text:
Champion Nominees - 2012
Vickie Cline:
Vickie Cline is Northwest Medical Center's Human Resource Director, a mother of two, and lives in Albany, MO. She recognizes the importance of healthy lifestyle choices, yet admits it can be challenging living in a rural community. "I had a baby in 2007, and started running to get back in shape. I really enjoyed it, yet was disappointed that there were not any options of fun runs, races or any activities of that nature, locally, to participate in," states Vickie. She continues, "I brought the idea to Northwest Medical Center to host a 5K run in 2009. They embraced it and we had over 100 participants the first year. Northwest Medical Center continues to put on the race and it grows each year. I feel fortunate to work for an organization that supports healthy initiatives and puts them into action."
Northwest Medical Center is a non-profit, critical access hospital with four satellite clinics and a home healthcare office that serves a coverage area of more than 10,000 residents. Northwest Medical Center values the importance of health and wellness and demonstrates this by hosting a plethora of services and events. These yearly events include: the annual walk/run, monthly diabetic education programs, multiple health fairs/screenings, dietary education programs, relaxation/stress reduction programs, psychiatric health programs, and most recently, working toward a region-wide community fitness challenge initiative that will encourage area businesses and groups to compete in designated health-related events.
Vickie Cline says the run has brought the community together, so much so, that the Albany Community Center chose to host an annual fun run. "Community participation in Northwest Medical Center's runs has been so successful, that our local community center now puts on a fun run," states Vickie. "It is awesome to see positive results from an event like our run trickle to other businesses. Once they get the itch, people can't get enough of the fun activities."
Vickie Cline's suggestion to host a race is just one example of the many that Northwest Medical Center has put into action. Northwest Medical Center's employees buy-into the company philosophy to support and encourage healthy life-style choices and continue to implement fun, new activities and educational programs. Northwest Medical Center is a Rural Health Champion.
Dr. Cheryl Dalton:
Or. Cheryl Dalton serves as Health Home Director overseeing a staff of six including five RN Care Managers. She implements the Patient Centered Health Home Initiative, and is taking the organization through the process of National Committee for Quality Assurance (NCQA) recognition. Most importantly, she is removing barriers and implementing processes to achieve excellent care for all our patients. From the onset of employment, Dr. Dalton became a de facto Rural Health Champion by immediately implementing a robust tracking system for chronic care patients in our rural Cassville clinic. From that time forward, that clinic functions as a pilot site for all our initiatives that she champions.
Dr. Dalton works mainly out of our rural Cassville clinic near where she and her husband live in Golden, Missouri.
Cheryl Dalton began employment as a Family Nurse Practitioner in our rural Cassville Clinic September 15, 2009. August 20, 20 II she became Home Health Director for the entire organization, yet continues to serve from the Cassville Clinic and uses it to improve pilot models. Immediately upon employment with ACCESS Family Care she worked to increase wellness in our chronic health population.
Cheryl is uniquely qualified for this award because she has spent a lifetime preparing and serving in rural and under-served areas. She completed her Doctorate of Nursing Practice degree in 2006 and along the way she served as a nurse practitioner, an assistant and adjunct professor, and a public health nurse. Her career choices demonstrate her heart to serve in rural and public health arenas.
I believe Dr. Cheryl Dalton is the best choice for the Rural Health Champion Award. She's dedicated her life to achieve the best skills possible to serve the least served with the best possible care she can provide. She is an exemplary role model for anyone to follow. She has prepared her whole life to serve in this needy area and she has the heart of a teacher to take patients into a more engaged self-management program of care. She uses her vacation time for mission trips to extend her compassion in caring for underserved and vulnerable populations.
She attempted to retire twice to devote more time to volunteering, and even stepped down to a volunteer position serving chronic care patients with the clinic. She saw an opportunity to positively impact the rural community with the health home initiative and embraced it with passion.
Dr. Dalton exemplifies the servant leader. She deflects glory in favor of others in order to build successful teamwork not just within the organization, but the whole community as well with the focus on successful health outcomes for patients. She works long hours studying best methods and practices and works up models to follow and implement. She exudes enthusiasm that inspires her team and community to support and make successful the efforts and goals of achieving well ness in patients and staff. She is a teacher at heart who inspires us to go further in our mission.
Angela Davison:
Angela is passionate about providing education to staff to allow them the opportunity to provide EXCEPTIONAL Healthcare to all generations of patients in the rural communities, where many times staff do not receive continued educational opportunities to be able to excel at a high level.
Angela provided advanced training to medical staff in our clinic system in rural southwest Missouri to improve the care provided. Also, led the team to implement a Medical Home system within our clinic system - leading the way to improved and patient centered patient care close to home for the patients
Angela works tirelessly to see that not only staff is well trained but that patients receive the right care at the right time at the right place! She is committed to exceptional Healthcare in a Rural environment and has worked tirelessly to introduce new services in those 11 RHC's. She is always thinking of her staff and the many patients we serve regardless of her needs! She is a TRUE RURAL HEALTH CHAMPION!
Linda J. DeClue:
Linda J. DeClue is the Department Manager for all 6 of the Rural Health Clinics of Washington County Memorial Hospital. Linda is a very meticulous, hardworking, energetic, and informative supervisor that ensures every penny is accounted for on each claim. She works well with the providers to ensure they are informed of any trends of mistakes they may have made and coordinates meetings with clinic department managers to not only praise them of the wonderful job they do by providing optimal customer service and patient care but to also work with them to correct any problems or trends of mistakes. Linda strives for perfection, enjoyment, fulfillment, and excellence in all areas of customer service, patient care, and professionalism. At department meetings, she allows suggestions to increase our customer service excellence. In my two years of working alongside her, I have noticed many changes that not only improve our patient interaction but increase our work performance to allow that spark of better service to our customers. Linda has directed staff to send payment reminder letters to patients who are on payment arrangements. This does take time, but the patients react well this courtesy letter and are more willing to pay on their account. Linda has incorporated incentives for patients and hospital/clinic staff that pay on their account within 30 days of the date of their initial statement. This too has been a great tool for increased up front collections, lower A/R Days, and above all - a better service to our patients. Linda always works hard to ensure the staff in her department, the providers who render services to our patients, the patients as a whole feel that they have knowledgeable, hardworking, professional, and compassionate staff that she supervises. Linda is always up to take on a challenge and accomplish what needs to be done not matter the size of the job. She has assisted in gaining new providers and clinics at a very fast rate. She went from managing billing for 4 clinics to 6 clinics in a matter of 6 months. During this period she has also helped with an organization software change that led to be ineffective due to her demands to ensure the claims are billed correctly, patients are billed for the correct amounts, and claims to be legal in terms of formatting. Linda is very knowledgeable in regards to all aspects of managing a Rural Health Clinic or Clinics. I strongly feel she should be recognized for her efforts and compassion to have a successful, professional, and customer service friendly unit of providers, managers, and support staff.
Dr. Kenneth Dugan:
Dr. Kenneth Dugan is extremely dedicated to improving healthcare in rural Missouri. Dr. Dugan moved to Missouri in 1997 (I think!!) from the east coast to escape the grasp of managed care. He worked for Mercy (then St. John's) as a hospitalist then took a job in the small town of Ava, MO in 1998 as a clinic physician for a rural health clinic. Dr. Dugan made that clinic thrive! He was always willing to see however many people walked through the door as long as they were willing to wait on him...he wouldn't turn a patient away! In 1999, Dr. Dugan was given a unique opportunity to open a private practice in Mansfield, where there was not a physician. The community pulled together and renovated a building and offered to Dr. Dugan for $1/yr lease in exchange for his commitment to that community. Dr. Dugan still owns a practice there today! Since 1999, Dr. Dugan has added 2 additional clinics: one in Mtn. Grove and one in Ava. All 3 primary care clinics offer something that most don't, the ability to walk in without an appointment! One clinic currently has a pediatrician on staff, something that Dr. Dugan has always felt very strongly about. We also have a retired orthopedist on staff at another office and have had a gynecologist in the past also. Even though certain things might not make the most financial sense for a business to do, Dr. Dugan has many times put that aside to offer services to our rural communities that are not otherwise available!
Dr. Galvez:
Dr. Galvez is the medical director for one of our rural health clinics located in Brookfield, MO. Dr. Galvez has served the rural population of Linn, Chariton & Macon counties since the early 1970's...coming to this area out of a residency in internal medicine in New England.
Dr. Galvez has worked for more than 40 years to provide excellent medical care to the citizen's of north central Missouri. He loves to teach and has been assigned externs from both the University of Missouri/Columbia and A.T. Still University in Kirksville. He works very closely with the local medical community and has served numerous terms as the chief of staff for Pershing Memorial Hospital...and is presently serving in that capacity.
Dr. Galvez has developed an outstanding communication network with specialists in every field as he seeks to access the best care for his patients. He is a constant advocate for quality care at the earliest point of contact for the patient and has been instrumental as a member of the board of directors of our health system in seeing that Pershing has the latest diagnostics to support the quality of care.
Dr. Galvez has been an essential part of building our health system into (3) rural health clinics as well as developing and enhancing services ranging from an acute care mental facility to a critical access hospital. He has led the way in the new construction for our out-patient, clinic, emergency dept., radiology, lab and surgery. The driving force behind his commitment has been his belief that all patients should have the best health care that the community can afford to make available...and that these services should be available to any and all in the rural setting.
Not only is Dr. Galvez a leader, he is a diplomat and teacher. His time is devoted to medical students, nurses and most especially his patients in an effort to educate and support. He has given the very best of himself...and has the respect and trust of all those who have the advantage and privilege of knowing him.
Carol Hyatt:
Carol currently serves as the Director of our Rural Health Clinic. Carol continuously puts the patient first in every task that she does. She is always willing to help out any department with a challenge that they are facing. While working full time, donating hours to community service projects, and raising a family, she made the time to continue her education by becoming a certified coder.
Carol currently works at Madison Medical Center in Fredericktown, MO. Carol started her career at our hospital in 1997 and has served in several positions but has been a Rural Health Champion in each and every one.
Carol is always energized in her work and handles multiple tasks each and every day. She is friendly and outgoing. She is one of the most caring people I know and this shows with every patient and employee interaction that she has each day. Carol oversees 8 provider offices and manages over 25 employees.
The difficulties that can be encountered as a medical office manager can sometimes be overwhelming. I think everyone who has dealt with Carol would nominate her for this award in a heartbeat! She is a wonderful organizer and leader for our facility and community. Carol puts her heart into every task and is a wonderful asset.
Tom Keim:
Tom Keim has improved access to care in our county and service area by recruiting more primary care physicians and nurse practitioners to our organization. He has seen to it that our clinics have expanded their hours to evenings and weekends which not only improves access, but helps ensure individuals have an alternative to the Emergency Department when their illness is not of an emergent nature. In addition, he has collaborated with our St. Louis affiliated hospital to bring specialists into our clinics on a weekly, biweekly or monthly basis. He has strengthened relationships with our providers and has instilled in them the same mission and value as he has our employees. He has supported development of Behavior Standards for physicians, nurse practitioners and our general staff.
Tom Keim lives in Ste. Genevieve and serves as our CEO.
Mr. Keim has been with the organization just over five years and began his mission to make us "the provider of choice by becoming the employer of choice". This has been his mantra since he came to the organization. He continues to work to strengthen staff and providers.
Tom is highly qualified for this award as he brought the vision of improving access to care to our community and to improving the culture in which we practice. Improvement of the culture has resulted in a more serious approach to customer service and caring, competent care. Mr. Keim is a very patient individual, seeing the good in people. He is appreciative of the staff who work within our organization. He rounds daily to ensure staff has the resources to perform to their highest potential. He models the behaviors he expects.
I believe Mr. Keim is the best person for the Rural Health Champion because of his vision for improved healthcare in our rural community and his commitment and drive to improve the services to our rural community. His manner of presentation is such that it is respectful of other views. He diplomatically presents his views and perseveres when these views are in the best interest to improve care to our service area.
Dr. Tom Papreck:
We often hear praises about the small town boy "making it" in the big city. Dr. Tom Papreck turns the tables on that expression as an outstanding example of the "city boy" making a big difference in a small town. Dr. Papreck, who grew up in Kansas City north, chose to set down roots in Marshall, Mo., in the 1970's, after graduating from the University of Missouri. He has spent more than 30 years devoted to the people and lifestyle of the small community. Marshall is a town of about 13,000 people and is in a federally-designated Health Professional Shortage Area, meaning it's tough to attract doctors to this rural area.
But Dr. Papreck never looked back.
In addition to his very busy family practice, Dr. Papreck, a father of six, has made time to give back to his community. He was founding medical director of the Saline County Ambulance District No.2, served on the Marshall Public Library Board of Directors, the Marshall Philharmonic Orchestra board, the local YMCA board and worked tirelessly on a capital campaign which brought a cancer treatment center to the community - so his patients didn't have to make the more-than-an-hour drive to get chemo or radiation therapy. He is an active member of St. Peter Catholic Church where he sings in the choir. For the last two years he has spent one weekend a month in Diocesan classes 90 minutes away from home, in preparation for ordination as a church Deacon.
His wife, Tammy, attributes his deep faith as one of the reasons he has a keen interest in end-of-life care and a respect for his elderly patients' wishes. He even makes house calls so that some of his patients can stay – and die, if they so choose – in their own homes, surrounded by people they love.
In addition to making those occasional house calls, Dr. Papreck is one of the few doctors to visit nursing homes in the two-county area, sometimes traveling more than 60 miles round trip. His care and concern is so meaningful to patients that he has been asked to sing at several of his former patients' funerals. ….And he does, schedule permitting.
Colleague and fellow family practitioner Dr. Bedford Knipschild, now retired, said this of Dr. Papreck: "Tom came to Marshall as a young doctor who, over the years, matured into a dedicated physician with a passion for caring for the people of this community."
With the sometimes tumultuous healthcare environment full of regulatory and financial concerns, Dr. Papreck has always stayed "above the fray." Fitzgibbon Hospital CEO Ron Ott said, "I cannot think of a doctor more worthy of an award as Rural Champion. He has given so much to this community and always puts caring for patients first."
Dr. Papreck is planning to retire at the end of 2013, about the time he will be ordained as Deacon in the Catholic Church.
Nancy Ridgley:
Nancy Ridgley is the Director of Community Wellness and Diabetes Education at Cox Monett Hospital, Monett,
Missouri since July 2002. Nancy exercises five days per week and is definitely a role model! Nancy spends
tireless hours to encourage and support employees and the community about leading healthy lifestyles. She
recently developed a healthy living blog with many followers. She and her staff have cardiac exercises classes
and spin classes open to the public. Coworkers make statements about Nancy such as:
"Thank you for your endless hours of work to keep our community healthy!"
"Nancy, you have been an inspiration to me since I first met you and you educated me on many aspects of
healthy living."
"Kids learn their eating habits from their parents and these are simple ways to start them on the right path. I
love how simple this is!"
Nancy is a certified diabetes educator and has positively impacted the huge need in our community. She has
coordinated an annual event called 'Dining for Diabetes' that raises funds to support the outpatient diabetes
self-management education program. Last March this event was attended by almost 400 people and has
raised more than $74,000 to date.
Nancy developed a 20-week weight management program called Journeys. Journeys focuses on mental,
physical and emotional health and is a lifestyle, not a diet. It incorporates three components for successful
weight loss and weight maintenance - behavior strategies, nutrition education and fitness programs.
Participants keep track of steps taken each day, food eaten and daily activity and learn how to avoid
Missouri ranks number 13 out of 50 states for prevalence of obesity. A recent study of school-age children in
Missouri determined that 24.5 percent are overweight, up from 19.3 percent in 2000. Overweight kids endure
mental and physical struggles that become more difficult with time and follow them into their teenage years
and adulthood. One in three children in this country is unhealthily overweight, and the physical and emotional
costs will shorten his or her life.
Nancy coordinates a program to educate area fifth graders and their families about early risk factors for
cardiovascular disease and diabetes called CARDIAC Kids which introduces students to the importance of a
healthy heart through a school assembly and a Web-based instruction module. Students may also have their
blood cholesterol and blood pressures screened, and get a pre-diabetes check. The student and their parents
are invited to an evening program called CARDIAC Fun, focusing on healthy food preparation and physical
activity. With a grant from Kohl's this program recently expanded to Springfield, Missouri.
During the summer months Nancy offers a weight management program to adolescents with a BMI greater
than the 85th percentile called Committed to Kids. In the program, each member of the family weigh in, turns
in food logs, wears a pedometer and participates during class exercise. The goal is the improvement of the
child's physical and emotional well-being with weight loss and management as an added benefit.


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The New York Knicks is one of the three remaining original teams of the 1946 NBA. This basketball franchise has a current roster composed of Cole Aldrich (#45), Carmelo Anthony (#7), Andrea Bargnani (#77), Tyson Chandler (#6), Raymond Felton (#2), Tim Hardaway, Jr. (#5), Kenyon Martin (#3), Toure' Murry (#23), Pablo Prigioni (#9), Iman Shumpert (#21), J.R. Smith (#8), Amar'e Stoudemire (#1), Jeremy Tyler (#4), Beno Udrih (#18), and Metta World Peace (#51). They are headed by the team's President, Steve Mills who just recently replaced Glen Grunwald in this position.
In the history of this basketball league, the New York Knicks has been among the most competitive franchises and that's why it has been engaged into several rivalries. The following are the top rivals of the New York Knicks:
- Boston Celtics
Just like the New York Knicks, the Boston Celtics is also one of the three original NBA teams. Inevitably, these two teams became tough rivals of each other since then, as contributed by the fact that their cities are just 190 miles apart from one another. The New York Knicks and the Boston Celtics have already met 9 times already in the post-season.
- Brooklyn Nets
The New York Knicks became one of the biggest rivals of the Brooklyn Nets, primarily because of the fact that they are both headquartered in New York City. These two teams have battled in the playoffs for three times and out of these, the Knicks won two meetings (1983 and 1994).
- Chicago Bulls
During the late 80s and early 90s era, among the greatest rivalries in the NBA league were between the Chicago Bulls and the New York Knicks. After the retirements of Michael Jordan and Patrick Ewing, the rivalry between the two teams declined. It was then the rise of the Bull's MVP, Derrick Rose and the transfer of Carmelo Anthony and Tyson Chandler to the Knicks that triggered the reborn of the two team's rivalry.
- Miami Heat
It is undeniable that the Miami Heat has become among the toughest inter-divisional rivals of the New York Knicks, especially during the 1997-2000 playoffs where the two teams fought against each other for the division title each year. Both teams won two playoff series during this era and when they met again in the 2012 NBA Playoffs, the Heat successfully ruled over the Knicks.
- Indiana Pacers
It was in 1993 that the Indiana Pacers became a tough competitor of the New York Knicks. This rivalry peaked until 2000, which marked the sixth battle between the two teams. Last year, the rivalry between the Pacers and the Knicks once again broke out during the Eastern Conference Semifinals, which was won by the Pacers.
If you want to catch the latest game schedules and other happenings with the New York Knicks, just visit ticketbroker.com where you can also purchase New York Knicks tickets online. Don't get left behind and miss the exciting hard court scenes with this NBA team. You better check out ticketbroker.com and grab your New York Knicks tickets now.

subset: commoncrawl


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text:
According to George Talbot's Wednesday column, Artur Davis is thinking about making a political comeback.
Maybe all the man needed was elephant pants.
The former Alabama Democratic gubernatorial candidate is also thinking about switching parties.
One of the reasons he left Alabama for Virginia was the way he was spurned by some of the traditional powers of his own party.
Some of the establishment leaders thought his independent streak was a result of Davis being a little too big for his britches.
Maybe all the man needed was elephant pants.


text:
Oh, Martha, how lovely to see you writing in SGA! The feel of this piece is so well done -- spooky and mysterious, creepily ominous; this is a story that lingers, and not one that should be read late at night when in the house alone. Beautiful job with the characterization all round as well. It's wonderful to see you in this fandom. I look forward to reading more of your terrific work! (Drat -- suppose this means I really will have to update the long-neglected recs page...)
Author's Response: Thanks so, so much for the warm welcome! Always a little scary to post in a new fandom.
Reviews For Moka
Reviewer: Katya B (Anonymous)
19 Jan 2006 1:12 pm
Reviewer: firesprite (Anonymous)
19 Jan 2006 12:05 pm
Oh my GOD. I am dead with this.
Author's Response: Heh. Um...good?
Author's Response: Heh. Um...good?
Reviewer: Emmuzka (Anonymous)
19 Jan 2006 11:25 am
Great story: Good timing with the scenes, attack without the "cheap plot device" non-con.. I expecially liked the diner dream sequence, dreams are really hard to make work, but you did.
Author's Response: Thanks!
Author's Response: Thanks!
Reviewer: bluebell (Anonymous)
19 Jan 2006 9:54 am
Seriously wicked story! I was mesmerized from start to finish - thank you.
Author's Response: Glad you enjoyed!
Author's Response: Glad you enjoyed!
Reviewer: Amalthia (Anonymous)
19 Jan 2006 7:45 am
I loved your story thanks for sharing. John's guilt and slowly returning memories was done perfectly. :)
Author's Response: Thanks!
Author's Response: Thanks!
Mesmerizing. I love the fractured timeline of the story, the descriptions of the Night People, the slow and subtle explication of exactly what happened to Rodney. I'm so pleased to see you back in fandom - and in Atlantis fandom!
Author's Response: Oh, good -- so glad the backward story-telling worked for you
Author's Response: Oh, good -- so glad the backward story-telling worked for you
Reviewer: email@example.com (Anonymous)
19 Jan 2006 5:06 am
Creepy and cool and really unique. Great story! Are you the same Martha who wrote Snake Oil?
Author's Response: Same one, I'm afraid.
Author's Response: Same one, I'm afraid.
Reviewer: logovo (Anonymous)
19 Jan 2006 2:33 am
Excellent story, idea, exection, everything. I wanted to follow it longer because I'm greedy, but it does feel like it's at the right ending. I just loved this idea. How John slowly remembers? Wow. Great moment at the first glimpse of how he participated in the ritual. I was also so curious to know what had happened to Rodney from that opening scene.
Author's Response: Thanks!
Author's Response: Thanks!
Reviewer: Dee (Anonymous)
19 Jan 2006 2:08 am
This was simply marvellous. Spot-on characterization, with a compelling plot. Loved the use of all the side characters, and John and Rodney's relationship, in all its complicated glory. The affection, the aggravation, and the push and pull dynamic were all used to great effect. I'm sooo pleased to see that you're on the mend, and have written SG:A fic. I always loved your Sentinel fic, so this is just doubly good. Because I love Rodney and John so very much. Thanks so much for sharing. :)
Author's Response: Nothing warms my heart more than Sentinel fen -- thank you! (and yeah, obviously besotted with John and Rodney these days, too)
Author's Response: Nothing warms my heart more than Sentinel fen -- thank you! (and yeah, obviously besotted with John and Rodney these days, too)
Oh, this was *good*. I thought you got all the characters spot on and the idea was very well done too. I liked the murkiness regarding the Night People, how it was difficult to hate them for what they did because they weren't doing it from a malicious stand point. I liked the way we were in the dark until John remembered snatches of images. I loved his struggles as he remembered more about what he had done to Rodney, how he refused to let it go no matter how many times he was reminded of the drug, even ignoring Rodney's pleas to let it go. Radek was great, first lookin out for Rodney and then giving John the means to be in the same place as Rodney. He's sneaky *g*. And I loved the final scenes, John remembering more even as Rodney stubbornly refused to let him go. The last scene was particularly touching with John's soft kiss and Rodney's little laugh before he started to cry. Great story. Laura.
Author's Response: Ah, thank you so much for the detailed & generous review! Very glad you enjoyed this.
Author's Response: Ah, thank you so much for the detailed & generous review! Very glad you enjoyed this.
Jesus humping Christ on a stick, that was fucking brilliant. Only a man in love vould forgive what had happened so damned quickly. I'd love to see an epilogue. Or hell, another story that happens soon after this one? :) Please? ----}-@ Krys
Author's Response: No immediate plans to continue this, but flattered you'd want to see more.
Author's Response: No immediate plans to continue this, but flattered you'd want to see more.
Reviewer: anatolia1 (Anonymous)
19 Jan 2006 1:38 am
Awesome, awesome story. I greatly enjoyed it. Thanks for sharing.
Author's Response: Glad you enjoyed!
Author's Response: Glad you enjoyed!
Reviewer: AnonyMouse (Anonymous)
19 Jan 2006 1:18 am
Wow. Wow. What an amazingly awesome story. I'm reduced to small words. I ... need to go read this again.
Author's Response: Thanks!
Author's Response: Thanks!
Holy jeeeez! What a disturbing idea! That ending was...I don't know really! I'm a bit shaken here, you're goooooood!
Author's Response: Heh. Thank you!
Author's Response: Heh. Thank you!
Reviewer: Teaphile (Anonymous)
18 Jan 2006 8:09 pm
Wow, what a great premise. You executed it beautifully, too.
Author's Response: Thanks!
Author's Response: Thanks!
Oh. My. This is seriously, seriously good. Rodney, willing to overlook potential-Wraith-worship in pursuit of coffee, and then becoming the "willing" victim... ow. In that first little scene, John's indifference shows, and that just seems wrong, and then you realise it's because of the drugs, and you find out what happened at the same time he does, through his fractured memories. And Zelenka's coveted moka pot! and his sneaky little plan to get the pair of them talking again, and. *sigh* I like. A lot.
Author's Response: Thank you!
Author's Response: Thank you!


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With Linux came Elegance by Glenn1794Watch
©2010-2016 Glenn1794
Hello, this is a Linux Wallpaper designed for all those who like things simple but elegant. Within the rar file you will find two versions of the wallpaper.
Amazing elegant wallpaper ( made it my wallpaper ^-^")
yes, you can click on "Edit Deviation" on the left and then move it to Customization > Wallpaper > Mac/PC OS.
Umm I would say totally wrong section.


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Six weeks down, four to go. As we venture forward in to the seventh week of the 12th annual Tribune Chronicle / St. Elizabeth-St. Joseph Health Center Fitness Challenge, recent trends are holding true.
For the second consecutive week, Kingz of Carz find themselves in front of the pack, knocking off an impressive 12.24 percent of their initial weight.
Nipping at the leader's heals, Just Weight narrowed the advantage by netting a 12.04 percent decrease.
Article Photos
Ryan McNaughton of The Wellness Warriors avoids the basket of cookies just before Thursday's weekly weigh-in at the Ralph A. Infante Wellness Center. The Warriors sit in fourth place through six weeks of the Fitness Challenge. Photo by Ashley Newman
Representing the Trumbull County YMCA, this quintet finished the week with the most amount of weight lost (1.64 percent), snapping a two week streak by the Kingz.
Also a trend that has developed, the Wellness Warriors occupy third place for the second week in a row, with 10.81 percent lost.
These veteran belt-tighteners just missed the weekly high score, losing 1.60 percent for the week.
Article PDFs
Fatagins remains in fourth place through six weeks with 10.61 percent lost.
In the only shift in this week's top five teams, Mocha House / Warren Strong stands in the fifth spot at 9.21 percent lost.
Meanwhile, Mocha rival 4.5 Full Grown Men continued its freefall, dropping all the way to the eighth spot in the competition with 7.93 percent lost, which puts them behind Weight No More (-8.74 percent) and Fat and Fearocious (-8.45 percent).
Just two weeks ago, the Full Grown Men were sitting pretty in second place. The last two weeks they've actually put on the pounds.
Come on, guys. In my best Bela Karolyi accent, "You can do it!"
What's cooking?
The Fitness Challenge works like this:
Teams are comprised of five individuals who select their favorite service organization for which they are participating.
After an initial weigh-in to gauge starting points, the team who loses the highest percentage of weight over the 10-week competition wins at least $1,400 for their chosen charity.
Runner-up receives $900; third, $550; fourth, $400; fifth to seventh, $325 each; eighth to 10th, $275 each; all others, $225.
Additionally, the team that loses the highest percentage of weight each week will receive a $10 bonus award. This week, that team is Mocha House / Warren Strong.
After the initial weigh-in, which occurred Jan. 16, 10 weekly weigh-ins will be held at various locations around Trumbull County.
The final weight check will be held March 27, and the contest winners announced April 6.
Dig In!
The Kingz of Carz, who can be found prowling the Toyota of Warren car lot, warned their competition last week that they were just getting started.
The boys lived up to that boastful proclamation in week six as they continued separating themselves from the field, with only Just Weight staying within a percentage point.
When the Kingz aren't wheeling and dealing in the showroom, they are putting in the work, getting in shape and ... lifting cars above their heads?
"Yeah, I do this every day in the garage," team member Sam Shepard said while holding a small sedan above his head.
Shepard claims the car lift was just there as a spotter. We're not so sure.
The Kingz also use Physique Fitness and Planet Fitness for their daily workout routines.
Team captain Tino Merlo is an early riser, making sure to get to the gym before heading to work in the morning.
"You can catch me at Physique at around 6:30 every morning," Merlo said. "The other guys come and go at different times during the day."
Whatever they are doing, it is apparently working. Keep it up, fellas.
Pass the salt ...
Instead of the usual smack talk section, we are going to talk this week about the tendency for teams to begin caving in six weeks into the competition as they see the leaders start to really separate from the rest of the pack.
Reviewing the board this week, several teams failed to weigh-in, while nine others added weight.
The contest can be fun and certainly helps a myriad of worthwhile charities, but it is also important to keep in mind that the Fitness Challenge is designed to help participants lead a healthier lifestyle.
"Obviously, there can only be a few teams that end up winning," Sue Shafer, Tribune Chronicle community events coordinator said. "Still, we'd love to see everyone stay with it as best they can. It's not all about the numbers, but how being healthier makes you feel."
The doctor is in
In this week's "talking to the experts" section, Dr. Kristin Astrom gives advice on the best and easiest dieting methods.
The "my plate" style of eating is one way participants can easily get on the right track and develop the right kinds of habits, according to Astrom.
"The 'my plate' style means that with each meal, you divide your plate in half - make one half vegetables and fruits," she said.
"On the other half, divide this in half again and make one quarter of your plate into a portion of lean meat, fish or chicken. The other quarter can be a starch such as potato or brown rice."
Astrom also noted that more veggies than fruit will usually help decrease calories.
By applying this diagram to each meal, healthy eaters will be able to control their eating without having to dive into often messy and complicated popular dieting schemes.
Fun with numbers
Now that the competition has passed the midway point and teams are beginning to see the light at the end of the tunnel, most competitors find themselves in a distinct statistical grouping.
Of the 48 teams competing, 33 of them fall somewhere between 3 percent of the initial weight lost and 7 percent lost.
That makes up 68.7 percent of the field.
See ya after the week seven weigh-ins.


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Letters to the editor
Why not double those fines?
In the Local section of The Star of March 12 was an article titled "School bus cameras to get trial run." There are flashing red lights on the bus and a "STOP" sign on…
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Health care reform bill debated by audience at local forum
WILLMAR -- Most of the people who attended a forum Tuesday in Willmar on rural health care coverage said they know someone who's struggling to pay medical bills.
But there was strong pessimism whether the federal health care reform bill, which became law last week, will truly cure the ills it aims to fix.
"I am scared to death of what's going to happen to small businesses across the country," said Ken Warner, president of the Willmar Lakes Area Chamber of Commerce.
The bill's provision to mandate the purchase of health insurance will be disastrous, Warner predicted.
"It penalizes business. It all starts with the job, and there aren't going to be any unless you work for the government. It's disappointing," he said.
About a dozen people showed up for the forum, which was hosted by the nonprofit West Central Healthcare Purchasing Alliance. The meeting in Willmar was one of four being held in the region to share recent findings from University of Minnesota surveys of providers and employers, and to discuss the federal health care reform bill.
Similar forums are scheduled today in Morris and in Montevideo.
Many in the audience at the Willmar meeting saw the health care bill, which was signed into law last week by President Obama, as a step backwards, especially for the small businesses it purports to help.
Data from the two regional surveys conducted last fall by the University of Minnesota at Morris suggest that small rural businesses and farmers were struggling the most, however, under the previous system.
The findings indicate "the status quo was not particularly good in this area," said Bart Finzel, an economics professor at the U of M in Morris and a research specialist for the West Central Healthcare Purchasing Alliance.
Many of those who responded to the survey reported 15 to 20 percent increases in premium costs over the past year, compared to a national average of a 5 percent increase. Eleven percent said they were very likely to stop offering health insurance as a benefit if premium costs continue to rise, and 27 percent said they were somewhat likely to do so. Eight percent of the employers who filled out the survey had already stopped offering insurance within the past five years.
According to the survey data, the smallest businesses have been hit the hardest, Finzel said. Indeed, those who had switched to high-deductible plans or medical savings accounts to rein in costs were more likely to report they were considering dropping the coverage altogether, he said.
"Small employers are bearing even higher rates of premium increase than are large employers," he said.
The survey of health care providers in the region painted a similarly bleak picture. The majority reported their operating expenses were rising an average of 3 to 6 percent a year while reimbursement was going down. Fully 46 percent said the widening financial gap was threatening their viability as a provider.
"I think small businesses are already suffering a lot," said Virginia Wolking, a policy organizer with the Center for Rural Affairs in Lyon, Neb.
"Employers are trying to offer health insurance and are finding it cost-prohibitive," Finzel agreed.
The Center for Rural Affairs, which backed the health care reform bill, sees the new legislation as a benefit that will help make health care coverage more affordable and more accessible for small rural businesses and their employees, Wolking said.
"It really comes down to a rural development issue," she said. "There's a lot of things this bill does to allow small businesses to purchase health care for their employees."
In a show of hands, most of the people at the forum said they knew of someone who had difficulty paying their medical bills or affording prescription drugs. Yet most also said they were satisfied with their current health insurance and that they could see a doctor if needed.
There's still a high degree of uncertainty over how the changes in the health care reform bill will unfold, said audience member Debi Brandt of the Heartland Community Action Agency.
"There's so much unknown right now. We're not sure how it's all going to come together," she said.


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Do bananas promote weight gain?
Asked by anonymous on Nov 06, 2008
in Nutrition
I've seen a lot of controversy about this and good arguments on both sides. I guess the carbohydrates and sugar make it comparable to white bread and potatoes. What about a banana's glycemic index?
Carbohydrates from fresh fruit, non-starchy vegetables, nuts, and legumes generally have a low glycemic load and do not promote weight gain. The glycemic index measures a food's effect on blood sugar and it is not directly related to weight. High glycemic index carbohydrates are quickly converted to glucose, causing insulin levels to spike. An insulin surge can lead to hunger and overeating in people who have prediabetes. But bananas actually have a low glycemic load when adjusted for the portion that most people eat. Bananas are a highly nutritious low fat, low sodium food packed with potassium, vitamin A, folic acid, and fiber.


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What would you do with a 1,908 square foot blank canvas? What if that canvas grew to 9,876 square feet? Gather your creative inspiration and take your pick! Both are possible. Escala just listed Penthouse 202 for $2,299,000. There are two penthouse floors at Escala, the 30th and 31st floor, each with four units. Two… Read More
Customize Your Own Penthouse
$2.4m View from Millennium Tower
Ponzi Scheme Millennium Tower 40% Off
Unit 1506 at Millennium Tower just hit the market for $1.2m. It last sold in '04 for $1.9m. It is 3,050 square feet. Most interestingly, it was owned by ponzi scheme scammer Darren Berg. These photos are from when it was on the market for $3m in 2007.
Interesting Sales Last Week
Geez, for only 16 closed condo and townhouse sales last week, I'm not suffering for notables to talk about. New construction adds a few to the count and we see a couple of high-priced resales that close after a lengthy stay on the MLS. New construction condos are back on the scoreboards with one each… Read More
Art Lover's Masterpiece
The sign on the front door of this 19th floor condo at Millenium Tower should read "Elephants Must Tread Lightly" or perhaps "Fragile – Glass" because once you pass inside you are within stumbling distance of a lot of glass: floor-to-ceiling glass windows, kiln caste art glass counters, and a masterful collection of glass art… Read More
Pied-Ã -Terre at Millenium Tower
I'd hardly call a 2,697 square foot unit at Millenium Tower a "luxurious pied–terre" [sic]. Luxurious yes, pied-a-terre, which is French for, "a small living unit usually located in a large city some distance away from an individual's primary residence", no. Semantics aside, this Olson Sundberg Kundig Allen unit is eye-catching. A little pricey at… Read More
MLS Watch: Multi-level Places Downtown
Millennium Tower You'd never guess that Millennium Tower, just across the streets from Redfin HQ , would have condos atop of it. Another (there's already a few units on the market from $1.2 million to $8 million) just came on the market today for $4.6 million. It last sold in spring of '07 for $3.9… Read More
MLS Watch: Lofts, Big Reductions
1310 E Union #202 is down to $800,000. 2200 Someone sent me a photo of a notice of default for a 2200 unit. Belltown Lofts Need a 790 square foot modern space with commercial kitchen? Check out 66 Bell St #4 for $300,000. Avalon Need a cozy small space in Lower Queen Anne? Check out… Read More
MLS Watch: Finally Listings Worth Clicking On
After lots of new boring listings coming on the market every day we finally have some interesting ones! Bellora Unit #310 at Bellora is sporting the largest mirror I've seen in a downtown condo: I don't want to know how much that fugly thing cost. Colonial Grand Pacific I guess with a name like Colonial… Read More


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SMU Department of Math
New mathematical model aids simulations of early universe
Scientists have made many discoveries about the origins of our 13.7 billion-year-old universe. But many scientific mysteries remain. What exactly happened during the Big Bang, when rapidly evolving physical processes set the stage for gases to form stars, planets and galaxies?
Now astrophysicists using supercomputers to simulate the Big Bang have a new mathematical tool to unravel those mysteries, says Daniel Reynolds, assistant professor of mathematics at Southern Methodist University in Dallas.
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Posted in Energy & Matter Tagged Daniel R. Reynolds, Dedman College, SMU Department of Math Leave a comment


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Top Definition
The act of having sex doggy style with a girl while at the same time giving her a swirly.
I wanted to bang Alice at the club so I took her to the stall and gave her a dirty loozanne.
Skaddies tərəfindən 16 Dekabr 2008
Trending Now
Can you define these popular missing words?
The act of performing anal sex on a girl while giveing her a swirly. Optional hand stand position but step ladder must be used
I got the wettest Dirty Loozanne in the bathroom today.
Skatapeen tərəfindən 03 Dekabr 2008


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We offer high-quality, competitively priced educational programs throughout the year. Whether face-to-face or online, our programs give you the chance to learn and network.
Whether you're selling a practice, looking for space, or pursuing new opportunities, look no further than our CDS dental classifieds, which receive more than 100,000 online views annually. Ads are also published in the CDS Review, the official magazine of the society.
Network with your colleagues and
other members of the dental community with the tools and resources in this
Nine convenient branches:
Informing members of the latest issues in dentistry is our mission. While we cover issues of national importance to the profession, we focus on news that affects our region and local communities.
Come to Chicago Feb. 23-25 for the 2017 Midwinter Meeting.
The CDS Foundation is dedicated to strengthening dental education and improving oral health care in our communities. We are a charitable 501(c)(3) tax-exempt organization.
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During the year, the Chicago Dental Society provides for members only the opportunity to obtain tickets to various special events. Tickets to Chicago theater productions, the annual CDS Summer Event and major league baseball games, among other outings, have been offered in recent years. Take advantage of your CDS membership by participating in these exclusive special events as they are available.
A tradition of working for the dental profession. The Chicago Dental Society was organized in 1864 and incorporated in 1878. The objective of the Chicago Dental Society is to encourage the improvement of the health of the public, to promote the art and science of dentistry and to represent the intrest of the members of the profession and the public that it serves.
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Locke wins job as Pirates' No 5 starter
Tim McCarver will make his 55th straight season of Major League Baseball his last.
The two-time champion catcher will call the World Series this year and then retire from his analyst job at Fox.
"I wanted to step down while I know I can still do the job and proud of the job I've done," McCarver, 71, said during a conference call.
His health is good, McCarver said. So are his passion and energy for the game.
It was just time.
"It's not a tough call," he said. "It's not a sad thing for me."
Forbes estimated the New York Yankees have the highest value in Major League Baseball for the 16th straight year at $2.3 billion, and the average for an MLB team increased by 23 percent in the past year to $744 million.
The magazine said Wednesday the Yankees' value increased from $1.85 billion last year.
The Los Angeles Dodgers are second in MLB at $1.62 billion -- nearly $400 million below the price paid for the team in May when a group headed by Mark Walter, Stan Kasten and Magic Johnson bought the franchise from Frank McCourt.
Forbes valued Boston third at $1.3 billion, followed by the Chicago Cubs ($1 billion), Philadelphia ($893 million), the New York Mets ($811 million), San Francisco ($786 million), Texas ($764 million), the Los Angeles Angels ($718 million) and St. Louis ($716 million).
The bottom five are Tampa Bay ($451 million), Kansas City ($457 million), Oakland ($468 million), Pittsburgh ($479 million) and Miami ($520 million).
Cleveland is 23rd at 559 million.
Left-hander Jeff Locke has won the competition to be the Pittsburgh Pirates' No. 5 starter.
Locke beat out Kyle McPherson, who was optioned to Triple-A Indianapolis on Wednesday, and Jeanmar Gomez, who will begin the season in the Pirates' bullpen. Gomez is out of minor league options and would have had to clear waivers to be sent down.
"We had extremely challenging decisions," general manager Neal Huntington said. "We didn't have clear separation on a number of fronts, but we still made decisions we feel good about."
Alex Presley, the Pirates' opening-day left fielder and leadoff hitter last season, was optioned to Indianapolis. Presley hit .304 in spring training but has one option remaining. The Pirates kept outfielder Jose Tabata, who struggled last season but who is out of options.
Infielder Jordy Mercer was optioned to Indianapolis and relievers Mike Zagurski, Ryan Reid and Vin Mazzaro were reassigned to the team's minor league camp along with catchers Carlos Paulino and Lucas May, and outfielder Felix Pie.
Utility infielder Josh Harrison would get the final bench spot if Brandon Inge's injured shoulder keeps him from being able to start the season.
Outfielder Quintin Berry has been optioned to Triple-A Toledo by the Detroit Tigers, who said Don Kelly had made their opening-day roster.
Berry was a contender for left field but was sidelined for much of spring by patellar tendinitis. He hit .258 in 94 games for the Tigers last season and led the team with 21 stolen bases.
His demotion Wednesday leaves Andy Dirks and Matt Tuiasosopo as the Tigers' left fielders.
Kelly was signed as a minor league free agent during the offseason after batting .186 in 75 games for the Tigers last year.
The Texas Rangers have returned Rule 5 draft pick Coty Woods to Colorado and gotten first baseman Chris McGuiness back from Cleveland.
McGuiness, who hit .195 this spring with the Indians, was assigned outright to Triple-A Round Rock.
After being taken in the Rule 5 draft in December, McGuiness and Woods had to be offered back to their former organizations if not on the major league opening day roster.
New York Yankees pitcher Phil Hughes will join Derek Jeter, Alex Rodriguez, Mark Teixeira and Curtis Granderson on the disabled list for the start of the season.
Yankees manager Joe Girardi announced the decision Wednesday after watching Hughes pitch in his second minor league exhibition game since returning from a bulging disk in his upper back.
Hughes is expected to miss his first turn through the rotation, which means that fifth starter candidates Ivan Nova and David Phelps are both likely to begin the season in the rotation.
Infielder Yuniesky Betancourt has signed a one-year deal with the Milwaukee Brewers, rejoining the team he helped win the 2011 NL Central title.
Arizona Diamondbacks utility player Willie Bloomquist will start the season on the disabled list. The team said an MRI showed a grade 2 right oblique strain, sustained in Tuesday night's game against the Los Angeles Angels. There is no timetable for his return.


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Choir ensemble to perform in area
June 6, 2012
FOSTORIA — Cardinal Chorale is coming back to the area. Cardinal Chorale, the traveling ensemble of All-Ohio State Fair Youth Choir, is to sing at 7:30 p.m. June 26 at St....
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The Florida National Guard's top officer on Thursday endorsed the Pentagon's decision to clear women for combat roles in the U.S. military.
Maj. Gen. Emmett Titshaw Jr., who holds the title of Adjutant General of Florida, called it a "historic decision" in a statement from headquarters in St. Augustine and said the Guard supports it.
TALLAHASSEE -- Gov. Rick Scott's office recently resumed reviewing state agency contracts of $1 million or more after a months-long hiatus, according to an internal memo obtained by the Times/Herald.
Scott initiated the process on his Jan. 4 inauguration day with an executive order that also froze agency rule-making. The part dealing with contract review expired after 90 days.
TALLAHASSEE -- Erich Campbell thought he was just being helpful the night he flashed his headlights on a busy Tampa highway to warn drivers of a police speed trap ahead.
The Florida Highway Patrol didn't appreciate the help.Troopers pulled Campbell over and ticketed him.
Flashing your lights is illegal, they said.
Two members of Congress from Florida have vowed to take their redistricting case to the U.S. Supreme Court after a Miami judge squashed their challenge to a state constitutional amendment limiting how districts are drawn for congressional elections.
TALLAHSSEE -- The sponsor of the bill to bring resort casinos to South Florida believes that the arrival of gambling giant Genting, the state's dismal economy and a rush of casino cash give legislators a chance to catch "lightning in a bottle" and pass the long-sought legislation this year.
TALLAHASSEE -- Gov. Rick Scott is on a crusade to repeal more than 1,000 state rules that target everything from dwarf tossing to gambling and real estate licenses.
The rules — which are crafted by state agencies to implement laws passed by the Legislature — typically are repealed by the agency that wrote them.
But the governor's office now says it will ask lawmakers to repeal all of the rules in one shot next year.
WASHINGTON -- With the cleanup from Hurricane Irene ongoing, and Hurricane Katia looming in the Atlantic Ocean, some lawmakers and top federal scientists are making the case for maintaining healthy research budgets that sharpen the accuracy of hurricane forecasts.
Dave Bitner could barely speak.
His voice weakened from Lou Gehrig's Disease, the Republican Party of Florida's beloved chairman told fellow Republicans on a conference call Wednesday that he's stepping down because the illness has become too much.
Bitner, a former state House member and lobbyist, discovered he had the disease, also known as ALS, shortly after winning his post in a sometimes-bitter internal party race earlier this year. Bitner calmed tempers, won plaudits from former rivals and set about righting the ship in time for the 2012 election season.
Irene Czajkowski, 84, is the widow of a military veteran, living in a St. Petersburg nursing home with a fixed income of roughly $20,000 a year.
Apparently, she's too rich to qualify for Medicaid assistance. The Department of Children and Families recently notified Czajkowski's brother Michael Buckley — who has power of attorney — that it planned to remove her from the long-term Care Diversion Program.
It was almost a case of snakes on a plane. Instead it turned out to be snakes in some guy's pants. Seven of them, in fact, all exotic. Oh, and three tortoises.
Using a body scanner, Transportation Security Administration officers in Miami spotted all the reptiles stuffed inside nylon bags concealed in his pants. The unidentified man was trying last Thursday to get through a checkpoint on his way to Brazil on TAM Airlines, TSA spokesman Jonathon Allen said Monday.
St. Augustine Record ©2016. All Rights Reserved.


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"Paddle Your Own Canoe: One Man's Fundamentals for Delicious Living"
By Nick Offerman
"Parks and Recreation" actor Nick Offerman shares his humorous fulminations on life, manliness, meat and much more in his first book.
Article Photos
Growing a perfect moustache, grilling red meat, wooing a woman - who better to deliver this tutelage than the always charming, always manly Nick Offerman, best known as Ron Swanson from "Parks and Recreation"?
"My Story"
By Elizabeth Smart
Fact Box
|Wowbrary is a free service offered by the James V. Brown Library that showcases the library's newest items.
|Each week an email is sent to those who sign up for the service at www.wowbrary.org with alerts featuring the latest bestsellers, movies, music, audio books and more offered by the library.
|To sign up for Wowbrary emails and get information on the latest additions of books, movies and music, visit www.wowbrary.org.
For the first time, 10 years after her abduction from her Salt Lake City bedroom, Elizabeth Smart reveals how she survived and the secret to forging a new life in the wake of a brutal crime
On June 5, 2002, 14-year-old Elizabeth Smart, the daughter of a close-knit Mormon family, was taken from her home in the middle of the night by religious fanatic, Brian David Mitchell and his wife, Wanda Barzee. She was kept chained, dressed in disguise, repeatedly raped, and told she and her family would be killed if she tried to escape.
"Mr. Wuffles!"
By David Wiesner
In a near wordless masterpiece that could only have been devised by David Wiesner, a cat named Mr. Wuffles doesn't care about toy mice or toy goldfish. He's much more interested in playing with a little spaceship full of actual aliens - but the ship wasn't designed for this kind of rough treatment. Between motion sickness and damaged equipment, the aliens are in deep trouble.
When the space visitors dodge the cat and take shelter behind the radiator to repair the damage, they make a host of insect friends.


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Three of the articles this month relate to the use of mesh in hernia repair. The first of these, from Moreno-Egea et al, relates to the fixation of the mesh in total extraperitoneal inguinal hernioplasty and concludes that except for individual cases of direct bilateral hernias, no advantage is accrued by fixation of the mesh and it does increase cost.
The second of these presentations deals with the use of mesh in preventing parastomal herniation by using a large-pore lightweight mesh with a reduced polypropylene content and a high proportion of absorbable material, placed dorsal to the rectus abdominis muscle and anterior to the posterior rectus sheath. It was sewn in such a manner as to prevent contact with the bowel. When compared with no mesh, it reduced hernia formation and complications were not associated with it.
The third application of mesh deals with the intraperitoneal esophago-gastric hiatus. In a meta-analysis, Targarona et al have concluded that the use of mesh for hiatal repair is safe and prevents recurrences. However, data on long-term results are lacking, and infrequent and severe complications may arise. The mesh should be used selectively, based on clinical experience. Dr Hoover's critique of the article points out the hazards of meta-analysis and the lack of clinical experience in this review.
This article by Hansen et al reviewed 105 patients undergoing nonincidental appendectomy within 3 days of their examination. Each patient's findings were reviewed by a different radiologist and pathologist. No single finding or computed tomographic scan could reliably and accurately predict the severity of appendicitis, although the combination of fat stranding, appendix diameter, dependent fluid, appendolithiasis, and extraluminal air contributed most heavily to the severe diagnosis and the need for immediate operation.
This study from Morales et al purports to identify those factors responsible for intra-abdominal infection in trauma patients. By analysis, they conclude that a high abdominal trauma index score (higher than 24), the contamination of the abdominal cavity, and admission to the intensive care unit are independent risk factors for the development of organ/space surgical site infection. As pointed out in the Invited Critique, more severely injured patients are more likely to require admission to the intensive care unit and are more likely to sustain postoperative complications (increased incidence of intra-abdominal infection).
While Bucher et al hit on many points in favor of the avoidance of mechanical bowel preparation in patients undergoing elective colorectal surgery, the Invited Critique brings us back to a rational approach by pinpointing studies disclosing superior clinical outcomes in prepared patients. Dr Pickleman cautions against the wholesale adoption of elective surgery without preoperative bowel preparation.
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What if the balls and strike calls we all made by that FoxTrack pitch thingy. Would we not get accurate calls 100% of the time. It seems it would better than those umps with changing strike zones and questionable calls.
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Braves mlYankees mlDodgers mlParlay rr 4-wayBraves-Red Sox-Philly-Reds-Yankees
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Yesterday's playPirates ml Screwed by the ump.Philly rl Parlay Angels-Brewers-Cards-Rays-Dodgers rr 4-wayAngels-Philly-Cards-ArizonaPlays for todayTampa/Oak. over 6.5Tampa mlPittsburgh ml Parlay rr 4-wayArizona mlPhilly mlDodgers mlAri./SDP over 6Tampa/Oak over 6.5
Copyright © 1995-


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Michigan Sens. Carl Levin and Debbie Stabenow this week announced that the U.S. Department of Transportation awarded a $2 million competitive grant to the Southeast Michigan Council of Governments to study the possibility of extending the rail line 7.5 miles from Detroit to Birmingham.
As currently planned, the nine-mile line will run from downtown Detroit to a site near the Michigan State Fairgrounds just south of 8 Mile Road. Proponents say it will provide residents with an efficient form of public transportation while stimulating economic activity along Woodward. Critics, however, argue the project will not be successful without integration into a true regional transportation system.
And that's why this study could be a big deal.
With DDOT down and SMART preparing for steep cuts, there's never been a greater need for a collaborative regional authority.
As reported by the Eccentric, the cities of Birmingham, Ferndale, Berkley, Royal Oak and Huntington submitted the grant application with the help of SEMCOG, signaling more than just a willingness to partner with Detroit on light rail, but a desire to do so. The grant also signals continued support from the federal government, which is helping Detroit fund the project.
U.S. Transportation Ray LaHood is scheduled to visit Detroit on Monday, where he is expected to discuss light rail and other transportation issues with Michigan Gov. Rick Snyder and Mayor Dave Bing.
Local leaders say crews could break ground on the Woodward Avenue Light Rail Project as early as next spring, and they hope the light rail system will be fully functional in Detroit by 2016. Bing has called it "just the beginning."
"If we're talking about regional transportation, you've got to have a connecting system," he said late last year. "It's not going to happen overnight, but it's a start. Woodward Avenue is considered the spine of Detroit, so getting a light rail system up and down it will be the beginning of a coordinated system."


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Millionaires pull away in second half vs. GAR
December 14, 2012
Some of his teammates can make a dunking highlight reel, become Internet sensations and send Williamsport fans into a frenzy. Senior guard Brandon Fedoriw will not be in those highlights....
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Tangential angle
In geometry, the tangential angle of a curve in the Cartesian plane, at a specific point, is the angle between the tangent line to the curve at the given point and the x-axis.[1] (Note, some authors define the angle as the deviation from the direction of the curve at some fixed starting point. This is equivalent to the definition given here by the addition of a constant to the angle or by rotating the curve.[2])
If a curve is given parametrically by , then the tangential angle at is defined (up to a multiple of ) by[3]
Here, the prime symbol denotes derivative. Thus, the tangential angle specifies the direction of the velocity vector , while the speed specifies its magnitude. The vector is called the unit tangent vector, so an equivalent definition is that the tangential angle at is the angle such that is the unit tangent vector at .
If the curve is parameterized by arc length , so , then the definition simplifies to . In this case, the curvature is given by , where is taken to be positive if the curve bends to the left and negative if the curve bends to the right.[4]
If the curve is given by , then we may take as the parameterization, and we may assume is between and . This produces the explicit expression .
Polar tangential angle[edit]
In polar coordinates, define the polar tangential angle as the angle between the tangent line to the curve at the given point and ray from the origin to the point.[5] If denotes the polar tangential angle, then , where is as above and is, as usual, the polar angle.
If the curve is defined in polar coordinates by , then polar tangential angle at is defined (up to a multiple of ) by
- .
If the curve is parameterized by arc length as , so , then the definition becomes .
The logarithmic spiral can be defined a curve whose polar tangential angle is constant.[5][6]
See also[edit]
- ^ "Natural Equation" at MathWorld
- ^ For example W. Whewell "Of the Intrinsic Equation of a Curve, and its Application" Cambridge Philosophical Transactions Vol. VIII (1849) pp. 659-671. Google Books uses φ to mean the angle between the tangent and tangent at the origin. This is the paper introducing the Whewell equation, an application of the tangential angle.
- ^ MathWorld "Tangential Angle"
- ^ MathWorld "Natural Equation" differentiating equation 1
- ^ a b "Logarithmic Spiral" at Planet Math
- ^ Williamson for section unless otherwise noted.
- "Notations" at Encyclopédie des Formes Mathématiques Remarquables
- R.C. Yates (1952). A Handbook on Curves and Their Properties. Ann Arbor, MI: J. W. Edwards. pp. 123–126.
- "Angle between Tangent and Radius Vector" in An elementary treatise on the differential calculus By Benjamin Williamson p222 9th ed. (1899) online


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Still workin!
Just thought we'd touch base and say, HELLO to our kickstarter supporters!
We are working really hard up in here! Maybe you haven't seen us around because of all our... Read more
Summer Rumpdate
Things are getting straight bananas in the studio! Whoa dang it has been getting funky. We originally thought we would be done by now, but it turns out that we... Read more
Spring Rumpdate
It's been pretty exciting working on our new record and we wanted to share with you our journey so far. Winter was pretty peaceful and warm in Brooklyn, which means... Read more
Valentine's Day Gift from Planet Rump!
To our loyal fans and friends who have pledged allegiance to the Rump:
THANK YOU so much for supporting our campaign!!! It turned out to be a smashing success and,... Read more
Exclusive DJ Mix For All Backers!
Hey awesome Planet Rump backers!
Since we've made such great progress already due to your support, we'd like to express our gratitude by creating a special DJ mix to share... Read more
Thank you to all our wonderful backers! We made our goal of $2,000 in less than a week---thanks to your generous donations! We'd love to keep the momentum going an... Read more


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Frogg Toggs Pro Advantage Rain Suit
Retailers' Descriptions
Here's what other sites are saying:
CLOSEOUTS . Frogg Toggs' Pro Advantage rain suit gives you the protective edge over foul weather conditions with DriPoreand#174; waterproof breathable technology that compresses and packs easily. Available Colors: BLACK, ROYAL BLUE, KHAKI. Sizes: S, M, L, XL, 2XL, 3XL.
- Sierra Trading Post
Frogg Toggs Pro Advantage Rain Suit
previously retailed for:
The Frogg Toggs Pro Advantage Rain Suit is not available from the stores we monitor. It was last seen May 1, 2012 at Sierra Trading Post.
If you're looking for a new waterproof jacket, check out the best reviewed current models.


text: Home- Faculty Search- Faculty Directory- Yoichi Aizawa Colgate Directory FACULTY DETAIL < BACK TO RESULTS Yoichi AizawaProfessor of Japanese EALL, 9A Lawrence Hall p email@example.com Degree BA, Haverford, 1968; PhD, University of Pennsylvania, 1984 Specialties Japanese Language, Core Japan, and East Asian thought Interests Buddhism and literature in medieval Japan Publications "A Study of the Almsgiving and the Alms-refusal in the Vinayapitaka." Translation: Introduction to Sanskrit Manuscript . . . Collected from Nepal, Kasmir, and Central Asia Articles: "Japan's Hidden Buddhist: The Persecution of the Fuji-fuse Sect of Nichiren Buddhism," "Literary Pilgrimage: Kawabata's 'Izu Dancer' as a Buddhist Scripture" (Eastern Buddhist)


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The price of gold has been up by 1% or more in each of the last three months, and as we pointed out earlier, the commodity is trading more than two standard deviations above its 50-day moving average. Even though the commodity is overbought, however, doesn't necessarily mean that it's due for a big fall. The chart below shows the performance of gold so far this year (blue line) along with the commodity's average annual return going back five years (red line) and to 1980 (gray line). Below the chart we show the average and actual returns for gold on a monthly basis.
As shown in the chart, since 1980 gold has averaged a gain of 1.7% during the month of September, making it the best month of the year for the metal. Even over just the last five years, the price of gold has averaged a gain of 2.8% during September, which is enough to make it the third best month of the year. So while September has historically been a weak month for equities, gold has glittered.Click to enlarge


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Families Around the World – Mar 30, 2011
In this series we look at some of the more interesting family stories from around the world over the past 7 days.
Included in this week's list are stories from Canada, India, Lebanon, Mexico and Malta.
To kick things off we have the story of a family member that decided to take things a step further after a recent reunion and write a whole book on the family!
Nancy Jane (Delaney) Nawoichyk was prompted to pen the publication after a get together with over 70 members of her family in 2005.
It's something I know we've all thought about doing, which makes it so great to hear that Nancy followed through.
Next, from India, we have a humorous look at the "Rulebook of Family Reunions"
I'm sure there are many of you, Indian or otherwise, who can relate to this story.
From Lebanon we have a wonderful story about the Massaya winery, the deep roots the Ghosn family that runs it has with the land and their commitment to continue producing exceptional wines despite the turmoil that often engulfs the country.
From Mexico we have the story of a 64 year-old grandmother who, with the help of her children, has finally graduated from Elementary and Junior High School.
Next Stop - her High School Diploma. You Go Girl!
Finally, there's some good news from Malta with a motion for the setting up of a Permanent Committee for Family Affairs presented to the Clerk of the House last Friday.
Reading through the article you can see the importance of family in Malta so it's fantastic the country is trying to ensure that this stays at the top of the political agenda
That's it for this week's Families Around the World.
If you have any amazing family stories you think our blog readers would like to hear about, feel free to put some info and a link in the comments to this post and we'll see if we can add it to next week's edition of FAW.
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The Detroit Lions have had more distractions this season than wins.
Sure, the king of distraction is still part-time ninja fighter and soon-to-be-backseat driver Ndamukong Suh, but wide receiver Titus Young is competing for that crown.
In an interview with 97.1 The Ticket, quarterback Matthew Stafford said that the decision whether to bring back Young - who has not been with the team for over a week since being asked to stay away due to selfish behavior - is not his decision to make.
"Honestly, it's not up to us," Stafford said. "It's the coaching staff and the front office. And as coach said, when he feels he's ready to come back, he'll be back playing for us.
"That's kind of our take on it. In this business, it's so week in and week out, you just got to be ready to roll with whoever's available."
Before his dismissal, Young had been productive on the field, averaging 11.6 yards per reception and hauling in four touchdowns. But his two touchdown game in a win over Seattle seems like a long time ago, and his distractions began to outweigh his abilities. Still, he's a weapon Stafford wouldn't mind having back at his disposal.
"Yeah, obviously, it's not my job," Stafford said. "We let them do their job; we go out there and try and play. But once you're a teammate of mine, you're a teammate of mine no matter what happens. I feel the same way about all the guys I've ever played with.
"I Would love to have the guy back and it's always fun."
In the meantime, Stafford is developing a chemistry with Young's replacement in the starting lineup, rookie receiver Ryan Broyles. With Young held out of the Lions' Thanksgiving Day game against Houston, Broyles not only started, but excelled. Broyles had six catches for 126 yards in the 34-31 overtime loss.
"I think he's growing," Stafford said. "Obviously, he's a young guy, but he's learning. And he's a guy who's trying to learn, he wants to learn, he want's to be good.
"He wants to, you know, be in sync with me and that's means a lot."
With Titus Young's return still in question, Broyles will continue to start opposite Calvin Johnson. And this week, against Indianapolis, will be a perfect opportunity for the young receiver. The Colts have the league's 19th ranked passing defense and have given up 19 touchdowns through the air while grabbing only five interceptions.
"The guy's made some great plays for us," Stafford said of the rookie from Oklahoma. "He and I both left a couple out there (against Houston). I could have thrown the ball a little better; he could have maybe squeezed one a little tighter.
"His effort the whole game was there, for 60 minutes plus. And that's what we need from him."


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MNHS is the National Honor Society of Martin High School. National Honor Society (NHS) is the nation's premier organization established to recognize outstanding high school students. More than just an honor roll, NHS serves to honor those students who have demonstrated excellence in the areas of Scholarship, Leadership, Service, and Character. These characteristics have been associated with membership in this organization since its beginnings in 1921.
Service Hours : As the year progresses members should be looking for approved projects to earn hours. After each event, it becomes harder to earn them. So get them when you can! Also remember that 10 hours are due by December 18 and another 10 at the end of April, and only valid NHS projects can earn you hours. There will be a mid-semester check on October 17 when members must have 5 hours.
Meetings: Keep in mind that all members must attend at least two meetings a semester and have twnty hours by mid April! Students attending more than two meetings will get half an hour for each additional meeting. Upcoming meetings will be on November 13 and December 11.
Revisions to the membership selection to Martin's chapter of the National Honor Society have been implemented. These revisions include:
- Fall induction of Juniors and Seniors
- A revised information form
- A minimum 10.0 GPA
To This Year's Juniors:
Remember to acquire at least 20 hours this year in order to continue your membership into your senior year. Some hours may carry over into next year.
Attention All Members:
Fall hours are due on December 18, you must have acquired at least 10 hours before then.
Fall TAG gifts: October- Halloween candy, November - candle, December - holiday card.
To keep up with all NHS news and events, you have 3 options besides this website:
- Facebook Page: 2013-2014 Martin NHS
- Twitter Page: MartinNHS
- Mass Text: send @martinnhs to 424-789-8723


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Conditioning saltwater for shrimps
I want to set up a small aquarium with shrimps. Could you please tell me which products I need for conditioning the required saltwater?
I will categorize this a bit:
Technical equipment
A protein skimmer is in any case advisable in saltwater. A motor operated internal filter is sufficient for agitating the water and for breaking down the remaining waste substances biologically; the biological pollution is not very high. It may be additionally advisable to add some macro algae (e.g. Caulerpa sp.).
Additionally required technical equipment includes a heater (the wattage depends on the aquarium volume and the temperatur difference between the aquarium and its environment) and the lighting.
Water preparation and conditioning
High quality sea salt (e.g. sera marin basic salt) should be used for preparing the saltwater. Fully deionized water (by reverse osmosis or an ion exchange system) is an ideal basis.
Protection against possibly present copper and other heavy metals as well as against other harmful influences is important. sera aquatan is a suitable conditioner for this purpose.
sera shrimps natural is a suitable staple diet; you may, for example, add food tablets for aquarium fish. It depends on the species you keep whether you rather feed them meaty food (sera O-nip) or herbal food (sera Spirulina Tabs). sera marin gourmet nori (Nori algae) are an excellent additional food for algae eating shrimps that the animals will eat very greedily.
Best regards
sera GmbH
Dr. Bodo Schnell


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This clock was made in or before 1386 and was originally located in a separate Bell Tower (demolished 1792) just to the north of the Cathedral. It is probably the oldest working clock in existence – and like all clocks of that date had no face but struck the hour on the bell (now located [...]
Archive for the tag 'Clock'
4 Comments CherryPie on Jul 1st 2014
Filed under Holidays, Kent January 2012
Tower View
2 Comments CherryPie on Feb 19th 2012
12 Comments CherryPie on Feb 1st 2012
Filed under Heritage, Out & About
Baddesley Clinton – The Stables
The guidebook provides the following information:
the old stable block, which is listed in Edward Ferrers's 'Account of what I have built and altered in and about Baddesley house' as costing £76 17s 7d in 1714. Some of the arched entrances were bricked up to allow the interior to be fitted out with Victorian loose-boxes.
The [...]
10 Comments CherryPie on May 9th 2011
Filed under Holidays, Kent January 2011
Leeds Castle – Dining Room
The room is light and airy, a place I would enjoy dining with my friends. This picture shows it set up for a civil wedding rather than for dining.
10 Comments CherryPie on Feb 8th 2011


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Recent projects from Craftsy Quilting classes:
Offer some kudos...
Join the conversation...
Ask a question...
Add your comment...
|Here are some details about my project:
|Whimsical, Holiday, Traditional, Classic
What materials did you use? I used muslim squares and music scrap material for inserts as a theme. Around the edge has a crocheted edging. a table runner for the holidays.my first try at this.
What are you most proud of? the fact that by observing it on tv ,I was able to write down the instructions. I'm pleasantly pleased with my first attempt,and I'm already planning on a larger version for my twin bed. I also love the fact you don't need a backing or batting or an edgeing. I put on an edgeing because it needed something for width.
What advice would you give someone starting this project? I'm really new to quilting. never had time when I was working full time. start with smaller project like a table runner and colors or themes you might already have. Have the courage to try somthig new and surprise yourself.You'll get inspired to do more than you think.
hope you give it a try and enjoy
Well done! I've attempted this in the past. It's not easy and it looks like you have it mastered!
This is beautiful! I've made ornaments out of them, but now I want a tablerunner to match my ornaments! To make an ornament, you put two back to back, then turn 1/4 turn and sew the ends down...and you have your front and back that way to add your different fabric! You can stuff the inside w/a little batting before whipstitching the top closed and add a little string to hang it on the tree...or ribbon...would be perfect w/this runner! I'm so excited! I want to start making this ASAP! lovely!!!
what a great idea, never thought of ornaments. when you finish it hope you share it with us.
I really like that. I made a quilt for my son's bed years a go. Never thought about a table runner. A great idea.
I have already shared the cathedral ornament...its on here in my projects and there's a link to step by step instructions, too. I'm looking forward to making one of your runners!


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Certificate in Literacy Instruction
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