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Author Affiliations: Departments of Plastic, Reconstructive, and Hand Surgery (Mr de Jong and Dr Mathijssen) and Otolaryngology (Mr Toll and Dr de Gier), Erasmus Medical Center–Sophia, Rotterdam, the Netherlands.
Objectives To determine syndrome-specific type, severity, and prevalence of hearing loss to facilitate follow-up and treatment.
Design Tertiary pediatric hospital craniofacial clinic survey study. If insufficient or no data were available for a child, he or she was referred to an audiologist for pure-tone audiometry.
Setting Academic research facility.
Patients Information was gathered regarding 132 children and young adults with craniosynostosis.
Main Outcome Measures The primary outcome was hearing assessment of children and young adults with various types of craniosynostosis. A secondary outcome was inference regarding the incidence of otitis media among children and young adults with craniosynostosis.
Results We found mild or moderate hearing loss in 44.0% of patients with Apert syndrome, in 28.5% with Crouzon syndrome, in 62.1% with Muenke syndrome, in 28.6% with Saethre-Chotzen syndrome, and in 6.7% with complex craniosynostosis. Hearing loss was conductive in most patients with Apert, Crouzon, and Saethre-Chotzen syndromes and it was predominantly sensorineural in patients with Muenke syndrome. Sensorineural hearing loss at lower frequencies was found only in patients with Muenke syndrome.
Conclusions Most patients with syndromic and complex craniosynostosis have recurrent otitis media with effusion, causing episodes of conductive hearing loss throughout their lives. Sensorineural hearing loss can occur in all 4 syndromes studied but is the primary cause of hearing loss in children and young adults with Muenke syndrome. For patients with these syndromes, we recommend routine visits to the general practitioner or otolaryngologist, depending on national standards of care, to screen for otitis media with effusion throughout life. We also advise early screening for sensorineural hearing loss among children and young adults with these syndromes.
Children with syndromic craniosynostosis are at high risk of developing hearing loss. An earlier retrospective study1 found that the prevalence of hearing loss varied from 37% among children with Saethre-Chotzen syndrome to 72% among children with Apert syndrome. Despite the high prevalence, research on this topic is limited, especially for syndromes other than Apert syndrome. Current knowledge is based on data from few studies2- 6 with small sample sizes. Furthermore, only 1 study7 mentioned the severity of associated hearing loss. If syndrome-specific type, severity, and prevalence of hearing loss are known, appropriate follow-up and treatment can be implemented. The best possible hearing is necessary to optimize language development, which is already compromised in many children with syndromic craniosynostosis.8
A cross-sectional survey was conducted among 146 patients aged 4 to 18 years with syndromic or complex craniosynostosis treated at the Dutch Craniofacial Center, Erasmus Medical Center–Sophia, Rotterdam, the Netherlands. All diagnoses were made by a geneticist based on the results of genetic analysis. If no syndrome diagnosis could be made and 2 or more sutures were closed, craniosynostosis was defined as complex. Because Crouzon and Pfeiffer syndromes often cannot be distinguished genetically, we considered them a homogeneous group in this study.
If no audiological information was available at our center, we contacted the parents or their child by mail to inquire about the results of testing performed elsewhere. In the Netherlands, hearing screening is performed in the first week of life, in primary school, and in secondary school. If screening results are aberrant, the child will be referred to an otolaryngologist or audiologist. If a patient had been seen by an otolaryngologist or audiologist, informed consent was obtained to acquire audiological data. Information was gathered regarding audiometric results, episodes of otitis media, inserted ear plugs, and the use of hearing aids. If the patient never had been seen by an otolaryngologist or audiologist, he or she was referred to an audiologist for single pure-tone audiometry. Patients were excluded if no audiological information was available and if they did not respond to or consent to our inquiry. A pure-tone average (with average losses at 0.5, 1.0, and .0 kHz) of 20- to 40-dB hearing loss was classified as mild and 41- to 70-dB hearing loss as moderate.
Of 146 patients aged 4 to 18 years with syndromic or complex craniosynostosis, audiological information was available at our center for 27 patients. The other 119 patients were contacted by mail, of whom 105 (88.2%) responded. Of 105 respondents, 62 had previously visited an otolaryngologist or audiologist and 43 had not. Of 43 who were referred for single pure-tone audiometry, we received information regarding 19 patients.
The total group for whom audiological information was sought consisted of 132 children and young adults (Table). Of these 132 children, 25 had Apert syndrome, 42 had Crouzon syndrome, 29 had Muenke syndrome, 21 had Saethre-Chotzen syndrome, and 15 had complex craniosynostosis. The mean age at the time of review was 11.5 years, and the mean age at the last hearing test was 8.8 years. Sixty-six patients (50.0%) were male.
Of 132 children and young adults, 108 (81.8%) had been seen at least once by an otolaryngologist or audiologist, and 88 (66.7%) had undergone audiometry at least once. Among those who underwent audiometry, 19 patients had Apert syndrome, 29 had Crouzon syndrome, 23 had Muenke syndrome, 10 had Saethre-Chotzen syndrome, and 7 had complex craniosynostosis. The distribution of hearing loss severity in the ear with better hearing is given in the Table.
The average hearing loss severity in the ear with better hearing across patients per frequency was calculated for those with Apert, Crouzon, and Muenke syndromes (Figure). Audiological data were insufficient to calculate the frequency of hearing loss for patients with Saethre-Chotzen syndrome and for those with complex craniosynostosis. Hearing loss in patients with Apert, Crouzon, and Saethre-Chotzen syndromes was mainly of conductive origin. Hearing loss in patients with Muenke syndrome was mostly sensorineural at lower frequencies, sometimes occurring in combination with conductive hearing loss. This pattern of hearing loss was found only in patients with Muenke syndrome. Two patients with Saethre-Chotzen syndrome had unilateral sensorineural hearing loss, with pure-tone averages of 65- and 70-dB hearing loss.
Figure. Average hearing level in the better ear among patients with syndromic and complex craniosynostosis. Twenty-five with Apert syndrome (A); 42 with Crouzon syndrome (B); and 29 with Muenke syndrome (C). AC indicates air conduction threshold; BC, bone conduction threshold.
Recurrent otitis media with effusion was seen in 22 of 25 patients (88.0%) with Apert syndrome, 20 of 42 patients (47.6%) with Crouzon syndrome, 14 of 29 patients (48.3%) with Muenke syndrome, 8 of 21 patients (38.1%) with Saethre-Chotzen syndrome, and none with complex craniosynostosis. Of 132 patients, 19 (14.4%) were treated with a hearing aid. These included 5 of 25 (20.0%) with Apert syndrome, 5 of 42 (11.9%) with Crouzon syndrome, 7 of 29 (24.1%) with Muenke syndrome, and 2 of 21 (9.5%) with Saethre-Chotzen syndrome.
There is a high prevalence of hearing loss among children with syndromic craniosynostosis; this is reflected in the high proportion (66.7%) of patients who had visited an otolaryngologist or audiologist at least once before this study. In most cases, recurrent otitis media with effusion has resulted in conductive hearing loss. Sensorineural hearing loss or mixed hearing loss occurred in all syndromes but especially among patients with Muenke syndrome. If present, hearing loss in patients with Saethre-Chotzen syndrome is mild and hearing loss is absent in most patients with complex craniosynostosis.
Small studies2,9 show a high prevalence of congenital hearing loss due to ossicular chain fixation and constricted or absent external ear canals; larger studies3,7,10- 12 show a much lower prevalence of congenital hearing loss and indicate that recurrent otitis media with effusion is the main cause of conductive hearing loss in syndromic craniosynostosis. Several risk factors for the development of recurrent otitis media with effusion are present in patients with syndromic craniosynostosis, including small nasopharynx,13,14 short and dysfunctional eustachian tube,2,10,15 obstructive sleep apnea,16 and cleft palate.17
Apert syndrome is caused by an S252W or P253R mutation in the FGFR2 gene (OMIM 176943). This syndrome is characterized by craniosynostosis of coronal sutures, midface hypoplasia, obstructive sleep apnea, complex syndactyly of hands and feet, and mental retardation. Studies7,9,10,18,19 of patients with Apert syndrome describe a high incidence of conductive hearing loss, predominantly caused by recurrent otitis media with effusion and congenital stapes fixation. Superior semicircular channel dehiscence has been described in Apert syndrome as a cause of conductive hearing loss with larger air-bone gaps at lower frequencies.20,21 In effect, superior semicircular channel dehiscence creates a third window, which causes pseudoconductive hearing loss.
Crouzon syndrome is caused by several mutations in FGFR2 that differ from those in Apert syndrome. All sutures can be affected. Children with Crouzon syndrome have exophthalmus, midface hypoplasia, and a high prevalence of obstructive sleep apnea and raised intracranial pressure; however, their mental development is nearly normal in most cases. Among patients with Crouzon syndrome, studies2- 4 describe conductive hearing loss, sensorineural hearing loss, and mixed hearing loss, caused by recurrent otitis media with effusion, ossicular chain fixation, and external auditory canal atresia. Although Crouzon syndrome has the lowest prevalence of hearing loss, 35.0% of patients have mild or moderate hearing loss. The same air-bone gaps as in Apert syndrome are seen, but they are larger at lower frequencies.
Muenke syndrome is caused by a P250R mutation in FGFR3 (OMIM 134934). In most cases, 1 or 2 coronal sutures are affected. Muenke syndrome is associated with a mild phenotype, but patients can have developmental and behavioral problems. A high prevalence of hearing loss is reported in Muenke syndrome, predominantly of the sensorineural type and worse at lower frequencies.11,22,23 Sensorineural hearing loss probably results from an influence of the FGFR3 mutation on development of the inner ear.24 This hearing loss was not found in patients with other forms of craniosynostosis, making it specific to Muenke syndrome. This is relevant for counseling; because the phenotype of Muenke syndrome varies, low-frequency sensorineural hearing loss may be the sole expression of the syndrome.
Saethre-Chotzen syndrome has a mild phenotype and is caused by deletions or mutations in the TWIST1 gene (OMIM 601622). In most cases, coronal sutures are affected. This syndrome is characterized by ptosis of the upper eyelid. The literature pertaining to hearing in patients with Saethre-Chotzen syndrome is limited. A high prevalence of recurrent otitis media with effusion is described, and hearing loss (if present) was mostly conductive.5,11 One patient with Saethre-Chotzen syndrome was described as having sensorineural hearing loss.6 Herein, 2 patients with Saethre-Chotzen syndrome had unilateral sensorineural hearing loss, both of whom profited from the use of a hearing aid.
The prevalence of hearing loss is low among patients with Saethre-Chotzen syndrome and among those with complex craniosynostosis. Because patients are routinely screened for hearing loss throughout their childhood, we can assume that they do not have clinically relevant hearing loss if they have never been examined by an otolaryngologist or audiologist.
Of the 108 children and young adults studied herein, only 19 were treated with a hearing aid, although more than 50% had mild or moderate hearing loss in their better ear. This likely occurred because hearing loss is caused by recurrent otitis media with effusion in most instances and this condition was initially treated with grommets. Insertion of grommets does not prevent the development of permanent hearing loss, especially if ear discharge is present. Therefore, early management of hearing loss with a hearing aid always should be considered.19 Doing so will optimize auditory access and speech and language, since many developmental problems are seen in children with these syndromes.8,22,25
In conclusion, regular checkups for middle ear function and hearing are indicated at least until age 18 years for patients with Apert syndrome and those with Crouzon syndrome. Depending on national standards of care, these checkups can be performed by an otolaryngologist or general practitioner. Patients with persistent otitis media with effusion or significant hearing loss should be referred to an otolaryngologist. Patients with Apert, Crouzon, Muenke, and Saethre-Chotzen syndromes should be screened for sensorineural hearing loss early in life. Treatment of hearing loss with grommets or hearing aids is needed in children and young adults with syndromic craniosynostosis for optimization of speech and language development.
Correspondence: Tim de Jong, MSc, Department of Plastic, Reconstructive, and Hand Surgery, Erasmus Medical Center–Sophia, Dr Molewaterplein 50, Room EE 15.91, 3015 GE Rotterdam, the Netherlands (firstname.lastname@example.com).
Submitted for Publication: February 14, 2011; final revision received April 11, 2011; accepted May 19, 2011.
Author Contributions: Mr de Jong and Drs de Gier and Mathijssen had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: de Jong, de Gier, and Mathijssen. Acquisition of data: de Jong and Mathijssen. Analysis and interpretation of data: de Jong, Toll, de Gier, and Mathijssen. Drafting of the manuscript: de Jong and Mathijssen. Critical revision of the manuscript for important intellectual content: de Jong, Toll, de Gier, and Mathijssen. Statistical analysis: de Jong. Study supervision: de Gier and Mathijssen.
Financial Disclosure: None reported.
Funding/Support: This study was funded by the Carolien Bijl Foundation.
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UN Viet Nam Marks UN Day
8 November 2011: UN Greening the Blue has announced that the UN office in Viet Nam hosted a green picnic, for staff, family and friends, to mark UN Day on 24 October 2011. The event aimed to raise awareness of environmental issues through green booths and quizzes.
In addition, participants were encouraged to use sustainable transportation. According to UN Greening the Blue, the green picnic is part of larger greening effort by the UN in Viet Nam, carried out in the framework of the "Greening the One UN Campaign," launched on 1 September 2011. The UN is also working with the World Wildlife Foundation (WWF) Green Office programme to reduce the environmental footprint and enable the UN in Viet Nam to be more responsible in terms of climate change. The UN in Viet Nam's long-term goal is to become a climate-neutral organization. [UN Greening the Blue Press Release]

subset: commoncrawl


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Network kicks off channel next month
College sports are getting an injection of corporate growth hormones thanks to a move by CBS to turn its 24/7 College Sports TV channel into the CBS College Sports Network, beginning next month.
Spearheaded by the top two executives of CBS Sports — prexy Sean McManus and Tony Petitti, executive VP and exec producer — the newly named network will begin developing more original programming, starting with "College Sports Tonight," a nightly recap of the news and a preview of forthcoming events.
"We believe this rebranding will better position our college-sports cable network in the competitive world of cable-television distribution," McManus said. Petitti stressed the "ability to bring unity to the CBS Sports brand across all media — broadcast network, cable, online and mobile."
The network reaches only about 25 million cable and satellite subscribers, a relatively modest number because but most of its clearance is on digital sports tiers. These tiers are not well penetrated on cable systems because customers have to pony up an extra monthly fee to get them.
McManus is hoping that the new initiative will get CBS College Sports Network into more homes.
CBS Corp. bought College Sports TV in January 2006 for $325 million.


text:
Duct Extension
- Item# 4C812
- Mfr. Model# 300EXT
- Catalog Page# N/A
Using 360° Viewing:
- Rotate: Use top-to-bottom, side-to-side by use of mouse arrow.
- Zoom In: Double click on image.
- Zoom Out/Reset: Put photo at full zoom & then double click.
- Shipping Weight 5.15 lbs.
Technical Specs
- Item Duct Extension
- Length (Ft.) 10
- Dia. (In.) 6
- Construction Flexible Reinforced PVC Duct
- Function Extends Intake or Exhaust Assemblies in 10 Feet Increments
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- Includes Connecting Sleeve and Clamp
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text:
Top Definition
Also "Ricoculous"
Ridiculous, preposterous, laughable.
Taken from changing the 'dick' in ridiculous and changing it to a 'cock'
Ridiculous, preposterous, laughable.
Taken from changing the 'dick' in ridiculous and changing it to a 'cock'
Are you kidding? That's the most ricoculous drivel I've ever heard. Go somewhere before you hurt yourself.
od uživatele Julien 23. říjen 2003
Trending Now
Can you define these popular missing words?
Unbelievably rediculous.
The fact that people like Hillary Clinton is just recoculous.
od uživatele PJChappy 26. červen 2003
Beyond ridiculous; crazy; unfathomable
My boss is giving me recoculous time frames to work with
od uživatele Bekkamel 14. září 2009
The act of being rediculous, with dic repaced with coc.
Joelbill and Corbob are so recoculous.
od uživatele Joelbill 11. listopad 2007
Beyond bomb,past the point of being reDICulous, crazy-ass shit, super fire
Dude, Monet said that weed is super fire and its recoculous!
od uživatele Siris the Great 10. duben 2009
Something that is extremely aggravating, or just plain out stupid and worthless.
"This guy is a recoculous fool"
od uživatele sassr 29. květen 2006
dude, that shirt looks recoculous
od uživatele C-UNIT 17. duben 2003


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Josh Turner
Josh Turner
Instrument: Acoustic Guitar
String Choice: N600M, 600MB
"I started using Black Diamond Strings years ago to go on my black guitar to give it a sleeker look. Not only do they look good, but they sound great too! I get so many comments and questions about my BLACK STRINGS! I will continue to use Black Diamond Strings because they are a reliable product."


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Salem First Friends Church hosting fly-by dinner
SALEM - The public is invited to the "fly-by" carryout dinner from 4 to 6 p.m. March 20, or until sold out, at the First Friends Church, 1028 Jennings Ave. The menu offers glazed ham loaf, cheesy potatoes, seasoned green beans, roll and homemade cake. Cost is $8. Advance orders are available by calling the church office at 330-332-0001.
Salem Music Club to host 'Music in Rainbows'
SALEM - P.J. Devine and Ruth Newman will lead the program when the Salem Music Study Club meets at 7 p.m. March 27 in the parlor of the Educational Building of the Emmanuel Lutheran Church, 251 S. Broadway Ave. The program is titled "Music in Rainbows."
Members will be preparing last minute for the annual district meeting to be held from 8:30 a.m. to 2:30 p.m. April 5 at the church. The club is affiliated with the National Federation of Music Clubs and the Ohio Federation of Music Clubs.
Salem Memorial Building to host indoor garage sale
SALEM - The Salem Memorial Building's indoor yard/garage sale will be held from 9 a.m. to 5 p.m. April 5 at the Memorial Building, 785 E. State St.
An 8-foot tables and two chairs is available to rent for $10. Register for a table at the Memorial Building or download a registration form at www.salemparksandrecreation.com. Lunch will be served from 11 a.m. to 2 p.m. All profits benefit the Salem Memorial Building Association.
Deerfield Historical Society to hold Monday dance
DEERFIELD - The Deerfield Historical Society's "third Monday" dance will be held from 7 to 9:30 p.m. March 17 at the Deerfield Town Hall, 1450 state Route 14. Admission is $3. Refreshments are available for purchase.
The Caribbean Health Assistance, Rehabilitation and Management is hosting a benefit dance for its upcoming trip to the Dominican Republic. The dance is slated from 7 to 9:30 p.m. March 31 at the Deerfield Town Hall. Admission is $5. All proceeds will be used to purchase materials to benefit the Dominican people, particularly the children. For more information call Dr. David Snyder at 330-296-9155 or Sally Sampson at 330-654-3168.
Salem Masons to host public breakfast buffet
SALEM-A public breakfast buffet will be served from 7:30 to 10 a.m. March 22 at the Masonic Building, 788 E. State St. Cost is $6 for adults, $3 for children under age 10 and free for children under 2. The menu offers pancakes, waffles, sausage, bacon, scrambled eggs, homemade sausage gravy, biscuits, homefries, toast, fruit cocktail, orange juice, coffee and tea.
The building is equipped with a handicapped accessible elevator. Proceeds will be directed to the Salem Masonic Building Fund.
Beaver Local Class of '64 still seeking classmates
LISBON - The Beaver Local High School Class of 1964 is planning its 50th-year reunion to take place over the weekend of July 25, 26 27. There will be group activities all three days, highlighted by a dinner on Saturday at A La Cart Catering in Canfield. Classmates are requested to visit the class website www.beaverlocalreunions.com/64/ for more details and to RSVP. Those without internet access may call Linda Smith Simplican at 330-227-3131 or Nancy Swaney Williams at 614-428-9252.
The reunion committee has been unable to contact the following classmates due to missing addresses: Betty Armstrong Breezel, June Armstrong Williamson, Candace Dunn Bailey, William Grimes, Jean Hoon, Karen Marshall, Judith Martin Hibbard, David Miller, Judith Miller, Richard Miller, Peter Mills, John Fred Schmitt, Betty Sears and Wayne Smith. For contact information on these classmates call Simplican at 330-227-3131.
Butler Grange holds meeting, learns of March events
SALEM - Ida Zepernick presided when Butler grange met recently. The charter was draped in memory of Louise Clegg, a 14-year member who died Feb. 13, 2014.
Bailey presented a synopsis of a news article by Sylvia Hui, regarding the Olympics at Sochi and how they continue to use the expensive stadiums after the games.
Ruth Ann Altenhof presented the program: March Happenings-March 16 is St. Urho Day (fact or fiction). Myrtle Bailey presented the traditional story regarding the Finnish hero, St. Urho. Waving his pitch fork and chanting "Heinasirkha, heinasirkha,menetaalta hiiten" (which in English means Grasshopper, Grasshopper Skoot!") He drove the grasshoppers out of the vineyards. Sally Hays presented the modern version, the Irish say around 1956, St.Patrick's Day.
Carol Speece presented "The First Day of Spring:Vernal Equinox." Poems read included "Spring" by Clyde Zepernick; "In Honor of Spring" by Altenhof; "The Season of Spring" by Bill Speece; "When It's Springtime in Ohio" by Ida Zepernick.
Unity Grange will present its traveling program to Mile Branch Grange at 7 p.m. March 24. At 7 p.m. April 7, Mile Branch will travel to Lisbon Grange.
R-Weigh weight groups reward weight loss winners
SALEM - The R-Weigh weight support groups met at 1 and 5 p.m. Monday at the First Friends Church. A loss of 33 pounds was recorded for the week. Gerry Heffinger presided at the afternoon meeting and did a program on "Test Your Food IQ." Rachel Weaver was the goalie for the week. Winners of the X and O Basketball contest receiving $5 each were Helen Baker, Carol Jules, Francie Tuel, JoAnne Bogdan and Patty Mills.
Karen Pauline presided at the evening meeting and Linda Lude did a program on "Foods to Eat to Prevent Fatigue." Lude wrote and sang the song "Power of Women" which will be the 2014 theme song. Peggy Kurtz gave the inspiration for the week.
The good losers at the evening meeting were Pauline Zirkle, Donna Greenamyer and Susan Cain. Jesse Rea was the goalie for the week and Colleen Wafler received the monetary vacation award. Sara Smith earned the $10 can-do drawing. Patty Hartman announced that group one had a no-gainer week. Winners of the X and O Basketball contest receiving $4 each were Peggy Billet, Susan Cain, Edie Sternburg, Lois Wood, Kurtz, Lude, Smith, Hartman and Greenamyer.
There will be a one-week "Luck of the Irish" contest at both groups on March 17. New members are welcome. For information call 330-332-1078.


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Both McClain County escapees now in custodyUPDATED 4:13 PM CST Feb 11, 2013
The second of two men who walked away from a McClain County work detail has been arrested in Norman, authorities confirm.
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Three's a CrowdJane Roper
Elsa has always been out in front when it comes to gross motor skills. She rolled over before Clio. She sat up first, crawled first, and walked first. She's the bolder climber, jumper and dancer. (Though Clio can shake her groove thang quite groovily, too.)
We've been doing swim classes with the girls this summer—a class with parents, as the last time we actually did swimming with them was when they were barely two. Elsa was dog paddling on her own (with flotation device) by the second class. Clio is making progress, but is nowhere near Elsa's level.
It's not just physical stuff, either. Elsa is a bit ahead when it comes to things like representational drawing and reading and math skills. Although, I hesitate to say "ahead" when it comes to these things, because while it may be true that she is more advanced intellectually/cognitively/whateverly it is that controls this stuff, it's also possible that she's just more interested in it. (Not to mention the fact that abstract expressionist artists might have a serious issue with my saying that representational art should be considered "ahead.")
In any case, between these things, Elsa's slightly taller/larger size, and her tendency to be outgoing with people she's just met, it's not entirely surprising that people sometimes mistake her for Clio's older sister instead of her twin.
But it is a bit surprising that in general — and especially of late — Clio seems much more emotionally and socially mature than Elsa. Sure, she is slower to jump in when in new situations. But increasingly I see this not as fear, but caution. She observes, assesses and analyzes before she takes any chances.
And when it comes to interactions with other kids, Clio is much more able than Elsa is to share, compromise and cooperate. She's willing to follow instead of always trying to lead. As a result, unfortunately, if the girls are hanging out with a friend, Elsa, our alpha gal, often ends up being the odd one out.
I feel like I'm walking a fine line here, and maybe saying too much, at the risk of invading the girls' privacy. They're not babies anymore, and I'm not sure how they would feel about my analyzing their social lives here if they read this a few years from now. (Once, you know, they have any grasp whatsoever of the Internet.) So I won't say any more on this topic, except to say that it's very hard for me, as a mom, to see the "three's a crowd" dynamic happening. My heart breaks a little for Elsa.
And I see now that for the next who-knows-how-many-years, this will probably be an issue: how the girls navigate their friendships with other kids and with each other. Ultimately, of course, they need to figure it out on their own. But it does make me appreciate why many parents choose to separate twins once they're in school.
I'd love to hear from other parents of twins (or people who are twins themselves) on this one. How do you help (or not help?) your twins manage "three's a crowd" or other tricky social dynamics with other kids in the preschool / early school years?
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After decades of producing and promoting her work and that of many other black women artists, Cleage is now enjoying a heralded heyday of public attention, that began in the late 1990s, thanks to the selection of her first novel, What Looks Like Crazy on an Ordinary Day, as one of the early Oprah's Book Club picks. We have witnessed the trajectory of her immense popularity as a New York Times best-selling author, and yet have not seen the complimentary development of critical essays that would more fully place Cleage's literary accomplishments into proper contemporary and historical context.
Topics may include but are not limited to:
•The cultural context of Idlewild, MI
•The concept of Free Womanhood
•Black women and the HIV/AIDS epidemic
•Cleage, regionalism, and Georgia (Cleage's contributions and collaboration with Atlanta Tribune, Live at the Zebra Lounge!, Spelman College)
•Socio-political influence of the Civil Rights Era
•Feminism and her work
•Poetry as a political and historical tool/ Making the personal political
•Pearl Cleage as pop culture
•Cleage and the Oprah Effect (from Oprah's Book Club to We Speak Their Names at the Oprah Legends Ball)
•Cleage and the activist impulse (HIV/AIDS; the modern day sex slave trade; brothers on the "down low"; domestic violence)
•Cleage as intergenerational bridge-builder, mentor, and role model
•Literature as a conduit of untold history (particularly that of black women)
•Cleage's work as the nexus of theory and praxis
•Cleage in conversation with a new generation of black women writers (Tayari Jones, Suzan-Lori Parks, and others)
Please submit one hard copy and one electronic copy (Word only) of abstracts and completed manuscripts.
Abstracts are due July 30th, 2008.
Completed articles must be received by September 30th, 2008.
Articles should conform to MLA style, and should not exceed 7,000 words in length, including endnotes and fully documented references.
Submissions should also include:
1) a mini-bio (5-10 lines)
2) a C.V. or resume


text:
Hello, friends,
I'm adjusting still to Slackware 12.0. For example, I'm finally using
the generic kernel instead of the huge one, but...
One thing about 12.0 has me stymied. I ran a test. This doesn't
happen in my Slackware 10.2 installation:
1. Make this script:
echo say something
read answer
echo $answer
2. chmod u+x try
3. ./try
4. Try will ask you to "say something". So type a few characters.
Then try to use the backspace key before you press enter. If you
are running in xterm in X (I tried fvwm2 and twm), then pressing the
backspace key produces "^H" instead of actually doing a backspace.
In Slackware 10.2 the same test actually *does* the backspace which is
what I want. What good is it to get "^H" instead of *doing* the
Note that when not in X both 10.2 and 12.0 *do* the backspace, so this
seems to be related to X.
Can anyone help me with this? I tried tinkering with xmodmap and
..screenrc, and I found this article on the web:
But I haven't solved the problem yet. I just want backspace to *do*
the backspace *all* the time whether I'm in X or not.
Oh bother. I just solved the problem. I read the article I referenced
above thinking "Man, I better read this."
Well, the answer is use
stty erase `tput kbs`
at the command line in xterm first and all uses of script try will
function in the desired way (with real backspace).
I'm still troubled, though. Why the change (from 10.2 to 12.0) so that
*now* "stty erase `tput kbs`" is needed to get the desired behavior?
I'll quit now before I reveal any more foolishness.


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How the Mob Owned Cuba…and Then Lost It to the RevolutionTo underworld kingpins Meyer Lansky and Charles "Lucky" Luciano, Cuba was the greatest hope for the future of American organized crime in the post-Prohibition years. In the 1950s, the Mob—with the corrupt, repressive government of brutal Cuban dictator Fulgencio Batista in its pocket—owned Havana's biggest luxury hotels and casinos, launching an unprecedented tourism boom complete with the most
$11.99A coming-of-age story, based on a recent shocking chapter of Argentine history, about a young woman who makes a devastating discovery about her origins with the help of an enigmatic houseguest. Perla Correa grew up a privileged only child in Buenos Aires, with a cold, polished mother and a straitlaced naval officer father, whose profession she learned early on not to disclose in a country still
Francisco Orellana's Legendary Voyage of Death and Discovery Down the AmazonFrom the acclaimed author of Conquistador comes this thrilling account of one of history's greatest adventures of discovery. With cinematic immediacy and meticulous attention to historical detail, here is the true story of a legendary sixteenth-century explorer and his death-defying navigation of the Amazon—river of darkness, pathway to gold.In 1541, the brutal conquistador Gonzalo Pizarro and his
$11.99People around the world know Dave Batista as World Wrestling Entertainment's "the Animal," the rope-shaking, spine-busting World Heavyweight Champion, one of the most popular Superstars in recent years.The crowd turned Batista from heel to babyface after they were electrified by his awesome physique and physical wrestling style. Few fans, however, know that Batista didn't join the profession
Cuba : What Everyone Needs To KnowEver since Fidel Castro assumed power in Cuba in 1959, Americans have obsessed about the nation ninety miles south of the Florida Keys. America's fixation on the tropical socialist republic has only grown over the years, fueled in part by successive waves of Cuban immigration and Castro's larger-than-life persona. Cubans are now a major ethnic group in Florida, and the exile community is so
Five Centuries of the Pillage of a ContinentSince its U.S. debut a quarter-century ago, this brilliant text has set a new standard for historical scholarship of Latin America. It is also an outstanding political economy, a social and cultural narrative of the highest quality, and perhaps the finest description of primitive capital accumulation since Marx.Rather than chronology, geography, or political successions, Eduardo Galeano has
Notes on a Latin American JourneyThe book of the popular movie STARRING GAEL GARCIA BERNALNOW A NEW YORK TIMES BESTSELLERThe young Che Guevara's lively and highly entertaining travel diary, now a popular movie and a New York Times bestseller. This new, expanded edition features exclusive, unpublished photos taken by the 23-year-old Ernesto on his journey across a continent, and a tender preface by Aleida Guevara, offering an
My Struggle to Reclaim ColombiaIngrid Betancourt, a senator and a presidential candidate in Colombia, grew up among diplomats, literati, and artists who congregated at her parents' elegant home in Paris, France. Her father served as Colombia's ambassador to UNESCO and her mother, a political activist, continued her work on behalf of the country's countless children whose lives were being destroyed by extreme poverty and
Latin America, the United States, and the Rise of the New ImperialismAn eye-opening examination of Latin America's role as proving ground for U.S. imperial strategies and tacticsIn recent years, one book after another has sought to take the measure of the Bush administration's aggressive foreign policy. In their search for precedents, they invoke the Roman and British empires as well as postwar reconstructions of Germany and Japan. Yet they consistently ignore the
$13.99The story began in 1918, when Gustavo Arellano's great-grandfather and grandfather arrived in the United States, only to be met with flying potatoes. They ran, and hid, and then went to work in Orange County's citrus groves, where, eventually, thousands of fellow Mexican villagers joined them. Gustavo was born sixty years later, the son of a tomato canner who dropped out of school in the ninth
A History of the Caribbean from Columbus to the Present DayEver since Christopher Columbus stepped off the Santa Maria onto what is today San Salvador, in the Bahamas, and announced that he had arrived in the Orient, the Caribbean has been a stage for projected fantasies and competition between world powers. In Empire's Crossroads, British American historian Carrie Gibson traces the story of this coveted area from the northern rim of South America up to


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Trident Medical Center recently passed a comprehensive state reaccreditation review to maintain its status as a designated trauma center.
For the public, it means that Trident has gone a step further in investing in their well-being by providing additional resources to care for them in case of a traumatic injury, said Bob Behanian, hospital spokesman.
For the hospital, it is an accomplishment to be designated as a trauma center. It says that we have gone a step further... to help create the best possible outcomes for our patients, he said.
Of the five trauma centers here, Trident is the only one located in the North Area. The Medical University of South Carolina has the highest-rated trauma center, a so-called Level I accreditation. The others, including Bon Secours St. Francis Hospital, Roper Hospital, East Cooper Medical Center and Trident, have earned the Level III accreditation, according to the state Department of Health and Environmental Control.
The presence of a trauma unit in a community can mean the difference between life and death. The first 60 minutes after the most serious injuries, the so-called golden hour, is critical to survival, said Jim Beasley, DHEC spokesman.
Weve got some areas of the state where its hard to find a good trauma center, Beasley said.
A trauma center differs from a hospital emergency department because it has additional resources and equipment to help care for severely injured patients. Its staffing, specialist availability, response times and training are more extensive, according to DHEC.
Trauma centers are ranked as Level I, II or III depending on the care they can provide. Level I centers must have trauma surgery, anesthesia and operating room capabilities available at all times, according to the departments website. Other specialists must be on call and able to respond within a short time, the site states.
A Level III trauma center should have the capability to initially manage the majority of injured patients and have transfer agreements with a Level I or II trauma center for patients whose needs exceed their resources, according to the states site.


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My Account X
Merkel Safari Centerfire Rifle
Item # UF102553758
Key Features
Action - Side by Side
Caliber - .470 Nitro Express
Barrel Length - 23-1/2"
Weight - 10.8 Lbs.
Sights - Ramped Front/Double Leaf Rear
Our Price $7,999.99
Availability: Sold Out
- To buy online and deliver to a Gander Mountain store or an Independent Firearms Dealer, simply add this item to your cart. Click here for additional details.
- Firearms shipping charge of $25.00 per item.
- You must be at least 18 years old to purchase this item. State and local laws may vary.
- Additional discounts do not apply.
Prices, promotions, styles and availability may vary by store and online.
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Product DescriptionRobustness, reliability and intuitive handling-these are the properties that matter when every split second counts. In addition to tried-and-tested highpower big game caliber, Merkel side-by-side rifles of the Africa series offer everything the hunter needs to successfully and safely meet the challenges of the Safari. The recoil and balance of these unique rifles are optimised by the inert mass in the buttstock and barrel set, which have been exactly calculated by Merkel. The resultant greater weight reduces the recoil and enables the gun to be kept on target for the rapid second shot. The Safari rifles are built around an Anson & Deeley locking system with a Greener cross bolt with double bottom bite. The express sight with a sight leaf allows shooting at variable distances and the hinged trigger prevents injury to the trigger finger. Detachable sidelocks provide a surface for fine engraving. This rifle is calibered for .470 Nitro Exress rounds. Its wood is in good condition and its metal and bore are in very good condition.


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2012 Baltimore Regional Toddler Fair Snapshots!
The Montessori School hosted the 18th annual Baltimore Regional Toddler Fair on Saturday, June 23. Beautiful weather, lots of exciting activities for the little ones and a host of local businesses, schools, community organizations and others providing child-related goods and services created an event sure to be remembered fondly by parents and children alike.
Many thanks to our sponsor, Baltimore's Child, and to the many other businesses and individuals who participated to make this such a wonderful event!
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At Brenda D. Keen, P.C., we provide clients with sophisticated representation in family law and divorce choices in Houston, Texas.
Brenda Keen is a board certified family lawyer and is AV-rated* by Martindale-Hubbell. She has extensive experience handling all types of divorce choices throughout the Houston area, including divorce, collaborative divorce, property division, and prenuptial and postnuptial agreements.
Our practice is built on referrals - from former and existing clients who appreciate the knowledge, experience and service we offer and from attorneys seeking to refer a client for experienced, top-quality representation in family law matters.
When Ms. Keen started her law firm, she understood that she is here to provide you with a service. Her formula for success has always been based on dedication and commitment to her clients, providing the highest level of quality representation and always placing her clients' interests above all else.
With more that 30 years of experience and a certification as a family law specialist by the Texas Board of Legal Specialization, Ms. Keen has succeeded in providing clients with sophisticated family law representation and attentive, personal service. For additional information about Ms. Keen and her background, please visit the Attorney Profile for Brenda Keen page.
Also, for additional information about us and the quality of our services, please visit our Benefits of Retaining the BKeen Firm page.
To schedule a confidential consultation with board certified family lawyer, Brenda Keen, we invite you to call us at (713) 972-1320 or fill out our intake form and we will contact you.
*CV, BV and AV are registered certification marks of Reed Elsevier Properties Inc., used in accordance with the Martindale-Hubbell certification procedures, standards and policies. Martindale-Hubbell is the facilitator of a peer-review–rating process. Ratings reflect the confidential opinions of members of the Bar and the judiciary. Martindale-Hubbell ratings fall into two categories: legal ability and general ethical standards.


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Handcrafted Luxury Beds, Mattresses, Bedroom Furniture and Accessories for Distinctive Interior Style
Welcome to And So To Bed, the home of exclusive luxury beds, bed frames, headboards and elegant bedroom furniture accessories, perfect for creating beautiful bedroom aesthetics. We specialise in period reproduction bedsteads with everything from a wooden, upholstered or metal bed frame finish in single to Super King, and even larger Emperor sizes. You can shop our handmade beds in an array of traditional and contemporary designs and finishes, including the classically chic French styles. Or, take a look at our exclusive customisable and bespoke bed service to ensure you find a bed that you truly love.
IMPORTANT NEWS: Have a look at our new designer bed collaboration with Rachel Bates now!
As specialists in providing the ultimate in luxury for your bedroom, we don't stop at just beds. Shop our luxury mattresses from expert brands such as Tempur and Vispring, as well as our own in-house collection, guaranteed to offer the highest quality at low, affordable prices. You can even dress your bed with our gorgeous range of designer bedding and luxury bed linen to ensure you get the maximum comfort whilst keeping your bedroom looking beautiful.
We have many And So To Bed showrooms across the UK where you can come in and speak with one of our luxury bedroom sales specialists regarding any of the products seen online. Alternatively, you can shop and buy your perfect bedroom online and our bed and mattress delivery specialists will deliver and construct your items for you.


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February 5, 2006, 11:11 AM
There is a retailer here offering the Kel-Tek SU-16A for $449.00. I'm very temped to pick one up. I like the idea of a folding rifle in something more powerful than .22 for the BOB, also for H.D. and varmit hunting.
Anybody have one of these ?
Anybody have one of these ?


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404 File Not Found
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Take your good hair day with you, wherever you go. Ouidad Curl Essentials Kit is a set of four nutrient-packed, high-performance hair products that allow you to take care of your curls on the go. Shampoo, condition, fight frizz, and revive your curls with these advanced formulas.
Ouidad is an internationally recognized stylist and salon owner. Known as the Queen of Curl, Ouidad has a trademark on a specialized line of award-winning products that cater to curly and wavy haired people everywhere.
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UNFCCC Secretariat Releases Parties' Submissions on Consideration of the Scale of Emission Reductions to be Achieved by Annex I Parties
12 March 2009: The UNFCCC Secretariat has released submissions by parties on "Consideration of the scale of emission reductions to be achieved by Annex I Parties in aggregate, of the contribution of Annex I Parties individually or jointly, consistent with Article 4 of the Kyoto Protocol, to the scale of emission reductions to be achieved by Annex I Parties in aggregate, and of other relevant issues arising from the implementation of the work programme of the Ad Hoc Working Group on Further Commitments for Annex I Parties under the Kyoto Protocol as contained in document FCCC/KP/AWG/2008/8, paragraph 49 (c)" (FCCC/KP/AWG/2009/MISC.1).
The submissions cover the following elements: the duration of the commitment period(s); how quantified emission limitation and reduction objectives could be expressed, which includes how the base year is expressed; mitigation potential of Annex I Parties, including factors and indicators underpinning it; the coverage of greenhouse gases (GHGs), sectors and source categories; common metrics to calculate the carbon dioxide equivalence of anthropogenic emissions by sources and removals by sinks; possible approaches targeting sectoral emissions; how approaches to limit or reduce emissions of GHGs not controlled by the Montreal Protocol from aviation and marine bunker fuels could be used by Annex I Parties as a means to reach their emission reduction targets, taking into account Article 2, paragraph 2, of the Kyoto Protocol; and analysis of efforts and achievements to date, including during the first commitment period.
The submissions come from the following parties: Belarus; Croatia; the Czech Republic on behalf of the European Community (EC); Iceland; Indonesia; Japan; New Zealand; Norway; Saudi Arabia; Switzerland; and Ukraine. The EC submission is supported by Bosnia and Herzegovina, Croatia, Montenegro, Serbia and the former Yugoslav Republic of Macedonia. [The Document]


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Circle of Advocates Mentor Program
Circle of Advocates Mentor Program
The Circle of Advocates has established a unique mentoring program for students who wish to pursue careers in advocacy. Many members of the Circle of Advocates, accomplished trial attorneys and judges with many years of experience, volunteer their time to act as mentors to students who are interested in the field of litigation. This program gives students the opportunity to build relationships and receive guidance from some of the top litigators and judges in the Chicago legal community.
Students who are interested in participating in this mentoring program may contact Megan Canty, Assistant Director of Advocacy, at email@example.com.


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Your products, customized just the way you want them!
Make memorable gifts with your own photos.
Transform your creativity into beautiful products, sell them on CafePress and make money. It's easy and fun.
I've been a designer on CafePress since 2007. My interests range from my squirrel and bird photography to making fun designs for schools, libraries, families, pet owners, and sports and hobby enthusiasts.


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Call of Duty: Modern Warfare 2 Credits (Xbox 360)
Published by
Developed by
Also For
ESRB Rating
Critic Score
100 point score based on reviews from various critics.
User Score
5 point score based on user ratings.
Call of Duty: Modern Warfare 2 Credits
Other Games
In addition to this game, the following people are listed as working on other games. No more than 25 people are listed here, even if there are more than 25 people who have also worked on other games.
Fred Tatasciore, 250 other games
Gary Bolduc, 215 other games
Michael Hill, 209 other games
Keith Arem, 156 other games
Barry Kehoe, 146 other games
James Kevin Ward, 126 other games
Christopher D. Wilson, 125 other games
David Stohl, 117 other games
Glenn Vistante, 116 other games
Chris Keim Sr., 116 other games
Steven Ackrich, 116 other games
Gregory Deutsch, 114 other games
Stephanie O'Malley Deming, 108 other games
Steve Pearce, 105 other games
Philip Terzian, 95 other games
David Hickey, 92 other games
Brian Ward, 92 other games
Brian Bloom, 87 other games
Paul Sterngold, 83 other games
Fiona Ebbs, 79 other games
Troy Baker, 78 other games
David Lodge, 73 other games
Henry Peter Villanueva, 73 other games
Anthony J. Bond Jr., 68 other games
Kirk Thornton, 68 other games
People who have worked on this game have also collaborated on the creation of the following games:
Call of Duty 4: Modern Warfare, a group of 142 people
Call of Duty: MW3, a group of 141 people
Call of Duty: Black Ops, a group of 121 people
Call of Duty: Ghosts, a group of 100 people
Call of Duty: World at War, a group of 89 people
Wolfenstein, a group of 82 people
Call of Duty: Black Ops II, a group of 79 people
Blur, a group of 74 people
Transformers: War for Cybertron, a group of 74 people
Transformers: Revenge of the Fallen, a group of 72 people
Call of Duty 2, a group of 68 people
007: Quantum of Solace, a group of 67 people
Call of Duty 2: Game of the Year Edition, a group of 66 people
Call of Duty 2 (Collector's Edition), a group of 66 people
Singularity, a group of 65 people
Call of Duty: Modern Warfare - Mobilized, a group of 59 people
007: Blood Stone, a group of 56 people
DJ Hero 2, a group of 55 people
Marvel Ultimate Alliance 2, a group of 54 people
Guitar Hero: Warriors of Rock, a group of 53 people
Marvel Ultimate Alliance 2, a group of 53 people
X-Men Origins: Wolverine - Uncaged Edition, a group of 50 people
Transformers: Revenge of the Fallen, a group of 50 people
Tony Hawk: Shred, a group of 49 people
Call of Duty: World at War - Final Fronts, a group of 49 people
Credits for this game were contributed by Klaster_1 (57836)


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Working Group Calls for Prevention Funding in FY2012
May 27, 2011
To: Members of the House and Senate State and Foreign Operations Appropriations Subcommittee
Dear Representative/Senator,
As participants of the Prevention and Protection Working Group, a coalition of organizations dedicated to preventing deadly conflict and protecting civilians by strengthening U.S. civilian capacities, we urge Congressional appropriators to invest in critical conflict prevention and civilian protection accounts. These modest funds help stop costly crises from undermining state and regional security and erupting into violent conflicts, thereby saving millions of dollars likely to be spent on conflict response and humanitarian assistance. Secretary of Defense Gates, Secretary of State Clinton, Chairman of the Joint Chiefs of Staff Mullen, and bipartisan leaders in Congress have all noted the dual needs to rectify the imbalance in the U.S. foreign policy toolbox and to strengthen civilian capacity in order to meet today's complex security and humanitarian challenges.
The President's FY 2012 international affairs budget includes a number of modest but important investments that will save lives and preserve scarce resources by improving the U.S. government's ability to prevent and mitigate conflict. The initiatives outlined below represent relatively small investments that could save billions of dollars and thousands of lives by preventing crises from turning violent, stemming mass atrocities, and avoiding costly interventions.
Specifically, we urge Congressional Appropriators to fully fund the President's FY2012 request for the following accounts:
Complex Crises Fund: The CCF is a crucial source of unprogrammed, innovative, and flexible funding for civilian agencies, without which the State Department and USAID would be less capable of acting quickly when conflicts escalate or undertaking rapid stabilization, prevention, and crisis response activities. We urge you to fully fund the President's FY2012 request of $75 million for the CCF and to ensure that it is available for both the State Department and USAID.
Conflict Stabilization Operations: The CSO (formerly Civilian Stabilization Initiative) funds the Civilian Response Corps (CRC) and the State Department's Office for the Coordinator of Reconstruction and Stabilization (S/CRS). The CRC, a new corps of civilian experts trained and deployed to help prevent and mitigate conflict, now includes over 1,200 trained federal employees supporting critical diplomatic and development efforts in some of the most troubled spots in the world, including Afghanistan, Sudan, and Somalia. S/CRS continues to support vital conflict prevention, reconstruction, and stabilization operations in Pakistan, Haiti, and Yemen, among others. CSO is a low-cost, efficient use of scarce resources that can prevent costly conflict. We urge you to fully fund the President's FY2012 request of $92.2 million for the CSO.
Office of Transition Initiatives: USAID's Office of Transition Initiatives supports programs that help fragile or conflict-prone countries transition to peace and stability. OTI implements these programs and has developed a strong track record over the last 15 years in applying short-term assistance to leverage opportunities for advancing peace and mitigating violence. We urge you to fully fund the President's FY2012 request of $56 million for OTI.
UN Peacekeeping Operations: Professional, well-equipped international peacekeepers reduce the burden on the U.S. by acting as a key stabilizing force at a fraction of the cost of U.S. intervention – a mere 12 cents to the dollar according to the Government Accountability Office. UN Peacekeepers play a vital role in protecting civilians from harm, preventing displacement, restoring and maintaining rule of law and enabling post-conflict political and economic reconstruction. Therefore, we urge you to fully fund the President's FY2012 request of $1.920 billion for Contributions to International Peacekeeping Activities (CIPA) and $292 million for Peacekeeping Operations (PKO) programs.
Civilian agencies and international partners must be well-equipped to respond flexibly and decisively to mitigate escalating crises before atrocities occur. Wise investment in the aforementioned accounts will undoubtedly save lives and prevent the United States from costly military and reconstruction expenditures.
3D Security Initiative
Alliance for Peacebuilding
Auschwitz Institute for Peace and Reconciliation
Better World Campaign
Campaign for Innocent Victims in Conflict (CIVIC)
Church of the Brethren Global Partnerships
Citizens for Global Solutions
Colomban Center for Advocacy and Outreach
Disciples Justice Action Network
Friends Committee on National Legislation
The Fund for Peace
Human Rights First
Investors Against Genocide
Joan B. Kroc Institute for Peace and Justice, University of San Diego
Leadership Conference of Women Religious
Maryknoll Office for Global Concerns
Massachusetts Coalition to Save Darfur
Mennonite Central Committee U.S. Washington Office
National Council of Churches of Christ, USA
Refugees International
Save Darfur Coalition/Genocide Intervention Network
United Methodist Church, General Board of Church and Society


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Harper's Bazaar and Audemars Piguet host Woman of The Year Awards
5th November 2013: Harper's Bazaar and Audemars Piguet host Woman of The Year Awards
The awards held at Claridge's hotel, London honoured a selection of remarkable women (and men) whose talents and ambition are matched by their commitment and compassion.
Among the winners at the star-studded awards were Hollywood stars, international fashion designers, television icons, philanthropists, writers, models and musicians who have made their mark in 2013.
Rita Ora was commended for her talents and success and with the prestigious 'Audemars Piguet Musician of the Year' award.
Also among the talent on the evening was highly acclaimed music artist and Audemars Piguet friend, Tinie Tempah.


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Winston-Salem, NC -- "Turn your phone off! Turn your phone off," cried family and friends who lost two children in a crash believed caused by cell phone use.
It was the Mother's Day crash on I-40 in Greensboro that killed 15-year-old Daryl "D.B." Baucum and 11-year-old Isaiah Reynolds. The crash involved a tractor trailer and five other vehicles. Police say the tractor trailer driver, Jayne Perkins, was on the phone at the time of the crash. She's been charged with two counts misdemeanor death by motor vehicle.
Daryl Reynolds, the father of the victims, along with other family and friends marched in Winston-Salem to raise awareness about the dangers of being on the phone while driving, but this awareness march wasn't just a one time event. The family plans to march the first Saturday of every month until they reach their goal: a change in the law. "Help us change common sense laws and strengthen already existing laws. And also make cell phone use while driving causing an accident or a death an aggravated factor," says Reynolds.
Reynolds has also started a petition. He plans to address the legislature about his proposed changes in their session next January.
If you want to keep up with their progress, join their facebook group "DB and Isaiah 4 Change".
Last month WFMY News 2 and Crumley Roberts teamed up to encourage drivers to put away their phones in the car. It's an ongoing effort called "The Great Hang Up" and it's a pledge anyone can take. Just click on the link to pledge to do your best to stop texting, emailing and talking on the phone while behind the wheel.
WFMY News 2


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14 Toilet Paper Roll Craft Ideas
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Painted Heart and Roses Paper Cast
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Courtesy of Arnold Grummer's
This painted cast from Arnold Grummer's Paper Making Kits and Supplies is perfect to use on scrapbooks, greeting cards, gifts, keepsake boxes and more!
- Arnold Grummer's Paper Additive
- Arnold Grummer's Heart & Roses Vintage Mold
- Arnold Grummer's Glitter Glue for Paper Crafts
- Arnold Grummer's Cotton Linter Pre-Shredded: 8 oz package
- Watercolor paints or pencils
- Small round brush
- Fine-tipped glitter glue
- Rub the mold with glycerine, filling in all small details. Wipe away excess with paper towel or clean cloth.
- Use cotton linter with paper additive to make pulp. Pat pulp into mold, carefully working fibers into small details. Blot out water with sponge first, then towel.
- Bake at 185 degrees or allow to thoroughly dry. When completely dry, pop out of mold with knife.
- In watercolor pallette, put 4 generous drops of glitter glue. Wet brush and pick up color from watercolor cakes or pencil tips to tint glue.
- Use small round brush to paint tinted glitter glue onto cast. Allow to dry.
- Use fine-tipped silver glitter glue for outline.
- Apply painted cast to card, invitation, keepsake box, etc.
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Shop other Small Business accessories:
Find the office divider you're looking for here. The modern office is more open now than it has been in the past, and with that open floorplan comes a need to set specific areas aside and visually mark out a "flow." Office partitions are the most significant way of doing so, and this is the place to find the the divider you need.


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Single Article Purchase:
The Little Red Schoolhouse
Connolly JE.
Arch Surg. 1999;134(7):779-780.
Published online July 1, 1999
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Obtain AMA PRA Category 1 Credit™ by reading an article and completing an online quiz. Quizzes are available to AMA Members, subscribers, and those who have purchased tokens.


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Welcome back to the blogging series kids. Today I'm going to talk about my favorite products, where I learn the most, how I make money blogging (so you can too), and what it takes to put together a blogging event.
How do you get paid? I started getting paid to post by signing up with Media Networks.
The first media group I signed up with was Social Spark. They base your recommended earnings on your Google Analytics stats. Basically what happens is you get a lead, if you want to do the post you say "I'm Interested", and if you want more money, "Negotiate" the compensation amount. Almost all the leads I got were $15 to $20 starting price in the beginning, you can ask for more. After speaking to SocialSpark's customer service (after my WP move), my recommened earnings are $75 and I'm making $75+ per post. There are lots of brands/products you can work with, but they aren't always specific to your blog topic(s). If the advertiser chooses you, you get an email and a deadline. The post is submitted through Social Spark and you set the post to auto-publish to your blog or manually publish it after approval. Minimum payout is $50, or you can pay the $2 service charge to withdraw earlier. Social Spark does have a referral program as well. Grade: A
The Clever Girls Collective was the second company I signed up with. All the campaigns I've been chosen for have paid $50 to $175. My affiliation with CGC has gotten me a Unliever web site feature, and I was selected for the UbiChamps campaign where I get free video games as compensation. There are a variety of campaigns to sign up for and all the info you need about them is on the sign up sheet. Clever Girls pays directly to PayPal within 45 days after you submit your post information. They also have a lot of Twitter parties with prizes and good networking. I've won some stuff too. AND…they are really quick to respond to any emails I've set with campaigns I'm in not showing on my dashboard or any other help I need. Grade: A
The SITS Girls {now in partnership with Sway Group }is a big group and they have a variety of brands and products to work with. It seems {to me} like they are more mom blogger focused with paid post options, but this isn't always the case. Their opportunities can vary from small $30 posts to full on post series for big companies (making me well over $600). I've also been invited to a local blogger event hosted by a SITS girls representative and I got a free $250 car seat, some yummy apps, networked, and did a post. So I made out pretty well. Grade: A
Pollinate Media Group is good, but they are mostly regional opportunities – especially Southern California. I've been with Pollinate for a few months and I've been involved in a couple campaigns already, each paying $50 to $100 plus free product to review. Pollinate has a FB group too where you can promote your posts, get questions answered, and network. Pollinate does require a minimum 20,000 page views per month to apply. This is why Google Analytics is important to have to get paid. They are slowly but surely adding national campaigns opportunities, and I get paid within 30 days which is nice. Grade: B
Google AdSense is what I use. I have the maximum 3 ads allowed. It started off really slow in the beginning. So much so that I didn't have ads on my blog for a really long time. I tried the ads from Social Spark, but I didn't get paid nearly as much as AdSense in comparison. You don't get paid out from AdSense until you have at least $100 in earnings to pay out to you, but it's nice to get a big pay bump when they shell out the cash. I have found setting upc ustom channels for my ads makes my money more consistent.
I haven't tried Foodie Blog Roll, and BlogHer (which does ads and paid posts) is currently is open to applications, but I'm sure there is a waiting list too. I have yet to hear back from BlogHer, so I guess I'm not a good fit right now. It doesn't hurt to experiment a little, but for me it's Google AdSense right now.
I took some time off from paid ad space and did just free spots, but now I'm back to paid blog partnership ads. I picked ad spot names for stuff I liked {oldies singers}. Thriftary has my favorite ad spot names ever. I have a swap button spot, different button sizes with different levels of involvement from my blog, and I keep the big spot for the GYCO winner. I'll probably change this around again soon, but for now this is what it is.
I have a promo code for each ad spot. I use medium ad space specifically for giveaway prizes. It doesn't cost me anything to give the spot since I make a promo code for it, and the ad space gives a lot of bloggers something they're looking for – exposure. Free works for me, if you want to get paid, I'd talk to Lena and see what she does. She's kind of amazing, and always has tons of sponsors. I've had 2 spots actually purchased in the past.
Blog Budget
This is one of my goals for 2013. I need to budget myself a lot more and start tracking income/expenses. I didn't track anything (formally) in 2012 and I'm stressing tax time a little. I did find an eBook about taxes for bloggers that I'm planning on saving the day. I'm curious to see what I can do about my DSLR. Oh the suspense!
Luckily, I have a lot of the transactions documented with PayPal, and I'm pretty good about keeping like every email ever. So I know each time I donated ad space or a physical item/gift card for a giveaway too. I'm looking for a printable since I like to write things down, but I'll probably have an excel file to track it all too. I like to manipulate the look of my records and if I have it on paper, I'm the kind of persona that would rewrite the ENTIRE page for on little change.
This is another goal of mine for 2013. I want to write an eCookbook of original recipes, for like $5 or so. Nothing crazy price wise, but good eats and a way to get my feet wet. eJunkie has a free eBook download about Publishing Your First eBook.
Don't be afraid to bounce ideas off others. Ask around if someone would co-host and help you develop a concept. Just because you don't have tons of experience with this type of blog topic, doesn't mean you can't do it. It's all trial and error in the end. Asking for help is smart, not silly.


text: On April 24, 2013, I learned on the Fox News that a girl had to remove her support our troop's tee shirt. She wore it because her father is in the military and the Middle East. Why does it seem that our constitutional government has abandoned the constitution and appears to be more dictatorial?


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Date: 1/24/2005
Community Hospital in Top 5% Nationally for Clinical Excellence
Patients at HealthGrades Distinguished Hospitals for Clinical Excellence
Have 12-20% Better Survival Rates for Common Procedures and Diagnoses
January 24, 2005 — Community Hospital in Munster announced today that a new national study by HealthGrades places it among the top five percent in the U.S. for clinical quality performance. As a result, HealthGrades, the nation's leading independent healthcare quality company, has recognized Community Hospital with the 2005 Distinguished Hospital Award for Clinical ExcellenceTM. Community Hospital is the only area medical facility to receive this latest distinction.
This is the second year in a row Community Hospital has been recognized as a Distinguished Hospital.
According to the HealthGrades study, Distinguished Hospitals for Clinical Excellence have markedly better mortality and complication rates, even though they tend to treat more and sicker patients. Nationally, a Medicare patient who underwent heart bypass surgery at a Distinguished Hospital for Clinical Excellence had a 15.3 percent better chance of surviving than a patient who received treatment at an average hospital. The improved survival rates at Distinguished Hospitals for Clinical Excellence were also 15.4 percent for stroke, 12.62 percent for heart attack (in hospitals where angioplasty and stent treatments were available), and 19.55 percent for community acquired pneumonia.
In addition to this award for overall quality, Community Hospital was recognized for achieving the best outcomes in the nation for orthopedic and vascular surgery. With the addition of the HealthGrades Specialty Excellence Awards, HealthGrades now provides consumers and the health care community with three ways to identify hospitals with the highest quality, as measured by actual patient outcomes. At the procedure level — from hip replacement to bypass surgery to births — HealthGrades provides star ratings indicating quality for 28 procedures and diagnoses for virtually all of the nation's 5,000 hospitals. At the hospital level, HealthGrades issues Distinguished Hospital Awards™ to hospitals with the best overall quality. The HealthGrades Specialty Excellence Awards, HealthGrades is identifying hospitals with the best outcomes in terms of specialty care.
"These awards identify elite hospitals that lead the nation in specialty care," said Dr. Samantha Collier, HealthGrades Vice President of Medical Affairs. "They set the benchmark, and these awards provide a new way for individuals to identify the hospitals in their area with the highest quality in a particular specialty — a valuable tool for anyone seeking care."
"Our rankings and distinction from HealthGrades are a great source of pride for the Community Healthcare System," said Donald S. Powers, president of the Community Healthcare System comprised of Community Hospital, St. Catherine Hospital in East Chicago and St. Mary Medical Center in Hobart. "This independent study not only underscores our commitment to the highest quality care, it validates that we deliver patient outcomes that are indeed among the best in the nation."
The HealthGrades study identifies the highest-quality hospitals in the nation in terms of clinical excellence by analyzing federal Medicare patient data for 28 common medical procedures and diagnoses, from hip replacement to bypass surgery. Community Hospital is one of only 229 hospitals in the country to qualify for the recognition in the study, which is officially titled the HealthGrades 2005 Study of Distinguished Hospitals for Clinical Excellence.
In its 2005 study, HealthGrades independently and objectively analyzed Medicare patient records from fiscal years 2001-03, for 28 medical procedures and diagnoses. To qualify for the list, hospitals were required to meet minimum thresholds in terms of patient volumes, quality ratings and the range of services provides (see attached methodology paper for details). Hospitals with risk-adjusted mortality and complication rates that scored in the top five percent or better nationally — which demonstrates superior overall clinical performance — were then recognized as Distinguished Hospitals for Clinical Excellence.
"Our focus has always been to bring the best healthcare to our community, which has led us to attract some of the best doctors and professionals in their fields," said John Gorski, senior vice president of hospital operations for the Community Healthcare System. "Good outcomes are dependent on a whole team of healthcare professionals who not only adopt, but advance the best practices in medicine today."
To further the process of quality improvement, Community Hospital's clinical staff and physicians will be working directly with HealthGrades over the next year to identify areas for further quality improvement. The goal of this quality assessment and improvement initiative with HealthGrades is to build on our achievements at Community Hospital and well as throughout our healthcare system, Gorski said.
"At Community Hospital and the Community Healthcare System, we believe a hospital should be excellent at everything it does and that's why we continuously measure our quality against national benchmarks," Gorski said. "While it's rewarding to earn recognition by tough critics, our real motivation is to find out where we need to improve and how to become even better - our community deserves nothing less."
About HealthGrades
Health Grades, Inc. (OTCBB: HGRD) is the leading independent healthcare quality company, providing ratings, information and advisory services to healthcare providers, employers, health plans and insurance companies. Through its Web site, HealthGrades provides more than one million consumers each month with access to information about healthcare providers and practitioners. HealthGrades works directly with healthcare providers to help assess, improve and promote their quality, and it provides liability insurers, employers and payers with critical information about healthcare quality.


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Broca Aphasia
An impairment in the physical ability to produce speech sounds or, in extreme cases, an inability to speak at all; caused by damage to Broca's area
Broca's Area
The area in the frontal lobe usually in the left hemisphere, that controls the production of speech sounds.
Wernicke's area
The language area in the left temporal lobe involved in comprehending the spoken word and in formulating coherent speech and written language
Wernicke's aphasia
Aphasia that results from damage to Wernicke's area and in which the person's speech is fluent and clearly articulated but does not bake sense to listeners.
Electroencephalograph (EEG)
Gross electrical activity of brain on surface of scalp; varies with frequency and amplitude
Non-Associative learning
changes in responsiveness resulting from exposure to a stimulus repeatdly - 1. Habituation 2. Sensitization
Associative learning
mentally connecting different sets of events together; learning by experience; baby learns what a book is by mother holding book and reading it to baby - 1. Classical conditioning 2. Instrumental Conditioning


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Whether or not you believe that Ichiro Suzuki's 2011 season signals the beginning of the end of his major league career, the fact is that 2012 is the end of his current contract. If his numbers in 2012 are closer to his numbers of 2011 than his career numbers, the Mariners will almost assuredly not extend a contract offer to the franchise's all-time hits leader and instead look to replace him. One possibility for a replacement that could make some sense just became available, and he comes from Ichiro's own backyard.
Norichika Aoki, a soon to be 30-year-old outfielder that owns three batting titles and a career batting average of .329 in Japan's Central League, is reportedly being posted by his team, the Tokyo Yakult Swallows. That means that MLB teams can bid for the right to negotiate with him via the posting system. It is unclear what type of figure it would take to earn those rights and unclear what type of salary Aoki would command, but in looking at a somewhat uninspiring outfield free agent crop, Aoki may be one of the better options.
Aoki said in a Japanese interview four years ago that he, "had a dream to go from college to the (U.S.) Major Leagues," and it appears that he will get that chance now. NPB Tracker's Patrick Newman--about as close to an expert as there is on the talent level of Japanese League players--calls Aoki, "the best pure hitter Japan has produced since Ichiro," and offered this scouting report (on FanGraphs) in August, 2010:
"Aoki is a line drive hitter with occasional power who uses the whole field. He's also a disciplined batter, walking about as often as he strikes out, which is rare in Japan. Aoki is short and somewhat stocky at 5'7.5, 182 lbs, but is a good runner with tremendous range in the outfield. The only knock on his game is his rather weak throwing arm, which may limit him to left field at the MLB level."
You can read Patrick's full article, featuring Aoki and a few others here.
From watching what video is available online, Aoki isn't Ichiro: 2.0. His swing is much more like most Japanese players than Ichiro's unique swing, although I've read reports that he has several different batting stances that he employs based on the situation. He is short but stocky (actually listed at 5-foot-10 and 170 pounds, but he's probably somewhere in the middle of that number and Patrick's numbers above), and he has hit with some very good power in Japan to date, with 68 home runs over the past five seasons and as many as 44 doubles one year. He has very good speed and a weak arm, though he has won three gold gloves for his play in center field in the Central League. In 2010 he became one of just four players to get 200-plus hits in a season in Japan (including Suzuki), and he is the only one to do it twice.
In reality, Aoki is very unlikely to come to the U.S. and replicate the success that Ichiro or Hideki Matsui have had, but expecting him to produce at or above the level of Kosuke Fukudome is certainly reasonable, and maybe even on the low end from what I hear.
Is he a fit for the Mariners? I'm not sure--primarily because of his age and the M's existing in-house options--but he certainly is a player to keep an eye on and one that could be a good short-term answer for a number of teams if the price is right.
Want more Mariners news and articles? You can follow SeattleClubhouse's Rick Randall on Twitter at @randallball.


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Zamboanga del Sur, Philippines: A three-year-old girl who 'woke up' at her own funeral has reportedly died.
Video footage of the toddler waking in her coffin during her funeral on Sunday in the Philippines was posted online and quickly went viral.
More News Videos
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Police respond to US mall shooting
Baby wakes up at her own funeral
A toddler in the Philippines stunned her family by moving in her coffin at her own funeral service. The family took her home - but unfortunately she later died.
Police Senior Inspector Heidil Teelan told the Philippines Star that one of the mourners removed the cover of the coffin to arrange the "remains" saw the girl's head move.
"This prompted them to check and confirmed the girl had pulse and was alive," he told the newspaper. He said the girl's parents took her to receive medical attention and then returned home with her.
He told the newspaper the parents had said the girl had been experiencing a severe fever for days and had been taken to a medical clinic on Friday, where she was pronounced dead on Saturday morning.
The video showed mourners at the funeral on Sunday in a state of commotion as the girl's father picked her up from the coffin.
After she returned home, the girl reportedly remained in a coma and later died. A second funeral was being planned.


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simplehuman Semi-Round Step Trash Can, Fingerprint-Proof Brushed Stainless Steel, 10 Liters /2.6 Gallons
Marvel At The Sleek Style Of This Fingerprint-Proof Semi Round Step Trash Can Keep your kitchen, bathroom or office looking neat and clean with this simplehuman fingerprint-proof semi round step trash can. With a 2.1-gallon capacity, this compact trash can is great for small spaces, as the space-efficient semi-round shape allows the can to slide securely against a wall. The advanced fingerprint-proof finish ensures that this can will maintain its clean, shiny appearance. The all-steel pedal on this fingerprint-proof semi round step trash can is engineered to last for years. Have peace of mind that the sturdy, non-skid base keeps this can securely in place without harming your floors. Patented technology makes for a slow, quiet close of the lid, with a stay-open feature for longer chores.
- This simplehuman fingerprint proof semi round step trash can employs an all-steel pedal that's engineered to last for hundreds of thousands of steps
- The compact design of this can fits seamlessly in any room, with one flat side to fit against the wall
- The fingerprint-proof finish ensures that this stainless steel can resists smudges to retain a clean, shiny appearance
- Employ the stay-open lid for long chores
- Know that this can stays securely in place with a sturdy, non-skid base that's gentle on floors


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HUNTSVILLE, Alabama - A duplex in the Harvest community could become the Huntsville Housing Authority's first public housing outside the city limits.
At its meeting Monday, the housing authority board gave Executive Director Michael Lundy permission to make an offer on a large duplex at 123 Taylor Denton Lane. Both apartments have three bedrooms and two bathrooms.
Located just west of where Bob Wade Lane intersects with Kelly Spring Road, the duplex needs a few cosmetic upgrades but is otherwise "move-in ready," said Lundy. According to the valleymls.com real estate website, the asking price is $139,900.
"I think it's a very nice property and probably won't be on the table for very long," said Lundy.
A year-old state law, Senate Bill 205, requires the Huntsville Housing Authority to publicly disclose its interest in a property at least 30 days before entering into a binding purchase contract. Even if the duplex owner agrees to the offer, the deal would still have to be OK'd by the agency's Board of Commissioners as well as the U.S. Department of Housing and Urban Development.
Lundy said the agency has about $200,000 in HUD Replacement Housing Factor dollars available to purchase the duplex, as well as an empty parcel at 4923 Cotton Row in northwest Huntsville.
If the agency can strike a deal for the Cotton Row property, the plan is to turn it into a small park for children in public housing and anyone else living nearby. The housing authority has 12 public housing units on Cotton Row and is remodeling eight others.
Not all housing authority board members like the idea of possibly buying a duplex in Harvest.
Dick Fountain said acquiring two units miles from any other housing authority property seems like a "random purchase" lacking a strategy for improving the surrounding area.
Fountain voted against authorizing Lundy to submit an offer on the duplex, but it passed 3-1 with board Chairman Phil Redrick, Lee Horton and Tami Jordan in favor. Charley Burruss was absent from the meeting.


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Top Definition
The connecticunt drove her car off the road.
de J from GR 27 octobre 2006
Trending Now
Can you define these popular missing words?
Wealthy people who MOVE to Connecticut.
"Tom is such a Connecticunt."
de SCIANNAS 5 novembre 2003
N: Generalized term for a resident of Connecticut......the most genuine Connecticunts are so ignorant and belligerent that they think Connecticunt is a compliment.
See masshole
See masshole
WHAT THE HELL that fucking connecticunt just cut me off!
de gabthebomb 9 octobre 2010
An extremely pretentious, irritable woman from Connecticut. She only cares about designer labels and status symbols.
You know Buffy doesn't shop at the Gap. She's a Connecticunt!
de Mellie_Mazz 11 novembre 2014
A person who lives in Connecticut and has never left. They believe that CT is the best place EVER, never travels (not even to Vermont), get's offended when someone complains about the gas prices in CT and will never, ever leave the state. They hate change and drive horrible.
I was driving to the casino, but it took forever because some connecticunt was driving 55 in the left lane.
de biofruit82 20 janvier 2012


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natalie KOSCAL
Natalie-Kay Koscal grew up in a small town in the Hudson River Valley of New York. She received her BS in General Biology from Cornell University. Natalie obtained her art experience by taking classes throughout high school and college and by completing a Scientific Illustration internship at the Cornell Lab of Ornithology. After graduation, she decided to pursue her love of art and science and was excited to find the program at Hopkins. In her spare time, she enjoys hiking, learning guitar and spending time with friends and family. One day, she hopes to get a lot of use out of her passport and see the world.
Johns Hopkins University School of Medicine,
Department of Art as Applied to Medicine, Baltimore, MD
Master of Arts in Medical and Biological Illustration, May 2013.
Cornell Univerity,
School of Agriculture and Life Sciences, Ithaca, NY
Bachelor of Science in Biology, 2010.
Ulster County Community College,
Stone Ridge, NY
Associate of Arts in Liberal Art: Mathematics and Science, May 2006.
:: experience & activities
Johns Hopkins University School of Medicine
Baltimore, MD, 2012.
National Aquarium in Baltimore
Baltimore, MD, 2012.
Bartels Science Illustration Intern
Cornell Lab of Ornithology
Ithaca, NY, 2009.
Research Assistant
Shoals Marine Laboratory, Research Internships in the Field
Portsmouth, NH, 2010.
Ornithology Research Assistant
Cornell University
Ithaca, NY, 2010.
The Association of Medical Illustrators
2012     Award of Merit, Student Editorial
Vesalius Trust
2013     Inez Demonet Scholarship
2013     Vesalian Scholar Award
Johns Hopkins University School of Medicine
2011-2013     William P. Didusch Scholarship
Ulster County Community College
2006     Walter M. Bartlett Memorial Scholarship
2006     Professor Ann LeFevre Gilchrist Scholarship
2006     Marie and Guido J. Napolitano Memorial Scholarship
2006     Ulster Community College Foundation Scholarship
:: exhibitions
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