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registered nurse/Endoscou/Urology/Orthopedic/Cardiac
Shawne L. McLean, RN
3501 Xenium Lane North #251 H: (763) 559-1661
Plymouth, MN 55441 email@example.com C: (612) 408-8446
Professional Qualifications
Dedicated registered nurse (RN) with specialty experience in gastroenterology including endoscopy procedures. Proficient in phlebotomy and IV Starts. Knowledge of IV medication administration including conscious sedation. Experience with biopsies, polyp removal, Bravos, APC, ablations and EUS. Proficient in EMR documentation.
Reliable, ethical healthcare provider with the ability to calm and teach patients during difficult medical procedures. Proven ability to build positive relationships with patients, physicians, co-nursing staff and other medical professionals.
Work Experience
North Memorial Hospital, Robbinsdale, MN
Patient Care Center – Same Day Surgery Center 04/2011-07/2011
Recovered patients post same day procedures that included Urology, Orthopedic, ENT and Cardiac. Also provided aphaeresis, blood transfusions and assisted physicians with procedures such as bone marrow extractions. Administered oral and IV medications and documented patient's post procedure. Performed patient assessment, dressing care, discharge and post discharge teaching.
Abbott Northwestern Hospital, Minneapolis, MN
Endoscopy Procedure Nurse 04/2008-02/2011
Patient admitting, assessments and documentation using EMR. Performed IV starts and checked blood sugars. Administered oral and IV medications including conscious sedation. Assisted physicians during endoscopy procedures. Monitored patients throughout procedure to maintain patient comfort and safety through adequate sedation, oxygen administration and continuous vital sign assessments. Extracted biopsies and polyps. Assisted with APC and EUS. Monitored patients during recovery, educated patients and families and participated in discharge planning.
Staff Nurse/Acute Rehabilitation (Sister Kenny Institute) 11/2000-05/2001
Provided high quality direct patient care and emotional support for persons with recent spinal cord injuries, TBIs and strokes. Duties included patient assessments, documentation through EMR, administered IV and oral medications. Performed tracheostomy care, catheter insertion and care, wound care, injections and TPN. Supported patient goals in occupational, physical and speech therapies as well as providing help with ADL's. Worked with rehabilitation team to assure patient's best outcome at discharge.
Shawne L. McLean, RN
3501 Xenium Lane North #251 H: (763) 559-1661
Plymouth, MN 55441 email@example.com C: (612) 408-8446
Minnesota Gastroenterology, Plymouth, MN 3/2003-3/2006
Endoscopy RN
Patient admitting, assessments and documentation. Assessed patient's health status, checked blood sugars and INR's. Performed IV starts and administered IV and oral medications per physician order. Assist physicians during procedures, administered conscious sedation while continuously monitoring patient safety and comfort throughout procedure. Provided oxygen administration, biopsies, polyp removal, schleros and bravos. Recovered and monitored patients post procedure. Provided post procedure teaching to patients and families.
American Red Cross, Minneapolis, MN 03/2002-03/2003
Staff RN/Casual Charge RN
Assessed blood donors by interviewing to determine eligibility for donation. Performed vital sign assessment and monitored Hcts. Performed Phlebotomy duties, recovered donors and packaged blood products for distribution.
Associate of Science in Nursing North Hennepin Community College
Minnesota State Registered Nurse License – current
CPR Basic Life Support - current
Certification in Bioenergy and Spiritual Healing North Hennepin Community College
Certification in Spanish for Medical Professionals North Hennepin Community College


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SimGuruHouts has posted an early sketch of the "Ancient Ruins" from The Sims 4 Get Together Expansion Pack. Take a look at how things progressed on this special lot!
Home The Sims 4 The Sims 4 Get Together The Sims 4 Get Together: Early Sketch of "Ancient Ruins"
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Posted on 8 April 2013
- 16:36
Emmanuel Adebayor opened the scoring inside a minute but Everton replied through Phil Jagielka on 15 minutes and took the lead via Kevin Mirallas' individual strike on 53 minutes.We continued to pile on the pressure and our efforts were eventually rewarded three minutes from time when Gylfi Sigurdsson slotted home from close range."There were some good individual performances," said Andre. "We have players out and that gives other players the opportunity to step up."We saw Lewis Holtby step up a level, Gylfi Sigurdsson is increasing his form, Emmanuel Adebayor has been impressive and is back to his goalscoring ways, Tom Huddlestone and Tom Carroll both did well when they came into the game."I think this is a stimulus for everyone, it means we have players we can count on and that may be a decisive factor."
26 March 2017
There were mixed fortunes for our players in World Cup qualifying on Saturday night (March 25).
24 January 2017
It says a lot about the Spurs class of 2017 that Hugo Lloris was speaking in positive terms after the situation we found ourselves in at Manchester City.
3 December 2016
Spurs Ladies take another step on a memorable journey this season when they enter the biggest competition in the ladies' game - the Women's FA Cup - on Sunday.
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around here voted in the primary elections.
around here Hadley joined me for my annual check up.
around here celebrated my little brother's 33rd birthday!
around here Miss Hadley is the best little shopper.
around here eating lunch outside will always be a highlight of the day when the weather is nice.
around here Krogering in style.
around here the sky has been so blue lately, it's beautiful!
Happy Friday yay! Another busy weekend...shocker! And the weather is supposed to be cooler, boo hoo. I'm tired of being freezing at night, I'm ready to wear shorts to bed instead of pants and socks! Glad the weekend is here. TGIF!


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Could Edwin Jackson Be Next Arizona Diamondback Traded? He's Been Linked to Washington Nationals...
The Arizona Diamondbacks, sporting a not-so-stellar 37-62 record, are clearly sellers at the trade deadline this season.
While Dan Haren was shipped off to the Angels yesterday, is another D-Backs pitcher could be on the move.
This time it's Edwin Jackson who has piqued the interest of the Washington Nationals.
As the July 31 trade deadline inches closer, more rumors are starting to fly about who will end up where. Some are just plain laughable while others have some merit.
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We think the "Mr. Jackson Goes to Washington" scenario has a pretty good chance of happening.
FOXSports.com's Ken Rosenthal says the D-Backs "will not hesitate" to trade Jackson. Meanwhile, ESPN's Buster Olney said the Nationals are upping their prospects to possibly get Jackson.
While the Nationals aren't the only team in the running to land Jackson, the following proposed three-team deal does make sense:
The Nationals would get Jackson while the Chicago White Sox would get current Nationals (and former Snakes) slugger Adam Dunn. Meanwhile, the D-Backs would get a bevy of pitching prospects.
Jackson, most known for his no-hitter earlier this season, is 6-9 with a 5.01 ERA this season. He isn't a top-of-the-line starter at age 26, but he could definitely help Washington as a middle-of-the-rotation starter.
Besides, the Nationals already have their ace. Some guy named Stephen Strasburg? Maybe you've heard of him?
The word around baseball is that Snakes interim General Manager Jerry Dipoto failed with the Haren trade (count us among those who agree).
While Jackson certainly is no Haren, this could be another chance for the D-Backs to stock up on young arms for the future.
This trade probably won't get done immediately, as the three teams have to figure out little details and which pitchers to send to the D-Backs, but it is a definite possibility that it could happen soon.
The Washington Nationals begin a four-game series against Arizona Monday, two days after the trade deadline.
Which jersey will Edwin Jackson be wearing?
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If you're still trying to figure out where to watch the Arizona Wildcats take on Nevada's Wolf Pack, the Loft Cinema invites you to head on down to their digs and check out the game on the big screen—and the best part is, it's free.
If you'd like to ensure that you have a spot, you can order a $5 concession voucher. For more information, call out to the Loft Cinema box office at 795-0844.
Tony Award-winning director Ivo van Hove (A View from the Bridge at the Young Vic Theatre) returns… More


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Guess Multi Color Leopard Print Dress
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Size: 4 (S)
Price: $19.54
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You get a lot of business advantages by using Seco Point™:
1. Secure your productionSecoPoint™ also makes sure that products critical to your production always are in stock. Should anything affect the stock levels of these products, you will know immidiately by alert mail.
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Located in Murlin Heights, Comfort Inn Dayton is 1.3 mi (2.1 km) from Scene75 Entertainment Center and within a 10-minute drive of Hollywood Gaming at Dayton Raceway. This 56-room hotel welcomes guests with conveniences like free breakfast, an indoor pool, and free in-room WiFi. Dayton Rugby Grounds is also nearby.
Start your day off right with a free buffet breakfast.
Comfort Inn Dayton's 56 air-conditioned rooms provide microwaves, refrigerators, and coffee makers. Guests can expect free WiFi and cable TV. Hair dryers, phones, and ironing boards are also standard.
Property features
Comfort Inn Dayton offers an indoor pool, a spa tub, and free WiFi in public areas. If you drive, take advantage of free parking. Helpful staff is there to provide a safe deposit box at the front desk, as well as offer insight about the area. This hotel also has coffee/tea in a common area.
- Free buffet breakfast
- Free WiFi in rooms and public areas
- Free parking
- Indoor pool
Comfort Inn Dayton
Hotel Amenities
Popular highlights
Hotel Amenities
Comfort Inn Dayton features an indoor pool and a spa tub. Public areas are equipped with complimentary high-speed wireless Internet access. Guests can enjoy a complimentary breakfast. This Dayton hotel also offers spa services, coffee/tea in a common area, and a safe deposit box at the front desk. Complimentary self parking is available on site.
- Number of floors - 2
- Indoor pool
- Total number of rooms - 56
- Safe-deposit box at front desk
- Coffee/tea in common areas
- Free breakfast
- Free WiFi
- RV, bus, truck parking
- Free self parking
- Spa services on site
- Spa tub
Family Friendly Amenities
- Family Hotel
- Indoor pool
- Free Wi-Fi
- Refrigerator
- Microwave
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking, RV, bus, truck parking
Room Amenities
Comfort Inn Dayton offers 56 air-conditioned accommodations with coffee/tea makers and hair dryers. Refrigerators and microwaves are provided.
This Dayton hotel provides complimentary wireless high-speed Internet access. Televisions come with cable channels and pay movies.
- Air conditioning
- Pay movies
- Iron/ironing board
- Phone
- Refrigerator
- Coffee/tea maker
- Microwave
- Hair dryer
- Cable TV service
- Free WiFi
Where to Eat
Guests are offered a complimentary buffet breakfast.
Nearby Things to Do
An indoor pool and a spa tub are on site.
If you have requests for specific accessibility needs, please note them at check-out when you book your room.
- In-room accessibility
Hotel Policies
Check-in time starts at 3 PM
Check-out time is 11 AM
Payment types
Children and extra beds
- Children are welcome.
- Kids stay free! Children 18 years old and younger stay free when using existing bedding.
- Pets allowed for an extra charge of USD 25 per night
You need to know
Extra-person charges may apply and vary depending on property policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
Optional extras
- Pet fee: USD 25 per night
Hotel Name
- Comfort Inn Dayton
- Comfort Inn Hotel Dayton
- Comfort Inn Dayton / Miller Ln. Hotel Dayton
- Comfort Inn Dayton / Miller Ln. Ohio
- Comfort Inn Dayton Hotel
- Dayton Comfort Inn
We should mention
Children 18 years old and younger stay free when occupying the parent or guardian's room, using existing bedding.


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The dream of space exploration might become little more than stardust if we're not too careful.
The article, "To Boldly Go: A One-Way Human Mission to Mars," co-authored by Dr. Dirk Schulze-Makuch and Dr. Paul Davies (published by the Journal of Cosmology), suggests that it is time to consider manned missions to Mars, a goal we can achieve within 20 years. (1)
This is big news. This is big vision. This signals we are indeed living in the future. But where's the conversation? People can gather round the water cooler to discuss the latest "Mad Men" episodes, but something like space exploration and Mars rarely finds serious consideration in mainstream America. Mars is typically the subject matter of science fiction stories, astrology, astronomy and occasionally, major news stories.
There is one catch: it'll be a one-way ticket.
To be sure, it's not the happiest scenario and sounds more 1620 A.D., than "2001: A Space Odyssey," yet the works of Robert A. Heinlein examined some of the more plausible ways in which man could travel beyond the stars. His novels, essays and stories inspired a generation. Schulze-Makuch and Davies are to some degree, Heinlein's children. (3)
People seem to get stuck on Iraq, 911 and Katrina, when talking about the legacy of George W. Bush, but some forget that he supported space exploration and was seriously pushing for a new frontier amongst the stars. In 2004, he said: "We do not know where this journey will end, yet we know this: Human beings are headed into the cosmos."
Whatever your opinions of the 43rd president, this clearly showed an unexpected direction, a futurist's perspective. He even suggested returning to the moon by 2020, taking that experience, and then as he put it, "we will then be ready to take the next steps of space exploration: human missions to Mars and to worlds beyond."
There are downsides to what Schulze-Makuch and Davies propose, such as sending older people (around 60 years of age) as "settlers," since the radiation will likely render the traveler sterile, among other health problems. (2)
Today, we seem more interested in our 3 and 4G networks, latest apps, and new breakthroughs in tech, than reaching out to the stars. We're wowed by 3D. Too bad.
Disney's upcoming "Mars Needs Moms" (March 2011), not only uses Mars as a central theme, but is directed by Simon Wells (the great-grandson of H.G. Wells). Mars is popular culture ("The Martian Chronicles"), science, extrapolation, and possibly, one day, it could be home.
Consider for a moment that this isn't science fiction anymore. Each day brings us closer to the end of all things, because let's face it, whether you lean more towards science or religion, it doesn't matter: resources are hardly inexhaustible. All things must pass.
Mars isn't a child's fairytale. Mars isn't just an exotic locale for use by the science fiction writer.
It's an investment in mankind's future.
1) Yahoo! News, "Scientists propose one-way trip to Mars," http://news.yahoo.com/s/ap/us_one_way_to_mars
2) The Journal of Cosmology http://journalofcosmology.com/Mars108.html
3) "President Bush Offers New Vision to NASA" http://www.nasa.gov/missions/solarsystem/bush_vision.html


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Barcelona, March 22, World Water Day – Confronted with the failings of water privatisation, cities and citizens of Terrassa and Barcelona, in Catalonia, have moved to return water services to public and democratic control, improving their quality and accessibility.
While water privatisation continues to be imposed throughout the world, particularly in the Global South, more and more communities are demanding public management of water and wastewater services and forcing out private actors. On World Water Day we bring you 10 inspiring stories of communities and cities working to reclaim control over this essential resource.
For many years, public-private partnerships have been promoted by governments and financial institutions as a way to pay for development projects such as roads, schools and hospitals.
Spain maybe on the edge of a remunicipalisation renaissance, with all the relevant legal, financial and technical issues attracting surprisingly intense interest throughout the state. These trends in Spain provide inspiring examples for other countries too, in Europe and worldwide. On 1st December Barcelona City Council organised a remarkable conference on the topic.
Residents of the Dutch city of Groningen, where gas is being extracted by the Dutch Petroleum Company (NAM), have lost confidence in the company, and in the regulations intended to protect them. Social movements, civil society organisations and local political parties gathered and discussed the dismantling of the NAM and the need to democratise the energy sector.
Mayo Fuster Morell, responsible for BarCola, a group working on collaborative economy policies in Barcelona, shares her thoughts and experiences on how commons-based forms of collaboration can build a more just society.
One of the first case studies on the website of energydemocracy.net is the city of Boulder, USA. Driven by a commitment to meet its climate goals, Boulder first sought to push its private investor-owned utility, Xcel Energy, to embrace a radical transition to low-carbon energy. The reluctance and obfuscation of Xcel led the city to develop plans for a municipal energy utility, which the city has continued to push forward in the face of legal challenges and misinformation campaigns.
World leaders are at the UN Climate Talks (COP22) this week. Developing real solutions to climate and energy challenges will require imagination, determination and inspiration. Inspiration may come from the many cities, communities and even countries that are working hard to make the energy sector democratic, equitable and based on renewable sources.
Halverwege september publiceerde de progressieve denktank TNI in samenwerking met vakbeweging FNV een nieuwe brochure om burgers te waarschuwen tegen TiSA. Het verdrag kan immers grote invloed hebben op de dataprivacy van burgers of zou verdere privatisering van onderdelen van het zorgstelsel, zoals kraamzorg of ziekenhuisdiensten, afdwingen. En, vraagt de FNV zich af, hoe worden arbeidsnormen en minimumlonen eigenlijk gegarandeerd op een steeds verder uitdijende en competitiever wordende wereldmarkt?
The absence of over 70 percent of international delegates, denied temporary visa by the Canadian government, overshadowed the World Social Forum. Despite this saddening fact TNI's team managed to host and participate in a broad and diverse range of discussions, workshops and activities, for instance in the convergence space of "People and Planet before Profit. Moving away from Free Trade and Extractivism to Dismantle Corporate Power".
Hilary Wainwright's opening plenary speech at Own the Future: Public ownership in the 21st century on Saturday 7th May 2016.
How are people across the world taking back power over the energy sector and re-imagining how energy might be produced, distributed and used? How can the concept of energy democracy be deployed to demand a socially and just energy system, with universal access, fair tariffs and secure, unionised and well-paid jobs?
A few weeks after the May coup against Dilma Rousseff by conservative parties backed by the country's largest corporations, Brazil's "interim" government, led by Michel Temer, signed an emergency loan to the State of Rio de Janeiro to help finance infrastructure for the 2016 Olympics – in particular for a subway line connecting the sports venues. The bailout was conditional to selling off the State's public water supply and sanitation company, the Companhia Estadual de Águas e Esgotos (Cedae)
Leaked TTIP documents show the EU is promoting unrestricted trade in fossil fuels and working to limit the implementation of clean energy policies, just months after the bloc proudly claimed to have "been at the forefront of international efforts towards a global climate deal"
Le Monde Diplomatique - The latest study from the Transnational Institute (TNI) on the effects of the 'privatising industry' in Europe concludes that 'there is no evidence that the privatised companies are more efficient'. Instead, privatisation has undermined wage structures, made working conditions worse and increased income inequality.
We Own It organised the conference Own the Future: Public ownership in the 21st Century on 7th May, 2016 in London. A group of innovative, inspiring individuals gathered to start imagining the public ownership of the future: A vision for 2030 and a roadmap to get there. They tackled the key issues - robots, big data, power, space - and made a conscious effort to embrace the future.
International Water Justice community sent the petition to the Supreme Court of Indonesia. Residents of Jakarta filed a citizen lawsuit against water privatisation in Jakarta at Central Jakarta District Court in November 2012. They argued in the lawsuit that water privatisation failed to fulfil the residents' access to safe water, caused a series of corruptions and financial harm to the public budgets. In March 2015, the court ruled in favour of the residents, annulling the contract agreement with two private water operators. It was a significant victory of people. The decision, however, was challenged by these private companies and other defendants. Unfortunately the residents lost in the High Court in February 2016. Jakarta people decided to challenge the High Court ruling at the Supreme Court.
European municipalities join the battle against TTIP to protect sovereignty and public services, demonstrating how to take political initiative and build an alternative economy
Water Justice organisations from around the world jointly produced an online water justice toolkit to consolidate our knowledge base and support local campaigns against the corporate takeover of water.
Wie wordt er eigenlijk beter van privatiseringen? Het gaat geregeld fout in Europa, waarbij — behalve betrokken adviseurs en bankiers — iedereen er berooid vanaf komt. Matthijs Peters van het TNI zet de verontrustende conclusies van hun onderzoek naar de Europese privatiseringsindustrie uiteen.


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A teacher, who worked in Chelmsford, has been charged with multiple offences relating to children.
Two men have been arrested on suspicion of the attempted murder of a teenager in Chelmsford.
A 17-year-old boy was run down by a car and stabbed twice on Dorset Avenue on Thursday, 21 November.
He remains critically ill in hospital.
On Friday 29 November, detectives appealed for 35-year-old Richard Frost and his partner, 26-year-old Kay Phillips and their five-month-old son to contact police.
Officers wanted to question Richard Frost in connection with the attempted murder while there was growing concern for the safety of both Kay and the baby.
Yesterday evening (Monday 2 December) a 35-year-old man from Chelmsford was arrested at a police station in the county on suspicion of attempted murder while a 22-year-old man was arrested at his home address in the Thurrock area, also on suspicion of attempted murder.
At this stage, police have been unable to make any direct contact with Kay Phillips.
They are continuing with their attempted to discover where she and her baby are and ascertain their safety and welfare.
Kay Phillips is described as white, approximately 5ft 4in tall and has shoulder-length or long blonde hair.
Anyone with information on her whereabouts is urged to contact Essex Police on 999 while those with information on the attempted murder of the teenage boy should contact detectives in the incident room at Brentwood on 101, call Crimestoppers anonymously on 0800 555111 or email firstname.lastname@example.com
A teacher, who worked in Chelmsford, has been charged with multiple offences relating to children.
Adam Mudd Was 16 When He Began His Cyber Attacks
Clacton MP Douglas Carswell has announced that he will not be seeking re-election on June 8 but will be backing the Conservative candidate.
A man has been jailed for life to serve a minimum of 25 years for murdering an uncle as he attempted to protect his niece from unwanted advances in Basildon.
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We are accepting bookings for the 2017 season. Black Arabian stallion. "Coal" is a proven sire who has produced wonderful horses. He has that "look…Stud Fee: $950
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Beautiful and athletic TB gelding perfect for dressage and trail riding. Amazing disposition, loves to please, affectionate and willing. Learns quickly…$4,700


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The Cochrane Library
Argon plasma coagulation therapy for acute non-variceal upper gastrointestinal bleeding
- Withdrawn
- Review
- Intervention
Karin L Dearness, Medicine, McMaster Univeristy, 1200 Main Street West, HSC 3N51C, Hamilton, Ontario, L8N 3Z5, Canada. email@example.com.
Reason for withdrawal from publication
This review was withdrawn from publication in August 2009 as the UGPd Group has lost contact with the Authors. Enquiries regarding the content or updating this review should be addressed to the Managing Editor, Cochrane UGPD group.


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This longitudinal study examined how calcaneal quantitative ultrasound (QUS) measures change during childhood while taking into account skeletal maturation, body mass index (BMI), and physical activity. The study reported sex differences in QUS growth curves and an inverse relationship between BMI and speed of sound (SOS) measures.
The aim of this study was to examine how calcaneal QUS parameters change over time during childhood and to determine what factors influence these changes.
The study sample consisted of a total of 192 Caucasian children participating in the Fels Longitudinal Study. A total of 548 calcaneal broadband ultrasound attenuation (BUA) and SOS observations were obtained between the ages of 7.6 and 18 years. The best fitting growth curves were determined using statistical methods for linear mixed effect models.
There are significant sex differences in the pattern of change in QUS parameters (p<0.05). The relationship between QUS measures and skeletal age is best described by a cubic growth curve in boys and a linear pattern among girls. Boys experience their most rapid growth in BUA and SOS in early and late adolescence, while girls experience constant growth throughout childhood. Adiposity levels were significantly associated with the changes in SOS among boys (p<0.001) and girls (p<0.01), indicating that children with higher BMI are likely to have lower SOS over time compared to children with lower BMI. For girls, physical activity levels showed positive associations with changes in QUS measures (p<0.05).
This study documents significant sex differences in the pattern of change in QUS measures over childhood and adolescence. Our study also shows significant influences of adiposity and physical activity on the pattern of change in QUS measures during childhood.
Accrual of peak bone mass at the end of adolescence or early in adulthood lays the foundation for bone to manage the various challenges to the skeleton over one's lifetime [1, 2]. Studies of peak bone mass and childhood bone accrual have been mostly based on areal bone mineral density (aBMD) collected using dual energy X-ray absorptiometry (DXA). There are, however, a number of other non-invasive techniques including quantitative computed tomography (QCT) and quantitative ultrasound sonometry (QUS) to quantify bone health. While DXA provides measures of aBMD and bone mineral content (BMC), it is subject to bone size problems in growing children. QCT is used to assess volumetric BMD and geometry, and peripheral QCT (pQCT) provides advantages over QCT with less radiation exposure. However, both QCT and pQCT are less available for use in children compared to DXA. QUS measurements correlate well with aBMD and with bone quality measures [3–5]. Many epidemiologic studies and meta-analyses conducted on adults demonstrate the predictive ability of QUS, particularly calcaneal QUS parameters, for future non-spine fracture even across different QUS devices [6–8]. In children, QUS at the calcaneus predicts the risk of osteopenia or fragility fracture [9, 10]. The advantages of portable, non-expensive, safe, and radiation-free QUS measures are well recognized in adults, but unfortunately its utility is less well-known in children [4, 5, 11].
Based on cross-sectional data, age and sex-specific reference data for QUS measures at the calcaneus and other skeletal sites are available for clinical use to assess bone health in children [12–15]. There are also a few longitudinal studies using QUS conducted among children, but those studies mainly focus on treatment effects in pediatric patients with chronic diseases such as arthritis or growth-related disorders (as reviewed by Baroncelli) [5, 16–18]. As a result, studies examining serial changes in QUS measures among healthy children are relatively scarce [19, 20]. Moreover, available longitudinal studies have not adequately considered inter-individual differences in skeletal maturation during childhood and their influence on serial QUS measures [19, 20]. Consequently, additional information that characterizes changes in bone development while accounting for individual variation in serial QUS measures is much needed. A better characterization of the patterns of change in QUS measures of healthy, maturing children would facilitate the broader use of QUS to assess pediatric skeletal health without the risk of undue radiation exposure.
Using serial data from children participating in the Fels Longitudinal Study (FELS), the purpose of this study is to examine how QUS measures change over time during childhood, while taking into account factors such as obesity, physical activity, and skeletal maturation.
The sample consists of a subset of children who are participants in the Fels Longitudinal Study. Details of the Fels Longitudinal Study have been published previously [21, 22]. Briefly, the Fels Longitudinal Study, which began in 1929, is an ongoing study of human growth, development, and aging. Almost all of the participants are Caucasian (~98%) and were recruited without regard to health status.
Between 1999 and 2006, 227 children were seen for Fels Longitudinal Study visits. Of these children, three did not have calcaneal QUS measurements. Study participants with chronic conditions such as diabetes mellitus, arthritis, asthma, or who were taking glucocorticoid-related medications that could possibly influence bone metabolism were excluded (n=32) for the present study. This resulted in a sample of 192 children (98 boys and 94 girls). Anthropometric characteristics and calcaneal QUS measurements of the excluded participants were not significantly different from the included except that physical activity levels were slightly higher in the excluded participants (p<0.05). Each included participant had from one to seven measurements between the ages of 7.6 and 18 years; 64 children (24 boys and 40 girls) had one examination, 25 children (14 boys and 11 girls) had two examinations, 34 children (19 boys and 15 girls) had three examinations, 35 children (24 boys and 11 girls) had four examinations, 16 children (eight boys and eight girls) had five examinations, 14 children (six boys and eight girls) had six examinations, and four children (three boys and one girl) had seven examinations. There were a total of 548 examinations with a median of three visits per participant.
Signed informed consent was obtained from participants' parents/guardians, and assent was obtained from each participant. All protocols and procedures were approved by the Wright State University Institutional Review Board.
Calcaneal QUS measures were collected twice on each participant's self-reported dominant heel using the gel-based Sahara ® bone sonometer (Hologic, Inc., Waltham, MA, USA). Average values of each QUS parameter (BUA (decibels per megahertz) and SOS (meters per second)) were used for analysis. The literature suggests that BUA and SOS may exhibit distinct structural properties of bone. BUA is more related to structural parameters such as connectivity and porosity of the skeleton as well as bone density, while SOS is more influenced by bone mineral mass and elasticity [23, 24]. Approximately 92% of participants reported their right leg as dominant throughout the study period. Quality control was performed daily by the direct apposition of the phantom into the transducers of bone sonometer. The coefficients of variation for BUA and SOS were 5.30% and 0.35%, respectively.
Skeletal maturity assessment of the hand-wrist (FELS method) was used to determine skeletal maturity at each visit [25]. The FELS method is used to calculate an individual's skeletal age based on an X-ray of the left hand and wrist taken at each visit. The FELS method, developed using approximately 14,000 serial radiographs, is a bone-specific approach that recognizes individual variation in the order of chondrification and ossification of diaphyses and centers of ossification in epiphyses, the order of epiphy-seodiaphyseal fusion, and the size and shape of bones [25]. Skeletal age is a good physiological indicator of accelerated or delayed skeletal development compared to one's chronological age and sex [25]. Body weight and height were measured according to standard anthropometric methods [26]. Body weight (kilograms) was recorded to 0.1 kg without shoes or any heavy clothing, and height (centimeters) was measured to 0.1 cm without shoes. Body mass index (BMI; kilograms per square meter) was calculated from weight and height. BMI percentile values (BMI%) were calculated based on 2000 Centers for Disease Control and Prevention (CDC) Growth Charts in US children [27] for the illustration of examples. Self-assessed habitual physical activity levels for sport were collected using the Baecke Questionnaire of Habitual Physical Activity [28] modified for children [29]. This modified questionnaire has been validated and was determined to be a moderately reliable instrument for physical activity in children between 7 and 19 years old [29]. The sport activity score was calculated based on three questions including two open questions asking about the intensity of activity (metabolic equivalents) and frequency of involvement in sports in school and outside school. These questions are: (1) Since your last visit, what sports did you play in school? (2) Since your last visit, what sports or physically active games did you play outside of school? (3) When you play sports or games, do you sweat?
Using Student's t test, differences in descriptive characteristics including QUS measures between boys and girls were tested within each age stratum. The pattern of change in response with chronological age or skeletal age was investigated, by sex, using the linear mixed model.
In general, a linear mixed model has the form:
where i, j, k, and r index the participants, observation times, fixed effects, and random effects, respectively; yij are the QUS outcome measures (BUA or SOS); xijk are potentially time-varying covariates with corresponding parameters βk; zijr are potentially time-varying random effects with corresponding participant-specific parameters bri which are independent between participants and normally distributed with mean 0 and variance matrix G within participants; and eij are normally distributed within participant with mean 0 and variance matrix σ2Ri.
The following three-step method [30, 31] was used for fitting a linear mixed model for each QUS outcome, by sex. First, a maximal fixed effects model was specified. This model included all plausible predictor time-varying variables, namely a cubic polynomial in chronological age or skeletal age (each centered at 8 years), quadratic polynomials in BMI (centered at the sex-specific 50th percentile at chronological age 8 years) and physical activity level (centered at the sex-specific median value), and interactions between the timing variable (age or skeletal age) and each of BMI and physical activity. BUA was log-transformed in order to achieve normality of the residuals and multiplied by 100 to improve the numerical stability of the estimates. Due to the high correlation between timing variables (chronological age or skeletal age) and height (r>0.80), height was not considered in the models. Second, given the maximal mean model, the best covariance structure was determined based on the Akaike information criterion (AIC) [32]. Each candidate covariance structure was defined by a specification for the random effects and for the residual error. We considered random polynomial terms, as well as three residual variance structures (independence, autocorrelation, and autocorrelation with measurement error). Finally, given the covariance structure with the smallest AIC, a comparison was made between cubic, quadratic, and linear trends for each sex, with non-significant covariates (BMI, physical activity, and their interactions with age or skeletal age) dropped from the model.
In all models, parameters were allowed to vary by sex. All longitudinal analyses were performed using PROC MIXED implemented in SAS version 9.2 (SAS Inc., Cary, NC, USA). The level of statistical significance was set at α=0.05.
There were no significant sex differences in chronological age, skeletal age, and anthropometric measurements at the time of first visit. Furthermore, there were no significant sex differences in QUS measures at the first visit.
Anthropometric data, skeletal age, sport activity, and QUS data for the study participants by chronological age groups and sex are shown in Tables 1 and and2.2. There were no significant differences between the sexes in skeletal age within any age group. Boys had significantly greater height than girls after age 14 years and significantly greater weight after age 16 years. However, mean BMI values were not significantly different between boys and girls at any age. Up to age 10 years, mean sport activity levels were significantly higher for boys than for girls, but these levels were not significantly different at older ages. BUA and SOS measures did not differ by sex within any age group (Table 2).
Table 3 summarizes the fixed effects regression coefficients and standard error (SE) from the final models for BUA and SOS using chronological age as a timing variable. There were significant differences (p<0.001) between sexes in the pattern of change in BUA over time. In particular, boys display a cubic growth curve, while girls have a linear growth curve. The patterns of longitudinal change in SOS differ from those in BUA. We found significant linear trend for SOS among boys and cubic trend for SOS among girls. There were also significant sex differences (p<0.05) in the pattern of change in SOS over time. It appears that the sex-specific pattern of change in QUS measures over time differs between boys and girls when chronological age is used as the timing variable.
BMI was negatively associated with SOS in both boys and girls while BMI was positively associated with BUA in boys (but with a smaller effect compared to SOS). In addition, physical activity was positively related to calcaneal QUS measures only in girls. There was also no evidence for a significant interaction effect between adiposity status or physical activity and the age variables on QUS measures.
Table 4 shows the fixed effects regression coefficients from the final models for both QUS parameters using skeletal age as a timing variable. The fixed effect estimates from the final mixed effect models were used to describe the estimated individual fitted growth pattern and covariate effects (i.e., BMI and physical activity) in Figs. 1 and and2.2. Similar to the previous analysis based on chronological age, there were significant sex differences in the pattern of change in BUA and SOS (all p values<0.01). However, the mixed effect models based on skeletal age as a timing variable resulted in more consistent sex-specific patterns of change in BUA and SOS measures. In particular, boys have a cubic growth pattern for both BUA and SOS and girls exhibit linear growth in both. This suggests that boys exhibit a more rapid increase in both BUA and SOS during early and late skeletal development, while girls maintain a relatively constant rate of increase in BUA and SOS throughout their skeletal development. Covariates (i.e., BMI and physical activity) were significantly related to BUA and SOS in a manner similar to the results based on chronological age. The effect of BMI was illustrated in Figs. 1 and and22 using examples (solid and dotted black lines). Higher BMI was negatively associated with both BUA and SOS for both boys and girls. The relationship between BMI and BUA for boys appears to change with age in Fig. 1, but that is because the lines represent constant BMI percentile, which corresponds to increasing BMI with age. For the other cases (BUA for girls and SOS for both sexes), a child with age-specific 50th BMI percentile (solid line) would have higher BUA or SOS than an overweight child with age-specific 85th BMI percentile (dotted line) over time (see Figs. 1 and and2).2). Among girls, sport activity is positively related to QUS measures regardless of the timing variable used. For example, girls with higher BMI (85th percentile, dotted line) and lower physical activity scores (15th percentile, or 2.00 on a scale of 1–5) have lower mean SOS than girls with lower BMI (50th percentile) and higher physical activity score (50th percentile, or 2.67; see Fig. 2b).
For both BUA and SOS, the best covariance structures included random intercept and slope terms for individual variation regardless of timing variables used. This indicates that participants vary significantly in their mean and rate of change (velocity), but not in their curvature (acceleration) in BUA and SOS. For BUA, variation among individuals' curves remains fairly constant with increasing skeletal age (see Fig. 1). For SOS, the random intercepts and slopes were positively correlated with each other, indicating that individuals with low SOS tend to have a slower rate of increase and those with higher SOS tend to have a faster rate of increase (see Fig. 2). Thus, differences between individuals tend to become greater later in childhood.
The main purpose of this paper was to describe the pattern of within-individual change in QUS measures assessed serially in children over the course of growth and maturation. The results of this study indicate that, in general, calcaneal QUS measures increase over time and there are significant sex differences in the pattern of age-related change in BUA and SOS. Also, our results suggest that the age-related changes become more apparent and consistent when skeletal maturation is also considered. We note that changes in BMI are significantly associated with BUA in boys and SOS in both boys and girls over the course of childhood. Additionally, our finding suggests that habitual physical activity is positively related to QUS measures in girls. Our study is unique in that few longitudinal studies have examined changes in QUS parameters over childhood using more than two examinations per participant. Furthermore, to our knowledge, our study is the first study to demonstrate a longitudinal negative relationship between childhood BMI and calcaneal QUS parameters.
During childhood growth and development, bone grows in size and in length through bone modeling and remodeling in order to adapt to rapid increases in physiological loads due to changes in body composition [2]. Various assessment techniques including DXA and QCT are available to assess bone mineral accrual in children. While DXA is the gold standard method for measurement of areal BMD, it has limited utility due to the fact that bone size is increasing in growing children. On the other hand, QCT or pQCT assess volumetric or "true" trabecular or cortical BMD and structural parameters in growing children with fewer problems. However, QCT or pQCT are less readily available and more costly in tracking childhood bone health in general. Even though there are limitations associated with QUS technology, such as diverse incompatible QUS devices, QUS measurements are especially interesting to pediatricians and researchers due to a few advantages in the evaluation of pediatric skeletal status or bone health in clinical practice or at the population level, namely no radiation, ease of use, and portability [5]. Calcaneal QUS assessment is the most studied modality among the various QUS techniques (traverse or axial transmission) utilized at different skeletal sites. Compared to phalangeal QUS or tibial QUS measurements, calcaneal QUS values are more consistently related to bone density and overall fracture incidence in adults [6, 8] and in children [9, 10, 33]. This may be due to the fact that the calcaneus as a weight-bearing bone consists of more than 90% trabecular bone with relatively small cortical thickness [4]. Therefore, calcaneal QUS measures seem to be less dependent on increased cortical thickness due to increases in bone size or due to augmented mechanical forces (mainly pressure) during growth [5].
Bone mass measured by aBMD changes during growth and maturation [34–39]. While there are no age effects reported in cross-sectional QUS studies of children [12, 40, 41], longitudinal studies have demonstrated that QUS measures track during growth and puberty [19, 20, 42]. Wang et al. found that changes in calcaneal BUA were significantly correlated with age-related changes in aBMD or volumetric BMD in 258 pubertal girls, while no significant relationship was observed between tibial shaft SOS and DXA [33]. It is also interesting to note that QUS measures are still increasing in late adolescence in both boys and girls. The age or range of age where bone mineral accumulation reaches its maximum (i.e., peak bone mass) differs by skeletal sites and often varies by how bone is measured. While peak bone mass at the femoral neck is reported to be achieved by late adolescence, some studies reported that peak bone mass in other skeletal sites is not likely to be achieved until the late twenties [1]. Therefore, the lack of a late-adolescent plateau of the BUA and SOS measures in our study may not be surprising. Also, it is not easily comparable to other studies since very few longitudinal studies are available to report the peak or maximum values of QUS measures in children and young adults [20, 33]. It is likely that our results, in accordance with pediatric reference data reported by Baroncelli [5], suggest that the maximum measures of calcaneal QUS measures, like peak bone mass, will be achieved after late adolescence. However, further longitudinal studies based on larger sample sizes or different ethnic/racial populations will help our understanding of "peak QUS measures" over the course of growth and development.
We found significant sex differences in the pattern of change in QUS measures, showing that, for instance, boys demonstrate increased growth in BUA and SOS concurrent with early and late adolescence, while girls experience more constant growth throughout skeletal development. Others have reported inconsistent results concerning sex differences in QUS measures [15, 43, 44]. However, our results seem to be similar to studies by Wunsche et al. [41] and others [19]. In a large cross-sectional study of Germen children, Wunsche et al. reported age-related linear increase in calcaneal BUA values in girls while between age 10 and 14 years, there was an apparent plateau or no change in BUA values for boys [41]. Vignolo et al. noted that amplitude-dependent SOS values significantly accelerated in late puberty in boys and increased constantly in peri- and post-pubertal girls. This may due to a different tempo of maturation and longitudinal growth between males and females as previously suggested [41, 45]. While in our study cross-sectional analyses of BUA and SOS showed no significant sex difference within each age group (Table 2), we observed significant sex differences in our longitudinal analysis as previously reported in other longitudinal studies [19, 20, 42]. Collectively, these results highlight the limitations of cross-sectional studies in explaining longitudinal processes.
Accounting for biological maturation is necessary to control for individual differences in the timing or tempo of maturation especially in a longitudinal study of children [46]. Somatic maturation indicators such as peak height velocity have been used previously in longitudinal studies of bone mass using aBMD [45], but not in studies of QUS measures. In our study, we have used skeletal age as a timing indicator to adjust for skeletal maturational differences among individuals, instead of using skeletal maturation or pubertal stage as a covariate (e.g., relative skeletal age) in an analysis using chronological age as a timing variable as other studies have done [15, 19, 42, 44]. Mean skeletal ages across different age groups were not significantly different between boys and girls, although the mean values in girls tend to be higher than those in boys suggesting the faster rate of skeletal maturation in girls (Table 1). It appears that use of skeletal age as a timing variable seems to reduce variance in QUS measures, allowing for time trends to be better identified.
Skeletal development during childhood is influenced by many factors including body composition, lifestyle factors, co-morbidities, and genetics [2, 22, 34, 47]. In this study, we found an important serial association between BMI, used as a surrogate marker for adiposity, and lower QUS measures. BMI has been recommended by experts as a screening measure to identify at-risk children for overweight and obesity in populations. There are, however, several limitations to note when using BMI as a surrogate for adiposity [48, 49]. For instance, BMI is not a direct measure of total body fat and changes in BMI during adolescence do not necessarily correspond with changes in fat mass. However, in overweight and obese adolescents, changes in BMI-for-age seem to reflect more of the relative increase in fat mass rather than in fat-free mass, particularly in girls [50]. High childhood BMI tracks well into adulthood, and high levels of BMI correlate well with high adiposity and concurrent health risk (e.g., cardiovascular risk) in general [51, 52]. The mean SOS for overweight children, based on CDC BMI percentile, seems to be lower than the mean SOS for normal weight children, even after adjusting for concurrent physical activity levels (Fig. 2). Our finding is similar to a recent report by Falk et al.[53] who reported that only tibial SOS, not radial SOS, was significantly reduced in overweight boys compared with normal weight boys aged between 9 and 12 years old. Inconsistent research results exist on the effect of obesity or body mass on bone during growth. Some studies show increased bone mass in obese children [54, 55], while others report no difference or decreased bone mass (e.g., decreased total body bone mineral apparent density) after adjusting for body size or weight [44, 56, 57]. Similarly, not all studies have reported beneficial effects of obesity on bone changes measured using QUS [53, 57–59]. This may be associated with technical differences among different QUS devices and with whether adjustment for body size or heel width for calcaneal measurement was carried out in these studies. Our findings were not significantly changed when we adjusted for heel width or sex-specific stature-forage (i.e., stature z-scores) in our analyses (data not shown). In addition, the effect of body mass appears to be parameter specific [59]. Obese children tend to show advanced growth and maturation possibly resulting in larger bone size and bone mass, compared with normal weight children [54]. However, obese children are also exposed to adverse lifestyle factors such as reduced physical activity possibly resulting in decreased or insufficient muscular strength to sustain their body weight against fracture [60, 61]. Given the increase in the prevalence of childhood obesity, our results demonstrating negative longitudinal associations between BMI and calcaneal QUS measures, particularly SOS, in both boys and girls warrant further investigation.
In the current study, patterns of change in QUS measures were dependent on physical activity level in girls but not in boys. Our finding of higher BUA and SOS accrual in girls reporting higher levels of physical activity longitudinally is encouraging. However, it is not clear why there is sex-specific benefit of sport activity (measured using questionnaire) on calcaneal QUS measures in our study. While there is a non-linear trend (higher activity in middle childhood and lower activity in early and late childhood) in reported activity level over time, the reported activity levels in boys were not significantly different from those in girls in our study (p>0.05). Experimental studies in mice have shown that external weight-bearing forces stimulate bone formation and bone remodeling and change the distribution of bone mass to accommodate the mechanical forces during the period of bone acquisition [62]. The literature suggests beneficial effects of physical activity or exercise on bone mass accrual in children [34, 63]. However, it is also suggested that the influence of physical activity on bone mass accrual may be age dependent, skeletal site specific, and sex specific [38, 64–66]. For example, Weeks et al. found that physical activity measures from accelerometry have shown positive association with hip, spine, and total body BMC in pre-pubertal boys, but only with total body BMC in pre-pubertal girls [38]. The beneficial impact of physical activity or exercise on QUS measures seems to be less consistent [44, 58, 64]. Other studies have also reported that daily physical activity had no significant influence on phalangeal or calcaneal QUS [44, 58]. Exercise intervention studies have reported that jumping exercises result in a significant difference in bone mass and QUS measures during childhood between intervention and control groups, particularly in boys [64].
Previously published serial studies of QUS measures over childhood have been limited by a relative shortness in follow-up duration. Furthermore, changes in measuring devices (QUS) during previous longitudinal studies have further limited their usefulness in examining longitudinal changes. Throughout our study period, we have used a single QUS device to measure BUA and SOS. A few limitations should be noted in our study. Among other lifestyle factors, dietary intake in children was not measured during the study period. However, dietary intake of calcium and vitamin D has not been correlated with QUS measures in several studies [18, 44, 58, 67]. Physical activity levels were collected using a questionnaire on habitual activity rather than using a direct assessment of activity (e.g., accelerometer). However, Treuth et al. demonstrated that the sport activity index used as the measure of habitual physical activity in our study was correlated with physical activity measured by accelerometer [29]. Given the inconsistent influence of daily or habitual physical activity on QUS measures (as suggested in the literature), we can conclude that there is a minimal effect of physical activity on QUS measures of the calcaneus particularly in boys. Finally, our study results are valid for non-Hispanic white children and may not necessarily be generalizable to other ethnic/racial populations.
Monitoring changes in bone health during childhood is of great interest in children with clinical needs, as well as in healthy children. Any deviation in the pattern of change, or any disorder during childhood that influences bone accrual, may play an important role in determining risk for osteoporosis and fracture in later life. Like other measurement modalities (e.g., DXA), QUS measurements in children suffer from a number of technical problems including different QUS devices and limited current understanding of the bone tissue properties assessed [5, 68]. Given that QUS assessment is portable, radiation free, easily administered, and of low cost, it is feasible to use QUS, especially calcaneal QUS measures, to screen for reduced bone mass, and to monitor bone changes in pediatric offices in healthy children or children with clinical needs. As reviewed by Guglielmi et al. [69], the current literature suggests that QUS measures can be used to differentiate children with fractures and non-fractures and to identify children with lower bone mass based on existing limited studies. Our study shows that calcaneal QUS measurements allow safe and probably accurate assessment of skeletal health during growth and development. Moreover, our findings suggest that calcaneal QUS measures are amenable to examination of sex-specific longitudinal changes in skeletal growth and are potentially relevant in a clinical setting. In summary, we found that calcaneal BUA and SOS follow a non-linear growth trajectory in boys and a linear growth pattern in girls during childhood. Our results also indicate that obesity may be negatively associated with QUS (specifically SOS) measures in boys and girls.
This study was supported by National Institutes of Health grants (AR052147, HD012252). This study was presented in part at the American Society for Bone and Mineral Research Annual meeting in 2008. We are thankful for the participants in the Fels Longitudinal Study and the assistance of our research staff.
Conflicts of interest None.
M. Lee, Lifespan Health Research Center, Department of Community Health, Wright State University Boonshoft School of Medicine, 3171 Research Blvd., Dayton, OH 45420, USA. Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
R. W. Nahhas, Lifespan Health Research Center, Department of Community Health, Wright State University Boonshoft School of Medicine, 3171 Research Blvd., Dayton, OH 45420, USA.
A. C. Choh, Lifespan Health Research Center, Department of Community Health, Wright State University Boonshoft School of Medicine, 3171 Research Blvd., Dayton, OH 45420, USA.
E. W. Demerath, Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
D. L. Duren, Lifespan Health Research Center, Department of Community Health, Wright State University Boonshoft School of Medicine, 3171 Research Blvd., Dayton, OH 45420, USA.
W. C. Chumlea, Lifespan Health Research Center, Department of Community Health, Wright State University Boonshoft School of Medicine, 3171 Research Blvd., Dayton, OH 45420, USA. Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
R. J. Sherwood, Lifespan Health Research Center, Department of Community Health, Wright State University Boonshoft School of Medicine, 3171 Research Blvd., Dayton, OH 45420, USA. Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
B. Towne, Lifespan Health Research Center, Department of Community Health, Wright State University Boonshoft School of Medicine, 3171 Research Blvd., Dayton, OH 45420, USA. Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
R. M. Siervogel, Lifespan Health Research Center, Department of Community Health, Wright State University Boonshoft School of Medicine, 3171 Research Blvd., Dayton, OH 45420, USA. Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
S. A. Czerwinski, Lifespan Health Research Center, Department of Community Health, Wright State University Boonshoft School of Medicine, 3171 Research Blvd., Dayton, OH 45420, USA.
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Remember six actions of State terrorism practiced against indigenous
Remember six actions of State terrorism practiced against indigenous
In the last ten years, the lack of dialogue and the resurgence of the Federal Police have been flagrant
Christian Navarro,
São Paulo (SP)
In the last 10 years, the Brazilian indigenous movement has experienced a constant and virulent crackdown by the federal Government. Under the baton of Marcio Thomas Bastos (1/1/2003-3/16/2007), Tarso Genro (3/16/2007-2/10/2010), Luiz Paulo Barreto (2/10/2010-12/31/2010) and Eduardo Cardoso (1/1/2011-to this day), the lack of dialogue and the resurgence of the Federal Police have been flagrant. Check out below some of the actions of State terrorism against the indigenous peoples committed during this period:
1) on December 15, 2005 happens to repossession. With a strong State, which was attended by 150 men, several cars, dogs, cavalry and a helicopter, the Federal Police, with the support of the military police, carried out the eviction of the Guarani Kaiowá from their land Nhanderu Marangatu, Mato Grosso do Sul. At the time of the dump, in the presence of the Federal Police, the homes of Indian families were set on fire by farmers without that people had the chance to save their belongings.
2) in January 2006, the company Aracruz Celulose S/A mobilized helicopters, bombs, guns and 120 Federal police agents of the Tactical operations command (COT), from Brasília (DF), to destroy two villages and expel 50 people of the Tupiniquim and Guarani peoples from their traditional land in the municipality of Aracruz (ES), dozens were injured.
3) In June 2009, a woman and four men of the Indian people of the village Baker, saw in Recôncavo, underwent torture sessions (shocks, tapas, kicks, stomps, hair pulling and other assaults) by Federal police agents. Houses, clothes and planting were set on fire. After the attack, intensified the process of criminalization which culminated with five leaders arrested. The ficou situation more tense after the land integrated demarcation report published by the National Indian Foundation (Funai) months before.
4 May 2010). In repossession action, military and federal police attacked children, youth and the elderly in a community Terena in Miranda, Mato Grosso do Sul, with dogs, shooting rubber bullets and throwing bombs of moral effect so coward, while negotiated his departure.
5) six months after the murder and concealment of corpse of the Guarani Kaiowá cacique Nísio Garcia by gunmen in November 2011, in Aral Moreira, Mato Grosso do Sul, the Federal Police began to doubt the death of cacique and came to indict his son Timothy, the main witness in the case, by "slanderous denunciação". That Nísio was alive in Paraguay and that the complaint was a lie invented by the community weighed for months against the community. After much pressure from society, the investigation of finished with the indictment of 23 people, including politicians, farmers and entrepreneurs.
6) in November 2012, a disastrous Federal Police action against the village of Teles Pires, Mato Grosso, killed with four shots (three on the legs and a head on) Adenilson Kirixi Munduruku and left six other people injured.
Photo: Adenilson Kirixi Munduruku ,Mundukuru People
~ http://www.brasildefato.com.br/node/12972
The tears of Aracruz
Federal Police action supported by Aracruz Celulose S/A destroyed two villages and expelled 50 people of the Tupiniquim and Guarani peoples from their traditional land in the municipality of Aracruz-ES. Not if seen in the press no Indian mother with her children crying …
Christian Navarro
"Never expected this kind of violence," he said of a luxury hotel in Sao Paulo, the President of Aracruz Celulose, Carlos Aguiar, the newspaper Zero Hora of last Friday (10).
On 20 January this year, the company Aracruz Celulose S/A mobilized helicopters, bombs, guns and 120 Federal police agents of the Tactical operations command (COT), from Brasília, to destroy two villages and expel 50 people of the Tupiniquim and Guarani peoples from their traditional land in the municipality of Aracruz-ES.
Without even receiving an order of eviction, the Tupiniquim and Guarani were surprised by the violent attack. The action, which resulted in the arbitrary arrest of two leaders and left 12 other people injured, had all the logistical support of the company Aracruz Celulose S/a. Federal Police officers received 120 hosting and used the heliport and the multinational phones.
During the illegal action of the Federal police-ordered including the Human Rights Commission of the Chamber of Deputies – multinational tractors fully destroyed two villages Tupiniquim and Guarani. All the houses were knocked down and many Indians were unable to remove their belongings from inside of them.
On the news of the big media companies, there was no mother Tupiniquim or Guarani with their children crying, no Government Minister condemning the action or even the owner of the company deploring the violence.
But if here the big media companies do not have the crime committed by the unit and State repressor by Aracruz Celulose S/A, the Royal family of Sweden decided to sell their shares of the multinational due to complaints and strong pressure against the human rights violations committed and the disregard for the environment in Brazil.
Even with the complaints, the company still has vultusos resources from BNDES, State Bank. Recently it was reported that Aracruz Celulose S/A will benefit from more than $ 297 million of resources from FAT (the worker Support Fund). The loan, according to the social movements, should result in the loss of at least 88 thousand jobs. This information was not passed on to the public.
The people goes ahead Advancing on values that represent the pillars of capitalism, as technology and the private property of course that the peasant women's action against the Company Aracruz Celulose S/A would be rejected by various sectors. But it's so popular in Brazil fights progress. The people organized goes ahead taking shitload of all sides and responding to the emergency room of the day-by-day, while searching here, there and everywhere its allies.
Imagine if social movements pautassem their agendas and actions from the possible repercussions in the big media companies? Demarcation of indigenous land and agrarian reform, without land occupation and resumption, does not exist.
Christian Navarro, journalist, working as a missionary of the indigenous missionary Council (Cimi) in Mato Grosso do Sul.
Tupinambá-A brief history of many violence
Reports, evidence, testimony and investigations prove the persecution suffered by the Tupinambá
Renato Santana
Brasilia (DF)
|Marks of torture and destruction-Photos: Harald Heleno/Cimi
In the region of recôncavo, the recent history of violence by the State against the Tupinambá is vast. Of arbitrary arrests, abuse of police force, torture, destruction of houses, vehicles, food and school equipment to the list of charges against the State seems endless.
So it was that the Federal Police has systematically, by order of court decisions or other motivations not as clear to the Indians, the Indians to pressure to leave the areas taken over by the middle of the fight. The shares fell mainly against the leader, Chief Football, and their families. Then the Brazil in fact presents a chronological list of the comings and goings of local justice and the Federal Police actions:
April 17, 2008
First arrest of cacique Babau, accused of leading community demonstration against the diversion of federal funds for health. The cacique was in Salvador at the time of the facts.
October 23, 2008
Attack of the PF in aldeia da Serra of Baker, with more than 130 agents, 2 helicopters and 30 vehicles-to comply with legal warrants suspended in Federal Court (TRF) of the 1st Region and guidance of the Ministry of Justice, resulting in 22 rubber bullet wounded Indian and gas pumps poisoning, destruction of houses, vehicles, food and school equipment.
May 27, 2009
Pre-trial detention of the brother of chieftain, for driving car of Funasa carrying groceries. Judge Sanjib, TRF 1st region, found no justification in the order of imprisonment, of the Federal Court of Ilhéus.
June 2, 2009
Five people were captured and tortured by agents of the PF-pepper spray, punches, kicks, slaps, swearing and electric shock. The reports of the
IML/DF confirmed to torture, but the investigation concluded the opposite.
March 10, 2010
Football Chief is arrested at dawn in invasion of PF in his home, although the version of the agents – proven false-inform that the prison
would have happened in the time allowed by law.
March 20, 2010
The arrest of the brother of chieftain Football, by agents of the PF in the middle of the road, while carrying a vehicle for community use the village to repair.
April 16, 2010
Football and his brother are transferred to the maximum security penitentiary
in Mossoró (RN), for fear of the PF to see demonstrations before his carceragem in Salvador by the passage of "Indian day", in disrespect to Indian Status.
June 3, 2010
Football's sister and her baby two months are stuck on the runway of the airport of Ilhéus by PF, to the return of audience with President Lula, National Indigenous Policy in the Commission, by decision of the judge of the District of Buerarema. Remain trapped in Jequié for two months, even the judge resolve to revoke the order of imprisonment.
April 5, 2011
Stanislaus Luiz Cunha and Nascimento Silva Abdul were arrested in a situation of "blatant prepared"-practice illegal – in a beach operated by companies within the Indigenous Indian Land. Accused based on mere evidence of the crimes of "extortion" by PF, Stanislaus-taking controlled drugs-and Abdul-who had his right leg amputated after gunshot wound by PF agent – respond to "attempted murder" against federal police. Coincidentally, the action was made on the eve of the arrival of the Secretary of Justice of the State of Bahia, to the region. After two and a half months, the TRF 1st Region's given them freedom by 3 x 0 in judgment of habeas corpus, on June 20.
February 3, 2011
Arrest of Cacique Maria Grace, after testifying in the police station of the Federal Police in Ilhéus, in compliance with arrest warrant issued by Federal Judge Alberto Pedro Calmon Holliday, accused of "possessório", "claims conspiracy or bunch" and "arbitrary exercise of own reasons". The cacique was released at the end of June, after serving four months under house arrest.
April 14, 2011
Around the 5:0 morning, heavily armed and with search warrant and
seizure, several agents of the residence of the Chief scour PF Grace,
scaring the whole family – especially the many grandchildren of cacique. In
Salvador, arrived for meetings with local authorities the "Commission Tupinambá" CDDPH.
April 15, 2011
Heavily armed, the PF accompanies bailiffs pursuant to writ of repossession. Indian and Funai had not previously been enjoined the Act, which was attended by members of the CDDPH, who witnessed the unpreparedness of agents and the presence of suspected farmers who incited against the indigenous authorities.
April 28, 2011
The Federal Police provides for the investigation, forcing the federal prosecutor of AGU and Funai servers to provide testimony on the complaint of "coercion" against businesswoman Linda Souza, responsible for operating a beach, situated on Earth Tupinambá.
April 29, 2011
Arrest of cacique Philip Amaral, Anella Borges and Dana Samantha, three days before the delegation composed of deputies of SPONSORED and members of the CDDPH/SDH visit again the indigenous peoples of the region because of violence that continue to be denounced.
July 5, 2011
Five Indians are arrested by PF, under the charges of "obstruction of Justice" and "arbitrary exercise of own reasons", "conspiracy" and "possession" claims.


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- Release Dates
- In Theaters: January 22, 2016
Starring Matthew Walker, Rupert Evans, Ben Robson, Lauren Cohan
Directed by William Brent Bell
William Brent Bell"s The Boy (2016) is not your average scary doll movie. More like a killer doll movie. We posted the trailer a few weeks ago and had been interested ever since. The haunted doll reminds me of Robert the Doll, but in a much scarier way. The Boy releases in movie theaters this upcoming January 22, 2016. Lauren Cohan, Jim Norton, Diana Hardcastle, Ben Robson, Rupert Evans, and James Russell star in The Boy.
Synopsis:An American nanny is shocked that her new English family's boy is actually a life-sized doll. After she violates a list of strict rules, disturbing events make her believe that the doll is really alive.
Directors: William Brent Bell
Genres: Horror, Thriller, Mystery
Year: 2016
Runtime: 97 /
MPAA Rating: PG-13
Writers: Stacey Menear
Producers: Oren Aviv, Matt Berenson, Adam Fogelson, David Kern, Roy Lee, Gary Lucchesi, John Powers Middleton, Eric Reid, Tom Rosenberg, Jackie Shenoo, Robert Simonds, Donald Tang, Zhongjun Wang, Zhonglei Wang, Jim Wedaa, Richard S. Wright
Musicians: Bear McCreary
Cinematographers: Daniel Pearl
Editors: Brian Berdan
Movie Trailer
Related News
Lauren Cohen's THE BOY Blu-ray / DVD Release Date Details
William Brent Bell's The Boy (2016) with Lauren Cohen releases on Blu-ray / DVD / On Demand this May 10, 2016, via Universal Pictures Home Entertainment. The Digital HD release comes sooner on April 26, 2016. The Boy is different and unexpected to most, definitely worth watching. Lauren Cohan, Rupert…
THE BOY - 3 New Clips
Here we have three new clips for William Brent Bell's The Boy (2016). The clips are titled No Boyfriends, Dress Him Each Morning, and Kiss Him Goodnight respectively. The clips increase the creepy factor of the boy doll. The Boy releases in movie theaters this upcoming January 22, 2016, and…
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The comments are for discussing releases, helping others find releases and sharing BluRay/iTunes/VOD releases, internal or paid CAM releases should be discussed here. Just to clarify, public CAM releases can be posted on this page.
Sending abuse to other users, arguing or just unnecessary comments will be removed and repeat abuse will be blocked. Those who repeatedly post non release related comments will be added to the moderation list and then to the ban list if things don't improve. If you don't like an encoder then everyone else doesn't want to hear about it, especially those who get emailed every time someone comments.
BluRay Release Dates
Split – 18th April 2017
Sleepless – 18th April 2017
The Founder – 18th April 2017
La La Land – 25th April 2017
The Autopsy of Jane Doe – 2nd May 2017
A Dog's Purpose – 2nd May 2017
I Am Not Your Negro – 2nd May 2017
Gold – 2nd May 2017
Fifty Shades Darker – 9th May 2017
xXx: Return of Xander Cage – 16th May 2017
The Great Wall – 23rd May 2017
Get Out – 23rd May 2017
John Wick 2 – 13th June 2017
Railroad Tigers – 20th June 2017
iTunes Release Dates
Get Out – 9th May 2017
Rings – 21st April 2017
Updated: 15th April 2017 – Old dates removed.


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The Band of Heathens with The Quebe Sisters
Win Tickets: RSVP as "going", invite 5 friends and let us know you're coming in the comments on the event page and you could win 2 free tickets. The Band of Heathens are coming to celebrate their extensive catalog and new album, Duende, coming out January 13 and available to preorder here: http://bit.ly/2eTDhRu. For more info visit bandofheathens.com. Shop Band of Heathens Music: New Duende Album http://bit.ly/2eTDhRu Band of Heathens Store http://bit.ly/2eTGLUk Listen: Spotify http://spoti.fi/2fXGZij iTunes http://apple.co/2fXMkpH Watch: YouTube http://bit.ly/2eTCxMc Subscribe: Newsletter http://eepurl.com/cnDv61 Concert Alerts http://bit.ly/2eTCRuo Connect: Twitterhttp://bit.ly/2eTBtbm Instagram http://bit.ly/2eTvFyG Website http://bit.ly/2eTA9Fi #BandofHeathens #Duende


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Loving nursery workers provide a clean and safe environment with a state of the art security and paging system. Parents can have peace of mind while they attend one of the Connection Groups or one of the worship services. Nursery is provided for newborns through two year olds.
Pager & Security System
Lancaster Baptist Church has implemented a number of safety features and security measures to ensure that your child will have a safe, enjoyable experience while you attend our services. To ensure the safety of your little one, all of our volunteers are interviewed, screened and then trained. You will utilize a four digit code at check in with your child's photo ID so you will have the assurance of knowing that no unathorized person can pick up your child.
|Sundays and Wednesdays
|0-35 months
|North Aud.


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The killings haunt detective Takabi (Koji Yakusho), not least because he worries about the safety of his wife, a disturbed woman who is prone to become disoriented and lost when out of the home. The first half of the 1997 thriller Cure, directed by Kiyoshi Kurosawa (no relation) and now available stateside on DVD, details the crimes themselves, revealing the true culprit in the killings and showing the ways in which this murderous cipher gets inside his subjects' heads. The second half is about the detective, and about his struggle to keep the villain out of his own head.
Continue reading: Cure Review
The Stooges frontman Iggy Pop awarded France's 'highest honor'.
Guns N' Roses have grossed $230m from their 'Not In This Lifetime' tour so far.
Jason Drucker is Greg Heffley in the upcoming movie based on the novel of the same name.
Ford attributes his career success to films that pass 'from generation to generation'.


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Items in this set Merchant links are sponsored
Similar styles
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Thank you sweeties!!! @terrelyn-thomas-no-tags and @ausie34
Amazing Outfits (Outfit Only)
This group focuses on the outfit. A set does not have to look like a magazine layout to be amazing. Please note...we are not teenagers, and will most likely not be drawn to sets geared towards the younger generation. Thanks for your interest. Jackie and Bev
Standout Style
I encourage everyone to join and participate. Contests will be held every 3 days, with 12 winners.
Simple Style (Outfit Only)
This is a group where all sets are made with only clothing items, accessories, and make-up. I would appreciate it if no models, pictures or backgrounds be added to sets. Let's just create sets we could envision ourselves in without seeing models faces next to them! Have fun! :)
Creative, Stylish & Fun
Welcome to my group!! :) This is an OUTFIT ONLY group that will have all different fun contests. I chose outfit only but occasionally I will have contests with usage of props, quotes & pics, etc. I am open to ideas so feel free to offer contest suggestions or ideas for my group. One thing I am 100% dead set on is that ALL contests will be judged fairly & the creators that do win, will win only 1 place per contest so others can get a fair chance at placing & winning. Thank you for joining, I hope everyone has fun here!! :)
Classic Fashion- OUTFIT ONLY
This is a group dedicated to displaying your classic fashion sets without all the extra backgrounds and texts. The way I judge is solely based on what I would ACTUALLY wear and the organization of the items - I love a polished and thoughtful set versus a bunch of items scattered on the page. I automatically reject any sets that are not outfit only!! (FYI - I am not a fan of ankle boots, studs/ or the punk rock look)! :) Classic and timeless best describe the sets I look for in selecting the winners!
Thanks and have fun!!
Thanks and have fun!!
Your Personal Touch
Pick one of the plain white dresses below and add personality and spunk through accessories, color, and jewelry! Turn it from plain and boring into something colorful and bold!
Outfit only! *Must use 1 of the featured dresses*
Unlimited sets, 3 days, 10 winners.
Outfit only! *Must use 1 of the featured dresses*
Unlimited sets, 3 days, 10 winners.


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Women's Basketball Lands Three All-Met Honorees, Two Major Awards Senior Madison Rowland was named the All-Met Division II Women's Basketball Player of the Year, Elizabeth Naumovski was selected as the DII Coach of the Year, while redshirt senior MacKenzie Rowland landed on the... Full Story
Knights Ranked No. 7 in Final WBCA Poll After a season for the ages, the Queens College women's basketball team finished with a national ranking of No. 7 in the final Women's Basketball Coaches Association (WBCA) NCAA Division II Top 25 Coaches' Poll. Full Story
Madison Rowland Lands All-America Recognition from WBCA After being named D2CCA National Player of the Year on Monday, Queens College women's basketball standout Madison Rowland earned a spot on the 2017 Women's Basketball Coaches Association (WBCA) NCAA Division... Full Story
Knights' Historic Season Comes to a Close in Elite Eight The Queens College women's basketball team's historic season came to a close in the NCAA Division II Elite Eight on Tuesday night, as the fifth-seeded Knights fell to the fourth-seeded Harding University Lady... Full Story
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Student-Athletes Of The Week Alumni Spotlight Community Corner
Queens College Athletics Partakes in Local "Midnight Run" Members of the Queens men's soccer, fencing and volleyball teams...
More Community Corner
More Community Corner


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Are You Looking For An ADDITIONAL Source Of Income? Take your first step towards entrepreneurship.
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Start Date: 19 Sep, 2014
Duration: 1 months
Application Deadline: 18 Sep, 2014
No of Vacancies: 1
Internship Type: Full Time
Stipend Amount: 3000/-
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NYC Parks Events Calendar
Get up, get out, and do something! Just about any day of the year, you can find something fun, informative, and healthy to enjoy at an area park. Feel free to browse the listings below, or use the search tools to find an event that matches your interests and location.
Viewing 1,461–1,470 out of 2,229 events
from April 28, 2017 to April 15, 2018
Thursday, July 20, 2017
Special Express Arts 2
at Poe Park Visitor Center (in Poe Park), Bronx
11:00 a.m.–12:00 p.m.
Engaging special needs adults through art for self expression.
Category: Arts & Crafts
Open Track Night
at Icahn Stadium (in Randall's Island Park), Manhattan
6:00 p.m.–8:00 p.m.
This weekly event is an opportunity for adult runners and walkers of all abilities to utilize world-class Icahn Stadium!
Category: Fitness, Sports, Outdoor Fitness
Summer on the Hudson: Senior Movement
at Pier I (in Riverside Park South), Manhattan
6:30 p.m.–7:30 p.m.
Celebrate moving in strong and creative ways.
Category: Accessible, Education, Fitness, Waterfront, Outdoor Fitness, Seniors
Summer on the Hudson: Yoga Flow
at North Lawn at 78th Street (in Riverside Park), Manhattan
6:30 p.m.–7:30 p.m.
Link mindful breathing with movement in this full spectrum yoga practice that includes modifications and intensifications depending on experience level.
Category: Fitness, Outdoor Fitness
Summer on the Hudson: Everybody Tango!
at 125th Street and Marginal Street (in West Harlem Piers), Manhattan
6:30 p.m.–7:30 p.m.
Enjoy Argentine Tango with an introductory lesson, music, and dancing in the open air led by Strictly Tango NYC.
Category: Accessible, Education, Dance, Fitness, Saint Patrick's Day, Waterfront, Outdoor Fitness
Zumba under the Stars with Lisa G aka RockaZumbaWay
at Beach 108th Street Roller Rink (in Rockaway Beach Boardwalk), Queens
7:00 p.m.–9:00 p.m.
Get in shape with this popular form of exercise and dance which combines Latin and African dance steps.
Category: Dance, Fitness, Sports, Outdoor Fitness
Friday, July 21, 2017
Summer on the Hudson: Harlem Dances
at 125th Street and Marginal Street (in West Harlem Piers), Manhattan
6:30 p.m.–7:30 p.m.
Join various local companies for dance performances and lessons of different movement styles.
Category: Education, Dance, Festivals, Fitness, Waterfront, Outdoor Fitness
Movie Nights in the Rockways: Up
at Beach 94th Street, off Shorefront Parkway (in Rockaway Beach), Queens
8:00 p.m.–10:00 p.m.
Tying thousands of balloons to his house, he flies away to the South American wilderness. But Carl's worst nightmare comes true when he discovers a boy in a stowaway aboard the house.
Category: Film, Best for Kids, Free Summer Movies
Summer on the Hudson: Films on the Green Festival
at Pier I (in Riverside Park South), Manhattan
8:00 p.m.–11:00 p.m.
Films to be announced.
Category: Festivals, Film, Free Summer Movies, Waterfront, Movies Under the Stars
Saturday, July 22, 2017
Yoga on the Beach: Beginner Hatha Yoga
at Beach 108th Street (in Rockaway Beach and Boardwalk), Queens
8:00 a.m.–9:00 a.m.
Join yoga instructor Helen Kilgallen from Elaine's Dance School at this beginner Hatha Yoga Class.
Category: Fitness, Outdoor Fitness
Pages:< Prev1…144145146147148149150…223Next >
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- Get information on upcoming events directly in your inbox by signing up for our Email Newsletters.
- Know about an event that's not on the calendar? Send us a tip!
- Planning an event and considering hosting it in a park? Make sure to read our Planning an Event page.


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- Fixed Price
Poland | Pińczów
MINI EXCAVATOR CAT 301.8 WE ARE IN POLAND - 80 KM FROM THE LETTER KRAKAUWIR RECHNUNGWIR SPEAK ENGLISH, GERMAN AND POLISH We organize transport. View my other items! WARNING VIDEO !!! https: //www.youtube.com/watch v = V0pNyruV0i8 & t = 26s - Year: 2010- Hours: 3689- 4x4 bucket quick coupler Engine 3-cylinder - Net weight: 1780 kg-good Allgemeinzustand- ? no loose - bolt used without warranty WARNING VIDEO !!! https: //www.youtube.com/watch v = V0pNyruV0i8 & t = 26s WE organize tRANSPORT bY WHOLE world transport to Germany costs about 700-900 Euro Price: 13000 , 00 Euro net for company (invoice Export 0% VAT) with Ordinary invoice If you are business and a UID number have. is no VAT to. If your company has EN ............ tax identification number, you can buy the price net! (But first, please contact us)! For PRIVATE BUYERS: 15,990.00 Euro gross (invoice 23% VAT) We prefer self-collection and the payment in cash !!! For more information please call: Phone: 0048 509563284 (German, Polis


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Tail Boom Brace & Support Set by Blade Helis
Blade Helis
$1.99 Flat Rate Shipping!
|Low Price:
This item is eligible for $1.99 flat rate shipping Learn More
Check Store Availability
Please be aware that pricing and product availability in-store may vary from what's available online because each store is independently owned and operated.
This is a replacement Blade Tail Boom Brace and Support Set, and is intended for use with the Blade 300 X helicopter kit. This package includes two brace supports.
This product was added to our catalog on July 25, 2012.


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Philip J. Klass
From RationalWiki
|This might be
|But we're not sure
|Who's asking?
Philip Julian Klass was a prominent UFO skeptic (some would say pseudo-skeptic) and editor of the magazine Aviation Week and Space Technology. He is credited with coining the term "avionics". He is most notable for having written several books debunking UFOs. He also offered a US$10,000 reward if certain conditions proving UFOs were met. It remained unclaimed at his death. In 1999 Skeptical Enquirer named him number five on their list of top skeptics of the 20th century.
This skeptics-related article is a stub.
You can help RationalWiki by expanding it.
You can help RationalWiki by expanding it.


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Last night I came to thinking
Last night I came to thinking...
I am pretty content with my life. I have a good job (although I work awfully long hours), but I'm not afraid to loose it. I would probably rather feel relieved.
I was thinking - what I'm planning to do, is it really what I want to do with my life? Will I be happy, when I finally drop this job and move somewhere far? Will this satisfy me?
All I know for now, is what I don't want.
I don't wanna regret, that I didn't try.
What's my alternative? Stay in my current job (or work this way for some more months). That way I'd earn enough money. I could get mortgage for next 20 to 40 years and buy apartment in Warsaw. And then I'd be affraid to loose job.
That's really liberating thought, when I'm not afraid to lose job. Well, it makes me care less. The stress is not mine. I leave workplace at 5 p.m. and all the problems are not there anymore. Of course, next day I have to come back and look at those ugly mugs again for the next eight hours, an this sometimes makes me sick. For the next week, waiting only for the weekend...


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The light was intense and soft at the same time which can only be possible in autumn. Water, flowers and grapes was a perfect combination to capture this penetrating light in the geometry of space.
Oil painting by Natalia Beccher
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Letter time!!!!!!
Hi Rules Girl,
So question: Is it true that if you tell a guy you're not interested, but you keep emailing/chatting with/calling him, he'll keep thinking he has a chance? What are the rules for staying friends with someone that keeps trying to pursue you when you're only interested in being friends?
Dear Confused,
You seem to be sending some mixed signals. Maybe you should ask yourself WHY you keep wanting to talk to them? Do you like them? Why don't you want to date them? Do you like the attention? There are situations where you can keep talking to people you aren't interested and can stay friends, but in general, it's not fair to them because you're wasting their time. If you've clearly explained to them that you just value their friendship and want to be friends with them, and they are ok with still being friends... then you have done what you should do and are ok to continue talking to them. However, are YOU initiating the conversations? If so, you might be sending mixed signals. What if the tables were turned?
I don't know you're specific situation, but please ask yourself, "What IS my motive?" and be completly honest with yourself and them. Do you in fact like them but are scared? Do you not like them but want attention? Are you scared to lose them as a friend?
As always, there are exceptions depending on your specific situation (don't take that as an excuse to not do the best thing for both of you), but generally I would advise cutting them loose if you aren't interested so you can both move along.
Good luck!
Rules Girl