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Decorate your event with these Blue Tissue Fans.
These Blue Tissue Fans feature a blue burst of color. Each Blue Fan is 25 inches in diameter and made of paper tissue. Decorate your ceilings with Blue Tissue Fans for your event.
Please allow ample time for delivery. Our ship date for this product is noted in your shopping cart. Many items are shipped separately, so please allow extra time for these items to arrive. Shipping charges are based on the value of the merchandise and not the number of shipments. For additional shipping information, contact our Customer Service Department at (email@example.com or 1-800-227-2789).
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Newegg.com - A great place to buy computers, computer parts, electronics, software, accessories, and DVDs online. With great prices, fast shipping, and top-rated customer service - once you know, you Newegg.
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Showing Results: Most Recent
This review is from: GIGABYTE GA-Z68A-D3H-B3 LGA 1155 Intel Z68 HDMI SATA 6Gb/s USB 3.0 ATX Intel Motherboard
Pros: Arrived in good packaging, seemed like it was in good condition but did not check the pins. Packaging looked as though it had been through a tough drive though.
Cons: Arrived dead on arrival, tried to explain that it was not working and that the pins seemed funny. CPU bed had just one funny looking pin. Could not get a replacement nor repair. They kept bouncing me back and forth between newegg and Gigabyte saying that both had the warranty and neither would cooperate. After six calls someone finally just said they wouldn't replace it since pins are not covered.....Should have just said it was dead on arrival and sent it back.
Other Thoughts: If you just say DOA on issues and RMA you will get a new one. Don't waste your time trying to be explanatory and telling them what is wrong. Do not even bother calling. Just RMA it if it's messed up and no problem at all. I build computers constantly and that has been my experience.
Ended up getting an older Giga board froma friend that is still up to date. Just wish my 130 dollars had not went towards nothing.
It almost cost me an extra 250 in other parts.

subset: commoncrawl


text: Nutraceuticals ShareTwitter Facebook Google+ Email Long a favorite of area residents, the health benefits of the Muscadine grape are just beginning to be fully understood.By Ede Baldridge Wilmington NC – Click the Listen button to hear Ede's commentary. Ede Baldridge writes about memorable people and places in the southeast. View the discussion thread.


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Multifactor productivity in private nonfarm business
May 25, 2012
Private nonfarm business sector multifactor productivity increased at a 0.5-percent annual rate in 2011. This reflects a 2.4-percent increase in output, and a 1.9-percent increase in the combined inputs of capital and labor (its largest annual rate of growth since 2006).
Multifactor productivity in the private nonfarm business sector grew 0.9 percent annually from 1987 to 2011. This was primarily due to output rising at a 2.8-percent annual rate, faster than the 1.9-percent increase in combined inputs.
For the 2007–2011 period, multifactor productivity grew 0.4 percent as combined inputs fell 0.5 percent, a larger decrease than the 0.1-percent decline in output.
The 2011 gains in output and combined inputs, 2.4 and 1.9 percent respectively, more closely resembled the long-term trend from 1987 to 2011 than during the 2007–2011 period.
These data are from the Multifactor Productivity program. To learn more, see "Preliminary Multifactor Productivity Trends – 2011," news release USDL-12-0893 (HTML) (PDF). Multifactor productivity measures the change in output per unit of combined capital and labor input. It is designed to measure the joint influences of technological change, efficiency improvements, returns to scale, reallocation of resources, and other factors on economic growth, allowing for the effects of capital and labor.
Bureau of Labor Statistics, U.S. Department of Labor, The Economics Daily, Multifactor productivity in private nonfarm business on the Internet at http://www.bls.gov/opub/ted/2012/ted_20120525.htm (visited September 26, 2016).
Recent editions of Spotlight on Statistics
A look at healthcare spending, employment, pay, benefits, and prices
As one of the largest U.S. industries, healthcare is steadily growing to meet the needs of an increasing population with an increasing life expectancy. This Spotlight looks at how much people spend on healthcare, current and projected employment in the industry, employer-provided healthcare benefits, healthcare prices, and pay for workers in healthcare occupations.
Employment and Wages in Healthcare Occupations
Healthcare occupations are a significant percentage of U.S. employment. Some of the largest and highest paying occupations are in healthcare. This Spotlight examines employment and wages for healthcare occupations.
Fifty years of looking at changes in peoples lives
Longitudinal surveys help us understand long-term changes, such as how events that happened when a person was in high school affect labor market success as an adult.


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D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
Richard Jones blasted a solo HR onto 8th Street and drove in another run with a single and LHP Eric Jokisch (2010 11th round pick out of Nortwestern) threw three shutout innings with five strikeouts, leading the Peoria Chiefs to a 6-3 victory over the Asheville Tourists (Colorado Rockies Class "A" affiliate) on Field #2, while next-door on Field #3 the Daytona Cubs were cracking the Modesto Nuts (Rockies Advanced "A" affiliate) by a score of 11-4, as Matt Cerda went 3-3 with two runs scored and an RBI, Junior Lake had three hits (a double and two singles), scored one run, and drove in another, and Evan Crawford doubled, singled, stole a base (home), scored twice, and knocked in two runs, in Cactus League Minor League Spring Training action at Fitch Park in Mesa, AZ, this afternoon.
Cubs #5 starter Andrew Cashner made his final Arizona start this morning on Field #1, throwing three innings (and getting hammered) in an intrasquad game between the Iowa Cubs and the Tennessee Smokies.
Although they are assigned to the Iowa squad, RHP Blake Parker and Hung-Wen Chen pitched in the Daytona game this afternoon rather than the intrasquad game this morning, because they were bumped by Cashner.
In Minor League Camp roster news, a number of players were released or demoted today:
RELEASED: OF (ex-RHP) Chris Huseby, RHP Mike Perconte, and RHP Aaron Shafer (2008 2nd round draft pick).
IOWA TO TENNESSEE: OF Jim Adduci, RHP Chris Carpenter, C-1B Blake Lalli, LHP Luke Sommer, and OF-1B Matt Spencer.
TENNESSEE TO DAYTONA: C Michael Brenly, OF-1B Michael Burgess, OF Jae-Hoon Ha, RHP Ty'Relle Harris, OF-IF-C David Macias, and RHP Rob Whitenack.
DAYTONA TO PEORIA: RHP Eduardo Figueroa, OF D. J. Fitzgerald, C Micah Gibbs, LHP Eric Jokisch, OF Alvaro Ramirez, and OF Jose Valdez.
PEORIA TO BOISE/MESA (EXTENDED SPRING TRAINING): 2B Pin-Chieh Chen, RHP Dustin Fitzgerald, C Max Kwan, RHP Luis Liria, OF Jesus Morelli, and RHP Alvaro Sosa.
After a work-out on Field #4, several players from the Boise/Mesa (Extended Spring Training) squad (2B Pin-Chieh Chen, 3B Dustin Geiger, SS Dustin Harrington OF Blair Springfield, and OF Oliver Zapata) saw some late game action with Daytona in the game on Field #3. (Players from the Boise/Mesa Extended Spring Training group are often used as late inning replacements in Minor League Spring Training games).
Here are today's abridged box scores (Cubs players only), with some of the recently-demoted players in the starting lineups of their new squads:
FIELD #2 (CLASS "A" – Peoria Chiefs vs Asheville Tourists)
1. Rubi Silva, CF: 1-4 (F-7, K, 1-6-3 DP, 1B, PO)
2. Pierre LePage, 2B: 1-4 (1B, 6-3, 5-3, F-9)
3. Arismendy Alcantara, SS: 1-4 (K, 6-3, E-3, 3B, SB, R)
4. Richard Jones, 1B: 2-4 (4-3, HR, K, 1B, 2 R, 2 RBI)
5. Micah Gibbs, C: 0-3 (L-9, F-7, BB, 3-U)
6. Anthony Giansanti, 3B: 0-3 (K, 3-1, 1-3, BB, R)
7. Alvaro Ramirez, RF: 2-4 (1B, 1B, 3-U, L-8, R)
8. Elliot Soto, DH #1: 1-3 (F-8, 1B, L-7, BB, R)
9a. Jose Valdez, LF: 1-3 (K, 1B, F-7, RBI)
9b. Kyung-Min Na, LF: 1-1 (1B, 2 RBI)
10. Wes Darvill, DH #2: 1-3 (1-3, 1B, P-6)
1. Eric Jokisch: 3.0 IP, 2 H, 0 R, 0 BB, 5 K, 47 pitches (34 strikes), 3/1 GO/FO
2. Robinson Lopez: 3.0 IP, 2 H, 3 R (3 ER), 2 BB, 2 K, 2 WP, 46 pitches (26 strikes), 4/3 GO/FO
3. Charles Thomas: 1.0 IP, 0 H, 0 R, 2 BB, 1 K, 22 pitches (12 strikes), 1/0 GO/FO
4. Casey Harman: 1.0 IP, 1 H, 0 R, 0 BB, 3 K, 17 pitches (12 strikes)
5. Yohan Gonzalez: 1.0 IP, 0 H, 0 R, 0 BB, 0 K, 13 pitches (11 strikes), 2/1 GO/FO
Micah Gibbs: 1-2 CS
FIELD #3 (ADVANCED CLASS "A" – Daytona Cubs vs Modesto Nuts)
1. Jae-Hoon Ha, CF-DH: 1-5 (3-U, F-9, 1B, L-5, F-8, R, 2 RBI)
2a. Logan Watkins, 2B: 1-3 (1B, BB, FC, F-9, R, SB)
2b. Pin-Chieh Chen, 2B: 1-1 (3B)
3a. Junior Lake, SS: 3-4 (5-4 FC, 2B, 1B, 1B, R, RBI, CS)
3b. Dustin Harrington, SS: 0-1 (K)
4a. Justin Bour, 1B: 1-3 (F-8, 2B, F-8, BB, RBI)
4b. Dustin Geiger, 3B: 0-1 (6-3)
5a. Michael Burgess, LF: 0-4 (K, K, K, K)
5b. Blair Springfield, LF: 0-0 (BB)
6a. Nelson Perez, RF: 2-4 (4-3, 1B, 1B, 4-3, 2 R)
6b. Oliver Zapata, RF: 0-1 (K)
7a. Michael Brenly, C: 1-2 (L-5, 1B, BB, 2 R)
7b. David Macias, C: 0-2 (L-4, F-8)
8a. Matt Cerda, 3B: 3-3 (1B, 1B, 1B, 2 R, 2 RBI)
8b. Jake Opitz, 3B-1B: 0-1 (BB, 6-4 FC)
9. Evan Crawford, DH-CF: 2-4 (2B, 1B, F-9, F-9, 2 R, RBI, SB)
1. Rob Whitenack: 4.1 IP, 4 H, 1 R (1 ER), 0 BB, 4 K, 50 pitches (34 strikes), 7/2 GO/FO
2. Blake Parker: 2.0 IP, 1 H, 0 R, 0 BB, 0 K, 15 pitches (11 strikes), 5/1 GO/FO
3. Hung-Wen Chen: 0.2 IP, 3 H, 2 R (2 ER), 0 BB, 1 K, 22 pitches (14 strikes), 1/0 GO/FO
4. Ty'Relle Harris: 1.0 IP, 2 H, 1 R (1 ER), 0 BB, 1 K, 1 WP, 14 pitches (9 strikes), 1/1 GO/FO
5. Ryan Searle: 1.0 IP, 0 H, 0 R, 0 BB, 1 K, 12 pitches (8 strikes), 2/0 GO/FO
SS Junior Lake E-6 – fielding error (bobble) allowed batter to reach base safely
1. Michael Brenly: 0-2 CS
2. David Macias: 1 PB
WEATHER: Sunny with temperatures in the 90's
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
A little surprised that Shafer was released. His stats weren't amazing by any stretch, but last year was his first as a reliever. I guess he couldn't crack the Smokies bullpen. Even if there were some character issues, releasing a 2nd round pick after just two full seasons is a rare occurence for the Cubs. Too bad.
Having lived in Murray, Ky for a while I hate to see a former Murray St. Thoroughbred get cut in Perconte. I have some friends who say he's a really good guy.
And, a whole lot of people that seem ready for Iowa are going to be in TN. They'll just have to force managements hand. I do think there are too many 4A guys in Iowa, but thats the trend nowadays.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
The weird thing I noticed about a week ago is that the Milb.com team website's rosters are spot on with who's targeted for each team (*save Buchter for Cales). Ususally they aren't updated until the rosters are announced. Milb.com gets better every year.
JR Mathes is living proof of how important LH pitching is for an organization. He could pitch for the I-Cubs until he's 35. Future Minor league pitching coordinator.
Robinson is the Player/Coach on the DL
Watson is released
Trinidad is released
Berg is released
Muyco is released
Buchter is sent down to AA
I am not saying Mathes is released because I've said that for three years and he always pitches more than 100 innings a year.
Blake Parker has pitched better than Muyco, and I think Diamond has more upside than Berg.
Phil, you the man.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
I'm not sure those team rosters are correct. They only show where guys ended the year last year, with the addition of this years 40 man roster guys that were assigned to those teams. I was at Fitch today and talked to someone who should know and some of the posted names and where they are, or are going , is not correct. This is based on my conversation today (Fri) and from what should be a most reliable source.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
Wasn't Miller the one in the pot transportation business?
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
Complete list of MLB team payrolls:
White Sox 5th, Cubs 6th.
Royals last.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
"Right Side" Theriot
Ryan Theriot's 11th-inning error was the key play in a two-run game-winning rally for the visiting Padres, who did not lead at any other point in the game. San Diego had earlier benefited when Ryan Ludwick knocked a ball out of second baseman Skip Schumaker's glove. Virtually every turning point in the game turned against the Cards, and it was too much to overcome.
Live it up, Cards
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
I still think Theriot made two errors. He dropped the ball, leading to the runner scoring. In trying to get the advancing runner, he made a bad throw, leading to the batter advancing to second. I'm not sure why that isn't two errors.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
Funny, but it still doesn't make up for having to watch Aaron Miles play for the Cubs. Batting, specifically.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
What in the 'Groundout 4-3' do you mean by that?
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
You didn't see Theriot come up in the 10th with a man on base and line a ball to shallow right that was caught by the rover. That was pretty priceless as well.
I think part of Theriot's decreasing skill as a hitter is that he's probably a dumb fuck.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
It's tough for a team, sometimes for fans, to let go of a guy after he has some early success.
I assume The Riot made a good living in college ball and in the minors by driving outside pitches to the opposite field. In the big leagues, the default MO on a guy is to pitch to the outside corner. This is a recipe for early success.
It was only a matter of time before opposing pitchers caught on. That's not to say Theriot is a terrible hitter; he's no Aaron Miles. He can hang... just not very well. For Theriot's level of hitting, he should play B+ defense or better to be considered a legit big leaguer. I would give him a C or C- on defense, however. At SS, I give him a D.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
You only hear it 100 times a yer: major league hitting is about adjustments.
It's hard to say that Theriot doesn't have the physical talent to hit in the majors, but if the hits are no longer free to short right, he needs to direct the ball to where the hits are. I can't be that hard.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
There's a pill for that.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
I agree, two different runners advanced on two different actions, that's normally two errors.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
After the game, he blamed the error on the Cubs.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
Shafer caught me off-guard, but okay. Perconte really had himself a decent season in A+, but he's 25 and not a big loss from a system perspective. Still think Spencer could put up big numbers in Iowa, but he's gotta force his way up.
AzPhil - how has Liria looked this spring? I had been hoping to see him at Peoria. Is he still low 90's, plus change, decent breaking ball?
Carpenter in AA at least means that he's going to be starting, right? So there's that positive, though I'm not sure there's that much improvement he's going to make that he needed to go back to AA. Wonder who gets pushed out of the rotation - certainly not McNutt. That leaves Cabrera, Rusin, Raley, Dolis ... wondering if they finally shift Dolis to pen work.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
I'm pretty sure, based on what I was told today, that Carpenter is going to Iowa as a late inning reliever.I am only bringing this up because of the reliable source that told me at Fitch.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
"Do you think the Cubs would have designated Jake Muyco as a starter in the AFL if they projected Carpenter as a starter?"
I think they project Carpenter as a starter but until he can throw an off-speed pitch for a strike--which he failed to do in the one inning I saw him this spring--he is of little use as a starter. You can't throw fastballs for five innings.
It's the same as with Cashner. While he was learning to throw/control offspeed stuff, he relieved.
I haven't seen McNutt, but Cashner and Carpenter are the two best young arms, bodies, easy deliveries, etc., that I've seen. You want those guys to be your starters.
Re: D-Cubs & Chiefs Deal with Tourists and Nuts at Fitch Park
The only disagreement I have with the comment above is that some pitchers who go to the AFL might have come close to reaching their club's limit of innings pitched in a season. In that case, it might still be worth seeing them in action against top notch talent, but only in brief one inning appearances.
That being said, if Carpenter has only been pitching in one inning appearances this spring, then it seems likely that he will be a relief pitcher at least to start. I personally think that is where he will end up, but I wouldn't mind seeing him in the rotation instead of a couple of guys at Tennessee. But who knows, maybe the Cubs think that this will accelerate his progress and get him to the majors faster?
Recent comments
Hopefully Pirates don't call up A. Lincoln.
j.buchanan going friday...should be...baseball...or something like it.
Wow. I didn't know they could do that.
Nice for Willson, not so much for Addy.
Game is officially called...also officially a tie.
Stats count, no make-up date of course.
Yeah -- seeing the weather -- I hope KB and Rizz are inside, wrapped in blankets and drinking hot chocolate.
rain delay...thanks obama.
Thanks again Phil. We actually were in Mesa and drove around. Hopefully, I am back for some Fall League. If not I have all of spring training (like the smart people who move here!)
What Rob G said. I can't speak for Piittsburgh, but the other end of the state has had absolute crap weather for two days. Perfect day to take it easy.
tarp came off 10 minutes ago...let's do this.
He will not pitch another game for Cubs
/Unless injury in playoffs
Today is bullpen day
10/450 if they win WS
Carrie Muskat [email protected]
Even though Hammel is missing start, don't assume he'll not be on #Cubs postseason roster. Maddon says elbow problem isn't that bad
Carrie Muskat [email protected]
Maddon on #Cubs postseason rotation: "I don't want to announce anything. We haven't talked to anybody yet"
Carrie Muskat [email protected]
Maddon hopes Soler can take BP in Cincy, play in sim game Tue. "All of that should give us some kind of indication of where he's at"
tarp on the field 40 minutes before gametime...meh.
travel day + rain in Pittsburgh. Why risk injury?


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Federal and State law requires employers to report newly hired and re-hired employees in Mississippi to the Mississippi State Directory of New Hires.
Please use this site to provide you with information about reporting new hires including reporting online and other reporting options!
Spring Has Sprung! Springtime is the hiring season for many industries including landscaping and lawn care, tree services, florists, construction, pest control, spring break service providers such as hotels and airlines, and many others. The Mississippi State Directory of New Hires reminds all employers to report their employees who are hired or rehired over the next few months. All newly hired and/or rehired employees must be reported within 15 days of their hire date, whether they are full-time, part-time, or temporary employees. Employers who submit reports electronically are required to submit their reports in two monthly transmissions not more than 12-16 days apart.
Did you know that 74% of all child support is collected through income withholding from employees' paychecks?
Employers play a valuable role in establishing income withholding orders and ensuring child support payments are collected through compliance with New Hire reporting laws. The Mississippi State Directory of New Hires would like to thank you for your continued partnership and participation, because without you, our program could not succeed.
Please continue to submit accurate New Hire information in a timely manner, and help us improve the lives of even more children and families throughout the nation!
We welcome any feedback regarding the current program and encourage suggestions regarding ways we can improve our service to you.
For additional information concerning EFT/EDI, please visit Mississippi Department of Human Services website to obtain a PDF version of A Guide for Employer Electronic Funds "Transfer/Electronic Data Interchange (EFT/EDI) or contact us at (769)777-6111.


text:
States with statistically significant employment changes, March 2011
April 21, 2011
Between February and March, 2011, 11 states recorded statistically significant changes in employment.
The largest over-the-month statistically significant job gains occurred in Texas (+37,200), Missouri (+24,300), and Florida (+22,600). Two states experienced statistically significant over-the-month declines in employment: Connecticut (−6,000) and Maine (−5,100).
Over the year, 26 states experienced statistically significant changes in employment, all of which were increases. The largest increase occurred in Texas (+251,000), followed by California (+171,300), Michigan (+79,000), Illinois (+76,600), and Pennsylvania (+76,500).
These data are from the Current Employment Statistics (State and Metro area) program and are seasonally adjusted. To learn more, see "Regional and State Employment and Unemployment — March 2011" (HTML) (PDF), news release USDL-11-0553.
Bureau of Labor Statistics, U.S. Department of Labor, The Economics Daily, States with statistically significant employment changes, March 2011 on the Internet at http://www.bls.gov/opub/ted/2011/ted_20110421.htm (visited October 01, 2016).
Recent editions of Spotlight on Statistics
A look at healthcare spending, employment, pay, benefits, and prices
As one of the largest U.S. industries, healthcare is steadily growing to meet the needs of an increasing population with an increasing life expectancy. This Spotlight looks at how much people spend on healthcare, current and projected employment in the industry, employer-provided healthcare benefits, healthcare prices, and pay for workers in healthcare occupations.
Employment and Wages in Healthcare Occupations
Healthcare occupations are a significant percentage of U.S. employment. Some of the largest and highest paying occupations are in healthcare. This Spotlight examines employment and wages for healthcare occupations.
Fifty years of looking at changes in peoples lives
Longitudinal surveys help us understand long-term changes, such as how events that happened when a person was in high school affect labor market success as an adult.


text:
Debugging and adding features to an existing website (admin panel + mobile version)
This project received 9 bids from talented freelancers with an average bid price of $168 USD.Get free quotes for a project like this
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Project Description
The website currently shows a page with an image (+ caption) for every image added into the admin panel. Site is linked to an application on facebook in order to post on user wall.
Need to debug admin panel (developed with middleman app) + possibility to add videos from youtube instead of images.
Need to have a mobile version of the site (auto detect).
Need to clean the address bar (currently showing facebook tokens etc).
Need to add watermark on uploaded images.
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A record number of campaign advertisements are flooding the television airwaves in communities across the nation. Many of these ads are being run by "outside groups" that are supposedly independent from a candidate. These "outside group" ads (sometimes referred to "third-party" ads) threaten to spread misinformation as studies have shown that these ads contain a higher level of both attacks and inaccurate statements than candidate campaign ads.
The League's Truth in Campaign Advertising project seeks to encourage and support local television stations as they exercise their responsibility to ensure the campaign ads they run are accurate, to reject those that are not, and, as part of their service to their communities, on the station's news segments to provide viewers with nonpartisan, objective analysis of the political ads being run on their station. And help the public become critical/sophisticated/knowledgeable viewers of the ads that are on the air.
It's a fact – we are truly in the breakneck pace of the election cycle. Governor Mitt Romney has selected his running mate; President Obama and Governor Romney have accepted their party's nomination at the national conventions; and the first debate is less than a month away. In a time when politicians always seem to be campaigning, the light at the end of the tunnel is beginning to burn a little brighter.
Editorial Note: This piece was first published on my Huffington Post blog late last night.
Ninety-two years ago this week, after a seventy-two year struggle, the 19th Amendment giving women the right to vote became law. The League of Women Voters was founded just six months prior to this huge advancement, and began as a "mighty political experiment" designed to help 20 million women carry out their new responsibilities as voters.
The 2014-2016 edition of the guide to the League's public policy positions.
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Blog Archives
Diminishing returns in medical therapy
I'm a few months late, but I want to mention an editorial by Rodney Hayward that was published in The BMJ in December 2015. His topic is treatment of diabetes, but the principles he discusses also apply to other areas of medicine. The key concept is that even in high risk conditions such as diabetes, adding a second or third medication brings diminishing absolute returns as residual risk decreases as each additional treatment is added. He starts by describing the disturbing consequences of untreated or poorly managed diabetes, and how things have changed with modern therapies.
When I began my medical training in 1980, I commonly encountered patients whose bodies were ravaged by end stage complications of diabetes. These patients often had marked visual impairment, debilitating neuropathy, myopathies, and diabetes related renal insufficiency, well before age 65 years. I still occasionally see such individuals, but they are rare, and tend to come from the 10-15% of patients who still have poor glycemic control. Improvement in diabetes care is a medical success story, but increasing evidence suggests that overly aggressive treatment is an under-appreciated problem.
The problem is that focusing on relative treatment effects ignores the law of diminishing returns; past a certain point, additional reductions in HbA1c have limited benefit in absolute terms for most older patients with type 2 diabetes. Hayward explains:
Diminishing returns is a mathematical fact, not a theory. Try this simple experiment. Serially tear a piece of paper in half and throw one half away. You will notice that the relative effects never diminish (you reduce the piece of paper by half each time), but it doesn't take long for the 50% you throw away to become tiny. The many patients with end stage diabetes we saw in the 1980s often spent years with poor control of both glycemia and blood pressure. They had no access to metformin, home blood glucose monitoring, angiotensin converting enzyme inhibitors, calcium channel blockers, and a host of other modern interventions. Each of these interventions substantially reduces disease progression and has an even larger effect on end stage diabetes complications. Because each intervention substantially reduces end stage complications, it should not be surprising that recent evidence has found intensive glycemic control to have a small absolute effect on end stage complications for most patients with type 2 diabetes. The law of diminishing returns predicts this result. Also, as the benefits of tighter glycemic control become smaller, the chances that treatment harms will outweigh treatment benefits become much greater.
Hayward ends by stating that the public good would best be served by focusing on the minority of diabetes patients who continue to be at substantial risk of diabetes-related morbidity and mortality and promoting more shared decision making with older diabetes patients who already have at least moderate blood glucose control.
The same principle of diminishing returns applies in other areas of medicine, such as in medications that reduce cardiovascular risk by lowering blood pressure or cholesterol. As the second and third medication is added, the patient's risk of experiencing a cardiovascular event diminishes and in some cases a point can be reached where the absolute benefits become very small and it becomes difficult to tell whether benefits outweigh harms. When benefits become small, it can sometimes be hard to determine whether they exist at all or, perhaps, exist in only in patients with certain characteristics. See this post by Harlan Krumholz for a discussion of these issues in the area of treatment of high blood pressure.
In the area of cholesterol-lowering drugs, the new PCSK9 inhibitors have been in the news and I've previously discussed them on this blog (here, here and here). Two of these drugs, evolocumab and alirocumab, are approved in the U.S. and so far aren't selling well. There are several reasons for that, including that the outcomes trials haven't been completed yet and that the drugs are much more expensive than statins, almost all of which are available as generics. Another reason, related to the first two, is that insurance companies have imposed strict preauthorization requirements for these drugs. Another reason relates to the theme of this post, namely the diminishing returns from adding additional drugs. I'm going to take the treatment of heterozygous familial hypercholesterolemia (HeFH) as an example, specifically patients with HeFH who do not have clinical atherosclerotic cardiovascular disease and who are thus being treated to prevent a first event (i.e., "primary prevention").
HeFH greatly increases the risk of developing premature atherosclerotic cardiovascular disease compared to individuals with normal levels of cholesterol. Before statins became available, the drugs that were available were not very effective. However, in recent decades, first moderate intensity and then high intensity statins were instituted as standard treatment of HeFH, often with additional drugs such as ezetimibe. According to UpToDate, atorvastatin can reduce LDL by up to 54% and rosuvastatin can reduce LDL by up to 63%. Ezetimibe can lower LDL by another 15% or so in patients on a statin. Given that most patients with HeFH have LDL in the 200s or below, a reduction of 50-60% achieves very reasonable LDL levels. There is evidence that even moderate doses of statins greatly reduce the risk of heart disease in HeFH patients who are being treated for primary prevention. A study published in JAMA in 2014 showed that young adults with HeFH have near-normal levels of atherosclerosis 10 years after initiation of statin therapy. The use of high intensity statins has been shown to greatly reduce the progression of atherosclerosis in adult HeFH patients (see here and here) even when compared to moderate statin therapy. Thus, HeFH patients who start treatment early and are able to reduce their LDL to normal or near-normal levels over many years with a statin or statin + ezetimibe often do not need an additional drug, as their risk is greatly reduced.
So which HeFH patients do need an additional LDL-lowering therapy, such as a PCSK9 inhibitor? To my knowledge, there are no risk calculators available to guide decisions in this area. HeFH patients who start with very high LDL, who can't tolerate high doses of statins or can't tolerate statins at all, who started treatment late, who have additional cardiovascular risk factors, or who have had imaging that shows significant subclinical atherosclerosis, are going to be at higher risk, on average. There is quite a bit of uncertainty involved, as with estimation of cardiovascular risk in general. In addition, there are personal preferences involved, as people vary greatly in terms of how much risk they are willing to live with.
Interestingly, a task force of the International Atherosclerosis Society just published a consensus statement in The Lancet Diabetes & Endocrinology that discusses some of the factors involved in determining cardiovascular risk in FH. Although the criteria they propose for use of additional therapies are more stringent than I foresee being adopted in the U.S., the paper contains some very useful discussion of the heterogeneity of cardiovascular risk in FH and ways of trying to predict who is at higher risk. I'm pasting in their proposed criteria below, in case anyone is interested, but I do recommend the entire paper.
Do PCSK9 inhibitors affect diabetes risk?
Two PCSK9 inhibitors, evolocumab and alirocumab, are under consideration at the FDA and will be the subject of advisory committee meetings on June 9 and 10. Evolocumab and alirocumab are monoclonal antibodies that inhibit proprotein convertase subtilisin/kexin type 9 (PCSK9), an enzyme that plays a role in regulating levels of LDL cholesterol by binding to LDL receptors and promoting their degradation; the resulting reduction in LDL receptors reduces the liver's ability to remove circulating LDL. PCSK9 inhibitors prevent PCSK9 from degrading LDL receptors; the increased LDL receptor density results in increased clearance of LDL from the bloodstream. The expectation is that lower LDL levels in patients who receive PCSK9 inhibitors will result in a reduction in cardiovascular events and this strategy is currently being tested in large outcomes trials, which will be completed in a few years. Until those trials are completed, the safety and efficacy of these drugs will not be known.
One of the unknowns with PCSK9 inhibitors is their effect (if any) on blood glucose levels and the development of new-onset diabetes. Statins are known to increase the risk of new-onset diabetes by about 9% overall, with increased risk from intensive vs. moderate intensity statin therapy. One reason to wonder whether PCSK9 inhibitors might have a similar effect is that both statins and PCSK9 inhibitors, though having different mechanisms of action, both involve the removal of LDL through upregulation of LDL receptors. The reason statins increase blood glucose is unknown, but recently it has been suggested that that the LDL receptor might be involved, with greater LDL receptor activity correlating with a higher risk of diabetes. A recent study showed that patients with familial hypercholesterolemia (FH) in the Dutch FH registry have a lower prevalence of type 2 diabetes as compared to their unaffected relatives. FH is a genetic disease in which the LDL receptor function is reduced, leading to higher serum levels of LDL cholesterol. In addition, the study found a dose-response relationship, with more severe FH mutations linked to lower risk of diabetes as compared to less severe mutations. In other words, the study showed an association between less functional LDL receptors and a lower prevalence of type 2 diabetes. In an editorial, David Preiss and Naveed Sattar note that the study suggests that "the expression and function of LDL receptors may be important for glucose homeostasis" and that the advent of PCSK9 inhibitors provides an opportunity to further examine a possible link between LDL receptor expression and glycemia and diabetes risk.
I've looked at some of the published data on PCSK9 inhibitors and blood glucose and diabetes risk. With respect to alirocumab, I abstracted a subset of the data in an abstract presented at the March 2015 American College of Cardiology conference.
As you can see, the data show small numerical increases in new-onset diabetes and worsening of preexisting diabetes, as well as larger increases in fasting glucose and hemoglobin A1c over the course of a year in patients on alirocumab as compared to patients on placebo (all patients were also on a statin). With respect to evolocumab, I found the following data:
1. A 52-week placebo-controlled trial of evolocumab in patients with hyperlipidemia published in the New England Journal of Medicine in 2014 found the mean change from baseline for fasting glucose at week 52 was 1.3 mg per deciliter for evolocumab and 0.4 mg per deciliter for placebo. The mean change from baseline for HbA1c at week 52 was 0.02% for evolocumab and 0.00% for placebo (table 3 and supplementary table S3).
1. The Osler trials recently published in the New England Journal of Medicine showed that 1.1% of the patients who received evolocumab developed diabetes, as compared to 0.7% of the patients in the standard of care group.
What do all these small differences add up to? It's not possible to say yet, but I assume someone will do a meta-analysis at some point, and there may be some discussion of this issue in the FDA review of these agents, which will be posted prior to advisory committee meetings.
I should note that even if PCSK9 inhibitors do increase blood glucose and the risk of developing diabetes, they would still be very worthwhile for patients who are at significant risk of heart attack and stroke, if they are shown to be effective and have acceptable safety.
Alzheimer's disease, familial hypercholesterolemia, and clinical trials
Welcome Jesse Ballenger to the blogosphere. Jesse is a historian who specializes in the history of medicine and is the author of Self, Senility and Alzheimer's Disease in Modern America. Gary Schwitzer alerted me to Jesse's post on Gina Kolata's recent Sunday New York Times piece, How Do You Live Knowing You Might Have an Alzheimer's Gene?, as well as to the existence of his blog, To Conquer Confusion: A Historian's Perspective on the Science and Experience of Alzheimer's Disease and Dementia. Jesse has both praise and criticism for Kolata's story, and his post brings needed perspective on the history of research on Alzheimer's as well as on the choice on Kolata's part to present only the very optimistic views of certain Alzheimer's researchers who "say that within a decade there could be a drug that staves off brain destruction and death." I agree with him that "Kolata should have raised questions about this claim, and talked to experts not directly involved in the research who are far less optimistic about its potential to so quickly lead to effective treatments." So please go read his post.
Kolata describes an American family in which many members are afflicted with early-onset Alzheimer's caused by an autosomal dominant mutation. Because the mutation is dominant, each affected family member has a 50% chance of passing the mutation on to each of his or her chidren. The story is tragic and brought to my mind the emotions I experienced in 2001, when my daughter was diagnosed with heterozygous familial hypercholesterolemia (heFH) at age 8. This is a genetic disease that causes very high LDL-cholesterol from birth and if untreated leads to early heart disease in a high percentage of patients. At the time, I was only vaguely aware that there was a history of heart disease in my husband's family and that his mother had had a heart attack. At the urging of my daughter's cardiologist, we asked my husband's mother for more details and learned that her father had died of a heart attack at 35 and her brother, her only sibling, died of a heart attack at 40. My mother-in-law suffered her first heart attack at age 58. My husband inherited the mutation but has only a mild case, and my mother-in-law had never been told anything other than that she had high cholesterol, so my daughter's diagnosis was the first occasion anyone in the family realized that the family history of early heart attacks was caused by a mutation. Fortunately, unlike the case of Alzheimer's disease, the risk associated with heFH can now be greatly reduced if patients are treated from an early age with a statin. Homozygous FH patients, who have two copies of an FH mutation, are not so lucky and usually must undergo LDL apheresis on a regular basis.
Back to Kolata's article: I want to expand a little on a comment I wrote on Jesse's post. My comment related to Kolata's comparison between the development of statins and the development of drugs to prevent Alzheimer's. As described in Kolata's article, certain drugs in development are being tested in persons who are carriers of an Alzheimer's mutation but have not yet developed symptoms of the disease. The patients will receive one of several drugs or a placebo, and will be monitored for the development of certain biomarkers and, importantly, for the development of memory problems. Kolata states that "Statins, the drugs that are broadly prescribed to block the body's cholesterol synthesis, were first found effective in studies of people who inherited a rare gene that led to severe and early heart disease."
The disease Kolata is presumably referring to is FH, but whether her statement is accurate depends on how one defines "effective." Early in the development of statins, after they had been tested in animals, they were given to a few patients with homozygous FH and heterozygous FH, as described in this 1992 article in the Journal of Lipid Research. However, at that time the drugs were only being tested for their ability to lower LDL and for safety. LDL-lowering is a surrogate endpoint. If by "effective" one means the prevention of heart attacks and other cardiovascular events, the statement is inaccurate. When statins came on the market in the late 1980s, FH patients were excluded from the clinical trials that were conducted to show than statins not only lowered LDL but also prevented heart attacks, strokes and death. It was considered unethical to give an FH patient a placebo. To this day, no randomized controlled trial of statins with clinical endpoints has been done in FH patients and it is unlikely that one will ever be done.
Direct evidence of the effectiveness of statins in heFH includes two observational studies, one of patients in a British registry and one of patients in a Dutch registry. In addition, the ASAP trial compared a high dose statin with a moderate dose statin in heFH patients, but the endpoint was carotid intima media thickness, "IMT" (i.e., thickness of the carotid artery measured by ultrasound). There was also a trial of statin vs. placebo in teenage FH patients using IMT as an endpoint. In addition, many trials of statins have shown a benefit in non-FH patients with elevated LDL and it is reasonable to assume that this benefit would carry over to FH patients.
Thus, the comparison between the trials of investigational Alzheimer's drugs in mutation carriers and the testing of statins in FH patients is not particularly apt. The Alzheimer's trials in patients with hereditary Alzheimer's will be measuring the development of clinical symptoms of Alzheimer's (i.e., memory loss, confusion, etc.). The tests of statins in FH patients looked only at the effect of the drug on a surrogate endpoint (i.e., LDL-lowering) and no trials with clinical endpoints (i.e., heart attacks and other cardiovascular events and death) were done in FH patients.
Endo A. The discovery and development of HMG-CoA reductase inhibitors. J. Lipid Res. 1992 33:(11) 1569-82.
Neil A, Cooper J, Betteridge J, et al. Reductions in all-cause, cancer, and coronary mortality in statin-treated patients with heterozygous familial hypercholesterolaemia: a prospective registry study. Eur Heart J 2008; 29: 2625-2633.
"Be Brave"
In January, I blogged about an open letter by Harlan Krumholz and Rodney Hayward to the panel that is currently engaged in writing new guidelines for cholesterol management. As discussed in my post, their letter challenges the committee to replace the current "treat to target" paradigm with a "tailored treatment" approach. This has been one of my more popular posts of all time, and people often find my blog by Googling "Krumholz Hayward open letter" and the like. It also has been discussed on CardioExchange. So I knew their paper had created a bit of a buzz in the cardiology community. Well, it appears that some in that community are not happy that someone is challenging the current paradigm. Dr. Krumholz reports on CardioExchange that he was approached by an influential person and asked to stop speaking out on the new approach he is advocating:
I had an experience the other week that reminded me that speaking your mind has its challenges. I was approached by someone with influence who asked me to cease my discussions on a particular topic. The reason was oblique – and I was told that people are viewing me negatively because my views are strong and wondering if there are conflicts of interest that are influencing me. In essence, I was told that people are whispering about me – though no names were given.
Now this topic was part of a scientific debate that has strong implications for guidelines and performance measures – and, well, patients. It is a situation where I am questioning conventional wisdom – and the long held beliefs by many individuals. I am trying to do so respectfully – and through the use of evidence – but still it is questioning dogma.
This conversation prompted me to write a message to my younger colleagues urging them to stand up for what they believe – and be willing to speak truth to power. I quote my friend Victor Montori, who eloquently advised a junior colleague about how to manage a concern about whether to express an opinion that was likely to be viewed negatively by her superiors. That person had been told to hold opinions tight until he had more grey hair. Victor starts by saying: 'I have struggled with this issue for years. Turns out that this is a common struggle for those who find themselves unable to stay silent in the face of waste, error, low integrity, or abuse.'
The message Dr. Krumholz wrote is in the form of an editorial in Circulation: Cardiovascular Quality and Outcomes, entitled "A Note to My Younger Colleagues … Be Brave." The editorial is open access, so I urge you to go read it in its entirety, but I'm going to quote this paragraph, which seems key:
If you take the path toward clarity, I guarantee that you will occasionally find people who will disparage you. They may seek to undermine you, find ways to marginalize you, and try to incriminate you. They may come from directions that surprise you. Powerful ideas often attract attacks that focus more on individuals than ideas. If you raise inconvenient truths or voice uncomfortable opinions, particularly if they threaten someone's comfortable status quo, then you will discover much about the character of those with whom you disagree. But always take the high road, engage in dialogue about ideas and evidence, and be motivated by the opportunity to best serve patients and the public. You will not regret it.
Although I am not a physician, I certainly recognize and have experienced the issues Dr. Krumholz is describing in my own life. Speaking uncomfortable truths often isn't considered nice and doesn't win popularity contests, but it is necessary for progress to be made. So I will keep covering this controversy, and I invite you to read Dr. Krumholz's editorial and then let me know your thoughts.
Addendum: Here are comments by Ben Goldacre on Dr. Krumholz's editorial.
Hayward and Krumholz: Open Letter to the Adult Treatment Panel IV of the National Institutes of Health
Rodney Hayward and Harlan Krumholz have published an open letter to the committee that is currently engaged in writing updated guidelines for cardiovascular risk reduction. Their letter challenges the committee to replace the current "treat to target" paradigm with a "tailored treatment" approach, as discussed below.
The primary focus of the current set of guidelines, ATP III , was a strategy of treating patients to target LDL-cholesterol levels, known as the "treat to target" paradigm. Moreover, the "cutpoints," or triggers, for initiating therapy are also based on LDL levels, with higher risk patients having lower cutpoints. However, as Hayward, Krumholz and colleagues have previously argued (see here, here and here), the treat to target paradigm was not based on the results of clinical trials, since no major randomized controlled trial has tested the benefits of treating patients to LDL targets. Rather, the trials have used fixed doses of lipid-lowering drugs.
Hayward and Krumholz argue that LDL levels are not particularly useful in assessing the 2 factors that help determine the benefit of a treatment for an individual patient: (1) risk of morbidity and mortality in the absence of treatment (baseline risk) and (2) the degree to which the treatment reduces that risk. For calculating baseline risk, LDL is only one of several factors that are considered, including age, gender, smoking, blood pressure, HDL, and family history of premature cardiovascular disease and in most cases contributes little to the estimate of cardiovascular risk. For the second factor, clinical trials of statins demonstrate that the relative benefits of statins are not substantially related to pretreatment LDL levels. Thus, a high risk person may have low LDL levels and a low risk person may have high LDL levels and the high risk person will derive more absolute benefit more from treatment even though his or her LDL is low (illustrated in this table).
Hayward and Krumholz also argue that treating to LDL targets can lead to treatments that have not been shown to be safe. The treat to target approach can mean initiating treatment in patients at a relatively young age, leading to potentially many years of statin treatment. The long-term safety of this approach is not yet known. In addition, the perceived need to reach an LDL target often leads to the addition of nonstatin drugs such as niacin and ezetimibe when the maximum dose of a statin is reached and the patient's LDL is still above goal. The benefit and safety of adding these drugs on top of statin therapy has not yet been demonstrated.
The "tailored treatment" approach Hayward and Krumholz advocate bases intensity of statin treatment on a person's 5- or 10-year cardiovascular risk. In a previous paper, Hayward et al. tested a tailored treatment model of primary prevention using 5-year coronary artery disease (CAD) risk and compared it with the treat to target approach. In their model, a person with 5% to 15% risk would be prescribed 40 mg simvastatin and a person with greater than 15% risk would be prescribed 40 mg atorvastatin. Using this simulated model, the tailored treatment approach was found to prevent more CAD events while treating fewer persons with high-dose statins as compared to the treat to target approach.
For the reasons stated above, the tailored treatment approach does appear to me to be superior to the treat to target approach. At the same time, I note that the decision to take a statin is a personal decision. For primary prevention, the absolute benefit for most people of taking a statin over a 5 or 10 year period is small. Each person should calculate their baseline risk (there are online risk calculators for this), look at how much their risk can be lowered with a statin, and ask themselves if the benefit seems worth it to them in terms of cost, inconvenience and possible side effects (including a small increase in risk of developing diabetes).
In addition, I note that neither approach is designed to apply to patients with heterozygous familial hypercholesterolemia (FH). Due to the very high risk of premature coronary heart disease in FH patients (approximately 85% of male FH patients and 50% of female FH patients will suffer a coronary event by age 65 if untreated), the treatment paradigm for FH patients is that all are treated with statins starting in childhood or early adulthood (not everyone agrees that it is necessary to start treatment in childhood but that's a topic for another day). In other words, FH patients are treated based on their lifetime risk, not their 5- or 10-year risk.
Hayward RA, Krumholz HM. Three reasons to abandon low-density lipoprotein targets: an open letter to the Adult Treatment Panel IV of the National Institutes of Health. Circ Cardiovasc Qual Outcomes. 2012:5;2-5.
Hayward RA, Hofer TP, Vijan S. Narrative review: lack of evidence for recommended low-density lipoprotein treatment targets: a solvable problem. Ann Intern Med. 2006;145:520-530.
Krumholz HM, Hayward RA. Shifting views on lipid lowering therapy. BMJ. 2010;341:c3531.
Hayward RA, Krumholz HM, Zulman DM, Timbie JW, Vijan S. Optimizing statin treatment for primary prevention of coronary artery disease. Ann Intern Med. 2010;152:69-77.
Rind DM. Intensity of lipid lowering therapy in secondary prevention of coronary heart disease. In: Freeman MW, Sokol HN, eds. UpToDate. 19.3 ed.
Sunday links
David Rind recently revived his blog Evidence in Medicine and has a post up on the SHARP trial. The SHARP trial, which I discussed recently on this blog and on Gooznews, is the basis for Merck's application for a new indication for its drugs Vytorin (ezetimibe/simvastatin) and Zetia (ezetimibe). David explains why the results in SHARP are consistent with previous evidence on the effect of statins in patients with chronic kidney disease, both pre-dialysis and on dialysis.
Kevin Lomangino has an article up on the "portfolio diet," which is a diet that emphasizes foods that lower cholesterol. Kevin explains that most of the cholesterol-lowering from this diet comes from the inclusion of foods containing added plant sterols. As I previously discussed on this blog, while plant sterols lower LDL, their effect on cardiovascular events is unknown, making the portfolio diet a bit of a crapshoot healthwise.
Review of CNN special "The Last Heart Attack"
I have a guest post up on Gary Schwitzer's blog critiquing Sanjay Gupta's promotion of calcium scans and overhyping of extreme diets.


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Skip to comments.Patty Bonds (former Baptist and sister of Dr. James White) to appear on The Journey Home - May 7
Posted on 05/07/2007 8:58:18 AM PDT by NYer
click here to read article
On the contrary, her life is filled with great peace. Why not ask her yourself!
The program will air live in another 10 minutes. It is a 'call in' program and the phone number will be listed on the screen. You can imagine there are many callers. You can also email the program - email@example.com. Those questions are also addressed life tonight.
He knows of what he speaks.
If those writings are not of the men who wrote the Bible, then just exactly what has she been led to believe about the patriarchs??? Which of them heard anything from the very mouth of Christ???
I began to familiarize myself with the culture and time of the Apostles and realized that Christianity in its earliest days was not Bible centered (indeed most of the NT was not written yet and later was not available for the masses) but Tradition centered.
Yep --- she's been fully indoctrinated in the faith --- she has the jargon down --- hurry up and baptize her before she wakes up.
I learned that when the early Christians went to Church their services were not sermon centered but centered around the Eucharist, the Lords Supper, which was not seen as a symbol but as the actual Body, Blood, Soul and Divinity of Our Lord Jesus Christ.
But that must have been only in those churches that only had Tradition, because those churches that had Bibles would have known that the "Soul" and "Divinity" part is nowhere in the Bible. Maybe a sermon or two on that in her new faith wouldn' hurt.
Got it on live streaming audio, but I'll probably have to get one of the Highly Technical Teens to download the mp3 for me, if it's extremely interesting.
That's just what I wondered. Do you suppose she really believes that? Maybe this is what they're trying to sell now -- that this is written somewhere deep in the vaults of the Vatican Library.
Or will be one day.
Amen. Amazing how it's all there in Scripture for those with ears to hear.
They both have very nice radio voices :-).
As I said from another post, it's nice to know Catholics can still get so much love. After all there have been many Mormons here lately that have been getting more LOVE and attention than us.lol
Not from me. 8~)
Trinitarian Christianity is a great and Godly distinction -- one which should give our LDS friends considerable pause.
You wrote: "The "plain words" of Jesus Christ were...
"Do this in remembrance of me." No wizardly incantation, no magical elevation in height, transmogrifies the bread and wine into the actual body and blood of Jesus Christ."
The word is "anamnesis". It is poorly translated as "remembrance". Like so many other words, anamnesis, means much more than what it is translated as.
Here is a good point about anamnesis: "In Scripture, the only other time when anamnesis is used, besides the Last Supper narratives in the synoptic Gospels and in First Corinthians, is in the sacrificial context of Hebrews 10:3 :
But in those sacrifices there is a remembrance (anamnesis) again made of sins every year."
Keep reading Hebrews 10 and you will discover what the writer of Hebrews is telling us...
From henceforth expecting till his enemies be made his footstool. For by one offering he hath perfected for ever them that are sanctified." -- Hebrews 10:12-14
"But this man, after he had offered one sacrifice for sins for ever, sat down on the right hand of God;
From henceforth expecting till his enemies be made his footstool.
For by one offering he hath perfected for ever them that are sanctified." -- Hebrews 10:12-14
"One sacrifice" for the sins of His people, not a perpetual mass of offering, over and over and over as if the first one had not taken effect.
You have been redeemed, Vlad. Rejoice. The offering was accepted by God. You have been acquitted of your sins by Christ standing in your place and taking on the punishment for every one of them.
Now there's a keeper.......
So that's all that Jesus Christ left us in the Scriptures? A riddle? A mystery to be solved by some and misunderstood by others?
Sorry. My Redeemer is far more provident and caring than that. He left us an authoritative guardian in the form of His Church, whose teaching on the true meaning of Scripture is there for any who wish to avail themsleves of it. He didn't just say "go figure".
And if the Catholic Church isn't right, then who is? You? Benny Hinn? Ken Copeland? The Methodists? The black dude in the storefront down the mall? I don't know of anybody who thinks their understanding of Scripture is incorrect. Everyone believes that their own meaning is the true one.
History has shown us clearly over the past 400 years that your recipe for understanding Scripture simply leads to a confused proliferation of customized churches. Clearly , the Bible doesn't interpret itself. That is utter nonsense.
Jesus Christ is not a God of confusion. He didn't create a dozen, two dozen or two thousand Churches. He created one. God is one and there is one Church based on one truth.
Ironically, that itself is not found in Scripture. That contradiction should concern you deeply.
You mean that you never accept prayers from anyone?? Or that you never ask anyone to pray for you??
You just read scripture??
There are Holy Scpripture references in thos Early Fathers threads also. Too bad you didn't check it out.
You don't "get it" at all.
It is not "as if the first one had not taken effect".
It is the first one, made present to us in our time. When a Catholic goes to Mass, it is literally equivalent to being transported back in time to Calvary, because Calvary is eternally present in eternity, and so are we.
(The same is true of the Orthodox Divine Liturgy.)
And if you understood Hebrews 9 and 10, you'd see that. And if you read the fathers, you'd see that they believe it too.
Did you hear Christ, when he said to the men he commissioned, "Who hears you, hears me"? (Luke 10:16)
You wrote: "Keep reading Hebrews 10 and you will discover what the writer of Hebrews is telling us..."
And that's the same sacrifice WE'RE talking about. What is presented on the altar at Mass IS THE SAME SACRIFICE as on Golgotha. It's not a new sacrifice. It's the same sacrifice.
""One sacrifice" for the sins of His people, not a perpetual mass of offering, over and over and over as if the first one had not taken effect."
One sacrifice offered up again just as the Bible said it would be: Malachi 1:11. "For from the rising of the sun even to the going down, my name is great among the Gentiles, and in every place there is sacrifice, and
there is offered to my name a clean oblation: for my name is great among the Gentiles, saith the Lord of hosts."
"You have been redeemed, Vlad. Rejoice. The offering was accepted by God. You have been acquitted of your sins by Christ standing in your place and taking on the punishment for every one of them."
I know. That's EXACTLY why I believe in Christ and His Eucharist.
I noticed how you completely ignored anamnesis. You didn't know about that did you?
But that was said to the Apostles who He commissioned, and those who would go on to write scripture. And she says she didn't get her new faith from any of them.
Today there is more emphasis on "feelings", "traditions" and "emotions", than on good, objective study. Saying one has become a Catholic because the Church is based on "tradition" is kind of a silly reason in my mind.
We ought to meditate on Jesus' Name, i.e. Word of God
But he answered and said, It is written, Man shall not live by bread alone, but by every word that proceedeth out of the mouth of God. - Matt 4:4
In the beginning was the Word, and the Word was with God, and the Word was God. - John 1:1
And he [was] clothed with a vesture dipped in blood: and his name is called The Word of God. - Revelation 19:13
Why would you think any of this surprises him?
She has written a blog post about her upbringing and her accusations against her and James's father for sexual abuse. I have no idea what to make of it. Apparently this accusation has torn the family apart.
I'm still confused after reading some posts at her blog, why she blames her brother. If he didn't know, and if there's no proof, I'm not sure what he is supposed to do. But I ache for the entire family. Someone is lying, not sure who, and people are using this to torch James White. I'm not sure Patty
from one of her latest posts entitled "Protestant bloggers need to stop!"
wants her information to be used in quite that way. The blog that I found her piece from was a baptist forum trying to discredit James White over the Ergun Caner situation, saying that he isn't interested in the truth because he sided with his dad in this situation... It's preposterous to say the two situations (Caner's proven lies vs Patty's allegations) are equally provable.
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Waiting for Godot: a tragicomedy in two acts (original 1952; edition 1988)
by Samuel Beckett
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Waiting for Godot by Samuel Beckett (1952)
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Decent. I found that this absurdist play was difficult to get into because of it's genre. I guess you have to be careful to not read too into it the first time you encounter it, but I was certainly reading between the lines because I really couldn't help it. I found the relationship the two 'bums' shared to be homoerotic and their relationship to Godot as one to a leader, not a god. A lawyer or a lawmaker, a preacher or a prophet. Maybe their son? It doesn't even really matter since it's all absurd anyway.
I finally listened to this famous play by Samuel Beckett. It had been on my radar forever, and it was just a couple of hours long and so I did it. Then I went and read the wikipedia page, to try and figure out what I had listened to. It seems nobody really knows what it's about, nor did the author when he wrote it. Gotta love existentialists. At least I had some idea of what I was getting into, so wasn't exactly terribly surprised by the absurdism. Now I have 1952 covered for my "Century of Books" challenge (reading a book from each year of the 20th century), at least, but I doubt you could make me sit through that play anytime soon.
Story is like doing laundry. Watching the drier go round. Knowing it will happen again next week.
Supposedly means 'Waiting for God." They wait and wait.
Hey maybe i have this confused with No Exit by Sartre. By gum i do. Existentialism is dull.
I love this play. I teach it every year and it never gets boring. My students and I never come to the same conclusion of the story, and my conclusion changes all the time.
It's very different reading this play when you're 15 as compared to when you're 50. In my high school drama class, we loved doing scenes from Godot because it was absurd, but I doubt very much we understood the show's complexity. It features existential banter and dark comedic turns. I think all I got out of it was that the characters were stuck and petulant and clownish. But now at 50 I am starting to get the subtleties that went completely over my head at 15. Plus, I recently saw an excellent production of it which, of course, brought the characters to life.
Is contained in
Seven Plays of the Modern Theatre by Grove Press
The Dramatic Works of Samuel Beckett: Volume III of The Grove Centenary Editions (Works of Samuel Beckett the Grove Cent by Samuel Beckett
Världsdramatik 3: Det moderna dramat by Bengt Lewan
Is parodied in
Has as a commentary on the text
Has as a student's study guide
References to this work on external resources.
Wikipedia in English (1)
Amazon.com Product Description (ISBN 0802130348, Paperback)
A seminal work of twentieth-century drama, Waiting for Godot was Samuel Beckett's first professionally produced play. It opened in Paris in 1953 at the tiny Left Bank Theatre de Babylone, and has since become a cornerstone of twentieth-century theater.
The story line revolves around two seemingly homeless men waiting for someoneor somethingnamed Godot. Vladimir and Estragon wait near a tree on a barren stretch of road, inhabiting a drama spun from their own consciousness. The result is a comical wordplay of poetry, dreamscapes, and nonsense, which has been interpreted as a somber summation of mankind's inexhaustible search for meaning. Beckett's language pioneered an expressionistic minimalism that captured the existentialism of post-World War II Europe. His play remains one of the most magical and beautiful allegories of our time.
(retrieved from Amazon Thu, 12 Mar 2015 18:22:07 -0400)
Two old tramps wait on a bare stretch of road near a tree for Godot.
(summary from another edition)
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It turns out your mother may be right - one rock concert could permanently damage your hearing.
That is the implication of new research from the Massachusetts Eye and Ear Infirmary, in which mice and guinea pigs were exposed to sound at 100 decibels for two hours.
That amount of noise is within federal workplace guidelines, and well below what one can hear at some concerts. Yet in the lab animals, it was enough to permanently disrupt transmission to some of the neurons in the inner ear.
The findings are worrisome, as the inner ear in the lab animals is close to our own, said physiologist M. Charles Liberman, director of the Eaton-Peabody Laboratories at the hospital. "There's every reason to believe that it applies to humans," said Liberman, who worked with colleague Sharon G. Kujawa.


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2014 Showed Us A Stable Market Overall
Following a slow start due to the extreme cold at the beginning of the year, 2014 real estate sales activity ramped up to meet and exceed sales for the previous year, according to data released by the Ann Arbor Area Board of REALTORS®.
We Exceeded Our 2014 RPAC Goal!
We made it! Thanks to you, we exceeded our 2014 RPAC goal with a grand total of $24,512.55!
Join Us for the January GMM!
Join REALTOR® and Affiliate members on Thursday, January 22 at 8:30 am at the Holiday Inn at 3600 Plymouth Road, Ann Arbor, Michigan for the January General Membership Meeting!


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Get updates on important news and legislation from the Children and Families Committee.
Velmanette Montgomery
April 07, 2010
Senator Montgomery announces her 2010 NYS Juvenile Justice Reform Agenda at a press briefing in New York City on March 19, 2010.
Senator Montgomery honors UPROSE's Youth Justice members
August 11, 2016
State Senator Velmanette Montgomery's Legislative Report
July 29, 2016
New York State Department of Education issues RFP for My Brother's Keeper Initiative Grants!
July 19, 2016


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Published 30 Jul 2011
Ranthambhore: The Tiger's Realm intricately captured by three completely different people the domain of the...
Ranthambhore: The Tiger's Realm intricately captured by three completely different people the domain of the tiger within the confines of our own world, it is a celebration of Ranthambhore! reader imbibes is not just the tiger's world, but far more importantly what that world means to three very ordinary people who are passionate about both the tiger and the shared interplay between the tiger and the worlds they live in. Its pictures are arresting: the photographs seem to reflect the real habitat of the tiger. The most pleasing were the captions ascribed to the pictures. You can savour the innocence of the words. What is equally delightful is the crispness with which the tales unfold. The diary accounts, apart from being personal, are written sans agenda. And thus, exude honesty and compassion. Priyanka Gandhi Vadra's family has had a tryst with nature and wildlife for decades, and it shows in the manner in which Priyanka pens her thoughts. this book defies definition and allows the reader to treat the eyes, the mind or both. Where it is successful is in transmitting tales that jump out not just from each picture but more from each word.


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List of Horror Movie Reviews - "C"
This movies list starting with "C" includes reviews for C.H.U.D., Cabin Fever, Cabin Fever: Patient Zero, Camp Dread & Candyman. The first movie on this page is C.H.U.D. scoring 6/10 stars in our movie review and has an average user score of 6.4/10 stars from 28 users. Starring in this movie is Frankie Faison, John Goodman, Graham Beckel, John Heard, J.C. Quinn. The second movie listed is Cabin Fever scoring 2/10 stars in our movie review list and has an average user score of 6.4/10 stars from 28 users. We hope you enjoy our list of movie reviews here with more upcoming movies coming soon.
Frankie Faison, John Goodman, Graham Beckel, John Heard, J.C. Quinn
Cabin Fever (2016)
Eli Roth, Gage Golightly, Richard G. Boron, Michelle Damis, Dustin Ingram
Cabin Fever: Patient Zero (2014)
Sean Astin, Lydia Hearst, Ryan Donowho, Currie Graham, Jillian Murray
Camp Dread (2014)
Danielle Harris, Eric Roberts, Felissa Rose, Alexander Mandell, Ashley Sumner
Candyman (1992)
Tony Todd, Ted Raimi, Virginia Madsen, Xander Berkeley, Michael Culkin
Cannibal Fog (2014)
Anders Dahlberg, Lita Nevalainen, Anoshirvan Parvazi, Janne Aarnseth, Kjell Häll Eriksson
Cape Fear (1991)
Robert De Niro, Nick Nolte, Illeana Douglas, Billy D. Lucas, Juliette Lewis
Captain America: Civil War (2016)
Stan Lee, Diezel Ramos, Anthony J Sacco, Robert Downey Jr., Chris Evans
Captain America: The Winter Soldier (2014)
Stan Lee, Samuel L. Jackson, Chris Evans, Raiden Integra, Pat Healy
Carl Panzram: The Spirit of Hatred and Vengeance (2012)
John DiMaggio, William Knight, Joe Coleman, Katherine Ramsland, David Weiss
Carnage Park (2016)
Larry Fessenden, Pat Healy, Ashley Bell, James Landry Hébert, Graham Skipper
Carrie (2013)
Julianne Moore, Chris Britton, Judy Greer, Chloë Grace Moretz, William MacDonald
Carriers (2009)
Dylan Kenin, Lou Taylor Pucci, Mark Moses, Piper Perabo, Christopher Meloni
Case 39 (2009)
Dalias Blake, Dee Jay Jackson, Colin Lawrence, Jodelle Ferland, Andrew Airlie
Casper (1995)
Bill Pullman, Dan Aykroyd, Christina Ricci, Devon Sawa, Jess Harnell
Cat People (1982)
Ray Wise, Frankie Faison, John Larroquette, Malcolm McDowell, John Heard
Caught (2015)
Sam Page, Mary B. McCann, Rosalio Garcia, Stefanie Scott, Anna Camp
Cell (2016)
Samuel L. Jackson, Lloyd Kaufman, Rory Healy, Wilbur Fitzgerald, E. Roger Mitchell
Chastity Bites (2013)
Eve Gordon, Anna Ross, Pat Jankiewicz, Jonny Ortiz, Diana Chiritescu
Cheap Thrills (2013)
Pat Healy, David Koechner, Ethan Embry, Ruben Pla, Todd Farmer
You May Also Like...
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Reviews beginning with the letter C like C.H.U.D., Cabin Fever, Cabin Fever: Patient Zero, Camp Dread, Candyman.
Displayed in "most viewed" order with titles such as C.H.U.D., Cabin Fever, Cabin Fever: Patient Zero, Camp Dread, Candyman, Cannibal Fog, Cape Fear, Captain America: Civil War, Captain America: The Winter Soldier, Carl Panzram: The Spirit of Hatred and Vengeance.


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When one imagines someone lugging a big 75-page binder around, they typically picture a sleep-deprived college student and not baseball's super agent. Scott Boras takes a binder around to the meetings he has about Prince Fielder, according to Derrick Goold of STL Today.
The goal of the binder is to provide teams with a number of statistics that justify the big contract that Boras is looking to have his client sign. Included in the binder are facts such as Fielder and Pujols are the only two players to hit at least 32 home runs in each of the past five years.
Additionally, it compares the home run total of Fielder to that of Hall of Fame first basemen Orlando Cepeda, Jimmie Fox and Harmon Killebrew.
There are a few more facts that Scott Boras should add to his infamous binder.


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Chicken or Turkey Gravy
From "Simple recipes and cooking techniqes to master 4 classic French sauces," by MARTHA HOLMBERG, November 2012
Makes about 1-1/2 cups
If you can use homemade stock to supplement the pan drippings, you're pretty much assured to have a delicious gravy. But canned broth is fine, too, as long as it's not too salty. I like Swanson's reduced sodium and I really like Savory Choice, which you can get at Zupan's and New Seasons, among other local spots.
- 1 roasting pan with a nice layer of pan drippings from the roasted poultry
- 1 tablespoon fat from the pan
- Up to 1-1/2 cups chicken or turkey broth
- 1-1/2 tablespoons all-purpose flour
- Kosher salt and freshly ground black pepper
Without scraping the roasting pan, gently pour the juices and fat into a gravy separator or tall measuring cup. Leave the juices and fat to settle for a few minutes, and then spoon or pour off the fat into another container. Measure out the defatted juices and add chicken or turkey broth until you have about 1-1/2 cups total liquid.
After carving the bird, pour in the juices that were collected in the baking sheet and simmer the gravy for a minute or two. If it's too thick, add more broth; too thin, simmer for a few more minutes to reduce.
Taste and season generously with salt and pepper. Keep warm until ready to serve.
-- From "Modern Sauces" by Martha Holmberg (Chronicle Books, $35)
TECHNIQUE: Gravy
Avoiding the dreaded lumps is the trick to gravy. Start by making a smooth roux first, and then whisk in the liquid at such a pace that you never let the mixture get too thick and gloppy. But know that if lumps arise, and you can't whisk them into submission, you can always strain the finished gravy, and all will be well.
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HourlyLess than 30 hrs/week
Intermediate Level
Start DateAugust 1, 2014
I Hubertus Stemkens have a website already online
The website is a data base type, all about item task costing of construction related (Item Tasks and Unit cost assemblies) It consist of costing Manuals, Sample projects, both those two items would be accessible to the general public without becoming a member or having a licence. Although must pay to access or retrieve information, through PayPal. Note: Make access to PayPal from our web-site available for all clients. Member clients or licence clients should sign up and pay a monthly set adjustable rate, available to them is Item Task Take-Off Sheet to complete an work estimate. second available is a unit cost Take-off-sheet: Still needed to have some work to complete. Note: existing descriptions I would like to see to have a Translator to be installed. repair existing goofs. Hubertus/
Activity on this Job
Last Viewed by Client: 2 years ago
Hired: 1
About the Client
Victoria 10:03 AM
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1 Hire, 1 Active
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104 Hours


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This was our first cruise ever and we were completely overwhelmed - in a good way! From the personal welcome onboard to the time we stepped off the ship a week later we were treated like royalty!
We were a 3 generational group: Nana, Mommy and my 4yo (turned 5yo on cruise) DD. 7 night Eastern Caribbean cruise on Disney's Fantasy, February 2014.
Our stateroom hostess Giesel was energetic, caring and our room was always clean and toiletries replenished. My DD has severe allergies to many detergents so she was careful to always use sheets and towels washed in hypoallergenic, gentle detergent. She offered to change the sheets more often (we declined as it wasn't needed) and she also checked to see if she should use different cleaners in our bathroom. These were not needed but it was so thoughtful for her to think of this and ask. Regardless of where she was she would call out to my DD, 'Princess Hannah, how are you doing?' whenever she saw her and my DD glowed in her presence!
Our dining room server (Tina from Croatia) and assistant server (Ari from Thailand) were also amazing!! They took care of every single detail and their service was amazing! They got to know us, our likes and preferences immediately and took care of us so well! The 2 children at our table would light up when they came by because they talked to them, asked how they were doing and took such wonderful care of them. Before we even reached the table for supper the children's drinks would be waiting. One evening my DD stumbled as she left the table and before I knew it Tina was on the floor with her and the two of them were giggling up a storm! Tina and Ari were also wonderful about timing both the children's meals and the adults too. Nothing could have been better. By about the 2nd night of our cruise my 4yo DD got into the habit of enjoying her supper and then laying her head on my lap and falling asleep while I leisurely finished my supper. She woke up energized ready for the show then a trip down the Aquaduck and a swim before crashing for the night.
The ship itself was immaculate both inside and out! We went on a galley tour that amazed us! The food on the entire cruise was delicious and such a great variety! I tried many foods I'd never tried before but will again.
My DD didn't go to the clubs too often and we thoroughly enjoyed the family time our cruise offered us but when she did she loved them and often asked for extra time when I went to pick her up. I was totally impressed by the security used and felt very comfortable leaving my DD there knowing she would be well cared for, have a great time and also be safe.
We all enjoyed the Aquaduck and Mickey pool. The hot tubs were a nice way to finish up a swim and it was neat to look down through the plexiglass portion of the floor and see the ocean below!
My DD have ample opportunities to visit all of the characters she wanted without too much of a wait. Probably the longest wait was to see the 4 princesses but that makes sense as they are so popular and we only waited once to visit 4 princesses plus Aladdin as he was greeting part-way down the line. On a few different occasions we also bumped into characters as they were out and about on the ship and they always to time to greet and often play with my DD.
We enjoyed a cooking class, 1 evening of BINGO and the galley tour as 'extras.' Port excursions were in St Maarten and St Thomas. St Maarten was a bus tour that we would not take again. St Thomas was a jeep tour to a number of lookouts and it was great!!
The shows each night were exceptional!! Some we liked better than others but that is understandable.
I cannot say enough about our cruise!!! It was outstanding! So much so that we've rebooked another Disney cruise for the same time next year! Next time we'll be on one of the smaller, classic ships but I'm sure it will be great too!


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Download spam-6.x-1.4.tar.gztar.gz 63.07 KB
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Download spam-6.x-1.4.zipzip 84.36 KB
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Release info
Created by: AlexisWilke
Created on: November 20, 2011 - 22:40
Last updated: November 20, 2011 - 22:45
Core compatibility: 6.x
Release type: Bug fixes
Release notes
Issue #1312432: When contacting customer through contact, i get this error code. by dmendo11: contact form generate Unsupported operand.
Alexis Wilke: added test for actions total which may not be defined.
Issue #1268072: spam/denied page gives Site Maintenance error by Deg, AlexisWilke: spam/denied page gives Site Maintenance error.
Issue #1248144: 6.x-1.3 silently prevents all private messages from being sent by jswap; solution by mr.j: silently prevents all private messages from being sent.


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jkraemer| about 5 years ago
From the original story: Mac Lean said students are "not necessarily dropped off at a corner, but they must proceed to the sidewalk and then proceed themselves to the intersection and cross." He later added that according to city bylaws, the only place you are allowed to cross a street is at an intersection or crosswalk. Our industry does not seem to realize that the school bus is a huge hazard at bus stops, and a horrific blind spot as well. Simply add children to escalate the hazards involved. Several cities in Canada ban the use of the bus stop sign and crossing lights, requiring students to walk to the nearest intersection and cross after the bus has departed. Myself, in agreement at schools, provided school crossing guards are available.


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Georg Wilhelm Friedrich Hegel: The Science of LogicThis translation of The Science of Logic (also known as 'Greater Logic') includes the revised Book I (1832), Book II (1813) and Book III (1816). Recent research has given us a detailed picture of the process that led Hegel to his final conception of the System and of the place of the Logic within it. We now understand how and why Hegel distanced himself from Schelling, how radical this break with
Hegel: Elements of the Philosophy of Right
Cambridge Texts in the History of Political ThoughtThis book is a translation of a classic work of modern social and political thought, Elements of the Philosophy of Right. Hegel's last major published work, is an attempt to systematize ethical theory, natural right, the philosophy of law, political theory and the sociology of the modern state into the framework of Hegel's philosophy of history. Hegel's work has been interpreted in radically
Georg Wilhelm Friedrich Hegel: Heidelberg WritingsThis work brings together, for the first time in English translation, Hegel's journal publications from his years in Heidelberg (1816–18), writings which have been previously either untranslated or only partially translated into English. The Heidelberg years marked Hegel's return to university teaching and represented an important transition in his life and thought. The translated texts include
Georg Wilhelm Friedrich Hegel: Encyclopedia of the Philosophical Sciences in Basic Outline, Part 1, Science of Logic
Cambridge Hegel Translations (Book 1)Hegel's Encyclopaedia Logic constitutes the foundation of the system of philosophy presented in his Encyclopaedia of the Philosophical Sciences. Together with his Science of Logic, it contains the most explicit formulation of his enduringly influential dialectical method and of the categorical system underlying his thought. It offers a more compact presentation of his dialectical method than is
Groundwork Of The Metaphysics Of Morals (Mobi Classics)The Foundations of the Metaphysics of Morals or Groundwork of the Metaphysics of Morals (German: Grundlegung zur Metaphysik der Sitten, 1785), Immanuel Kant's first contribution to moral philosophy, argues for an a priori basis for morality. Where the Critique of Pure Reason laid out Kant's metaphysical and epistemological ideas, this relatively short, primarily meta-ethical, work was intended to
Prolegomena To Any Future Metaphysics (Mobi Classics)Prolegomenon (plural "prolegomena") refers to any critical introduction or essay at the start of a book.Prolegomena to Any Future Metaphysics is one of the shorter works by the German philosopher Immanuel Kant. It was published in 1783, two years after the first edition of his Critique of Pure Reason.Prolegomena contains an overview and defense of the Critique's main conclusions, sometimes by
$11.99One of the major philosophical texts of the 20th century, Process and Reality is based on Alfred North Whitehead's influential lectures that he delivered at the University of Edinburgh in the 1920s on process philosophy.Whitehead's master work in philsophy, Process and Reality propounds a system of speculative philosophy, known as process philosophy, in which the various elements of reality into a
The Metaphysical Elements Of Ethics (Mobi Classics)If there exists on any subject a philosophy (that is, a system of rational knowledge based on concepts), then there must also be for this philosophy a system of pure rational concepts, independent of any condition of intuition, in other words, a metaphysic. It may be asked whether metaphysical elements are required also for every practical philosophy, which is the doctrine of duties, and therefore
$13.99Arendt describes the loss of meaning of the traditional key words of politics: justice, reason, responsibility, virtue, glory. Through a series of eight exercises, she shows how we can redistill once more the vital essence of these concepts.For more than seventy years, Penguin has been the leading publisher of classic literature in the English-speaking world. With more than 1,700 titles, Penguin
Immanuel Kant's Critique Of Pure ReasonOriginally published in 1929. PREFACE: THE present translation was begun in 1913, when I was completing my Commentary to Kants Critique of Pure Reason Owing, however, to various causes, I was unable at that time to do more than prepare a rough translation of about a third of the whole and it was not until 1927 that I found leisure to revise and continue it. In this task I have greatly profited by
Essay on the Freedom of the WillThe winning entry in a competition held by the Royal Norwegian Society of Sciences, Schopenhauer's 1839 essay brought its author international recognition. Its brilliant and elegant treatments of free will and determinism elevated it to a classic of Western philosophy, and its penetrating reflections still remain relevant.Schopenhauer makes a distinction between freedom of acting (which he
$20.39Written in 1833-4, when Marx was barely twenty-five, this astonishingly rich body of works formed the cornerstone for his later political philosophy. In the Critique of Hegel's Doctrine of the State, he dissects Hegel's thought and develops his own views on civil society, while his Letters reveal a furious intellect struggling to develop the egalitarian theory of state. Equally challenging are his


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Hotels in Carpignano Salentino, Italy
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"We stayed 3 nights in a beautifully restored room with separate dining and kitchen area.Greeted with tea and cake much appreciated after a 5 hour drive. Friendliness and service excellent. Only small problems were that the shower door was hanging off,the shower head needed updating and never enou..."
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"We had a wonderful stay here. The staff were always so friendly and helpful, the rooms beautiful and having the pool was a much appreciated bonus. Breakfast was lovely too and we were even given a bottle of wine from the owners vineyard when we arrived. Overall a lovely stay! Wonderful beaches an..."
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"An elegant villa in a beautiful mediterran garden. The owner is most kind host I recently met. The breakfast cost 8 eur per person for us. But what a treat! Definitely worth the money. "
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