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2015 SMU SWIM CLINIC - SHORT COURSE KICKOFF*Per NCAA rules, all sport camps and clinics conducted by Southern Methodist University are open to any and all entrants and enrollment is only limited based on age, grade level, gender, or number restrictions as specified by each camp.
Come and learn from SMU coaches Eddie Sinnott, Steve Collins.
The Clinic is designed to help swimmers prepare for the upcoming short course season and give them a head start on their competition. It includes lectures and drill and stroke instruction as well as start and turn work in all four competitive strokes. The coaches will once again be conducting the 4 stations in which the swimmers rotate between a start station, a stroke station, a turn station and a push-off and finish station.
Swimmers ages 9-18
Per NCAA, This camp is open to any and all entrants, limited only by number, age, grade level and/or gender
Saturday, October 10 - 9 a.m.-1 p.m.
SMU Barr Pool. During the clinic swimmers will participate in both the outdoor pool. We ask that your child arrive with swimsuit and sunscreen on so that they are protected when we are at the outdoor pool.
The price includes a cap and: instructional lectures; "in-the-water" drill sessions; starts and turns for each of the four strokes. There will also be demonstrations and assistance by the SMU swimmers.
Online credit card and debit payments at the time of registration or payment by check are accepted.
Full refund if cancellation is made by October 1st. After October 1st, there will be no refunds.
Eddie Sinnott, SMU Head Men's Coach
Mitch Dansky, SMU Assistant Men's Coach
Steve Collins, SMU Head Women's Coach
Ashley Dell, SMU Assistant Women's Coach
Click the Register Now! button.


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|Cloud 19 beach retreat hotel, former beach residence
of The Chumbala family, is situated on a 1.9 k.m. secluded beach on
the east side of Chalong bay, allowing you to take the full
breathtaking sunset views.
Its location is in close proximity to Phuket town (10mins), making it an ideal alternative to the town stay. Cloud 19 offers 19 rooms, each of which enjoys the picturesque sea view. To put it simply, you will be treated as our honored guest to this contemporary classic beach manor where comfort, convenience, and quality are of our utmost priorities. The hotel accommodates guests for both short & long term.
Premium Room
- Type 1 (302, 305) : each with a queen-size bed and a large bathroom with an outdoor bath. The rooms have balconies and are located on the 3rd floor of the new wing.
- Type 2 (203-206) : Located by the upper pool of the new wing with either a king-size bed or twin beds, available as connecting rooms.
Garden Suite Large rooms on the garden with private garden decks and connecting rooms option.
Junior Suite The closest room to the beach (10meters) with the main swimming pool on the left and garden on the right. Perfect for relaxing with the soft sound of the waves.
Suite Our best room, located on the 2nd. floor of the main building with the absolute view of the beach & the Sea. It has a living room and a bedroom with a large bathroom equipped with a Jacuzzi. It also has a private balcony.
Room Amenities
|"Lainapa" A cozy and elegant little
gem, Lainapa is a beach front restaurant operated by Cloud19 Beach
Retreat. The restaurant is perfectly situated overlooking the
spectacular view of ChalongBay and offers an exceptional dining
experience in both Thai and Western dishes in addition to our
marvelous wine list that will dazzle your taste buds. The acclaimed
food together with the magnificent ambience and attentive service
all combine to make Lai Napa a favourite stop to both locals and
visitors alike.
|At Cloud19, your relaxation and well being are our
specialties. All of our rooms come equipped with air conditioning,
hot water, quality posturepedic mattresses, cable T.V. net work, a
fan, and mosquitoes screens. In addition, we provide the following
facilities for your comfort and pleasure.
We also provide a variety of sports both on land and water. Our ideal surrounding features clean flat sea water, and access to quiet hilly road allowing guests to enjoy ocean swimming, kayaking, snorkeling as well as mountain biking and hill running. In the future, we'll be able to provide jet-ski rental as well as water ski.
Cloud19 is ideal not only for hopping into Phuket Town but also for island hopping (including Koh Hae, Koh Rachas, Koh Maiton, Koh Phi-Phi, and many more).
|Swimming Pool
|Swimming Pool
|From the Central Phuket Festival's intersection, stay on "402 road" (Chaloem Phrakiat Rd.), drive South. At the 2nd. traffic lights turn left on to "4022 road", and go straight, at the 2nd. traffic lights turn right onto "4023 road" or Sakdidet Rd. Drive straight for 3 kilometers, pass one traffic lights, before the left bend, look for the Cloud19 sign on your right, turn right into the small road, follow the signage until you get to the hotel (4 km). The hotel is located 500 meters pass the Novotel on the right hand side.

subset: commoncrawl


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This is a planner for a serious gardener, who spends hours digging, planting, watering, weeding... and for someone who is simply fond of beautiful spaces, magnificent plants and Nature in general. Hopefully it will help you organize your time so well, that this year will seem like a never ending adventure or a journey, which will be always remembered fondly.
Comment posted.
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GARDENER'S LOG Published April 25, 2012


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Use province in a sentence
- He wished to traverse the province on foot and on horseback, and Sabina was to follow by boat as soon as the inundation should begin. [10]
- By the strange telepathy which defies language, to the Honourable Hilary Vane, Governor of the Province, some such unacknowledged forebodings have likewise been communicated. [9]
- There must be some reason for your seclusion which curiosity has not reached, and into which it is not the province of curiosity to inquire. [6]
- What dignifies a province like a university? [6]
- Under one innocent pretext or another, he invaded this or that special province she had made her own. [6]
- The province of labour was found, but with each step forward the conviction of my utter lack of preparation for the new science grew clearer. [10]
- It is not in my especial province; But I neither seek to evade nor assume responsibility. [7]
- Once, when his Excellency had first come to the province, he, the orderly, had presumed to awake him. [9]
This page helps answer: how do I use the word province in a sentence? How do you use province in a sentence? Can you give me a sentence for the word province? It may also be related to school uniforms, grade school schooling, learning English college, private schools teaching resource, learn, activities, and educational.
Example sentences with the word province, a sentence example for province, and province in sample sentence.


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Tucson , Ariz. ?C The Arizona volleyball team dropped a hard-fought battle to Saint Maryˇ?s in five games in the final match of the Four Points Sheraton University Plaza Wildcat Classic on Saturday night in McKale Center before 1,128 fans.? Game scores were 30-27, 28-30, 20-30, 30-21, and 16-14, as Arizona fell to 2-1 and Saint Maryˇ?s improved to 3-0.
Arizona hit .208 (75-31-212) in the match and finished with 15 team blocks.? Saint Maryˇ?s out-hit the Wildcats with a .234 (77-26-218) mark and had 13 team blocks.
ˇ?Saint Maryˇ?s didnˇ?t back down and their serving got more aggressive as the match went on,ˇ± head coach Dave Rubio said.? ˇ?In game five, we had our chances but itˇ?s always a toss up when you get to that point in a match.? We just didnˇ?t do the things we needed to do.ˇ±
Individually for Arizona, junior Randy Goodenough led the Wildcats with a career-high 26 kills on a .328 hitting percentage to go with a career-high 16 digs.? Senior Dominique Lamb finished with a career-high 19 kills, freshman Paige Weber posted a double-double with 63 assists and 10 digs, and sophomore Allana Resch tallied a double-double with 11 kills and 12 digs.
Senior Katie Jackels posted a school record 37 digs, as she broke the previous record mark of 33 digs set by Anita Moss on Nov. 4, 1983.
For Saint Maryˇ?s, junior Taylor Groess led the Gaels with 25 kills, and freshman Megan York finished with 21 kills and 22 digs.? Freshman setter Kapua Kamanaˇ?o posted 63 assists.
Arizona came out strong in the first game, putting together a 10-6 lead, and then a 13-9 advantage.? Saint Maryˇ?s then rallied using an 11-5 scoring run to take a 20-18 lead.? The Wildcats and the Gaels would battle to a 25-25 tie, but SMCˇ?s 5-2 run down the stretch proved to be the difference maker as the Gaels took game one, 30-27.? Saint Maryˇ?s hit .298 in the first game, compared to a .106 mark for Arizona.
Game two was just as close, as Saint Maryˇ?s took early control of the match owning a 12-9 advantage.? Arizona caught up to the Gaels at 15-15, and used a 5-1 run to take a 20-16 lead.? The game was tied at 27-27, and 28-28, before Arizona rallied off the final two points of the game for a 30-28 win.
Arizona looked in control of the third game, using a .359 (19-5-39) hitting percentage to earn a 30-20 win, while holding Saint Maryˇ?s to just a .080 (13-9-50) hitting mark.? The Wildcats jumped out to a 10-5 lead, and expanded their advantage to 18-11.? Arizona coasted down the stretch for the 10-point win.
The fourth game was a different story, as Saint Maryˇ?s hit .372 (18-2-43) to earn a 30-21 win.? The teams battled close early, before Arizona took a 12-9 lead.? Saint Maryˇ?s caught up to the Wildcats at 16-16, and later used a 9-0 scoring run to take a 25-18 lead.? Arizona would never catch up and allowed the Gaels to force a decisive game five.
Game five went down to the wire, as both teams battled tough from start to finish.? Arizona had some breathing room with a 10-7 lead, but allowed two-straight points to the Gaels to hold onto10-9 advantage.? The Wildcats owned a 13-11 lead, but SMC notched things up at 13-13 with two-straight points.? Arizona took the next point for a 14-13 lead, but York put down a kill to tie it back up at 14-14.? Saint Maryˇ?s sealed up the win with kills by Shannon Lowell and Groess.
Arizona will next travel to Malibu, Calif., to play in the Pepperdine Tournament starting with a match against Lipscomb on Friday, Aug. 31.
2007 Four Points University Plaza Wildcat Classic All-Tournament Team
Randy Goodenough??????????????????? Arizona
Amanda Nielson??????????????????????? Utah State
Hayley Hills?????????????????????????????? Eastern Washington
Megan Burton??????????????????????????? Saint Maryˇ?s
Paige Weber???????????????????????????? Arizona
Most Valuable Player
Megan York?????????????????????????????? Saint Maryˇ?s


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As part of a sometime-vegetarian diet, we've became quite fond of Middle Eastern foods at our house. We always keep a can of chickpeas and a jar of tahini on hand for making hummus, and we often have falafel with lettuce, tomatoes, and cucumbers all stuffed into pita bread.
For something different, we made up a falafel salad.
Falafel (see below)
Lettuces – any combo of romaine, leaf lettuce, chard, etc.
Tomatoes, coarsely chopped
Cucumbers, sliced or chopped
Carrots, shredded (optional)
Onions, sliced (optional)
Feta cheese, crumbled (optional)
Tahini dressing (see below)
This high-protein delight consists of smashed chickpeas, onion, garlic, and other seasonings, which you form into little balls and fry. Here's a recipe I like from Epicurious.
Or use a dry mix, e.g., Fantastic Foods falafel mix, to save time
Tahini dressing
1 garlic clove, minced
2 T tahini
2 T olive oil
Juice of 1/2 lemon (about 2 T)
1 T hot water (more if needed)
Soy sauce to taste
Or in a pinch, use Annie's original Goddess dressing
Make falafel according to the recipe or package and set aside.
Wash and drain greens; wash and prepare other vegetables; prepare feta.
Make dressing – whisk all ingredients together, add more hot water if it's too thick, and adjust seasonings to taste.
Toss vegetables, arrange on each serving plate, put a generous amount of falafel on top, then some feta cheese, then drizzle with dressing. Offer with more dressing and optional accompaniments.
Or arrange all ingredients on counter and let folks compose their own salads!
Suggested accompaniments: olives, hummus, pita chips


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Virginia Birding and Wildlife Trail
Site Information
- Seasons: All
- Site Contact: (703) 631-0248 email@example.com
- Site Access: Free, Daily
- Visit Website
Report Bird Observations [New]
Site CBR06: Ellanor C. Lawrence Park and the Walney Vistor Center
Ellanor C. Lawrence Park is a nature destination with creeks and ponds, forests and meadows, and an interpretive center. This site is a "must visit" for anyone traversing the Bull Run Loop. Entering the park, you are greeted by a small pond framed by a hiking trail, fishing deck, and boardwalks. Walney Pond, about once acre in extent, is bordered by a marshy margin that attracts an impressive variety of butterflies, dragonflies, and damselflies. During late spring and early summer the forests are filled with birdsongs. Listen for an assortment of woodland species including scarlet tanager and several species of warblers. There are approximately four miles of trails at Ellanor C. Lawrence Park located in upland and bottomland forest and along the meadows. The trails generally skirt Walney Creek and Big Rocky Run, and are accessible from Walney Visitor Center, Middlegate/Cabell's Mill complex, and Walney Pond. The Walney Visitor Center is a public park facility that offers educational exhibits, programs, and information. Situated in a converted 1780 farmhouse, the center contains an information desk, rest rooms, sales area, live animal exhibits, historic exhibits, children's touch table area, greenhouse, and classroom.
From Burke Lake Park, take SR 123 north for 2.3 miles to the Jack Herrity (Fairfax County) Parkway; travel north on Rt. 7100/Jack Herrity (Fairfax County) Parkway for 5 miles to US 29 South. Drive 3 miles to SR 28. Go north on SR 28 for 0.8 miles to Walney Road and turn right (east) onto Walney Road; drive to the Ellanor C. Lawrence Park.


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'Ninety-Eight Percent' of Internal Goldman Muppets References Were About the Movie
That's ... a lot. And a very specific percentage.
Charlie Gasporino dives still deeper into Goldman Sachs' declaration that its internal muppet discussion was "not malicious," and claims to discover that, contra Greg Smith's famous op-ed, "98 percent of the email muppet use referred to the movie." Is Goldman Sachs harboring the world's largest contingent of Jason Segel fans?


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LapWorks Universal Collapsible Desktop Holder for iPads & Tablets, Smartphones. Non-Slip Footing and wide base prevents keeps your devices stable and secure. Adjusts from Portrait and Landscape or anywhere between.
Anti-Theft Countertop Kiosk For iPad 2, 3, & 4. Rugged, Durable & Heavy-Duty Construction. Rotation, tilt and swivel. All buttons and ports available. Perfect for Public or Office Installations - use as a kiosk, show display or register.
Ultimate Stability and Adjustability for standing, sitting or lying. All Steel construction & telescoping height adjustment to over 6 feet. Counter balanced Arm extends over 2 feet. Satin Black or Pure White finish
Compatible with iPad 2, 3 & 4. Soft neoprene adjustable handle plus pop out stand! A complete solution. 360° Swiveling mechanism.
Mounts with C-clamp mount or Giant Suction cup. Articulated arm reaches 18 inches. Push and pull to position freely with no knob adjustment needed! Grips iPad mini, iPad Air, most tablets 7 to 10 inch! Also works with iPhones and Smart Phones. The Spring-Bracket greatly improves ease of use and stability. Hook one side, pull to catch the other side and your done! Holds solid!
A strong and stable desk stand for work or play. Two 15 inch arms, with secure locking ball joints and c-clamp base. Attaches to table or desk tops, night stands, headboards, end tables and coffee tables. Over 30" long at full extension measured from the base 4-prong holding bracket fits tablets of all sizes.
Pocket size case unfolds to a 11" keyboard - it's like something 007 would carry. Full size keyboard with 69 real keys for touch-typing. Type email, memos, the next great novel, or write code with ease. Truly universal - works with iOS, Android and any Bluetooth-enabled devices.
A standing iPad or Tablet stand that elevates vertically up to 57" in height. Made of carbon steel for maximum strength and durability. The most versatile holding bracket fits 7" tablets and iPads up to the largest of tablets. The holding bracket rotates 360° and swivels up and down and left to right. The weighted base creates a stable anchor to prevent any tilting whatsoever.
For iPad, iPad Mini or any tablet. The Mantis Mount can attach to your desk, table, nightstand and headboard as well as wall mounting. The Mantis is also modular, so you can use one section, two sections or use all three arm sections for a full 32" reach.
Light weight, all purpose travel stand for all iPads, Tablets and Smart Phones. Made completely from metal (Zinc Alloy) and weighs just 4 ounces. Adjustable support arm has 3 position inclines and the back rest expands for taller iPads and tablets.
A protective, shock resistant, environmental friendly and kid friendly case for your iPad 2, 3 or 4 that's extremely light weight but with extra thick corners for that extra measure of protection. Includes screen protector and a 4" x 4" micro fiber cleaning cloth.
The most flexible stand for hands-free viewing - quickly and easily attaches to any smooth surface with super aggressive suction cups. Holding bracket swivels 360° and turns up, down, left, right 90 degrees. Every joint can be twisted to different angles.
For all 10" iPads & any tablet. A swing-arm with universal clamp for mounting on a desk, nightstand or headboard. Extends a full 31" across any desktop or posed next to or above a desktop monitor. Holding bracket rotates 360 degrees for viewing from portrait to landscape and back again. Can be posed downward for viewing while laying in bed or on a sofa.
Chrome steel, adjustable stand fits every major brand of iPad and tablet. Set to any viewing angle. A sturdy attractive stand that's perfect for desk, table or night stand, with access to charging port.
The Wizard Off-The-Lap iPad Stand is the first all-purpose, fully adjustable, off-the-lap or on-the-lap iPad stand that does it all. It elevates and inclines your iPad or tablet computer for comfort on a sofa, easy chair, on the floor, in bed, on the lawn or anywhere a solid surface is available. One year replacement warranty and lifetime parts warranty.
Velcro straps secure your tablet or notebook to your Wizard so that you can view or work while on your back! Use while laying in bed, on the floor or on the chaise lounge. Securely and tightly holds down your notebook with Velcro.
Compatible with any iPad or tablet. The iPad Recliner is an incredibly versatile easy chair for your iPad and will provide the prefect viewing angle when you just want to sit back and watch . . . . hands free! Just change body positions and adjust your iPad's angle with ease. The iPad Recliner is the Lazy Boy of iPad loungers.
Compatible with all iPad versions 1, 2 & 3 with full 360 degrees rotation. Waist-high pedestal stand for iPad viewing with adjustable support arm that elevates 28-1/2". View ipad laying down, in a bathtub, in an easy chair or outside in the chaise lounge or hammock V-shaped base feet extend 16" for best stability - support arm also extends out 16".
Watch movies, surf the Net or just read a good book in bed or on the floor. Expands width from 24-1/2" up to a whopping 39" wide. Increases elevation from a close-up of 14" up to a full 25". Holding bracket adjusts from 5-1/4" up to 8" to hold any iPad, Kindle, Nook and most tablets. Holding bracket rotates from portrait to landscape and adjust to the best viewing angle.
Works as a full lap tray at 22" long by 12-3/4". Two fans for best cooling options. Elevating plate locks in automatically as well as the leg extensions. Support feet automatically set up as elevating plate deploys. Leg height adjustments lock into two elevations automatically.
Universal bracket accommodates iPad or tablets devices with our without a protective case. Telescoping components collapse to a small profile or expand to a waist high viewing pose. Adjustable base forms into a T shape or a V shape as needed. Pedestal elevates up to 39-1/2" and cantilever arm extends out to 20-1/2". Constructed of 3/4" diameter brushed Aluminum and weighs a slight 2 lbs. 3 oz.
Three sectioned modular arm. Attaches to table, desk tops or almost any edge. Includes wall mount and car mount! 37.4" long at full extensions with all three arm sections. Accommodates all iPads as well as tablets from 5-34" wide up to 10-1/8" tall.
Grips your iPad or tablet with spring tension. The C60 can accommodate any iPad size tablet device up to 10.75" safely and securely. It replaces any holding bracket that attaches with the four hook locking system.
A modernist design in desktop stands that's incredibly flexible with the look of a surgical instrument. Corner gripping holding bracket fits all tablets and iPads from 9" to 11" with or without a case cover. Holding bracket is spring loaded and rotates 360 degrees with clicking action. 360 degree rotation at three different axis points and extends 20" from anchor post. Elevates, lifts, tilts and rotates to provide the viewing angle that works best for you.
The 2Loop iPad Handle is a grip-free, hand-held iPad 2, 3 & 4 holder that fits on any two fingers. It also swivels 360 degrees with ease. Set it down and attach the adjustable support arm. Its components are a silicone cover, a low profile swiveling mechanism, a quick disconnect mechanism, the two-eyelet loop and the adjustable support arm. Made of virgin silicone and the strongest Polycarbonate plastic.
Compatible with iPad 2, 3 & 4. The Handler iPad Strap and Desk Mount includes both a hand-held strap and a desk stand. The swiveling hub allows rotating between portrait and landscape views. The Velcro strap is adjustable so one size really does fit all. The Desk Mount tilts to any angle and the base swivels for optimum viewing angles.
A one-piece hand-held holder plus desk stand for most any tablet up to 10.1" tablets. Swiveling hub rotates 360° for switching from portrait to landscape. Adjustable Velcro strap accommodates most hand sizes left or right handed. Elastic ears are super strong silicone elastomer, UV inhibited won't crack, tear or break. Includes a tilting, swiveling desk stand!
A one-piece hand-held holder for most any tablet up to 10.1" tablets. Swiveling hub rotates 360° for switching from portrait to landscape. Adjustable Velcro strap accommodates most hand sizes left or right handed. Elastic ears are super strong silicone elastomer, UV inhibited won't crack, tear or break.
A neck and shoulder strap that supports your iPad hands free. Attaches to all iPad and tablet hand holders above for ease of mobility. Has a quick disconnect when you aren't carrying your iPad around. 1" wide polyester strap is comfortable and won't hinder your actions.
A deluxe lanyard, neck and shoulder strap that supports your iPad hands free. Attaches to all iPad and tablet hand holders for ease of mobility. Has 2 quick disconnects and up to 65 inches in length. 1" wide polyester strap is comfortable and won't hinder movements.
100% waterproof plastic pouch with a neck strap - for all iPads & most Tablets. Floats if dropped in water. Protects against water, dust, dirt, sand and more.
For iPad 2, 3 & 4 with perfect magnetic connection. Wakes & sleeps your iPad when cover opens/closes. Folds to create a viewing stand.
Powerful vacuum suction cup base safely and securely grips your iPad or Tablet. Mount to windshields or any smooth surface. Works with 7" to 10" tablets.
Attaches easily to any vehicle headrest in minutes without the use of tools. Turns iPads & Tablets into a rear-seat in-car entertainment system. One touch release button allows for quick and easy removal when not in use.
Price: $29.95
Sale: $24.95
September 4, 2011-
Item arrived on time, works as advertised. An excellent purchase for the price. Charles B.
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I am running apache 2.2 on Windows 7. When I stop the apache service (verified in the Windows services and processes windows) and then go to access my web pages, it still loads my web pages.
I have cleared my cache, and I have tried loading in multiple browsers.
How is this possible?


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One of those people everyone loves, everyone is grateful to. Even if you don't care about African Dance, or didn't think you did (which includes…er, included me), check her story out. A dancer, choreographer and instructor—and a community hero.
KETC's Katherine Dunham: St. Louis' Pioneer of African Dance in America Passes Away at 96.
Incorrect source, offensive, or found a typo? Email us (please put title in subject bar of email so we'll be able to fix). Or do you want to write for Elephant?
{Waylon H. Lewis Enterprises 2016: Use Rights in perpetuity. Ownership remains with author.}


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The film rights to Stephen King's Under the Dome – the author's 2009 novel about a Maine town sealed off from the rest of the world by a mysterious force field – were originally purchased by Steven Spielberg to be produced as a limited-run series for Showtime. When those efforts stalled, Showtime's parent company, CBS, picked up the reins and greenlit a 13-episode run.
Television and comic book writer Brian K. Vaughn (handpicked by Spielberg to adapt the novel) is developing the series, with Stephen King himself as one of the executive producers. Niels Arden Oplev (the original Swedish adaptation of The Girl with the Dragon Tattoo) is directing the first episode.
Whether or not the series will be wrapped up in 13 episodes is solely dependent on ratings, and – as King has offered his blessing on any changes which might need to be made to extend the series – all bets are off as to where the story could go. CBS will premiere Under the Dome on Monday, June 24, 2013.
CBS recently put out a short BEHIND THE SCENES video promo which offers us the best look at this series so far … it's looking better all the time. Check it out.
Here's hoping the series is as good as the book.


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College Hockey:Decker, Packer lead Wisconsin past St. Cloud State in WCHA playoffs
MADISON, Wis. — Six months ago, the Wisconsin women's team opened LaBahn Arena in somewhat auspicious fashion, failing to score in a heartbreaking 1-0 decision to Bemidji State.
Friday night, the Badgers made amends in front 1,189 red-clad fans, claiming the first-ever playoff game at the new rink with a 5-0 victory over St. Cloud State.
Senior forward Brianna Decker stole the show, picking up points on the first three Badger goals, while linemate Madison Packer chipped in four assists.
"We've been looked to put the puck in the net all season," Packer said. "It's kind of our job and our role, so we were prepared for that and really stepped up."
Riding a season long six-game winning streak heading into the contest, sixth-ranked Wisconsin (22-9-2, 17-9-2-2 WCHA) went to work early with numerous chances in the opening few minutes. However, it would take nearly the entire first frame to get on the scoreboard as sophomore forward Karley Sylvester earned her place in the history books as the first-ever playoff scorer in LaBahn Arena history.
Decker, the 2012 Patty Kazmaier Award winner, started the play, cutting out to net from the right corner. Huskies' sophomore goaltender Julie Friend stopped the initial backhand shot and Packer's rebound, but could only watch as Sylvester's blast flew by.
"Assists are just half the play," Packer said. "I think my teammates saw the ice well tonight and did a good job of putting the pucks away."
After killing the first penalty of the game in the second period, St. Cloud offered up some quality scoring chances against Badgers' junior goaltender Alex Rigsby, but it was Wisconsin that netted the next goal on a vintage Decker play eight minutes into the second period.
The speedster cruised down the right boards from the blueline, cut to the middle around St. Cloud State forward Haylea Schmid and split the Huskies' defense before ripping a shot over Friend's glove hand.
"Not many people are going to score that goal," Wisconsin coach Mark Johnson said. "She's a special player and she's been a special player for four years now and hopefully, she's got a few more great games in her."
Decker and the Badgers got the power play right on their second opportunity, taking a 3-0 lead with just over five minutes left in the middle stanza. The Dousman, Wis., native got the puck to Packer, who made a perfect pass through traffic to Sylvester. The sophomore forward fought through her check to redirect the puck past Friend.
"We can't just let [Decker] dance around there like that," St. Cloud State coach Jeff Geisen said. "She's going to get that goal and make plays like that every time."
Wisconsin capped the scoring with two goals both off of point shots in the final period.
Freshman forward Erika Sowchuk made it 4-0 on a screened deflection of forward Kim Drake's shot and then senior defenseman Jordan Brickner closed out the scoring with a long shot set up by Packer.
Rigsby backstopped the Wisconsin win with a vintage effort of her own, picking up the 23rd shutout of her career with a 17-save effort. Friend took the loss for St. Cloud State (9-23-3, 5-22-2-1) despite 27 stops.
Wisconsin can close out the series with a win Saturday in game two of the WCHA opening-round series.
"The atmosphere was great, there was a lot of energy and it made for a fun night," Johnson said. "We'll enjoy it for now, but we'll make sure we stay focused because tomorrow will probably be toughest game of the year."
Meanwhile, the Huskies will try to keep their season alive and force a deciding game on Sunday.
"We've got to play a better game tomorrow," Giesen said. "I don't know if we got caught up in the atmosphere, but we're capable of playing better than that and much better defensively."
The following is a self-policing forum for discussing views on this story. Comments that are derogatory, make personal attacks, are abusive, or contain profanity or racism will be removed at our discretion. USCHO.com is not responsible for comments posted by users. Please report any inappropriate or offensive comments by clicking the "Flag" link next to that comment in order to alert the moderator.
Please also keep "woofing," taunting, and otherwise unsportsmanlike behavior to a minimum. Your posts will more than likely be deleted, and worse yet, you reflect badly on yourself, your favorite team and your conference.


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Sleep Studies
To help diagnose and treat sleep apnea, the professionals at Ogallala Community Hospital offer overnight sleep studies. Participants spend the night in our sleep study suite and are monitored through 24 different sensors. This data is analyzed by our Respiratory Therapist in conjunction with your physician to determine proper treatment.
If you suffer from sleep apnea symptoms below or would like more information, contact your family physician or the Respiratory Therapist at the Ogallala Community Hospital at (308) 284-7226.
Sleep Apnea symptoms include:
- Daytime sleepiness/Irritability
- Loud snoring (often interrupted by silence followed by gasps)
- Depression/Anxiety
- Frequent Urination at Night
- Restless Sleep
- Morning headaches
- Increased appetite
Sleep apnea sufferers may quit breathing while they sleep, causing them to be excessive snorers and to wake un-rested. The sleep study program is important to cardiovascular patients because patients with sleep apnea have a higher instance of heart attack and pulmonary hypertension. Learn more about why sleep is important to your health and what can be done to treat sleep disorders.


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Rhymes With Orange cartoon from a while back:
Basic Spelling Rules
One of the most common spelling rules taught to elementary students is "I before E, except after C, unless it says A as in neighbor and weigh." However, there are a number of other rules that you can use to help decode the spelling of an unfamiliar word. For example:
- The letter Q is always followed by U. In this case, the U is not considered to be a vowel.
- The letter S never follows X.
- The letter Y, not I, is used at the end of English words. Examples of this rule include my, by, shy, and why.
- To spell a short vowel sound, only one letter is needed. Examples of this rule include at, red, it, hot, and up.
- Drop the E. When a word ends with a silent final E, it should be written without the E when adding an ending that begins with a vowel. In this way, come becomes coming and hope becomes hoping.
- When adding an ending to a word that ends with Y, change the Y to I if it is preceded by a consonant. In this way, supply becomes supplies and worry becomes worried.
- All, written alone, has two L's. When used as a prefix, however, only one L is written. Examples of this rule include also and almost.
- Generally, adding a prefix to a word does not change the correct spelling.
- Words ending in a vowel and Y can add the suffix -ed or -ing without making any other change.
If you are interested in a rules-based approach to improving your spelling skills, check out theSpelling Rules Web site. The creator of this site has developed a Spell500 instructional method that uses spelling rules to teach students how to master up to 500 new words per day. By focusing on understanding before memorization, this study method proposes to drastically increase your spelling abilities. Six free sample lessons are available online to help you get started.


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You can save big by buying off-brand and store-brand
On crowded drugstore shelves, over-the-counter
drug brands, such as Tylenol, Advil and NyQuil,
get the biggest play and the most shopping dollars.
But for the average consumer, brand
names often aren't the best choice. They usually
cost considerably more than off-brand drugs, which
contain identical active ingredients and are just
as strictly regulated by the federal Food and
Drug Administration.
Off-brand or store-brand OTC drugs
exist in most categories where there are brand-name
over-the-counter drugs. From pain relief to heartburn
to cold remedies, there are most likely several
store-brand and off-brand alternatives to choose
OTC medications must, like prescription drugs, be approved by the FDA, which periodically will switch certain medications from prescription-only to nonprescription status.
Drugs available over the counter
need no physician's prescription, although they
do contain guidelines for use and information
on possible interactions with other over-the-counter
and prescription drugs.
Recent medications that have become
over the counter include Claritin, Prilosec and
The FDA is pushing for more consumer
access to drugs by switching selected medications
from prescription to over-the-counter status.
When available over the counter, drugs can be
more expensive for consumers who have insurance
than when they were available as prescription
drugs with a co-pay.
The rising number of drugs available
over the counter is all the more reason why consumers
should pay more attention to price and favor lower-cost,
off-brand drugs, says Steve Findlay at Consumers
Union, the consumer advocacy group that publishes
Consumer Reports.
"There is no reason why a consumer should pay more for a brand name drug than for an off-brand with identical ingredients," says Findlay.
Identical ingredients
Due to the marketing muscle of the large consumer products companies that manufacture brand-name drugs such as Benadryl, Zantac and Cortaid, many consumers harbor the mistaken notion that such brands are safer and more reliable than their off-brand siblings.
Not so, says Findlay, who notes that "the same regulations apply to the manufacturers of off-brand, over-the-counter medications as apply to brand medications. The FDA regulates both in a fairly rigorous way."
* Mortgage rate may include points. See rate tables
for details. Click
here. * To see the definition of overnight averages click
Bankrate.com ®,
Copyright © 2016
Bankrate, Inc., All Rights Reserved,
Terms of Use.


text:
Are you looking for a stock?
Try one of these
Bombardier plans to lay off 1,700 workers from its aerospace division, mostly around Montreal. The layoffs represent 6 percent of the Bombardier Aerospace work force.
The move comes just days after Montreal-based Bombardier Aerospace announced another delay in its C Series all-new jet program.
The manufacturer has also experienced delays in the launch of its Learjet 85 business jet.
On Monday, Bombardier aerospace said aircraft orders in 2013 fell to 388 units from 481 units in the previous year.
The company blamed the decline on a sluggish global economy and slow recovery.
The lion's share of the cost-cutting layoffs are planned for operations at major assembly locations in Montreal and Mirabel, Que.
The decision was disclosed to employees in an internal memo on Tuesday, the company said.
Workers affected by the layoffs will be notified in the coming weeks.
About 1,100 Bombardier Aerospace workers in Canada are to be laid off, with another 600 in the United States, Bombardier said in an internal memo.
Three hundred of the 1,700 positions were already slated for elimination in December.
The areas affected include manufacturing and assembly, engineering, sales and support functions.
The memo pointed to the C Series, Learjet 85 and two new business jets as areas where the company has made significant investments.
"Stricter controls over spending must be implemented to ensure we consistently meet our budget throughout 2014," Sylvie Bourdon, vice-president of human resources said in the memo.
The layoffs affect both unionized and salaried permanent employees, the memo said.
"The aviation industry still faces challenges," Bourdon said in the memo.
Moody's Investors Service recently issued a note saying the C Series entry-into-service delay is "credit negative" because it will increase program costs, complicate efforts to clinch additional orders and hobble the company's ability to reduce cash burn and debt.
Moody's says it expects C Series development costs to exceed $4 billion US, including $1.4 billion from governments and suppliers.
"The delay could also require Bombardier to lower prices to drive new orders and will likely increase working capital requirements, which would pressure the company's liquidity," it said.
Bombardier Aerospace said last week that the C Series commercial jet won't be ready to go into service until the second half of 2015, and not in September 2014 as previously targeted.


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You may add your prayer request to our prayer wall using the form below. Once your prayer request is received, we will share it according to your instructions. Feel free to submit as many prayer requests as you like!
I would like to pray for the following people in my daily life: Ann, Lee, Pat, Dee and Paul Bob and Nell Earlene Jeff My Church family My Church Ministers
Received: April 28, 2016
Pray God soon helps us overcome all the distractions, doubts, fears, and even health issues that are tearing our relationship apart right now. Pray God prevents Satan from doing anything that would directly or indirectly destroy our relationship. Pray God fights for us, doing whatever it takes to hold our relationship together for the rest of our lives. And while we're struggling, pray God helps us feel His love more deeply. Pray He molds and teaches us through our problems how to be a better partner for each other.
Received: April 26, 2016
I have many, many friends who need salvation. Please pray for them, the list is very long, God knows them by name.
Received: April 26, 2016
Please pray for me and many friends to have liberation through Jesus Christ in breaking free of generational curses due to bad choices in our youth.
Received: April 26, 2016
I have many friends who need prayer for physical and emotional needs. God knows them please pray.
Received: April 26, 2016
Prayer Request judiciary-resolution Judiciary- working and civil judgments concerning real estate scam . I have several friends who need prayer concerning judiciary issues. Please pray for Ana, Graciela, Patricia, and Amador. Please pray for Christ the Only Solution Ministry and for Amador and Fernando as they work on getting the ministry started.
Received: April 26, 2016
Prayer Request Finances-my finances and many friends, opening economic and financial resources, new job opportunities and business, debt cancellation . Prayer Request Finances-- Graciela . Sale of business for the right price
Received: April 26, 2016
Pray my ministry dreams can come true. Pray that people keep standing up for me and speaking on my behalf. Pray God uses them powerfully to make a way where there seems to be none and melt the hearts of the people who shun me. Pray I can be a blessing in the lives of both the kind and the cold hearted. Pray I can have countless opportunities to spend time with all of them and show them God's love. And pray God uses all them to be a blessing to me as well, showing me God's love more deeply than have experienced before. Pray we all draw closer to each other and God through our interaction.
Received: April 22, 2016
I found out the result of the biopsies today and the doctor said it was cancer. Please pray for healing. I am also facing financial problems as I will not be getting anymore spousal support, therefore I will not have money for house payments and bills. I haven't been able to get a full time job and working part time does not cover the bills. I owe the IRS from a past mistake and they would not accept my offer in compromise and wouldn't take off the penalties and interest which have quadrupled the amount I owe. My family members are deceased so I don't have anyone to fall back on. As you can tell I am facing more problems than I can bare. I know that God is bigger than all of my problems but I still could use some prayer.
Received: April 21, 2016
This past November 2015, my husband of 6 years came back from his first military deployment, completely moved out of our house, filed for divorce without any closure/explanation, and zero communication. I was served divorce papers in December at my work. As of March 17th 2016, I received the worst email in my life, that I was officially divorced. Please pray for God to show us the way back to each other. I miss my husband so much. Please pray my husband will quickly come home so we can start our restored marriage based on the solid rock of Jesus Christ. I begging and praying for a miracle.
Received: April 21, 2016
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This Decaf Chocolate Island flavored coffee contains the essence of white chocolate mousse, Swiss chocolate, and nutty coconut. This coffee will offer you the taste sensation of melted white chocolate chips folded into a cool cloud of vanilla and cream that has been whipped to perfection. To top this off is the addition of delicious Swiss chocolate.
Decaf Chocolate Island flavored coffee has the aroma of the real Swiss chocolate in addition to the subtle buttery and sweet taste of white chocolate flavoring. Why not immerse yourself with a refreshing taste of sweet coconut infused with silky-smooth Swiss chocolate and creamy white chocolate. The exotic island feel of this coffee brew will certainly melt your troubles away.
This flavored coffee contains nut extract.
Chocolate Island Flavored Decaf Coffee (5lb Bag)
Chocolate Island Flavored Decaf Coffee (5lb Bag)
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text:
Cloud by the Numbers
By Bob Rhubart-Oracle on May 01, 2012
On April 25 I recorded a podcast with several community members, another free-ranging roundtable discussion of a variety of topics, including—no surprise—cloud computing.
One of the participants in that discussion was Tom Laszewski, making his third ArchBeat Podcast appearance. Tom is the co-author of several books, including Migrating to the Cloud, published by Syngress (read an excerpt).
During the conversation Tom offered the observation that for many organizations the decision to adopt cloud computing is often initiated by what he referred to as "the bean counters"— people outside of IT who are interested in the cost-savings available through cloud computing.
So I had to chuckle a bit when I ran across post by ZDNet SOA blogger Joe McKendrick, under the title, Let a financial type run your data center? Survey says it may happen. McKendrick's post refers to a recent Getronics survey of financial executives, and includes this:
[R]espondents revealed that 38% of businesses that have rolled out a cloud computing solution had the project initiated directly by the finance department, rather than IT.
In contrast, McKendrick's post also refers to a recent study he was involved in, sponsored by Oracle and conducted on behalf of the Oracle Applications User Group (OAUG). In that study, 57% of respondents said that IT managers or executives made the original recommendation for cloud adoption.
But, bearing out Tom's assessment, McKendrick's post offers this:
Ultimately, however, IT executives will take a step back and let business executives lead as time goes on with cloud engagements, the OAUG survey finds. A majority, 56%, say CEO, CFO, or executive management is ultimately in charge, versus 45% saying IT departments have the final word in cloud decisions.McKendrick's post also supports Tom's concern that while the financial and benefits of cloud offer a compelling incentive for adoption, the technical challenges must be addressed by those with the appropriate qualifications:
IT needs to be the business partner that plans and strategizes what types of technology solutions the business needs to move forward — whether those solutions are on-premises or come from somewhere else.
All the more reason for the business and IT camps to make friends and play nice. In the end, they all play for the same team, and that team stands to gain from cloud adoption.
BTW: You can hear Tom's comments as well as those from the other podcast panelists beginning on May 9.


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Many wild animals hibernate during the winter season. However, because this winter has been so brutal, hibernating wildlife may be frozen inside the ground. This is because, according to USA Today, who published the report March 1, most wildlife dig under the frost line and down into the ground during hibernation season. This means they could actually be frozen because the frost line is much deeper. This goes to show that the severe weather we have had this winter has not only been hard on us, but animals as well. Plants are taking the harsh, cold weather hard as well.
On the other hand, because of so much snow this winter, it has served as a type of insulation that may have slowed the cooling of the ground down somewhat. Let's hope that not too many animals, if any at all, did not freeze underground.
Not only this but the food source for the wild animals that do not hibernate is becoming scarce since plants are frozen and won't start growing again until spring arrives and stays. Although the winter has been rough on all of us, humans and animals, there is one positive side to it. With the lakes and ponds freezing over from the freezing cold, the water levels should be better this year.
Plants are also at risk, not really due to the severe cold, but actually due to the roller coaster ride of highs and lows of the temperatures. With the constant freezing and thawing of the ice and snow, the frost tends to crack which can cause serious problems for plants. Another problem and concern for the plants and trees is the wet and heavy snow that can break their limbs. A slow and steady thaw would be better for plants because it can allow them to adapt to the warmer temperatures when spring finally arrives.
Stay on top of Top News by subscribing. You can also like this writer on Facebook and follow her on Twitter and Pinterest.


text:
Silk is a favorite of royals, and still reigns as one the most supreme and luxurious fabrics sought after today.
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Electronic Bidets Save Forests and Water, AND They're Cleaner! (We Really Want One ASAP)
6 reasons why you should re-think the way you're going to the bathroom.
Health Is Beauty
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There's no reason these cute sweat-soakers shouldn't be lower-impact.
What's a Bee Butler? And Why Does the Fairmont Waterfront, Vancouver Have One?
The hotel is part of a lifeline for urban bees.
1/3 of Women and Girls Worldwide Don't Have Toilets: Here's Why That's a Feminist and Environmental Issue
And could toilets create livelihoods for women?
Cadillac House in NYC Welcomes Innovators, Creators—and the Local Community
That's right, we said public—that means it's open to everyone.
Fair Fashion
Fashion Revolution Day 2016: San Francisco's "Fash Mob" Takes Over Union Square!
We marched and chanted; shoppers listened.
Health Is Beauty
Friendships (and Breakups) are Vital to Happiness, Here's Why
Friendships exist to elevate one another, they're not a one-way street.


text:
"American Association of Clinical Endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of acromegaly—2011 update." has been saved, and will be accessible from the My NGC page.
Go to My NGC
Alert me when this guideline summary is updated.
This is the current release of the guideline.
This guideline updates a previous version: Cook DM. AACE medical guidelines for clinical practice for the diagnosis and treatment of acromegaly. Endocr Pract 2004 May-Jun;10(3):213-25.
To update clinicians regarding all aspects in the current management of acromegaly and to use methods of current clinical practice guidelines to support the recommendations
Patients with suspected or confirmed acromegaly
PubMed was searched for articles published since the last guideline in 2004. Reviews and high level references were included. Opinion papers were not included. Search terms were acromegaly, pituitary tumor, pituitary adenoma, somatostatin analog, dopamine, pegvisomant, gigantism, and transsphenoidal surgery.
Not stated
Levels of Scientific Substantiation in Evidence-Based Medicine*
Prospective, randomized controlled trials—large
Data are derived from a substantial number of trials, with adequate power involving a substantial number of outcome data subjects
Large meta-analyses using raw or pooled data or incorporating quality ratings
Well-controlled trial at one or more centers
Consistent pattern of findings in the population for which the recommendation is made (generalizable data)
Compelling nonexperimental, clinically obvious evidence (for example, use of insulin in diabetic ketoacidosis); "all-or-none" indication
Prospective with or without randomization—limited body of outcome data
Few number of trials, small population sizes in trials
Well-conducted single-arm prospective cohort study
Meta-analyses are limited but are well conducted
Inconsistent findings or results not representative for the target population
Well-conducted case-controlled study
Other experimental outcome data and nonexperimental data
Nonrandomized, controlled trials
Uncontrolled or poorly controlled trials
Any randomized clinical trial with one or more major or three or more minor methodologic flaws
Retrospective or observational data
Case reports or case series
Conflicting data with weight of evidence unable to support a final recommendation
Expert opinion
Inadequate data for inclusion in above necessitate an expert panel's synthesis of the literature and a consensus
*Levels 1-3 represent a given level of scientific substantiation or proof. Level 4 represents unproven claims. It is the "best evidence" based on individual ratings of clinical reports that contributes to a final grade recommendation.
Transparency: Levels of Scientific Substantiation
All clinical data that are incorporated in these clinical practice guidelines (CPG) have been evaluated in terms of levels of scientific substantiation (evidence levels [EL]; see the "Rating Scheme for the Strength of Evidence" field). This evidence rating system has one minor modification in comparison with the original American Association of Clinical Endocrinologists protocol (EL 4) in that level 2 (EL 2) prospective studies now may be randomized or nonrandomized to allow for well-designed cohort studies. This modification was incorporated because it is difficult to perform well-controlled, randomized clinical trials in surgery, unlike what physicians have been accustomed to in pharmaceutical trials. Another point worth mentioning is that when consensus statements are cited, even if based on a synthesis of evidence as in a published "evidence-based report," then an evidence level 4 (EL 4) is assigned. Clinical references have been assigned an evidence rating, which is provided in brackets at the end of the citation in both the Appendix and Reference sections of the original guideline document. The "best evidence" level (BEL) corresponds to the best conclusive evidence found. The BEL accompanies the recommendation Grade and maps to the text in the Appendix section of the original guideline document, where transparency is paramount.
Transparency: Recommendation Grades
Final recommendation grades incorporate evidence level (EL) ratings (see the "Rating Scheme for the Strength of Recommendations" field), and in situations in which there is no clinical evidence, various subjective factors are considered: physician preferences, costs, risks, and regional availability of specific technologies and expertise. Hence, recommendation grades are generally based on strong best evidence level (BEL) (Grade A; BEL 1), intermediate BEL (Grade B; BEL 2), weak BEL (Grade C; BEL 3), or subjective factors when there is no clinical evidence, inconclusive clinical evidence, or contradictory clinical evidence (Grade D; BEL 4). All recommendations result from a consensus among the American Association of Clinical Endocrinologists primary writers and influenced by input from reviewers. If subjective factors take priority over the BEL based on the expert opinion of the task force members, then this is described explicitly. Thus, some recommendations may be "upgraded" or "downgraded" according to explicitly stated subjective factors. Furthermore, the correctness of the recommendation Grades and EL is subject to review at several levels. In addition, recommendation Grades are assigned only if a specific action is recommended. The action may be ordering a particular diagnostic test, using a particular drug, performing a particular procedure, or adhering to a particular algorithm.
Shortcomings of this evidence-based method in this clinical practice guideline are as follows: (1) relative paucity of strong (EL 1 and 2) scientific data, leaving the majority of recommendations based on weaker, extant EL 3 data and EL 4 consensus opinion; (2) potential subjectivity of the primary writers when weighing positive and negative, or epidemiologic versus experimental, data to arrive at an evidence-based recommendation grade or consensus opinion; (3) potential subjectivity of the primary writers when weighing subjective attributes, such as cost-effectiveness and risk-benefit ratios, to arrive at an evidence-based recommendation grade or consensus opinion; (4) potentially incomplete review of the literature by the primary writers despite extensive diligence; and (5) bias in the available publications, which originate predominantly from experienced pituitary endocrinologists and neurosurgeons and therefore may not reflect the experience at large. These shortcomings have been addressed by the primary writers through an a priori method and multiple levels of review by a large number of experts.
Grade-Recommendation Protocol Adopted by the American Association of Clinical Endocrinologists*
≥1 conclusive level 1 publications demonstrating benefit >> risk
Action recommended for indications reflected by the published reports
Action based on strong evidence
Action can be used with other conventional therapy or as "first-line" therapy
No conclusive level 1 publication
≥1 conclusive level 2 publications demonstrating benefit >> risk
If the patient refuses or fails to respond to conventional therapy; must monitor for adverse effects, if any
Action based on intermediate evidence
Can be recommended as "second-line" therapy
No conclusive level 1 or 2 publication
≥1 conclusive level 3 publications demonstrating benefit >> risk
No risk at all and no benefit at all
If the patient refuses or fails to respond to conventional therapy, provided there are no significant adverse effects; "no objection" to recommending their use
"No objection" to continuing their use
Action based on weak evidence
No conclusive level 1, 2, or 3 publication demonstrating benefit >> risk
Conclusive level 1, 2, or 3 publication demonstrating risk >> benefit
Not recommended
Patient is advised to discontinue use
Action not based on any evidence
*The final recommendation grades are determined by the primary writers by consensus based on (1) "best evidence" ratings and (2) subjective factors (see the "Description of Methods to Formulate the Recommendations" field).
Acromegaly is a disease with a substantial economic burden. Longitudinal assessment of the economic costs relative to clinical and biochemical outcomes was examined for a 4-year period in 53 Canadian patients. The mean annual cost per patient in Canadian dollars was $8,111 (95% confidence interval, $5,848 to $10,374). Growth hormone (GH)- and insulin-like growth factor-I (IGF-I)-reducing medications constituted the largest component (nearly 38%) of the overall cost of management. It should be emphasized that although surgical costs per patient were high ($2,800 to $9,200), the 4-year mean annual cost was approximately $2,400 less than the cost of medications. Furthermore, treatment of patients with macroadenomas costs considerably more annually ($11,425) than treatment of those with microadenomas ($4,442); this fact emphasizes the importance of earlier diagnosis. In addition, a recent study indicated that, to be cost-effective, the price of pegvisomant should be reduced by a third. Although these are considerable costs, they are not significantly higher than those associated with other chronic diseases. Short-acting somatostatin analogues (SSAs), administered as subcutaneous injections, are appreciably less expensive than long-acting depot preparations and may be considered in the setting of financial constraints. There has also been consideration that the combination of the GH receptor antagonist pegvisomant and an SSA may result in lower doses of each medication, eventuating in lower annual costs. There is a significant cost differential between cabergoline and SSAs. In the United States, the annual retail cost of generic cabergoline (assuming a dosage of 2 mg weekly) is approximately a fifth that of Sandostatin long-acting release (LAR) (assuming a dosage of 20 mg monthly). Cost is one of the factors that is considered for use of cabergoline as first-line medical therapy in patients with moderate disease.
Recommendations were reviewed by a large number of experts. All recommendations were influenced by input from reviewers.
The levels of evidence (1-4) and the recommendation grades (A-D) are defined at the end of the "Major Recommendations" field. The best evidence level (BEL), corresponding to the best conclusive evidence found, accompanies the recommendation grade.
Executive Summary of Recommendations
Each recommendation is labeled "R" in this summary. The following recommendations are evidence-based (Grades A, B, and C) or based on expert opinion because of a lack of conclusive clinical evidence (Grade D).
Presenting Features and Assessment of Comorbidities
How Is the Diagnosis Made?
Further Evaluation After Diagnosis of Acromegaly
What Are the Therapeutic Options?
What Are the Goals of Therapy?
Therapeutic Options
How Should Patients Be Prepared for Surgery?
Management After Surgery
Medical Therapy
Dopamine Agonists
Somatostatin Analogues
GH Receptor Antagonist
Combination Therapy
Radiation Therapy
Acromegaly and Pregnancy
Approach to Gigantism in Children and Adolescents
How Should Medical Comorbidities Be Monitored?
The original guideline document contains an algorithm on the approach to therapy in patients with acromegaly.
The type of evidence supporting the recommendations is identified and graded for each recommendation (see the "Major Recommendations" field).
Appropriate diagnosis and treatment of acromegaly
Cardiopulmonary Complications and Anesthesia-Related Risks of Surgical Treatment
Patients with acromegaly are at increased risk of anesthesia-related complications including hemodynamic changes, with a significantly higher incidence of difficulty with intubation because of laryngeal and pharyngeal soft tissue swelling and vocal cord swelling. The oropharyngeal swelling and macroglossia result in an increased frequency of sleep apnea syndrome, which has been reported in 20% to 80% of this population. Sleep apnea itself is associated with an increased risk of coronary artery disease and hypertension and may complicate both the preoperative and the postoperative status of the patient and delay extubation.
Radiation Therapy (RT)
A computed tomographic scan of the pituitary offers less anatomic detail and is not suggested, but it may be necessary if the patient has a contraindication for magnetic resonance imaging (MRI), such as the presence of a cardiac pacemaker.
These guidelines are a working document that reflects the state of the field at the time of publication. Because rapid changes in this area are expected, periodic revisions are inevitable. Guideline developers encourage medical professionals to use this information in conjunction with their best clinical judgment. The presented recommendations may not be appropriate in all situations. Any decision by practitioners to apply these guidelines must be made in light of local resources and individual patient circumstances.
An implementation strategy was not provided.
Not applicable: The guideline was not adapted from another source.
American Association of Clinical Endocrinologists (AACE)
AACE Acromegaly Guidelines Task Force
Chair: Laurence Katznelson, MD, Departments of Medicine and Neurosurgery, Stanford University, Stanford, California
Task Force Members: John L. D. Atkinson, MD, Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota; David M. Cook, MD, FACE, Department of Medicine, Oregon Health & Science University, Portland, Oregon; Shereen Z. Ezzat, MD, FRCPC, Department of Medicine and Endocrinology, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada; Amir H. Hamrahian, MD, FACE, Department of Endocrinology, Diabetes and Metabolism, Cleveland Clinic, Cleveland, Ohio; Karen K. Miller, MD, Neuroendocrine Unit, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
Reviewers: William H. Ludlam, MD, PhD; Susan L. Samson, MD, PhD, FACE; Steven G. Waguespack, MD, FAAP, FACE
Dr. Laurence Katznelson reports that he has received speakers' bureau honoraria from IPSEN and advisory board honoraria and research grant support from Novartis AG.
Task Force Members
Dr. John L. D. Atkinson reports that he does not have any relevant financial relationships with any commercial interests.
Dr. David M. Cook reports that he has received speaker honoraria from Pfizer Inc., research grant support from Indevus Pharmaceuticals, and speaker honoraria and research grant support from Eli Lilly and Company.
Dr. Shereen Z. Ezzat reports that he has received speaker honoraria from Novartis AG.
Dr. Amir H. Hamrahian reports that he has received speaker honoraria from Pfizer Inc. and speaker and consultant honoraria from IPSEN and Novartis AG.
Dr. Karen K. Miller reports that she does not have any relevant financial relationships with any commercial interests.
Dr. William H. Ludlam reports that he has received speaker honoraria from IPSEN, Novartis AG, Pfizer Inc., and Tercica, Inc. and advisory group honoraria from Endo Pharmaceuticals, IPSEN, Novartis AG, and Tercica, Inc.
Dr. Susan L. Samson reports that she has received speaker honoraria from IPSEN and Novartis AG.
Dr. Steven G. Waguespack reports that he does not have any relevant financial relationships with any commercial interests.
Electronic copies: Available in Portable Document Format (PDF) from the American Association of Clinical Endocrinologists (AACE) Web site .
Print copies: Available from the American Association of Clinical Endocrinologists (AACE), 245 Riverside Avenue, Suite 200, Jacksonville, FL 32202
The following is available:
None available
This NGC summary was completed by ECRI on September 15, 2004. The information was verified by the guideline developer on October 1, 2004. This NGC summary was updated by ECRI Institute on February 29, 2012.
All rights reserved. No part of these materials may be reproduced or retransmitted in any manner without the prior written permission of American Association of Clinical Endocrinologists (AACE).
The National Guideline Clearinghouse™ (NGC) does not develop, produce, approve, or endorse the guidelines represented on this site.
All guidelines summarized by NGC and hosted on our site are produced under the auspices of medical specialty societies, relevant professional associations, public or private organizations, other government agencies, health care organizations or plans, and similar entities.
Guidelines represented on the NGC Web site are submitted by guideline developers, and are screened solely to determine that they meet the NGC Inclusion Criteria which may be found at http://www.guideline.gov/about/inclusion-criteria.aspx.
NGC, AHRQ, and its contractor ECRI Institute make no warranties concerning the content or clinical efficacy or effectiveness of the clinical practice guidelines and related materials represented on this site. Moreover, the views and opinions of developers or authors of guidelines represented on this site do not necessarily state or reflect those of NGC, AHRQ, or its contractor ECRI Institute, and inclusion or hosting of guidelines in NGC may not be used for advertising or commercial endorsement purposes.
Readers with questions regarding guideline content are directed to contact the guideline developer.
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text:
Man Killed in Tucker County Coal Mining Accident
Written by Your 5News Team
Last updated on January 17, 2014 @ 12:55PM
Created on January 17, 2014 @ 10:15AM
DAVIS, W.Va. (AP) - West Virginia State Police say a Maryland man has died in an equipment-related accident at a Tucker County coal mine.
Sgt. G.L. Stalnaker in Elkins says the accident occurred about 9:10 p.m. Thursday at Mettiki Coal's Mountain View Mine in Davis.
A statement from the state Office of Miners' Health Safety and Training says 20-year-old Daniel Lambka of Kitzmiller, Md., was crushed in the accident. The mine safety office is investigating.
A message left with officials at the longwall mine wasn't immediately returned. The mine's parent company is Tulsa, Okla.-based Alliance Resource Partners.
Stay with 5 News and WDTV.com for any further updates.
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text:
Arts Opportunities at St. Mark's
The Arts have long been an important part of our community life. In the 1990s, the Arts Council was created to bring all the arts groups under one leadership team. Over the years, the Council has contributed to parish life by introducing an annual parish picnic and fair and proposed what has become our annual parish-wide calendaring. The Council coordinates numerous groups and welcomes those interested in introducing a new arts-related activity or resurrecting one that has been inactive.
Choir at St. Mark's: We offer choral opportunities for singers from age 6 and up, with our Children's Choir, Boys & Girls Choir, and the Chancel Choir. Please click here to learn more.
Dance Studio: Founded more than 50 years ago by parishioner and professional dancer, the late Mary Craighill, the St. Mark's Dance Studio has been training dancers in ballet and jazz. In years past, the Dance Company performed in the DC area as well as traveling to the then-USSR. Classes for children and adults, beginner through advanced, are open to both parishioners and the community. Exercise classes and private ballroom lessons for wedding parties are available. The Studio is open and active six days a week. For more information: Rosie Brooks, Director, 202/543-0054.
St. Mark's Music Studio: We have long had a strong music program. Helping that along is the opportunity for personal music development through lessons in piano, organ, voice, strings, percussion, etc., depending on the instructors available. For information contact Jeff Kempskie, Studio Director and Director of Music.
Music at St. Mark's: A concert series coordinated by the Director of Music that includes a variety of performers and provides a venue for the biennial Washington Early Music Festival in June. Contact Jeff Kempskie, Director of Music.
St. Mark's Players: Established in the 1950s as "chancel drama," parishioners soon moved on to Gilbert and Sullivan and, eventually, to popular plays and musicals. The Players are now a non-profit participatory theater company presenting three highly acclaimed productions each year in the Nave. For information about this season's productions, auditions, and opportunities for volunteering, visit the Players website at stmarksplayers.org.
Yoga Center: For nearly 40 years the St. Marks Yoga Center has offered time for meditation and body awareness. All are welcome.
Inactive Arts Groups: These groups are currently looking for leaders to revive their role in the community!
· Fiber Arts Group: Anyone with an interest in needlepoint, embroidery, quilting, etc. should contact the office.
· Writers Group: An informal group of amateur writers met to share and critique one another's work.
· Visual Arts Group: Those with artistic bent (painting, sculpture, collage, photography, etc.) presented annual shows of liturgical or secular work. Several have produced items we continue to use or as gifts to our sister congregation, Lichfield Cathedral.


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The hooded sweatshirt, as we know it, has been around since the 1930s, yet clothing manufacturers are constantly taking on the challenge of improving it. Some attempts are not dissimilar to reinventing the wheel while others tweak just the right amount of things to make what is already one of the greatest utilitarian inventions of all time a little better. Duluth Trading Company has done just that with their Watershed Hooded Sweatshirt.
With a price tag of $69.95, the Watershed is not the cheapest thing out there, but it is by no means the most expensive, and when the long list of features, some genuinely clever, is considered, its totally worth it. Since the Watershed is 100% polyester, it is considerably lighter than your average hoodie, and it is somewhat water repellent, being able to shed light rain without getting damp inside. This same finish is also excellent at keeping stains at bay (I should know, I am a stain magnet). Wash after wash, the Watershed comes out with a tidy, almost crisp finish that is a pleasant surprise for something so casual.
The anatomically shaped, three panel hood is a thing of beauty. It provides just the right amount of coverage without getting in the way of things, and if it needs to tightened up, it can be done via the spring-loaded toggle and elastic cord that is tucked away out of sight. Other companies looking to improve the hoodie should look to Duluth Trading Company for advice.
The side panel inserts and raglan sleeves provide ample freedom of movement, and the hand warmer pockets have a hidden pocket in the right side that is purported to be for change, but I have found that it is the perfect size for my utterly amazing HTC One, so I now call it the HTC One pocket. Lastly, one of my favorite features are the thumbholes in the cuff of each sleeve. This feature has helped keep my hands warm on numerous chilly morning walks. Thanks DTC!
Getting to test and review clothing is one of my favorite things in the world to do. Exploring a particular garment and discovering its many attributes is always a challenge, and as of late, with clothing getting more and more clever, it has become quite fun as well. If you want to discover the goodness of the Watershed Hooded Sweatshirt for yourself, click here.
**Full disclosure: This sweatshirt was provided at no cost for editorial consideration, to think otherwise would be silly.


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Elkhart man arrested in connection to string of robberies appears in court
ELKHART — An Elkhart man appeared for his initial hearing Thursday, June 6, at the Elkhart Circuit Court, where he was formally charged with two counts of robbery.
Jacob Wing, 18, is the latest person arrested in connection with a string of robberies at businesses on the north side of Elkhart earlier this year.
Wing was arrested Tuesday in Elkhart on a warrant. According to the probable cause affidavit filed for his case, police developed Wing as a suspect following two robberies on Feb. 25. During an interview with police, Wing admitted to providing a getaway vehicle and planning at least one of the robberies with Jacob Estep and Timothy Cramer. Both Estep and Cramer have since been arrested as well.
Estep, 23, was arrested Feb. 28, and has since been charged with eight counts of robbery and one count of theft. According to court files, Estep entered a Days Inn at 2820 Cassopolis St. and demanded cash from the clerk at about 4:05 a.m., Feb. 28. A tenant who was on the phone with the clerk when the robbery happened overheard Estep and the clerk arguing and told her boyfriend and a friend there was an ongoing robbery. The two men went to the clerk's office and chased Estep toward the Red Roof Inn, at 2902 Cassopolis St., where police found him.
Cramer, 23, was arrested May 25 on a warrant issued from the Elkhart Circuit Court. He is charged with one count of robbery. Cramer was charged in Superior Court 2 with theft on Nov. 19, 2012, for attempting to shoplift from a Walmart store at 176 W. C.R. 6. on Nov. 13. He has pleaded guilty to the charge and is expected to be sentenced on July 1.
The Elkhart Police Department and the Elkhart County Sheriff's Department responded to numerous robberies between Jan. 25 and Feb. 28. Most robberies happened on the north side of the city, and Estep has been accused of participating in eight of them:
Elkhart Cigarette Outlet at 51505 S.R. 19 on Jan. 25
Low Bob's Discount Tobacco at 51523 S.R. 19 on Jan. 25
Hampton Inn at 215 North Pointe Blvd. on Jan. 31
Yoder Truck Stop at 1125 Kent St. on Jan. 31
Low Bob's Discount Tobacco 51523 S.R. 19 on Feb. 3
Phillips 66 Gas Station at 3320 Cassopolis St. on Feb. 4
Super Quick Stop at 427 W. Lexington Ave. on Feb. 25
Low Bob's Discount Tobacco at 1501 Nappanee St. on Feb. 25
Village Pantry at 1500 Toledo Road on Feb. 26
Kathy's Stop 'n Go at 1916 E. Bristol St. on Feb. 26
Days Inn at 2820 Cassopolis St. on Feb. 28
Two suspects were arrested Feb. 1 and were charged with one count of robbery in connection to one of the robberies that happened Jan. 25 on the north side of Elkhart. Abigail Pifer, 19, and Nicholas Chaplin, 24, had been identified by witnesses from photographs that were obtained from surveillance cameras at the businesses. Police arrested the two suspects after a traffic stop.
The Elkhart Circuit Court has also issued a warrant for the arrest of Sergio Rocha, 26, who, according to the probable cause affidavit for his case, aided Pifer and Chaplin in one of the robberies on Jan. 25.
Police continue investigating the robberies to find any new leads or information on the case, said Lt. Mike Sigsbee of the Elkhart Police Department.


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The S&P 500 pushed to record high closes in three sessions during the holiday shortened trading week. The index matched the week ago gain of 1.21% in its push higher and has increased in 23 of the past 33 sessions.
Average daily volume levels of the four days in the holiday shortened week increased 5.81% compared to the average daily volumes of the five days in the previous week. The week's largest volume was seen on Friday, with the lowest volume seen on Thursday. The five day volume variance also increased 10.67% over that seen four days ago to 36.19%.
The S&P 500 finished at record highs on Tuesday, Thursday and Friday with Wednesday providing a small setback. The three higher closes has taken the index near the upper boundary of the 100 L at 1925.
Major Stock Market Indexes
The index charts of the Dow Jones Industrial Average, S&P 500, NASDAQ, New York Stock Exchange and Russell 2000 continued to show bullish signs as all five indexes finished the past week with gains.
The NASDAQ and Russell split for the week, each finishing two sessions higher and two lower.
The Russell 2000 gapped to the 50 EMA at Tuesday's open and continued higher through the session. Although Wednesday finished lower, it held above the 50 EMA through the session and Thursday began to widen the gap the index was running above its 50 EMA. Friday began higher, but the price slipped during the session breaching the 50 EMA briefly before rebounding bullishly to finish the session above it. The push higher during the week eclipsed the high seen in the previous cycle, giving it two higher highs in a row. All four sessions in the past week along with the previous Friday finished above the upper trend line of the recent downtrend, and it appears the Russell could have broken from its downtrend.
The NASDAQ saw a bullish cross as its 13 EMA pushed back above the 50 EMA on Tuesday. The NASDAQ continued to widen the gap it is running above the 50 EMA during the week, with all but Friday's session low being higher than the previous session. Although the NASDAQ has not yet established an uptrend, the recent run higher makes it look likely it will.
The Dow Jones, S&P 500 and New York Stock Exchange each finished higher in three of four sessions during the week, with all posting small loses on Wednesday.
The Dow Jones finished Friday at a record high close. During the week it established and held a fairly steady gap above its rising 13 EMA. Although the Dow chart would probably look much more bullish without the component changes from last September, the remaining components are taking up the slack in the recent lackluster performance of the additions. At the same time the additions are showing some signs that they might break out of their recent slump and a rebound to or near yearly highs seems possible.
The S&P 500 and New York Stock Exchange finished at record high closes three times in the past week, The NYSE held a fairly steady gap above its rising 13 EMA during the week, while the S&P 500 slightly but progressively widened this gap in its run higher.
The indexes are currently overbought so a pullback does not seem unlikely; however chart formations make it seem possible they could hold in or near overbought conditions for the time being. If a pullback where to occur, dips to or near the 13 EMA could be buy signals.
US Treasury Charts
The 20 year US Treasury Bond pushed higher in the first two sessions maintaining its uptrend before beginning to fall on Thursday. The bulk of this move higher was seen when the 20 year Treasury again gapped widely higher at the open on Wednesday finishing with the highest close in 2014. Although the regular session saw relatively little additional gains, it closed near the day's highs. The 20 year began to slip off these highs on Thursday with Friday continuing lower.
The 20 year is fully overbought and has not fallen to fully oversold in almost two months even though it has finished 11 of the past 19 sessions lower. Although the price has continued higher during this timeframe due to large opening price gaps, without these gaps, the price drops during normal trading hours have far outweighed the increases. Lacking these gaps, it seems possible the 20 year T-Bond could have established a downtrend during this timeframe due to the lackluster price movements during normal trading hours.
The normal trading hour price action makes it appear that domestic US Treasury Bond investors are taking profits into the foreign investments that are causing the higher opening price gaps. It seems possible if these price gaps cease, profit taking on these foreign investments could continue. This chart appears to be bullish, but continues to show signs of faltering.
Uncovered price gaps are nearly always eventually covered. The 20 year has left several gaps higher uncovered in its recent move higher, but the one of greatest concern to those recently becoming long holders of Treasury Bonds was that of March 12. That gap occurred three days into the recent bullish run off of lows and was very near the yearly low.
Long term Treasuries price charts continue to look bullish, but setting aside the recent large opening price gaps higher, they appear somewhat bearish. Therefore at this time the Treasury charts appear neutral to somewhat bullish for US stocks prices.
The interest rate on the 10 year US Treasury Note fell in the first two sessions before rebounding late week. It was again turned back at the 13 EMA on Tuesday and finished that session a little lower. It gapped lower at Wednesday's open and finished the session steeply lower, breaking below earlier support and continuing in the recent downtrend. It continued lower early Thursday, but rebounded strongly to finish the session higher, with Friday's finish adding to those gains. This chart continues to look bearish. It is in fully oversold conditions.
Gold slipped to about 1291 early Sunday night before beginning a small rebound shortly after the Sydney open that carried it back to about 1293, but slipped off that high to finish the night at about 1292.
Early Monday morning gold pushed back to about 1294 before trending lower in bounces to about 1291 by the London open. It rebounded back to about 1293 and traded tightly to this level through the US holiday shortened session. It slipped back to 1291 after the New York Globex open Monday night, trending in bounces higher to about 1293 after the Hong Kong open, then slipped back to finish the night at about 1291.
Tuesday trended fairly steeply lower until reaching about 1260 shortly after the Hong Kong open Tuesday night. It rebounded back to about 1265 and traded closely to it for the remainder of the night, finishing at about 1264.
Wednesday gold trended higher to reach about 1266 shortly after the New York open, but dropped back to 1256 by midsession. It rebounded back to 1260 before the NYMEX close and then bounced slowly lower to reach 1255 about midsession of late night trading in Hong Kong. It rebounded off this low to finish the night at about 1258.
It continued higher to about 1260 early Thursday before reversing trend and falling to about 1251 just before the London open. It trended slowly higher again to reach about 1260 midsession in New York. Gold slipped slowly lower off that high to 1256 in Sydney, but then pushed higher again to about 1261 early in the session in Hong Kong. It slipped slowly off that high to finish the night at about 1257.
Friday gold traded within a point of 1257 until slipping lower near the London open to 1253. It bounced between 1252 and 1256 until slipping steeply lower near the London close during New York trading then more slowly lower to reach a midsession low of about 1243. It trended mostly higher off this low into a New York Spot close of 1249.30, which was a fair amount lower than the previous week's 1292.30 New York Spot close.
Gold took a fairly bearish turn in the past week, fracturing support levels established after breaking lower from the March rebound. Gold began a slight downtrend after the initial drop from March highs that resulted in a more or less sideways move along that support but saw gradually lower highs in rebounds during that time. This established a downward biased wedge on that support line.
This sideways move and wedge pattern broke lower at about the time it ran into the upper trend line of the downtrend established in the break lower from the third rebound in 2012. March's high also turned lower near this upper trend line. The upper trend line of this downtrend will probably offer resistance, as could the recently broken support level. These resistances could limit upside potential in gold.
It therefore seems possible the recent break lower could send gold to a retest of earlier lows. This makes support at about 1190 look like an important testing ground, with a break below this support being a very bearish sign.
This week's drop sent gold to a small monthly loss on both the London Fix and New York Spot.
A continued breakdown in gold could be bullish for stocks.
S&P 500 Constituent Charts
Overall the constituent charts continue to show bullishness.
Many of the constituents are in very bullish runs consisting of one or two day pullbacks followed by several days of moves higher. Many are riding higher above the 13 EMA and many are rebounding higher after drops to or near the 13 EMA.
The constituents continue to increase the numbers breaking above long or short term resistances.
Increasing numbers are breaking to 52 week highs with others nearing these levels.
More of the constituents that have not yet turned higher are showing signs they could turn higher from recent pullbacks. Several broke above upper trend lines in recent downtrends. Some moved to higher highs, others rebounded from lower lows and some established uptrends after having two consecutive higher highs and higher lows. Some broke above the 50 EMA after having fairly long draughts below it. Many of these stocks are moving higher above the 13 EMA or are beginning to ride above it more often than not. Some are still basing, but appear to be nudging higher in these bases.
Many of the constituents that took large moves higher on good earnings news appear to be rebounding after initial pullbacks in these higher moves. Some have already breached the initial highs while others appear to be rebounding off support levels like the 13 EMA. It seems likely many of these stocks could continue higher in these runs. Some that took these large moves higher on good news have continued fairly steady higher, without much of a pullback after the initial surge.
Many of the Biotech's that took large pullbacks earlier have seen substantial rebounds off lows in those falls.
The staggering pattern continues to strengthen.
The index is overbought so it seems possible that a pullback could be seen in the week ahead. It looks likely that many of the constituents could move higher into that pullback limiting the drop or even nudging the index higher. A fair number of the constituents have established trends of holding in or near overbought levels. It seems possible some of the constituents that have not yet established a trend of holding in or near overbought levels are in runs that could do so and this could add further buoyancy. The S&P 500 currently holds the most bullish chart of the indexes covered. Even though the index is overbought, a pullback is not a given. It seems possible if one is seen it could be short and fairly small and therefore it seems possible the index could move higher in the week ahead.
Although the indicators featured in these articles are not always correct, they have been many times and being so they are worth reading about and taking note of.
The +/(-) 90 D and 100 L indicators are currently active. See a more detailed description of most of the indicators developed through research and featured in these articles here.
The +/(-) 90 D that became active on Feb 21, 2014 has performed as follows to this point in the format: highest close / lowest close / last close.
+4.76% / -1.12% / 4.76%
The +/(-) 90 D will expire in 22 trading days. Due to this expiration a 90 E will become active in 9 trading days. The indicator becomes active 13 trading days before the expiration and remains active for 13 trading days after the expiration resulting in a 27 trading day active period.
Although not always the case, as can be seen in several instances in past articles the 90 E has been present during periods that the S&P 500 has exhibited bearish traits. The indicator is not always present during bearish times, occasionally it is present during bullish moves too and a couple of these instances are also covered in past articles. The past two occurrences of this indicator saw a little of both beginning with a bearish period and ending with a more bullish move.
It seems possible this indicator could become active as the index enters potential resistance at the 1940 to 1955 MRL. The resistance at this level appears to have the potential to provide a significant pullback on the index, but it does not seem likely this resistance is strong enough to provide a large pullback if a significant pullback is seen. There are some fairly good reasons to believe the index could move past this level without seeing a significant drop, but if a significant pullback is seen, it seems likely it could remain shallow, probably within the 3% to 5% range.
The S&P 500 record high finish Friday of 1923.57 pushed near the upper resistance level of 100 L at 1925. Although the index is overbought, which might cause a short term pullback at this resistance, resistance in the upper portion of the 100 L appears soft so it seems possible the index could break above the 100 L in a rebound from that pullback. It also seems possible the index could begin to hold in or near overbought conditions, therefore this resistance level could be broken in a continued run higher.
Current Cautions
The index rebounded to recover from the significant drop seen within the 100 L. The upper resistance level of the 100 L appears to be softer than the lower level. It seems possible the index could continue to trend higher and break free of the 100 L.
The next likely area resistance could be found once the index passes the 100 L at 1900 is in the Midrange Resistance Level (MRL) between 1940 and 1955. The MRL appears to have the potential to cause a significant pullback, but probably not a large pullback if one were to be seen there. It also seems possible the index could move past this level without incidence.
It appears possible the index could reach the 1940 to 1955 MRL in conjunction with the expiration period of a 90 Day indicator. The expiration period of a 90 Day indicator activates a 90 E indicator. Although not always so, the 90 E indicator is potentially bearish as the S&P 500 has often exhibited bearish traits during the active periods of this indicator in the past. Therefore the presence of a 90 E indicator at this resistance increases the chances a significant pullback could be seen. The expiration period also falls within a timeframe that is sometimes somewhat bearish for stocks.
At the same time, the long sideways move at the 1883 resistance appears to have increased upward tensions in many of the constituent stocks. It does not seem likely these tensions could be fully relieved in the relatively short move to the MRL, which could limit the downside potential at this resistance. Although the potential for a significant pullback could increase if the index should reach this resistance with a potentially bearish indicator active and during a potentially bearish timeframe, barring any unforeseen circumstances, it continues to seem unlikely a pullback at this level would be large and still might not reach significant levels.
Recent chart action in Treasuries and Gold make it seem possible they could add to pushes higher in equities. Although Treasury Bonds have pushed to the highest levels seen in 2014, they have performed poorly during US trading hours indicating a domestic selloff could be underway. Selloffs in Treasuries often make their way into equities. Gold appears to have begun a bearish move lower and if it continues, this selloff could also add to a move higher in equities.
There is a slight chance that resistance could also be seen at 1970, but this resistance does not appear to have the potential to cause a significant pullback. If the resistance at 1970 is seen at all, it will probably do little more than slow the index's ascent for a relatively short duration.
Average daily volume levels of the four days in the holiday shortened week increased 5.81% compared to the average daily volumes of the five days in the previous week. Although a volume increase was seen, it was relatively small and was seen in a continued move higher. It was also probably affected somewhat by the shortened trading week. The week's largest volume was seen on Friday, with the lowest volume seen on Thursday. The five day volume variance also increased 10.67% over that seen four days ago to 36.19%, but still within levels normally seen during bullish moves higher.
There continues to be many reasons to be bullish at the current time. Any pullbacks in stock prices seen along the way are probably a good opportunity to add.
If the index continues within the trend established off the crash lows, it seems possible it could reach the 2000 to 2100 level in seven to 16 months if it reaches this level near the upper trend line and within 34 to 40 months if it reaches this level near the lower trend line. The data suggests the Midrange Resistance Level (MRL) at 2035 to 2055 could hold the resistance level of concern within this range at 2040. More details of this potential resistance can be seen in past articles.
Please note there is no established resistance in the MRL levels before the index has reached these levels. Several instances have proven to hold resistance once reached; however MRL levels that the index has not yet reached are only the most likely levels that resistance will be seen based on research. Back tests of the data used to project these resistance levels work well, but they are not always exact, and these resistances could react sooner or later than expected, it is also possible the resistance will not be seen at all.
Recently attention was drawn to the retail sector that had underperformed during the long sideways move on the S&P 500. Although some continued to perform well, the financial sector was also hit fairly hard during this time period as some in this sector fell rather drastically. Recently many of these charts are showing signs they are beginning to rebound from lows. Many in this sector have continued to hold low P/E ratios since the financial crisis, even those that saw earnings rebound quickly and have continued to see earnings growth. Pullbacks in many of these stocks appear to be buying opportunities.
Many of these sources of information were used in this article.
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Have a great day trading,
Access link to all of Ron's past articles.
Disclosure: Ron has invested in several financial stocks over the past month or so and continues to look for opportunities in both the retail and financial sectors. Ron is currently about 81% invested long in stocks in his trading accounts. His investment level decreased over the past week due to the purchase of one issue with the cost of this purchase more than fully offset by the sale of one issue with a larger than normal position size and dividend payments. Ron feels he is slightly oversold at the current time. However he has and will continue to sell stocks that reach long or short term targets and also continue to add stocks he feels are at a great value through a variety of buy orders. Ron will receive dividend payments from 18 issues in the coming week and 21 in the following week. If no further investment changes are made during this timeframe these dividend payments will not change his investment level.
Some of the trades made during the past week may have been due to repositioning investments as discussed in a previous article.
Disclaimer: The information provided in the Stock Market Preview is Ron's perception of the current conditions and what he thinks is the most probable outcome based on the current conditions, the data collected and extensive research he has done into this data along with other variables. It is intended to provoke thought of the possible market direction in his readers, not foretell the future. Ron does not claim to know what the stock market will do. If the stock market performs as expected, it only means he is applying the stock market history to the current conditions correctly. His perception of the data is not always correct.
This article is intended to provoke thought about investment possibilities. Acting on the information provided is at your own risk. You are urged to do your own research, and where appropriate, seek professional investment advice before acting on any information contained in these articles.