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alphaWorks:IBM JZOS Batch Toolkit for z/OS SDKs:JZOS Cookbook ...
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IBM dev ops serves up fresh IBM z/OS Explorer Aqua (Joe Winchester)
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activity assistant jobs near Sun City, AZ
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Caregiver/Companion/Certified Nursing Assistant (CNA) - HomeCare
ResCare - Sun City, AZ
Encouraging self-help activities. Caregiver/Companion/Personal Care Attendant/Certified Nursing Assistant (CNA) - HomeCare*. Sun City, AZ*....
Medical Assistant (Customer Solutions Expert I)
CareCentrix - Phoenix, AZ
Participates in and contributes to performance improvement activities. Identify the need(s) of the referring source and/or patient by collecting all necessary...
Laboratory Supervisor
Food Safety Net Services - Phoenix, AZ
Supervise all activities, including quality control records, forms, files, pathogen log, etc. Alert Assistant Laboratory Manager of need for repair services for...
Head to Toe Therapy, Inc. - Phoenix, AZ
Speech/Language Pathology Assistant (SLPA)*. Contract Certified Occupational Therapy Assistant (COTA)*....
Faculty - College of Nursing and Health Care Professions - MSN-PH/MPH
Grand Canyon University - Phoenix, AZ
Active engagement in professional development activities. The position will be hired at the rank of Instructor or Assistant Professor, commensurate with...
2 Quality Licensed Real Estate Agents
The Laughton Team | My Home Group - Peoria, AZ
Leverage- transaction coordinator, inside sales agent, assistants to assist in your success. Looking for 2 Quality Licensed Agents!...
Medical Assistant / Medical Administrative Assistant (Customer Solutions Expert I)
CareCentrix - Phoenix, AZ
Participates in and contributes to performance improvement activities. Identify the need(s) of the referring source and/or patient by collecting all necessary...
Program Director
Hacienda Del Rey Assisted Living - Litchfield Park, AZ
Supervise Activity Assistants, and volunteers. Activities Coordinator or Director:. Coordinate all activities, including volunteers....
Activities Assistant - Assisted Living
Windsor Encanto Palms Assisted Living- - Phoenix, AZ
Move and arranges equipment/supplies to assure that activity areas are ready for scheduled activities. Previous experience in leading recreational activities,...
Administrative Assistant
MGA Employee Services, Inc. - Phoenix, AZ
Job involves facilitating activities from candidate acceptance to candidate's start date to ensure a smooth on-boarding process and has ownership of enrolling...

subset: commoncrawl


text:
Maybe it's the middle of the summer, and they feel like throwing a Hawaiian-themed beach bash. Maybe it's the middle of the winter, and they're going to turn up their house's heater and imagine that they don't have several more months of cold weather ahead of them. If they're throwing a cool party that's all about big waves and good times, make their party the ultimate luau. It's a fun and festive gift idea. Their bash is going to be absolutely unforgettable.
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12 Inflatable Mini Monster Beach Balls$6.50
- $24.95
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- $10.99
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- $19.99
- $40.00
Personalized Luau Champagne Flutes$15.99


text:
July 28, 2016, 5:17 am
Heidi is 19 and was stabbed by another women in Chattanooga.
Read More »
July 28, 2016, 5:10 am
Bob is going for the record...
July 28, 2016, 5:01 am
This was from back in June but we just found it! Luke and Little Big Town are on tour together! LBT was just here Sunday!
July 27, 2016, 8:04 am
July 27, 2016, 8:01 am
July 27, 2016, 6:37 am
The duo took to social media to respond to claims that they "dissed" law enforcement at a concert. Read and decide for yourself!
July 26, 2016, 5:38 am
This is a pretty special moment between a father and son!
July 26, 2016, 5:29 am
You're not gonna want to hear this, but . . . stop setting the thermostat on your AC so low. Every degree increases your bill by 3%. And researchers have found that if you set it a few degrees...
July 25, 2016, 5:24 am
The singer 'launches' a parody campaign. Here's his first ad! This is GREAT!
July 25, 2016, 5:16 am
Meet Gal Gadot...AKA Wonder Woman!Coming 06.02.17


text: The Scourge of Magnolia Bakery to Head AbroadBrian Moylan7/22/11 5:38pmFiled to: ExpansionsMagnolia BakeryCupcakesSex And The Citysad thingsdessertsGettypicTweetgTweetdFb128EditInvite manuallyPromoteDismissUndismissHideShare to KinjaToggle Conversation toolsGo to permalink Magnolia Bakery, the always-mobbed purveyor of dry cupcakes with too much frosting on them and only appealing to tourists who were hypnotized by Sex and the City to love them, now has permission to sell franchises, and it's aiming to spread its cancer across oceans.Store owner Steve Abrams says that, thanks to the show, people around the world know about his confections and gobble them up because they think they're luxury goods and they don't know better. And so he's looking to open franchises in Hong Kong, India, Qatar, Kuwait, Brazil, and other unfortunate places. Can't we just ship these places some Hostess Cupcakes and be done with it? Those are a whole lot yummier. [WSJ, Image via Getty]Reply128 repliesLeave a reply


text:
lebua Lodge at Amer, Amer
- Free WiFi and free parking
Main amenities
- 40 guestrooms
- Restaurant
- Full-service spa
- Outdoor pool
- Free use of bicycles
- 24-hour business center
- Airport drop-off service
- Childcare
- 24-hour front desk
- Air conditioning
- Daily housekeeping
- Garden
For families
- Babysitting or childcare (surcharge)
- Connecting/adjoining rooms available
- Private bathroom
- Separate sitting area
- Premium TV channels
- Free toiletries
What's around
- Amber Fort (5.7 mi / 9.2 km)
- Amber Palace (5.6 mi / 9 km)
- Jaigarh Fort (5.8 mi / 9.4 km)
- Jal Mahal (7.8 mi / 12.5 km)
- Gaitor (9.6 mi / 15.5 km)
lebua Lodge at Amer, Amer
Hotel Info: 866-539-8117from $67
- Luxury Tent
Also popular with travelers from the USA
At a glance
Key facts
Hotel size
- This hotel has 40 rooms
- This hotel is arranged over 1 floor
- Check-in time 2 PM-midnight
- Check-out time is noon
- Express check-in
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
Travelling with others
- Children (11 years old and younger) stay free when occupying the parent or guardian's room, using existing bedding
- Babysitting/childcare *
- No pets or service animals allowed
- Free WiFi in public areas
- Free WiFi in rooms
- Airport drop off (available on request) *
- Train station pickup *
- Free self parking
- Area shuttle *
Nearby Four Star Amer hotels
In the hotel
- Restaurant
- Outdoor pool
- Pool sun loungers
- Full-service spa
- Spa treatment room(s)
- Bicycle rentals on site
- Free bicycles on site
- Volleyball on site
- Ecotours nearby
- Hiking/biking trails nearby
- Pool umbrellas
- 24-hour business center
- Computer station
- 24-hour front desk
- Tours/ticket assistance
- Dry cleaning/laundry service
- Laundry facilities
- Free newspapers in lobby
- Luggage storage
- Wedding services
- Multilingual staff
- Number of buildings/towers - 1
- Year Built 2011
- Designated smoking areas
- Garden
- Accessible bathroom
- In-room accessibility
In the room
- In-room climate control (air conditioning)
- Air conditioning
- Minibar
- Coffee/tea maker
- Slippers
- Iron/ironing board (on request)
- Washer/dryer
- Turndown service
- Separate sitting area
- Private bathroom
- Jetted bathtub
- Free toiletries
- Hair dryer
- 42-inch LCD TV
- Premium TV channels
- Desk
- Free newspaper
- Free WiFi
- Phone
- Free bottled water
- Daily housekeeping
- In-room safe
- Connecting/adjoining rooms available
- Access via exterior corridors
Top Amer hotels
Recently reviewed hotels in Amer
- ibis Jaipur HotelFrom
"Very positive! it's clean unlike most places called hotels in India. Very well maintained with professional staff and good food options. Excellent rate, frankly it's generous for…"Jul 19, 2016
- Ramada JaipurFrom
"I would love to come back and stay in this hotel Very good staff very good service . "Jul 18, 2016
- Fortune Select MetropolitanFrom
"The staff were welcoming and helpful, especially Priyanka. "Jul 15, 2016
- Dera RawatsarFrom
"The hotel is very clean, the staff are extremely friendly and accomadating and the room is very spacious. The pool is clean and refreshing. The Bani Park location is clean and…"Jul 10, 2016
Nearby hotels
Special features
ELLE has 1 treatment room. Services include deep-tissue massages, hot stone massages, massages, and facials. A variety of treatment therapies are provided, including aromatherapy and Ayurvedic.
DiningToran - This restaurant serves breakfast, lunch, and dinner.
lebua Lodge at Amer, Amer's small print
Also known as
- Amer lebua
- lebua Amer
- lebua Lodge
- lebua Lodge Amer
The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation.
Only registered guests are allowed in the guestrooms.
Children under 10 years old are not allowed in the swimming pool without adult supervision.
This property does not have elevators.
For transfers, guests must contact the property before arrival at the number on the booking confirmation.
Reservations are required for massage services and spa treatments and can be made by contacting the property before arrival at the number on the booking confirmation.
Optional extras
Babysitting/childcare is available for an extra charge
Airport shuttle service is offered for an extra charge of INR 2000 per vehicle (one way)
Train station pick-up service is offered for an extra charge
Area shuttle service is offered for an extra charge
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.
Recent reviews
Good 3.9 /5 from 23 reviews
We spent two nights here in late March 2015. Don't let the "Luxury Tent" designation concern you! This is an excellent hotel, with individual free-standing buildings covered in tent-like fabric. There are no "tents". The room is terrific and the bathroom is gorgeous...looking out on a private garden-area. The hotel has a free-standing restaurant and a beautiful pool right outside the restaurant. The only drawback is actually getting to the hotel. It's down a terrible road, where you'll think you're lost, long before you arrive. Once you reach the secluded property, there's a guarded gate surrounding the property. Once inside everything is very tranquil and beautiful. Just a short drive further down the road is an animal sanctuary, which is worth checking out!
This hotel is located in the midst of nature, somewhat distant from the center of the city. Our overall experience was very enjoyable. The rooms are unique and the food was good.
Overall I was very satisfied with my stay. The tent was awesome and the food was delicious. The only negative is probably the access road which is a dirt road and not smooth at all. But then you have to expect that with such a nice hotel in the forest.
We had a fantastic stay! The staff was very nice and friendly. We enjoyed a private dinner outside our tents, and both food and service was outstanding . This is a hotel we would most definitely recommend!
It was good
Is the description of this hotel not correct? Tell us


text:
Pin it and re-pin it—no harm done. These magnetic tacks look elegant and let you rearrange again and again.
Dress up your home office and learn how to make a stylish DIY acrylic calendar with a few supplies from the hardware store. Tutorial by Jen Woodhouse.
10 Great YouTube Channels for Free Yoga Videos
Such a cute + crafty #DIY gift idea! #giftidea #giftideas #winegift #wine #chocolate #winelover #chocolatelover
Washable, cotton bowl covers - an eco-friendly alternative to plastic wrap
Awesome guideline!
"7 Interview Questions That Will Blow Hiring Managers Away" | The Muse
26 Time #Management And Productivity Hacks
books every woman needs to read #reading
Tobacco Pipe .25 Caliber Pistol (Germany)
no equipment needed
Love desk supplies as much as we do? Try these leather file folders from Anthropologie.
felicia semple : the craft sessions - visible mending as an art form
Tara Mohr - 10 Rules For Brilliant Women
20 Diagrams & Pictures of Life Hacks to Make Your Life Easier
print size guide
5 Bokeh textures - these look amazing with text overlaid in PhotoShop. Such pretty textures.
fabric on walls using starch and an iron. comes off like a breeze! perfect for apartments or dorms! You can also use this idea for an accent wall, not just a headboard.
Desk Chair Reupholstery by forty-two roads, via Flickr
Think Like a Doctor: Thinner Solved! - NYTimes.com
Decorate By Numbers! Top 10 Tips
Awesome! Old fridge into patio cooloer.
To remember: MM.LaFleur curated work clothing box
This awesome chandelier is actually an Ikea hack.


text:
Our Customers Say:
The show was great, the tickets perfect... I will certainly use your services again and recommend you to anyone wanting to order great seats without the worry of getting ripped off.
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Neil Simon Theatre Seating Chart, Map and Tickets
New York, New York
Neil Simon Theatre AddressNeil Simon Theatre
250 W 52nd St
New York, NY 10036
Directions to Neil Simon Theatre


text:
Thursday, 28 July 2016
Last updated 51 min ago
Mar 12 2013 | 12:14pm ET
Four years after the debut of the bitcoin, a Maltese firm has launched a hedge fund investing in the digital alternative currency.
Hedge fund platform and brokerage Exante has raised US$3.2 million for its Bitcoin Fund, it told Forbes. While Exante's Anatoliy Knyazev said last year that he hoped his firm's would be "the first hedge fund to take advantage of using bitcoins," the fund is less a hedge fund and more a vehicle that allows institutional investors to invest in bitcoins. The fund simply buys the peer-to-peer crypto-currency, arguing that its value will increase as more and more people use it. The fund is denominated in dollars and euros, allowing institutional investors who would not be permitted to buy bitcoins themselves to access the market.
The Bitcoin Fund's fees are also very unlike a hedge fund's: It charges no performance fee and only 0.5% for management, a fee that is paid monthly and used to cover security costs for the fund. There is also a 0.5% subscription fee.
At the moment, the fund is not available to U.S. investors; Knyazev told Forbes, "the U.S. jurisdiction is tricky." He did say that Exante is looking into creating a feeder fund in Delaware that would open the Bitcoin Fund to U.S. clients.
The Bitcoin Fund requires a US$100,000 minimum investment.
The monetary base of bitcoins is currently estimated to be more than US$400 million, making it the most widely-used alternative currency in the world. Critics have claimed it is a Ponzi scheme due to its strictly-limited inflation program, which is set to run until 2140.
Jul 8 2016 | 7:01pm ET
Recent market volatility has investors seeking greater insight into alternative...
Jul 25 2016 | 6:29pm ET
If you are compelled by stories of entrepreneurial vision & drive, or simply...
Jul 22 2016 | 8:44pm ET
When the press reports extraordinarily strong relative or risk-adjusted returns...


text:
Fax: (651) 690-7774
Original Article
Differences in treatment patterns for localized breast carcinoma among Asian/Pacific islander women†‡
Version of Record online: 15 NOV 2002
DOI: 10.1002/cncr.10965
Copyright © 2002 American Cancer Society
Volume 95, Issue 11, pages 2268–2275, 1 December 2002
Additional Information
How to Cite
Prehn, A. W., Topol, B., Stewart, S., Glaser, S. L., O'Connor, L. and West, D. W. (2002), Differences in treatment patterns for localized breast carcinoma among Asian/Pacific islander women. Cancer, 95: 2268–2275. doi: 10.1002/cncr.10965
- †
See editorial on pages 2257–9, this issue.
- ‡
The content of this publication does not necessarily reflect the views or policies of the U.S. Department of Health and Human Services or the California Department of Health Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. government or state of California.
Publication History
- Issue online: 19 NOV 2002
- Version of Record online: 15 NOV 2002
- Manuscript Accepted: 26 JUN 2002
- Manuscript Revised: 21 JUN 2002
- Manuscript Received: 10 APR 2002
Funded by
- National Cancer Institute. Grant Number: N01-CN-65107
- National Institutes of Health
- California Cancer Registry, a project of the Cancer Surveillance Section, California Department of Health Services
- Public Health Institute. Grant Numbers: 050M-8701/8-S1522, 453A-8704-S1474
- Department of the Army. Grant Number: DAMD17-94-J-4508
- Abstract
- Article
- References
- Cited By
- Asians;
- Pacific Islanders;
- breast neoplasms;
- treatment;
- breast-conserving surgery (BCS);
- radiation therapy;
- hormone therapy;
- epidemiology;
- Surveillance;
- Epidemiology;
- End Results (SEER)
Many studies have examined racial/ethnic differences in treatment for localized breast carcinoma, but to the authors' knowledge few have included Asian/Pacific Islander (API) women.
The population-based study included API and non-Hispanic white women diagnosed with localized invasive breast carcinoma in the Greater San Francisco Bay Area during 1994 (n = 1772). Multiple logistic regression was used to assess the association between race/ethnicity and type of surgery, radiation therapy following breast-conserving surgery (BCS), and hormone therapy for estrogen receptor-positive tumors while adjusting for demographic, medical, and census block-group socioeconomic characteristics.
API women were significantly more likely to undergo mastectomies than white women (58% vs. 42%). This difference remained for Chinese and Filipino women after multivariate adjustment (odds ratio vs. whites [OR] = 2.4, 95% confidence interval [95% CI] = 1.4–4.2; OR [95%CI] = 1.8[1.0–3.1], respectively). Chinese women were also more likely than white women to not receive adjuvant therapy, be it radiation after BCS or hormone therapy for estrogen receptor-positive disease. Other API women did not differ from white women in adjuvant therapy use.
This population-based study identified differences in treatment for localized breast carcinoma by race/ethnicity that were not explained by differences in demographic, medical, or socioeconomic characteristics. These results underscore the importance of looking at treatment patterns separately for API subgroups and support the need for research into cultural differences that may influence breast carcinoma treatment choices. Cancer 2002;95:2268–75. © 2002 American Cancer Society.
DOI 10.1002/cncr.10965
In 1991, a National Institutes of Health consensus statement on the treatment of early-stage breast carcinoma made recommendations that included the use of breast-conserving surgery (BCS) with adjuvant radiation therapy instead of mastectomy, whenever possible.1 Since that time, many studies have evaluated factors related to compliance with the treatment recommendations, including race/ethnicity.2–12 To our knowledge, very few of these studies, however, have included Asian/Pacific Islanders (APIs), a population that is growing rapidly in the United States.13 As breast carcinoma is the most common malignancy diagnosed among API women, and as a significant proportion of these women are diagnosed with early-stage disease,14, 15 it is important to understand whether this group is receiving the recommended treatment. Morris et al.9 found that API women in California were more likely to undergo a mastectomy than white, black, or Hispanic women. However, APIs are a diverse group, representing many ethnic and cultural backgrounds. Disaggregating the ethnic subgroups in studies of treatment differences may help to better understand how and why these differences occur. Although the use of adjuvant therapy, such as radiation and hormone therapy, is an important part of the treatment protocol, racial/ethnic differences in this aspect of treatment have not been well studied. To address these gaps in the literature, we undertook the following study to 1) evaluate surgical treatment patterns for early-stage breast carcinoma among Chinese, Japanese, Filipino, and other API women compared with white women; 2) explore their respective uses of adjuvant radiation and hormone therapy; and 3) investigate possible explanations for any racial/ethnic differences found.
Breast carcinoma cases were identified through the Northern California Cancer Center's Greater Bay Area Cancer Registry (GBACR), a participant in both the National Cancer Institute's (NCI) Surveillance, Epidemiology, and End Results (SEER) program and the statewide California Cancer Registry. Women included in the study were all API and non-Hispanic white females diagnosed with localized first primary invasive breast carcinoma in 1994 while resident in the greater San Francisco Bay Area (Alameda, Contra Costa, Marin, Monterey, San Benito, San Francisco, San Mateo, Santa Clara, and Santa Cruz counties). SEER historic stage of disease at diagnosis (local, regional and distant) was used to identify women with localized disease, defined as invasive carcinoma that had not spread beyond the breast16 (n = 1780). This equates roughly to the American Joint Committee on Cancer (AJCC) TNM classifications of any TN0M0 (tumor of any size, no regional lymph node metastasis, and no distant metastasis).17 Women without surgical treatment were excluded from the study (n = 8), leaving a final sample of 1772 women.
Demographic and Tumor Characteristics
Covariates were chosen based on associations with race/ethnicity and/or treatment as demonstrated in previous research. The GBACR provided patient and tumor information routinely abstracted from medical records as part of state-mandated cancer surveillance. Demographic variables included age at diagnosis (<65, 65–74, 75+ years), race/ethnicity (white, Chinese, Japanese, Filipino, other API), marital status (never married, married, separated/divorced, widowed/unknown), and whether patients were treated at facilities run by a local health maintenance organization (HMO). This last variable was used as a proxy for HMO membership (yes/no).
Tumor characteristics included size (millimeters), number of lymph nodes evaluated surgically, histologic subtype and grade, and estrogen and progesterone receptor status. Tumors were categorized histologically as ductal carcinoma (International Classification of Diseases-oncology, version 2 [ICD-O-2]18 morphology code 8500), lobular carcinoma (ICD-O-2 code 8520), or other (all others). Histologic grade was categorized as well differentiated, moderately differentiated, poorly or undifferentiated, or unknown. Estrogen and progesterone receptor status were coded as positive, negative, or unknown.
1990 Census Data
To estimate the socioeconomic status (SES) of patients, we used 1990 Census data summarized at the block-group level (census tract subdivisions of approximately 1000 persons) acquired from summary tape file 3A.19 Data for each block-group included median age, median household income, per capita income, percent of households living below poverty level, percent of persons 25 and older with a college education, percent of employed persons in a working class occupation, the total number of children ever born to women 15 years or older, and the total number of women 15 years or older. The last two variables were combined to determine the average number of children ever born per woman.
Treatment Information
Treatment data had been obtained by a larger project to update and verify treatment information in the GBACR database for all 1994 breast carcinoma cases. This larger project used algorithms based on the NCI's Physician's Data Query Breast Cancer recommended treatment guidelines20 to identify breast carcinoma cases in the registry who lacked complete information on surgery, radiation therapy, chemotherapy, or hormone therapy. Missing treatment data were sought from a mailed query to the women's primary physician or obtained directly from physicians' office records. Of the 1772 women included in the current study, 23 (1%) had had complete treatment information in the GBACR database according to the algorithm. Updated information had been received for 1454 (83%) of the remaining women, with the additional treatment information merely verifying GBACR data for 1188 (82%) and new information being obtained for 266 (18%). None of these proportions differed by race/ethnicity.
These updated records provided information on type of surgery and whether the patient received adjuvant radiation and/or hormone therapy. For patients whose records were not updated, treatment information was obtained from available data in the registry. Surgery was defined as mastectomy or BCS, which included segmental mastectomy, lumpectomy, tylectomy, wedge resection, quadrantectomy, nipple resection, or excisional biopsy. For these analyses, radiation and hormone therapy were dichotomized (any/none).
Statistical Analysis
The associations of primary interest were between race/ethnicity and three types of breast carcinoma treatment: type of surgery (mastectomy vs. BCS), radiation therapy following BCS (none vs. any), and hormone therapy for women 50 years and older with estrogen receptor-positive tumors, irrespective of surgery type (none vs. any). For the surgery analysis, only women with tumors less than or equal to 5 cm (AJCC classifications T1/2) were included, so that all women would be potential candidates for BCS. Chi-square statistics and analysis of variance were used to assess differences in demographic and tumor characteristics by type of treatment. Multiple logistic regression was used to calculate adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) for the association between race/ethnicity and breast carcinoma treatment while adjusting for possible confounders. Variables that either contributed significantly to the model (Wald P < 0.10) or acted as strong confounders of the association between race/ethnicity and treatment type (changed the OR for any racial/ethnic group by ≥10%) were retained in the final models. Only women without missing values for the variables of interest were included in the multivariate models (see Tables 1–3 for respective numbers). All analyses were performed using SAS 6.12 for UNIX21 and Intercooled Stata for Windows, version 5.0.22
|X2P value
|All other API
|Age at diagnosis (%) (yrs)
|Marital status (%)
|Member of local HMO (%)
|Tumor characteristic
|Histologic subtype18 (%)
|Ductal carcinoma (8500)
|Lobular carcinoma (8520)
|All others
|Histologic grade (%)
|Well differentiated
|Moderately differentiated
|Estrogen receptor status (%)
|Progesterone receptor status (%)
|Mean (SD)
|F P value
|Tumor size (mm) (n = 1636)
|17.3 (16.5)
|21.1 (15.3)
|15.5 (9.5)
|19.5 (13.4)
|20.1 (15.7)
|No. of lymph nodes evaluated (n = 1751)
|11.9 (7.9)
|12.8 (8.7)
|14.8 (8.4)
|13.5 (8.0)
|13.0 (7.9)
|Census characteristics (n = 1534)
|Median household income, $ in thousands
|53.5 (21.3)
|45.0 (21.1)
|54.3 (25.1)
|43.3 (12.6)
|43.8 (15.2)
|Per capita income, $ in thousands
|30.9 (13.5)
|24.6 (12.0)
|32.3 (16.9)
|20.3 (5.8)
|21.9 (7.3)
|Median age (yrs)
|38.4 (7.6)
|38.4 (8.6)
|36.4 (4.6)
|32.4 (3.9)
|33.0 (5.4)
|Percent households below poverty level
|5.5 (5.4)
|9.2 (10.3)
|5.7 (5.5)
|9.0 (8.0)
|8.8 (7.6)
|Percent in working class occupations
|53.3 (14.2)
|60.3 (15.7)
|51.6 (15.4)
|66.7 (12.9)
|62.0 (15.0)
|Percent 25+ years with college degree
|38.0 (18.3)
|32.9 (17.2)
|40.6 (19.0)
|24.5 (14.3)
|29.4 (15.8)
|Average no. of children/women 15+
|1.55 (0.38)
|1.66 (0.48)
|1.47 (0.45)
|1.69 (0.41)
|1.69 (0.47)
|White non-Hispanic
|Other Asian/Pacific Islander
|Adjuvant therapy
|No radiation after BCS (N = 849)a
|No hormone therapy (N = 798)b
|White non-Hispanic
|Other Asian/Pacific Islander
Characteristics of the study population by race/ethnicity are shown in Table 1. In general, API women were younger and more likely to be married than whites. Distributions of histologic subtype and grade were similar for white and Japanese women and differed from the other racial/ethnic groups, although these differences were not statistically significant. There were no statistically significant racial/ethnic differences in estrogen and progesterone receptor status, tumor size, or the number of lymph nodes evaluated. White and Japanese women were significantly more likely than Chinese, Filipino, and women of other API groups to live in census block-groups with a higher SES indicated by factors such as higher income, lower fertility rate, and higher average level of education.
Overall, 56% of women received BCS and the remaining 44% underwent a mastectomy. However, surgical treatment varied by race/ethnicity: 63% of Chinese, 59% of Japanese, 55% of Filipinas, and 55% of women from other API groups had mastectomies compared with only 42% of white women. Even after adjustment for demographic and tumor characteristics, the odds of having a mastectomy remained twice as great for Chinese and Filipino women compared with white women (Table 2). The odds of having a mastectomy were also greater for Japanese women and women of other API groups compared with white women, although these results were not statistically significant.
Table 3 presents the results of the multivariate regression analyses examining the association between race/ethnicity and the likelihood of not receiving adjuvant therapy. The odds of not receiving radiation therapy after BCS were three times greater for Chinese women than for white women. Similarly, the odds of not receiving hormonal therapy were twice as great for Chinese women compared with white women. For the other racial/ethnic groups, ORs (vs. whites) ranged widely, from 0.5 (radiation therapy for other API women) to 2.6 (radiation therapy for Japanese), but none were statistically significant.
This study found that treatment patterns for localized breast carcinoma differed between API and white women. Overall, API women were less likely than white women to receive recommended treatment, especially BCS. In addition, there were large differences across API subgroups regarding the use of adjuvant therapy. Even after multivariate adjustment, Chinese women were significantly more likely than white women not to receive recommended adjuvant therapy, be it radiation after BCS or hormone therapy for estrogen receptor-positive disease. Women in the other API subgroups did not differ from white women in their use of adjuvant therapy.
These findings are consistent with the results on breast carcinoma treatment patterns in API women of Morris et al.9 In addition, Kagawa-Singer et al.23 found significantly lower rates of BCS plus adjuvant therapy among Asian-American women compared with Anglo Americans and Lin et al.24 reported a higher risk of mastectomy among Asian American women (Chinese, Japanese, and Filipino) compared with non-Hispanic whites.24 Our study expands these results by disaggregating the API category into component ethnic groups and identifying different treatment patterns within these groups compared with white women, most notably for Chinese and Filipino women. A recently published study using Hawaiian tumor registry data linked to insurance claims also found that Filipino women were less likely to receive BCS than women from other ethnic groups, although their results were not statistically significant and their study population was limited to mostly younger women who belonged to a particular health plan.25 Lee similarly noted higher mastectomy rates in Filipino women from the study of Lin et al.24, 26 In addition, our findings that Chinese women were more likely to have a mastectomy and less likely to use hormone therapy than white women are consistent with a study by Lee et al.27 However, their study did not focus on localized breast carcinoma and did not include other API groups.
Previous studies have found that racial/ethnic differences in breast carcinoma treatment disappeared after adjustment for tumor characteristics,10 whereas others have found that SES was the most important factor in determining breast carcinoma treatment.3, 8, 12, 28 Morrow et al.29 reported that contraindications to BCS leading nonwhites to have more mastectomies were social rather than medical (e.g., difficulty completing a radiation therapy course because of time and/or transportation). However, in the current analysis, differences in breast carcinoma treatment remained even after adjustment for both tumor characteristics and the socioeconomic characteristics of the patient's neighborhood.
There are several reasons why our results may differ from previous research. Previous studies were focused mainly on black/white differences and often did not include API populations. Therefore, those results may not apply directly to our study population. We used the socioeconomic characteristics of the patient's neighborhood as a proxy for the patient's SES in our analysis. As the census variables were not race specific, it is possible that they were not a good indicator of an individual's SES in our API populations. Some of the association between SES and treatment differences may be unaccounted for in our analysis. However, it has been shown that census-level data are effective proxies for individual-level data in similar studies.8, 9, 12, 25, 30–32 It is unlikely that any residual effect of SES not accounted for in our study is responsible for all of the racial/ethnic differences in breast carcinoma treatment found in our analysis.
Another explanation for the racial/ethnic differences in treatment may be culture, such as cultural beliefs about body image, illness and death, approaches to medical decision-making, and issues with patient/provider communication. In general, Asian cultures view illnesses as inevitable and unchangeable and individuals may be more likely to avoid treatment.33, 34 Modesty and embarrassment may prevent many Asian women from participating fully in the treatment decision.35, 36 In addition, the breast is not as important in the perception of body image in Asian cultures as in Western cultures.23 As a result, concerns about the cosmetic results of surgery may not play a prominent role in influencing treatment choices. There are also cultural differences in medical decision-making. For example, Chinese culture holds a family-centered model of medical decision-making, where the family is of primary importance in determining the course of treatment.34, 36–38 It has been hypothesized that Chinese women may not choose BCS and radiation therapy because of the inconvenience that the radiation therapy would have to the family.22, 33 In addition, medical authorities are treated with deference and it is considered disrespectful to question their opinions.22 Given the evidence that physicians are still more likely to recommend mastectomies than BCS as the treatment of choice,28 it is possible that Asian women's selection of mastectomy is based solely on their physician's recommendation. Problems with patient/provider communication also may have influenced the course of breast carcinoma treatment in these women.33, 39 Patients may not understand their full range of treatment options if they are not fluent in English or may have difficulty communicating concerns about the treatment options offered to them. It would be informative to obtain information regarding whether treatment patterns differ when providers of the same race/ethnicity as the patient and/or those who speak the same language as the patient are involved in the treatment decisions.
In addition to cultural factors, the degree of acculturation may also influence breast carcinoma treatment choices. The ethnic groups in this study vary with regards to their migration history and degree of acculturation. For example, the Japanese are a more acculturated (Westernized) group than the more recently immigrated Chinese and Filipinos40 and may be more likely to have treatment patterns similar to white women than other API groups. However, our data do not show any clear pattern in this regard. Chinese women had treatment patterns that differed significantly from whites, although Filipinas and women from other API groups did not. Understanding the barriers to recommended treatment is complicated and most likely involves a constellation of factors.
This study was conducted using a large population-based dataset with updated and complete information on the first course of treatment. The data were obtained from a SEER cancer registry, in which quality control is rigorous and case ascertainment is virtually complete.15 However, these data do not include information on several contraindications to BCS, such as current pregnancy status, previous irradiation, and tumor-to-breast size ratio.6, 27, 41 Although pregnancy status is not likely to be a large confounder of the study results given the age of the population (78% age 50 or older at diagnosis), the tumor-to-breast size ratio is of concern. API women have a smaller average breast size than women of other racial/ethnic groups,42–44 which could be a contraindication for BCS. However, analyses for the 1100 women with small tumors (≤ 20 mm), which should be eligible for BCS even in small-breasted women,42 did not produce appreciably different results (data not shown). We also found racial/ethnic differences in the use of adjuvant therapy as well as surgery type, indicating that there were differences in breast carcinoma treatment not completely explainable by surgical contraindications alone.
This study did not include information regarding treatment patterns at particular hospitals and/or clinics in which the women were treated. If the majority of the Chinese and Filipino women were treated by physicians or at hospitals with a bias toward performing mastectomies, that could explain the increased prevalence of mastectomies in these populations. This does not explain, however, why these two groups had very different patterns of adjuvant therapy use. Another possible influence on these treatment differences is the use of alternative therapies, such as traditional Chinese medicine. It may be that Chinese women choose to use traditional medicines as adjuvant therapies instead of radiation or hormonal therapies. Although we had no information on the use of alternative therapies in our dataset, a study by Lee et al.27 also conducted in the Bay Area suggested that a substantial percentage of women diagnosed with breast carcinoma between 1990 and 1992 used alternative therapies, regardless of race/ethnicity. However, the study did not include information on the relationship between the use of conventional and alternative therapies and how that might differ by racial/ethnic group. It might be that Chinese women use alternative therapies instead of standard adjuvant therapies whereas women of other races/ethnicities use a combination of the two therapies. Further research on the use of alternative therapies is needed to fully understand how they might explain part of the racial/ethnic differences in breast carcinoma treatment.
The treatment differences found among racial/ethnic groups in this study necessitate a close look at the current treatment recommendations and whether efforts should be made to rectify the differences found. There are no survival differences between women who undergo BCS and those who have a mastectomy.41, 45, 46 Therefore, the racial/ethnic differences in surgical treatment seen in this study would not likely affect the women's prognosis. However, the use of radiation therapy after BCS reduced local disease recurrence rates in several clinical trials, as has the use of tamoxifen for estrogen receptor-positive tumors.41, 45, 47, 48 Consequently, our finding that Chinese women are less likely to receive adjuvant therapy after their initial surgery is of concern, because this choice potentially affects both short and long-term survival. Barriers to receiving recommended adjuvant therapy, including inaccessibility to a radiation therapy center, inability to alter work schedule to accommodate treatment regimens, and the psychologic and emotional sequelae of breast carcinoma treatments, must be addressed in a culturally appropriate manner.
Differences in breast carcinoma treatment patterns for Chinese, Japanese, and Filipino women compared with white women underscore the importance of looking at treatment patterns separately for API subgroups. The reasons for these racial/ethnic treatment differences remain unclear, although in this study they were not due to differences in tumor and socioeconomic characteristics. Additional research is needed to better understand the cultural differences that may influence breast carcinoma treatment choices so that all women will have the opportunity to receive treatment that is therapeutically effective.
The authors thank Cynthia O'Malley, Ph.D., and Scarlett Lin, M.P.H., for their thoughtful reviews.
- 1
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- 31Variations in breast conservation surgery for women with axillary lymph node negative breast cancer in British Columbia. Can J Public Health. 1996; 87: 390–394., , , et al.
- 32Determinants of receiving breast-conserving surgery. The Surveillance, Epidemiology and End Results program, 1983–1986. Cancer. 1994; 73: 2344–2351., , .
- 33Perceived risk and help-seeking behavior for breast cancer: a Chinese-American perspective. Cancer Nurs. 2000; 23: 258–267., , .
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- 35Modesty, sexuality and breast health in Chinese-American women. West J Med. 1992; 157: 260–264..
- 36Cultural barriers to mammography, clinical breast exam, and breast self-exam among Chinese-American women 60 and older. Prevent Med. 2000; 31: 575–583., , .
- 37Ethical dilemmas in a cross-cultural context: a Chinese example. West J Med. 1992; 157: 323–327., .
- 38Factors determining acceptability of mammography in an Asian population: a study among women in Singapore. Cancer Causes Control. 1997; 8: 771–779., , , , , .
- 39Ethnicity and attitudes toward patient autonomy. JAMA. 1995; 274: 820–825., , , , .
- 40Overview of Asian and Pacific Islander Americans. In: ZaneNWS, TakeuchiDT, YoungKNJ. Confronting critical health issues in Asian and Pacific Islander Americans. Thousand Oaks, CA: Sage, 1994: 3–21., .
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- 42Breast conservation therapy for invasive breast cancer in Hong Kong: factors affecting recurrence and survival in Chinese women. Aust N Z J Surg. 1997; 67: 94–97., , .
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- 48Early Breast Cancer Trialists' Collaborative Group. Systemic treatment of early breast cancer by hormonal, cytotoxic, or immune therapy: 133 randomised trials involving 31,000 recurrences and 24,000 deaths among 75,000 women. Lancet. 1992; 339: 71–85.


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pad, tampon, or any other feminine napkin
Hey dad, can you pick up some hoobers at the store?
by Amy January 18, 2005
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To have a half a hard on
I couldn't bang her properly, I was so pissed I could only get a hoober.
by Kriss Schneider August 24, 2006
A nickname given to a very funny, goofy, loving guy. They always find a way to bring a smile to peoples faces, usually by stupid shitty jokes. A Hoober is usually tall, white, fair skinned, brown hair, energetic, dumb, and very funny. His sense of humor can be a little uncomfortable at first, but get to know him and he's the funniest dude in town. They are loyal, caring, loving, and embracing boyfriends.
Omg Jerry is such a Hoober, he always makes me laugh with his jokes.
by It's_Hoober January 18, 2016


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PALM BEACH -- Real Housewives of New York star Countess LuAnn de Lesseps is set to marry West Palm Beach's Thomas D'Agostino in Palm Beach later this year. The couple's New Year's Even nuptials will be held Saturday, Dec. 31 and the reception will be at Cafe Boloud. That is if co-star Bethenny Frankel doesn't have her way! Last night, on the latest episode of RHONY, Frankel claimed that she has a series of text messages that are so … [Read more...]
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Keira Knightley breathes new life into Anna Karenina movie
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Keira Knightley breathes new life into Anna Karenina movie
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Keira Knightley breathes new life into Anna Karenina movie
SHOTLIST :LONDON, SEPTEMBER 4, 2012. SOURCE: AFPTVSOUNDBITE 1 Keira Knightley (woman) Actress who plays Anna Karenina (English, 23 sec) :"I think the fact that she is such a complex character you know and she's been a fascination for centuries now - and it was quite intimidating to make sure that we didn't simplify her - she's a person that is so dark and yet so light at the same time, and really both the heroine and the anti-heroine - and not shave any of that off her, it was quite daunting but very exciting."SOUNDBITE 2 Keira Knightley (woman) Actress who plays Anna Karenina (English, 19 sec) :"I think it's a very very different adaptation than has ever been done before. It's very theatrical, very stylised but I think the core of the piece is still - it's about love, in all its different ways, in its positives and its negatives and I hope people kind of see it and take the romance and take the tragedy and are moved by it."SOUNDBITE 3 Joe Wright (man) Director (English, 11 sec): "I guess I wanted to do something new and different with a period drama. Period dramas for me has always been a kind of fantasy really rather than a kind of historical document."SOUNDBITE 4 Aaron Taylor-Johnson (man) Actor who plays Count Vronksy (English, 11 sec):"He [Jude Law] has brought his character, who's supposed to be kind of straightforward and boring kind of political guy, he's given him such warmth and love and you feel sympathetic towards him which is incredible you know... that who he is."SOUNDBITE 5 Olivia William (woman) Actress who plays Countess Vronskaya (English, 8 sec):" There is no one around who has vision as he does. Everything is an original vision for him, it's astonishing, he's wonderful." IMAGES (2 mins 17 secs):-VAR of Keira Knightley-VAR of Jude Law-VAR of Aaron Taylor-Johnson -VAR of Joe Wright, Alicia Vikander, Matthew Macfayden -VAR of the public
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Crazy Substitute Teachers
Enjoy, NG4.05 / 5.00 872 Views
Vacuum Salesman
This dude and his Megazord vacuum cleaner3.98 / 5.00 2,222 Views
Markiplier Animated | Mark Of The Survey Corps
This took far too long to make...3.93 / 5.00 2,304 Views
This Mario parody must have been something having the name "Mario Lol" and it deserved the name much with it's crazy & random humor to the "Intergalactic Planetary" song from the Beastie Boys,the one thing that was slightly disappointing is that it was short and ended on a bland note but other than that this was a humorous Mario parody.
not the most interesting thing ive seen but its a little too short
Way down here! *smack* OUCH.
It's Average, but not as "LOL" as i thought...
Try it again, and make another one.
Message to the Author: That doesn't mean you're not good!!!
Like OMG How can anyone hate this?
Its adorable, that cute lil' elf guy chases the fireball about with the hammer, mmmm whats not to like? =D
And Omg to the cute sailor driving that sports car, he was so buff, I'd totally spank that!
Purples the way to go baby!
- XXXXXXX (smack)


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The Joey Bishop Show TV Show Watchlist
Season 3, Episode 13 Jack Carter Helps Joey Propose
In a flashback, Jack Carter and his wife double date with the Barneses. Joey Bishop. Nightclub comics Herkie Styles and Bobby Bell play themselves. Ellie: Abby Dalton. Mrs. Carter: Paula Stewart. Barbara: Merry Anders.
Guest Cast
Paula Stewart Paula Stewart Mrs. Carter
Bobby Bell Bobby Bell Himself
Merry Anders Merry Anders Barbara
Herkie Styles Herkie Styles Himself
Cast & Details See all »
- Rating: None
- Premise: The deadpan Rat Packer played an unmarried showbiz publicist in this sitcom's first season. But an overhaul of the show in the second year (with a title change to `The New Joey Bishop Show') turned the character into a married talk-show host and stand-up c… (more)
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Method and apparatus for managing location information in a network separate from the data to which the location information pertains
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A system and method for storing and retrieving location information across a network is disclosed. The system and method utilize a transfer protocol configured to transport an identifier/location relationship to allow one or more locations to be associated with an identifier in the location store of a location server, where the identifier represents a unique entity and the location represents a location of data pertaining to the identifier. The location server contains programming logic operative to provide responses to location queries and capable of scaling a plurality of location servers according to system performance and logistical requirements.
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Customer Reviews
Read reviews for this product
Posted 9/29/2014 at 2:49 PM by Jodi
I have been looking for a Crock Pot ornament for my sister for years! The quality is excellent and the personalization makes it extra special.
Sending the same ornament to different places? If you order more than one of an item and want them shipped to different addresses, please order them individually. We will ask you for the individual shipping addresses later in the ordering process.
Crock Pot Queen Christmas Ornament
Personalized Christmas Ornament
Close the lid on your Christmas shopping list! This crock pot is a wonderful gift for a busy mom or anyone who believes a fabulous home-cooked meal is just one pot away. If you are giving a crock pot, slow cooker cookbook or cookware as a Christmas gift, nothing would be more adorable than adding this personalized crock pot ornament, for a memorable, unique present. The slow-cooker has the words CROCK STAR on it for your rock star chef who likes to have dinner make itself during the day. You won't miss mom's cooking when you come home from a long day and smell your favorite pot roast or stew ready to eat! A fun ornament for a kitchen themed Christmas tree.
Material: Resin
Read what our customers say about our Personalized Christmas Ornaments and their shopping experience!Hover over testimonials to stop scrolling
11/12/2015 - "I love their ornaments. Such a variety to pick from. I buy for my younger grandchildren, and my great grandchildren.Lorraine G."
12/21/2015 - "This is the second year I have ordered from Ornament Shop for holiday gifts. I love their selection, and the ornaments are high quality. Once again, I am very pleased with the pieces I received. Thank you! Stephanie P."
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IOC Decides Not To Completely Ban Russia Baseball HOF Induction Drawing Big Crowd White Sox Suspend Chris Sale WNBA's Borders Talks Leadership U.S. Bank Stadium Officially Opens To Public NFL Panthers' Ticketing Service Overwhelmed WNBA Rescinds Fines For Black Warmups Legends Of The Dome Draws 10,600 California Chrome Wins San Diego Handicap Rio's Athletes' Village Deemed Uninhabitable
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Top Trending Hotels Near Port of Miami
Get 200 Nectar points when you book your hotel
Simply enter your Nectar card number when prompted. Your points will be credited 30 days after you return from your trip.
Hotel Breakwater South Beach
940 Ocean Drive, Miami Beach 331393.5 out of 5.0
Beacon Hotel South Beach
720 Ocean Dr, Miami Beach 331393.5 out of 5.0
Opposite the oceanfront Lummus Park, this 1936 hotel is a half-mile from the Mansion and Nikki Beach clubs, and within 2 mile …
The Hotel of South Beach
801 Collins Ave, Miami Beach 331394.0 out of 5.0
Around the corner from Ocean Drive and a block from the beach, this boutique hotel in South Beach is across the street from …
Mondrian South Beach
1100 West Ave, Miami Beach 331394.5 out of 5.0
Located on newly-fashionable West Avenue, Mondrian is a quiet enclave offering spectacular views of Biscayne Bay and downtown …
Dream South Beach
1111 Collins Ave, Miami Beach 331394.0 out of 5.0
This family-friendly Miami Beach hotel is located on the Strip, within a 5-minute walk of Miami Beach Cinematheque and Art …
The Anglers Miami South Beach, a Kimpton Hotel
660 Washington Ave, Miami Beach 331394.0 out of 5.0
This Miami Beach hotel is 2 blocks from the beach. South Beach restaurants, clubs, and other attractions are steps away. Th …
EPIC, a Kimpton Hotel
270 Biscayne Blvd Way, Miami 331315.0 out of 5.0
This waterfront hotel is dramatically situated where the Miami River flows into Biscayne Bay. Opposite James L. Knight Center …
Marriott Stanton South Beach
161 Ocean Dr, Miami Beach 331394.0 out of 5.0
Set in the sanctuary end of South Beach, this ocean-front hotel is within a half-mile of South Beach clubs and 1.25 miles o …
Clinton Hotel South Beach
825 Washington Ave, Miami Beach 331393.5 out of 5.0
This 1930's South Beach hotel on Washington Avenue is 1 block from Ocean Drive and 2 blocks from the beach; Lincoln Road an …
Hyatt Regency Miami
400 Se 2nd Ave, Miami 331314.0 out of 5.0
Located on the Miami River, 5 blocks from Bayside Marketplace, this 24-story hotel adjoins Miami Convention Center and Jame …
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Grey Save the Date Photo Calendar 2x3.5 Magnet
Want to add a personalized touch to your wedding save the dates, this personalized calendar wedding photo magnets will be one of your best choices. 3.5" x 2" small magnets feature your special day on the month calendar with a heart shaped icon. To personalize your magnets, click on the drop down menu at the top of our online builder to select your event date, month and year. The built-in calendar function of our online builder will automatically generate a month calendar corresponding to the values you specified and your wedding day will be highlighted with a heart shaped icon. You can then personalize your wedding magnet with a photo of the two of you and add your custom message on the magnet. Affordable personalized save the date calendar magnets make great wedding thank you gifts and personalized wedding invitations.
- Stick to refrigerators, dishwashers, file cabinets, school lockers and other metal surfaces.
- 2"x3.5" Business Card Magnet
- Strong magnetic force won't slip off refrigerator door
- Flexible and can cling onto slightly curved surfaces
- Ultraviolet (UV) coated for impressive High Gloss finish and provide a highly durable finish
- Fade-resistant, smudge-proof
- Made from high-quality vinyl material. 0.4mm in thickness
"I ordered a small zippered pouch and a clutch pouch with my photography images. I was very happy with the quality of the pouches, especially the zippers and the clarity of the images. I will definitely purchase again. "
Brooke Guerrero Photography, California USA May 27, 2016


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Fear the Worst: A Thriller Mass Market Paperback – 2010
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I liked how the main protagonist is a simple car salesman. We don't get very "normal average every day" people as the ones who are caught up in this sort of dilemma. It's a nice refresher and gives you a break from other stories which always include either a detective, a member of the police, or even a member of the military. It gives the plot an overall realistic flavour to it. However wrong it is, a lot of teenagers and children are missing everyday and we don't usually see it from the parent's point of view.
My heart went out for Tim. I don't know how it feel like to be a parent but sometimes on my evil juvenile days I used to make my parents worry a lot and they would probably feel like Tim did. There were times in the book where his acts of desperation in finding his daughter just makes your heart want to sink. He's not exactly a character you would like or dislike, but he's someone you would cheer for until the end.
I don't have many criticisms for this book. I just advise if you are going to read this, pay very close attention. :)
The book has plenty of twists and turns and throughout the book you find everybody has a dirty little secret and as you follow Tim you eventually figure them out. I actually liked that, as some of their secrets are related to the disappearance of his daughter. Some weren't but it was just interesting to know anyway.Read more ›
This book had me hooked from the first chapter! It reads very easy and quickly. You want a book with twists, with believable characters and fun to read? Grab this one!
- Michel
Comments: One day Tim Blake's 17yo daughter Syd goes off to work her summer job as per usual but she doesn't come home. Since they had a spat that morning he gives her some leeway thinking she's angry and not calling to say she's working late but once plenty of time has gone by he drops by the hotel she's been working at all summer to find out that they've never heard of her, she hasn't worked there at all. And thus begins the worst journey of Tim's life as he searches for his missing duahter finding out about a dark and dangerous world he'd never known existed and also finding out that the police are not always on your side.
Wonderful book. First, a very different type of story than Too Close to Home, which is closer to my usual murder mystery genre. This one would be classified more as a suspense and I could very much see it as a being made into a movie. The plot isn't exactly fast-paced as it is pretty much one theme all along, the search for Sydney, or rather the chase. However, there is so much action happening all the time that the book does move along at a fast past. The twists and turns and reveals that are thrown regularly at the reader at any point in the story keeps the suspense and tension high, as one doesn't know what is going to happen next or who is not really whom they seem to be. From the two books I've read, I'm seeing this as Barclay's forte as an author. I look forward to reading more of his books.
I enjoy Barclay's writing.Read more ›
How could you not be hooked by the opening line?
"The morning of the day I lost her, my daughter asked me to scramble here some eggs."
Tim Blake is a divorced car salesman. He is thrilled that his teenage daughter Sydney will be living with him for the summer. She's working at a local hotel. Or so he thought....When Syd is late for supper one night, he decides to pick her up from work. It's the first time he's seen where she works. Or doesn't work.....No one at the hotel has ever heard of her. Where has she been going every day? Where is she now? Every parent's nightmare - she has vanished into thin air. While Tim is frantically searches for Syd, so are others....but not for the same reasons.
Barclay is back with yet another page turner in Fear the Worst, that kept me up all night, reading 'just one more chapter', until I fell asleep with the lights on.
The plot is full of twists and turns that you don't see coming. Lots of red herrings and an abrupt ending I didn't predict. Tim is an everyday guy thrust into a nightmare. He is likable, funny and believable as an anguished father. We get to know bits and pieces of Syd's life through her friends, mother and stepfather, but the driving question remains - where is Syd?
If you're looking for a fast paced, hugely entertaining thriller, this is the book for you. Actually Linwood Barclay is the author for you. Every one of this Canadian author's books have been winners for me!
Most recent customer reviews
Love this author.... Want to read all of them!!! Hopefully he will write more in the future. Love love love!!!Published 17 months ago by Jenny
Fear the Worst follows a middle-aged man named Tim on his search for his daughter. Imagine you have a teenage daughter who suddenly goes missing, with no clear reason as to why. Read morePublished on Nov. 4 2013 by Sharing Inspired Kreations
I have almost ready all Linwood Barclay's books. Amazing thriller writer! If you like a book you cannot put down - try any of his books!Published on Oct. 8 2013 by mala willan


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Beaver Creek Blues
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Hotels in Samara, Costa Rica
Search & Compare Samara Hotels
Last minute Samara deals
- Hotel Sol Samarafrom $124 CAD$87 CAD
- Hotel Casa del Marfrom $83 CAD
- Hotel Samara Innfrom $87 CAD
- Villas Playa Samara Beach Front Resort - All Inclusivefrom $219 CAD
- Hotel Giadafrom $87 CAD$69 CAD
Trending now in Samara
- Most bookedAzul Ocean Club Hotel
71 people looked at this hotel in the last hour
Most recent review
"You must go on a 4x4 car . The entrance can be fixed by the hotel."
A Traveller, Jun 2016, US
31 people looked at this hotel in the last hour
Most recent review
"The hotel staff spoke English and did A LOT of interpreting for us to taxi drivers. We used a taxi (approx $10 each trip to Samara) so this was especially appreciated."
A Traveller, Apr 2016, US
16 people looked at this hotel in the last hour
Most recent review
"We had an enormous apartment that very comfortably slept our large family of 6. We could hear the howler monkeys at night, and see the ocean and lovely view during the days. A group of horses live down the hill and we watched them from the balcony. It was nice to be able to cook for ourselves and..."
A Traveller, Nov 2014, US
14 people looked at this hotel in the last hour
Most recent review
"We stayed at the Laguna Mar for 3 days. The staff, especially the manager Andreas and chef Paolo treated us with the utmost kindness, respect and generosity. The hotel had a wonderful atmosphere that was warm, cozy and inviting. The rooms were modern, clean and well-equipped. The restaurant was s..."
A Traveller, Aug 2015, CA
11 people looked at this hotel in the last hour
Most recent review
"There is an hourly shuttle to the closest beach, Playa Carrillo. This is one of the most beautiful beaches in the world. The hotel has it's own restroom and beach chairs on the beach."
A Traveller, Mar 2016, US
8 people looked at this hotel in the last hour
Most recent review
"Great location one block from beach. Staff friendly and helpful. Common bathroom and no a/c a drawback. Room was not hot. Very quiet. Excellent breakfast"
A Traveller, Mar 2016, US
6 people looked at this hotel in the last hour
Most recent review
"We came to the area for the beach. The hotel was very secluded and a happy find. The rooms were spacious and very clean. The beds were wonderful, the best we had on our entire trip! There were four of us and we had a family room (two bedrooms, one bath). When we arrived, we were put in a suite th..."
A Traveller, Mar 2016, US
5 people looked at this hotel in the last hour
Most recent review
"First A/C and hot water in 6 weeks - what's not to like? Plus I saw my first coati (pizote) in their garden."
A Traveller, Feb 2016, US
5 people looked at this hotel in the last hour
Most recent review
"We have traveled and stayed in many places throughout Costa Rica as well as Latin America and Europe; for the price, this place exceeded our expectations and we would definitely come back. Highly recommend this to anyone looking for a quiet and peaceful location. We stayed in room one that had an..."
A Traveller, Apr 2015, US
Most recent review
"This hotel is a 3 minute walk to a beautiful beach that was usually empty. It is a quick 5 minute drive into the cute town of Samara. The staff was extremely friendly and helpful in planning the stay. We had a perfect Costa Rican beach stay!"
A Traveller, Jan 2016, US
Best hotels in Samara
If you are looking for Samara hotels in a particular area, you can use the search feature at the top of the page to search by neighborhood, landmark, address or zip code, or you can search by using the built-in map feature. You can also browse hotels in Samara by type, amenities, and star-rating so that you can find the best hotel. Currently, top rated hotels in Samara are:
- Hotel Belvedere
- The Hideaway Hotel
- Montelaguna Boutique Hotel
- Flying Crocodile
- Hotel Sol Samara
The location of your Samara hotel is important. If you are traveling to Samara, &StateorCountry for business, you may want to consider getting a hotel close to the airport or near your meeting venue. By doing so, you can really cut down on transportation costs and time. You may also want to book a hotel that offers free wifi just in case you need to get some work done.
If you are traveling for vacation, figure out which attractions or landmarks you want to see and book a hotel that is within close proximity. Although hotels near attractions might cost a little more, you may find that spending those extra few dollars is worth the convenience. You can even find hotels that align with your interests. For example, if you are looking for a relaxing vacation, a spa hotel may be the perfect choice for you.
You'll also want to determine which type of accommodations will suit your needs before booking a hotel in Samara. If you're traveling with the kiddos, a family friendly hotel will offer larger rooms and more sleeping arrangements. For those traveling for an extended period of time, booking a hotel suite with a kitchenette is a smart move and will feel a little more like home. If you are budget conscience and just need a place to rest your head, a hostel or motel may be all you need.
If you are looking to score the best discounts and deals, use the filter to sort by price from low to high. You can book a hotel in Samara for as low as $18 CAD per night. If you are looking to cut down on expenses, look for hotels that include free breakfast and parking. Some hotels even offer free shuttle service to and from nearby places. You can also sort by star rating, proximity, and guest rating.
Before you book, check out user reviews. Hotels.com has 255 reviews in Samara. We show reviews from Expedia and TripAdvisor so you know that you are reading genuine, reliable reviews. Be sure to download the Hotels.com app so you can book your reservations on the go, view amenities, and save the hotels you want to view and compare later.