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Working the Gusset
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I think the first step is clear and accurate sexual education for boys and girls starting at an early age. Most experts say if your child hasn't begun asking the basic questions by age 5 then start telling them. Always use correct terminology, not slang so as to develop respect for oneself and body parts. The term "boob" is not allowed in my house. It is derogatory. However we will happily have clear and accurate discussions relating to sexuality at the dinner table. It's not a secret or something shameful to discuss but it needs to be respectful and not giggled over.
Also while abstinence is certainly desirable numerous studies show that abstinence only education is not effective. Girls and boys need correct language and tools and practice in what to do or say. Also abstinence only models of education put the blame and guilt on the the girl and not the boy. And they don't cover abuse issues much at all.
My kids have both participated in Our Whole Lives Sex ed classes through the UUA.
These classes are accurate and informative. The instructors must be trained prior to teaching. My son always says he knows everything that they teach in health class at school already because of these classes. It also is good because he is aware if kids are saying things that are incorrect. Also health class at school doesn't cover much. The classes help develop an understanding that what you see in media images does not reflect reality. Abuse protection and knowledge is also and important component.
My son has been informed that if he gets a girl pregnant not only her life but his will change. I will see to it that he is fully responsible even if it means the loss of or delay of a much sought after education. It's particularly important to teach boys respect of all people and women and to help girls have positive self esteem and stand up for themselves.
While the rape and sexual harassment is presented in a sexual manner the crux of the problems is lack of respect and violence against another person. Violence is just not okay. In addition to numerous sexual messages in our society we also have numerous violent messages all making it somehow look okay.
It is all a complex problem.
May Peace Prevail on Earth.
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London's Ugliest Building Goes Up For Sale For £50m
Monday 23th June 2014
One of London's ugliest buildings is up for sale - for a cool Ł50m.
The 15-storey Keybridge House on South Lambeth Road, described by critics as "forbidding" and "Britain's ugliest office", is owned by BT and was once a telephone exchange.
The Vauxhall eyesore is expected to be turned into luxury flats and is expected to raise Ł50m-Ł100m on the market.
Earlier this year, BT won planning permission from Lambeth Council to redevelop the site, replacing the building the five tower blocks, over twice the current height, as well as a primary school.
They now plan to sell it with the designs - by Allies and Morrison - in place, but any buyer will not be bound by the plans.
Keybridge House was originally built in 1975 for the Post Office, on the site of a fishpaste factory. It was then purchased by BT and used as a telephone exchange, although rumours have regularly circulated that it was used by MI6 spies.
It is part of one of London's biggest regeneration projects in Nine Elms, which includes the redevelopment of Battersea Power Station.

subset: commoncrawl


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Definition of spellcheck in English:
verb[with object]
Check the spelling in (a text) using a spellchecker.
Example sentences
- From a visitors point of view if you couldn't be bothered spellchecking your website then how good can your product really be?
- Earlier this week, someone at the NZ Herald must have hit the wrong buttons when spellchecking this story.
- Once you've written, rewritten, spellchecked, and proofread your newsletter in the word processor, copy and paste it into the body of your email program.
1A check of the spelling in a file of text using a spellchecker.
Example sentences
- I don't run an anti-virus or spellcheck program, and I don't believe in installing patches or defragmenting my hard drive.
- They'll also see a new tool that provides a kind of universal spellcheck service regardless of what application is being used.
- They understand software, surfing and spellchecks.
1.1A spellchecker.
Example sentences
- A new spellcheck is a valuable addition, as is the enhanced search-and-replace function.
- Why don't people use the computer spellcheck?
- The spellcheck didn't like 34G and asked if I wanted to change it to Agamemnon.
For editors and proofreaders
Syllabification: spell·check
Definition of spellcheck in:
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View the original review at: http://www.countryweekly.com/reviews/uncaged-zac-brown-band
Zac Brown Band's first two major-label album releases, The Foundation and You Get What You Give, quickly established not only the group's unique country/Southern rock/bluegrass/jam-band style, but also it's musical integrity. Zac and company's third collection, Uncaged, does nothing to tarnish their sterling image and even manages to expand it a bit.
First single "The Wind" is a rollicking number that catches one's attention from the opening nimble plucks of Zac's guitar and never lets go despite the frantic pace. "Island Song" takes Zac Brown fans where they want to go, to the Caribbean, with an infectious island beat.
"Sweet Annie" is a tender love song replete with passionate and tight harmonies, while "Overnight," featuring jazz and funk musician Trombone Shorty, finds Zac channeling his inner R&B crooner. First I'm gonna search your body over / I gotta make sure you ain't hiding nothing nowhere, Zac sings seductively and convincingly.
Yes, Zac is the group's frontman, but time and again the songwriting, musicianship and harmonies on Uncaged demonstrate why the Zac Brown Band is more than a one-man operation—the sum is greater than any of its individual parts.
[1] http://click.linksynergy.com/fs-bin/stat?id=tSGuKd/Fcvc&offerid=146261&type=3&subid=0&tmpid=1826&RD_PARM1=http%253A%252F%252Fitunes.apple.com%252Fus%252Falbum%252Funcaged%252Fid539428840%253Fuo%253D4%2526partnerId%253D30
[2] http://www.amazon.com/gp/product/B007ZU6H00/ref=as_li_ss_tl?ie=UTF8&camp=1789&creative=390957&creativeASIN=B007ZU6H00&linkCode=as2&tag=counweekmaga-20
[3] http://www.countryweekly.com/reviews/good-guys-bucky-covington
[4] http://www.countryweekly.com/reviews/tornado-little-big-town


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|Cake Decorating
Closed Captioned
Whenever you�re ready! The lessons are available online any time, and your access to the class never expires.
As long as you need! Your access never expires, so you can come back again and again.
Ask your questions on the platform and you�ll receive instructor feedback. Your fellow students are also likely to jump in and offer advice from their experiences.
Absolutely! Sheryl�s techniques are transferable to any medium: cupcakes, cookies or even full-size cakes! The possibilities are limitless!


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BIIF volleyball: Hilo needs five sets to beat Honokaa
HONOKAA — Hilo coach Ben Pana likes to multitask.
Even as he was tending to his duties as the Vikings girls basketball coach last month at the Hawaii High School Athletic Association tournament in Honolulu, he was coordinating with his boys volleyball assistants during tryouts back on the Big Island.
Pana wanted to make sure Justice Lord was getting a good look at middle blocker, and it was easy to see why Saturday at Honokaa Armory.
Lord, it turns out, can multitask, too.
When the 6-foot-6 junior wasn't stonewalling the Dragons at the net defensively, he was using short, compact swings to put down kills — just enough to lift Hilo to a five-set victory: 25-12, 19-25, 25-21, 20-25, 15-11.
Pana said the turning point came around the third set when the Division I Vikings (4-0 Big Island Interscholastic Federation) started setting Lord in the middle, which in turn opened up space for everyone else.
"The middle was wide-open," Lord said. "Honokaa kind of missed on that. When we realized it at the end, they started setting me."
"He kept them honest," Pana said.
Senior outside hitters Isaiah Victor and Kaululaau Ontai posted 14 and 12 kills, respectively, while Lord finished with 10 kills and eight blocks.
His biggest contributions came in the first and fifth games.
With Hilo clinging to a 6-4 lead in the decisive set, Lord's would-be kill was nixed by a net violation. He didn't agree with the call, but he responded shortly thereafter by ripping off three straight kills to give Hilo some breathing room.
"I was kind of getting excited, but I was angry so it helped out," Lord said. "I got help from my teammates, too."
Junior Shyrome Batin smacked 14 kills for Honokaa (3-2), including four apiece in the second and fourth sets.
"Considering we had no preseason and three weeks of practice, the boys did really good," said Shelton Kalilikane, who coaches Honokaa along with his father, Steven. "We had big hopes and dreams coming into this game and challenging a D-I team. Especially a team as tall and athletic as Hilo."
Short and quick, Honokaa almost pulled off the upset. Senior Cjay Carvalho came through with 10 kills and seniors Chance Salva, the team's only club player, and Makana Loo had seven apiece.
Honokaa hasn't been to the Division II state tournament since Shelton Kalilikane led them there as a senior in 2008, but he thinks this team has a good chance to end the drought.
"Oh yeah, definitely," Kalilikane said. "We've had these boys since their freshman year. They never did play volleyball before, but now they're seniors. If anything, this would be the year for us to take it."
The Vikings feature three club players: libero Trevor Castro, setter Maikah Tandal (eight kills, four aces) and Lord.
As Ontai carried Hilo offensively in the first set, Lord dominated with five blocks.
"The first time we've seen him try to control the net," Pana said. "Every day he's improving. That's going to be a big key for us.
"I'd like to see our communication get better. We're athletic; as long as we spread the ball around, we'll be a tough matchup."
A.J. Matsumoto finished with seven kills for the Vikings, who face their first big Division I test of the season Monday night at Waiakea.
In junior varsity action, Hilo topped Honokaa 25-23, 25-15.


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News 12 at 6, October 11, 2007
NORTH AUGUSTA -- It's only been open for one month and our new Call For Action office has already helped dozens of people with their consumer problems.
And, the volunteers are ready to help you when you need it.
It's hard to believe the office has been open for a whole month. The volunteers are constantly working with people on their problems, trying to bring a little help and a little hope.
In just a month on the job, the 12 On Your Side Call For Action volunteers are helping people recover a lot of money.
In fact, the totals are more than $4,000 so far with lots more to come.
"It gives you a sense of accomplishment," Henry, a Call For Action volunteer said.
When the volunteers are on the job, the phones don't stop ringing. Dozens upon dozens of people have called in and received help with their consumer problems.
Barbara got a call from someone who was having trouble with a local car repair shop. "They had the car for a total of 20 days," she said.
So she stepped in and got the company to help pay for a rental car.
Lexis cut through the red tape with a furniture store to help recover a caller more than a thousand dollars.
"Someone purchased a sofa and they were having problems with the store. I went all the way to the top and got them back $1200," Lexis said.
So, if you've got a consumer problem, these are the folks you need to call. They get results and they can help you.
The Call For Action office is open Tuesday through Thursday 11am to 1pm. The number is 803- 442-4550.
And you can still volunteer, just call 1-800-647-1756 to get signed up.


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• Dual D-rings
For more information visit, http://www.gandermountain.com/


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Avalanches cut off city
Highway access to the city at the end of the trans-Alaska pipeline has been cut off indefinitely by avalanches.
Highway access to the city at the end of the trans-Alaska pipeline has been cut off indefinitely by avalanches.
Warren JFK beats Youngstown Christian, 41-40.
A proposal to build a welcome center on the grounds of The Breakers, a Gilded Age mansion once home to Cornelius Vanderbilt, cleared a criti…
Lakeview remains undefeated after beating Howland on Monday night, 69-46.
The Boardman girls upended Fitch on Monday night, 52-49. It was Fitch's first loss of the season.
A U.S. cargo ship departed Monday on a mission to destroy dozens of containers of deadly chemical weapons being removed from Syria.
Federal prosecutors abandoned their pursuit of a reputed Philadelphia mob boss on Monday after he twice beat charges in a gambling and racke…
The judge dismissed all but two attempted homicide counts, saying there was enough evidence to support the charges only in the cases of Robe…
A steel plant and a Costco store are among the places President Barack Obama plans to visit on a four-state tour after the State of the Unio…
A woman who reported being violently raped and assaulted by a cab driver filed a lawsuit Monday against a Cincinnati police officer who arre…
The University of Toledo Medical Center has agreed to pay $200,000 to a southeastern Michigan woman who says radiotherapy was applied to the…
It was reported that Dennis McGuire was urged to fake some of his suffering during his lengthy execution earlier this month.
The national infant mortality rate is 6.1 percent, but it is nearly 10 percent in Mahoning County.
When the fire alarm sounds, firefighters spring into action, no matter what the weather is like outside.
Randy Heaver of New Middletown has vowed to beat his months-only prognosis of pancreatic cancer.
A man who police in Niles have dubbed the Taxi Bandit has been arrested again.
PennDot crews in Mercer County took WKBN 27First News Reporter Julie Bercik on a wintry ride.
The Valley gears up for another Winter Blast.
Local natural gas providers are urging customers to conserve energy.
If you're a college student or someone in your home is, you should know some pretty important deadlines are just around the corner.
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The Witch of Blackbird Pond
by Elizabeth George Speare
The Witch of Blackbird Pond Chapter 8 Summary
- June arrives and Kit and Judith are sent down to work the onion field in the south meadow.
- Kit, by this time, has her own plain calico dress. Judith is in high spirits, possibly because of this fact.
- The girls pass by the Great Meadow, a stretch of grassy land that is often flooded by the river. Judith explains to Kit that no one lives there, but most landowners have a lot or garden there.
- Kit is taken with the meadow; she feels at home. Something about it reminds her of Barbados. Kit wishes to be there alone. The narrator hints that Kit will find her way back to the Great Meadow soon enough.
- Kit notices a little house and asks Judith about it. Judith informs Kit that the building is the home of Widow Tupper, the only person stubborn enough to live in the meadows.
- Hannah Tupper, Judith tells Kit, lives with only her cats by Blackbird Pond. Most people think she's a witch, as she does not attend Meeting. What does she do when the meadows flood? No one seems to know.
- Kit sees the woman in the distance bent over a kettle and is a little creeped out herself. She does look a little like a witch.
- The girls finally make it to the onion field were Judith pulls weeds with gusto. Kit is less enthused about the task and even cries a few tears of pity for herself. "Sir Francis Tyler's granddaughter, squatting in an onion patch?" (8.20).
- Kit thinks to herself that a marriage to William Ashby would, at least, save her from this kind of work.
- The girls return home to find that Mercy has some great news. Dr. Bulkeley has recommended that Kit help Mercy with the dame school this year.
- What is the dame school? Well, a little classroom that Mercy runs out of the Wood's house. She teaches letters, reading, and a little writing. The children pay with money or barter items such as eggs or wool.
- Mercy mentions that it was John Holbrook who told Dr. Bulkeley that she could read (which Kit finds a little weird). Kit is to be tested for the job next week.
- Kit is very excited about her new job, especially since she'll be earning wages. She mentions this to Mercy, adding "perhaps you will all think I am of some use, even if I'm not a boy" (8.37).
- Mercy picks up on the bitterness. Kit mentions the conversation between Judith and Aunt Rachel she overheard on her first night at the Wood's house – the one in which they mentioned that it would have been better if their cousin were a boy.
- Mercy feels terrible, of course, but she explains the situation. Apparently Aunt Rachel gave birth to two different boys and they both died. One was stricken with fever (the same fever that crippled Mercy) and died.
- The other was born prematurely and baptized three days later in the middle of January. He passed away soon after.
- Kit suddenly realizes why Uncle Matthew is so grim and Aunt Rachel looks so worn down. Kit vows to try better to understand them.


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Enter your stay dates and any discounts you qualify for to see Clarcona, FL rates found only on HotelPlanner!
Find the perfect hotel in Clarcona using our hotel guide provided below. Find cheap and/or discounted hotel rates in or near Clarcona, FL for your personal leisure or group travel. Discover the most popular Clarcona, Florida motel and hotel rooms. Browse the Clarcona area hotels to find the perfect lodging! Please use the provided map of the Clarcona hotels.
The Clarcona center is around 6 miles northwest of Orange County Fairgrounds and 6 miles west of RDV Sportsplex.
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Style: 20469364,Color: Navy, Made of 38% Cotton, Knit, 50% Polyester, Knit, 12% Rayon, Knit,T-Shirts, Screen Print Brand on Front MiddleSeattle Seahawks Russell Wilson NFL Womens SHS Player T-Shirt. Price: $60.00
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Aug 12, 2012 0
Animated paper folding art
Amazing origami sculptures look like vividly animals and fictional characters created by talented artist Shuki Kato, Kamiya Satoshi, robert Lang and John Montroll. Next Pages
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Aug 12, 2012 0
Amazing origami sculptures look like vividly animals and fictional characters created by talented artist Shuki Kato, Kamiya Satoshi, robert Lang and John Montroll. Next Pages
Apr 5, 2012 0
There's an uncommon likeness of these celebrities, really amazing.
Mar 6, 2012 0
It's really an old cat that the kid's holding, in accordance with the age of cat, it is equivalent to 172-year-old and up to now is the world's oldest cat. The cat named "Lucy" was born in 1972, the owner is already 63-year-old, and in 1972 one of his relatives gave this new born cat […]
Jan 26, 2012 0
What makes humans so fascinated by the giant pythons? We are very curious about giant pythons, but sometimes we are shocked by their great size as well. Be prepared to take a look at world's largest snakes. Next Pages
Jan 24, 2012 0
According to the British "Daily Mail",five climbers from 'Mammut', a Swiss mountaineering party, showing the unique challenges of their choice: The cables of 25 meters above ground at an elevation of 3491 meters, 38-meter-high crane, a pile of dozens of scrap cars, the lift's cable of 120 meters long, and the steel girder of 70 […]
Jan 4, 2012 0
The Alps, January 1, in celebration of the 100th anniversary of Jungfraujoch railway, using projection display equipment, the northern slope of Jungfrau was covered by a giant National Flag of Switzerland.
Jan 2, 2012 0
Can you guess what is this made of? It is a match artwork created by David Mach, looks like the Red Skull in Captain America and, when it's lit, Ghost Rider alike (the second picture from the bottom) :)
Dec 15, 2011 0
Japan's Toba Aquarium, a crab (right) with the figure of human face like is lying beside its shedding shell. This strange crab was caught by a 8-year-old boy at seaside and was sent to the aquarium. Insects Aquatic organism Alien alike :)
Dec 7, 2011 0
In Bolzano, Italy, a unusual farm sits on the side of the mountain. Farmers daily labor on the slopes and at the end of it is cliff.
Dec 1, 2011 1
Although not invited, these unbidden guests, whale sharks in Papua Barat in India are still coming. Underwater photographer recorded the scenes of this amazing "buffet". Whale sharks are lured by local fishermen's nets, most of these nets have holes, which provide "free lunch" opportunities for whale sharks, and they would suck fish from those holes […]
Nov 29, 2011 0
3D painting has developed into a mature form of artistic expression. By light, surroundings and the location of the viewer, people would have particular logic and visual illusion. Awesome painting skills! Next Pages


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5:00 p.m. - Pregame Snapshots: BOS vs. PIT
STARTING GOALTENDERS: Rask (8-4, 2.22 GAA, .928 Save %) vs. Vokoun (6-1-1, 1.85 GAA, .941 Save %). Rask has a 15-10 record with a 2.42 GAA and .920 Save % in 25 career postseason games. Vokoun has a 9-9 record with a 2.22 GAA and .930 Save % with two shutouts in 18 career postseason games.
BRUINS VS PENGUINS LIFETIME: The Bruins and Penguins have played 19 postseason games with Pittsburgh holding a 10-9 edge along with a 67-62 scoring advantage. The Bruins have a 6-4 lifetime postseason record vs. the Penguins in Boston and a 3-6 record in Pittsburgh. This is the fifth time these teams will meet in the Eastern Conference Finals with the Bruins having won the first two series (1979, 1980) and the Penguins winning the last two (1991, 1992). Pittsburgh went on to win the Stanley Cup after defeating Boston in both 1991 and 1992. The Penguins have won their last eight postseason games versus the Bruins.
KREJCI PACING POSTSEASON SCORING: Forward David Krejci enters tonight's matchup leading the NHL in postseason points with 17. Krejci's 12 assists tie him with Pittsburgh's Evgeni Malkin for second in the NHL, while his plus-nine rating times him with Milan Lucic for second. Krejci has recorded at least one point in all but three postseason games (Game 6 vs. TOR, Game 2 and Game 7 vs. NYR) thus far this postseason. The Czech Republic native has recorded five multi-point games through the first 12 playoff games, including three three-point games. In the 2011 Stanley Cup Championship run, Krejci led all postseason scorers in goals (12) and points (23). His 12 goals were the most ever scored by a Czech player in one NHL playoff year.
BRUINS PLAYING PHYSICAL: Three Bruins—Milan Lucic, Johnny Boychuk, Zdeno Chara—rank among the NHL's top 10 in postseason hits. Lucic, ranked fifth, leads the Bruins with 55, while Boychuk ranks seventh with 45 and Chara ranks eighth with 44. Shawn Thornton, Adam McQuaid, and Gregory Campbell all place in the top 30 as well.
JAGR FACES OLD TEAM: Jaromir Jagr played for the Penguins the last two times they met the Bruins in the postseason (1991, 1992), and went on to win Stanley Cups both years. Jagr played in Pittsburgh for 10 years and remains the club's all-time leader in playoff games played (140) and second in playoff points (147) behind Mario Lemieux.
MILESTONES APPROACHING: Jaromir Jagr is currently one goal shy of tying Jean Beliveau for 10th place on the all-time playoff goals list with 79. He is also three points short of tying Paul Coffey for 5th place on the all-time playoff points list (196)… Patrice Bergeron and Wade Redden are currently one point shy of their 50th career NHL playoff points.
PENGUINS NOTEBOOK: The Pittsburgh Penguins have accrued a 26-28 all-time record in Game 1s, including a 19-12 mark at home. Pittsburgh is 9-2 all-time at home in Game 1s during the Sidney Crosby/Evgeni Malkin era…Kris Letang, James Neal, and Sidney Crosby all ranked in the top-four in scoring for Round 2. Letang led the NHL in assists (9) and points (10), and Neal led the league in goals (5)…The Penguins have six skaters—Malkin, Letang, Crosby, Iginla, Dupuis, Neal—ranked among the top 15 playoff scorers…Goaltender Tomas Vokoun enters tonight's game with a 6-1 playoff record since taking over as the Penguins starter. His .941 save percentage ranks second among postseason netminders, and his 1.85 GAA places him third.
SPECIAL TEAMS: Bruins power play: 7-for-32 (21.9%, 5th NHL), Bruins penalty kill: 30-for-37 (81.8%, 8th NHL)… Penguins power play: 13-for-46 (28.3%, 1st NHL), Penguins penalty kill: 35-for-39 (89.7%, 3rd NHL).
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MINNEAPOLIS — Target here has struck a balance between nutrition and affordability with its new Archer Farms Simply Balanced private-label line extension. Ranging from whole wheat pasta for $1.48 to chicken skewers for $5.49, the line includes more than 70 items that meet nutritional criteria including limits of 30% calories from fat, 10% calories from saturated fat and 25% calories from added sugars. Products are also free of artificial flavorings, synthetic colors and trans fats, and are ...
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SOAP::Lite's API allows you to call remote Web service operations easily within your code. Simply instantiate an instance of a service, and execute (or call) the remote method directly from your service instance. For example, a call might look like "$soap->myMethod(arguments)." However, while this convention makes for a nice API, by calling the method in this way you give up control over the attributes of the root SOAP Body element. So how do you change the namespace, the prefix, or attributes of the root element?
The secret in changing the root element is to make use of the call subroutine. This allows you to specify a SOAP::Data element (or string) as the method name, and then a set of SOAP::Data elements as parameters. For example:
my $method = SOAP::Data ->name("myMethodName") ->prefix("ns") ->uri("urn:MerchantAccountService") ->type("ns:Merchant"); my $service->call($method => SOAP::Data->name("param" => "value");
Will produce a SOAP Body that looks like this:
<soap:Body> <ns:myMethodName xmlns:ns="urn:MerchantAccountService" xsi:type="ns:Merchant"> <param>value</param> </ns:myMethodName> </soap:Body>


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2014 IIHF World Championships - Day 5
Four Oilers will be representing their country at the annual tournament as we provide daily updates on their progress
Tuesday, 05.13.2014 / 11:52 AM MT / Oilers at the Worlds
By Marc Ciampa - edmontonoilers.com
We will have daily updates on the games involving Oilers players, highlights, stats and more so be sure to check edmontonoilers.com regularly!
We will also provide updates on high-ranked 2014 NHL Draft prospect Leon Draisaitl, who is playing for Germany.
Finland finally won its first game of the tournament on Tuesday, defeating Germany 4-0.
Top 2014 draft prospect Leon Draisaitl had 14:21 of icetime and won 4 of 11 draws for a 36.4% faceoff rating. He had no shots on goal.
Finland scored two goals in the first and and two in the second for the win, outshooting Germany 29-20.
Next up for Germany is a game against Switzerland on Wednesday at 7:45 a.m. MT.
Denmark also won its first game of the tournament, defeating Italy 4-1.
Philip Larsen was second on the team in icetime at 25:07. He was +2 with an assist and no shots on goal.
The two teams traded goals in the first period before Denmark scored twice late in the second to take a 3-1 lead. The Danes added an empty-net goal to make it a 4-1 final.
Denmark outshot Italy 31-13.
Denmark's next game is Thursday against Canada at 7:45 a.m. MT.


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Seven out of 10 consumers (71 percent) now purchase beverages away from home twice a week or more often, up from 66 percent in 2010.
According to market research firm Techmomic, as the economy continues to stabilize from the recession, restaurants and retail foodservice locations are well-positioned to boost beverage sales. Beverages act as a high-margin add-on that can help increase check averages for operators and also increase the overall dining experience for consumers by providing an added element of flavor to a meal.
Specialty coffees, specialty teas and smoothies exhibited growth in Technomic's Top 500 limited-service restaurants. Specialty coffee offerings increased by 10 percent on limited-service menus throughout the past two years, emerging as one of the segment's leaders.
Buoyed by the rise of sweet tea, specialty tea listings nearly doubled on menus. Smoothies, including fruit smoothies, grew by 8.5 percent, while protein-enhanced varieties jumped by 123 percent.
"Today's foodservice consumers continue to base dining decisions on their perception of value," said Darren Tristano, Technomic's executive vice president. "Innovative operators are creating value by crafting new and unique beverages including specialty lemonades, handmade sodas and 'mocktails' that are uniquely flavorful, fresh and a better-for-you option."
With nearly a third (29 percent) of consumers saying they like to try new and unique beverages, operators can build their credibility and bottom line by leveraging trending flavors with more creative beverage offerings, he added.
Some highlights from Technomic's new Beverage Consumer Trend Report, include:
Technomic's Beverage Consumer Trend Report examines beverage purchasing decisions, attitudes and preferences based on survey results from 1,500 consumers.
This latest report echoes similar research recently released from The NPD Group that shows beverage-only occasions at restaurants are on the rise.
Read more about foodservice trends.
Topics: Business Strategy and Profitability, Food & Beverage, Operations Management, Trends / Statistics
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[LIVE WEBINAR] How to create loyal guest behavior
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Kiwis ... and lots of sheep ... witness first pizza drone delivery for Domino's today
Part 2: The pain and the glory of getting REAL
Everything Restaurants Need to Know About Digital Marketing


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About Full Moon Fiber Art
I'm Maria Wulf I live on Bedlam Farm in upstate New York with my husband the writer Jon Katz.
I work out of a 150 year old School House, that was moved to the farm in the 1960's. I call it The School House Studio and it's become a sacred place for me. I spend most of my days here with my dog Freida (that's her sitting in front of my School House Studio).
This site is about the fiber art, which I make and sell: quilts, potholders, pillows and other art. About twice a year my Jon and I have Open Houses at the farm. Usually for a weekend and anyone is welcome to come visit. Jon and our border collie, Red, herd the sheep ( twice a year, in the spring and fall, I sell the sheep's wool on my blog) you can meet our donkeys, Simon, Lulu and Fanny and buy some art from me, Jon (he's a photographer as well as a writer) and other local artists. During these weekends, my School House Studio becomes my School House Gallery. (You can see my events page for upcoming shows). My work is also available on my website.
Full Moon Fiber Art is an expression of my work, and the online launching of my life as an artist.
I've been an artist my whole adult life, but recently have been inspired by the women of Gee's Bend Alabama, who have been making originally designed quilts from discarded fabric for over a hundred years.
And that's what I do. I make original art from recycled clothes and fabric. I'm thrilled to be able to show and sell it here.
I have come to love my blog, it's a part of my finding my voice, and I thank you for coming and looking at my work. I appreciate and welcome your comments.
You can email me at: firstname.lastname@example.com
You can check out my interview on Today's Woman here or the article about me and my work in the Life section of the .


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MAR 27, 2013 - Mashable
A Must Read - Share
Rugrats and Trapper Keepers and Fresh Prince, oh my! It's the '90s!
It was your childhood, when Lisa Frank, MTV's golden age and Nickelodeon cartoons had a place before Disney stars became a thing. It was the best 10 years in the world
No? Bad stuff happened in the '90s? Blasphemy. No one ever talks about that, we're too busy naming every Hanson song and counting our scrunchies. But Pop Roulette doesn't mind reminding you about some of the not so fab stuff of the time period
SEE ALSO: Shelter Dogs Shine in Puppy Version of 'Fresh Prince'
Don't love the '90s so much anymore? Eat a
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A number of activist groups protested the Great State of Maine Air Show on Saturday.
Veterans for Peace was one of the groups that protested the air show of war planes at Brunswick Landing.
Along with the negative environmental effects, the group said events like these glorify war.
According to the group, Thunderbird airplanes drop bombs and kill people.
Group members said these planes should not be used to entertain.
Veterans for Peace member Bruce Gagnon said, "we're concerned about this endless war cycle that America is in today we spend two billion dollars every week in Afghanistan. We believe that these air shows basically are recruiting with gimmicks and recruit our children in to these endless wars that benefit corporations. They don't benefit the American people."
In all, about 75 people from all over the state held signs and spoke about their cause on Saturday.


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jjphotogra... Photographer
Brittany ReneaeModel Female Springfield, Missouri, US My MM URL: http://www.modelmayhem.com/brittreneae
Mayhem # 2611158
About MeHi! My name is Brittany Reneae. My goal is to make a solid career out of modeling. My passion is Dance. I have been recognized to have a very bubbly and outgoing, ya know that down-to-earth type personality. I really want to learn and experience everything the modeling industry has to offer. Open to ideas and ranges. Please send me a message with your ideas.
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Nicholas Associates Software
Specialists in the design, development and delivery of engaging web and software solutions
Here at Nicholas Associates Software we like to think outside the box, using creativity, originality and experience to bring our clients exceptional service every time.
We are specialists in designing, developing, hosting and maintaining high quality web-enabled software solutions for 14-19, ranging from Learning Management System (lms) to Work Experience Management.
Each project we take on requires a unique and innovative approach. We pride ourselves in getting to know our clients and their business, and always striving to maintain a "rapid-response", personal relationship. Whether you are looking to build your web site or require an application/website which will help retrain staff or even need a complete redesign for your online presence, Nicholas Associates Software can help.
Because we take the time to understand your business and your online objectives, our web sites and applications exceed expectations.


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The Emirates of Hacan
I call these guys the cat people (original I know). The Emirates of Hacan are one of those races that look mean and sound good because they can get money but they are very difficult to play. They can trade with anyone even without approval by the person playing the trade card. It requires war to break an agreement once made with the Hacan. They can also trade action cards with other players during the action phase which is a great way to see what other have. Given the choice I would choose again (house rule).
They start with a very small force and very low tech but they can make money. Try to grab that trade card right away and only make deals that will get you a 3 or minimum of 2 in return. Do not agree to any other trades on the board unless advantageous to you. Try to get as much money as possible and put it to good use. Buy ships, buy space docks, buy influence and buy tech. If done right, you can get away with a lot using these guys but again they are difficult to play and have no real advantage other than money.
Just go for your secret objective whatever it may be. Use your money and influence to influence the political vote. Amass command counters because a massive armada that can't move is useless, no matter how much it cost to build.


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Philosophy of William James and John Dewey
Philosophy of William James and John Dewey
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Total Topics: 1
Total Posts: 2
Posted Sep 24, 2011 - 6:15 AM:
Subject: Philosophy of William James and John Dewey
I'm reading "Body Consciousness" by Robert Shusterman and having a difficult time identifying the philosophies of these two pragmatists.
I'm trying to categorize the philosophers' Metaphysics, Epistemology, Ethics, Logic, Philosophy of Religion, and Aesthetics or refutation thereof. I'd appreciate some helpful methods on how I should go about reading a philosophical text to find clues to such identification. Or maybe some hints on what kinds of "questions" I should ask myself when looking for such things. (i.e For Metaphysics: "what stuff is the world made of?" For ethics: "what constitutes right and wrong?")
So far everything seems really dense and convoluted.
Much appreciated,
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Posted Sep 24, 2011 - 6:30 AM:
Subject: What I have dissected so far!!!
William James
Conscious stream of thought is a major factor in James' metaphysics. He argues that we never experience the same thing twice, that there are always different factors whether it be the object, location, time or frame of reference, our consciousness is always undergoing change.
Our thoughts and behavior are guided by habits. We form habits from repetitive action and thinking that are ingrained in our body's "nerves" (according to James) that allow us to automate certain tasks, learn new things more rapidly and to divert our attention to more pressing matters that require our focus.
As long as an individual has a good reason to support his cause, then it is deemed ethical.
We learn from our sense experience with the world. The best way to know something is to have it proven in the empirical realm.
Philosophy of Religion:
Like his epistemology, James argues that things are useful only if they provide relative worth to the person who interprets them. Religion should be experienced first-hand as the practitioner draws truth from primary practice of faith rather than acquiring guidance through passive reception.
Could not find anything so far.
The embodied mind. Nothing ever happens mentally that isn't accompanied by a bodily action.
John Dewey
The mind-body experiences the world and interacts with it simultaneously. There is no cause-effect relationship between them; they merely experience the world through two windows.
Knowledge is gained through the interaction between organism and environment. It is an active process that has to do with the sense perception of the world and our cognitive response to it. We learn from experiencing the world and forming our own hypotheses about it.
An individual seeks to attain satisfactory results and as a result makes decisions based on what will help that individual attain those goals within a social sphere. It is only within the community that ethics can truly be applied. Because the individual is a social creature, it depends on the acceptance and guidance of other individuals who also seek validation.
Could not find anything.
Philosophy of Religion:
Could not find anything, but Dewey probably accepts religion insofar as it helps the individual reach goals and adapt good habits.
Beauty is attained through the experience that one has with the immediate moment. A good painting is recognized through its ability to evoke emotion and immediate satisfaction within the observer. Similarly it is possible for individuals to imagine beautiful moments whether creating them from nothing or referring to memorable experiences.
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Posted Sep 24, 2011 - 8:41 AM:
Categorization is difficult with the pragmatists, particularly Dewey, as categorization--the tendency to impose fixed boundaries--is foreign to pragmatism as are the dualisms we like to apply.
Dewey's view of logic is quite interesting and unusual, and as such always bewildered those like Bertie Russell who appeared to believe philosophy was a kind of mathematics. Logic to Dewey, like much else, was instrumental, our way at addressing and resolving problems--a theory of inquiry, to borrow from the title of his primary work on the subject.
Almost Graduate
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Posted Sep 26, 2011 - 1:00 PM:
I have nothing academic to contribute. I'd just like to say, Dewey makes my heart warm.
This thread is closed, so you cannot post a reply.


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The Arctic Cat F5 LXR (2011) is a 2-stroke performance snow sled built for light weight and maneuverability. This is a step down from the Arctic Cat F6 Sno Pro, which has a larger engine. A slide-action rear suspension is used to make cornering more efficient and cut down on slide, and the twin spar chassis has a completely neutral weight distribution to keep everything as steady as possible.
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OAKLAND -- Twice a week, 20 East Oakland teenagers get to school early, some of them arriving by bus before 7 a.m. They sacrifice sleep for something other high school students might take for granted: the chance to take advanced placement English.
"For colleges to take me more seriously, I need to take these AP classes," said Ricardo Cruz, 17. "It's a must for me to take this class."
Last year, as a record 1.8 million students from 17,000 schools around the world took advanced placement exams, the East Oakland School of the Arts cut its last AP class.
But two English teachers -- Kateri Simpson and Marguerite Sheffer -- decided to offer it anyway, before school and on their own time.
The sacrifice made by these teachers and students for an opportunity that's a given in other schools illustrates their commitment to education. It also highlights the system's inequities and the shortcomings of the Oakland school district's attempts at high school reform.
East Oakland School of the Arts is one of three small schools on the Castlemont high school campus. It is one of about a dozen high schools the district created in the mid-2000s to improve the dismal graduation rates and test scores in some of the city's poorest neighborhoods. It once offered four AP classes. The Bill & Melinda Gates Foundation and other major philanthropies poured millions of dollars into the initiative to close Castlemont, Fremont and McClymonds high schools and to open smaller, themed ones on each campus.
But that money is gone. After years of declining enrollment and state budget cuts, many are struggling to provide the basics.
Oakland's small high schools were a trade-off from the beginning: In exchange for a safer, more intimate learning environment, students would give up the range of courses and activities available at a big high school. While Oakland's large high schools have nearly 2,000 students, most of its small high schools opened with fewer than 500.
But some have become far smaller than they were meant to be.
Five years ago, almost 1,300 students attended one of the three high schools on the Castlemont campus. That number has dwindled to 700. The Fremont campus, also in East Oakland, has experienced a similar slide, as neighborhood families opt for tuition-free charter schools or district schools with better reputations in safer neighborhoods.
Last fall, the two small high schools on the McClymonds campus merged back together with a combined enrollment of fewer than 250. Soon, district staff are expected to release details about a proposed "redesign" of seven other high schools, including six at Fremont and Castlemont. Mergers are likely.
That worries Peace El Henson, 17, and other AP English students at East Oakland School of the Arts who say they have benefitted from the size of their school. Though their course options are limited, they receive a lot of one-on-one attention from their teachers, they said.
El Henson said she and her classmates have stayed late into the evening, working on essays and other projects under their teachers' guidance -- a connection they fear the schools would lose if they were bigger.
"It's like customized learning," El Henson said.
After another English teaching position was cut from the school's budget last year, the AP course was eliminated.
Simpson said when her student Ibrahim Abdallah heard the news he asked her what he was supposed to do.
"Ibrahim said to me, 'I don't understand. I'm trying to apply to USC. I don't know how I'm going to get in,' " she recalled.
Shaken from that conversation, Simpson began talking to Sheffer about the possibility of teaching the class together twice a week before school and once a week during the afternoon art period. They drew up a strict-sounding contract for students to sign, saying they'd cancel the class if fewer than seven enrolled.
Thirty came on the first day.
Simpson and Sheffer opened the course to everyone, including those who hadn't passed the English portion of the California High School Exit Exam. Most students take an additional English course during the regular school day, so the AP class doesn't conflict with their other requirements.
"It's always really important to me to give students opportunities to reach for more, and I'm always impressed by how many take it, and how far they take it," Sheffer said.
Last month, dressed in their best business attire, the students discussed "characters caught between colliding cultures" and other prevailing themes in some of the works they had read: "Macbeth," "Romeo and Juliet" and "The Brief Wondrous Life of Oscar Wao." It was their final seminar for the semester.
Ana Felix, 18, didn't expect to enjoy the class as much as she has. She said she has come to appreciate the finer points of literature, writing no longer intimidates her and she now reads for fun outside of class.
Felix said she was grateful for what Simpson and Sheffer have done. Until this week, when the teachers learned they would earn a stipend, they had assumed they wouldn't be paid for the extra class.
"To me, it means a lot," Felix said. "You can tell they want us to get somewhere."
Few would suggest that the solution to school budget problems is for teachers to teach, pro-bono, before sunrise. The class has made a long day longer. But, Simpson said, it has also been a rejuvenating break from the day-to-day grind.
"I knew in my heart they were capable of extraordinary things," she said.
The class, she said, has given her a glimpse of what they can do.
Read Katy Murphy's Oakland schools blog at IBAbuzz.com/education. Follow her at Twitter.com/katymurphy.


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BTDT moms- Epidural??
The worst part for me was sitting still. The anesthesiologist makes you bend over your belly (pretty much as far as you can without dying) and then numbs you with a shot similar to the ones at the dentist. He'll tehn spend about 10 mins (mine took an hr) to place the large needle - it does pinch quite a bit and mine burned - and then he'll hook up the medicine. I got mine at a 6 with my first and decided I didn't want to do it again with my 2nd and 3rd so I go without.
It doesn't wear off as much as the medicine is controlled by a button that you push. So when you're done having the baby it takes time for your body to stop being numb. It depends on the person on how long that takes but it can take upto a few hours to be able to walk safely again. (actually quite irritating since i wanted to be up taking a shower and cleaning up, and watching my baby be bathed and checked by dr, and all that stuff).
Also as some people mentioned it doesn't always work all the way, sometimes it just numbs half or part of you. Also be aware that some people - rare - get bad reactions (look up epidural headache), or take a VERY long time (weeks) to stop being numb.
"FAith does not give you the answers, it just stops you asking the questions."
Frater Ravus
Married to my HS sweetheart 4.14.2012
FTM to Rylan 2.13.13
My Etsy Wedding Stationary | Design Bees + Henny Facebook
I have had it done three times.
Each time the only pain/burning was a very minor burning sensation when they injected the numbing stuff into my back around the epidural site. They numb it first so that it doesn't hurt when they put it in you. It wasn't as bad as a MMR shot at all. Maybe more like a flu shot. Just a prick and sting.
Then they do a test dose to make sure that the placement is right. They've never messed mine up, so I don't remember what the problems are that they'll move it for. Maybe a "spinal headache" or metalic taste in mouth... I know that they asked me if I had those symptoms. A lot of people get the shakes. I did with my second one, but they put a warm blanket on me and I stopped shaking after a couple of minutes.
As for when they put it in, they did not check me to see how far I was dialated with the first two. I was in so much pain that it didn't matter. They had induced me with each of the boys and all of my pain was in my rectum each time. I was arching my back up off the bed with each contraction and screaming. The Lamaze was not working! They got me the epidural as soon as I asked for it and they could get an anesthesiologist up there. It was a long time (or so it seemed to me) with my first one. You see there had been a 15 car wreck on the highway and they were all in surgery. Finally a student came in and they asked if he could try. I told him to go for it! I could have kissed him and named the baby after him I was so grateful. With my second one, as soon as I had my registration at the hospital (which was 6 weeks before I was due) I told them to have the anesthesiologist standing by for the induction. I got it as soon as I could tell that the pain was going to be in my butt again.
With my daughter, I don't remember them having a cut off on when you could get one. But I wasn't in the extreme pain that I was with the boys. My pain with her was all in front, where it was supposed to be. I asked for an epidural as soon as I got there anyway because I didn't want the pain to switch to my butt. Anyway, they said that they had to verify that I was actually in labor. Never mind that I was doubling over with each contraction and that my shirt was drenched in sweat. I want to say, "Idiots!" but I know that lots of women probably have that happen when it isn't real labor. Anyway, once they verified that I was in real labor, they wheeled me, in a bed, down a hall to a delivery room. The guy was waiting with the epidural when we got there.
Anyway, with each of the epidurals, it did not hurt going in. They had placed them right, and they worked beautifully. They are on a continuous pump. I got full relief from the pain the whole time through. It wore off really fast on my crotch with #1. They turned it off after he was born. I had complete feeling back in my crotch when the doctor went to sew up my episiotomy. He refused to numb it. That was the most painful part of birth, even worse than the butthole labor. However, I did have one leg which took a few hours to get feeling back into it all the way. The nurses were getting pretty sick of me asking for them to hold me up while I went to the bathroom. I can't use a bed pan you see. They once told me that it was the bedpan or a catheter. I tried and tried to use the bed pan. I finally called them crying and said, "Go ahead and catheter me, because I really need to go and I just can't get any out! My bladder hurts SO MUCH!" They didn't do it, they just helped me onto the toilet. LOL. I didn't have that problem with #2 though.
I have to tell you about my third one. It was at a different hospital than the other two were. They had a policy to put an epidural on you, and you got a button to push for more relief. That's what I signed up for. But when got there, the anesthesiologist said that he didn't do it that way. If I needed more relief, they would page him and he would come and adjust it for me. I complained, but he didn't care. Anyway, it was good for a long time, maybe two hours. Then It started to hurt again. With the boys I had been completely numb with each of them. But with this one I could feel a little after the two hours. So I had them page him. He came in and upped the dose. Then i needed it again, only half an hour later. He came again. Another 30 minutes pass and I'm paging him again. This time he said, "You don't get any more. I'm not coming back in here again." So the next time that I needed more pain relief, I pulled the machine over to the side of the bed and adjusted it myself! They never knew the difference. The sick part was that he was that it only took the same increase that he had been giving me each time. So if he had been willing to come back in one more time he would have been the one to adjust it correctly.
With each one, I was able to "labor down" so that I didn't have to push until the baby was crowning. I couldn't feel any "need to push" but I pushed whenever there was a contraction, and that was it. They did give me an episiotomy each time because I wasn't pushing the baby out fast enough for them, but with my first he was huge and his shoulders had to come out one at a time, and my second one was sunny side up. My daughter came right out when they did the episiotomy. I mean one push and that was it. But she was my smallest. Only 8 pounds 2 ounces.
My total labor times were 16 hours, 11 hours, and 10.5 hours.
Crystal wife to Ryan 6-12-1999
Mommy to B 9/01/02, L 5/19/05, C 4/13/07, S 2/17/13,
Q 3/16/14 and G 5/5/15
Learn more
Look how far your child has come.
Review your child's growth milestones.
Read about 3 years 5 months : Week 3.
Your growing child
Your 3 1/2-year-old: Facing fears
Your 3 1/2-year-old: Magical thinking
Your 3 1/2-year-old: Mastering motor skills
Your 3 1/2-year-old: Writing skills
Learn more
What's next for your growing child?
Get a glimpse of what's to come.
Read about 3 years 7 months.


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As part of our new all-Cruise format, we present this interview with Steven Spielberg and Tom Cruise to promote War of the Worlds in German magazine Spiegel, which took a startling turn away from the typical canned, junket-flavored fare when the reporter started asking surprisingly pointed questions about Cruise's involvement in the Church of L.Ron:
SPIEGEL: Do you see it as your job to recruit new followers for Scientology?
Cruise: I'm a helper. For instance, I myself have helped hundreds of people get off drugs. In Scientology, we have the only successful drug rehabilitation program in the world. It's called Narconon.
SPIEGEL: That's not correct. Yours is never mentioned among the recognized detox programs. Independent experts warn against it because it is rooted in pseudo science.
Cruise: You don't understand what I am saying. It's a statistically proven fact that there is only one successful drug rehabilitation program in the world. Period.
SPIEGEL: With all due respect, we doubt that...
In the Pat Kingsley Era of Tom Cruise image control, the interview would've ended right there, with a gunshot and an assistant cleaning the transgressing reporter's brains off a promotional one-sheet on the wall behind him, followed by the immediate shutdown of the entire German press. But in Cruise's brave new world of Scientology glasnost, the talk continued, and the journalist lived—as far as we know.
Make sure you read the interview. The part where Spielberg tries to protect his star by comparing Cruise's passion for Scientology to his own work for Holocaust awareness (and then is forced to back off the comparison when the reporter calls bullshit) is priceless.


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With the second annual Let Every Woman Know Alaska and Arts of Healing Weekend set to kick off Friday, two-time ovarian cancer survivor and Let Every Woman Know Alaska vice president Mary Rita Ely joined the Morning Edition Thursday to discuss the event.
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Marietta City Council unanimously approved a resolution accepting a plat for the proposed North Hills Subdivision during a special session at Lookout Park Tuesday afternoon.
The resolution, adopted for records purposes only, allows local developers Bruce and Ben Brunton to begin marketing approximately eight building lots that measure about two-thirds of an acre each in the subdivision that will be located off Colegate Drive in the old North Hills School area.
"We've had conversations with the Bruntons, and our engineering department is comfortable with the plat," said Councilman Roger Kalter, D-1st Ward, who chairs the planning, zoning, annexation and housing committee.
He said the Bruntons need the resolution so they can register the project with the county and continue plans for the housing development.
"Passage of this resolution is in keeping with this council's intent to make the process easier for developers who want to build homes within the city," said Councilman Tom Vukovic, D-4th Ward.
Third Ward Councilman Steve Thomas added that he would welcome the new homes in his ward.
Fact Box
If you go
- Marietta City Council's finance committee will meet at 4 p.m. Thursday in the second floor conference room at 304 Putnam St.
- All council and committee meetings, except executive sessions, are open to the public. More city information is available at www.mariettaoh.net
In other business Tuesday, council president Walt Brothers voiced his objection to a multi-page document that was apparently distributed to several residences throughout the city.
The unsigned document basically criticizes council for not using local contractors to paint the city's water tanks and questions whether lead paint is being used for the project. The document includes several pages listing the effects lead paint can have on the human body.
"This leaflet attacks council with information that's false and misleading," Brothers said. "It shows complete misunderstanding and should be considered an illegal piece of campaign literature."
Councilman Mike McCauley, D-2nd Ward, asked city law director Paul Bertram III to investigate the document and "take whatever appropriate action is necessary" against those responsible for distributing the literature.
Councilmen Vukovic and Harley Noland, D-at large, said they had each received a phone call from constituents asking about the document.
"I had one constituent call and tell me about it," Noland said. "But we don't know who distributed this."
Vukovic said his phone call came from a resident asking why the city was not hiring local contractors for municipal projects.
"Bid requests are sent out for every project," he said. "And local contractors can bid on the jobs along with anyone else."
Noland noted there are some jobs, like lead paint investigation and abatement prior to the city hall renovation project, that cannot be contracted locally because no area contractors can do that work.
But he added that council and the engineering department do attempt to hire local contractors. He said the city engineer follows a template that awards extra points for local contractors who apply for a city project.
The document distributed to residents this week was possibly in reference to new paint that had to be removed from the interior of the solids contact tank at the city's water treatment plant last month because the contractor mistakenly used the wrong paint, although the paint used was not lead-based.
The contractor, American Star of Marietta, used paint recommended by another city-hired contractor/consultant, KTA-Tator, Inc. of Pittsburgh, to put the initial coat of paint on the tank's interior. But it was discovered the paint was not National Sanitation Foundation (NSF) certified for use in potable water tanks.
The first coating had to be completely removed and an approved paint was then applied to the tank, according to city water superintendent Jeff Kephart.
Law director Bertram said the mistake was not American Star's fault as the paint used was one of three brands recommended by KTA-Tator, which was responsible for ensuring the paint was NSF certified for contact with potable water.
Bertram said the city may have to pursue legal action in order to recover the additional cost of the painting project due to KTA-Tator's mistake.


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Madison, Wis. (August 29, 2016) – Thanks to the generosity of Madison accounting firm Smith & Gesteland, five more students in the School of Business at Edgewood College are enjoying some extra support in their education.
Madison, Wis. (August 22, 2016) – Edgewood College is honored to be awarded a $16,000 grant from Attic Angel Association. The grant will support a new partnership between the College's Early Childhood Regular and Special Education Program, the Dane County Parent Council and the Red Arrow Head Start to develop a multicultural literacy program.
Madison, Wis. (August 17, 2016) – This year's freshman class of more than 270 students arrives Saturday, August 20. Importantly, more than 20 percent of those incoming students identify as students of color, making this year's class one of the most diverse in College history.
Madison, Wis. (August 15, 2016) – Edgewood College honors the life and work of President Cecilia Carey, O.P., who passed away Friday, August 12 at St. Dominic Villa in Hazel Green, Wis.
Although Kate (Schneider) Melendres '04 received her B.S. in Psychology more than ten years ago, she credits the opportunities she enjoyed here for making it possible to reach great heights (so far!) in her professional life.


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Find out how radioactive dating and X-rays can be used to determine the age of artworks and artifacts and detect whether or not they are forgeries.
Learn how the discovery of the atomic nucleus soon led to the use of nuclear fission to generate electricity.
Discover how radioisotopes are used to make PET scans that show how structures of the body are working.


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Definition of snow bunting in English:
snow bunting
A northern bunting that breeds mainly in the Arctic, the male having white plumage with a black back in the breeding season.
- Plectrophenax nivalis, family Emberizidae (subfamily Emberizinae).
Example sentences
- Visit the famous Scottish Highlands during springtime and you may spot the capercaillie, Scottish crossbill, crested tit, black and red grouse, snow bunting and ptarmigan, golden eagle, and breeding osprey.
- Songbirds also live here, including the snow bunting, raven, American tree sparrow, and hoary redpoll.
- Small numbers of the Arctic snow bunting are sometimes seen in the North-West during winter, but the bird is more familiar to the east coast of Britain and in coastal north-western Europe.
For editors and proofreaders
Line breaks: snow bun|ting
Definition of snow bunting in:
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= trending


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A Lot-to-lot Consistency (3 Lots of GSK Biologicals' 10-valent Pneumococcal Conjugate Vaccine) & Non-inferiority Study
This study has been completed.
Information provided by (Responsible Party):
ClinicalTrials.gov Identifier:
First received: March 8, 2006
Last updated: September 8, 2014
Last verified: June 2014
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Detailed Description:
Evaluate lot-to-lot consistency, safety and reactogenicity of 3 doses of GSK Biologicals' 10-valent pneumococcal conjugate vaccine and non-inferiority with respect to Prevenar.
Infections, Streptococcal
Biological: Pneumococcal (vaccine)
Phase 3
|Study Type:
|Study Design:
|Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double-Blind
Primary Purpose: Prevention
|Official Title:
|Assess Lot-to-lot Consistency of 3 Lots (Double Blind Design) of GlaxoSmithKline Biologicals' 10-valent Pneumococcal Vaccine and Evaluate Non-inferiority to Prevenar™ (Single Blind Design) When Administered as 3-dose Primary Immunization Course Before 6 Months of Age
Resource links provided by NLM:
Further study details as provided by GlaxoSmithKline:
Primary Outcome Measures:
- Lot-to-lot consistency: antibody (Ab) concentrations to pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F and to carrier protein PD
- Non-inferiority of 10-valent pneumococcal conjugate vaccine (pooled data of 3 10-Pn-PD-DiT vaccine groups) w.r.t. Prevenar: all anti-pneumococcal serotypes Ab concentrations>=0.20 µg/mL
Secondary Outcome Measures:
- After each vaccination, occurrence of: solicited local, general symptoms within 4 days; [ Time Frame: After each vaccination ]
- Unsolicited adverse events within 31 days, SAEs (whole study period)
- 1m post dose3: For all vaccine pneumococcal serotypes: Opsono titres
- Antibody (Ab) concentrations >= 0.20 µg/mL
- Ab concentrations to protein D and seropositivity (S+) status
- S+/seroprotection status to antigens in DTPa combo vaccine
|Estimated Enrollment:
|Study Start Date:
|November 2005
Test groups: 4 (400 subjects/group). 3 groups receiving 10-valent pneumococcal conjugate vaccine (3 different lots) as follows: - 10-valent vaccine (lot 1, 2 or 3) + DTPa combined vaccine; Control group receiving Prevenar + DTPa combined vaccine
|Ages Eligible for Study:
|6 Weeks to 12 Weeks (Child)
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion criteria:
- Male or female between, and including, 6 and 12 weeks (42-90 days) of age at the time of the first vaccination, free of obvious health problems and with written informed consent obtained from the parent/guardian of the subject.
Exclusion criteria:
- Use of any investigational or non-registered drug or vaccine other than the study vaccine within 30 days preceeding the first dose of study vaccine, or planned use during the study period.
- Planned administration/ administration of a licensed vaccine not foreseen by the study protocol during the period starting from one month before the first dose of vaccine(s) and during the entire study period.
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00307554
Please refer to this study by its ClinicalTrials.gov identifier: NCT00307554
|GSK Investigational Site
|Espoo, Finland, 02100
|GSK Investigational Site
|Helsinki, Finland, 00930
|GSK Investigational Site
|Jarvenpaa, Finland, 04400
|GSK Investigational Site
|Jyvaskyla, Finland, 40100
|GSK Investigational Site
|Kokkola, Finland, 67100
|GSK Investigational Site
|Kotka, Finland, 48100
|GSK Investigational Site
|Kuopio, Finland, 70100
|GSK Investigational Site
|Lahti, Finland, 15140
|GSK Investigational Site
|Oulu, Finland, 90100
|GSK Investigational Site
|Pori, Finland, 28120
|GSK Investigational Site
|Seinajoki, Finland, 60100
|GSK Investigational Site
|Tampere, Finland, 33200
|GSK Investigational Site
|Turku, Finland, 20520
|GSK Investigational Site
|Vantaa, Finland, 01300
|GSK Investigational Site
|Vantaa, Finland, 01600
|GSK Investigational Site
|Bernay, France, 27300
|GSK Investigational Site
|Colombes, France, 92701
|GSK Investigational Site
|Courbevoie, France, 92400
|GSK Investigational Site
|Créteil, France, 94000
|GSK Investigational Site
|Dax, France, 40100
|GSK Investigational Site
|Draguignan, France, 83300
|GSK Investigational Site
|Essey les Nancy, France, 54270
|GSK Investigational Site
|Le Havre, France, 76600
|GSK Investigational Site
|Maromme, France, 76150
|GSK Investigational Site
|Nice, France, 06300
|GSK Investigational Site
|Nogent-sur-Marne, France, 94130
|GSK Investigational Site
|Paris, France, 75019
|GSK Investigational Site
|Rouen, France, 76000
|GSK Investigational Site
|Saint Quentin, France, 02100
|GSK Investigational Site
|Bydgoszcz, Poland, 85-021
|GSK Investigational Site
|Debica, Poland, 39-200
|GSK Investigational Site
|Krakow, Poland, 31-202
|GSK Investigational Site
|Poznan, Poland, 61-709
|GSK Investigational Site
|Siemianowice Slaskie, Poland, 41-103
|GSK Investigational Site
|Trzebnica, Poland, 55-100
Sponsors and Collaborators
|Study Director:
|GSK Clinical Trials
More Information
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on August 25, 2016
Schuerman L, Wysocki J, Tejedor JC, Knuf M, Kim KH, Poolman J. Prediction of pneumococcal conjugate vaccine effectiveness against invasive pneumococcal disease using opsonophagocytic activity and antibody concentrations determined by enzyme-linked immunosorbent assay with 22F adsorption. Clin Vaccine Immunol. 2011 Dec;18(12):2161-7. doi: 10.1128/CVI.05313-11. Epub 2011 Oct 12.
Chevallier B, Vesikari T, Brzostek J, Knuf M, Bermal N, Aristegui J, Borys D, Cleerbout J, Lommel P, Schuerman L. Safety and reactogenicity of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) when coadministered with routine childhood vaccines. Pediatr Infect Dis J. 2009 Apr;28(4 Suppl):S109-18. doi: 10.1097/INF.0b013e318199f62d. Review.
Schuerman L, Borys D, Hoet B, Forsgren A, Prymula R. Prevention of otitis media: now a reality? Vaccine. 2009 Sep 25;27(42):5748-54. doi: 10.1016/j.vaccine.2009.07.070. Epub 2009 Aug 8. Review.
Poolman J, Frasch C, Nurkka A, Käyhty H, Biemans R, Schuerman L. Impact of the conjugation method on the immunogenicity of Streptococcus pneumoniae serotype 19F polysaccharide in conjugate vaccines. Clin Vaccine Immunol. 2011 Feb;18(2):327-36. doi: 10.1128/CVI.00402-10. Epub 2010 Dec 1.
Knuf M, Szenborn L, Moro M, Petit C, Bermal N, Bernard L, Dieussaert I, Schuerman L. Immunogenicity of routinely used childhood vaccines when coadministered with the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV). Pediatr Infect Dis J. 2009 Apr;28(4 Suppl):S97-S108. doi: 10.1097/INF.0b013e318199f61b. Review.
Hausdorff WP, Dagan R, Beckers F, Schuerman L. Estimating the direct impact of new conjugate vaccines against invasive pneumococcal disease. Vaccine. 2009 Dec 9;27(52):7257-69. doi: 10.1016/j.vaccine.2009.09.111. Epub 2009 Oct 13. Review.
Vesikari T, Wysocki J, Chevallier B, Karvonen A, Czajka H, Arsène JP, Lommel P, Dieussaert I, Schuerman L. Immunogenicity of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) compared to the licensed 7vCRM vaccine. Pediatr Infect Dis J. 2009 Apr;28(4 Suppl):S66-76. doi: 10.1097/INF.0b013e318199f8ef.
|Responsible Party:
|ClinicalTrials.gov Identifier:
|NCT00307554 History of Changes
|Other Study ID Numbers:
|Study First Received:
|March 8, 2006
|Last Updated:
|September 8, 2014
|Health Authority:
|Finland: Ethics Committee
Additional relevant MeSH terms:
Streptococcal Infections
Gram-Positive Bacterial Infections
Bacterial Infections
Heptavalent Pneumococcal Conjugate Vaccine
Immunologic Factors
Physiological Effects of Drugs
ClinicalTrials.gov processed this record on August 25, 2016


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Berroco Seduce will enthrall you. Not only does the wrapped construction add appeal and color variation, the yarn is soft with an absolutely gorgeous drape. Think Berroco Seduce for stunning wraps and beautiful lightweight garments for spring and summer. Made in Italy.
(based on 20 reviews)
Ratings Distribution
5 Stars
4 Stars
3 Stars
2 Stars
1 Stars
of respondents would recommend this to a friend.
Best Uses
Most Liked Positive Review
truly seductive
This unusual yarn of silk, linen, rayon is a sort of soft wrapped cord. It has great drape, coupled with a slick look. It's great for knitting and crochet, but needs some...Read complete review
This unusual yarn of silk, linen, rayon is a sort of soft wrapped cord. It has great drape, coupled with a slick look. It's great for knitting and crochet, but needs some special handling... ie, keep the ball contained or it will spill into an unruly tangle. I find that wood or bamboo hooks and needles work best and I use a soft net wrapper around the yarn ball. The resulting fabric is worth the little extra effort. Seduce is ideal for luxuriously cool feeling warm weather projects, or imaginative accessories. I've used it for crochet lace and a drapey summer top. Hand wash, dry flat to re-shape.
Most Liked Negative Review
A mixed bag
Still working on the sweater but I find the yarn hard to work with because of its slipperiness. Really irritated by the # of knots per skein.
Reviewed by 20 customers
Displaying reviews 1-10
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Beautiful yarn
By Stevie
from Ohio
Comments about Berroco Seduce:
I had not seen this yarn before and it had such great reviews, so I thought I would try it. It does not disappoint!!! I am planning a scarf that will be lovely. Will be wanting more in other colors.
Bottom Line Yes, I would recommend this to a friend
Was this review helpful? Yes / No
- You may also flag this review
Comment on this review
As always, WEBS delivers service!
By chota
from Vermont and Canada
About Me Artist, Collector, Enthusiast
Had been trying to find a yarn that wasn't wool (allergic), felt great on the skin, and had interesting texture. This is (was) it! Why did Berroco decide to discontinue this terrific yarn?
By Flowergirl
from Florida
About Me Enthusiast
See all my reviews
Bottom Line No, I would not recommend this to a friend
I will buy this yarn again
By Suzen
from York PA
About Me Artist
I'm knitting a triangular lace shawl with this yarn. I completely the same shawl last year with a bamboo blend. This yarn is producing a very elegant garment
Service and delivery comments:
delivery was very prompt. The yarn was in good condition upon arrival.
Seduce by Berroco
By lark twisty
from steamboat springs, co
I made bracelets and headbands with this yarn and it was perfect
It is sold in hanks but I found my local knitting store was happy to wind the yarn. It came really fast and ordering was so easy
It seduced me.
By Nana
from Pennsylvania
I used seduce before, and the look of the finished product is always awesome. The color of this grabbed me and I had to have it. I plan on making a summer shell to wear over a tank, dressy tee or blouse.Do not expect this yarn to feel like wool but it will wear well in warm weather.
Awesome looking yarn
By Catnip
from Texas
I haven't even knit with this yet but am in love with it. It is absolutely gorgeous.
(1 of 1 customers found this review helpful)
Great yarn for "Potato Chip" scarf!
By Amy
from Chapel Hill, NC
This yarn works up beautifully for the Potato Chip scarf using #8 or 9 needles. 2 Hanks are sufficient for the scarf.
T-shirt using Seduce from Berroco
By Maggie 664
from NZ
Beautiful colour enhanced by mixed yarns Because of yarn composition it was difficult to wind ball from skein - better if this was done in factory
Love, love, love!!!
By wlk4fun647
from Las Vegas, NV
About Me Novice
Lovely sweater yarn, soft & drapey!


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"Vampire Diaries" Alum Confirmed to Play Savitar on "The Flash" S3
Comic Books, TV
Showing results 74-100 of 100
Dynamite Entertainment has provided CBR with advance looks at new comics on sale this Wednesday, August 1, including "The Boys" #69, "Dark Shadows/Vampirella" #1 and more.
Writer Chris Roberson speaks to CBR about "Masks," a Dynamite crossover featuring The Shadow, Green Hornet, and other pulp heroes -- plus Alex Ross interiors.
Dynamite Entertainment has provided CBR with advance looks at new comics on sale this Wednesday, June 20, including "The Shadow" #3, "Merciless: The Rise of Ming" #2 and more.
In this week's installment of Cover of the Week, dancing turns deadly, 1950s Indo-China turns sexy, ghosts get gross, close encounters get furry and the Shadow knows twice as much.
Dynamite Entertainment has provided CBR with advance looks at new comics on sale this Wednesday, May 16, including "The Shadow" #2, "Vampirella vs. Dracula" #4 and more.
Courtesy of Dynamite Entertainment, CBR presents an exclusive, extended preview of Garth Ennis' "The Shadow" #2. The issue, with art by Aaron Campbell, hits stores May 16.
Dynamite Entertainment has provided CBR with advance looks at new comics on sale this Wednesday, April 18, including "The Shadow" #1, "Red Sonja" #65 and more.
Courtesy of Dynamite, CBR presents a look at Garth Ennis' "The Shadow" #1, including an exclusive look at new pages from the pulp-icon's return to the world of comics.
Writer Garth Ennis spoke with CBR News about the finale of the penultimate arc of "The Boys," Dynamite's new "Shadow" series and his Kickstarter-funded children's book "ERF."
Tim takes a look at the script for Garth Ennis' "The Shadow" #1 from Dynamite and provides a spoiler-free review of the opening issue along with some reflections on the influence of Howard Chaykin and Orson Welles.
With a new printing of his character redefining "The Shadow: Blood & Judgment" coming from Dynamite, Howard Chaykin looks back on the series, staying contemporary, and "The Art of Howard Chaykin."
Dynamite Entertainment has provided CBR News with exclusive first looks at the covers for "The Shadow" #2 and Lord of the Jungle" #6 featuring work by Ryan Sook, Alex Ross, Howard Chaykin and more.
Writer Garth Ennis spoke with CBR News about helming Dynamite Entertainments ongoing "The Shadow," the pulp hero's lasting appeal, his powerset and the title's supporting cast.
Garth Ennis knows what evil lurks in the hearts of men in Dynamite Entertainment's April-launching "Shadow" ongoing series. The title, set in the '30s, features covers by Alex Ross, Howard Chaykin and more.
This week, Tim asks 'Whatever Happened to Andy Helfer?' by looking at some of the highlights of his career, from Atari Force, to Justice League, to the Shadow, to his leadership of Paradox Press.
Dynamite Entertainment has announced that The Shadow, Conde Nast's popular pulp hero icon, will be joining the publisher's line up of licensed characters.
"Iron Man 3" finds a writer? Todd McFarlane directing "Spawn?" A farm visit for "The Walking Dead?" Stan Lee filming his "Captain America" cameo? Sift through the April Fools Day rumors, facts, and lies.
Aronofksy to begin work on "The Wolverine" soon! "Deadpool" co-creator wants Fox to make the film now! Quentin Tarantino shoots down "Shadow" rumor! Also, Jeff Bridges talks "Tron" and more.
ROBOT 6's Chris Mautner takes a look back at "The Shadow," published by DC Comics in the 1980s, and declares it is time for the publisher to bring it back into print.
Aaron Johnson will not be attending "First Class." Hal's nephew to appear in "Green Lantern." Evil Exes talk "Scott Pilgrim." Also, "Y: the Last Man" director talks trilogy and more.
Fassbender chooses "X-Men?" A clip from "Under the Red Hood". "The Walking Dead" adds another live body. Also, David Slade calls "Shadow" rumors "lies," and more.
Licensing opportunities for "Green Lantern." Will Aaron Johnson report to "First Class"? "Scott Pilgrim" clip airs on TV. Also, "A-Team" director talks "Preacher," and more.
The face of "Conan's" enemy revealed? "Wolverine 2" setting sail for Japan next year? "Green Lantern" test shoots on the streets of New Orleans. Also, "The Shadow" at Fox and more.
"The Losers" trailer smacks the Internet! Director Joe Johnston on the state of "Captain America." "Kick-Ass" director talks getting into comic movies. Also, a "Spider-Man" tabloid rumor and more.
Pulp author and historian Will Murray talks to CBR about new reprints from Sanctum Books, how "The Whisperer" is Commissioner Gordon and actor James Cagney, the new Lester Dent novel and much more.
Archives: All | Comic Books | TV/Film | Video Games | Web Comics


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REVIEW: Event traces history of fiddle playing
Published: Saturday, January 12, 2013 at 3:30 a.m.
Last Modified: Friday, January 11, 2013 at 9:59 p.m.
TUSCALOOSA | Just like many people are surprised to learn the banjo originated in Africa, there could be some surprises in today's lecture-performance by Jim and Joyce Cauthen, "Fiddlers, Banjo Players and Stawbeaters — Alabama's First Pop Musicians."
Much of the material came from a lifelong love and study of old-time music for the Cauthens, who perform with bands including Red Mountain White Trash and the Flying Jennys. Joyce Cauthen, executive director of the Alabama Folklife Association, researched and wrote the book "With Fiddle and Well-Rosined Bow: Old-Time Fiddling in Alabama," published by the University of Alabama Press in 1989.
"It really starts at the beginning, with the first reference I found to fiddling in Alabama, in the early 1800s, before statehood, down around what became Fort Mims in the Tensaw Delta.
"I'll talk about the Creole fiddlers and go on into antebellum days, the slave fiddlers who really changed the way people played."
The African influence wasn't peripheral; it was pervasive, she said. Many think of old-time music as coming directly from Ireland and Scotland, but the Americanized versions came directly from the black musicians.
The lecture, with fiddle performances by Jim Cauthen and strawbeating — using broom sedge to pound out a rhythm on an instrument — banjo and guitar by Joyce Cauthen, will cover the period up to a big fiddlers convention held in 1927 at the Casino Theater in Tuscaloosa.
"Fiddling had always been there, but it disappears and rebounds," she said. "There was a big revival (in the '20s) because Henry Ford got real interested in fiddling and held these contests. So fiddling came to the national consciousness; it was the cool thing to do."
The Cauthens will perform some of the historical tunes and lend perspective to the community-based music that led to modern country and bluegrass. The event begins at 1 p.m. in the Tuscaloosa Public Library, at 1801 Jack Warner Parkway, and is free. Call 205-345-5820 for information.
Reader comments posted to this article may be published in our print edition. All rights reserved. This copyrighted material may not be re-published without permission. Links are encouraged.


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Barclays dismisses concern over FSA mis-selling review
Barclays has moved to mitigate the effects of its latest regulatory imbroglio over mis-selling of interest rate hedging products, publishing a statement that highlights only a small number of cases have gone to the ombudsman and that any remediation will "not be material".
Earlier today (29 June), the Financial Services Authority announced it has reached an agreement with banking groups Barclays, HSBC, Lloyds and Royal Bank of Scotland to provide appropriate redress after it identified mis-selling of interest rate hedging products to small and medium sized businesses.
Martin Wheatley, managing director of the regulator's conduct business unit and chief executive designate of the incoming Financial Conduct Authority, said: "I am pleased that Barclays, HSBC, Lloyds and RBS have agreed to do the right thing by their customers and offer redress or a review of past sales.
"These firms have responded to the need to provide a fair deal for customers by working with us, and I welcome this outcome."
However, in a stock exchange announcement today (29 June) Barclays said it had sold approximately 5,000 interest rate hedging products to small and medium-sized business customers since 2001 and that only 48 complaints had been ruled on by the Financial Ombudsman Service.
It added that nearly 90 per cent of these cases were decided in favour of Barclays. The bank said that the "financial impact of remediation costs will not be material to the group".
Barclays pointed out that it has "co-operated fully" with the FSA throughout its thematic review of the sale of these products.
In its announcement earlier today, the FSA said it had found "serious failings" in the sale of interest rate hedging products to some SMEs following a two-month review and this has resulted in a "severe impact" on a large number of these businesses.
The FSA said that during the period 2001 to date, banks sold around 28,000 interest rate protection products to customers, many of which were small and medium-sized businesses.
Interest rate hedging products can protect bank customers against the risk of interest rate movements and can be an appropriate product when properly sold in the right circumstances, the FSA said.
These products range in complexity from comparatively simple "caps" that fixed an upper limit to the interest rate on a loan, through to the more complex derivatives such as "structured collars" which fixed interest rates within a band but introduce a degree of interest rate speculation.
The FSA said it had identified a range of "poor sales practices", including poor disclosure of exit costs, non-advised sales straying into advice and over-hedging, where the amounts or duration did not match the underlying loans.
This is the second action by the FSA against Barclays in particular this week, after the bank was slapped with the largest fine the UK regulator has ever issued over its manipulation of the London interbank offered rate.


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A wise medical student once remarked, "rankings are important because Americans like lists." Magazines promising to provide the low-down on the top 10 songs, best movies, most beautiful beaches, most talented chefs, the top colleges are guaranteed to sell. Lists provide a starting point for people to make decisions when they have many options to choose from. Americans want to believe that in a capitalist society, they should be able to find and pick the best value their budget can afford.
For rankings to be useful, two things have to be true. First, people have to have a choice they can make. Second, the rankings have to measure what is important to people making the choices. Beyond that are pesky details like validity and reliability of the data but let's just deal with the high level assumptions. Choice and values in health care. Do rankings like US News & World Report's Americas Best Hospitals help consumers make good choices?
You could argue that patients could use the list to choose the best health care when they need it. But is that reasonable? The methodology for USN&WR Best Hospitals is selected, by their description, to help people choose care for the most serious or complicated conditions. But health care is not a traditional market. Patients with serious or complicated conditions may have little choice. Patients sick enough to need emergency care generally seek (or are taken to) the closest institution, whether or not that institution is tops on any list. People with less emergent but serious conditions may have more choice in theory but in reality, their ability to seek care is heavily constrained by their insurance company's list of preferred providers (and if they have no insurance—no choice for them!) and by their ability to leave their home community to seek care for a chronic condition (an opportunity that is rare for all but the most wealthy). And what if the patient has more than one condition? Which one should dominate their decision-making about where to seek care?
In reality, when patients receive a serious diagnosis, they are scared and vulnerable and often leave the choice to someone they trust. Under the best circumstances, they will have a longstanding relationship with a physician who understands them as an individual and as a patient with a disease. Under somewhat less optimal conditions, a family member or a neighbor of a patient knows a doctor they can call and ask for a recommendation about where to seek care.
Do the rankings help those physicians make good choices?
Sometimes yes. Reputational measures, the main process measure of the Best Hospital list, assembles the cumulative wisdom of many physicians about where they think the best physicians work. They are a good place to start but, just as with a list of the best songs, different patients will experience people and places on the best list differently. If I am a hard rock fan, I am unlikely to be enthralled by Taylor Swift's music, even if she is the best female vocalist of the year. If I am a patient who values a caring and compassionate approach but the physicians providing reputational opinions are focused purely on technical skill, I may be similarly disappointed.
What if no one on the list is in your community? What if you don't have a 'serious or complicated' condition but instead, just a nagging condition that is interfering with your ability to enjoy your life? What kind of information can consumers use to pick the best health care system under those circumstances?
-Catherine Lucey, MD


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The Marketer's Mix: 7 Resources to Help Build Customer-Centric Growth Engines
9 Great Resources for Today's Hybrid Marketing and Business Professional
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