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Manu Tuilagi sets his sights on Australia today, buoyed by his "perfect" performance in last week's test.
Not the one at Twickenham against Fiji, but on the roads of Leicester where he shocked his instructor by getting his driving licence at the first attempt.
England's midfield bosh merchant managed to avoid the sort of collisions which have defined him as a player to pass with flying colours.
"It was an amazing feeling," said Tuilagi. "When the assessor said 'congratulations you have passed' I punched the air. Then I started shaking his hand and held onto it for ages.
"The best thing was he said 'you've got no minors, perfect driving' - because loads of people had advised me to stay off the road!
"Even my instructor was surprised. He thought I'd be a really aggressive driver. He couldn't believe how chilled and laid back I was."
Such a cool head will be required at Headquarters in what is the pivotal match of England's autumn campaign.
Beat the Wallabies, as they have done on their last two meetings, and they go into upcoming Tests against South Africa and New Zealand with a spring in their step.
Lose to a side branded good for nothing after last week's spanking by France, and the outlook changes for Team Lancaster from bright to overcast.
Which is why England forwards coach Graham Rowntree made such a point of talking up the Aussies on the eve of battle.
"I don't buy into this perceived dominance we have," he said. "I'm very wary of this team. With Australia you never know where the next threat is coming from.
"We are inexperienced, we are punching our weight but this is a big week for us."
So too the Wallabies, whose captain Nathan Sharpe tweeted: "I can't remember the last time I looked forward to a game this much."
Tuilagi recognises the size of the task, despite never having played against one of the southern hemisphere's Big Three.
He realises, as we all do, that England can't play the inexperience card as it is their call to choose the players they have.
"If you want to play the game, if you are good enough to be there, you can't use age as an excuse," said the 21-year-old.
"People think when you have had a bad game 'oh, he is young' but if you weren't good enough you wouldn't be put on that pitch. I have never looked at myself as being young."
Nor as an inside-centre it transpires. Despite wearing No.12 in two of England's three summer Tests in South Africa, he sees himself as a 13.
"I am clear about that," he said. As will England be that he needs to pose a greater threat than he managed in all but the last 10 minutes of last week's game.
For while they have won eight of their last 10 Tests at home and failed to score a try against only one opponent - Wales - since 2010, the serious stuff starts now.
England: 15-Alex Goode, 14-Chris Ashton, 13-Manu Tuilagi, 12-Brad Barritt, 11-Charlie Sharples, 10-Toby Flood, 9-Danny Care; 1-Joe Marler, 2-Tom Youngs, 3-Dan Cole, 4-Geoff Parling, 5-Tom Palmer, 6-Tom Johnson, 7-Chris Robshaw (captain), 8-Thomas Waldron.
Replacements: 16-David Paice, 17-Dave Wilson, 18-Mako Vunipola, 19-Joe Launchbury, 20-Tom Wood, 21-Ben Youngs, 22-Owen Farrell, 23-Mike Brown.
Australia: 15-Berrick Barnes, 14-Digby Ioane, 13-Adam Ashley-Cooper, 12-Ben Tapuai, 11-Nick Cummins, 10-Kurtley Beale, 9-Nick Phipps; 1-Benn Robinson, 2-Tatafu Polota Nau, 3-Ben Alexander, 4-Sitaleki Timani, 5-Nathan Sharpe (captain), 6-Dave Dennis, 7-Michael Hooper, 8-Wycliff Palu.
Replacements: 16-Stephen Moore, 17-James Slipper, 18-Sekope Kepu, 19-Radike Samo, 20-Liam Gill, 21-Brett Sheehan, 22-Mike Harris, 23-Drew Mitchell.
Referee: Romain Poite (France)


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There are four sizes of snow globes to choose from with miniature ones to large ones. Both the medium sized snow globes and large sized snow globes have SnoMotion which allows you to turn a button and the snow swirls around the globe automatically, no shaking required.
Snow Globes
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subset: commoncrawl


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The fourth annual Gianna Mitchell 4 the Luv of Arts & Music will celebrate the life of the late Maui artist and raise funds to support children's art programs. Join the festivities from 6 p.m. to 1 a.m. Saturday at Longhi's in Lahaina (ages 21 and older only from 10 p.m.).
The evening will feature entertainment by Marty Dread, Sounds of Addiction, Sonny B, Max Angel, Melepono and Junior Sequeira. There will also be a silent auction featuring the artwork of Mitchell and other Maui artists, plus donations from businesses, and more.
All proceeds from this year's event will support the Lahaina Arts Association's Scholarship Awards Program, which provides local high school art students with partial tuition assistance scholarships for college.
Article Photos
"Towards Hana" by Brad Forsythe
Tickets are $10 for adults, $5 for youth and free for ages 10 and younger.
Dianne Anderson and Stephen Levine will be the featured artists during May at Maui Crafts Guild in Paia. The public is invited to an opening reception from 6 to 8 p.m. Friday at the gallery, located at 69 Hana Highway.
Anderson creatures a free-form, flowing line of jewelrythat incorporates a variety of pearls, emeralds, rubies and other stones.
Levine's photographs featuring waterlilies and lotus flowers are inspired by Japanese Shin Hanga wood blocks and printed on watercolor paper, silk, and polyester cloth. The flowers are grown on Nui's Farm in Kula.
The gallery is open from 10 a.m. to 6 p.m. daily.
For more information, call 579-9697 or visit www.mauicraftsguild.com.
Maui artist Brad Forsythe's mixed media on canvas titled "Towards Hana" was chosen for the fifth annual International Society of Acrylic Painters International Open Online Show.
A total of 150 artists entered the show, totaling 268 paintings. Of those, 53 were juried into the show.
" 'Towards Hana' is a recently completed painting that has a special connection for me," said Forsythe. "Living on the far east side of Haiku, I'm frequently traveling 'towards Hana' with visitors and locals alike. It's so inspiring to have the beautiful view along the north shore as part of my daily routine. I'm truly honored to have my work included among such a large group of talented artists."
Artist Skip Lawrence, co-author of Palette Magazine, was the sole juror for the exhibition. Forsythe is represented by Turnbull Fine Art in Paia.
For more information about the exhibit, visit www.isap-online.com.
Hui No'eau Visual Art Center's Kaluanui Preservation and Stewardship Program has earned the prestigious Preservation Honor Award from the Historic Hawai'i Foundation, one of three honor awards presented each year.
Historic Hawai'i Foundation will honor the group's achievements in the field of historic preservation at the 39th annual Preservation Honor Awards ceremony on May 31 in Honolulu. The recognition will be received by Hui No'eau Visual Arts President Shannon Hoekstra, Executive Director Caroline Killhour and Vice President John Hoxie.
Designed by C.W. Dickey in 1917 for Hui founder Ethel Baldwin and husband Harry Baldwin, the Kaluanui Estate has been home to Hui No'eau Visual Arts Center since 1976, and expanded when the Baldwins moved out in the late 1940s.
"This classic Dickey-designed home in Makawao is a treasure in the architectural history of Upcountry Maui," said Kiersten Faulkner, Executive Director of Historic Hawai'i Foundation. "A major rehabilitation in 1995 created a strong starting point for ongoing stewardship of the historic property, and the recent preservation projects will ensure that the building will continue to grace Maui in the longterm."
Hui No'eau Visual Arts Center is located at 2841 Baldwin Ave. in Makawao. Hours are from 10 a.m. to 4 p.m. Monday through Saturday; admission is free.
For more information, visit www.huinoeau.com.


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Competition Result
Once again, it was a close call. Nobody managed to identify every single character, with plenty of obscure ones such as #12, #105, #113 and #133 fooling everyone who entered. The winning entry was from Ian T Brown, who correctly identified the most characters and will receive signed copies of both Where's Wall-E posters and a full set of Geekings Cards. Coming a very close second, only three characters behind (but managing to name some which the winner didn't!) was Jason Smith, who will be rewarded with signed posters for his valiant effort! Congratulations to Ian and Jason, and thanks to everyone who entered!
'Where's Wall-E 2' posters will be available next month.
Buy an A1 poster of the first 'Where's Wall-E?' in our online shop here...
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The Rural Women's Studies Association (RWSA) and the Association for Living History, Farm and Agricultural Museums (ALHFAM, Western and Mountain/Plains Regions) invite proposals for a conference to be held in Las Cruces, New Mexico, February 20-23, 2003. We welcome proposals on any aspect of the lives of rural and farm women. We invite proposals that make connections between rural women's history and present-day social concerns. Activists are especially welcome, as are papers that highlight local issues, take interdisciplinary perspectives, or deal with diverse populations in America and throughout the world.
In honor of the first RWSA conference, held in 1983, we particularly invite panels and papers that provide a retrospective or historiographic viewpoint on rural women's studies. Our location in the desert Southwest, close to the Mexican border, encourages us to ask for proposals on border studies and Native American issues, as well as for papers with international and comparative perspectives.
Alternative methods of presentation are welcome in addition to the traditional academic paper. Panels with both museum staff and academic scholars are particularly welcome. We also invite workshops, posters, roundtables, interactive sessions, readings, performances, and audiovisual presentations. This could include such creative formats as historical studies of foodways combined with demonstrations, or formal papers on historical clothing combined with a fashion show.
Full panel proposals are encouraged, and should include a one-page abstract for each paper, a vita or bio for each participant, and a session abstract. Individual submissions are also welcome, and should include an abstract and a vita or bio. We prefer electronic submissions. Deadline for proposals: May 24, 2002.
Because this is a joint conference, we request that applicants send their submissions as follows.
RWSA general submissions to either:
Jeanette Keith Steven D. Reschly
Department of History Department of History
Bloomsburg University of Pennsylvania Truman State University
400 East Second Street 100 East Normal Street
Bloomsburg, PA 17815-1399 Kirksville, MO 63501-4221
firstname.lastname@example.com email@example.com
Fax: 570-389-4946 Fax: 660-785-4337
Brock Cheney
Littleton Historical Museum
6028 S. Gallup St.
Littleton, CO 80120
Fax: 303-750-9318


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MMA Forum - UFC Forums - UFC Results - MMA Videos (http://www.mmaforum.com/forumindex.php)
- General MMA Discussion (http://www.mmaforum.com/general-mma-discussion/)
- - Do most mma fighters have terrible footwork? (http://www.mmaforum.com/general-mma-discussion/106337-do-most-mma-fighters-have-terrible-footwork.html)
Do most mma fighters have terrible footwork?
Is it just me or is it true that most mma fighters have abysmal footwork, simple concepts like how to move back and forth, side to side and at 45 degree angles seems like something very few mma fighters use.
Seems to me like most guys are taught circle away from the power hand and that's it, I don't know, just thought I noticed a trend of most mma fighters utilizing less than amateur footwork. I don't think that even means you are more likely to be taken down because good footwork means you should be balanced and have fluidity in all movements. Comments? Thoughts? Even a squared wrestling stance could have good movements but most guys just stand there and wait to exchange.
No, it's not just you. I also think that a majority of MMA fighters have bad footwork. If they actually DID really circle away from their opponent's power hand, which you mention, then it already would be quite an improvement for a lot of them. Most of them are flatfooted and only know forward and backward movement. Probably it's because they didn't learn the basics from start on and later when you already have a certain fighting style, it's very hard to learn good footwork, because under pressure you tend to get back to what you know best.
Boxing footwork won't work in MMA so if that is what you are looking for you are mistaken. Your lead leg will turn in Faber vs Aldo type situation. Also boxing stance make a single leg incredibly easy just as Randy showed vs Toney. You could find a prime boxer rather then the fat old slob Toney and it would be similar results. That leg is just out there for the picking.
It's not about a boxing stance, but the ability to not move only backwards to avoid an attack and to attack in angles. Dos Santos, Machida, Silva, Edgar and some others use footwork to bring themselves in optimal distance to attack and to avoid their opponent's attack, whereas fighters with bad footwork make their fights rather slugfests and rely more on raw power and their chin.
Everyone you named has a different style that would explain their stance and movement. JDS has a more boxing stance, Machida has a karate stance with a sumo twist and Edgar is just an annoying movement fighter.
I think footwork is really dependent on the fighters original sport. Example boxers have good footwork and wrestlers are supposed to. Any other style seems funky if you were watching a boxing match but this isn't boxing and you have to remember that there is grappling to through in there.
I get that it's different for every combat sport. But you'd figure standing flatfooted and not moving your head has got to be a terrible defense no matter what style you are using.
It's simple, majority MMA fighters are hybrids; wrestlers turned into fighters so they don't have a deep understanding of the importance of it. They have a wide base and that's really their basis or you have ones who practice one discipline. BJJ does not focus much on this so that's why many (World champs) have a difficult transition into striking.
A simple tweek in how you pivot can mean the difference in power. IE: You have to pivot your lead leg when throwing a hook, but I can assure you most people don't know that. Or pivot your back leg when throwing a roundhouse or a right cross. This is basic, but it has to be instinctual when you're fighting in real time.
I learned footwork playing basketball and all the tricks behind it I think in many ways the same can be applied. In order to beat your opponent you need the right positioning.
We all know who has the best footwork. Going to list ones with solid movement.
Edgar, DC, JDS, Bisping, GSP, Condit, and Lyoto's is second best.
May not be the best, but I like Erick Silva and Justin Lawrence's style because that's very similar to mine.
Anderson is the ONLY one who adopts multiple style of footwork and movement. Muay Thai, Tae Kwon Do, Capoeira, boxing stance, orthodox, and south paw. I bet most didn't realize that. He's so fluid that when you're watching you don't realize that he's doing it as Patrick Cote said it best. "One moment he's behind you, the next he's to the side." That fight Anderson displayed superior footwork and movement.
I remember watching a whole video on Anderson's footwork. It's really quite amazing the knowledge he has and HOW HE APPLIES IT INSIDE THE OCTAGON.
In fact this is a good thread because people overlook this.
Oh please stop it with this old played out garbage already bro. You don't know what you are talking about.
Boxing footwork is used successfully in MMA already. Frankie Edgar, Anderson Silva, JDS and many others employ Boxing footwork.
They train BOXING for their footwork. So that invalidates your post.
Boxing stances comes in many different forms. Not just one. The footwork is what makes the stances effective.
Using the Toney fight as an example is stupid. Toney was standing their applying ZERO footwork. That has nothing to do with the discussion.
Go be open minded, be your own man instead of a puppet, don't fall into the stupid Boxing vs MMA fiasco, and go train Boxing. Then come back to me.
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SYCODE - 3DM Import for Pro/ENGINEER :
3DM Import for Pro/ENGINEER is a Rhinoceros 3DM file import plug-in for Pro/ENGINEER Wildfire®. This plug-in gives Pro/ENGINEER the ability to import geometric data from 3DM files.
3DM Import for Pro/ENGINEER reads polygon mesh stored in 3DM files and imports it into Pro/ENGINEER. A polygon mesh in a 3DM file is comprised of a set of triangular/quad faces. 3DM Import for Pro/ENGINEER creates trimmed planar surfaces for each triangle/quad and knits them together to create a body. If the polygon mesh is closed (i.e. it does not contain boundary edges) then 3DM Import for Pro/ENGINEER will create a closed body feature, otherwise an open surface will be created.
3DM Import for Pro/ENGINEER is very easy to use. Once installed, it must be loaded into the Pro/ENGINEER Wildfire environment. Follow the simple instructions in the ReadMe document which can be found in the installation folder. Once loaded, it adds new commands to Pro/ENGINEER Wildfire and a submenu called "3DMImport" to the Pro/ENGINEER menu.
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Hardware, software and operating system requirements for Pro/ENGINEER Wildfire plug-ins running on the Microsoft Windows platform.
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Please download a fully functional trial of this product by clicking "Download". To start using the software, you need a license key. A license key can be of two types: Trial or Permanent. A trial key is issued to you instantly and completely free of cost so that you may try the software before you purchase a license. A permanent key is issued after you have purchased a license. If during the trial period (10 days or runs, whichever is earlier) you find this product useful, you may return to this page and click the "Buy Now" button to place your order. In the order process you will be asked to enter your Host ID that appears in the "SYCODE License Server" dialog box (which appears when you run any of the product commands). SYCODE will create and send you your key by email within 2 business days. To avoid disruption in your workflow, place your order before the trial period ends.
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Subscription is highly recommended since it will keep your software up to date and grants a second free perpetual license for your laptop, among many other benefits. For details please read the SYCODE License and Subscription Frequently Asked Questions (FAQ).
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Since 3DM Import for Pro/ENGINEER is a plug-in for Pro/ENGINEER Wildfire, it must be loaded into the Pro/ENGINEER environment before it can be used. Please follow the simple instructions in the 3DM Import for Pro/ENGINEER ReadMe document which is copied into the installation folder. After you have loaded the plug-in file into Pro/ENGINEER Wildfire, simply click on the menu items in the "3DMImport" submenu to run these new commands.
The '3DMImport' menu consists of the following commands:
The 3DM Import for Pro/ENGINEER submenu
3DM Import for Pro/ENGINEER comes with detailed documentation for each command as well as a tutorial to get you started in the shortest possible time. There is also an online version of the help file which you can view by clicking the link below.
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The 3DM File Format
The 3DM (3D Model) file format is the native file format of Rhinoceros, the NURBS modeling software from Robert McNeel & Associates. The OpenNURBS Initiative was founded by Robert McNeel & Associates in January 2000, with the sole purpose of providing CAD, CAM, CAE and computer graphics software users reliable methods for transferring 3D geometry between applications via the 3DM file format. TerrainCAD, our terrain generation, editing and modeling software, also uses the 3DM file format as its native file format.
Software Licensing TermsOur licenses are single computer licenses and are locked to each computer they are installed on. Basically, the license key is specific to the computer's Host ID (the MAC address of the computer), and will not work on another computer. The installer picks up the physical MAC address of the network card connected to the computer which is basically Ethernet adapter Network Connect Adapter. So unless you change your network card, the key will always work even if you reinstall your operating system. If your internal network is periodically assigning a different Host ID to your computer, then please find a solution for this with your IT department.
For more information, please visit the vendor website.


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Recent Event Highlights: Making the charge - News-Press Now, Is the New GM a Buy? - Autoblog (blog), Golf Cart Stimulus, Golf Cart Stimulus - RedState, Readers ask about auction, bar closing time - York News-Times, Club Car Villager 2+2: Great for gabbing with pedestrians - Los Angeles Times, and 42 more...
Created by dipity on Oct 19, 2009
Last updated: 01/23/11 at 12:14 AM
Golf Cart Tax Credit has no followers yet. Be the first one to follow.
Making the chargeNews-Press NowBefore you snub these cars, however, consider what you could save in the long run. Those who buy electric can subtract a $7500 federal tax credit. ...and more »
Kris Bagwell heads Screen Gems at Lakewood movie studioAccess AtlantaProductions returned in a big way beginning in 2008, after the state created a 30 percent tax credit for movie and TV companies. ...
Plug it inChicago TribuneVolt isn't a battery-powered golf cart, but a roomy and comfortable, well-appointed 4-door hatchback with upgraded trim and ample leg, head and arm room for ...and more »
New York Times (blog)Test-driving Chevy's Volt proves an electrifying experienceMuskegon Chronicle - MLive.comIt's a real car, not some compromised funky-looking box on wheels or modified golf cart. Its aerodynamic look and unique styling cues that make it ...NBR Transcripts-October 21, 2010Nightly Business ReportChevy Volt test drive shows GM built winner, but will it sell? (with video)MLive.comall 286 news articles »
Is the New GM a Buy?Autoblog (blog)GM, even with the way many people view its tax-payer ownership, is making decent money now at today's selling rate. That's right. As tough as things are now ...
...when it is combined with similar incentive plans in many states the tax credits can pay for nearly the entire cost of a golf cart. Even in states that don't have their own tax rebate plans, the federal credit is generous enough to pay for half or even two-thirds...
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Golf Cart StimulusRedStateWatters wanted to buy a golf cart to show how silly it was that the Stimulus allowed people to buy "electric vehicles" and receive a huge tax credit that ...
Readers ask about auction, bar closing timeYork News-TimesA: According to the sale bill, there will be a tractor with front-end loader, a blade, an enclosed trailer, a Club Car golf cart, a Suzuki Quad, ...
A ferry became a fleet over untroubled watersVancouver Sun"It was golf-cart technology," he said of power units that ran four to five hours before their batteries needed recharging. Last year, he equipped one ...
Club Car Villager 2+2: Great for gabbing with pedestriansLos Angeles TimesBy Susan Carpenter, Los Angeles Times If you want to feel like a goodwill ambassador, take a street-legal golf cart for a spin. You'll get plenty of waves, ...
Driven: 2011 Smart ForTwo Electric DriveWinding Road Magazine (blog)Does it drive like a really expensive well built and crash-safe golf cart? Not literally, but we couldn't get the image out of our heads all the same. ...and more »
Golf Carts Become Popular In Iowa's Small TownsKCRGTax credits for the electric-powered vehicles have been credited for having fueled sales, as buyers can earn a credit of 10 percent of the purchase price. ...
Janesville couple manages apartments, life changesJanesville GazetteJim handles the maintenance work, scooting from unit to unit on his golf cart with tools, supplies and his ever-present, ever-ringing cell phone. ...and more »
CBJ: Dorothy in Taxland: Tax Credits {-Opinion}Charlottesville Daily ProgressGetting a $5900 tax credit on buying a golf cart can't possibly be what legislators intended. Most of these tax credits are just a percentage of what you ...
Golf carts. They're economical. They're 'green.' They're also dangerous and ...News Chief1, 2012, qualify for a 10 percent tax credit, up to $2500. Wiegert's daughter died after a fall from a golf cart incapable of traveling faster than 17 mph ...and more »
Celebrate Father's Day at University RidgeUniversity of Wisconsin BadgersFor only $75 plus tax, players receive unlimited golf (based on availability), cart, practice balls, a buffet lunch and a $5 merchandise credit. ...
IIHS, NHTSA not happy with LSV, Minitruck invasionallvoicesAnd, the group notes, environmentalists are pushing to expand their use as tax credit make buying some of these golf-cart-like vehicle practically free. ...and more »
Planning commission OKs senior housingFayette Daily NewsConditions of the developmental agreement include covered golf cart parking, cart path connectivity studies, line of sight elevation surveys and an absolute ...
Mulch mania at Perrysburg's Pallet WorldToledo On The Move... help of an electric golf cart with a brand name of Star. It recently came out on the local market. And with a $25-hundred dollar tax credit for buyers, ...
Mulch mania at Perrysburg's Pallet WorldToledo On The Move... help of an electric golf cart with a brand name of Star. It recently came out on the local market. And with a $25-hundred dollar tax credit for buyers, ...
Mortgage rates keep droppingAlbany Herald On-lineLast year the government allowed sizable tax credits on the purchases of electric vehicles. Many golf carts qualified for the credit if they met certain ...and more »
Mortgage rates keep droppingAlbany Herald On-lineLast year the government allowed sizable tax credits on the purchases of electric vehicles. Many golf carts qualified for the credit if they met certain ...and more »
Tampa TribuneHazards mount off the courseTampa Tribune1, 2012, qualify for a 10 percent tax credit, up to $2500. Wiegert's daughter died after a fall from a golf cart incapable of traveling faster than 17 mph ...Dealer: Souped-up golf carts could be futureJoliet Herald Newsall 12 news articles »
openPR (press release)Hazards mount off the courseTampa Tribune1, 2012, qualify for a 10 percent tax credit, up to $2500. Wiegert's daughter died after a fall from a golf cart incapable of traveling faster than 17 mph ...Dealer: Souped-up golf carts could be futureJoliet Herald Newsall 12 news articles »
Hudson Car Dealer Goes Where No NH Auto Dealer Dares to GoNHPRBut tax credits may not be enough to build momentum for electric cars. The Obama Administration seems committed to helping bring those prices down and ...
Special tribute to a special manDubuque Telegraph HeraldThe tax credit is crucial to stabilizing the industry. Now we have to hope the extension doesn't meet the same obstacle it met the last time the House tried ...
WQOW TV: Eau Claire, WI NEWS18 News, Weather, and SportsFull criminal ...WQOW TV News 18Edward stated that his mother had asked him to pick up gasoline because her golf cart was out of gasoline. Edward also stated that he also needed more ...and more »
Plans for Green Needles park taking shapeLexington DispatchMark Lambros said not too many years ago, he'd ride a golf cart around his Green Needles neighborhood and see the children playing in the ...
The Federal Government is offering a tax credit of 10% of the vehicle price on Tomberlin electric vehicles. The best place to buy a Tomberlin is from Fairway Golf Carts in Palm Harbor, Florida. They are the exclusive Tomberlin dealer on the West Coast of Florida. Dave has sold numerous Tomberlin electric cars in Trinity, Palm Harbor, West Chase, Wentworth, South Tampa and Seminole. Visit Dave today or go to www.fairwaygolfcartsonline.com
Five Great Reasons to Buy a Low Speed Electric VehicleBoosh Plr (press release) (blog)People-friendly functionality: Low speed vehicles fill a void between the golf cart used to putter around the neighborhood and the full size car that you ...
In briefSeacoastonline.comProceeds will help purchase a Computer On Wheels mobile cart with 10 laptops and an ENO Board, an interactive white board. Visit www.ryeeducation.org. ...and more »
Business briefcase, May 9, 2010Scranton Times-TribuneRegistration/lunch, 11:30 am Cost is $90; includes 18 holes of golf, cart, prizes and refreshments. Corporate sponsorships available. ...and more »
Where to stay for a quick getawayMiamiHerald.comEach unit comes with use of a golf cart. The villas run $599 a night (plus 13 percent tax and a $60 a night club membership fee), but a summer deal offers ...
BrighterEnergy.orgHawaii chosen as manufacturing site for electric mini-carsHonolulu AdvertiserBuyers of electric vehicles qualify for a federal tax credit and CT&T estimates monthly electricity costs will run drivers $10. ...Hawaii Set to Juice Up; Getting Nissan LEAF, Electric Car Factory and Battery ...Gas 2.0 (blog)all 195 news articles »
The Road to Tax Reform Starts HereSmartmoney.comOK, but please tell me what the credit is meant to cover if not golf carts. The credit is scheduled to remain on the books until 2012. ...and more »
If few understand complex derivatives, stop using themUSA TodayThen last year, Congress created the boondoggle of a tax break for buying a new car, followed by a tax credit that included the purchase of golf carts, ...
Company makes pitch for senior apartments in Kedron areaThe Citizen.comAmong various comments by the commission, one suggestion was to make sure the development plan had enough golf cart parking spaces along with charging ...
Nissan to release car that runs completely on electricityWDAYIt's not a golf cart. It's a 5 passenger with storage, the compartment can hold up to 2 sets of golf clubs, but it's not a golf cart. ...and more »
Marketing Peachtree CityFayette Daily NewsThe Mexican consulate's Mayan-themed golf cart took top honors, but the real winner was Peachtree City. "It was a great opportunity to market the city to a ...
Mike Tomberlin discusses tax credits with John Stossel on the Fox Business News Network.
... for working models of solar power cars, solar ovens, wind ... Solar Oven Challenge Links. General Introduction. Step-By-Step ... the Solar Oven .... teams racing in timed intervals in the United States and Canada. sailcar sailcars kit kits ... Model solar car. Plug-in hybrid. Solar airplane. Solar balloon. Solar-charged vehicle ...Sunray Solar Roof Kit is also available for the most popular golf cart models. ... Earn Solar Tax Credits with solar model purchase! ...Whistler's weekly newsmagazine. Complete entertainment, news and sports ... Kid's Nature Club is hosting a solar model car race on Saturday ... races and speed events, solar car racing or world challenges ... QUEENS UNIVERSITY CANADA ... place at the World Solar Car Challenge or other organizations that provide solar electric models. ... Order your solar car here - SunWind Solar Industries Inc. Solar Energy Society of Canada ...Solar model, check Solar model products detail: * Can be assembled to a mini solar car,size only 3.2*2 ... solar car toy/solar model/kid ..... students challenge to build model electric cars powered by 2 high ... Model Solar Car Racing at Canada Day 2008 Solar Car Projects and Experiments. Building a Model Solar Car. Build Your Own Solar Car ... teams racing in timed intervals in the United States and Canada. ...
www.tourfactory.com For more information, contact: Karen Long 925 516 7578 ALTERA Signature Properties Buyer may qualify for a 10% of the purchase Tax Credit. It is Exquisite! It is open, light, and bright! You will love this home in this wonderful Community! McIntosh Model, 2 BR, 2 Baths, 2 Car Garage, plus Golf Cart Garage, Covered Patio, Corner Lot. Located In Summerset I (An Active Age 55+ Gated Community). HOA dues: $82.50/month. DRE # 00589682
Glenn Beck 20091230 Part 4/5
OMG! We's saved! Go an git yer free ObamaMobile NOW! Offer expires at the end of this month :P YES this is for real! How F'ing sad.
See the whole video on Share Cow. sharecow.blogspot.com
Glenn Beck 20091210 Part 4/4
December 10, 2009 (Clip 5)- Glenn Beck riding around on a scooter for "fat people", having fun and at times getting a little too close to John Stossel. Glenn also talks about the mysterious lights seen in the skies of Norway yesterday. Videos Owned by Fox News
Glenn Beck on a scooter! From Beck's show of December 10, 2009.
EVE Electric Vehicles qualify for the government tax incentive plan on low speed vehicles and electric vehicles through the end of 2009. On April 24, 2009, the IRS announced tax credits that could benefit taxpayers who purchase qualified Low Speed vehicles. The EESA Credit. A credit of $2500 to $7500 for a four wheels vehicle that draws propulsion using a rechargeable battery with at least four kilowatt hours of capacity purchased in 2009. The actual credit is determined by the capacity of the battery and limited to range of credits listed above. These new incentives from the federal government will help sell Fairplay EVE LSVs. We could see a rush on the LSV market which will stress the limited supply. You should consider contacting your Fairplay representative today to tie up your certified LSV supply as quickly as possible to fill demand the rest of 2009
Save green by driving green! Take advantage of available tax credits on the GEM line of vehicles.


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Get a free preview of ESPN FULL COURT via DirecTV this week. The offer is free today through Jan. 20. Here's a description of the package: With ESPN FULL COURT you can follow your team as they battle for conference titles and post-season tournament seeds. Get up to 30 college basketball games a week, including key match-ups from the top conferences.
The free channels are 726 and 727.


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Whirlpool 5.3 cu. ft. Electric Range w/ TimeSavor™ Convection Cooking - Black
1 year parts and labor
This Whirlpool® WFE525C0BB electric range features the AccuBake® temperature management system. The built-in sensor monitors oven temperature and controls the cooking elements to deliver consistent, delicious results, whether you're cooking an everyday meal or preparing a holiday feast. The 5.3 cu. ft. black Whirlpool® WFE525C0B range also includes a SteamClean™ option, which allows you to clean up everyday spills without harsh chemicals. Only a little bit of water is needed to keep the oven clean and reduce the need for frequent, self-clean cycles. And, the fifth Warm Zone element adds flexibility and convenience. It prevents food from cooling while you're preparing the rest of your meal, and it's low powered to keep cooked food from burning or drying out.
- TimeSavor™ Convection Cooking System includes a fan in the back of the oven to distribute hot air efficiently and seal in flavors and juices
- 12/6-in. Dual radiant element provides the flexibility to handle various sizes of cookware
- 9-in. Radiant element provides the right amount of heat for simmering or quickly boiling water in medium-sized pans
- Located beneath the oven floor, the hidden bake element creates a smooth, even surface that is easy to wipe clean
- Storage drawer provides a convenient place to store cookie sheets and muffin tins
- Large oven window allows you to check cooking progress without opening the oven door
Specifications & Dimensions
Product Documentation
Owner's Manual - English (Warranty)
Installation Guide
Product Warranty - English


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There have been few detailed studies of the histologic changes in the cerebellum as the result of dementia paralytica. The most marked signs of syphilis are not found in this organ but in the cerebral cortex, particularly in the frontotemporal lobes. The present monograph deals with the detailed examination of six brain specimens from cases of dementia paralytica with particular attention paid to the cerebellar findings. No previous publication has given such a detailed account of this particular part of the brain as affected by syphilis. In only one case study, moreover, was previous treatment with malaria used, so that we have reason to believe that the changes observed are actually the result of syphilis. There is nothing characteristic about these changes. The importance of Melgar's monograph lies in the fact that he has carefully studied the cerebellar tissue and has shown changes similar to those which occur in other
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Charity Concepts
5 Oct 2016
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Head of public sector, charities and not-for-profit, Spence & Partners
David is a director at Spence & Partners Actuaries and Dalriada Trustees.
He performs the role of a professional pension scheme trustee and specialises in providing pensions advice to charities and not-for-profit organisations, especially those who run their own final salary schemes or who participate in the LGPS and multi-employer schemes.
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There has been little progress in sorting the problems with multi-employer DB schemes, says David Davison.
Charities involved in the Growth Plan pensions scheme should brace themselves for further increases in payments, says David Davison.
David Davison says that many charities have historically wanted to pull out of local government pension schemes, but not been able to afford to; new proposals could help them out.
David Davison says charities must act now to convince the government to change the law.
David Davison urges charities that participate in local government pension schemes to respond to the Department for Communities and Local Government's consultation.
Recent changes in the law around pensions and wills could have a significant impact on how much money is available for charitable legacies. David Ainsworth examines what's changed.
A new way of calculating PPF levies for not-for-profit organisations is likely to save most charities money, says David Davison, but a few could be big losers.
New clarity in the provisions of Growth Plan 3 means that charities in the scheme need to make sure they understand their position and the associated risks and costs, says David Davison.
5 Oct 2016
18 Oct 2016
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You are experiencing what is known as confirmation bias syndrome. Don't worry this happens to the best of us, and is a common occurrence when your favorite team loses a game.
You can make that point on my first point...that's rule interpretation...so I'll give you that. But my 2nd point isn't debatable at all. So you wanna try to explain to me how it wasn't textbook interference?
I'd love to hear it.
Edited by cprice12, 24 January 2012 - 01:04 AM.


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State police are seeking help from the public in hopes of tracking down the thieves who stole hundreds of gallons of diesel fuel from tractor trailers in Northampton County.
The crime happened at Johnson Motorline in West Easton sometime between5 p.m. Friday and 10 a.m Saturday.
The crooks swiped 600 gallons of fuel, worth more than $2,500.
Anyone with information is asked to call state police.


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You have searched for Preet Singh
LAST UPDATED : 1 Oct 2016, 15:02 IST
- Money laundering case: ED questions Himachal CM Virbhadra Singh's son
NEW DELHI: Himachal Pradesh chief minister Virbhadra Singh's son, Vikramaditya, was questioned by the Enforcement Directorate officials for more than six hours on Friday at the agency's headquarters here in connection with a money laundering case registered against Singh and his wife Pratibha. Vikramaditya was earlier summoned for questioning by the ED on September 1 in the same case but he had failed to appear and had sought more time. Vikramaditya later approached the Delhi high court and sought protection against any arrest by the agency. A source in the ED said the agency has got some fresh leads on investments made by the Himachal CM and his family members. His son's questioning is important in that connection, the source added. The agency has already questioned Pratibha Singh in August. It is learnt that the ED's questioning of Vikramaditya is based on the statement given by his parents that their son had knowledge of some investments made on their behalf. The CBI and the ED are investigating the Himachal CM and his wife in a disproportionate assets case of more than Rs 6 crore. Vikramaditya has already been questioned by the CBI in a related case seeking information on source of investments to some of his assets. The ED has already attached assets of Virbhadhra Singh and his family members worth more than Rs 8 crore under the Prevention of Money Laundering Act. Virbhadra Singh's LIC agent has also been questioned by the enforcement agency. The LIC agent was arrested last year when he allegedly refused to cooperate with the investigation. After agencies took interest in Virbhadra Singh's source of income, the Himachal CM had allegedly revised his Income Tax returns in 2012 for assessment year 2008-09 to 2011-12. He raised his family income for these three years from Rs 47.35 lakhs to Rs 6.57 crore after the case of disproportionate assets was made against him by the CBI.
- All attempts being made to secure release of our soldier: Rajnath Singh
Union home minister Rajnath Singh on Friday assured that all attempts will be made to secure the release of a soldier who inadvertently crossed over to Pakistan yesterday. Chandu Babulal Chohan, a 22-year-old jawan inadvertently crossed the LoC on Thursday.
- Food joint Burger Singh harps on India's surgical strike, draws flak for being 'insensitive'
NEW DELHI: As India carried out surgical strikes on terror launchpads along the LoC on Thursday, Delhi-based food joint Burger Singh's offer celebrating the strike was attacked from all corners. "In light of the surgical strike by Indian defence forces on terrorist camps (POK). We offer 20% discount on all orders." It asked customers to use the coupon code : fPak20, to avail the offer," the message read. No sooner than the messages were sent out than the food joint faced vitriolic attacks for its 'opportunistic' and 'insensitive' offer. Aimed at increasing sales, the tactic badly backfired for Burger Singh and it later came up with a clarification on the proposed discount and defended its stand. In a statement posted on Facebook, the food joint said it was not their "intention to hurt, harm or exhibit prejudice towards anyone or their beliefs". Dear @BurgerSinghs, You mixed up patriotism with jingoism. Celebrating a surgical strike with a discount on burgers is highly insensitive. pic.twitter.com/qV2oTegIYz — Rhema Mukti Baxter (@FreakyLiterati) September 29, 2016 Terrible advertising by #BurgerSingh. Since when is an attack on TERRORISTS equal to one on all of Pakistan? Don't "fpak", F your immaturity — Surabhi Bhandari (@surabhi_27) September 29, 2016 After it received the kind of response it had not bargained for, Burger Singh then increased the discount percentage — from 20% to a whopping 30%. "As a response to all the love and and some hate coming our way across social platforms, we announce an increase in discount to 30%," it said in the Facebook post. They also changed the coupon code from 'fpak20' to "politically correct" 'strike30'.
- Poonam Preet's nervous moments before shooting an intimate scene in Ek Tha Raja Ek Thi Rani
The beautiful Poonam Preet, who is currently seen playing the negative role of Bindu in Zee TV's period drama 'Ek Tha Raja Ek Thi Rani', recently got quite nervous about enacting an upcoming sequence of the show.
- Army surgical strikes across LoC: Full statement by DGMO Lt Gen Ranbir Singh
It has been a matter of serious concern that there has been continuing and increasing infiltration by terrorists across Line of Control in Jammu and Kashmir. This is reflected, amongst others, in the terrorist attacks on 11 and 18 September 16 in Punch and Uri respectively. Almost 20 infiltration attempts have also been foiled by the Army at or close to the Line of Control during this year. During these terrorist attacks and infiltration attempts, we have recovered various stores including GPS and items that clearly indicate their origins in Pakistan. Furthermore, captured terrorists hailing from Pakistan or Pakistan Occupied Kashmir have confessed to their training and arming in Pakistan or territory under its control. The matter had been taken up at highest diplomatic levels and through military channels. India has also offered consular access to these apprehended terrorists for Pakistan to verify their confessions. Furthermore, we had proposed that fingerprints and DNA samples of terrorists killed in Punch and Uri could be made available to Pakistan for investigation. Despite our persistent urging that Pakistan respect its January 2004 commitment for not allowing its soil or territory under its control to be used for terrorism against India, there has been no let up in infiltration and terrorist actions from across the Line of Control. If damage was limited, this was primarily due to the efforts of our soldiers deployed in our multi-tiered counter-infiltration grid that has been effective in neutralizing infiltrating terrorists. The Indian Armed Forces have been extremely vigilant in the face of this continuing threat. Based on receiving specific and credible inputs that some terrorist teams had positioned themselves at launch pads along Line of Control to carryout infiltration and conduct terrorist strikes inside Jammu and Kashmir and in various metros in other states, the Indian Army conducted surgical strikes at several of these launch pads to pre-empt infiltration by terrorists. The operations were focussed on ensuring that these terrorists do not succeed in their design to cause destruction and endanger the lives of our citizens. During these counter terrorist operations significant casualties were caused to terrorists and those providing support to them. The operations aimed at neutralizing terrorists have since ceased. We do not have any plans for further continuation. However, the Indian Armed Forces are fully prepared for any contingency that may arise. I have been in touch with Pakistan Army DGMO and have informed him of our actions. It is India's intention to maintain peace and tranquillity in the region. But we cannot allow the terrorists to operate across the Line of Control with impunity and attack citizens of our country at will. In line with Pakistan's commitment in January 2004 not to allow its soil or territory under its control to be used for attacks against India, we expect the Pakistani army to cooperate with us to erase the menace of terrorism from the region. (Source: PIB)


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Did You Miss The US Senate Debate with Menendez and Kyrillos? Watch Or Listen To It Again Here
Democratic incumbent U.S. Senator Bob Menendez faced off against GOP challenger Joe Kyrillos at the New Jersey 101.5 studios in a lively debate that covered women's issues, the middle class, marriage equality and immigration. Watch and listen to it again here.
Listen to Audio Of The Debate


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The pharmaceutical industry says it will lower the cost of prescription drugs for some seniors on Medicare.
It's part of an agreement struck with the White House and top congressional leaders who are trying to figure out a way to pay for President Obama's health care reform plan.
The President made the announcement Monday at the White House.
The drug makers say they are committing to spend $80 billion over the next 10 years by paying part of the cost for name brand drugs for some lower and middle income seniors.
The White House is under criticism because paying for Obama's health care plan is going to cost a lot of money, but the President says agreements like this will be key to getting a health care bill through Congress.
"To those who here in Washington have grown accustomed to the-sky-is-falling prognosis and certainties that we can not get this done I have to repeat and revive an old saying from the campaign. Yes we can. We are going to get this done," Obama said.
Obama's Health Care Plan May Lack Votes
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Find peace with God, discover more about God or send us your prayer request.
Call The 700 Club Prayer Center at 1 (800) 823-6053, 24 hours a day.
A caring friend will be there to pray with you in your time of need.
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The results are in. Modern Machine Shop's April issue features results from the 2014 World Machine Tool Output and Consumption Survey, showing how the U.S. machine tool market has outpaced the test of the world. This issue also features technical articles about data-driven manufacturing and a million-dollar, large-part job.
Other topics include a roundup of workholding articles, case studies about introducing automation into production and an equipment spotlight on turning. Read the digital April issue here.
Comments are reviewed by moderators before they appear to ensure they meet Modern Machine Shop's submission guidelines.blog comments powered by Disqus


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Proving that less is more, this understated tie uses its unequaled quality and sophisticated restraint to maximum effect. The more minimal the design, the more uncompromising the quality needs to be, a fact which shines through flawlessly. The deep Malibu blue colour in conjunction with sumptuous fabric and fine detailing shows just how effective simplicity can be.
21957 - Tie in Solid Colors Malibu Blue
100% silk - Made in Italy - 6 cm
ref : 21959
ref : 21924
ref : 21935
ref : 21927
ref : 21964
ref : 21947


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WASHINGTON - President-elect Obama said Friday that his administration and Congress will act quickly to solve the "greatest economic challenge of our lifetime."
Obama made his remarks in his first press-conference since being elected in a landslide victory Tuesday.
Click play to get more perspective on how the presidential transition will affect the economy from Barry C. Lynn, with the New America Foundation, following CBN News Reporter Paul Strand's report.
While he deferred to the current administration saying he would still not be president until January, he urged Congress to pass a new economic stimulus measure soon.
"I want to see a stimulus package sooner rather than later," he said when asked about the prospects of a new plan being passed before January. "If it does not get done in a lame-duck session, it will get done as soon as I'm president."
"Immediately after I become president I will confront this economic crisis head-on by taking all necessary steps to ease the credit crisis, help hardworking families, and restore growth and prosperity," he said
Meeting with Economic Team
Earlier this morning, President-elect Barack Obama and his economic met to find way to deal with a bleeding economy potentially facing a tough recession.
"There's a lot of problems for the country to get through and Obama has to hit the game-plan running right from the start," said David Henderson, a trader with Raven Securities.
Not only has America lost jobs every month for 10 months now, but retail sales just had their worst October since 1969. Consumers have clamped down hard on their spending.
"Consumers now are cutting back on clothes, and maybe not buying clothes at all. But what they're buying is just what they need to put on the dinner table tonight," retail consultant Burt Flickinger said.
Top priorities for Obama are picking a well-respected Treasury secretary and Federal Reserve chairman who'll boost confidence. And he has to show he's working quickly and smoothly with the Bush administration on dealing with the economy.
"As you look at economic issues and the like, that information is already being exchanged. So as one team leaves the other team can move in," Arizona Gov. Janet Napolitano said. Napolitano is part of Obama's transition team.
New Stimulus Packages
Obama will also need to work out with his fellow Democrats in Congress just what should go into the next one or two stimulus packages aimed at bringing the economy out of its rut.
'Candidate' Obama promised a big tax cut for the vast middle class that might juice up spending throughout the economy.
Some in Congress propose massive spending on public works and infrastructure repair. Others say they should extend unemployment benefits, fund more food stamps and aid ailing state governments.
"If we can do a program where the direct beneficiaries are first the financial companies, then we ought to be able to do one where the direct beneficiaries are the states that are hiring people, providing services, that are building projects," said Rep. Barney Frank, House Financial Services Committee Chairman.
"Things are beginning to move. I think the credit is beginning to flow. But I think some stimulation here focused on the people who need it the most would be a wise step," Sen. Chris Dodd said.
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quote tallteen86You specced Phasewalk so much that you could do it every 6-8 seconds yet you don't even bother to spec dramatic entrance? What's with all the defensive specs? So you basically rely on the health regen of phasewalk and the defense buff of post-phasewalking to win every fight? Get some cajones, hombre.Yeah, that site (which I have seen before) looks loads better, and allows you to account for the Knox DLC too.
It would be better if their system allowed you to remove points individually instead of resetting, but meh.
EDIT: I believe THIS is my Lilith Build.
quote WoudoWhat's wrong with my build? V_VTallteen, please don't intentionally post terrible builds to troll the younger members.
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Baird / Ishii / Stone Japanese Green Tea IPA
The color was a hazy orange/yellow color. It looks a lot like light apple cider. The head disappeared quickly! It was off white, and there was almost no lacing. The head was gone halfway through drinking.
At first, it smelled very hoppy. It had the American citrus notes that you would expect from an AIPA. The alcohol comes through, but isn't unpleasant. I personally enjoy a little alcohol smell with the hoppy smell. After burying my nose in the glass for awhile, the green tea finally made an appearance. It wasn't overpowering in the least bit, but definitely present. It blended well with the other smells coming out of the glass.
The first few sips tasted like a typical IIPA – lots of sweetness and citrus, with a little pine coming through. The bitterness is fairly low in this beer, so there wasn't the hop "sting" at all. After a few more sips, the green tea makes its second appearance. I don't think I could have placed it as green tea if I didn't know that there was green tea in the beer. The tea adds substantial earthiness, which makes it remind me of an English-style IPA. The flavors blend very well, and the beer is incredibly balanced. The green tea is, once again, present but in no way overpowering. In fact, it's almost underwhelming. I have a feeling that the fresher the bottle, the more tea flavor comes through. There is also no alcohol flavor whatsoever – so be careful when tasting this beer!
Very little carbonation. It's almost flat, but in this beer's case it's a good thing. The lack of carbonation lets the taste linger in your mouth as you sip. The beer has a decent amount of perceived body – just as the beer feels like its going to finish dry, the green tea comes in and leaves you with a pleasant sweetness.
This beer is very good stuff! I was worried the tea would make it herbal-tasting, but it blends very well in the beer. It's not the greatest IIPA I've ever had, but it's definitely worth a buy if you can find it.
For more info about this beer, please check out Stone's Blog.


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Bach Standard Series Trumpet Mouthpiece in Gold Group II 17Product #H79486 Bach H79486 INCG Trumpet Mouthpieces https://www.esnapw.com/rses/ESnapServlet?MerchantNumberSent=63655
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Sweet gold-plated trumpet mouthpiece.
Bach mouthpieces are among the finest in the world, and the 3519GP is a continuance of that tradition. This mouthpiece features a 9 cup, deep with a 16.05 mm diameter and a medium wide rim, lowered toward the outside. It produces a colorful, liquid tone that is uniform over the entire range of the horn, desirable for all-around work. The gold plating is preferred by many players for a variety of reasons, from feel to appearance, to allergen considerations.
- Deep cup
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Order today and experience the gold difference.


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From the Head and Neck Surgery Section, Department of Surgical Oncology (Drs Sasson, Pingpank, and Ridge), and the Departments of Pathology (Dr Wetherington), Radiation Oncology (Dr Hanlon), and Biostatistics (Dr Hanlon), Fox Chase Cancer Center, Philadelphia, Pa.
To identify any risk factors for incidental parathyroidectomy and to define its association with symptomatic postoperative hypocalcemia.
Retrospective study.
Tertiary referral cancer center.
Consecutive patients who underwent thyroid surgery between 1991 and 1999. Patients who underwent procedures for locally advanced thyroid cancer requiring laryngectomy, tracheal resection, or esophagectomy were excluded.
All pathology reports were reviewed for the presence of any parathyroid tissue in the resected specimen. Slides were reviewed, and information regarding patient demographics, diagnosis, operative details, and postoperative complications was collected.
Main Outcome Measure
Identification of parathyroid tissue in resected specimens and postoperative symptomatic hypocalcemia.
A total of 141 thyroid procedures were performed: 69 total thyroidectomies (49%) and 72 total thyroid lobectomies (51%) . The findings were benign in 68 cases (48%) and malignant in 73 cases (52%). In the entire series, incidental parathyroidectomy was found in 21 cases (15%). Parathyroid tissue was found in intrathyroidal (50%), extracapsular (31%), and central node compartment (19%) sites. The performance of a concomitant modified radical neck dissection was associated with an increased risk of unplanned parathyroidectomy (P = .05). There was no association of incidental parathyroidectomy with postoperative hypocalcemia (P = .99). Multivariate analysis identified total thyroidectomy as a risk factor for postoperative hypocalcemia (P = .008). In the entire study group, transient symptomatic hypocalcemia occurred in 9 patients (6%), and permanent hypocalcemia occurred in 1 patient who underwent a total thyroidectomy and concomitant neck dissection.
Unintended parathyroidectomy, although not uncommon, is not associated with symptomatic postoperative hypocalcemia. Modified radical neck dissection may increase the risk of incidental parathyroidectomy. Most of the glands removed were intrathyroidal, so changes in surgical technique are unlikely to markedly reduce this risk.
THYROIDECTOMY IS typically associated with low morbidity if it is performed with the identification and preservation of the parathyroid glands and laryngeal nerves. Permanent or temporary dysfunction may result from conscious sacrifice or unintentional injury to these structures. Awareness of the anatomical relationships of the parathyroid glands is important in preventing hypocalcemia. The reported incidence of postthyroidectomy hypoparathyroidism ranges from less than 1% to 15%.1- 5
Despite even careful surgical technique, temporary parathyroid dysfunction may result. Although several factors may be responsible for transient hypocalcemia, technical considerations include devascularization, trauma, and unintentional excision of 1 or more parathyroid glands. A recent study reported an incidental parathyroidectomy rate of 11%, with the majority of parathyroid tissue found in extracapsular locations.6 Reducing the unintentional resection of parathyroid glands might reduce the incidence of permanent and temporary hypocalcemia. Our goal was to investigate whether there is an association between incidental parathyroidectomy during thyroid surgery and postoperative hypocalcemia.
We retrospectively reviewed all standard thyroid operations (total thyroidectomies, subtotal thyroidectomies, and lobectomies) performed by a single attending surgeon (J.A.R.) at the Fox Chase Cancer Center, Philadelphia, Pa, between 1991 and 1999. Operations that included a simultaneous modified radical neck or central compartment node dissection were included in the analysis. Extensive thyroid procedures undertaken for locally advanced thyroid cancer, eg, requiring laryngectomy, tracheal resection, esophagectomy, or median sternotomy, were not included in the study group. Procedures for hyperparathyroidism were excluded from the study. Parathyroid tissue intimately involved with tumor was not considered to have been unintentionally resected.
Pathology reports on all specimens were reviewed for the presence of parathyroid tissue. Incidental parathyroidectomy was defined as parathyroid tissue identified in the resected specimen and distant from the tumor. Parathyroid tissue submitted separately for histological evaluation was not considered. For all specimens in which incidental parathyroid tissue was found, the slides were reviewed to identify their location (intrathyroidal, extracapsular, or in the central node compartment). The number, size, and histologic features of all foci of parathyroid tissue were also recorded.
Patient records were reviewed, and data concerning age, sex, and preoperative diagnosis were obtained. Operative reports were examined, and information regarding surgical procedure (total thyroidectomy or lobectomy), neck dissection, parathyroid autotransplantation, and number of parathyroid glands identified was collected. Any procedure in which a thyroid lobe was removed, including completion thyroidectomy, was considered a lobectomy. Data were gathered on symptomatic hypocalcemia, calcium replacement, and recurrent laryngeal nerve function. Recurrent laryngeal nerve function was determined by laryngoscopy in all patients before and after their procedure.
Comparisons were made for unintentional parathyroidectomy and postoperative hypocalcemia. Predictors of both outcome measures were assessed by univariate and multivariate analyses. Univariate analysis of continuous variables was performed using a t test, and categorical values were determined using the Fisher exact test. Stepwise multivariate analysis was performed using logistic regression. All reported P values were 2-tailed, and exact probabilities are provided. Significance was determined for P≤.05.
Fine-needle aspiration was performed on all dominant thyroid lesions. A diagnosis of malignancy usually prompted a total thyroidectomy. Indeterminate cytological findings were followed up with a lobectomy and isthmectomy, unless intraoperative findings warranted a complete thyroid extirpation. Completion thyroidectomy was performed when malignancy was documented in the lobectomy specimen. Thyroidectomy was performed with extracapsular removal of the thyroid lobes, including the pyramidal lobe if present. Also, central compartment node clearance was regularly performed for carcinomas, and modified radical neck dissection was performed if lateral cervical lymphadenopathy was detected. Care was taken to preserve the recurrent laryngeal nerves and all parathyroid glands along with their blood supply as they were encountered during resection. The location and number of parathyroid glands identified were recorded in the operative record. After resection, the thyroid gland surface was carefully examined for the presence of parathyroid tissue. Parathyroid glands were autotransplanted using a standard technique. Parathyroid autotransplantation was also applied to any parathyroid gland whose viability or vascular supply appeared questionable.
A total of 141 thyroid operations were performed between 1991 and 1999. Total thyroidectomy was performed in 69 cases (49%) and thyroid lobectomy in 72 cases (51%). The findings were benign in 68 cases (48%) and malignant in 73 cases (52%). The patients ranged in age from 16 to 85 years (median age, 51 years). Patient demographics, diagnosis, operative procedures, and postoperative complications are shown in Table 1.
Histopathological analysis identified 21 cases (15%) with incidental parathyroid tissue. Of these 21 cases, 10 (48%) were benign and 11 (52%) were malignant. Total thyroidectomy had been performed in 12 cases (57%), compared with thyroid lobectomy in 9 (43%). A concomitant modified radical neck dissection was performed in 5 cases (24%). Also, in 2 cases (10%), parathyroid autotransplantation had been performed. The results of univariate analysis of patient variables and incidental parathyroidectomy are shown in Table 2.
Microscopic examination identified a total of 26 foci of parathyroid tissue in these 21 cases. The majority of cases demonstrated a single site of parathyroid tissue; however, there were 4 specimens in which multiple foci of parathyroid tissue were identified. Careful review was carried out to ensure that these specimens represented distinct parathyroid glands. Three parathyroidectomy specimens were unavailable for size measurements. In the remaining specimens (88%), the size of the parathyroid tissue was determined by measuring its greatest dimension (mean ± SEM, 3.9 ± 0.4 mm). The median size was 3.5 mm (range, 1.5-12.0 mm). Further histopathological inspection revealed that the majority of the parathyroid tissues were histologically normal; however, 3 foci were hypercellular, 1 was hypocellular, and 1 was adenomatous.
The parathyroid tissue in the resected specimen was found to be intrathyroidal in 50% of the cases. Intrathyroidal location was defined as parathyroid tissue completely contained within the thyroid capsule or completely surrounded by thyroid tissue. Parathyroid tissue was found adjacent to the thyroid capsule in 8 (31%) of the 26 foci found, and 5 (19%) of the glands were identified in the central compartment specimen. The central compartment was defined as the area between the internal jugular veins laterally, the sternal notch inferiorly, and the hyoid bone superiorly. Detailed information regarding location of the parathyroid glands was available from the operative reports of all patients, except 1. There was no association between intraoperative identification of parathyroid glands and the risk of incidental parathyroidectomy. No difference in the rate of unintended parathyroidectomy was found when fewer than 2 parathyroid glands were identified and when 2 or more were identified during a lobectomy (P = .68), and there was no difference noted when 2 or fewer parathyroid glands were identified and when 3 or more glands were identified during total thyroidectomy (P = .45). Hence, the ability to identify parathyroid glands during surgery did not have an impact on the rate of unintentional parathyroidectomy. Of the patients with incidental parathyroidectomy, only 1 developed transient hypocalcemia. This patient had 2 foci of intrathyroidal parathyroid tissue removed.
Univariate analysis identified concomitant modified radical neck dissection as a risk factor for unintentional parathyroidectomy (P = .05). A total of 15 concomitant neck dissections were performed, and 5 (33%) of these were associated with an incidental parathyroidectomy. A total of 6 foci of parathyroid tissue were found (1 patient had 2). Three of the 6 foci were intrathyroidal and 3 were in the central compartment.
In the entire series, postoperative hypocalcemia occurred in 10 patients (7%). Of these 10 patients, 9 had transient hypocalcemia (demonstrated by resolution of their symptoms when calcium supplementation was discontinued). The median time to recovery was 8 weeks or less (range, 4-44 weeks). One patient (0.7%) from this series has permanent hypoparathyroidism with circumoral numbness, requiring limited calcium supplementation without vitamin D 6 years after a total thyroidectomy, modified radical neck dissection, and parathyroid autotransplantation for metastatic papillary carcinoma. Of the 21 surgical cases with an incidental parathyroidectomy, only 1 patient (5%) developed transient hypocalcemia. In this study group, there was no correlation between symptomatic hypocalcemia and incidental parathyroidectomy (P = .99).
Postoperative hypocalcemia (transient and permanent) developed in 9 (13%) of 69 patients with total thyroidectomies, compared with 1 (1%) of 72 patients with thyroid lobectomies (P = .008). The patient who developed temporary hypocalcemia after her lobectomy did so after a completion thyroidectomy and modified radical neck dissection for metastatic medullary carcinoma. A preoperative diagnosis of malignancy was correlated with postoperative hypocalcemia (P = .02). Also, modified radical neck dissection (P = .07) and parathyroid autotransplantation (P = .07) may be associated with hypocalcemia.
Sixty-nine total thyroidectomies were performed. With respect to postoperative hypocalcemia, no difference was seen when 2 or fewer parathyroid glands were identified and when 3 or more were identified (P = .99). Hence, intraoperative identification of parathyroid glands was not predictive of postoperative symptomatic hypocalcemia. Also, no other factor in this cohort was found to be associated with hypocalcemia and total thyroidectomy. Autotransplantation of parathyroid tissue was more frequently performed in the hypocalcemic group than in the normocalcemic group (44% vs 18%) but did not reach statistical significance (P = .10).
Stepwise multivariate logistic regression analysis showed that total thyroidectomy was strongly associated with postoperative hypocalcemia (P = .008; odds ratio, 10.5) and that there was an increased risk of incidental parathyroidectomy associated with modified radical neck dissection (P = .04; odds ratio, 3.4).
This retrospective study did not demonstrate any relationship between incidental parathyroidectomy and symptomatic postthyroidectomy hypocalcemia. The incidence of incidental parathyroidectomy in this series (15%) is comparable to that (8%-19%) reported in other series.5- 9 The importance of parathyroid identification and preservation during thyroid surgery has been emphasized by surgeons.3,4,10 Even when the surgical technique is meticulous, unintentional parathyroidectomy may ensue. The variable location of the parathyroid glands (and particularly the intracapsular site of some) contributes to the risk of incidental parathyroidectomy. In our series, half of the parathyroid glands removed unintentionally were within the thyroid capsule. A recent study reported a similar rate of 42%.6 It is doubtful that improvement in surgical technique could completely eliminate the risk of incidental parathyroidectomy. We failed to find any association between intraoperative identification of parathyroid glands and incidental removal of the glands. Dissection in search of all parathyroid glands seems unwarranted.
The average size of a normal parathyroid gland is approximately 6 mm.3,10 In our series, the average size of excised parathyroid tissue was 3.9 mm. Some discrepancy in size may be explained by the histopathological sampling and processing of the specimen. Serial sectioning of the specimen may capture only a portion of the actual parathyroid gland. This might explain the small fragments of parathyroid tissue found in some specimens. It has been postulated by Lee et al6 that the thyroid disease may influence the ability to find parathyroid tissue in a thyroid specimen. The number of sections obtained and the pathologist's diligence in examining the specimen may increase the likelihood of identification of parathyroid tissue. There was no difference in the rate of unintentional parathyroidectomy between procedures conducted with a preoperative diagnosis of malignant or benign thyroid disease. Information regarding preparation and sectioning of individual specimens is not available.
In this study, univariate and multivariate analyses identified modified radical neck dissection as a risk factor for unintentional parathyroidectomy. Of the 120 patients without an incidental parathyroidectomy, 10 (8%) simultaneously underwent a modified neck dissection. In contrast, 5 (24%) of 21 patients in whom parathyroid tissue was found underwent a neck dissection. In this subgroup, a total of 6 sites of parathyroid tissue were identified (1 patient had 2 intrathyroidal foci): 3 were located in the thyroid gland and 3 were in the central neck compartment. Advanced disease with cervical adenopathy is often accompanied by gross central compartment nodal disease as well. Hence, it is not surprising that with more extensive procedures, unintentional parathyroidectomy occurs more frequently. Only 1 of the 5 patients developed transient hypocalcemia. Increased awareness when dissecting the central compartment may reduce the risk of unintentional parathyroidectomy, but oncological principles should not be compromised. Inspection of the resected neck dissection specimen for parathyroid tissue, anticipating possible autotransplantation, seems prudent.
Transient hypocalcemia is common after thyroid surgery. Biochemical hypocalcemia has been reported in as many as 83% of cases, but symptomatic hypocalcemia is seen much less frequently.9 Injury, devascularization, and unintentional excision of parathyroid tissue have all been cited as causes of postoperative hypocalcemia. Although many other factors have been studied, the cause of postoperative hypocalcemia is probably multifactorial.1
The risk of severe postoperative hypocalcemia after total thyroidectomy is often cited as a reason not to use this procedure to treat small thyroid neoplasms.4 Two recent series reported incidences of 0.3% to 5.0% for temporary hypoparathyroidism and 0% to 0.5% for permanent hypoparathyroidism.2,3 In this study, univariate analysis identified a preoperative diagnosis of malignant disease (P = .02) and total thyroidectomy (P = .008) as being significantly associated with transient symptomatic postoperative hypocalcemia. Additional factors such as modified radical neck dissection and parathyroid autotransplantation, although not statistically significant, may also be associated with hypocalcemia (P = .07 for both). Simultaneous neck dissection is undertaken to treat advanced thyroid malignancy. It is not surprising that surgery for advanced disease may be associated with transient postoperative hypocalcemia. Permanent hypocalcemia in this study was similar to that previously reported.2,3 The 1 patient who developed permanent hypocalcemia underwent a total thyroidectomy, modified radical neck dissection, and parathyroid autotransplantation for an advanced papillary carcinoma.
Multivariate analysis identified total thyroidectomy as the sole predictor of postoperative hypocalcemia (P = .008). Analyzing the cohort of cases in which only total thyroidectomy was performed failed to reveal any contributing factors. In contrast to other authors,2 we did not find an association between identifying fewer than 3 parathyroid glands and hypocalcemia (P = .99).
We reserve parathyroid autotransplantation for glands found on the thyroid capsule after resection or for glands that are clinically devascularized during the operation.10 A recent study of routine parathyroid autotransplantation during thyroid surgery reported a 1% incidence of permanent hypoparathyroidism.11 The authors advocate complete parathyroidectomy and parathyroid reimplantation for patients with familial thyroid cancer, many of whom have parathyroid hyperplasia. For patients with nonfamilial disease, they attempt to preserve at least 1 parathyroid gland in situ and routinely autotransplant 1 or 2 parathyroid glands. Hence, the impact of the in situ glands, compared with the transplanted ones, on calcium homeostasis could not be determined.
Incidental parathyroidectomy is not uncommon, occurring in approximately 15% of cases in this series. Half of the glands were found within the thyroid gland, so some unintentional parathyroidectomies are probably unavoidable. Total thyroidectomy and a diagnosis of malignancy do not increase the incidence of unintentional parathyroidectomy, but simultaneous modified radical neck dissection may be a factor. No association between incidental parathyroidectomy and symptomatic hypocalcemia was found. Hence, unintentional parathyroidectomy does not appear to contribute to postoperative hypocalcemia.
Accepted for publication August 31, 2000.
Corresponding author: John A. Ridge, MD, PhD, Head and Neck Surgery Section, Fox Chase Cancer Center, 7701 Burholme Ave, Philadelphia, PA 19111 (e-mail: email@example.com).
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I'm 163 at 5''11 right now (damn BJJ stops any unnecessary muscle gain) and I'm probably eating at least twice as much as you. It might have been ok if you were sedentary, but you seem like a pretty active guy, so my advice is to eat more!
I tried the low carb thing also, it took me three weeks before I crashed completely. It's really not made for people who are into sports that tax the glycolytic pathway.
Do you cheat much?


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By SDCC
from Undisclosed
These are pretty, pretty, pretty, and lend a more refined look to a notebook. Very spendy, but I like having a set for more professional settings. And sometimes they go on sale, which helps. :)
Bottom Line Yes, I would recommend this to a friend
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One of the better looking discs
By Zarielle
The discs are attractive in my opinion and there are no problems with the quality. The only negative things I can say is that they are over priced and they do look more vibrant online than they do in person. But overall I think that they give my notebook a more upgraded and expensive look so I am very pleased.
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An illness or other medical condition may justify an interruption or reduction in a full course of study. The medical condition must be substantiated by "medical documentation from a licensed medical doctor, doctor of osteopathy, or licensed clinical psychologist." Under immigration regulations, only one year of medical leave is allowed per degree level and may be authorized in semester increments only. Like all reduced course load authorizations, a medical leave of absence must be approved by the DSO prior to the reduction in course load.
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Okay, now here's a movie with a family theme -- anal sex as a cure for what ails you. Linda Fiorentino makes one of the all-time greatest see-saw role switches as she goes from dominatrix in "The Last Seduction" to everybody's favorite party girl in this film. Seems her rich hubby (Chaz Palmenteri) is a real yawner in bed, so Linda masquerades about town as the anally-penetrable Jade; the woman every man wants. She's like a human Ginsu knife: she slices, she dices, she juliennes....
When a famous politician is found dead, Jade becomes the target of an investigation conducted by former "NYPD Blue"-turned-"what the hell was I thinking when I left that show"-actor David Caruso. As a friend and Fiorentino's former lover, Caruso's detective begins to suspect her. He's really suspicious when he finds a videotape revealing Jade's face as she engages in her trademark act.
William Friedkin, director of such films as "The Exorcist" and "The French Connection" is looking for his comeback film. Obviously he and Joe Ezsterhaus have a different idea of what the word comeback really means.
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Looking for a fun place to take the kids Sunday? Celebrate traditions and make new ones at the annual Teddy Bear Tea at The Ritz-Carlton, Kapalua.
Presented in the resort's Salon Foyer from 2 to 4 p.m., the tea will feature food and drink for the young and the young at heart along with cookie decorating, storytelling, live piano music and cameo appearances by Frosty the Snowman, Chris the Christmas Bear and Santa Claus.
Bring your appetites and start with the chef's selection of tea sandwiches, which are egg and fresh chives, ham and asparagus, smoked Scottish salmon, and cucumber and Roquefort cheese.
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The Ritz-Carlton, Kapalua's Teddy Bear and the hotel's Executive Sous Chef Ryan Urig get ready for holiday festivities.
The Maui News / CARLA TRACY photo
Kid-friendly sandwiches include peanut butter and jelly, and peanut butter and fresh bananas. Sip hot chocolate, coffee, juices, and of course, special Ritz-Carlton herbal teas. Then dig into desserts such as scones with Devonshire cream and marmalade, and chocolate-chip cookies.
Pastry Chef Ashley Nakano will present a cookie-decorating station with teddy-bear shaped sugar cookies and she'll help the little ones dazzle with their creations. Cost of $45 for adults $45 and $30 for children includes tax and gratuity.
In addition, The Banyan Tree restaurant at the resort will feature special four-course wine dinners through Dec. 31, showcasing Silver Oak Cellars.
Christmas Eve, Santa Claus will be in the lobby from 4 to 8 p.m. along with live music and dance. Savor the season with dinners at the adjacent Kai Sushi or simply order pupu in the lounge.
Christmas Day, The Ritz-Carlton Kapalua will present an all-you-can-eat champagne buffet in The Terrace.
For Ritz reservations, call 669-6200.


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IRS releases IRA rollover limitations
May 12, 2014
What was once allowed is now prohibited....
Is the "rollover limit" discriminatory and a different number amount for 'conservatives, christians and tea party members?' Defund IRS; we need everyone paying their 'fair share' by a flat tax. You know...all that liberal 'equality' and all. Oh, oops, you mean that just applies to those who won't tow the liberal line eh?
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