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Ogopogo wrote:^Thanks
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hibidy wrote:OMG, it's namm next week. Here's bitwigs booth:
Muziksculp wrote: I'm super
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San Diego Hospice faces critical moment
When it filed for bankruptcy reorganization last week, San Diego Hospice didn't have the optimistic outlook often associated with such filings.
Rather than promise it would streamline its operations, restructure its finances and emerge stronger than before, it left that possibility very much in doubt.
"It is unclear if we will have a viable organization moving forward," said Kathleen Pacurar, the nonprofit's chief executive officer.
Further clouding the picture, Scripps Health announced that same day that it would purchase a small Poway hospice, bring a big new competitor into the marketplace.
Once the largest hospice operator in the region with a daily patient census of about 1,000, San Diego Hospice has seen its numbers dwindle to only 450, Pacurar reported Monday, when the organization filed for Chapter 11 bankruptcy.
The rapid decrease started in November when Pacurar announced that the organization faced a still-unresolved Medicare audit that appears to question the way it qualified patients for government reimbursement.
Medicare pays San Diego Hospice $175 per day for each hospice patient it cares for. However, Medicare expects hospices to admit only patients who are likely to die within six months.
In some cases, Pacurar has said, the hospice was too liberal with its admissions, continuing to claim reimbursement even though patients didn't show continuing signs of decline.
The hospice fears it will have to refund millions to Medicare, though it has not yet received final word from the government.
San Diego Hospice shuttered its inpatient hospital in Hillcrest at the end of the year.
Pacurar said Friday that shrinking patient volume has hurt the organization's balance sheet: Today revenues are about 30 percent less than expenses, a situation that will lead to another round of layoffs, she said.
It is a shocking change for a hospice program that is, by all accounts, well respected among its peers. Never just a hospice provider, San Diego Hospice has been a force in palliative care education, offering fellowships to doctors from around the world.
To lose San Diego Hospice would be a blow to the industry, said Jan Jones, chief executive officer of Elizabeth Hospice in Escondido.
"San Diego Hospice is really iconic in the hospice world. They have done great things not just locally, but nationally and internationally," Jones said.
It is not clear just how much of the drop in patients has to do with San Diego Hospice tightening its admissions and discharge standards and how much has to do with doctors losing confidence.
Jones said news of the audit at San Diego Hospice has had an effect on local doctors' willingness to refer their patients for care at many facilities, not just San Diego Hospice. She said many are worried about repercussions if they refer a patient who does not qualify under Medicare's guidelines. That trend, she said, can mean doctors wait longer to refer patients, meaning some can go longer without the end-of-life comfort that hospice can provide.
"One thing that we're trying to make clear to the community is that the onus of responsibility for admission falls on the hospice, not the doctor, so there is really nothing for doctors to fear in making a referral," Jones said.
There is also no doubt that hospice has become a competitive industry in San Diego County with more than a dozen operators sometimes competing for patients.
"There is competition in the community," Pacurar said. "There is no question that that may be part of it."
But she added that San Diego Hospice is simply not in financial shape to launch a marketing campaign that could help with referrals.
She said the audit and subsequent bankruptcy have forced leadership into survival mode, pushing it to ask Scripps Health, which was once its largest referrer of patients, to enter the hospice business.


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Bass Pro Shops Hosts Blood Drive March 9
February 25, 2013 — Bass Pro Shops is partnering with Oklahoma Blood Institute (OBI) to ask all area residents to give blood. Saturday, March 9 from 11 a.m. to 4 p.m., a blood drive will occur at 200 Bass Pro Drive, Oklahoma City. Donors will be entered to win a $150 Bass Pro gift card. Those who are healthy and 16 years* or older can typically donate.
John Armitage, M.D., OBI president and CEO, says March poses challenges in meeting area hospitals' needs. "Spring Break is exciting for those enjoying time away. But the need for blood never takes a break! There is no substitute, and patients in urgent need during March cannot wait."
By donating blood, donors can feel good about helping to save someone else's life. As an added bonus, each blood donor receives an OBI insulated lunch tote, free health screenings and Donor Reward Points.
Additionally, if blood donors choose to forgo the lunch totes, funds designated for those will be directed to Global Blood Fund. This charity's mission is to support struggling blood centers in underdeveloped countries. In those areas, equipment and supplies to allow people to donate often aren't available.
Although all blood types are needed, those with O-negative type blood are especially encouraged to donate. According to the American Association of Blood Banks, those with O-negative blood type make up only nine percent of the national population. However, O-negative blood can be used by anyone in an emergency situation, regardless of type.
Providing every drop of blood needed by patients in 140 medical facilities across the state, Oklahoma Blood Institute is the ninth largest, non-profit blood center in America. For more information or to make an appointment, call 877-340-8777 or visit obi.org.
* 16 year olds must weigh at least 125 and provide signed parental permission, 17 year olds must weigh at least 125 pounds, 18+ year olds must weigh at least 110 pounds.


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Storage at Pulse 2013 - Day 2 (Monday)
Michael Barton email@example.com Tags: center #ibmpulse tsm operations 3,861 Visits
The opening day of Pulse 2013 was one of the most exciting days I've had in 15 years at IBM. The fanfare, crowds, and keynotes were great. Carrie Underwood rocked. But the real excitement was about Tivoli storage software....
Pulse comes to you through social media!
Sudipta Datta email@example.com Tags: tsm gartner chris pulse partners storage #ibmpulse birthday business 2013 celebration ibm 2,959 Visits
Day 1 at Pulse 2013 was grand and exciting! I am not in Vegas and how do I know? No points for guessing, all thanks to social media #IBMPulse and my friends in Vegas who are tweeting away every moment of the event. Today is for IBM's business...
Honoring the 2012 IBM Tivoli Business Partner Award Winners at the Pulse Business Partner Summit
Jacqi Levy email@example.com Tags: business_partner ibm ibm_pulse ibm_tivoli #ibmpulse ibm_software business_partners awards 5,777 Visits
On Sunday, March 4, 2012, the IBM Pulse 2012 conference kicked off with the Business Partner Summit. Every year, the conference plays host to over 8,000 attendees come from around the world to learn about the latest technology that is helping...
from Blog: IBM Business Partner Blog
Cyber Monday $700 Savings on IBM Cloud Stuff Community Blog
Jennifer Dennis firstname.lastname@example.com Tags: mobility tivoli infrastructure storage ibm pulse #ibmpulse cloud security services software #cybermonday 2,802 Visits
Though you may still be in a Tryptophan cloud, you can get a Cyber Monday deal on IBM Cloud stuff by registering for Pulse today! Don't wait until March 4, and don't even wait until December 16 (when this offer is over for good). Do these three minute steps...
Security as a Key Enabler of Emerging Technology Community Blog
Bryan Casey firstname.lastname@example.com Tags: ibm pulse #ibmpulse security 2,291 Visits
At Pulse, we've all seen hundreds, if not thousands of Smarter Planet slides detailing how our world is rapidly becoming more instrumented, interconnected and intelligent. Steve Robinson's keynote Tuesday morning was no exception to that. As the...
from Blog: IBM Software Community
DAY 1: Pulse 2011, A great day for IBM Tivoli Storage!
Maria Huntalas firstname.lastname@example.com Tags: #ibmstorage #storage #ibmstg #ibmpulse 1,241 Visits
Kelly Beavers, Director of IBM Tivoli Storage & System z Product Management , kicked off the Storage Track yesterday and it was standing room only! Rachel Dines of Forrester , spoke about the 'Butterfly Effect' and its impact on the entire IT...
Pulse is here! Community Blog
It's a beautiful day in Las Vegas. The sun is out, the breeze is cool, and IBM Pulse (#ibmpulse) is now in full swing. Lots of excitement and a packed agenda, but I thought that I'd take a moment to share a little insight into what to look for on today's...
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This is why PCTY UK was Standing Room Only: Community Blog
Jennifer Dennis email@example.com Tags: storage ibm security ibm-energy-management maximo #ibmpulse service-management cracknell ibm-partner integrated-service-manage... james cloud #pctyuk #pcty2010 enterprise-asset-manageme... olympics 2,865 Visits
When you come down for your morning coffee at 6:30 am and your Droid is already buzzing and beeping away you know something unusual is happening. While my brain struggled to solve this pre-caffeination riddle, I fumbled around in the dark for a mug and...
Psst! IBM Business Partners, Have I got a DEAL for YOU . . . Community Blog
Jennifer Dennis firstname.lastname@example.com Tags: #ibmstorage silverstring #ibmsecurity telecommunications partners #ibm pulse asset comes #tivoli to business you eam generatione #pcty2010 enterprise #ibmsoftware management pirean #ibmpulse 2,758 Visits
Business Partners Are Now Invited to Host Their Own Successful PCTY Events! Hosting an event has never been easier for IBM Business Partners! We invite and encourage our valued Business Partners to host a PCTY 2010 event to demonstrate your expertise in...
3 Gründe warum Sie diesen Termin nicht verpassen dürfen Community Blog
Jennifer Dennis email@example.com Tags: automation am 2010 integriertes you security #ibmpulse pcty come integrated storage data frankfurt tivoli to service pulse center al main mai zollar management 26 3,375 Visits
Need the English Version of this Post? Wann? 26. Mai Wo? Frankfurt am Main, Hotel Intercontinental Frankfurt. Agenda: http://www-05.ibm.com/de/events/pcty2010/agenda.html 3 Gründe warum Sie diesen Termin nicht verpassen dürfen Der...
Top Three Reasons to attend Pulse Comes to You in Germany Community Blog
Jennifer Dennis firstname.lastname@example.com Tags: ibm pulse-2010 asset-management pulse storage integrated-service-manage... security tivoli pulse-comes-to-you #ibmpulse de germany 2,781 Visits
The event for Integrated Service Management from IBM - now in Germany . When : May 26 Where : Frankfurt am Main, Hotel Intercontinental Frankfurt. Agenda : http://www.ibm.com/de/events/pcty2010/agenda.html 3 reasons not to miss the event: http://www-0...


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On Stage
7 p.m. Saturday, Concordia University, 12800 N. Lake Shore Drive, Mequon. $20 day of show.
Christian music used to be easy to categorize: hymns, gospel and mostly pallid attempts at country, folk, rock and the rest. However, Christian contemporary music (CCM) is now a force that cannot be dismissed, and Skillet is a force within CCM.
Hailing from Memphis, Skillet began as a kind of alternative-rock band with a vocalist, John Cooper, whose accessibility helped build a solid following (known as "Panheads") among the CCM audience - solid enough that 2003's "Collide" provided a jump to the major label Atlantic.
Turns out Atlantic made the right choice: the 2006 album "Comatose" has been so successful that it spawned a longer-than-usual touring cycle and a 2008 live disc. But Skillet has made time to go back into the studio recently, so this show might feature new songs for the CCM faithful.
Disciple and Decyfer Down will open.
- Jon M. Gilbertson,
Special to the Journal Sentinel
7 and 10 p.m. Saturday, Riverside Theater, 116 W. Wisconsin Ave. Both shows sold out.
For those who don't have HBO, "Flight of the Conchords" is a sitcom and a band. Bret McKenzie and Jemaine Clement are a pair of perennially destitute, down-on-their-luck, pseudo-folkies from New Zealand of modest aspirations. The musical parodies cover a lot of turf, from Marvin Gaye to David Bowie to Shabba Ranks and the Pet Shop Boys.
Living constantly on the edge of homelessness has left the duo with tattered seduction skills. In "The Most Beautiful Girl (In the Room)," they entice their lady with lines like: "You're so beautiful you could be a part-time model / But you'd probably still have to keep your normal job."
- Dave Tianen,
RAY ROMANO and BRAD GARRETT
8 p.m. Monday, Northern Lights Theater, Potawatomi Bingo Casino, 1721 W. Canal St. Limited balcony tickets remain at $70, at the box office and through Ticketmaster, (800) 745-3000 and www.ticketmaster.com. Call the box office, (414) 847-7922, for availability.
Fans generally know that the long-running hit series "Everybody Loves Raymond" was built around Ray Romano's stand-up act. What is less known is that Brad Garrett, who played Ray's brother, Robert, is a veteran stand-up himself who spent years on the road before landing the series. He opened for the likes of Frank Sinatra and Sammy Davis Jr.
Romano and Garrett have been touring occasionally for the past couple of years, and the revelation is that Garrett's style is radically different than what fans of the show might expect. The most common comparison is with Don Rickles, and Garrett sometimes warns fans to leave if they were expecting an evening with Robert.
- Dave Tianen
8 p.m. Tuesday, Northern Lights Theater, Potawatomi Bingo Casino. $35 and $45.
Nashville's Music Row loves its classic stories as much as Hollywood does, so Jo Dee Messina definitely fits the template. She discovered Dolly and Reba when she was a child, moved to Nashville at 19 and worked her way toward fame.
She had estimable help, including that of Tim McGraw, who at the time was also a hungry young songwriter and performer. In 1996, McGraw was one of the producers of her self-titled debut album, which yielded a couple of hits; her 1998 follow-up, "I'm Alright," gave her three No. 1 singles (making her the first female country artist to manage such a feat).
Messina has kept up a steady commercial level since then, and her 2005 album, "Delicious Surprise," has maintained her crossover presence. Her current tour is known as the "Music Room Series" and promises to be a fairly intimate experience - closeness to the fans being another part of the Nashville story.
- Jon M. Gilbertson
8 p.m. Tuesday, Turner Hall Ballroom, 1032 N. 4th St. $10 at the door and (414) 286-3663 and www.pabsttheater.org.
Not only neophytes still think that "live" electronic music is simply a matter of watching studious types cue up samples or noodle on keyboards while the audience simply grooves. Dan Deacon is among those trying to change that perception.
As if to make that point, his appearance here will feature him with a 13-piece ensemble, which is not such an unusual move for a man with classical training in composition, or a man whose live shows are as much parties as performances.
His current album, "Bromst," has elements of the avant-garde and the electronic, but it also has a strong sense of pop music. The curious should expect nothing of Deacon but a challenging good time.
Future Islands and Teeth Mountain will open.
- Jon M. Gilbertson
8 p.m. Wednesday, Shank Hall, 1434 N. Farwell Ave. $15 at the club and through Ticketmaster.
Sara Watkins was the fiddle-playing female third of the late Nickel Creek, and with that band on an extended hiatus she has ventured out as a solo artist. She recently released her self-titled debut disc on Nonesuch.
Before hitting it with Nickel Creek, Watkins had an extensive career as a backup singer and player. Her backup credits include the Chieftains, Richard Thompson, Bela Fleck, Mandy Moore, Jonny Lang and Hank Williams Jr. Her disc was produced by John Paul Jones of Led Zeppelin, and as that might suggest, her musical interests appear to ripple well beyond just bluegrass.
- Dave Tianen
8 p.m. Thursday, Turner Hall Ballroom. $15.
If Omaha, Neb., became one of the unlikely creative focal points of indie-rock in the 1990s, then Cursive was one of the bands that helped tighten that focus. And while the attention on Omaha has dissipated, Cursive goes on.
Cursive started slowly around 1995 with a couple of 7-inch records and an interest in fragmenting rock songs with hard-core energy and calculated time changes. It was the fragmentation of frontman Tim Kasher's marriage that resulted in the band's most cohesive album, 2000's "Domestica."
Cursive has remained lyrically ambitious since then and has musically experimented with horns and strings. Its latest album, "Mama, I'm Swollen," is a relatively conventional work, but a quite listenable one from a band that has weathered many transformations.
P.O.S. opens.
- Jon M. Gilbertson
8 p.m. Thursday through Saturday, Northern Lights Theater, Potawatomi Bingo Casino. Limited seats remain at $65 and $50; call the box office for availability, (414) 847-7922.
It's a case of puppy love that never ended.
Rick Springfield will turn 60 later this year, and he's almost 30 years removed from "Jesse's Girl." But the charisma that made him a teen idol in the early '80s lingers. Springfield's annual multi-night stand at the Northern Lights Theater has become a kind of Mecca in which fans eagerly come from not just across the country but even Germany and Great Britain to bask in Springfield's well-preserved loveliness.
Often the fans will go to every show and meet at area hotels to share the experience. And unlike other cute guys of the era, Springfield remains an active recording artist.
- Dave Tianen
Prices do not include service charges.
On Stage This Week Archive
- May 19, 2016 | Top shows this week: John Fogerty, Bring Me the Horizon and more
- May 12, 2016 | Top shows this week: Lewis Black, Harry Connick Jr. and more
- May 5, 2016 | Top shows this week: Foals and Silversun Pickups, Say Anything and more
- Apr 28, 2016 | Top shows this week: Jones Family Singers, Alan Jackson and more
- Apr 21, 2016 | Top shows this week: Frightened Rabbit, Amy Grant and more
- Apr 14, 2016 | Top shows this week: Andrew Bird, Brian Regan, Polica and more
- Apr 7, 2016 | Top shows this week: Caroline Smith, TobyMac, Joe Satriani and more
- Mar 31, 2016 | Top shows this week: Kurt Vile, Lee Brice, Jay Leno, Meat Loaf and more
- Mar 24, 2016 | Top shows this week: Gogol Bordello, Paul Rodgers and more
- Mar 17, 2016 | Top shows this week: Adam Lambert, Melanie Martinez and more
- Mar 10, 2016 | Top shows this week: Jennifer Nettles, Carly Rae Jepsen and more
- Mar 3, 2016 | Top shows this week: Experience Hendrix, the Jacksons and more
- Feb 25, 2016 | Top shows this week: Bruce Springsteen, Wisconsin Bands to Watch, more
- Feb 18, 2016 | Top shows this week: Jason Isbell, Los Lobos, Rachel Platten and more
- Feb 11, 2016 | Top shows this week: Godspeed You! Black Emperor, Naughty by Nature
- Feb 4, 2016 | Top shows this week: Macklemore & Ryan Lewis, Breaking Benjamin and more
On Tap Today: Bavarian Bierhaus grand opening
Documentary 'Milwaukee 53206' to have world premiere here
Throwback Thursday — Comics Edition: 'Bloom County' gave us Opus, Bill the Cat — then took them away
Concert Announcement: Julieta Venegas' Riverside Theater show Saturday canceled
Concert Announcement: Lakefront Festival of Arts lineup announced
Skylight Music Theatre artistic director Viswa Subbaraman to step down
Concert Review: The 1975 new and improved at the Rave's Eagles Ballroom
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text: I am using Windows XP. I am facing a problem with Private Folder here. I am having only 2 partitions on my pc. I had set the folders to private so that users on the other would not be able to access the same. There was some problem with XP so I installed it back again and accidentally I did that in separate partition. Now when I try to open the old files in Private folder it does not work. I am unable to access the files stored in the Private folder. Does anyone know any other way to fix the same.


text:
"Ulaanbaatar" Top 5 Page for this destination Ulaanbaatar by sachara
Ulaanbaatar Travel Guide: 325 reviews and 984 photos
Ulaanbaatar is the capital of the country and with over one quarter of its population the largest city in Mongolia.
The town has the relaxed atmosphere of a small town. The centre is dominated by Soviet-style high rise apartment blocks, but 250.000 locals live in the extended ger ( traditional tents) suburbs.
In Ulaanbaatar is one of the ''big three'' Tibetan Buddhist monasteries of Mongolia, the Gandan monastery, but we saw also some other Buddhist temples and buildings in town.
So the city has an striking mixture of differences in architecture and culture.
We visited Mongolia and Ulaanbaatar on our trip to Tibet.
The Tibetan Buddhism was the ''red thread'' of our trip with visits to the Gandan monastery in Ulaanbaatar and the Erdene Zuu monastery in Kharkhorin in Mongolia. In China we visited the Labrang monastery in Xia He before going to our final destination, Tibet.
Ulaanbaatar is built along the Tuul River and is surrounded by mountains.
In the centre of Ulaanbaatar lays the large Sukhbaatar Square, also simply known as the Square.
We stayed in the Bayangol Hotel, a high building just south of the Square, one of the landmarks in town.
Reviews (18)
The Trans-Mongolian Railway is the only international train crossing Mongolia, from Moscow to Beiing and visa-versa. The... more travel advice
At the end of the main path of the Gandan Monastery is the great white Migjid Janraisg Sum. When we visited in 1991 the... more travel advice
Near the Manzshir Monastery is a museum. In the museum we saw requisite animal trophies like the skins of snowleopards.... more travel advice
In the valley we walked up the place of the monastery. It was a lovely walk, under the trees along a stream with large... more travel advice
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Comments (35)
hi Ali,nice to see when clicked on these pics on VT main page I was brought to your travel page here! hoping to do the Trans-MOngolian next year on my way to China in August...how convenient that next years euromeet is enroute lol! Romania to Russia sounds a good plan and then up to my first time in Mongolia!...should have gone when I went to Harbin but no time then...
Saw Photo 6, Gandan Monastery, on Front Page VT today and it's beautiful! Bravo for this page, what a trip you had!
Mongolia has become somewhat of a popular destination for adventurous travellers. Again, nice page ali.
Your Ger interior photo is the top Photo on VT homepage ;-)))
A very interesting place to visit. Fascinating information about their dress and accommodations.
Such wonderful pages to a fascinating place!
interesting to travel to these places.thanks for photos of off beaten country like this.
Such colourful clothing the monks are wearing. It must be a privi to go to one of the services.
While waiting for your new pages I took a detour here, and am very glad I did. Loads of fascinating info just adding to my wish to visit Mongolia one day!
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Archive - Mar 26, 2014
USF hire off with Masiello due to resume discrepancies
On Wed, 03/26/2014 - 7:04am.
The Tampa Tribune/Joey Johnston
John Calipari stressed to combo guard Charles Matthews that it would not be easy at Kentucky
On Wed, 03/26/2014 - 6:47am.
Central Kentucky News/Larry Vaught
Related Players:
Kentucky's top recruit Karl Towns talks tourney run
On Wed, 03/26/2014 - 6:46am.
USA Today
Related Players:


text:
Can be conquered a ghost city?
It is necessary to have a colony ship?
The points remain teh same after the conquest?
If raided frequently for resources the points become less. Are they becoming zero after some time? Are the resources become less?
Can be conquered a ghost city?
It is necessary to have a colony ship?
The points remain teh same after the conquest?
If raided frequently for resources the points become less. Are they becoming zero after some time? Are the resources become less?
Yes, you can conquer a ghost town and yes you need a CS. You conquer them exactly the same way as you would conquer a player. The only exception with this is in a Revolt world where you do not need to have Conquest researched and you don't need to revolt it to conquer a ghost town. Just make sure you send your CS as a regular attack.
Ghost Towns lose points over time, this is because they periodically lose a building level until they disappear entirely. However, if you conquer it the points will stop decreasing.
Yes, ghost cities can be conquered. They do need a Colony Ship, but the difference to normal cities is that on a Revolt world you do not need Conquest researched, to conquer a ghost city.
Points of a ghost city remain the same after a conquest. Over time, however, a ghost city 'degrades' and loses building levels. If a ghost city is not conquered it will eventually completely degrade and disappear.
Resources are raided from a ghost city in the same way as from regular cities, and they regenerate just the same as they do in regular cities. If you raid resources faster than they regenerate, there will not be resources there.
i'm doing some raids and i've seen they are degrading faster if raided. so i wanted them for me...
how can i find out if my world is a "Revolt" one?
thanks again!
Worlds are either Revolt or Conquest - this determines the method you use when conquering a city. The easiest way to find out the settings of your world is to scroll to your world on the main page of the forum and it will have the details listed.
There are only two categories, 'Conquest' or 'Revolt'. The easiest way to see which your world is, is to look at the Forum section for it.. This screenshot shows where the settings are;
Edit: Damn you, Asth, you beat me again.
Last edited by Corinthian II; 17.04.12 at 20:07.
Thanks, and how long does it take a town to become a ghost town. For example a 175 point town.
A city generally ghosts 14 days after its owner becomes inactive. This time can vary depending on whether or not the account has gold on it. Cities also ghost when their owner chooses to restart the account.
If you're thinking of conquering a 175 point city though, don't. Colonizing a new city gives 750 points, so conquering anything below that is not worth it. :-)


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Comment posted.
ISO600 says
HI! we're leading the 1°Italian Instant festival, in October in Milan. It will be very important and the first in europe to and in the contempoarry art day. we'll have shows, performance, conferences, workshops, the museum of polaroid cameras and also we'll have a space dedicated to publications on the instant photographyt.
If you want to be among the protagonists of this festival with your book. write to: info.polaroiders [at] gmail.com (set subjet: "iso600: pubblication-your name surname") to have more information.
Hope to hear soon from you,
posted at 04:18AM Jun 30 PST
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Close But Not So Clear Published September 03, 2008
macrovision Published June 26, 2008
Italy Published April 13, 2008


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Synopsis: Fanni has had enough of money and leaves to buy a tent. Anna has had enough of pigs and leaves the farmer – one needle in the hay. In the new game Fanni rolls the dice while Anna does not think twice, she knocks down all the pins. Together they raise their voice and shape one mutual tune. Differences attract each other, and jolly they move on – together on their distinct journeys, where their dreams are set – towards a new found liberty.
The distributor snaps up two international film festival favorites.Read More »


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Bike Service
Our service staff knows bikes. We're Portland's go-to shop for bike care, from small adjustments to seasonal maintenance to one-of-a-kind pro builds.
Fit Studio
The right sized frame is only the first step toward a bike that fits you. Let our expert fit team dial in the whole bike, from the footbeds to the stem, so it fits your unique body perfectly.


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Sheriff's Airship "Duke" Assists in Catching Two Burglary Suspects
An example of the significant improvement that the airship tracking method has had in arresting criminals was on display this past week in Santa Ana. On Monday, August 31, a
Orange County Resident Arrested in Vacaville for Firing Gun During Fight
Vacaville Police arrested two Southern California men early Sunday morning after one had fired several rounds from a handgun in downtown Vacaville during a dispute. According to a press release from Vacaville
Charged with One Murder, the Suspect is Linked to a 1990 Ontario Murder
ONTARIO – DNA evidence linking a suspected murderer to another 1990 killing has led authorities to the investigation of a transgender prostitute who died in that attack. Authorities believe that Richard Reil,
Santa Ana Police Searching for Robbery Suspect
SANTA ANA – Police are asking for the public's help in identifying a robber who held up a gas station attendant at gunpoint and emptied the cash register before fleeing.
Suspect With Priors Held in DUI Hit-and-Run Death
SANTA ANA – Police arrested a man suspected in hitting a pedestrian in a crosswalk last week, eventually determining him to be under the influence. Dallas Frank Reichstein III, 45,
Hell's Angels Busted at Christmas Toy Drive
Ventura County – Perhaps proving that there just might be some truth to the adage that "no good deed goes unpunished," while departing an annual Christmas toy drive event on December
Trio of vandals call police on themselves
HUNTINGTON BEACH – It must have started with three friends planning to raise a little hell in their hometown. The three teenage young men from Huntington Beach got together some
Drug dealing arrest was only their first problem
An Orange County couple, Brandon Brown, 26, and Lauren Schneider, 28, became the targets of an investigation into drug sales. The Huntington Beach Police Special Investigations Bureau was working on
Have You Seen This Bank Robber?
SANTA ANA – Although he wore a beanie and sunglasses, a bank robber in Santa Ana had no qualms about having his mug captured on camera while doing his nefarious
Late Saturday night ends in DUI for Amanda Bynes
Amanda Bynes had quite a career going, first as a child actress, and then rising to further fame as a young woman. From 1997 to 2010, when she turned 24,


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- 112Promote
Stationery Cards
Summer Monsterby Veils And Mirrors
Set of folded stationery cards printed on bright white, smooth card stock to bring your personal artistic style to everyday correspondence. Each card is blank on the inside and includes a soft white, European fold envelope for mailing.
cool :)
haha, this is awesome!
Love love love this!
and it's hot!
haha so funny~!
Haha, so funny!
Wow! I love your art style and especially the colors u haven chosen! Really great!
Fantastic illustration
This is awesome!
Really loving it! Promoted it here & also on FB: bit.ly/MUCHWOWVeilsAndMirrors
wow ! really cool
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***Responsible for developing and maintaining effective gas manuals, standards, procedures, and bulletins that enable PG&E to meet or exceed compliance with all applicable codes and regulations, and ensure public and employee safety - 0 years of pipeline engineering or relevant experience - Bachelor's degree in engineering - PE (Professional Engineer) License Knowledge of 49 CFR Part 192, CPUC GO 112-E preferred***
Location - San Ramon, California
Company Overview
Pacific Gas and Electric Company is one of the largest combination natural gas and electric utilities in the United States and is a subsidiary of PG&E Corporation (NYSE: PCG). The Utility provides natural gas and electric service to approximately 15 million customers throughout a 70,000 square-mile territory in northern and central California. The company was founded in 1905 and has approximately 20,000 employees. In 2009, PG&E generated operating revenues of over $13 billion.
PG&E's power comes from a diverse mix of generating sources, both conventional and renewable, and both small and large. In addition to buying power from other power suppliers, the company generates power from a large network of hydroelectric powerhouses, a nuclear power plant and natural gas-fired power plants. PG&E is committed to environmental stewardship and developing innovative renewable energy programs. PG&E is the nation's largest solar utility with over 12,000 solar-generating customers; it has the largest alternative energy fleet in the utility industry with over 1,100 alternative fueled cars and trucks; and it has one of the lowest rates of greenhouse gas emissions in the nation (58% below the national average).
Safety is a core company value at PG&E. Our Vision and Values statement outlines that, "We are accountable for all of our own actions: these include safety, protecting the environment, and supporting our communities." The company drives the priority and awareness of safety in daily communication, weekly reporting throughout the organization, as well as in major programs, events and initiatives. Protecting the safety of employees and the public is a value lived both at work and at home for PG&E.
Position Summary
This position is located within the Codes and Standards department within a larger Standards and Policy group supporting all of the company's Gas Operations. Gas Operations activities include engineering, construction, maintenance and safe operation of approximately 5,700 miles of gas transmission pipelines and 42,000 miles of gas distribution pipelines serving 4.4 million gas customers located throughout northern and central California.
This position reports to the Manager, Codes and Standards and is a critical role responsible for developing and maintaining effective gas manuals, standards, procedures, and bulletins that enable PG&E to meet or exceed compliance with all applicable codes and regulations, and ensure public and employee safety. The role requires an individual to have both strong utility experience and the ability to work and communicate effectively. The expectations for the work products are to provide clear and easily understood manuals, standards and procedures that are in alignment with the company's guidance document initiative. They are the foundation for employee training and support and guide work practices on a daily basis. Excellence in execution of this role is essential for PG&E to become the leading utility in the United States.
Opportunity Attributes


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Small batch Belgian, German and English styled ales crafted on our custom direct-fired system
Small batch Belgian, German and English styled ales crafted on our custom direct fired system
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May 2016
With the weather getting warmer, it only makes sense to put our classic Saison on tap, so come in on Thursdays or Fridays before 5pm for Happy Hour $4 pints. Cheers!
Join the Mailing List
Growlers and Kegs
We offer fills of 32 or 64 ounce Growlers (we sell glassware in 64 ounce and 32 ounce sizes), and can provide retail kegs for your party, event or wedding. Just stop by the taproom or send us an email.
Taproom Address: 1323 Terminal St., West Sacramento, CA 95691
Contact Jackrabbit Brewing Company
For orders, contact firstname.lastname@example.com
Food Truck Schedule
Thursday 5/19/16: Elsa's Paladar
Friday 5/20/16: King Kabob
Saturday 5/21/16: TBA
Sunday 5/22/16: Toro Tamales
Check our Facebook page for the most updated information on food trucks and times
Taproom Hours
Regular Hours:
Our Taproom is now open to the public at the following hours -
Thursday: 3 PM to 9 PM
Friday: 3 PM to 9 PM
Saturday: 12 PM to 9 PM
Sunday: 12PM to 6 PM
Our taproom is kid-friendly, dog-friendly and bike friendly.
1323 Terminal St. West Sacramento
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If you are interested in having an event in our taproom, send us an email at:
This site is intended only for persons of legal drinking age (21+)
Copyright 2013, Jackrabbit Brewing Company, LLC, All Rights Reserved
Contact us at: email@example.com
1323 Terminal Street, West Sacramento, CA 95691


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Mario is 44 years old. He lives with his family, his wife and children. He is a very responsible, honest and sincere man who always has been described as a husband and father who gives his best to his children. He hopes that tomorrow they will see the effort their father has made. Right now, Mario sells fish. He has done this for some time. He goes out in the morning with his boat to fish and that is how he earns his living in an honorable way. His biggest dream is to keep fulfilling his children's needs. That is why he is asking INTEGRAL for a loan to buy materials such as crates, scales, and items to fix his boat as well as fish that he can't get on his own. He hopes to have your help, which he needs, and he is grateful to God, who has never left him alone and has been there when he needs it the most.
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Mario de 44 años de edad, vive junto a su grupo familiar su esposo y sus hijos es un hombre muy responsable honesto y sincero que siempre se ha caracterizado por ser ese hombre de hogar y le da lo mejor a sus hijos, esperando que el día de mañana ellos vean el esfuerzo realizado por su padre. Actualmente Mario vende pescado es desde hace un tiempo sale por las mañanas con su lancha a realizar la pesca es así como se gana la vida honradamente su mayor sueño es seguir satisfacción las necesidades de sus hijos es por eso que solicita a INTEGRAL un préstamo para la compra de materiales como guacales, basculas, y detalles para arreglar su lancha así como también comprar pescado de uno que no puede obtener por su propia cuenta. Espera contar con la ayuda que necesita y agradece a Dios que jamás este lo ha dejado solo y ha estado cuando más lo necesita.
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About Apoyo Integral
Apoyo Integral (Apoyo) is a nonprofit organization offering financial products that enable clients to increase their working capital, purchase fixed assets, buy and remodel homes, expand agricultural business and more. The organization's target group is businessmen and women who have already established their businesses but need financial support to strengthen or expand them.
Like Kiva, Apoyo is committed to empowering women involved in business activities in rural areas. Kiva lenders' funds will be used to expand these services to an even greater number of poor clients in rural areas.
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A loan of $1,000 helped Mario to buy materials such as crates, scales, and items to fix his boat as well as to buy fish that he can't obtain on his own.
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I'm not sure if it's been posted before. I searched with no specific results.
I'm not sure if it's been posted before. I searched with no specific results.
When I ride my bike I feel free and happy and strong. I'm liberated from the usual nonsense of day to day life. Solid, dependable, silent, my bike is my horse, my fighter jet, my island, my friend. Together we will conquer that hill and thereafter the world.
I think it was posted earlier but not in a dedicated thread.
As a pro in film, I think it's advanced-amateur level work*...but that doesn't matter. The content is great and it's beautiful.
*in terms of cycling, I am far below advanced-amateur! But I'd love a chance to shoot something like this.
I never think I have hit hard, unless it rebounds.
- Dr Samuel Johnson
I remember when that came out, but didn't watch all of it. Made for nice viewing while eating my bagel this morning. Thanks!
I grow old, I grow old. I shall wear the bottoms of my trousers rolled.
This is a great video, worth watching again and again.
L'Eroica is less than 2 months away, and I shall be there! I'll be riding my 1974 Legnano Gran Premio on the 200km course along with my son on a 1983 Bianchi Nuovo Racer. It should be a reat time!!! We may need and new subcategory of C&V to handle all of my posts and pics after the ride.
Thanks for this post.
Can't wait for pics and reports!
I hate it when they change websites. http://www.eroicafan.it/index.php?lang=it
So before, on just plain eroica.it, they had a section with pictures of the bikes.
Anyone have a link to that?
I can't find it.


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Exclusive Interview with Heidi Swapp
Jill Davis, founder of Scrapbook.com, recently sat down with Heidi Swapp, designer of Heidi Swapp products, to talk about her product line, where she finds her inspiration, and whether or not she runs into the same creative obstacles that other scrapbookers do, like journaler's block and burn-out.
Continue reading to see what Heidi had to say about her likes and dislikes, her designs, and how she creates some of your FAVORITE products.
Jill: Heidi, it's great to be with you today. Our readers and customers are big fans of you and your products. One of the things they comment on is how prolific you are. Where do you find your motivation and/or inspiration for the products you create?
Heidi: Usually the ideas for products come to me while I'm scrapbooking. It is really important to me that I am scrapbooking all the time.I'll wish I had something like this or something like that. I combine that with looking through magazines and window shopping. I am not a big buyer; the things I see just go into some creative memory bank in my head and when I get working the ideas form practical applications.
Jill: So when you are out and about, are you looking in cities, in actual retail windows or are you looking through magazines.In other words, if you were walking down the mall is your scrapbooking mind working?
Heidi: Always working; and it's frustrating because I can't cross-shop. I can't be looking for a blouse I need and see scrapbook ideas. I have to go with the intention of looking only for scrapbook ideas and if I need to go looking for clothes I have to go with the intention of only looking for clothes. I have to choose my focus.
You'll know I'm just learning and absorbing ideas if there are no bags in my hands. I try to go to cities like New York, San Francisco, or Boston. I can usually find really fun boutiques with what's really new and different. I probably subscribe to every magazine on the planet. I love to look at what is new, and I love to see what is coming up. And when I am out and about it kind of tips me off as far as the trends and colors coming out.
Jill: That is a wonderful way to do it. As you look through these magazines, do you have a favorite product that you like to use, yours or someone else's, one that you use on almost everything?
Heidi: I can't really say I have an absolute favorite. As I look through my catalogs everything feels like my favorite. I have a new product coming out this summer that I am so in love with. I can't tell you what that is just yet. I think one of my most favorite things is sandpaper. I just love it. I love mine in particular. The factory decided to put my logo on it and a backing which makes it more rigid. I actually think it makes it easier to work with and I love it.
Jill: So you can rip it better?
Heidi: Yes; it doesn't fall apart as easily. I think it helps to control it better and that's why I love it. I do not know how I go through so much sandpaper.
Jill: So did the sandpaper idea just evolve?
Heidi: It wasn't even something I really planned. We needed sandpaper in a kit and I chose the grit. They sourced the grit and it came back with my logo on the back of it. We were laughing about it. It seems so narcissistic or something to have the logos everywhere, but it ended up making it so personal and I loved it so much and I feel like it made such a huge difference when we put the sandpaper into the matchbooks that you can buy. They're probably one of our top sellers.
Jill: It is fantastic to know that a piece of sandpaper brings such joy. How do you make and find time to scrapbook in your busy life since you need to do it in order to find out what you need to create?
Heidi: I scrapbook on a daily basis.
Jill: So is it part of your job?
Heidi: Yeah, it is just part of what I do. I am not one who can sit still.
Jill: Yeah, I know that about you.
Heidi: So, even if we're just watching TV I have to be playing.And when I play, it turns in scrapbooking, or a card, or elements that keep me going. I think I make the choice to scrapbook. I think you choose what your priorities are. But I can't be creative until my house is clean. It bothers me to know there is a big mess downstairs or there's laundry I should do. I can't focus on scrapbooking.
Jill: I always thought that came from our mothers saying "you can't play until your work is done?"
Heidi: I think it does. So, the only real area I allow to get completely out of control is my scrapbook room.
Jill: Isn't that a great feeling? I was scrapbooking in my office the other day and I said to my family, "You guys need to come in here and see how I really scrapbook." It was a mess and it felt so great.
Heidi: Oh man…I get so messy and then I try to clean it up and two seconds later it's so messy again.I just have to give up.
Jill: That's just how it is!
Heidi: I truly love to scrapbook. I truly get a thrill from it and I'm never sick of it, nor do I get bored with it.
Jill: You said you go to New York, San Francisco, and Boston to window shop and find inspiration. Can you tell us more about that?
Heidi: I think I always look for inspiration outside the scrapbooking industry, whether it's home décor or fashion or anything but not within the scrapbooking industry.
Jill: That keeps it fresh doesn't it?
Heidi: It keeps it moving in the right direction. I think every designer in the industry would tell you that.
Jill: So do you ever get in a slump or stuck on a project?
Heidi: Oh yeah, totally.Especially when I'm forced. I hate it when I have to do something.
Jill: I'm guessing that deadlines are not your favorite?
Heidi: Deadlines are necessary and they do work for me, but if I'm supposed to be working on something and nothing is coming, I have to switch to what I'm not supposed to be doing.
Jill: So you have to change your state of focus?
Heidi: Yeah. Then the ideas will usually come and that will help me finish the project I'm supposed to be doing. I don't like to be told what to do.
Jill: Oh really?
Heidi: I want to do whatever I want.
Jill: What's been the hardest thing about working in the scrapbooking industry?
Heidi: I think the hardest thing is having my name on stuff.
Jill: Lots of stuff. Why?
Heidi: Because I have to take responsibility for it. There are good things to take responsibility for and there are hard things to take responsibility for; things that don't go well or go right. I think a lot of scrapbookers have known who I am for a long time. I'm not just an entity, I'm a real person. I want people to know I have real struggles and real issues and that my kids make the biggest messes and I am stuck cleaning up the same normal stuff. I'm just now getting to the point where I have to decide whether or not its necessary to bring on more people and more scrapbook designers in order for me to keep up and really grow the brand. It's very hard for me to trust the process and it's hard for me to convey my vision to others. It's a definite challenge.
Jill: Will you be able to have things come across your desk and approve, or not approve, or give suggestions to change?
Heidi: Certainly.
Jill: And that means there is a lot of growth?
Heidi: Yeah, a lot growth.
Jill: Both with the industry and within yourself. What's the easiest thing about working in the scrapbooking industry?
Heidi: The easiest thing is to design products I love.
Jill: You know that's a real gift because not everybody can do that.
Heidi: It just comes so easy; there are always ideas.It takes a very short amount of time. I'm not the illustrator type of artist, so my designs are very simple. I like alphabets or simple images that I feel can be used over and over. I don't like something that is so limited that you would only want to use it once.
Jill: So you want your tools, or whatever your products are, not to just stay on a shelf?
Heidi: Right, and I want scrapbookers to be able use them on a baby page, a love page, or on any page. I like items you can use over and over; that's why the designs are very simple and it's very easy for me to crank out the products. If all I had to do was design products, my life would be so easy! It's the ads and catalogs and texts that are more difficult.
Jill: And the interviews?
Heidi: And the interviews… it's really hard talking about how I design.
Jill: Because you have to formulate what you do and to put things into words.Sometimes the things you do are so normal to you, you don't realize they are really quite phenomenal to others.
Heidi: I love to teach; it's coming up with the project that is hard. I agonize over the project but it's really easy to present.
Jill: Who do you admire as a scrapbooker right now?
Heidi: There are a lot of scrapbookers I admire. I really admire Ali Edwards. It's really easy to say that because I think everyone feels that way. I appreciate how real she is. However, I think my personal hero, the person I admire the most in the industry as a scrapbooker, as a motivator, as a woman, and as a business woman is StacyJulian. I think she is a great scrapbooker and I love what she writes.
Jill: And what Stacy's sharing with everyone at Big Picture Scrapbooking. Those are two great women. You said you read magazines and look at things to get inspiration and ideas. Do you also read idea books?
Heidi: No.
Jill: Can you say why?
Heidi: Because I don't like to be influenced in that way. I skim through magazines, but don't study them. I like to know what people are being drawn to.I like to look at styles and colors. I want to be fresh. If a design is going to come from it, I want it to come naturally. I do look at photograph books because I like to look at different ways to approach photography.I don't consider myself a fabulous photographer, so I really enjoy finding inspiration in those kinds of books.
Jill: Do you have any neat storage ideas you can share?
Heidi: My neat storage idea is this huge destruction area that I live in. I should not say I'm unorganized because I know where everything is, but it doesn't look pretty. I think if you came into my room and looked at my stuff it would be interesting to look around because there is just so much of it. I'm a mess. (laughter)
Jill: You're a put-together mess.
Heidi: I kind of group things so all my rub-ons are in one box and all my flowers are in another. I keep a lot of things in the packaging. All the packaging that HeidiSwapp (company) does is clam-shell, so you can open and close it again.
Jill: I see.
Heidi: It helps me to remember what set it came from.
Jill: Then you know how you many you do have or don't have. I like that idea.
Heidi: I keep stuff together.I use a little bit of Cropper Hopper for my photos. I have all my Chipboard Alphabets, all my Masks, and all my Silhouettes in Cropper Hopper and then I label them on the top and they just sit on my shelf.
Jill: That's organized.I bet it looks really pretty. What time of the day are you the most creative?
Heidi: Well that depends on if I'm pregnant or not. (laughter) I'm pregnant right now.
Jill: And you look beautiful, I might add.
Heidi: Oh you are so sweet. I don't know what's going to happen when the baby comes. I'm panicked. But it used to be I wouldn't be in bed before 2:30am or 3:00am ever. I love the night. Truly at about 11:00 pm I'm the most creative, because I'm alone. I like to watch movies over and over again so I don't have to pay attention.
Jill: It's pure entertainment.
Heidi: Totally.
Heidi: I try to be the most productive while my kids are in school. Coming into summer there's a panic.
Jill: That's a really justifiable panic.
Heidi: It'll be a challenge.
Jill: It'll be interesting to see what comes from your creativity when you're shorter on time to complete your projects.
Heidi: Probably nothing!
Jill: Have you ever been burned out?
Heidi: I don't think I have ever been as burned out as I am now while I'm pregnant. I'm just tired. I think I get burned out occasionally but then something fun comes along.
Jill: So to get recharged do you still look to creativity or do you go get a pedicure or take a walk in nature? What do you do?
Heidi: I love to run. I really miss running. When I run I think really clearly and get really good ideas. So I run with my cell phone because I have to unload the ideas so I can move on to the next ones. As I run I call and say, to anyone who will listen, "Okay write this down." (laughter)
Jill: That's smart. I actually call my voicemail and talk to myself.
Heidi: Oh that's a good idea.I think recharging comes for me when the laundry is all done or my house is clean. Even cleaning out the refrigerator or pantry makes me feel like I don't have to worry about it anymore and I can really concentrate.So I find when I get burned out or aggravated it's because other things are infringing on my creativity. I think it goes back to women's, or mom's paradox. My first responsibility is to be a mother and I feel guilty and horrible when there's no dinner or there's no food or there's no clean clothes. So when I feel good about my role as a mother I can then move into my role as a businessperson. I think I recharge when I feel I've met my matronly obligations.
Jill: That's neat that you put motherhood first. Your trademark color is pink. Is that your favorite color?
Heidi: It's kind of funny, because my original thought was just black and white polka dots; that's all I was going for. But pink has had a place in everybody's inspiration in the last couple years.My mother-in-law just gave me a big canvas for my wall that says "Pink is not just a color, it's an attitude," which is kind of fun. But right now the color I really love is orange.I cannot do anything without orange. It's so fun. It's a really good color but I think for my branding I've been successful with pink, so I'm going to stick with it.
Jill: If you could pick a color or a color scheme for your favorite room in your home what would it be?
Heidi: I really like brown. Brown and earth tones are really comfortable to me and not too committal, my bedroom is brown and crème.
Jill: So that's a comfortable place for you to be?
Heidi: Yes, I don't like loud colors. I don't like to commit to big colors. Although my living room is painted pink!
Jill: What other products besides your own do you like right now?
Heidi: I love Scenic Route paper. Their designs can be used over and over for lots of different things.I think she really knows what she's doing.
Jill: Haven't you used Scenic Route lately in something you have taught?
Heidi: Yeah.
Jill: Okay. That leads me to this question. What can you tell us about Bazzill's Creative Escape?
Heidi: I'm excited about it. You know how I said I like to divert my attention to something I don't have to do? That's what Creative Escape is for me. It's the opportunity to plan a big party, but there's no obligation. I'm not very organized or detail oriented so it's wonderful that so many people on the team are. We just come up with so many fun ideas; it's just going to be a big party.I finally saw all the projects and they are all finalized. We told the teachers what we wanted them to do and what we wanted to have brought to the table so there is such a huge variety. All the people who are involved I respect tremendously, and the manufacturers have been so enthusiastic and supportive.
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Jill: What's the most exciting experience you've had as a scrapbooker?
Heidi: I think my most favorite experience I've had is teaching the "she" class I developed. The "she" class is a concept that takes a long time to describe and talk about. The "She" book that inspired all this was written by ColbyYobda. My favorite quote is "she designed a life she loved". If you really think about that for a while I think it's a beautiful thing. I have the opportunity to remind women that they have the power to design the life they love. We can show our love for life through our scrapbooking and leave valuable messages. We can leave a tremendous legacy for ourselves, and our loved ones. Choosing the kind of person we want to be and the kind of life we want to have is the perfect way to start a lifetime of pursuit. It's so amazing to teach this concept and to have people understand it.
Jill: You're going to be passing on a good message about a good way to live; the right way to live. Well Heidi, it has been great. Thank you.
Heidi: You are absolutely welcome.
Jill: We appreciate your kindness and what you do for the industry. Have a great day.


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text: Share It MainStoriesYoung Athletes In Mexico Young Athletes In Mexico Paola Martinelli | Sep 12, 2013 | Latin America: Mexico The subprogram in Nuevo Leon, Mexico, began the Young Athletes' program involving 15 children and their parents. This program aims to identify the physical activity needs of physical for each individual child and improve their motor skills, in order to integrate them into regular program in Nuevo Leon. The participants are children from 2-7 years old, with their parents also involved in the collaborations and development activity to integrate the new group actively develop and to socialize with their peers. About Me:National Manager of Communications and Marketing Read More Stories First Family Health Forum in Greece Makes a DifferenceMartha Jo BraycichA Smile Can Mean So MuchBy Suzin TrioloFit & Flattering - Special Olympics North Carolina Athletes is Living HealthierMegan O'DonnellMoving to the Front of the Class for Healthy Athletes ChallengeBy Megan O'DonnellA Mother's StoryBy Astrid MoritzI am Sebastian Palmeri's mother and I feel like the mother of a rock star. My son has become a real winner and this has only happened since we found out about Special Olympics.Jamaican Floorball Team Members Surprise Their Guest CoachBy Victor L. BrownThe head coach of a pro floorball team got a new point of view of the Jamaica Maroons floorball team.Special Olympics Virginia Athlete Marks a Milestone for Congressional FellowshipChristy WeirBreaking Records, Breaking Barriers in IndiaKate McKennaSpecial Olympics Nepal Marks Earthquake AnniversaryKate McKennaYoung Athletes training brings smiles and happiness to participants in TurkeyAtil BerkRespect, Honor and Cheers on a Unified Day in IsraelJudy Ziv Do You Have A Story to Share?Share Your Story More Stories


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Author Affiliations: Departments of Pediatrics (Drs Stefan and Smythe) and Community Health and Epidemiology (Ms Hopman), Queen's University, and Clinical Research Centre, Kingston General Hospital (Ms Hopman), Kingston, Ontario.
To determine whether exercise intolerance and recommended activity restrictions are associated with development of overweight and obesity in children with congenital heart disease.
Retrospective review.
Pediatric cardiology practice at a teaching hospital.
A total of 110 pediatric congenital heart disease patients followed up for a mean of 8.4 years.
Main Outcome Measures
Body mass index (BMI), sex-appropriate BMI percentiles, overweight (BMI percentile ≥85), and obesity (BMI percentile ≥95) at follow-up.
As a group, the increase in BMI percentiles was close to 10 points, but the increase was 21.6 points for exercise intolerant children and 27.3 points for activity restricted children. Activity restriction was significantly associated with both overweight (risk ratio [RR], 2.60; 95% confidence interval [CI], 1.34-3.54) and obesity at follow-up (RR, 4.08; 95% CI, 1.42-7.38) after adjusting for weight at baseline. For the subset of 92 children at a healthy weight at baseline, activity restriction was again significantly associated with overweight (RR, 2.51; 95% CI, 1.24-3.52) and obesity (RR, 6.14; 95% CI, 2.54-8.82) at follow-up. Exercise intolerance did not attain statistical significance.
Exercise intolerant and activity restricted children experienced larger increases in absolute BMI and BMI percentile than children with neither exercise intolerance nor activity restriction. Activity restriction was the strongest predictor of risk of overweight and obesity at follow-up. Elevated weight and obesity may cause these children significant additional health burdens. Therefore, when patients must be counseled against physical exertion, they also need to be educated about the importance of appropriate physical activity and good dietary practices.
According to the US Surgeon General, obesity will soon overtake tobacco smoking as the No. 1 cause of preventable disease and death in the United States.1 In Canada, obesity rates have also experienced a large increase, doubling between 1985 and 19982 and costing the health care system approximately $1.8 billion in 1997.3 Children are not exempt from this epidemic. In 1996, 28.8% of boys and 23.6% of girls in Canada were considered overweight (defined as a body mass index [BMI; calculated as weight in kilograms divided by the square of height in meters] ≥85th percentile for age and sex) compared with 15% each in 1981, whereas 16.6% of boys and 14.6% of girls in Canada were obese (defined as a BMI ≥95th percentile for age and sex) compared with 5% each in 1981.4 Rates are similar in the United States, with 15.3% of those aged 6 to 11 years and 15.5% of those aged 12 to 19 years at or above the 95th percentile for BMI.5 Along with psychological and social consequences, overweight and obese children are at increased risk of a number of medical and surgical conditions.6 They are far likelier to become obese adults,7 and cardiovascular disease, ischemic heart disease, and stroke are more common in individuals whose onset of obesity took place in childhood.8
Obesity is caused by energy intake chronically exceeding energy expenditure. Some children have physical limitations that may affect their ability to expend calories, thus potentially shifting the energy balance toward a net gain of calories and putting them at risk of becoming overweight or obese. For example, one study9 of children at an urban community health center suggested that asthma was a significant risk factor for obesity due to such limitations in physical activity. Congenital cardiac abnormalities are the most common serious congenital anomaly, occurring in approximately 0.8% of live births.10 Many children with congenital heart disease are similarly restricted in activity, yet no studies have been performed to see whether they too are at increased risk of developing obesity and potentially acquiring additional burdens to their health. This study reviews a population of children with congenital structural heart disease in a pediatric cardiology practice to determine the prevalence of overweight and obesity and whether recommended activity restrictions are associated with development of obesity.
Medical records in the office of a pediatric cardiologist in Kingston, Ontario (J.F.S.), were identified according to the following inclusion criteria: (1) diagnosed congenital structural heart defect, (2) minimum age of 2 years at baseline, (3) no other disease or syndrome, and (4) still an active patient. Collected data included sex, date of birth, diagnosis, and first and last recorded height and weight and corresponding dates. In addition, clinic letters were reviewed to identify those who were symptomatically exercise intolerant by history (eg, unable to keep up with peers during physical activity, including gym class; diminished capacity to climb stairs, run, and walk on a flat surface) Also identified were those for whom the pediatric cardiologist had recommended activity restriction in accordance with recommended guidelines (eg, excluded from participation in competitive sports demanding at least moderate physical exertion, including tennis, soccer, basketball, baseball, hockey, and football).11,12 This recommendation was made at the time of the diagnosis for school-aged children or at the time they would potentially enroll in competitive sports (approximately 4-5 years of age) for younger children. The diagnoses were described and categorized as shunt only, obstruction only, shunt and obstruction (eg, tetralogy of Fallot), and other complex heart disease (eg, single ventricle, transposition, or cardiomyopathy). The Queen's University Research Ethics Board approved this study.
The BMI was calculated and plotted onto the sex-appropriate BMI growth curve13 to determine the BMI percentile for that individual at that particular time. At each time point, individuals were categorized as overweight (BMI percentile ≥85) or obese (BMI percentile ≥95). Elapsed time between the first and last measurement and change in BMI percentile were also calculated.
SPSS statistical software, version 11.0, for Windows (SPSS Inc, Chicago, Ill) was used for analysis. We used χ2 testing (Fisher exact tests) to examine associations among categorical variables (sex, diagnosis, exercise intolerance, and activity restriction) and weight status. Independent t tests were used to determine whether there were any systematic differences in age, BMI percentile at baseline, BMI percentile at follow-up, and change in BMI on the basis of sex, exercise intolerance, activity restriction, and weight status. Mixed analysis of variance was used to test the magnitude of change in BMI percentile from baseline to follow-up, with activity restriction and exercise intolerance as between factors and the 2 BMI percentiles (baseline and follow-up) as within factors. Logistic regression modeling was performed to identify the association between the primary predictors of exercise intolerance and activity restriction with the outcomes of overweight and obesity, controlling for the effects of potential confounders. These models initially included all patients, followed by models that included just patients who were of healthy weight at baseline. Linear regression for change in BMI percentile was also completed, using all patients. For all regressions, available variables included age, sex, diagnosis, weight status at baseline, activity restriction, and exercise intolerance. Variables that had a moderate association with the outcomes in bivariate testing (P<.20) were offered into the models. Finally, prevalence of overweight and obesity among a subset of the sample consisting of patients aged 7 to 13 years at follow-up was compared with the Canadian population rates for the same age group.4
Table 1 gives the characteristics of the 110 patients who met the study criteria. The average ± SD interval between baseline and follow-up assessment was 8.4 ± 3.2 years. Mean ± SD change in BMI percentile was 9.7 ± 32.2 points. Of the 92 with a healthy weight at baseline, 12 became overweight and 10 became obese (Table 2). Four of 10 considered overweight at baseline achieved a healthy weight at follow-up and 1 became obese. None of the 8 who were obese at baseline achieved a healthy weight, although 2 did drop from the obese into the overweight category. Mean percentile changes increased overall for the healthy group; the obese group remained stable and the overweight group dropped slightly (Figure 1).
Mean body mass index (BMI) percentile changes between the 2 time points overall and by baseline weight groups. Mean ± SD time between baseline and follow-up was 8.4 ± 3.2 years (range, 2.4-17.3 years).
No association existed between age and weight status at follow-up. Mean baseline age of those who had a healthy weight at follow-up was 3.9 years compared with 3.8 years for those who were overweight and 3.9 years for those who were obese at follow-up. Sex, age, and the 4 diagnosis categories were not associated with weight status at follow-up. However, exercise intolerance was statistically significantly associated with obesity at follow-up, whereas activity restriction was statistically significantly associated with both overweight and obesity at follow-up (Table 3).
The difference in the mean baseline to follow-up change in BMI percentiles between the exercise tolerant and intolerant patients was statistically significant, as was the difference in the mean change between the activity unrestricted and activity restricted patients (Table 4). The results of the mixed analysis of variance indicate that a highly significant change occurred in BMI percentile between the 2 periods (P<.001) and that this was associated with activity restrictions (P = .05) to a much greater degree than exercise intolerance (P = .16). There was no interaction among change, activity restriction, and exercise intolerance.
The patients were subsequently classified as activity restricted, exercise intolerant, or both and compared with the group with neither problem. All groups showed an increase in BMI percentiles from baseline to follow-up, but the increase was the most marked for the group that had both activity restriction and exercise intolerance, followed by the activity restrictions alone and then exercise intolerance alone (Figure 2).
Mean body mass index (BMI) percentile changes between the 2 time points by activity restriction, exercise intolerance, both, or neither. Mean ± SD time between baseline and follow-up was 8.4 ± 3.2 years (range, 2.4-17.3 years).
Four final logistic regression models were developed. The first 2 included all patients, controlling for baseline weight status (whether they were overweight or obese) by forcing these variables into the models. The next 2 models examined the subset of 92 patients who were of healthy weight at baseline (Table 5). Odds ratios were converted to risk ratios (RRs) to facilitate accurate interpretation of the results.14
When controlling for weight status at baseline, those who were activity restricted were more likely to become either overweight (RR, 2.60) or obese (RR, 4.08). Exercise intolerance did not attain statistical significance in either model, although it approached significance in the model for obesity. When examining just those patients of healthy weight at baseline, activity restriction again had a significant association with both overweight (RR, 2.51) and obesity (RR, 6.14), whereas exercise intolerance was not statistically significantly associated with either outcome.
Stepwise linear regression supported the results of the logistic regression. Four variables were included in the final model. A problem other than shunt or obstruction was associated with a 24-point decrease in BMI percentile (95% confidence interval [CI], −45.01 to −3.12), whereas being overweight at baseline was associated with a 19-point decrease (95% CI, −34.88 to −3.99). Exercise intolerance was associated with a 15-point increase (95% CI, 0.48-29.30), and activity restriction was associated with a 25-point increase (95% CI, 6.55-42.99).
Canadian population data4 are based on those aged 7 to 13 years, so a comparative group of 81 patients (37 girls and 44 boys) between the ages of 7 and 13 years were identified. The risk of overweight and overweight rates of the population in 1996 fell well within the 95% CIs for our sample for both boys and girls, indicating that although there was a noticeable increase in the BMI percentiles within our group, they were not significantly different from the Canadian normative data at the time of follow-up in a cross-sectional evaluation (Table 6). There are no normative data available for the time that the patients were first seen, so we are unable to test the hypothesis that our patients may have had somewhat lower weights than the Canadian population at baseline.
The results showed that, as a group, children with congenital structural heart disease have overweight and obesity rates similar to those of the overall pediatric population. However, those reported to be exercise intolerant had substantially higher rates of obesity compared with the other children in the sample, whereas those who were advised to restrict their activity had statistically significantly higher rates of both overweight and obesity. The impact of exercise intolerance was not as strong as that of activity restriction. The effect of exercise intolerance was nonsignificant in the subset of patients who were of a healthy weight at baseline, but the impact of activity restriction became even stronger. In addition, exercise intolerant and activity restricted children experienced a significantly faster growth in absolute BMI and BMI percentile than their counterparts who had congenital heart disease but were neither exercise intolerant nor activity restricted. The reduced activity of these children may result in lower caloric expenditure and consequently caloric storage.
Several limitations of this study need to be identified. First, the list of factors considered in the analysis was not exhaustive. Factors not considered included the following: the specifics of the lesion, severity of the lesion, treatment, caloric intake, home environment, and family history. Second, categorization as exercise intolerant was a subjective categorization based on patient or parent report. Stress tests to objectively determine tolerance thresholds were not included in this study. No distinction was made between patients who were exercise intolerant owing to their heart condition and those whose heart lesion was such that it should not have been the cause of their exercise intolerance (of note, obesity did not predict exercise intolerance in this population). Similarly, the categorization of activity restricted related only to the advice of the supervising pediatric cardiologist. No information was available with regard to how much activity a restricted patient engaged in or to what degree his or her activity was restricted. Finally, we were unable to control for parental obesity, a known risk factor, because these data were unavailable in the patient medical record.
Despite the limitations, the study raises some interesting questions. The strong association between obesity and activity restriction raises concern that some harm may result from advising children with congenital heart disease or with other serious conditions to restrict their activity. The increasing BMIs, higher BMI percentiles, and elevated overweight and obesity rates may cause these children significant additional health burdens. This does not imply that patients at risk of sudden death or serious arrhythmia should not be counseled about the dangers of overexertion. However, knowing that prescribed exercise curtailments may themselves pose a risk may necessitate further preventive measures.
Perhaps we need to be more aggressive in our efforts to educate this subset of patients about the importance of ongoing appropriate physical activity and good dietary practices. This could include counseling with a skilled dietitian and a well-defined exercise program. With mild forms of congenital heart disease, most sports will be permitted. With moderate disease, individual assessment, including exercise stress testing, may identify patients able to participate in intermediate-level sports. For severe forms of congenital cardiac abnormalities, activities such as walking, recreational swimming and cycling, golf, and bowling should be encouraged to reinforce the importance of lifelong healthy exercise.12 The cooperation and support of family and frequent follow up with reinforcement of exercise and dietary recommendations by the child's primary health care physician are also important facets of successful weight control that could be routinely incorporated into the care of these children.
This study was designed to provide some preliminary insights into the association among activity restriction, exercise intolerance, and the development of overweight and obesity. We recommend that further research reviewing the weight profiles of pediatric patients with prescribed activity restrictions be undertaken to confirm these findings.
Correspondence: Wilma M. Hopman, MA, Clinical Research Centre, Angada 4, Room 5-426, Kingston General Hospital, 76 Stuart St, Kingston, Ontario, Canada K7L 2V7 (firstname.lastname@example.com).
Accepted for Publication: August 20, 2004.
Acknowledgment: We acknowledge the analytical assistance of Andrew Day, MSc, senior biostatistician with the Clinical Research Centre, Kingston General Hospital.
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96 Quite Bitter Beings tab by CKY, added: October 31st, 2001
Profile History
+ --------------------------------------------------------------------- + | Ultimate Guitar Tabs Archive - your #1 source for tabs! | | http://www.ultimate-guitar.com/ | | | | Over 1,000,000 guitar, guitar pro and bass tabs! Also lessons | | news and guitar forums! | + --------------------------------------------------------------------- +
cky, 96 quite biter beings(the real tabs). Tabbed by John Houx(firstname.lastname@example.com)www.cky.8k.com. Tab by John Houx (email@example.com) www.cky.8k.com/ Tuned down one half step (low to high: Eb Ab Db Gb Bb Eb) Main Riff ---------------------------------------------------------- ---------------------------------------------------------- ---------------------------------------------------------- -----9------------9-10-9------------10/12-10-9-7-----9---- -7-10---7-----7-10------10-9-----10--------------10----10- -0------0-----0---------------8--------------------------- Verse Guitar 1 -------------------------- -------------------------- -------------------------- -2--2--2------6--6--6----- -2--2--2------4--4--4----- -0--0--0----0-4--4--4----- Guitar 2 -------------------------- -------------------------- -------------------------- -9--9--9------6--6--6----- -7--7--7------4--4--4----- -0--0--0----0------------- With my perceptions in a mix, down 20 miles through the sticks To the clouded town of Hellview population 96 Excessive vacancy well maybe in the shadow of an eye All the strangers pass right through it where the rules just don't apply Chorus-Play Main Riff Second Verse At the fork turn left, a store, but on the right stay free from sight Cause 96 quite bitter beings like to stack the bodies high The only way to ever leave is overflooded by the storm And entanglement in Hellview brings you fear in 50 forms They've deleted all the tourists at the bottom of the lake And not one supports the cause to leave the blood stay in the veins Bridge 1 -0-0-0-0-0-0 -0-0-0-0-0-0 -0-0-0-0-0-0 -9-9-9-9-7-7 -7-7-7-7-5-5 -0-0-0-0-0-0 Strum, listen to the cd and figure out the rhythm Play 5 times then mute strings very quickly, then play 2 more times Bridge 2 ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- -7--7--7--12\7-9--2--2----5--5--5--12\7-9--2--2-- -5--5--5--10\5-7--2--2----3--3--3--10\5-7--2--2-- ------------------0--0--0------------------0--0-- Here three miles back is where we are All we ever wanted was an answer The civilized are close yet way too far All we ever wanted was an answer Repeat Bridge 1 Repeat Bridge 2 with new lyrics Footprints giving clue to where we are All we ever wanted was answer The civilized are close yet way too far All we ever wanted Repeat Main Riff 8 times That's it :: Ultimate Guitar Archive :: http://www.ultimate-guitar.com
Nice tab. this song rox
Great tab...I'm still working on getting it down perfect. This is actually the only CKY song I've heard, and it never ceases to amaze me whenever I watch the video or hear the song. I've always wondered how they could write a song that unique...But this is the only accurate tab I've seen on any site, so for that I'm thankful


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Shoot, I misunderstood this completely. The NY Times said KSM's capture was a "rare victory" in the war on terror. They couldn't be wrong, could they?
Let's hope there is plenty of room in those talons to hold more...Posted by Chrees at March 11, 2003 11:31 AM
Sorry guys, but there's just not enough backhair in the painting, it's not realistic enough.. hehehehehePosted by israeliguy17 at March 11, 2003 12:11 PM
Awesome ! Mom's getting the link as we speak !Posted by Matt Kirk at March 11, 2003 08:41 PM
I like that you got the emotion in the "face" of the eagle just right--utter disdain.Posted by addison at March 11, 2003 10:35 PM
When I first saw the cartoon, before I read the caption, I thought, "Dumb Bomb." :-)
Maybe when they're through wringing info out of him, they can drop him from about 10,000 ft over one of Saddam's palaces, with a note tied round his neck that says, "You're Next!"
We ought to let the media know in advance, so they can show it live.Posted by marcus at March 12, 2003 05:11 PM
I have two of Steve Breen's earlier cartoons on my cube at work, and this one is the perfect complement to them. I wish I could find a link to the second, but it's basically the eagle from the first pic flying away, leaving his stool and nail file behind.
http://cagle.slate.msn.com/working/010916/breen.gifPosted by Ral at March 12, 2003 05:41 PM
I didn't pick up disdain in the Eagle's expression here. I picked up "You. Will. Pay."Posted by Joe Katzman at March 13, 2003 12:31 AM
I LOVE THIS CARTOON!! For me, the eagle's expression is one of quiet menace - just perfect. As is the thuggish-looking KSM.
Keep up the great work, guys!Posted by Rachel at March 18, 2003 09:42 AM