text:
Greetings in the name of Jesus Christ! Serving over a hundred churches in our district in the great state of Arkansas, connecting and equipping youth ministry is our goal. Whether you are an adult youth worker, pastor, or a teenager, we hope you find the information you need to help you build a great youth ministry. Join us in ministry to the youth of the SouthWest district.
First of all, DCYM stands for the District Council on Youth Ministry.
We minister to the youth who are involved in our local churches, and help build their faith by putting on district-wide youth rallies.
We help youth develop into leaders at all levels of the United Methodist Church:
- our local church youth groups;
- our district boards and agencies;
- our conference and jurisdictional councils on youth ministry.
We educate youth on social and missional issues, and advocate for these issues on behalf of our youth.
We want all local churches in the SouthWest district to be involved in district events. If you have an active youth group in your church, then we want you. We believe that youth are the church of "right now"! Student leadership is extremely important to us in everything that we do, and we want your leaders! Each Church in our district is invited to the district meetings, to help plan and get connected. This is extremely important to us that you join the meetings in the upcoming year! We plan these events for YOU and if it's not something that you like we won't know to do any different!
Traveler's Game Sunday, August 7, 2016
$16 per person includes Burger/hotdog meal
Meal starts at 5pm | Game starts at 6pm
Get ready for some Travelers' baseball and district fellowship. Southwest District Council on Youth Ministries is sponsoring the Arkansas Travelers' annual Youth Week Kick Off Night, at Dickey-Stephens Park in North Little Rock.
YouthWeek is a celebration!
So let's celebrate the love of God and let everyone within the South West District hear that we are united together and contributing our spiritual gifts to cause an uproar all around us. So how do you participate in youth week? Well we would love to encourage all of you to take part in the Travellers game in Little Rock to kick the week off! These events not only are a great time but offer an opportunity to glorify God as a group! We encourage churches all around to do something great for youth week the first week in August. Build a slip and slide out of random materials! Go to a movie! Have a bonfire! Have a pool party! The money from these events can go to great causes such as Methodist Family Health, Image no Malaria, and YSF! Don't forget to take pictures for us as well to show what you guys have done! Our hashtag is SWYouthweek.
Rosemarie Gagnon
District Co-Coordinator
Josh Holt
District Co-Coordinator


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Co Amoxiclav
Co amoxiclav Good Puggle care is about making sure your home is a safe and happy environment for your dog. Co amoxiclav Dogs have a naturally curious and mischievous nature. Co amoxiclav In other words, co amoxiclav they will get into anything and everything if given half the chance. Co amoxiclav The following are 10 items that you may have around your home which are hazardous to your dog's health –
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Co amoxiclav Store bleach in a locked cupboard or high shelf for safety.
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subset: commoncrawl


text:
so did I Perki but not sure.
definitely hypericum chicky
species less sure, can't see the shape or the manner of growth but at 12 inches it's not one of the bigger shrubs.
It's always difficult with a single leaf, so many are a similar shape, no indication of size or type of plant it came from. A pic of the plant would help.
One of the Hypericums, probably Hypericum androsaemum, aka Tutsan
Happy Christmas Panda
and Dove
and Verdun
Good idea Verdun, thank you
Thanks Dove, maybe a few of the poorest ones to come off.
OK so far Dove
Hawthorns are very variable. We have one that's more or less evergreen, only loses leaves when it's very cold, often flowers in the middle of a mild winter.
There are a lot of shrubs in my garden that still have leaves, all the ribes, some of the hazels. It is exceptionally mild, record breaking.
They're ahead of me this year, fully up and blooming but I've done it now (mostly)
Question re ericsmithii. Did I read here last year that this one shouldn't be cut?
I haven't, but it looks as if it needs it


text:
Reports claim McDermott staged his own death and is living in Mexico 11 years after disappearing during a fishing trip in California.
New law will compel websites, including IMDB, to delete actor's ages if they ask
Michael Idato Entertainment industry websites which publish the ages of actors will be forced to stop the practice, in the wake of new legislation in California intended to combat ageism in Hollywood.
It pays to be a nerd: The Big Bang Theory tops highest earning TV actors list
Ebony Bowden The Big Bang Theory actor Jim Parsons has topped Forbes highest-paid TV actors for the second year in a row, taking home $US25.5 million ($33 million).
What's on TV: Saturday, October 1
The original outing for Bridget Jones, a comedy roast and an insight into new music across Africa.
Black Sails' Toby Stephens to helm a new ship for Netflix's Lost in Space
Michael Idato Black Sails star takes command of the Jupiter 2 in the Netflix reboot of Lost in Space.
What's on TV: Friday, September 30
Mr Selfridge is still a man about town, cheap television on Discovery and a classic French movie.
What's on TV: Sunday, October 2
Will Ferrell and Mark Wahlberg reteamed in Daddy's Home, the Mythbusters crash some cars and family drama The A word.
Deepwater Horizon survivors meet Hollywood's portrayal of the disaster
Steve Persall The makers of Deepwater Horizon want it to be anything but just another disaster film.
Deepwater Horizon and why we can't get enough of disaster films
Paul Byrnes Paul Byrnes finds a paradox at the heart of disaster movies' appeal.
Palace Cinemas to open 15-screen complex on Pentridge site
Karl Quinn The latest plans to develop the massive former prison site in Coburg include a shopping centre and cinema complex.


text:
|32 Reviews
|Property type
|Minimum Stay
|3 nights
Immerse yourself in the enchanting atmosphere of 'Apartment 19', an apartment situated on the 5th Floor (with elevator) of a historical building in Trastevere, the pulsing heart of Rome.
Take possession of the two beautifully furnished bedrooms as well as the large and luminous living room with its superb view over the Piazza San Cosimato. Step outside the door and you are immediately drawn into a maze of narrow streets where the trendy shops, restaurants and bars live side by side with such historic gems as Santa Maria in Trastevere, a stunning 12th century church, only minutes away on foot.
If you're looking for a vibrant nightlife, it is just outside the door. If you're looking for a peaceful night's sleep, this quiet 5th floor apartment will not leave you disappointed
Lamberto's apartment was better than expected, the pictures do not do it justice. It is simple and tasteful, yet unique in its modern decor. The added touch of eggs, bread, butter, milk and jam was much appreciated. We loved the neighborhood and its many cafes, restaurants, boutiques and street performers. Our boys (14 and 11) were constantly amazed and entertained (as were we) by the charm of Trastevere and the beauty of Rome on the whole. It was a magical trip! We will certainly stay in this apartment again if we have the opportunity to visit Rome in the future.
Lamberto was great to deal with. The apartment was perfect for us and we loved the location, overlooking the market in Piazza Di Dan Cosimato. Great bed, very quiet at night, well equipped and clean. Thank you Lamberto.
My sister and I were lucky enough to stay in this amazing apartment in the Trastevere area of Roma last month. Absolutely every detail involved in booking and staying in this lovely home was more than we expected! Lamberto (the owner) was very wonderful to deal with. The apartment was absolutely spotless with every amenity including a bottle of Prosecco and fridge full of staples (milk, juice, butter, jams, eggs, coffee, etc.,) At the end of each day, it was a treat to come home to such a beautiful place and feel as though we really were living as the Romans do. The Trastevere area is very dear to us as it is located just outside the centre of Rome where our ancestors settled before immigrating to Canada. It's a perfect location with a flavour of it's own with many shops, open markets and restaurants and just a 15 minute walk to the downtown core or short tram ride on the #8.
We are looking forward to going back soon!
i am writing this review whilst sitting in the apartment. This apartment is simply 'brilliant'. The apartment is spotlessly clean, with every thing provided to make your stay as homey as possible. Consumables such as detergent to launder clothes, dishwashing liquid, etc. The wifi was reliable and the air conditioning a welcome relief from the heat and humidity.
This little gem of an apartment has some terrific bonuses for the international traveller. Whilst we all like to think we may not get sick, my husband came down with bronchitis and I got sinusitis whilst travelling from Australia. Don't fear. Within a 5 minute walk is a hospital which has a tourist medical clinic with opening hours of 24/7. They offer an excellent service and free of charge. Better still! There are many pharmacies all within walking distance. To make life a whole lot easier, there is a fresh produce market operating every morning and if you don't want to cook, the area is plagued with restaurants that are NOT geared towards the tourist. The Trastevere is very beautiful, with an energy all of its own. Whilst touring the sites whether by tram, bus or foot, it was very easy. It felt great coming back over the river to escape the tourists and find the 'place' to feel totally at home.
Lombarto is extremely professional, reliable and honest. This makes the booking process very simple. We travelled from Australia and the rendezvous meeting time of 3 pm outside the building was perfect for both parties. It went like clock work.
If I could offer only one improvement, better pillows. Sleep for the tourist is a must and I have to say not one of my family liked the pillows. Something a bit firm and non allergic would be fantastic, as well as 2 per bed. That said, the beds and everything else is extremely comfortable.
I would highly recommend this property and would have no hesitation coming back even with the dire condition of the pillows.
Trestevere is a great area to stay in and this apartment is terrific. Very well equipped and as it was free we were allowed access in the morning. This was much appreciated after a long flight. Very clean and tidy. Highly recommend
Our family of four really enjoyed this apartment in Trestevere. Location is great, as can easily walk to many sites or simple jump on a tram located a street over. Easy access to great places to grab a coffee/breakfast/cheeses/wines/grocery was a plus to this property. Lamberto is great to work with when booking. I would highly recommend this flat.
Completely restructured and tastefully furnished, this bright and quiet apartment is on the 5th floor of an historic building, with a double view over a spacious piazza in the heart of Trastevere, the neighbourhood that has best managed to preserve Roman traditions. All the main attractions are walking distance from the apartment, and buses and trams take you anywhere in the city, including stations and airports. We offer discounts for longer stays.
|Rate Period
|Weekend Night
High Season
Sep 1 2016 - Oct 31 2016
3 night minimum stay
|Notes: Rates are based on 2 guests; add $22 per night, per additional guest
Low Season
Nov 1 2016 - Dec 22 2016
3 night minimum stay
|Notes: Rates are based on 2 guests; add $22 per night, per additional guest
Dec 23 2016 - Dec 29 2016
3 night minimum stay
|Notes: Rates are based on 2 guests; add $22 per night, per additional guest
New Year
Dec 30 2016 - Jan 5 2017
3 night minimum stay
|Notes: Rates are based on 2 guests; add $22 per night, per additional guest
Low Season
Jan 6 2017 - Feb 28 2017
3 night minimum stay
|Notes: Rates are based on 2 guests; add $22 per night, per additional guest
High Season
Mar 1 2017 - Oct 31 2017
3 night minimum stay
|Notes: Rates are based on 2 guests; add $22 per night, per additional guest
My Standard Rate
3 night minimum stay
|Notes: Rates are based on 2 guests; add $22 per night, per additional guest
All listed prices are ALL INCLUDED, there are no extra fees. Prices are intended for 2 people.
Weekly and final cleaning is included, as well as taxes, utilities, WiFi, A/C and welcoming food and beverage.
To complete the booking a 25% deposit is required, refundable untill 30 days before the beginning of the stay
For the deposit we accept paypal/credit card or bank transfer.


text:
Police say shooting on St. Louis campus possibly road rage
A woman who was shot in the arm while riding in a car on the Washington University campus may have been a victim of road rage.
Sponsored by:
A woman who was shot in the arm while riding in a car on the Washington University campus may have been a victim of road rage.
Lamar donated a billboard space at Kellogg and Washington worth $3,500. Pictures of 15 offenders were selected and shown.
Wichita police responded to a shooting in the 400 block of North Clayton Wednesday morning.
The man was arrested after he left the back door of the home. He faces numerous charges for stolen weapons and drugs.
A judge sentenced a 63-year-old Wichita man to 307 months in prison for the sexual assaults of two girls.
Wichita police are searching for a suspect who stole a dead woman's purse this weekend.
The Sedgwick County Sheriff's Department has released results from a DUI saturation patrol this last weekend.
Investigators say no charges will be filed after a 2-year-old boy was fatally struck by a car
Officers were called to a report of a domestic violence incident around 1 p.m. Sunday.
A man who was kicked out of a Wichita bar wound up getting robbed early Sunday morning.
A Wichita police car was damaged in a crash at Wichita's Towne West Mall Saturday night.
A 74-year-old former reserve deputy with the Tulsa County Sheriff's Office goes on trial Monday for second-degree manslaughter.
Newton Police officers and the Harvey County Sheriff's deputies responded to a call of shots being fired inside a home.
A California woman died after a car driven by her mother ran over her while they were fighting, police said Saturday.
Some in North Carolina are trying to change the laws in the state to require prosecutors to turn over evidence of innocence after a person i…


text:
An experimental model for simultaneous quantitative analysis of pulmonary micro- and macrocirculation during unilateral hypoxia in vivo
- Received:
- Accepted:
- Cite this article as:
- Groh, J., Kuhnle, G.E.H., Kuebler, W.M. et al. Res. Exp. Med. (1992) 192: 431. doi:10.1007/BF02576301
- Citations
- 20 Views
An experimental model was developed for quantitative analysis of pulmonary microcirculation using in vivo fluorescence videomicroscopy during unilateral hypoxia induced by one-lung ventilation (1 LV). In five white New Zealand rabbits, pulmonary arterioles on the surface of the right lung were visualized by means of intra-arterial injection of FITC-labeled erythrocytes and FITC-Dextran. During 1 LV of the left lung, the mean airway pressure in the right lung was kept at the level of two-lung ventilation (2 LV) by means of N2-CPAP. Arteriolar diameters as well as parameters of macrocirculation (AP, CVP, PAP, LAP, CO) and gas exchange (paO2, Qs/Qt) were measured simultaneously during 2 LV and 1 LV. FiO2 was kept constant at 1.0 during both experimental phases. Macrohemodynamic parameters during 1 LV did not differ from those measured during 2 LV. 1 LV induced a significant decrease in paO2 (213±105 versus 427±22 mm Hg,P<0.05) and a significant increase in Qs/Qt (22±7 versus 13±2%,P<0.05). During 2 LV (baseline), the pulmonary arteriolar diameters ranged from 15–120 μm. 1 LV resulted in a significant decrease of arteriolar diameters to 89.0±9.3% of baseline (P<0.05). Relative changes in arteriolar diameters were similar for vessels with baseline diameters of 0–40, 40–60, and 60–120 μm (88.4±9.9%, 89.6±9.4%, and 88.4±8.7%, respectively). The present model is the first one allowing in-vivo, investigation of HPV during 1 LV and 2 LV on the basis of simultaneous measurement of pulmonary arteriolar diameters and macrocirculatory parameters in vivo. Although PAP and PVR did not change significantly, a reduction, of pulmonary arteriolar diameters was proven in response to alveolar hypoxia during 1 LV. We suggest the model to be useful in studying the physiological effects of HPV on macro- and microcirculation as well as investigating pathophysiological and pharmacological influences on HPV.


text:
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text:
NVIDIA GEFORCE GTX 660 2GB Reference Video Card Review
Lost Planet 2
Version and / or Patch Used: Benchmark Demo
Timedemo or Level Used: Built in Benchmark - Test A Scene 1
Developer Homepage: http://www.capcom.com/
Product Homepage: http://www.lostplanet2game.com/
Lost Planet 2 is a third-person shooter video game developed and published by Capcom. The game is the sequel to Lost Planet: Extreme Condition which is also made by Capcom, taking place ten years after the events of the first game, on the same fictional planet. The story takes place back on E.D.N. III 10 years after the events of the first game. The snow has melted to reveal jungles and more tropical areas that have taken the place of more frozen regions. The plot begins with Mercenaries fighting against Jungle Pirates. After destroying a mine, the Mercenaries continue on to evacuate the area, in which a Category-G Akrid appears and attacks them. After being rescued, they find out their evacuation point (Where the Category-G appeared) was a set-up and no pick up team awaited them. The last words imply possible DLC additions to the game, "There's nothing to be gained by wiping out snow pirates... unless you had some kind of grudge."
Looking at Lost Planet 2 we can see we don't quite get the numbers we need at 2560 x 1600, but below that, the numbers look good.
Compared to the GTX 580 you can see we're ahead as we climb the resolution table. Against the HD 7870 we can also see that performance is stronger for the GTX 660. Overall we continue to see the GTX 660 perform exceptionally well.
PRICING: You can find products similar to this one for sale below.
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text:
Want to Golf with Us?
Golfer? Not a golfer? Proud Wayzata schools community member? Minnesota fall day enthusiast?
No matter the reason, we'd love to see you at the 4th annual Drive 4 Excellence golf tournament at Wayzata Country Club on September 19th. Join us for an afternoon of fun, fore(!), and philanthropy as we raise money for innovative teaching throughout Wayzata schools.
Our biggest fundraiser of the year, help us ensure that we can provide more grants throughout the district to help our exceptional teachers and students succeed. Because of generous donations from Wayzata families, organizations and community members like you, we were have funded more than $200,000 in grants.
Register or contact us today!
2016 Grants Announced
Congratulations to all of the 2016 Wayzata Education Fund grant recipients. Students will benefit from the following innovative projects beginning in the 2016-2017 school year:
- 3D Printers at all three Wayzata Middle Schools, thanks to ETD teachers Nancy Neal, Terri Bostrom and Dennis Lehman
- Incubator at Central Middle School, thanks to science teacher Jessie Starken
- Mindfulness group sessions and instruction at Wayzata High School, thanks to Wayzata High School social worker Becky Halvorson
- Digital microscope at Wayzata High School, thanks to Wayzata High School science teacher Amanda Laden
- Sphero robotic balls to introduce coding curriculum at Kimberly Lane and Gleason Lake , thanks to media specialist Debbie Mossefin, fifth grade teacher Nicole Ringate and technology teacher Daniel Roth
- Aquaponics growing system at Central Middle School, thanks to science teacher Ruth Basant
- Makerspace carts with STEM materials for Plymouth Creek and Meadow Ridge Elementary Schools, thanks to Principal Ksaren Keffler and Sarabeth deNeui
- Materials to support the Young Scholars Program at Sunset Hill, Gleason Lake, Oakwood, and Kimberly Lane elementary schools, thanks to Vision 21 teachers Bonnie Hatton, Sue Bradsher and Angela Henry
- Digital tools and props to support the MAYhem creative writing program at Wayzata East Middle School, thanks to Language Arts teachers Rachel Anderson and Jacy Lawrence
- Sensory rooms in eight Wayzata schools, thanks to occupational therapist Sheryl Butler
- Glide bikes for the adapted physical education program throughout the Wayzata School District, thanks to physical education teachers Marge Shoger and Mike Doyle
Thank you to everyone who applied and who made these grants possible. Check back later this summer to submit your 2017 grant application.


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Michael Hall, radiologist, listed under "Radiologists" category, is located at 600 East Blvd Elkhart IN, 46514 and can be reached by 5742581100 phone number. Michael Hall has currently 0 reviews.This business profile is not yet claimed, and if you are the owner, claim your business profile for free. If you are not the owner you can invite this business to join by email or by phone.Browse all Radiologists in Elkhart IN. Discover census data for Elkhart, IN.
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Center Scholar in Detroit News
Electricity deregulation good for customers
Dr. Ted Bolema, an adjunct scholar with the Center, writes in today's Detroit News about the benefits customers can receive through competition in the electricity market. He will discuss the matter at an Issues & Ideas forum scheduled for noon on Jan. 22 in Lansing. You can read his policy brief on the topic here.
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More Money for Roads Without Raising Taxes


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I'm tripping over thought leadership these days.
Stubbing my toes on #thoughtleader hashtags and barking my virtual shins on "how to become a thought leader" articles and posts.
Welcome to our digital world in 2013.
With the rise in popularity of inbound marketing, content creation, and the ongoing migration of offline to online, the terms "thought leader" and "thought leadership" are close to being overused.
Is "thought leadership" just business jargon?
As it turns out, no.
What is a Thought Leader?
We all know them when we see them. A thought leader is an individual, company, or organization regarded as expert in a specialized area or industry. The thought leader is recognized by colleagues, competitors, customers, and prospects as having progressive and innovative ideas and as having been successful in effecting change. The thought leader is one you think of first. The "go to" person.
We have always had thought leaders among us. We just didn't describe them that way. Wikipedia states the term was coined in 1994 by Joel Kurtzman, editor-in-chief of the Booz Allen Hamilton magazine, Strategy & Business.
Fast forward to 2013, when both term and related activity have become ingrained in our lexicon.
Why is Thought Leadership Important?
According to Forbes, "A thought leader is an individual or firm that significantly profits from being recognized as such."
Being perceived as a thought leader has commercial benefit. Having a leadership position in the marketplace builds business and drives sales. People want to do business with leaders. We talk about, blog about, read about, and watch those who are developing creative and audacious solutions to problems.
In Hayden Shaughnessy's post, "The Growth of Thought Leadership as a Marketing Strategy," thought leadership is described as essential as companies search for new markets, where they have no presence but see opportunity, and as they seek to defend their positions from competitors. He describes thought leadership as a strategic necessity in an era of "hyper-innovation," social enterprise, and social media.
Thought leadership drives new directions. Pushes the economy forward. Makes the rest of us think, question, discuss, and purchase.
Where Do Thought Leaders Come From?
Thought leaders can develop organically. We've all known someone who is wildly creative, persistent, hard-working, and vocal. Who has been willing to take the time to study and work at her craft, to learn from his mistakes. Someone who has pushed past the fear of how it looks, how it should be done, and has produced magnificent results. Or controversy. Or both.
To some degree, thought leaders can be created.
The perception of thought leadership can be built using today's digital tools. We can create content marketing strategies to position our clients as leaders within their industries. There are logical steps that can be taken to build online presence by researching, sharing content, asking questions, speaking out, and building relationships in social networks. Over time, these programs can yield terrific results.
There's just one catch: Thought leadership can't be successfully created in a vacuum. It doesn't thrive without a degree of passion and genuine involvement. People today can sniff out a fake, or a half-hearted attempt. It isn't just about coming up early in search or driving more traffic to a website.
As Daniel Rasmus says, "Thought leadership should be an entry point to a relationship. It should intrigue, challenge, and inspire even people already familiar with a company. It should help start a relationship where none exists, and it should enhance existing relationships."
It can be executed poorly and can come across as phony. As fakery or, as Kimberly Bordonaro puts it, as being a "Sucka MC." Being outed for trying to be something or someone you're not, can ruin your credibility and reputation. This applies to individuals and to brands.
Where Does that Leave Us?
Thought leadership provides value in the marketplace by driving innovation, instigating change, and creating new ideas. If you find yourself jonesing for the position of thought leader in your community or industry, look around you. Do some research. Examine your strengths and weaknesses. What can you do to innovate, instigate, or originate?
If you are tasked with creating a thought leadership program that produces results, have fun with it. Do the research. Understand what is being done now and where there are opportunities to do something new. Help your client see the benefit of being involved and being genuine and the risks of being found out as fake. Build a program that fosters your client's ability to understand what his customers are asking and to answer those questions in multiple formats. Help her create dialogue by inviting others to participate.
Don't let the terms "thought leader" and "thought leadership" get under your skin. Understand there have always been, and will always be, a segment of our society who are born leaders, thought or otherwise.
You, or your client, may be one of those.
Now lead, follow, or just get out of the way!
Leave a Reply
23 Comments on "Is Thought Leadership Just Business Jargon?"
karenswim Thanks for sharing Karen!
SpinSucks Thank you for writing it! 🙂
allenmireles no, but best practices is
adamkmiec Mmm…
allenmireles Sometimes I think "thought leader" is just the douchebag version of "leader."
bittner lol, well that's one way to put it, Dave! 😉
Maybe there should be some certification process for thought leaders. Like you have to have 10 examples of others calling you a thought leader before you can claim the title in your Twitter profile. No doubt thought leaders exist, but they are becoming as painfully common online as self-proclaimed gurus, mavens and ninjas.
Reminds me of that Thatcher quote that's been floating around in recent days: "Power is like being a lady… if you have to tell people you are, you aren't." Just substitute thought leadership.
RobBiesenbach That's a funny thought, Rob. You might be on to something there.
RobBiesenbach GREAT quote. 🙂
cision SpinSucks Thanks for the retweet. 🙂
jkcallas ginidietrich – Er yes?
I agree — becoming a 'thought leader' isn't something that you can just plop down on your monthly To-Do list and make it happen. 🙂 From what I have seen, true thought leaders are selfless. They're the ones publishing the in-depth articles that go beyond the topics that everyone else is glossing over. And they're readily available on social media, often chiming in on conversations and answering questions. I suppose you CAN make it happen, but for the most part it's an organic process.
RT ginidietrich: Is Thought Leadership Just Business Jargon? by allenmireles http://t.co/TJPZn2w7O4
I was prepared to say that it is overused and perhaps it is. But the more I think about it I have to say it is a pretty concise way to say "someone with pretty good ideas". I don't believe that they can be made. You have it or you don't. What can happen is that we can embolden and sharpen communication of thought leaders. Find them in your teams and give them a pulpit.
good essay!
kathysacks Thanks for sharing Kathy 🙂
biggreenpen hmm…you know how I feel. 🙂 SpinSucks
Indeed RT WashingTina biggreenpen hmm…you know how I feel. 🙂 SpinSucks
You know, Allen, I have to get to a meeting so this is an "express" comment (as opposed to taking the "local" comment train 🙂 :-)). My main thing about thought leadership is that I think in reality that TRUE thought leaders are few and far between ….. and that often it is not the people purporting to be "thought leaders" who deserve to be called that! Hopefully I can come back later and read this more slowly b/c I think you make some great points.
Kato42 SpinSucks Thanks Kate.
[…] many of the Big Insights and thought leadership we've heard and re-tweeted have simply become the way we connect and do day-to-day […]


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To determine whether slower walking speed was associated with increased risk of incident hip and knee osteoarthritis (OA)-related outcomes.
After providing informed consent, community-dwelling participants in the Johnston County Osteoarthritis Project completed two home-based interviews and an additional clinic visit for radiographic and physical evaluation. One thousand eight hundred fifty eight non-institutionalized residents age 45 years or older living for at least one year in one of six townships in Johnston County, North Carolina completed the study's questionnaires and clinical examinations at baseline and at follow-up testing. Walking time was assessed using a manual stopwatch in 2 trials over an 8 foot distance, and walking speed was calculated as the average of both trials. For the hip and knee, we examined 3 outcomes per joint site: radiographic OA (weight-bearing anteroposterior knee radiographs, supine anteroposterior pelvic radiographs of the hip); chronic joint symptoms; and symptomatic OA. Covariates included age, gender, race, education, marital status, body mass index, number of self-reported, health care provider-diagnosed chronic conditions, number of prescriptions, depressive symptoms, self-rated health, number of lower-body functional limitations, smoking, and physical activity.
Faster walking speed was consistently associated with lower incidence of radiographic (adjusted odds ratio [aOR]=0.88, 95% confidence interval [CI]=0.79–0.97) and symptomatic knee OA (aOR=0.84, 95% CI=0.75–0.95); slower walking speed was associated with greater incidence of these outcomes across a broad range of different clinical and radiographic OA outcomes.
Slower walking speed may be a marker for incident knee OA, but other studies must confirm this finding.
Habitual walking speed is an excellent predictor of future hospitalization, disability, and death, with slower speeds increasing these risks across a spectrum of age groups, functional abilities, chronic conditions, and types of health outcomes [1–10]. The mechanisms by which walking speed are related to health are unknown. Speed of walking may be a marker of general health and physical functioning or could have specific biological and/or mechanical effects over time. Few studies have looked at walking speed's associations with incident morbidities occurring early in the disablement process. Examining these associations may improve our understanding of whether slower walking also may be associated with disabling disease over time.
Habitual walking speed may be a predictor or early marker of osteoarthritis (OA), a joint disease associated with pain and functional limitations with typical onset in mid-life. Increased joint stresses occur with faster walking speeds [11, 12], and repetitive high-level dynamic joint loading has been shown to contribute to chondrocyte death [13] and the development of OA in animal models [14]. Faster walking speed in combination with abnormal joint biomechanics may further amplify dynamic joint loading [11] and may accelerate joint degeneration. Decreasing walking speed has been suggested as a mechanism used by individuals with knee pathologies to reduce loading and pain in the medial compartment of the knee [15]. In cross-sectional analyses, individuals with knee or hip OA walk more slowly with smaller stride lengths and greater stance duration than those with healthy joints [16–19].
Before OA is evident on clinical examination or with diagnostic images, individuals may exhibit signs of early disease, particularly poorer functional abilities, including slower walking speed. OA can be defined in a variety of ways, and its definition is evolving because radiographic findings and symptoms do not always correlate. Here, we defined OA-related outcomes in 3 ways: radiographic OA (rOA), a standard in the field [20–23]; chronic joint symptoms; and symptomatic OA--the presence of chronic joint symptoms and rOA in the same joint [23, 24].
The purpose of this study was to determine whether habitual walking speed is associated with the risk of incident hip and knee OA-related outcomes over an average 6 year follow-up period. Faster walking speeds may contribute to greater aberrant mechanical effects at the knee and hip over time and, in turn, be associated with incident hip and knee OA-related outcomes. Alternatively, based on the complexities of defining OA and a short mean follow-up time (which may not be adequate for a healthy joint to develop OA), slower walking speed may be a marker of pre-clinical disease and would be associated with incident hip and knee-OA related outcomes.
Briefly, the Johnson County Osteoarthritis Project is a community-based cohort study of hip and knee OA among community residents aged 45 and older, recruited by probability sampling of Caucasian and African-Americans in 6 townships of Johnston County, North Carolina [24, 25]. After giving informed consent, participants completed home interviews and a clinic visit for radiographic and physical evaluation. The baseline cohort of 3,187 residents was assembled from 1991–1997 (T0), with follow-up of 1858 participants from 1999–2004 (T1). The 1,329 lost to follow-up included: emigration from study area (N=161), refusals (N=435), physically or mentally unable to participate (N=234), death (N=411), and inability to locate, following search of local death indices and the National Death Index (N=88). The mean time from baseline to follow-up was 6.1 years (standard deviation=1.4 years, range=3.6–13.3 years). Compared to participants who returned for the follow-up visit, those who did not return were more likely to be men (42.2% vs. 34.8%, Chi-square p<0.01), African American (36.2% vs. 29.8%, Chi-square p<0.01), and older at baseline (mean age 63.7 years vs. 60.2 years, t-test p<0.01).
Radiographic and joint symptom data were used to define the 5 primary outcome variables. Bilateral weight-bearing anteroposterior radiography of the knee with foot mat placement was performed, as previously described [24]. Women age 50 or older and all men completed supine anteroposterior pelvic radiography; women under age 50 did not complete baseline pelvic radiographs to limit radiation exposure to their reproductive tissues, and thus, data for women under 50 were not available for radiographic and symptomatic hip OA analyses (n=216 from the 1858 with baseline and follow-up data). Radiographs were rated by a bone and joint radiologist (JBR) using the Kellgren-Lawrence (K-L) radiographic atlas for knee and hip radiographic grades [21, 22]. Inter-rater and intra-rater reliability for the radiologist were high (weighted kappa 0.86 and 0.89, respectively) [25]. K-L grades range from 0 to 4 (none, questionable, mild, moderate or severe OA); rOA was defined by K-L grades ≥ 2. Chronic joint symptoms were defined as a participant's "Yes" response to the question: "On most days do you have pain, aching or stiffness in your [left/right] [knee/hip]?" Symptomatic OA of a hip or knee was defined by presence of rOA and self-reported chronic joint symptoms in the same joint. Isolated rOA was defined as rOA without presence of chronic joint symptoms, and isolated chronic joint symptoms as incident chronic joint symptoms without presence of rOA.
Three non-mutually exclusive analytic cohorts (sub-samples) were created to assess different incident outcomes (Figure 1). First, we identified the 860 participants free of any rOA at baseline (Sub-sample I), which allowed us subsequently to estimate incident rOA, regardless of symptoms. Second, we identified the 1,195 participants who were free of symptomatic OA at baseline (Sub-sample II), that is, they may have had chronic joint symptoms without rOA, rOA without chronic joint symptoms, or neither. This cohort allowed us to estimate incident symptomatic OA among those with none or just one component of the definition. Third, we identified 396 participants free of baseline hip or knee chronic joint symptoms and also free of baseline rOA (Sub-sample III). This allowed us to simultaneously estimate incident radiographic and symptomatic OA as well as two new outcomes--the incidence of isolated chronic joint symptoms and isolated rOA—in a cohort more likely to be free of subclinical OA at baseline.
Walking time was assessed using a manual stopwatch in 2 trials over an 8 foot distance; the 2 trials were averaged and walking speed in meters/second was calculated. Participants also reported whether they experienced pain during the test ("pain during walking test"—see Table 1), which was entered into models as a potential confounder. The 8 foot walk test has been reported to have good reliability among adults 60+ years of age, with intra-class correlation coefficients (ICC) of 0.79 [26] and 0.72 [27] for intra-observer reliability and ICC= 0.52 for inter-observer reliability [27]
All covariates were measured at baseline and were included because they relate or may relate to walking speed or OA-related outcomes. Education and marital status were used as proxies for socioeconomic status; income data were not available for the whole sample. Age, gender, race (Caucasian versus African American), education (≤ high school graduate versus other) current marital status (married versus not married), and measured body mass index (BMI; weight in kilograms/height in meters squared [kg/m2]) were described. The number of 13 self-reported physician-diagnosed chronic conditions (asthma, tuberculosis, chronic bronchitis, emphysema, "other" lung conditions, hypertension, stroke, high cholesterol, myocardial infarction, cancer, anemia, diabetes, and Parkinson's disease) were summed and grouped (0, 1, 2, 3+), along with the number of prescription medications (0, 1–2, 3+). Depressive symptoms were assessed using the Centers for the Epidemiological Studies of the Elderly Depression Scale (CESD, range 0–60) [28]. Self-rated health was recorded as excellent, good, fair or poor. To control for potential confounding by existing functional limitations that might influence walking speed or mobility, self-reported (primarily lower-body) functional limitations were selected from the Health Assessment Questionnaire [29], and the number of limitations was summed for items involving dressing, standing, transferring bed to chair, walking outside, up five steps, lifting 5 pounds, running errands or shopping, transferring in and out of a car, doing chores, bathing, and toileting (0, 1–2, 3+). Current smoking (yes/no) and any physical activity (yes/no response to the question "During the past month, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?") were also recorded.
Incident cases of OA-related outcomes were identified, and logistic regression was used to estimate the effect of baseline walking speed (increment in the odds ratio per each clinically meaningful increment of walking speed, defined as 0.10 m/sec) [3] on OA-related outcomes. This definition of walking speed has been shown to be an important walking speed difference between individuals that is related to poorer health outcomes. All analyses were adjusted for age, gender, race, education, marital status, BMI, number of comorbidities, depressive symptoms, number of medications, physical activity level, current smoking, self-rated health, pain during walking speed trials, and number of lower body limitations. To explore the effect of an alternate definition of rOA on estimates, we conducted post-hoc sensitivity analyses with K-L ascertainment of rOA of scores of 1 or more (which typically are not regarded as indicative of rOA). All analyses used performed using STATA 10.0/SE. Additionally, the inclusion of men, but not women, from the 45–50 years age range may bias results of the hip OA outcomes, and we conducted post-hoc sensitivity analyses to compare hip OA outcome results with and without the men under the age of 50 (N=341). The adjusted models included many covariates, and we considered the addition of baseline injury, although the covariates of lower body limitations and pain with walking likely accommodated this potential confounder. We conducted a post-hoc sensitivity analysis comparing results with and without injury as a covariate.
Table 1 shows baseline characteristics of the overall study cohort and the three sub-samples. For the overall cohort, the average age was 60.1 years. The majority were female, white, married and without more than a high school diploma. Approximately one-fourth rated their health as fair or poor and, on average, participants were overweight (mean BMI=29.2 kg/m2 [30]. Depressive symptoms were low (median=3) [28]. Approximately 15% had 3 or more comorbidities, 36% were taking 3 or more prescription medications, 18% were current smokers, and 46% did not have any physical activity. Almost one-third reported lower body functional limitations. Baseline mean walking speed (0.87m/s) was slower than reported normal speeds of 1.2 m/s for healthy older adults (65 + years old) and also below 1.0 m/s, which is highly predictive of 1-year mortality in population-based cohorts of adults 70–79 years of age [9].
As expected, sub-samples I-III were generally healthier than the overall cohort, since individuals with prevalent OA-related outcomes at baseline were removed from the population at risk (those with rOA at baseline were removed from sub-sample I, those with symptomatic OA were removed from sub-sample II, and those with any symptoms or radiographic findings in any knee or hip joint were removed from sub-sample III). Table 1 shows that sub-sample III had the best self-rated health, least comorbidity and medication use, lowest self-reported lower body functional limitations, fastest walking speeds, and the lowest frequencies of pain while walking.
Table 2 shows the results of the logistic regression analyses in the three sub-samples. The results are presented as an incremental increase of gait speed, showing an inverse association between faster walking speed and knee OA outcomes. An inverse association between faster walking speed and incident OA implies a positive relationship between slower walking speed and incident OA. In 2a–c, results are shown first for the incident OA outcome (or, for Subsample III, outcomes) at any joint in the sub-sample, followed by outcomes in either knee and either hip at T1 follow-up. (Results for the left and right knee and hip are shown in Supplementary Table S1.) Table 2a, for example, shows that faster walking speed was generally associated with lower incident rOA at either knee, but not at either hip; thus, slower walking speed is associated with higher incident knee rOA. Table 2b shows that in those at risk for symptomatic OA (Subsample II), faster baseline walking speeds also were associated with lower incident symptomatic OA at the knee (i.e., slower walking speed associated with higher incident symptomatic knee OA) but not the hip. Finally, Table 2c shows the healthiest cohort, i.e., those least likely to be biased by subclinical disease. Faster walking speed again was significantly associated with lower incident rOA at the knee (i.e., slower walking speed associated with higher incident knee rOA), but not at the hip. Faster speed was also associated with lower incident isolated rOA at either joint site (see data in Table 2c for incident rOA at T1 and for incident isolated rOA at T1). ORs for incident symptomatic knee OA, other measures of incident isolated rOA, and incident isolated symptoms showed no statistically significant associations.
Results of post-hoc sensitivity analyses with rOA defined as K-L grade of 1 or more at baseline (Supplementary Table S2) could only be reasonably estimated for symptomatic OA outcomes due to small counts for radiographic OA and radiographic OA/joint symptoms outcomes. The symptomatic OA outcomes defined as K-L grade of 1 or more did not differ substantially from results presented in this paper using a definition of K-L grade of 2 or more. Post-hoc sensitivity analyses comparing results with and without the men under the age of 50 (Supplementary Table S3) and results with and without history of injury (Supplementary Table S4) also reveal similar estimates.
The principal result from the current study is that in a cohort of mid-to-older age adults, slower walking speeds (in increments that have been previously demonstrated to be clinically significant between individuals, i.e., 0.10 m/sec as described above) are associated with higher incidence of radiographic and symptomatic knee OA, while faster walking speeds appear to be associated with lower incidence. Estimates in a smaller subsample designed to eliminate possible preclinical disease supported this result. There were no significant findings of walking speed related to hip OA-related outcomes.
A number of studies suggest that faster walking speeds might alter the overall biomechanics of walking. Biomechanical studies have shown increased angular excursions at the knee during the swing phase of faster versus slower walking, at least partly due to higher passive coriolis and centrifugal forces [31], possibly resulting in altered alignment at heel strike (i.e., decreased knee extension) for slower versus faster walking. The relative contributions of different muscles and muscle activation patterns also appear to play a functional role in the known altered biomechanics of faster versus slower walking [31]. Faster walking results in a decrease in the percentage of the walking cycle spent in stance phase (62.6% at self-selected normal speed versus 60.6% at faster speed) [32], which would decrease the total duration of weight bearing load on a joint over time [33]. Studies of children and young adults have demonstrated that joint moments and powers in the lower extremity are increased with faster walking speeds [34, 35], although patterns of joint loading and muscle activation differ among older adults [36–38]. Finally, there is a relatively greater magnitude of lower extremity musculotendinous activity and coactivation at the knee and ankle observed among older adults during faster versus slower walking speed [36] which may increase joint loading or may provide more stability to the joints to help attenuate overall joint moments (e.g., cushioning) [31].
Interestingly, our results -- that slower walking is associated with higher incidence of knee OA are not consistent with a hypothesis that the mechanical effects of faster walking may have contributed to the development of knee or hip OA in this study and also are counter to recent hypotheses that reduced walking speed and/or "mindfulness walking" may help to reduce peak adduction moments and joint loads at the knee [39, 40],and also help reduce knee joint symptoms [41]. Most of these studies are cross-sectional, with some investigators supporting, but others more neutral, on slower walking as an appropriate intervention to decrease knee joint loads.
Our findings may have important implications for prevention and treatment because pharmaceutical and exercise interventions have documented impact on walking speed [42]. During fast walking, the rate of joint loading increases, as well as the rate of energy absorption, particularly at the knee [43]. A healthy knee joint (one that does not have OA) would theoretically be able to tolerate a greater rate of joint loading. In a knee joint with damaged or weakened articular cartilage, faster walking may not be tolerated because the cartilage is less able to dissipate forces [44]. Potentially, individuals without radiographic or symptomatic OA at baseline in this study may have had early joint changes that were not detectable. If so, such individuals may have slower self-selected walking speeds, as observed at baseline, to reduce the rate of joint loading, and possibly later developed detectable OA. The individuals who could walk more quickly at baseline may have also maintained better joint health during the study, contributing to decreased OA at follow-up. In an attempt to adjust for potential confounder effects, we controlled for lower extremity joint limitations and self-reported pain during walking test, and examined progressively more restricted (i.e., healthier) cohorts to reduce prevalent OA as a possible explanation for our findings.
One novel result of this study was the discrepancy in effects at the knee and hip. Incidence of hip OA is estimated to be approximately 88 per 100,000 person-years, compared to 240 per 100,000 person-years at the knee [45]. The lower outcome incidence rates of the hip compared to the knee would reduce the power of this study to detect significantly significant associations, but not the magnitude of the association Neither the magnitude nor the direction of our hip ORs suggest the potential presence of a real effect at the hip. Possibly, the knee is more susceptible than the hip to joint load variations that occur with slower and faster walking speeds, as previously suggested by studies that report an association between obesity (resulting in a greater joint load) and knee OA [20], but inconsistently with hip OA [46]. Our results suggest that slower walking speed is likely a better marker for identifying those at risk of developing OA-related outcome for the knee but not for the hip.
General strengths of this study include the large, community cohort, the prospective study design, adequate representation of Caucasians and African Americans, and the fact that case ascertainment at baseline and follow-up was confirmed by clinical and radiographic assessment. In addition, in Sub-sample III, we were able to create a cohort more likely to be free of possible subclinical disease and report for the first time the simultaneous incidence of radiographic and symptomatic OA as well as the onset of isolated rOA and isolated symptoms.
There are several limitations as well. First, we do not have data on OA at other important lower extremity locations (ankles/feet) that could potentially impact our findings, and there were no lower extremity muscular strength, kinematic, or kinetic data collected that would allow us to further explore our findings. Anterior-posterior films of the knee were available, but other views, such as patellofemoral joint films, were not included in this analysis; alternate views may have provided additional evidence of radiographic disease of the knee. Second, the definition of OA (K-L grade ≥ 2) is primarily driven by the presence of an osteophyte, although osteophyte formation may not be the first feature that develops in all individuals. Assessments of individual radiographic features (i.e., separate examination of osteophyte formation or joint space narrowing) and their location (medial or lateral compartment) were not available for this cohort during the study period. Third, we assume that a clinically important difference in walking speed for individuals (0.10 m/sec) is also an important difference in walking speed when comparing populations. Previous work in the geriatrics literature has shown that differences between individuals in walking speed in increments as small as 0.10 m/sec are clinically significant for survival and functional mobility [3]. There is little in the literature assessing important differences in walking speeds when comparing populations, but in a study of older veterans hospitalized for geriatric evaluation and management, each positive difference in walking speed at hospital admission of 0.10 m/s between people was associated with improved physical function as indicated by a 4.5 point higher standardized Short Form-36 score, 2.1 point higher standardized Physical Functioning subscale score on the Short Form-36, and 0.63 fewer total activities of daily living (ADL) disabilities [3]. Fourth, approximately 40% of participants did not return for follow-up. Participants who did not return tended to be slightly older, African-American, and male compared to those who completed the follow-up visit. Analysis was limited to participants who were more likely to be younger and healthier at baseline, possibly biasing the association.
Although our analyses controlled for a variety of potential confounders, residual confounding is always possible in observational research. A randomized clinical trial design of a walking speed intervention and incident OA-related outcomes might more clearly describe the nature of the associations we observed and perhaps suggest additional avenues for future intervention development, although this type of study would require many years of observation.
Given the consistency of our findings across the different subsamples, walking speed may be a marker of knee joint health. We recommend further research to confirm these findings and consideration of walking speed assessment during clinic visits as a means to help identify patients at greatest risk of developing OA, especially at the knee, and who may benefit from pharmaceutical and/or preventive interventions. Other performance-based measures and self-report physical function measures should be explored in future research to determine their utility alone and in combination with walking speed for identifying those at risk of developing lower extremity OA.
Funding sources: The Johnston County Osteoarthritis Project was funded by Centers for Disease Control and Prevention/Association of Schools of Public Health S043, S1733, and S3486); and Multipurpose Arthritis and Musculoskeletal Diseases Center grant 5-P60-AR-30701 and the Multidisciplinary Clinical Research Center grant P60-AR49465 from the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Partial support was provided by NIH/NCMRR 5KO1HD04953 and Claude D. Pepper Older American's Independence Center Grant # NIAP30AG028716 (Purser) and an Arthritis and Immunology T-32 Training grant AR-07416 from the National Institutes of Health (Golightly).
Conflict of Interest. The authors report no conflicts of interest in relation to this work.
CDC disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Funding Institutes.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


text: Patches item #913121, was opened at 2004-03-10 02:01 Message generated for change (Comment added) made by buliabyak You can respond by visiting: https://sourceforge.net/tracker/?func=detail&atid=604308&aid=913121&group_id=93438 Category: Transformations Group: Unstable (example) Status: Open Resolution: None Priority: 5 Submitted By: Nobody/Anonymous (nobody) Assigned to: Nobody/Anonymous (nobody) Summary: Brazilian portuguese translation Initial Comment: Hi! I'm send the pt_BR.po file to you. I translated more or less 50%. I hope finish this in the next week!! Cheers! ---------------------------------------------------------------------- >Comment By: bulia byak (buliabyak) Date: 2004-03-27 05:37 Message: Logged In: YES user_id=741217 Thanks, but where's the file? there's nothing attached here. ---------------------------------------------------------------------- You can respond by visiting: https://sourceforge.net/tracker/?func=detail&atid=604308&aid=913121&group_id=93438


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For extremely cold days on the slopes or for regions that are always predominantly cold on the mountain, this is your go-to insulated snowsports jacket. Constructed with water-resistant, windproof, breathable ripstop fabric at exterior and combined with a lofty 550-fill down insulation throughout for thermal protection. Rider-specific features throughout.
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The Daventry Dolphins Swim Team represents our community in the Northern Virginia Swim League (NVSL) and the Springfield-Burke Developmental League. Whether your child is an advanced swimmer or just starting, team membership is open to Daventry residents. Swimmers are boys and girls from rising kindergartners to young adults who are 18 years old.
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New data show senior housing is 89.7 percent occupied nationwide as of the second quarter 2016, with varying rates of construction in markets throughout the country. The data also show the national average monthly rental rate asked for senior housing is $3,595.
Two major U.S. employers decide to invest in affordable housing ventures in Colorado and Minnesota that would benefit their workforces, leading the way for other such ventures and modeled on similar efforts in earlier times to provide workforce housing.
Rockford, IL is HUDs poster child in the departments new Affirmatively Furthering Fair Housing campaign to desegregate the countrys primarily white neighborhoods. Rockford Housing Authority and city officials are on notice from HUD Fair Housing & Equal Opportunity (FHEO) office to reconsider a scrapped low-income housing development or face possible consequences.
Well-qualified home-seekers who are deaf or are hearing-impaired, as well as home-seekers who use wheelchairs, are told about fewer available housing units than comparable home-seekers who can hear and walk, according to a newly released study from the Department of Housing & Urban Development and the Urban Institute.
Many countries consider the U.S. housing finance system a model for encouraging affordable housing options, promoting stable communities, and building wealth. Affordable housing financing is not only valued in the United States, but also among the other economies within the Asia-Pacific region.
Sales of new single-family houses in April 2015 were at a seasonally adjusted annual rate of 517,000, according to estimates released jointly by the Department of Housing and Urban Development (HUD) and the Census Bureau.
The Department of Housing & Urban Development (HUD) and the Census Bureau announce the new residential construction statistics for April 2015
Sales of new single-family houses in March 2015 were at a seasonally adjusted annual rate of 481,000, according to the latest estimates released jointly by the Department of Housing & Urban Development (HUD) and the Census Bureau.
Celebration Village is a state-of-the-art, next generation community created to provide older adults an upbeat lifestyle promoting a culture of growth and successful aging. The community includes 114 Independent, 44 Concierge, 55 Assisted Living and 31 Memory Care Apartments on location.
This is a new affordable housing production program that will complement existing federal, state and local efforts to increase and preserve the supply of decent, safe, and clean affordable housing for extremely low- and very low-income households, including homeless families.
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Fujian White Crane Kung Fu & Tai Chi
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Begin your journey with us - we teach traditional Chinese martial arts, kung fu, and tai chi. Call this instructor to get started.
The Fujian White Crane Kung Fu club has been teaching traditional kung fu and tai chi in the UK since 1977. The style was founded by a legendary woman fighter in Southern China.
We have a track record of excellence in teaching, with instructors who train continually with the Chief Instructor, Dennis Ngo.
Beginners are always welcome and will receive individual attention in main classes and have their own specialist classes available.
Under 13s are taught in their own classes to allow them to use all their youthful exuberance, whilst learning self-discipline and respect for others.
Our learning environment is not based on fighting for competitions (sparring is to learn to use techniques not win points) but geared towards individual learning and achievement. Our aim is life-long learning not short-term fitness - fitness comes as standard!
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Jeans from NLY Design. Slim fit design in stretchy material. Fake pockets at front. Two back pockets. Belt loops around waist. Zipper fly closure. Decorative stressed abrasions at front. Note that decoration can vary from item to item. May dry and wet bleed. Made of 98% Cotton and 2% Elastane.
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Sometimes, a mention of Judaism on television just comes from completely out of nowhere. When I sat down to watch the premiere episode of ABC's new comedy How to Live with Your Parents (For the Rest of Your Life) last Wednesday night, I wasn't expecting to hear anything about...
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Home > Eyeglasses > Ray-Ban > RX7073 (2000)
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This Ray-Ban model is an all-rounder, equally suiting men and women. Full rim frames completely enclose the lenses within the frame. For a convinced eyeglass wearer, any other frame style is ruled out, with very few exceptions. The panto frame is characterized by round lenses that are slightly flattened at the top. This not only looks good, it also enables a particularly large field of view. As a perfect match for every face shape, the look is incredibly popular. Plastic is a very lightweight and flexible material. This ensures a long life and a high level of comfort. Black is one of the undisputed classics. It can be combined with any outfit and simultaneously radiates elegance and naturalness.
With the help of our digital dispensing optician, your prescription lenses can be configured according to your own requirements. Anti-reflective and cleaning coatings, antistatic and lotus effect are included as standard for plastic lenses.
The next shipment is on its way, so we will have your Ray-Ban back in stock very soon. We hope the unbelievably low price will be a consolation for the short wait. In our online shop we have consistently low prices. You won't get RX7073 at such a low price, not even in the sale.
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