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She was taking a shower in her cramped lower Manhattan dressing room when Mikhail Baryshnikov burst through the door. She barely had time to turn off the taps and whip on jeans and a T-shirt before the world-famous dancer wrapped her in a passionate bear hug and started twirling her around the room. Baryshnikov's rapturous spinning had been brought on by his delight at Karole Armitage's New York premiere performance, as choreographer and star, of the avant-garde ballet The Watteau Duet. "There was big hugging and kissing," she says, grinning, of that damp embrace 16 months ago. "I heard later he was so excited he drove out with friends to his house in the country and stayed up all night doing imitations of me."
Baryshnikov, the director of the American Ballet Theater, had good reason to be stirred. In a few swift years the slim Armitage has made herself the most sizzling and controversial choreographer in the world of modern dance. Called "the punk princess of the downtown scene" by Vanity Fair, Armitage, 32, is a cult figure in some circles and a loony rebel in others: In Watteau, decked out in black high heels and lacy stockings, she performed cartwheels, rode on another dancer's back and got dragged offstage by her feet. But when Baryshnikov tapped her to choreograph for his company two weeks after he flipped over The Watteau Duet, Armitage scored the biggest breakthrough of her career. It was not her first commission for an established troupe—in July 1984 she composed GV-70 for the Paris Opera's Modern Dance Company—but it was a significant entry into one of the more conservative bastions: With permission of the king, the revolutionary was infiltrating the palace grounds.
Armitage's big moment arrived last May when her oeuvre for Baryshnikov, The Mollino Room, made its New York premiere at the Metropolitan Opera House. As Baryshnikov leapt through the off-beat, off-center moves characteristic of her work, the choreographer, who doesn't dance in this one, waited nervously backstage. Seconds after the gold brocade curtain closed on the exhausted, perspiring company, Armitage, in a strapless black lace prom dress, and Baryshnikov, in blue tights and a T-shirt with grinning fish on it, walked into the limelight to the roars of a startled but enthusiastic audience.
Armitage's ballet, named after Italian architect Carlo Mollino, took two months to compose and was inspired by and tailored for Baryshnikov: She took pains not to score jumps and twists that would land him on his game right knee, damaged in a 1985 accident. She set the three-movement work to music by Paul Hindemith and a record of a Nichols and May routine, My Son the Nurse. She also invited artist David Salle to design the costumes and sets. Salle, a successful New York expressionist, is also her fiancé. The eye-popping designs he came up with featured oversize galoshes, a tea set and a fishing reel.
The public seems to have absorbed all this cutting-edge artsiness just fine. But not, generally, the critics. "A pretentious monstrosity," sniped one. "A cultural con job." Still, Armitage does not lack for supporters. "I liked the piece," says dance critic Robert Greskovic. "Armitage has a fresh, brash talent. Anyway, most new work has a problem being ahead of its time."
No one defends Armitage's work with more assuredness than the choreographer herself. In an idiosyncratic way she has made it her business to free classical ballet from its strict, often rigid postures by using angular, syncopated moves that often seem dangerous. "I think dance ought to be about how it feels to live, not just a machine of beautiful movement," Armitage says. "When you are living in a post-holocaust, nuclear world, I don't think a regal style is appropriate."
Still, Armitage's early training—she put on her first dance shoes when she was 5—was classical. In Lawrence, Kans. where she grew up, she learned plies and jetés from a transplanted New York City Ballet dancer. But after the 1973-74 season in the corps of a Geneva-based Balanchine repertory company, Armitage kicked over the traces. "I felt a little strange in a tutu," she says. "Whenever we were supposed to be flirtatious, coquettish, imperial type girls, I felt silly. The director demanded total submissiveness. The only thing that mattered was perfect technique in a dull way. It was obedience to the rules, rather than great technique that leads to freedom and expressiveness."
Armitage bolted from the classical world and moved to New York to study modern dance. There, living in a walk-up in the East Village, she joined Merce Cunninhgham's troupe and by the late 1970s she was composing her own works, many of them heavily influenced by the punk group the Sex Pistols. "Punk was a little illicit, a little rebellious," she says. "It was about freedom rather than convention and it had a feeling of excitement and danger." In the noisy Drastic Classicism, she leaned back against guitarist Rhys Chatam (then her boyfriend) and flung her legs in the air in wild battements. That year, 1981, she also founded her own company, which now has seven members including herself.
The punk label has been hard to shed. "Punk is over," Armitage says now. "The style was appropriate to the times but the times are no longer that and the style has to change." She and Salle are now working on a collaboration, The Elizabethan Phrasing of the Late Albert Ayler, to premiere in Boston this fall, and she considers it neo-classical; Salle's costumes will be made of lightbulbs. But Armitage still wears a punk Peter Pan crop with bleached blond bangs. "This is a ballerina look," she claims. "It is as close as you can get to a bun without having one."
Her life with Salle, 34, seems as lively as her work. The couple shares his vast Tribeca loft, filled with 1950s Italian furniture. Downstairs, Salle's studio is strewn with giant canvases of Armitage, who often poses for him late at night. Fame hasn't tamed her revolutionary fervor. "Success is really pushing, pushing forward," she says. "Certain people have stakes in what they think dance ought to be and get really upset at what I do. But non-dance people just look at it and enjoy it." Some dance insiders agree with her. "Karole has a confidence that can put people off," says Greskovic. "I think some critics want her to be more humble. They feel that now she's at the Met, she should do something more traditional." They'd better not hold their breath waiting.
Choreographer Karole Armitage Opens New Windows on the Dance World for a Client Named Baryshnikov
updated 07/21/1986 AT 01:00 AM EDT
•originally published 07/21/1986 AT 01:00 AM EDT


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Ruth Squibb, a member of Alta Sierra Country Club, only needed one swing on hole No. 3, sinking a hole-in-one during the Spring Handicap Tournament.
The ace is Squibb's first hole-in-one at her home course. Squibb used a 9-wood for the shot. The ace was witnessed by Squibb's competitor, Judy Wood, also a member of Alta Sierra.
The hole-in-one was Squibb's second all-time, as she made her first one in southern California several years ago.


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Great shirt, well deserved print. Nice job rejagalu and DBH!
Finally :)
damnnnnn….thats nice. congrats!
I'll probably buy this one. Love the colours man! I kinda wish the mens ended at the bottom the same as the Women's Shirt but either way it's awesome!
thank you for the appreciations guys!! =D real big supports from you..
Support this shirt because it's about Japan.
Well deserved! Congrats!
This is the T-shirt that has made me order from the UK. Outstanding.
thank you so much guys for your appreciations!! =D
Insane, definitely going to try get this when I have money!
thanks a lot guys for the appreciations..=D
eeh akhirnya..saya baru lihat DBH lagi..congratz gan..mantabbb :D
wah,ga nyangka.KEREN!!!
thank you thank you guys!!! =D
wow! perfect <3
Great pic :)
It reminds me very much of the movie "Hero", which is dominated by colour themes. :)
The contrasting colours really work for this one! I would love to have seen the blue running down the sleeves a bit, though…. Although, I know that would be really annoying to print :P :P Congrats on the print :)
Girls really liked this one.
thank you for the appreciations everyone..I'm relieved you like it =D
Awwwww womens sizes are all sold out already?? I 'm thinking a REPRINT is in order!
very nice man…awesome :D


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'Bill' to hit bookstores next spring, theaters in fall 2003
NEW YORK — Talk Miramax Books has acquired world publishing rights to "Kill Bill," the first novel from filmmaker Quentin Tarantino.
Tarantino also penned the screenplay "Kill Bill" and will direct the movie for Miramax beginning in mid-June. Pic stars David Carradine, Uma Thurman, Daryl Hannah and Lucy Liu and will be produced by Lawrence Bender, with lensing in L.A., Mexico, Tokyo and Beijing. The movie will be released in fall 2003, while the novel will reach bookstores next spring.
" 'Kill Bill' is a novel, a cinematic novel," Tarantino said. "I'm moving away from screenplay format, keeping what I do like of the form and throwing away what I don't. I write tons of prose. It's all about the page; it's the writer in me. 'Kill Bill' is not a novelization. It functions as a script, and it functions as a novel, but it's not a script and it's not a novelization. It's something in the middle that gets across my writing style as its purest."
Jonathan Burnham, president and editor-in-chief of Talk Miramax Books, added: "Quentin Tarantino is a stunning storyteller with a gift for dialogue that burns up the page as much it does the screen. Dark and brilliantly funny, 'Kill Bill' is going to be an extraordinary fictional debut."
The novel tells the story of a bride who is presumed dead after she is shot at her own wedding reception. She wakes from a coma five years later and embarks on a killing spree, avenging herself by taking out the people responsible for her shooting.
The screenplay for Tarantino's "Pulp Fiction" was published by Miramax Books in 1994 and sold more than 150,000 copies, remaining one of the bestselling screenplays to date. Talk Miramax Books also will publish the "Kill Bill" screenplay.
Burnham, Talk Miramax Books general counsel-exec veep Devereux Chatillon and Miramax Films exec veep of business affairs Steven Hutensky negotiated on behalf of Talk Miramax Books. Tarantino was repped by the William Morris Agency.
Talk Miramax Books is the publisher of bestselling novelists Martin Amis, Christopher Rice and Michael Chabon and recent bestsellers "The Snow Garden," "Stolen Lives" and "Artemis Fowl."


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EFSA's scientific experts have updated scientific advice on the safety of irradiation of food – a process which can be used to destroy bacteria that cause food poisoning. In its comprehensive advice to EU policy makers, EFSA's BIOHAZ Panel[1] looked at the efficacy and microbiological safety of the process, and EFSA's CEF Panel[2] looked at possible risks arising from the formation of several chemical substances as a result of food irradiation.
EFSA's experts conclude that there are no microbiological risks for the consumer linked to the use of food irradiation. The practice of irradiation, although effective, should be considered only as one of several processes which can reduce the presence of pathogens in food. They say irradiation should be part of an integrated food safety management programme to protect consumers, which includes good agricultural, manufacturing and hygienic practices. The experts state that most of the substances formed in food by irradiation are also formed during other types of food processing, with levels comparable to those arising, for instance, from the heat treatment of foods.
They note that only a very limited quantity of food consumed in Europe is irradiated today. The only new evidence pointing to possible adverse health effects concerns some recent studies reporting neurological problems in cats fed exclusively with animal feed which had been irradiated at extremely high doses. These effects were found only in cats. However, neither the causes nor the mechanism which could explain the development of the neurological problems observed are clarified in these studies. Further research would be required to assess the possible relevance of these studies for human health.
The Panels recommend that decisions on foods which can be irradiated and on the doses used[3] should not be based only on predefined food categories, as is currently the case, but also on factors such as: the bacteria concerned, the level of bacterial reduction required, whether the food is fresh, frozen, dried, or on the food's fat or protein content. They also say that decisions on the type of food which can be irradiated should also take into account the diversity of food products nowadays available to consumers such as ready-to-eat foods.
- Statement summarising the Conclusions and Recommendations from the Opinions on the Safety of Irradiation of Food adopted by the BIOHAZ and CEF Panels
- Scientific Opinion on the Efficacy and Microbiological Safety of Irradiation of Food
- Scientific Opinion on the Chemical Safety of Irradiation of Food
What is food irradiation?
Food irradiation is a process which can be used to kill bacteria that cause food poisoning, such as salmonella or campylobacter. It can also delay fruit ripening, and help stop vegetables such as potatoes and onions from sprouting. In the EU, all foods or ingredients of foods that have been irradiated must be labelled as 'irradiated' or 'treated with ionising radiation' in order to allow consumers to make an informed choice.
Irradiated food should not be confused with the possible radioactive contamination of foods following nuclear incidents. Irradiating food does not make it radioactive.
EFSA Media Relations Office
Tel. +39 0521 036 149
E-mail: email@example.com
[1] BIOHAZ = the Panel deals with biological hazards in relations to food safety and food-borne diseases
[2] CEF = the Panel deals with questions on the safety of use of materials in contact with food, enzymes, flavourings and processing aids, and also with questions related to the safety of processes.
[3] Food and food ingredients authorised for irradiation in the EU are listed by Directive 1993/3/EC. So far, this list contains only a single food category: dried aromatic herbs, spices and vegetable seasonings. Member States can authorise at national levels the irradiation of foods and food ingredients which have received favourable opinion from the Scientific Committee on Food (SCF) in 1986, 1992, 1998 such as fruits, vegetables, cereals, fish and shellfish, fresh meats, poultry.


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Claire Metz kicked off WESH 2's 27th annual Share Your Christmas food drive Monday morning with an appeal to local folks who can help those in need.
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MSI R9 290 Gaming Review
Resident Evil 6
Published: 15th February 2014 | Source: MSI | Price: £367.99 |
Resident Evil 6
It's extremely close between a stock 290X and the overclocked MSI 290. We know we mention this often, but buying the card below and overclocking it to the model above is a common tactic, so it's important to know how they compare.
Most Recent Comments
The big problem with the R9 290 was the heat, so does the MSI Twin Frozr unleash the beast?
Continue ReadingQuote
mantle gave a good increase in performance there, especially given the CPU your using.
Only time will tell how much mantle will benefit gamers, lets hope Thief comes to market with full support for ALL GCN GPUs and works in Crossfire unlike BF4 at present.
One thing i will add here, the PCB on this MSI card is reference,so it is watercooling capable (checked by EK here), but also contains some of higher quality components compared to the reference card (MSI military class) and likely could be a higher binned chip.
Definitely worth considering for those water cooling or planning to watercool a 290, especially those who can't watercool immediately considering the stock card's noise levels and throttling. It also has a good looking backplate at stockQuote
My old MSi GTX 560 with the Twin Frozr II cooler, while being fine when it's idle sounds like an aeroplane while gaming.Quote
Hottest I have seen mine go is 74*c and that was during TW2 running round a section where the GPU is at 100% most of the time for a good 30mins.
The MSI one definitely still does a good job though, one thing I did notice though is in the GPU-Z in the review says the MSI gaming has 72 GPixles and 180 GTexels. My Tri-X only has 60 GPixles and 160 GTexeles, GPU-Z may be reading it wrong? Current version is 0.7.7, I noticed the on in the review is version 0.7.4.Quote
Scan lists it as only £10 cheaper than the 780 counterpart though. Wouldn't say it's worth picking up over that (Unless you're a serious AMD fan).Quote
It's a great card though none the less, I probably just got 2 bad apples.Quote
I like it's looks too. It would fit right in on my MSI G45 Gaming motherboard.Quote
MSI R9 290 is one of the BEST R9 series!Quote
Awesome review dude, but people commenting you gotta remember pretty much all AMD cards are terrible deals right now. .
Awesome review dude, but people commenting you gotta remember pretty much all AMD cards are terrible deals right now.
I went with the Gaming series Motherboard and Graphic card combo. This was likely as a result of TTL product placement, I mean positive reviews :P
I also had corsair mouse, psu and ram. The weak minded fool that I am.Quote


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Throughout the British Isles from the Shetlands to the Channel Islands, though less common on the eastern shores of England. Europe: Mediterranean, Azores, Portugal, Atlantic coasts of Spain and France, Baltic Sea and Norway. Atlantic coast of North America: Virginia. Further afield: Jamaica, Salvage Islands, Canary Islands, Mauritania to South Africa, Mauritius, Australia and Tasmania, Japan and Phillipine Islands.
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If you need immediate assistance, call 877-SSRNHelp (877 777 6435) in the United States, or +1 585 442 8170 outside of the United States, 8:30AM to 6:00PM U.S. Eastern, Monday - Friday.
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trust, regulations, unofficial economy, externalities
Trust, delegation, comparative advantage, firm size
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Mass Media, Voting, Civic Engagement
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Immigration, Crime, Legal Status
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Brazos Walking Sticks FitnessWalker™
Retailers' Descriptions
Here's what other sites are saying:
Since FitnessWalkers are designed to be held near the top, our recommended sizing guidelines for these sticks is different from the sizing recommendations for our other hiking and walking staffs. Short children and adults 41 or 48 inches Adults under 5'11" 48 or 55 inches Adults over 5'11" 58 inches Please note that these sizing suggestions are only suggestions. For best results, two FitnessWalkers are desirable for a full-body workout experience.
- Brazos Walking Sticks
Brazos Walking Sticks FitnessWalker™
previously retailed for:
The Brazos Walking Sticks FitnessWalker™ is not available from the stores we monitor. It was last seen July 6, 2011 at Brazos Walking Sticks.
If you're looking for a new hiking staff, check out the best reviewed current models.


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Please click on the link below to download the latest version. Thanks!
The French showed their gratitude last weekend for the D-Day invasion 66 years ago that began the liberation of Europe from the Germans during World War II.
D-Day, June 6, 1944, began with 24,000 paratroopers landing in the dark all around Normandy and freeing towns like Saint-Mere-Eglise, located in northwestern France.
In Saint-Mere-Eglise, French actors dressed up like the Allied soldiers who faced tough weeks of pushing out the German troops firmly entrenched all along the French coastal regions.
D-Day is most famous for the bloody battles in which 160,000 Allied troops were engaged as they stormed the beaches of Normandy. It was the largest amphibious assault in history.
One British veteran was thrilled the French were going to such great pains to commemorate the invasion.
"I think it's wonderful," he said. "They have got a grasp of the situation and I think they know what happened. I think it's wonderful and I am glad that I am here to see it."
Some of the reenactors said they're dedicated to preserving the memory of what happened there in an age when many of today's students don't even know who the Allies fought in World War II.
Remembering the Longest Day - June 6, 1944CBN Remembers D-Day Hero Rocco Russo
Slideshow of Normany Beaches
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Are you seeking answers in life? Are you hurting? Are you facing a difficult situation?
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.
CBN News Anchor
John Jessup serves as the main news anchor for CBN, a position he assumed after 10 years reporting for the network in Washington, D.C. His work in broadcast news has earned him several awards in reporting, producing, and coordinating elections coverage. Follow John on Twitter @JohnCBNNews and "like" him at Facebook.com/John.V.Jessup.
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Samsung Electronics has launched the much awaited Nexus S smartphone in the Indian market. It has also launched five new Galaxy smartphones based on the Android 2.2 platform - galaxy Pro, Ace, Fit, Pop and Galaxy Pop CDMA. Developed in partnership with Google, Nexus S is powered by Android 2.3 Gingerbread as. It is the first handset from Samsung with a 4.0 inch Super Clear Curved LCD screen and Near Field Communication (NFC) technology.
The Galaxy Pro boasts of 2.8 inch display with Touch and QWERTY and operates on Froyo. The handset also has advanced exchange active sync and a 3.0*megapixel camera. TIle Samsung GALAXY Ace (S5830), based on the Android 2.2 as, provides users with a premium experience with its 3.5 inch HVGA TFT display and its optimum 800 1hz processor that enables con*sumers to experience smooth web browsing, hi-quality 3D graphic performance and faster data processing.
The Samsung GALAXY Fit (S5670) comes with a 3.31-inch QYGA TIT display, Android 2.2 as, optimised user interface with TouchWiz 3.0, hybrid wid gets and a 5MP camera. Positioned as the affordable 3G smartphone, the Samsung GALAXY POP is priced and also comes in CDMA version.


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Companies trust SherWeb for their hosted SharePoint environments because we offer the most robust guarantee for availability and performance, along with a rapid service response time and expert technical support. We can adapt your SharePoint solution to your needs, and deploy it rapidly for a faster return on investment.
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Used Car Dealer Cairns
Used Cars Cairns
Your Local Cairns Used Car Dealer
Find a quality used car at our Cairns used car dealership. With 100+ used cars for sale Ireland's is confident we have a used car to suit your needs and budget. To ensure that you find a used car that reflects your requirements, we stock more than just run of the mill used cars. Whether you are looking for a quality used Mitsubishi Lancer to drive around the streets of Cairns or a used Jeep Grand Cherokee to take on the rugged roads of far North Queensland, we can help.
Browse our entire range of used cars at our Cairns dealership today or Contact Us for more information.
Dealer Inventory by Dealer Solutions.
Guaranteed Value On A Used Car
When you buy a used car from Ireland's you're guaranteed value! Our prices always include GST, stamp duty, registration transfer, and history checks, so you know exactly how much you're paying.
Holden Certified Used Cars
As a Holden dealer in Cairns, Ireland's is also proud to offer a range of 5 star Used Holden Vehicles at our used car dealership in Cairns. Holden has high standards when it comes to used cars and we're proud to uphold these values, by providing our customers with Holden used cars that are in A1 condition. If you purchase a used Holden from Ireland's, we can guarantee that you'll feel confident in your decision!
Used Commercial Vehicles
For a range of durable, tough, and powerful vehicles that won't let you down, visit our Cairns used car dealership and get behind the wheel of one of our excellent used commercial vehicles! We carry a range of vehicles, including LandCruiser and Hilux models in both 2wd and 4wd, and a large range of turbo diesel vehicles, at extremely competitive pricing. No matter what the price tag, all our used commercial vehicles undergo a comprehensive mechanical inspection prior to sale, so you always know that you're getting value for money on a used car from Ireland's.


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JERSEY SHORE - Among the countless positives at the ManorCare Health Services facilities, one that shines brightest is the gleaming smile of Edith Robbins.
Edie, as she's known by those close to her, is an active member of the residence council and energetic participant of all the activities at the Jersey Shore location.
"I participate in every one of the activities that are offered here," Robbins said. "They're all so wonderful here."
Article Photos
From left are Mary Winters and her mother Edith Robbins.
Being a resident in Jersey Shore for over seven years, Robbins has touched the lives of so many and transferred her positive attitude towards other residents and staff alike.
"She's the glass is half-full type of person," said Victoria Killoran, director of admissions. "She is very representative of the positive attitude and energy that this place holds."
Edie spent the majority of her life in Bloomsburg as a housewife raising her daughter, Mary, and being an active member of her church.
"Everything I did was part time because I wanted to raise my daughter," Robbins said of her daughter who resides in Oval. "She is the joy of my life. I look forward to seeing her at least twice a week when she, as well as the grandchildren, visits me."
Her faith remains a major part of her life as she actively participates in most all Bible studies and prayer services at ManorCare.
"No matter the denomination, she attends," said Monica Orgitano, activities director. "Edie is a wonderful person to be around. She's so upbeat."
Following the passing of her husband, Ted, with whom she was married to for 62 years, Robbins found herself down until she arrived at the Jersey Shore facilities, where she said her spirits were uplifted and she was able to continue her life.
"At first I didn't think I would enjoy living here, but I'm very happy I'm here," she said. "It's a wonderful place to live and they're all so kind."
Robbins said that her biggest thrills are when she gets visits from her daughter and the grandchildren.
Besides visits from her family, Robbins looks forward to visitors such as her best friends, Leo and Jack, as well as her hairdresser.
ManorCare Health Services has three facilities in Lycoming County that include two in Williamsport and one in Jersey Shore, which provides care by supportive staff members such as Monica and Nancy Shadle.
"I love Monica and Nancy, they're my favorites," Robbins said. "They're like angels. I can't speak enough of them."


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The Program Committee of the Alabama Women's History Forum
invites one to two-page paper or session proposals addressing any
facet of women's life and accomplishment in Alabama. Paper
proposals from all disciplines are welcome.
Topics might include but are not limited to women in
Government, Business, Healthcare, Folklore, Material Culture,
Community Studies, Religion, Literature, Professions, Education,
Research Resources, School Curriculum, Historiography,
Performing Arts.
Send proposals with c. v. by July 31, 1999.


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During December, I'll be speaking and reading at several New York venues:
4th December: 'Beyond Geography' at the Center for Fiction. Panel with Jennifer Haigh, Jennifer Acker, and Sonya Chung
I'll be in Shanghai 20th-25th October at Get It Louder! which is "China's most influential and closely-watched exhibition of emerging young talent across creative disciplines". Not sure what they mean by 'closely-watched' but Ai Weiwei will


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Buy properties in Walsall Road, West Bromwich B71 - 2 bedrooms
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Walsall Road, West Bromwich, West Midlands B71End terrace house for sale - 2 bedrooms
*reduced, viewing essential!* Spacious extended end terrace. This property briefly comprises of; two double bedrooms, generous sized family bathroom. To the ground floor entrance porch and hall, lounge, fitted breakfast kitchen, downstairs WC. ...
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Your Travel Plan Starts at Kottarakara, Kerala, India. It Ends at Vettikavala, Kerala, India
Want to know the your planned distances for yor journey on a google map? You can see the Distance from Kottarakara to Vettikavala!
Want to see your travel plan on the large map? You want to see a bigger Map here- Map from Kottarakara to Vettikavala!
You need travel road driving directions to help better plan your travel? Refer the Directions from Kottarakara to Vettikavala!
Looking for a Car Rental for your travel? Get Estimated Kottarakara Car Rental from Kottarakara to Vettikavala. We tell you the approximate Car Rent with the cab type of your choice to bettery plan your tour from Kottarakara to Vettikavala!
If you plan to take on Kottarakara to Vettikavala travel my trip on your own, you would want to know how much you will be spending on fuel. Check our Fuel Price Calculator, to plan your road trip cost.
Want to plan your travel by air from Kottarakara to Vettikavala? Check the Flight distance between Kottarakara and Vettikavala.
Travel time is very important to execute your tour plan. Plan your trip by getting approximate times here - Travel Time from Kottarakara to Vettikavala.
Planning to fly from Kottarakara to Vettikavala? Do want an estimate of the Flight Time from Kottarakara to Vettikavala.
Do you want to know what is more, road distance or flight distance? You can find out How far is Vettikavala from Kottarakara.
After getting your travel planned, you would also like to get the Kottarakara to Vettikavala Route planned with the help of a routeplanner.
After having the entire plan for your journey, you would also like to get an estimate of the travel expenses. You can check the Trip Cost from Kottarakara to Vettikavala.* The above is an approximate. Current Road Conditions, Weather, Traffic, Time of day, Other local factors, etc. might affect travel plans.
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Let me introduce new style of Manga of Comics - Pano Comics / Manga.The example of art work you can view at http://illusion.in-pic.com/BumpOffPetka.swfany critics are welcomed!
cool i will have to take a look into it it sound's very cool.


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Although it's going to be a race with darkness for the 8 p.m. show-time for tonight's, the skies seem to be cooperating with minimal cloudiness.
The chat/online party is now open. Sign on and join the discussion in the comments section of this post.
Where are you watching and what are you seeing?


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A man suspected of making a threat against the Capitol on Facebook is arrested Tuesday as the entered the building.
Kvon Smith, of Milwaukee is in custody.
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text: Juliet and Hightower recently took part in the Detroit 2013 Polar Plunge. Juliet said that if we raised enough money, she would jump into the frozen ass water in a scrumptious little bikini. She made good on her promise... she also raised over $1300 for the Special Olympics. NICE JOB!


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KAILUA-KONA (AP) - Australia's Pete Jacobs won the Ironman world championship Saturday, beating Germany's Andreas Raelert by more than four minutes.
The 31-year-old Jacobs, second last year, finished the 2.4-mile ocean swim in Kailua Bay, 112-mile bicycle leg through the lava fields along the Kohala Coast and 26.2-mile run through Kailua Village and onto Queen Ka'ahumanu Highway in 8:18:37.
"I'm in love with this sport," Jacobs said moments after winning.
In the women's race, Britain's Leanda Cave won in 9:15:54. Cave also won the Ironman 70.3 world championship last month in Las Vegas.
Switzerland's Caroline Steffen was second on Saturday in 9:16:58.


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Our Cloud Cushions use the inviting feel of faux fur to pamper pets into a deep and blissful sleep.
The billowy soft comfort of our Cloud Cushions make pets think they are sleeping on cloud nine.
The inviting and heavenly feel of the faux fur pampers pets into a deep and blissful sleep.
Rectangular beds feature non-skid bottoms.
Care: Machine wash in cold water on gentle cycle. Line Dry.
Size: 28"L x 19"W x 3" Thick
© 2016 DogSupplies.com - Visit Our 3 Locations: DogSupplies.com - 11136 Sam Furr Road, Huntersville NC 28078 (704-875-7800)
Dog Supplies Outlet - 2960 St Rose Pkwy Ste 170, Henderson, NV 89052 OR 8450 W Sahara Ste 102, Las Vegas NV 89117


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Let's take a look at what you're going to need to start leaning how to make beer at home. This is just a basic list aimed at beginners, once you've made a few batches of homebrew beer you'll probably want to expand and add a few items, but for now start here and start to become comfortable using each different thing, some of which may be a little unfamiliar if you've never tried brewing beer at home. Also, get yourself into the habit of being meticulous about keeping it all clean – really can't emphasize that enough. Bleach is good, restaurant grade sanitizer is better. Wash your equipment often – one of the keys to homebrew beer is cleanliness.
The Home Brewer' s Basics:
– Brew Pot. Don't use aluminum – look for stainless steel or enamel, should be able to home at least 5 gallons of liquid. Don't have to buy it new – keep an eye out at yard/estate sales. If you do buy used, don't buy anything with scratches – microbes LOVE to hide out in them, and it will be a pain to thoroughly sterilize it.
– Stirring Spoon. Get a big plastic or metal spoon. Wood is O.K., but it's easier to sanitize plastic and metal. Don't use this spoon for anything other than homebrewing beer.
– Two (2) 7 gallon food grade plastic containers (or glass) with seal-able lids. One for fermenting, one for bottling. You can buy special ones or rig something up yourself. Some people use empty glass bottles from water coolers. You just need some way to put a stopper with an airlock in it. Which leads us to:
– Rubber stopper and Airlock. You'll need this to keep your wort from blowing the top of the fermentation tub. Get and airlock that you can take apart and clean. In fact, get a couple, they're cheap.
-Thermometer. Whatever you find at your local cooking supply place is fine. Again, keep this separate from all your other kitchen supplies and only use it for homebrewing beer.
– Strainer. Will need to fit in the opening of your fermenting container so you can pour the wort through it. A lot of people will complain if your homebrew has things floating in it. This will prevent that.
-Food grade Vinyl Tubing. Get a couple feet of it, you'll need it for transferring between containers and bottling.
– Bottles. Some people buy new, some people use returnables they've had the pleasure of emptying themselves. Doesn't really matter, just avoid anything with threads on it – you'll never be able to get the cap to seal properly.
– Caps. Easy to find in a variety of quantities, low cost.
– Capper. Can't put them on with pliers, so grab one. You should be able to find a beer bottle capper for under twenty dollars.
– Bottle washer. Can't say it enough – if you want to experience success with your homebrew beer, being a fanatic about sterilization/cleanliness is key.
Two things you don't necessarily need to start making homebrew beer with, but you'll probably want to get sooner rather than later:
– Hygrometer. Another under twenty dollar item that will tell you the OG of the beer, which will help you determine what type of body your homebrew beer will end up with.
– Immersion wort chiller. A length of coiled copper tube that you put into the wort and run cold water through. Much easier than plunging a 5 gallon pot full of boiling liquid into an ice bath.
So that's the basic list of what you're going to need to get started homebrewing beer. If you don't feel like putting everything together yourself, there are a variety of kits available that have everything you need, some include bottles and everything. We put together the best beer kits reviews all in one spot, so be sure to take a look before you decide on what to buy (click HERE to read the best beer kits reviews). As your skill improves and you want to try more complicated home brew beer recipes, you'll need some measuring equipment and some other stuff, but for now this should be good. Choose a recipe you like (check out our suggestions if you're not sure where to start), buy the ingredients kit and get brewing!
Click HERE to get your Home Brewing Supplies, and visit our books page for additional resources.
[…] this link: Homebrew Beer Supplies – home brew beer […]
[…] take a look at what you're going to need to start brewing beer at Home. This is just a basic list aimed at beginners, once you've made a few batches of […]
[…] rest is here: Homebrew Beer Supplies: What Do I Need to Start? | HomeBrew Beer Share Page 1 of […]


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Sometime next month, the Federal Rail Administration is to decide whether Ohio will get $564 million to develop passenger rail service connecting Cleveland, Columbus, Dayton and Cincinnati.
There are several problems with the proposal, and we'll list them here, but the bottom line is the system would be redundant.
One problem is the initial cost. Earlier this year, the cost of upgrading rail equipment to permit passenger trains to go up to 79 mph was estimated at $250 million to $400 million. Of the latest amount, about half would be spent on improving property owned by CSX, Norfolk Southern and the Indiana & Ohio Railway Co. In other words, public funds would be spent to improve private property.
Another problem is the subsequent annual cost. A feasibility study by Amtrak - which would operate the service - said the system would cost $29.2 million a year to operate and generate $12.2 million from passengers. In other words, fares would cover less than half the cost. The difference - $17 million a year - would be funded by a state government already struggling to balance a budget.
Amtrak also estimates the system would serve 478,000 passengers a year. That works out to an annual subsidy of $25 to $35 per rider.
Perhaps there is a genuine need for people to travel between Cleveland and Cincinnati - and perhaps eight points in between - and those people can get themselves to and from rail stations but not from one city to another. If so, another system already exists to transport them - a bus.
Monday, Greyhound offered fares of $40-$46 for trips from Cleveland to Cincinnati today. Travelers had a choice of six departure times. Time in transit varied from 5 hours, 40 minutes to 4 hours, 40 minutes.
The same trip via the proposed passenger rail is estimated at 6 hours, 30 minutes, for about the same price.
So, taking the bus would be quicker. Plus, the system already exists - we're already subsidizing maintenance of the roads used by Greyhound.
The $564 million sought for the 3C corridor rail plan is part of $8 billion in stimulus money set aside for high-speed rail projects. If the other projects are similar to Ohio's proposal, we have an idea how taxpayers can avoid another $8 billion in national debt.


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Dr. Angela Schaffner is a licensed psychologist and founder of Schaffner Psychotherapy Services, LLC. She is an eating disorders specialist located in Atlanta, GA.
Dr. Schaffner is a clinical staff member of Atlanta Center for Eating Disorders whose research-supported, intensive treatment program has consistently shown significant improvement for clients.
In addition, Dr. Schaffner has published articles in professional journals such as Eating Disorders: Journal of Treatment and Prevention, and presented at national conferences on topics related to eating disorder treatment, health, and faith.
Dr. Schaffner believes in the healing power of psychotherapy, and practices with openness and respect for individual and cultural differences. She integrates cognitive-behavioral, interpersonal, and solution-focused therapeutic principles to encourage growth and change, helping clients meet the goals that they set for themselves. Based on both personal and professional experience, she believes full recovery from eating disorders is possible.
Dr. Schaffner is happily married and is a proud mother of three boys. She lives in Atlanta and enjoys being outdoors, traveling, spending time with close friends and family. She is a 2nd-degree black belt and enjoys her practice of Tae Kwon Do.


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Grated Parmesan cheese might do the trick.. its what I mix with the ground meat to make meatza base.
I want to try to make a meatloaf that has a lot of chopped vegetables in it. I plan on using a lb of ground beef (80/20), 1/2 a "chub" of Jimmy Dean sausage ('cause it's what I have on hand) some chopped onion, bell peppers, celery and chopped bacon. I want to add a few more vegetables but nothing that would make the loaf too wet. My mom's meatloaf was my favorite because it had a somewhat, bready texture. Probably because she used her saved up bread heels to use in the meatloaf. Is there something else I could use to get the same texture? I realize the egg does the binding not the breading.
Last edited by Rosemary 231; 01-25-2013 at 12:47 PM.
Grated Parmesan cheese might do the trick.. its what I mix with the ground meat to make meatza base.
Every time I hear the dirty word 'exercise', I wash my mouth out with chocolate.
About how much Parmesan to 1 1/2 lbs of meat. I bet it would add to the flavor. Thanks.
I tend to just eye it but probably between 1/2-3/4 cup
Every time I hear the dirty word 'exercise', I wash my mouth out with chocolate.
Thanks. Measurements help, I don't guesstimate real well.
I put a small onion, a carrot and 1/2 a bell pepper, maybe some broccoli, in the food processor and pulse to bread crumb consistency. Then I gently sautee in butter to soften which releases some of the liquid. I grate/pulse a small sweet potato and add it to the cooked veggies and cool it to room temp, then add it into 3 or 4 lb of meat and a couple of eggs and seasonings. Makes 2 meatloaves.
*My obligatory intro
There are no cheat days. There are days when you eat primal and days you don't. As soon as you label a day a cheat day, you're on a diet. Don't be on a diet. ~~ Fernaldo
DAINTY CAN KISS MY PRIMAL BACKSIDE. ~~ Crabcakes
its what I mix with the ground meat to make meatza base.
I am a meatloaf purist - no veggies in there. Here are my ratios:
2 parts of ground beef
1 part pork sausage of your choice, I use plain salt/pepper
1 egg for every pound of meat you have
Season thoroughly with stuff of your choice. House favorite here is Spike classic, the stuff in the red box.
Smash until thoroughly combined - it will be a little loose.
Add around 1 really heaping Tbsp of coconut flour for each pound of meat mash and thoroughly recombine.
Form into loaf/loaves. Wrap thoroughly with bacon, tucking the ends of the strips under the loaf. Then paint the bacon liberally with your fave clean ketchup or cocktail sauce. Bake at 350 on a roasting pan, not in a loaf pan, until you see fat runoff, then go a little more. Let rest after removing from the oven. Slice and eat.
We only slice the slices off the loaf as we need them, otherwise too much moisture is lost. If you have leftovers you can fry the slices in tallow or bacon grease to rewarm - they are even better next day that way.
I have a mantra that I have spouted for years... "If I eat right, I feel right. If I feel right, I exercise right. If I exercise right, I think right. If I think right, I eat right..." Phil-SC


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Love the cook: Attraction to comfort food linked to positive social connections
A big bowl of mashed potatoes. What about spaghetti and meatballs? Sushi? Regardless of what you identify as comfort food, it's likely the attraction to that dish is based on having a good relationship with the person you ...
Mar 27, 2015
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Snowy , you are a die hard hobbyist if the nearest is 7 hours
Sounds like the late great Bill Winters Purple Plan. When you aren't overly motivated, glue one piece on each day.
Actually, I usually have something out, just reaching the point where just a few minutes doesn't work. A lot of sanding to do, but not my favorite thing to do indoors, so I have decided to start two or three new projects. I'll put up some pics of the first steps in a few days.
USA, AR, Austin
Joined Jun 2009
326 Posts
Local hobby shop (Mark's) is about 50 mi. away but that is 20 mi. closer than Hobby Town. I will drive in to get what I need because gas is about the same as shipping ,sometimes less. Hobby Town in Little Rock has more car oriented I think.The store is bigger than Mark's but has less in stock.
Our local Hobby Town USA is about 2 miles away. They have a decent selection of airframes, but they are mostly focused on the smaller eFlite stuff, in which I have very little interest. But they do have glue, props, building supplies, etc. and they were a handy source of items for our club's annual dinner raffle items...bought over $200 worth of building supplies which were raffled off at our annual club dinner two weeks ago.
I bought an airframe from them which was the cash raffle prize...the airframe cost $250 and we got over $300 in raffle prize ticket income to cover the cost of the item!
I am content with ordering most of my stuff. I usually get free shipping, save sales tax (for now), and I don't have to leave home (I am a hermit I think). I am pretty well stocked so I don't have to go out much.
We have a guy with a shop about 10 miles from me but he does not have much inventory. I have a couple of friends that go with me on a field trip about once or twice a month. We go to the hobby shop, harbor freight, lunch, and lowe's. We throw in any errands anyone needs to make. Takes all day but we share the ride and the guy that drives has lunch on the guys that ride.
The Big Stick flew some more today. The mods are pretty nice. It is a little nose heavy for my liking but it is balanced well for the other guy.
30 mph winds for tomorrow so I get another work-on-the-trailer day. If I get the lights in and the banana jacks, I will be done.
We seem to have lost most of our members we had 19 20 at one point but the corn field scares them all away, Or maybe Its my odor LOL but last year we were down to 3 regulars including myself.
HTU is the closest place to me but they don't carry much for us kit builders all e-flight and cars and the supplies they have are way over priced but i try to support them somewhat, at least they have balsa wood. the next closest shop is across the border about 35 minutes from me, and its always worth going there as he has everything on hand
Cool snowdog post that build
Well the bee is built and already for wrapping I'll send some pics on Tuesday
yeah waldo I hear you, we have the same thing here.
Today the 3 amigos are going to go fly in the wind.
The temp is 50 I think and the wind is 11 mph gusting to 18.
Owell I have a twist.
wish us luck guys and I'll give a full report laters.
I'll see if I can get Bill to do a build thread on the Meridian.
Finally! Trailer wiring is done! I installed an exterior plug for 110Vac. That has one outlet inside and I have a charger plugged in going to a deep cycle battery. I installed wiring for 12VDC with four banana jack plates. I wired the roof vent fan. I installed four "corn cobb" 3.5W lights and an on/off switch.
I can now easily charge planes while still in the trailer, even the 50cc. .
I am glad to be done with all that. Now I can put all the stuff in it and be ready to fly.
If I could just decide how to mount the generator.
O my po po twist. yes she's damaged goods.
You see I got to the field about 2ish. The wind was out of the south blowning 15 mph and gusting to 20.
Dan an Dan showed up with thier wind machines, Tango an ultra stick. Lt dan was the 1st in the air flowed by myself.
Upon starting my twist the engine had quite abit hesitation but i put her up.
It wasn't long before I started flat spinning. Boy the wind was really pushing her in a flat spin.
After that I started doing some touch an goes. Lt dan made the mistake commenting the wind is calming down just as I was throttling up. The wind came up lifting my twist off the ground premature and heading for the pits.
I managed to avoid the pits, but K49 ended up over them..
The other dan tried to get up but had a dead stick on take off.
I landed right after that.
We all shot the bull for awhile then they went back up allowing me to take some pictures.
now for the 2nd flight. I leaned my needle by 3 clicks. While doing this I noticed some fuel seepage from around the head but as the motor warmed up it quit. So I took off.
I buzzed the sky o for about 5 minutes when I started windsoaring. Then after making my turn down wind and throttling up the motor died. There was no glide. She was falling like a rock. just at the last second I managed to raised the nose a tad. But not enough I seen the landing gear come flying off. When we got to the seen to the crash I found the H stab had also suffered damage along with the prop.
K49 and I decided we try an fly her anyhow so I patched the stab back together. But I had no prop. I ran home quickly only to find I had no prop there either so when I got back the boys decided to call it a day.
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El Conclusión: San Antonio Spurs 104, Charlotte Bobcats 100
|Boris Diaw, PF 33 MIN | 5-9 FG | 1-1 FT | 4 REB | 4 AST | 0 STL | 1 BLK | 2 TO | 13 PTS | -5
Boris looked good after missing the Brooklyn Nets game with food poisoning. He shot the ball well, and his 33 minutes helped a lot with Tiago Splitter missing this game due to a calf contusion. Al Jefferson was a little much for Diaw to handle, but that was probably to be expected. Maybe one of these days everyone will be healthy. *Crosses fingers*
|Tim Duncan, PF 32 MIN | 6-13 FG | 4-6 FT | 13 REB | 0 AST | 0 STL | 2 BLK | 5 TO | 16 PTS | -3
He just continued to grind away. He's been so spectacular lately that these kinds of games don't register much in the 'sexy' category. He wasn't great offensively, but he continues to hit that mid-range jumper that was such a problem in November and December. Duncan is up to 42.9 percent from that distance since Jan. 1 (per media.nba.com/stats), which is a tenth of a percentage point better than he was last season, when Tony Parker called him 'automatic.'
|Tony Parker, PG 26 MIN | 3-13 FG | 3-4 FT | 3 REB | 5 AST | 1 STL | 0 BLK | 1 TO | 9 PTS | -14
This dude is hurting. He left the Washington game on Wednesday due to tightness in his lower back, sat out the Brooklyn game and played only 26 minutes in this one. He's just a step slow with every move he makes, and it looks like he's really struggling to get to his spots and go-to moves. I'm not sure any grade here would be fair.
|Cory Joseph, PG 33 MIN | 3-7 FG | 2-2 FT | 4 REB | 2 AST | 1 STL | 1 BLK | 1 TO | 8 PTS | +8
Cory's gotten a lot of run with all these injuries, and he's been really solid. He plays good defense, typically against bigger shooting guards, he rebounds well and he hits enough jumpers and attacks the rim decently enough to remain a big enough threat to force defenses to account for him. He's filling in the gaps nicely, but he still has a few too many defensive brainfarts.
|Danny Green, SG 21 MIN | 1-6 FG | 0-0 FT | 2 REB | 3 AST | 1 STL | 0 BLK | 2 TO | 3 PTS | -8
Didn't have much of an impact against the Bobcats. The Spurs' offense was bogged down while he was on the floor, and despite playing decent defensively, he wasn't able to help out much with Gerald Henderson (23 points). But I always value defense, and he's always solid in that capacity.
|Matt Bonner, PF 19 MIN | 0-1 FG | 0-0 FT | 5 REB | 0 AST | 1 STL | 0 BLK | 0 TO | 0 PTS | +7
Got knocked around a bit again, but Bonner's presence really helped open up the offense. He missed the only shot he took, but the numbers don't always reflect his impact (unless you're looking at plus-minus stuff). The Spurs scored 140.7 points per 100 possessions in the 19 minutes Bonner was on the floor because of the spacing he provided against a stingy Bobcats defense, but he struggled defensively. Good thing San Antonio was scoring so much when he was on-court.
|Jeff Ayres, C 22 MIN | 3-4 FG | 2-2 FT | 3 REB | 4 AST | 1 STL | 2 BLK | 0 TO | 8 PTS | +14
Ayres had a very well-rounded offensive game against the Bobcats. He struggled defensively, but he did a little bit of everything when the Spurs had the ball. That give-and-go with Nando was especially nice.
|Patty Mills, PG 25 MIN | 10-13 FG | 8-9 FT | 7 REB | 4 AST | 2 STL | 0 BLK | 2 TO | 32 PTS | +15
Holy hell. Patty just went bonkers on his way to a season-high 32 points, and he did so on just 13 shots. Mills took the backup point guard spot out of training camp and hasn't come close to giving it back; in fact, he's only gotten better as the season has gone on. Over the last 11 games, Patty's averaging 14.5 points on 51 percent shooting, and he's hitting 2.7 threes per game at nearly 48 percent.
|Shannon Brown, PG 0 MIN | 0-0 FG | 0-0 FT | 0 REB | 0 AST | 0 STL | 0 BLK | 0 TO | 0 PTS | -1
Only garbage-time minutes for Brown in this one, even without Marco, Manu, Kawhi.
|Nando de Colo, PG 28 MIN | 5-11 FG | 4-4 FT | 2 REB | 2 AST | 0 STL | 0 BLK | 0 TO | 15 PTS | +7
Nando is showing how valuable consistent playing time is to a young NBA player. He had another good game and is showing off his decent skill-set as he becomes more comfortable. He's been aggressive and confident, and his impact on a thinned-out backcourt has been important.
|Aron Baynes, PF DNP COACH'S DECISION MIN | FG | FT | REB | AST | STL | BLK | TO | PTS |
He had the biggest bench reactions to everything Patty did in this one. Proud of his fellow countryman.
|Tiago Splitter, C DNP RIGHT CALF MIN | FG | FT | REB | AST | STL | BLK | TO | PTS |
Gregg Popovich did not have glowing words for his starting center prior to tip. The coach was reportedly unhappy that Splitter was not available to play, and he had some criticism for him. "Robert Parish would have played hurt, right? I think Larry Bird played hurt," Pop said in regard to Tiago sitting this one out with a sore calf. You don't hear this stuff very often from the Spurs' coach, so it's a little eye-opening. And these were just his on-the-record quotes…
|Marco Belinelli, SG DNP BACK SPASMS MIN | FG | FT | REB | AST | STL | BLK | TO | PTS |
Deserves a break. He's been one of the more consistent players (especially in his availability) throughout the rash of injuries.
|Gregg Popovich
Popovich's pre-game comments about Tiago were pretty telling of his current feelings toward his big man. I'm not implying he's unhappy with Splitter beyond just this evening, but he did not mince words about the subject. We'll see how Tiago responds on the court. Other than that, he did a great job of mixing and matching once again, and the decision to let Patty just play it out and leave Parker on the bench was probably the difference-maker.
Two Things We Saw
- I'm starting to wonder if the Spurs should shut Parker down through the All-Star break. He's clearly in pain, and 10 days off could be REALLY nice. His injuries are affecting his play, and with the way his backups are rolling along right now, maybe it would be a good thing. Besides, it would give him an excuse to vacation during All-Star and let Goran Dragic have his spot. But I do think Tony enjoys the festivities, and furthermore, he takes great pride in his role as this team's leader. But Pop might have to convince him to take a breather.
- We've talked about this at times this season, but if the Spurs could somehow manage to trade some point-guard depth for a little more wing depth, that might be a huge help in the long run. This has been an issue, though, because guys like CoJo and Nando just weren't getting any playing time with a healthy Parker and a resurgent Mills. I'm not suggesting anything here, but this is at the very least a good learning experience for these guys, if not a showcase prior to the Feb. 20 trade deadline.


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If a patient or hospital in a managed care plan is paid a fixed, per capita amount for each patient rnrolled regardless of the type and number if services rendered, this is a payment system known as?
In a managed care setting, a physician who controls patients access to specialists and diagnostic testing services is known as a?
A health benefit program in which enrollees may choose any physician or hospital for services but obtain a higher level of benefits if preferred providers are used is known as?
HMO's and preferred provider organizations (PPO's) consisting of a network of physicians and hospitals that provide and insurance company or emoloyer with discounts on their services are referred to collectively as a?
An organization that reviews medical necessity, reasonableness, appropriateness, and completeness of inpatient hospital care is called ?
_____ is responsible for examining evidence for admission and discharge or pt from the hospital; evaluation the quality and efficiency of services rendered by physician and settles disputes over fees
Exclusive Provider Organization (EPO)
A type of managed care plan regulated under insurance statues comining features of HMO and PPO's that employers agree not to contract with any other plan is known as?
Carve Outs
Medical services not included within the capitation rate as benefits of a managed care contract and may be contracted for separately.
Verbal Referral
When a primary care physician informs the patient and telephones the referring physician that the patient is being referred for an appointment is called?
T/F AN employer may offer the services of an HMO clinic if he or she has five or more employees


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This piece traveled with us across 3 states and landed in my dining room to save room in our garage. At first I listed it available to be customized but after looking at it's big stark whiteness for a few days I had to do something with it.
I applied a black and {off} white damask fabric over the back and lightly glazed the details with black.


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Of Mice and Men—Functional Imaging of Aβ Toxicity, Early Pathology
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Functional imaging may be a promising way to detect decline in Alzheimer's and other neurodegenerative diseases, but can it detect those early synaptic deficits that are known to occur before neurons die? In the October Archives of Neurology, Scott Small and colleagues at the Taub Institute for Research on Alzheimer's Disease and Columbia University, New York, report that functional magnetic resonance imaging (fMRI) detects similar deficits in both AD brain and AD mouse models that have no neuronal loss. "The study shows that fMRI is sensitive to cell sickness and not just cell death," said Small in an interview with ARF.
That sentiment is echoed by Sterling Johnson and colleagues at the University of Wisconsin School of Medicine, Madison. Reporting in this month's Archives of General Psychiatry, these researchers found that middle-aged, cognitively normal adults with a family history of AD show reduced brain activation in a self-appraisal test. This particular task challenges parts of the brain that are vulnerable in AD, including the hippocampus and the posterior cingulate. "Our data are entirely in keeping with the idea that deficits occur before cell death, since we did not find any brain atrophy in this study," said Johnson. Together, the two studies support the idea that functional deficits can be detected, at least in specialized research settings, before neuronal loss.
Small and colleagues have spent 7 years devising a functional imaging platform that would give the same readout in mice and in humans. "That would greatly expand our experimental power," he said. The requirements for such a platform are threefold. It should be sensitive to function, give high spatial resolution, and be applicable to both animal and human MRI. Of the four variables most commonly used for functional imaging—glucose metabolism, cerebral blood flow, deoxyhemoglobin, and cerebral blood volume—the researchers found that only the last fits the bill with current technology. The researchers have optimized this approach for primate and mouse brains, using, respectively, intravenous and intraperitoneal injections of gadolinium contrast agents. In the current study, first author Herman Moreno and colleagues applied the technique for the first time to humans and to J20 transgenic mice, which express human amyloid-β precursor protein (APP) with Swedish and Indiana mutations. As these mice age, they accumulate Aβ plaques but remain free of neurofibrillary tangles and neuronal loss (see Mucke et al., 2000).
Moreno and colleagues imaged 11 patients with probable AD and the same number of age-matched controls. The researchers obtained cerebral blood volume (CBV) maps of the whole brain, but paid particular attention to the hippocampus, the site of early degeneration in AD. Using anatomical criteria, Moreno and colleagues identified four hippocampal subregions: the entorhinal cortex (EC), dentate gyrus, CA1 subfield, and the subiculum. Analysis of variance showed that the AD patients had significantly reduced CBV in the entorhinal cortex; they also performed more poorly in cognitive tests, including hippocampal-dependent tests of memory.
Next the researchers turned to the mouse brains. Using the same technique, they imaged normal and transgenic mice at different ages to develop a timeline of functional decline. CBV in the entorhinal cortex, dentate gyrus, and the CA1 subfield were mapped (the subiculum gave unreliable signals). Again, the researchers found that reductions in the EC were dominant in the transgenic mice, beginning at about 6 months. Blood volume reductions spread throughout the hippocampus as the animals aged. Interestingly, the researchers were able to reduce EC blood volume loss in transgenic animals by treating them with R-flurbiprofen, a drug in phase 3 clinical testing. This enantiomer of the non-steroidal anti-inflammatory drug S-flurbiprofen is believed to modulate γ-secretase activity and reduce Aβ production.
"Taken together, our studies demonstrate that Aβ-related neurotoxicity in mice is sufficient to cause functional imaging defects as detected by CBV maps of the hippocampal formation," write the authors. And, because they observed the same spatial pattern of defects in the human and mouse hippocampus (see figure below), they conclude that "the cross-species similarities support the likelihood that the patterns represent the same underlying Aβ-related pathophysiologic mechanism." That implies that functional decline in humans can occur separately from both neuronal loss and neurofibrillary tangles (though see comment below from Richard Caselli). "This shows, for the first time really, that human functional imaging is sensitive to cell sickness," said Small.
A man or a mouse
fMRI shows functional deficits in the hippocampus of APP mice (top left) compared to wild-type (top right). A similar pattern is seen when AD hippocampus (bottom left) is compared to normal (bottom right). Warmer colors indicate more activity. Image credit: Scott Small
Sterling Johnson and colleagues set out to answer a different question, but their findings are also consistent with the idea that functional deficits precede neuronal loss. "What we wanted to know was whether brain changes could be observed in people with risk factors for AD," said Johnson. To test this, the researchers turned to BOLD, or blood-oxygenation level-dependent, fMRI, a technique that is now widely accepted as a faithful measurement of neuronal activity (see ARF related news story).
Johnson and colleagues measured BOLD signals while cognitively normal adults, aged 45-62, some with and others without a family history of AD, carried out a self-appraisal test. Volunteers were presented with "trait-adjectives," such as "daring," "controlling," "sharp," "friendly," etc., and asked to decide with a simple yes or no if the word described them. The authors chose to look at self-appraisal for two reasons. The first is anatomical. "This task activates regions vulnerable to AD, including the hippocampus and posterior cingulate, which light up with PIB," said Johnson. The second reason relates to the picture of AD pathology. "Everyone is focused on memory, and rightly so, but another problem with Alzheimer disease is with executive function, and metacognition could be considered a domain of executive function," said Johnson. Self-appraisal, which involves reflective thinking about thinking, is a metacognitive function.
Johnson and colleagues found that in people with a family history (at least one parent with AD), the hippocampus and the medial parietal lobe was less active during the test. The finding supports an early study from this group that found people with a family history of AD to have fMRI deficits during a memory-encoding task (see Johnson et al., 2006). "Together, our papers suggest that risk for AD may alter brain function in people who are otherwise very cognitively normal," said Johnson.
People who are cognitively impaired also show deficits in this test. Earlier this year, the researchers reported a significant correlation between BOLD signals and self-awareness in patients with mild cognitive impairment (see Ries et al., 2007). The researchers reasoned that patients with poor self-awareness might have reduced activity in brain areas that are activated during the self-appraisal task. "AD patients often have reduced insight into their own deficits," said Johnson. Indeed, patients with the poorest cognitive abilities, as judged by comparing their own assessment of their cognitive skills with their spouse's assessment, had the weakest fMRI signals.
Do the findings suggest that the researchers have detected signs of early pathology? "I think that is a strong possibility, but we would need to do more research to say for sure," said Johnson. His group is planning to follow subjects longitudinally, testing them with the memory encoding paradigm. In fact, he is about to carry out a 4-year follow-up with the cohort and hopes to follow them until some might convert to AD, which could take 20 years, he said. Johnson also plans to image that cohort using PIB, which can identify Aβ plaques. Preliminary studies are underway.
Coming back to the question of deficits in the absence of neuronal loss, Johnson suggested that his group's data are consistent with this idea, since voxel-based morphometry to measure grey matter volume found no differences between people with and without a family history of AD.
One surprising finding, suggested Johnson, is that when corrected for family history, ApoE genotype had no effect, despite the fact that it is the strongest risk factor to date for sporadic AD. "We think that there may be other genes, or gene environmental interactions, that we don't have a good handle on yet," he said. Interestingly, several PET imaging showed that ApoE4 carriers have reduced glucose metabolism in brain regions that are affected by AD, including the posterior cingulate (see Reiman et al., 2005). Johnson noted that those studies did not correct for family history, making it difficult to draw direct comparisons with his BOLD fMRI data. —Tom Fagan


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As we focus on our loved ones and those near and dear to our heart, take a moment and think about your own heart. Have you been good to it? "One aspect of heart disease, which is somewhat difficult to stomach, is that once the heart is damaged, there is nothing we can do that can fix that," warns Lee Memorial Health System cardiologist, Dr. Erick Burton.
Which is why it's important to never neglect your heart. Chest pain, discomfort in the upper body including your chest and back, and sudden numbness or weakness are all signs of heart trouble. Call 9-1-1 immediately. Don't wait. "It is far, FAR, away better for us to identify a problem and treat that problem before it has caused some type of permanent event."
Despite all of the new technology available to help the heart, Dr. Burton says maintaining a healthy heart is ideal. "All of the intervention that occurs is damage control in an effort to try to make that part of the heart that is still functioning, compensate for whatever has happened."
One way to keep that heart beating naturally is to be proactive about your health. "Modification lifestyle. Stopping smoking. Exercise on a regular basis. Proper diet. Cholesterol under control. High blood pressure under control. All of these are things that can occur that can prevent somebody from ever having a heart problem." Simple adjustments that can be the perfect gift for your heart on this Valentine's Day.


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The prospect of a pan-American tournament in 2016 so excited South American soccer executives that they jumped the gun in announcing it, according to statements released Thursday by CONCACAF and the U.S. Soccer Federation.
On Wednesday, CONMEBOL announced that a special 16-team Copa América would be staged in the U.S. to celebrate the South American governing body's centenary. The competition would include six CONCACAF nations — the U.S., Mexico and four qualifiers from the 2015 CONCACAF Gold Cup.
Guest teams including the U.S. have been invited to participate in the venerable South American championship tournament in the past, but no effort has been made to stage a combined hemispheric tournament.
On Thursday, CONCACAF and U.S. Soccer revealed that negotiations are ongoing but that nothing has been determined for certain.
CONCACAF general secretary Enrique Sanz said the enlarged Copa América "is an idea we are hoping to materialize, but we are still evaluating and discussing before it becomes official but the intention is definitely there." He said the continental confederations "are still in the midst of talks and negotiations between all parties involved in this decision."
A key party is U.S. Soccer, which would play host to the July tournament that if staged in a traditional four-groups-of-four-teams format, would require up to 31 games.
"While the idea of a centennial tournament with some of the best teams in the hemisphere is certainly intriguing, it is not something we have agreed to host or participate in at this time," U.S. Soccer president Sunil Gulati said in a statement to Sporting News. "As CONCACAF stated, there are still a number of discussions that need to take place with CONMEBOL.
"U.S. Soccer would also need to be involved in discussions regarding hosting the tournament. We're looking forward to those discussions in the near future."
Several complications would arise, first among them that the tournament is not on the FIFA calendar. A Copa América (in Chile) and Gold Cup are scheduled for 2015, but according to the traditional cycle the summer of 2016 would be reserved for the start of World Cup qualifying, the Olympics and the European Championship.
If the enlarged Copa América isn't on the FIFA calendar, clubs wouldn't be required to release their players. The July competition also might suffer if players have to choose between the Olympics in Rio de Janeiro, scheduled for August, and the Copa.
A commitment from U.S. Soccer also could have significant impact on the MLS season (stadiums, player availability, exhibitions and the All-Star Game, etc.) meaning the league likely is involved in the conversations.


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Welcome and Selamat Datang at the ultimate island of your dreams, where not only the odour of millions of flowers will put a spell on you - Bali! An incredible fauna & flora, breathtaking landscapes with volcanoes and deep forests, a fantastic climate all year round and friendly & easygoing inhabitants...all these aspects make a paradise you never want to leave again. You are looking for a surf holiday destination that has that certain "je ne sais quoi"? Here you are...
Location & Environment
Only a half-hour ride from the airport, our surfcamp is directly situated on the peninsula Bukit. It takes you only a short hop from the camp to the beautiful Balinese beaches. Within spitting distance you can get to some internet caf#s - as per Kelly Slater they make the best brownies right here - to either have some delicious snacks or check your internet businesses. You can also bring your own laptop and use the network at place. There's even a Mexican restaurant right around the corner.
After a 45 min ride from our camp you'll get to Kuta where cinemas attract visitors with English movies. Kuta is also reputed to have the highest density of shops worldwide. Beside perfect wave conditions, there are a lot more wonders of nature to be marvelled at: waterfalls, rice terraces, hot springs, the lake Batur and the biggest hindu temple located at the foot of Bali's highest mountain and the volcano Agung.
No matter if climbing trips, horse-riding at the beach or wellness and health spas...at Bali almost everything is possible. For "total immersion", we can also organize trips for divers.
Even when it's very unlikely...but in case there are no good waves, we will take you on some excursions to the surroundings. You can also explore the island on your own initiative by either using our mopeds or another given transport facility.
For all "nocturnal" guests, we definitely recommend a night-trip to Kuta where various bars and clubs wait to be rocked.
Not for nothing are Bali's waves some of the world's most famous ones. During the summer months the swell is very constant. Water temperature is about 28°C...which allows surfers to rip their sessions dressed in board shorts and lycra-shirt. It takes only two minutes to get to Padang Padang...and mega hotspots like Uluwatu, Bingin and Impossibles are only a stone's throw from our camp, reachable within a 10 min ride.
Board & Lodging
You are accommodated at traditional open bungalows that are embedded in our 1.400 m² garden-areal. At our camp-house, there's a kitchen, a bathroom and lounges at your disposal. The cosy grass bungalows accommodate up to 8 guests, 2 at one unit.
In the mornings, we will prepare a generous breakfast and in the evenings a delicious dinner of local and international viands will definitely make your day. From time to time, our lovely chef spoils us with tasty milkshakes or hands out snacks during the day (can be ordered in advance). Feel free to use the fridge!
When you're looking for absolute relaxation after some great surf sessions you can chill out at one of the hammocks in the tropical garden, on the terrace or at the pavilion.
For beginners we offer special rates at a surf school at Legian. Coaching includes about 4 hours training per day (theory & practice). All surf instructors are qualified and experienced. When taking part in a surf class, you will be picked up at the camp and brought back after the session.
For intermediate and advanced surfers we have Teko, our surf guide. Teko, as a local, knows every spot like the back of his hand and thus he always knows where to find the perfect wave of the day. Together with him, you'll head for various spots...differing in breaks, levels etc.
In case you don't have your own equipment, we have a few boards for rental...on request.
requirementsage: from 18 years
Our general terms and conditions apply. For any details please see General terms & conditions .


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When does middle age start? I think I may be but not sure.
Any middle aged folks want to share their successes here?
I love the success picture thread but can't help but notice that most of the successes are people in their 20's.
I'm 41. I've been overweight as long as I can remember (I have some pictures of me as a toddler or very young child when I wasn't fat but that's it - I was fat before I hit my teens). I sometimes think maybe it's too late. Maybe I've just been too fat for too long and this is it for me.
So I'd love to hear some inspirational stories (or see some inspirational pictures) of people who were a bit older when they had success eating this way.
(as an aside - I feel MUCH healthier than I ever have eating this way so I'm sticking with it for that reason alone even if I never lose another pound of fat).
When does middle age start? I think I may be but not sure.
I'm 43, and yes, it's been tougher for me. I have a theory on that, though.
I think that at 20-25, you haven't had time to REALLY do the same amount of damage to your body through your eating choices and/or stress in general. Your hormones are working at their best for the most part, so when you remove the bad stuff and eat well your body laps it up and does what it needs to.
When you're in your forties, you've had 25-30 years to f-up the system. More things have gone awry, more of your hormone levels are whacked out, you have more nutritional deficiencies and they're more severe, and let's not get into the more stress involved in life for a longer period of time! So when you remove the toxic crap and eat well it STARTS the process of healing. But it has a lot more healing to do, and so takes a lot more time. Also, you start realizing the different deficiencies (like D or calcium/magnesium/potassium, whatever) and have to start working on those with food and supplements.
Basically your body is slower to fix itself, has more to fix, and is working with a system that is much worse off. Throw in any health issues (either caused by this whole process or not), like thyroid disorders, diabetes, PCOS, fibromyalgia, etc... and you just have a lot more work to do.
I've been working on this for almost five years, first with CW healthy (which actually wasn't so bad, really, but still had enough gluten to be bad for me), then fixing my thyroid/adrenal/hormonal issues, then adding in primal at about 80-85% (a year and a half ago), to adding in more movement (walking the dog, some weights, etc.), to this year being primal 95% and doing a couple of Whole 30s to remove dairy (which doesn't agree with me), and ditching alcohol for much longer stretches to give my body the fat burning advantage of not having to deal with my glasses of wine. :-)
So slowly over that period of time, and more specifically FINALLY over the past 9 months I've seen some good progress and changes. I don't know how much I weigh ... I don't have a scale. It was somewhere around 170 during summer of last year. Since then I've dropped a pants size, and definitely can feel the loss of fat. (Well, not today I'm bloaty due to TOM, LOL).
I thought I had a pic somewhere of me from last August, I'll try to dig it up. But here is a progress pic from a few weeks ago:
5-11 progress..jpg
This was at 5:30 a.m., hence the glazed sleepy no makeup look, LOL.
I'll get a copy of the other pic and add it here so you can see the difference, particularly in my face. You can tell the loss of water weight due to cutting down on the massive inflammation I was suffering. (My CR-P was over 9, it's supposed to be under 1). Last time I measured it had dropped to somewhere around 3.5 or 4, but that was before I really got serious this year. I truly think lowering my inflammation is what finally got things moving...
"Boy I got vision and the rest of the world is wearing bifocals" - Butch Cassidy and the Sundance Kid
Started this when I was 38; I'm 40 now. I've dropped over 25% of my original body weight (400) and am now 295. I feel much better at this weight, and all of my problems have been eliminated, pretty much. Diabetes? Gone. Arthritis and migraines? History. I sleep better, I think better, I do better. The weight loss was a nice touch, too.
You can do this.
Primal eating in a nutshell: If you are hungry, eat Primal food until you are satisfied (not stuffed). Then stop. Wait until you're hungry again. Repeat.
Looking for my Cholesterol Primer? Here it is: http://www.marksdailyapple.com/forum...mer-(Attempt-2)
Ditch the scale!: http://www.marksdailyapple.com/forum/thread33283.html
My Success Story: http://www.marksdailyapple.com/forum/thread30615.html
I am 47. I peak weight was 258lb last year, started pb and p90x at 245 in feb. I am now at 200. started 2nd round of p90x and in started 2nd week. goal is sub 180 and lot lower body fat. hopefully around 10% by end of the year.
I'm 60 in 7 months.
50lb of 'portable picnic' burnt off in '08 and kept off since means I now feel 'bout 45! Defo only middle aged! Bring it on.
activate the rhythm, the rhythm that has always been within
I guess by today's standards I'm still middle aged, 68. When I was growing up, that was considered old as the hills.
I don't call myself primal - I have been some mixture of primal, archevore, etc. for about 10 months, getting increasingly strict about carbs. But I guess I am at least 80% primal. It has helped significantly.
Still have too much abdominal fat. Working on reducing carbs more - currently under 75 g. per day. Probably needs to be 50 or less.
Blood sugar has gone from +150 down to about 125. Needs to go lower.
Arthritis improved.
Allergies very much improved.
Lots of fat loss. Hats, rings, watches, socks, etc. way looser. Maybe a couple inches off my waist.
Hair thicker and less gray. Hair in places on my head where I was bald. Hair on my arms again.
Much more energy.
Sleep very well nearly every night.
More testosterone apparently.
I feel like I am in my 40s instead of late 60s.
My reaction time has improved significantly (No driving down the freeway at 35 mph for me. Hehe.)
My skin is better.
My brain has become less foggy. My emotions more stable.
I could probably think of some additional improvements.
Ancestral Health Info
I design websites and blogs for a living. If you would like a blog or website designed by someone who understands Primal, see my web page.
Primal Blueprint Explorer My blog for people who are not into the Grok thing. Since starting the blog, I have moved close to being Archevore instead of Primal. But Mark's Daily Apple is still the best source of information about living an ancestral lifestyle.
I am 40 and didn't really become "fat" until my late 20s. When my dad was diagnosed with Type II when I was 30 I decided I was headed down the same path and started working out and trying to eat better. I found that I could not lose the fat no matter what I tried (CW/LC) and just decided to go into powerlifting because I could be a chunkster and lift heavy shit and everyone just expected me to be big since I was moving big weights.
I used CW and severe calorie restriction to go from 241 to 211 in about 9 months. Found PB in Nov 2010 and am down to about 200 now. However, none of my lifts have "suffered" (but I don't care about that anymore) and my body looks better than most 20-somethings.
I went to Moab in the beginning of May with my family. We went to a swimming hole and there were a lot of college students (mostly from CU) there. A lot of the people there thought that I was on the CU football team because they saw me talking to a guy that was actually on the team. He and I were the only ones with any sort of muscle definition. I had to show my driver's license to prove that I was 40 and not 20'ish. Most of them didn't believe it.
There were some rail thin guys/girls that were just genetically built that way, but everyone else was either really soft or had obesity in their sights. I don't remember any of my friends looking like that when I was 20. It's amazing how much stuff has changed in the last 20 years.
People too weak to follow their own dreams will always try to discourage others.
"Boy I got vision and the rest of the world is wearing bifocals" - Butch Cassidy and the Sundance Kid
I turn 49 tomorrow and I feel I'm at the best I've been for at least the last 10-12 years.
If you look at my signature line, you'll see that I'm down about 27 lbs this year, and if I can hit 158 lbs by tomorrow (a definite possibility) that will be 15% of my body weight off this year, no GERD, no IBS symptoms, better periods, and minimized allergy symptoms! Yay for the Primal Blueprint!
Newcomers: If you haven't read the book, at least read this thread ... and all the links!
Jan. 1, 2011: 186.6 lbs PBSW Mar. 1, 2011: 175.8 lbs
CW: 146.8 lbs
GW 140 lbs
A proud member of PETA: People Eating Tasty Animals


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Ingenuity Cleveland, which presents the annual IngenuityFest around the city, will team with the Cleveland Public Library to present the area's first Mini Maker Faire from 10 a.m. to 6 p.m. Saturday, April 13 at the library's downtown branch at 325 Superior Ave.
The free event "will allow people of all ages to learn, discover, create and play along with 'makers' and creators from the region's business, non-profit and scholastic sectors," according to an Ingenuity press release.
Ingenuity continues to seek participants and sponsors to exhibit, display, demonstrate and present at the Cleveland Maker Faire. For information, go to makerfairecleveland.com.
"This event is part of our overall strategy of redefining the library as a community resource for exploration and inspiration," said Aaron Mason, Cleveland Public Library's programming director, in a statement.
"The creation of TechCentral, a technology and learning center located in the Lower Level of the Louis Stokes Wing of the Main Library, was part of this initiative and fits perfectly into the Maker movement happening all over the world."
The Maker Movement is made up of creators, inventors, crafters, artists and techies who strive to inspire, unite and inform, while celebrating the DIY community. Maker Faires celebrate the innovation and resourcefulness of the ever-growing Maker Movement, which has been held in such U.S. cities as Detroit, San Francisco and New York.
"Ingenuity's mission is to explore the space where humanity and technology meet," said James Krouse, Ingenuity's artistic director, in a statement. "Partnering on this event allows us to fulfill that mission beyond the annual festival and also work with artists, creative technologists, companies, schools and community groups to cultivate projects on an ongoing basis."


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Hi! My name is Flash
I am Domestic Longhair from South Lyon, MI
Nicknames: big bear
Age: 9 years old
Gender: M
Coat: long haired
Education: He's traveled across the country with us from as far west as Yellowstone, to as far east as Cape Cod. He never fails to amaze others in the campground when he walks beside me on his leash.
My favorite tricks and treats are: I play fetch, wave, give high fives, come when called, give kisses, spin in circles, sit, beg, and shake hands. I 'll do anything for treats. and cat grass
Where I hang out: boxes and windows
My favorite grubs: cat grass and any treat, I'm not picky, I just love food!
My pet peeves: Taking baths, not getting treats when I beg for them, and going to the vet.
What I love about my owners: She loves me back.
My cat hobbies: eat, eat and eat some more.I also love to walk outside on my leash.
Pet motto: Sit because you told me so, not a chance, but for a treat, I'll do anything.
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I was adopted from the humane society shelter when I was six months old. All of my litter mates were already adopted because they were thought to be prettier than me. They were all wrong because I've grown into the big beautiful boy that I am today.
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