by the vehicle rolling on top of the rider with resultant crush injuries and/or pinning them down causing asphyxia.
That research found: "Computer modeling demonstrates it is possible to design a practical [rollover protection system] that prevents such deaths and injuries," and was critical of ATV safety efforts relying on educating riders. Instead, the study suggested that more attention needed to be paid to the ATV.
"That is, ATV safety is considered to depend on rider separation from the vehicle and the addition of protective clothing and [a] helmet," the study found. "Simply put, such safe philosophies are ill conceived and dangerous for ATV riders. They do not offer any protection in the most common modes of injury with ATVs—rollovers, nor collisions."
Grzebieta more recently did research on the Quadbar. He determined that the "addition of the Quadbar to an ATV would help mitigate the injuries resulting from most rear rollover scenarios and some low-speed, low-slope scenarios. It does not appear to influence the outcome of higher-speed cases as it provides no occupant restraint."
Jim Helmkamp, senior epidemiologist for the National Institute for Occupational Safety and Health Western States Office of the U.S. Centers for Disease Control and Prevention, suggested that between 35 percent and 65 percent of ATV crashes involve tipping, flipping or rolling.
"There has been much research underpinning these types of incidents, but little attention to identifying effective engineering solutions to minimize the risk in the event of a rollover," he says. "The Quadbar can be an important safety modification that can have immediate impact to reduce death and injury from rollovers."
He concluded that ATV manufacturers should consider fitting ATVs with the Quadbar or similar devices.
While roll bars had their supporters, they also had a major critic: Paul Vitrano, executive vice president of the Specialty Vehicle Institute of America. The SVIA is a manufacturers' organization and the American National Standards Institute-accredited standards-developing organization for the four-wheel ATV standard.
Vitrano noted that ATV manufacturers strive to constantly improve and innovate their vehicles. But the pursuit of innovation, he says, "must be balanced against the imperative to only introduce proven technologies that will not lead to unintended consequences."
And roll bars and roll cages could, in fact, introduce new safety risks, he says.
He noted that in 1998 the CPSC staff met with ATV manufacturer and other engineers, and a forum was held on ATVs to discuss what measures, if any could be taken to reduce ATV injuries and deaths. The commission didn't recommend roll bars or cages at that time.
In public forums on ATV safety in 2003, the CPSC again demonstrated no interested in pursuing ATV roll bars, he says.
Vitrano also pointed to research done by Grzebieta that says: "The Quadbar appears to be an increased risk in frontal rollovers as the Quadbar may come into contact with the rider when the full weight of the ATV is behind it."
Adding a roll bar or roll cage to an ATV could have unintended consequences and risks, Vitrano said, including altering the ATV's center of gravity, which would reduce stability; impeding the operator's ability to dismount to the rear; potentially impeding the ability to remove an ATV from on top of a rider; and it potentially gets caught on vegetation or other terrain features that could cause a crash, reduce mobility and reduce the utility of the machine.
In addition, Vitrano pointed out that a roll bar or roll cage could hit an operator in the event of a crash, including the head or torso, posing a significant risk to unhelmeted riders; makes the roll of an ATV unpredictable and maybe even more violent, which could reduce the rider's ability to avoid the ATV, and may increase impacts and/or forces between a rider and an ATV and/or the ground.


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B&C or not. That is one hell of a deer. Nice pic.
Here is a photo of my 2009 SD mule deer. Scored 205 gross. If he would have had a good front end, he would have pushed B&C nontyp. 19 points.
B&C or not. That is one hell of a deer. Nice pic.
thanks for sharing, that is a wall hanger in anybodys book.
NICE DEER! Was that an outfitted hunt or was it private land/ public land?
Sweet buck!!
What a gorgeous buck! You might never get one like him ever again. Once more congratulations and what did you take him with?
NRA Life Member
Montana Wild Sheep Foundation
Boone & Crockett Club
Montana Bow Hunters Association
"One loves to possess arms though they hope never to."
Thomas Jefferson
That's a beautiful buck........congratulations!
B&C / P&Y Official Measurer
This was a DIY on private land. We were only hunting on a quarter section but it was a milo field and the deer loved to feed there in the morning. I shot him with my weatherby vanguard .243. Made the switch to a 30-06 Tikka T3 this year as I'm left handed and my .243 was right.
I've tried to put a picture up of this years deer but the size is too big and I'm not sure how to make it big instead of an attachment. The deer I got this year was just as unique
Ok I figured it out. This guy is a 23 point non typical that goes 193 net. Both G3s are broke along with some extras which would have pushed him up around 200 with a clean rack. He's real narrow, 16 inch inside spread, but tall and heavy. G2s are 17 inches.
The whitetail is a buch my grandfather took the very next day about a mile from where I got my mulie. His buck has nearly 40 inches of mass measurements total and grosses 143 as a 5x4 (basically a 140 inch 4 point). We received freezing rain that night and the deer was covered with ice, even the horns. It was a great weekend to be out.
Last edited by AustonButt; 04-24-2011 at 09:22 PM.
Some amazing bucks!!!


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An economic state of confusion
August 13, 2010
So, I hear the economy is doing better. Wait—it isn't? If this train of thought rings a bell, you are clearly not alone these days, when it comes to assessing how the economy is going, as well as its prospects for future growth.
I say this, because I talk to people that know a lot more about the economy than I do on a daily basis, and, guess what, they're confused, too.
Where did this confusion begin? That may be hard to say, because different people have different takes about this Great Recession that we may or may not be in, depending on whom you ask.
But one thing that is becoming increasingly hard to overlook, no matter how bright your pom-poms are, is that there is more genuine concern about the economy in the last 4 or 5 weeks than there ostensibly was throughout the entire first half of 2009, when we were getting good economic news and seeing positive trends on a somewhat consistent basis. Granted, much of this good news stemmed from very forgiving annual comparisons. But in a recession, we tend to take all the good news we can get.
Anyhow, as we come off an earnings season which saw the Lion's share of publicly traded transportation and logistics companies have excellent quarters, the million dollar question seems to be if that will be repeated in the third quarter. Based on an increasing trade deficit, somewhat stagnant retail sales numbers, and consumer anxiety, it may stand to reason that the chips are stacked against this happening, but what the heck do I know?
In any event, it is safe to state these are extraordinary economic times. I mean, there are so many things occurring in the sectors we cover that I often feel like my news "to-do" list is overflowing. Actually, that is a fact, not an assumption. In the past few weeks alone, we have seen a stalled energy bill, a terrific earnings season, an uptick in M&A activity, and an over all sense of optimism and pessimism all rolled into one big fact-pinion (yes, I just made up that word).
Anyhow, at the end of the day, I write about what is going on in the world of transportation and logistics and try to break it down into a digestible format for you, my readers. Now, if someone could only give me a straight answer on what the heck is going on with the economy…..grin!
Have a great weekend and thanks for reading http://www.logisticsmgmt.com and Newsroom Notes.
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