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Bracken's Law and the NHS
Everyone knows Godwin's law:
"As an online discussion grows longer, the probability of a comparison involving Nazis or Hitler approaches 1".
"and whoever does so, has lost the argument".
"The longer any discussion about the NHS goes on, the closer the probability a spurious invocation of the US system of healthcare gets to one, and whoever does so has lost the argument".
- I am in favour of free(ish) at the point of delivery services. By Free(ish) I don't rule out the likes of Prescription charges and nominal charges to see a GP or charges for missed appointments, which seem like reasonable demand-management to me.
- I am in favour of Tax Payer funding of healthcare. I cannot see any practical difference between compulsory insurance and tax-payer funding. Insurance is just risk-pooling. Taxpayer funding is a bigger risk pool.
- The NHS isn't very good. And it isn't very good principally because of its vastness and consequent bureaucracy, not because of its funding mechanism.
- More competition is necessary. And competition isn't about firms competing for government monopolies, that's mere crony capitalism, a kind of cargo-cult market that achieves nothing a market should do, and simply allows firms to profit from state monopolies. Competition means the funds following the patient, with the GP as gatekeeper and advisor to the patient.
The only serious black mark against the NHS was its poor record on keeping people alive. On a composite "healthy lives" score, which includes deaths among infants and patients who would have survived had they received timely and effective healthcare, the UK came 10th.
Ease of access and equality are based on Patient-reported surveys. And as the NHS is healthcare in the mind of most Britons, and such surveys are skewed towards patients who, ahem, survived, then I can't see such data's all that reliable. It's just a reflection of the almost mythical, religious support Britons have been brainwashed into giving what politicians STILL call "the envy of the World".
Where the data does stack up is the NHS's excellence in dealing with Chronic conditions. Here the ability to marshall resources and the bureaucracy to back it up helps. The problem in the NHS is the customer facing bit - particularly diagnosis and A&E. This is where patient choice and a functioning market with competing providers would make all the difference. Once in the machine, the NHS functions as a first-world healthcare system. Getting into the machine requires sharp elbows, luck and knowledge. Delays in getting into the machine are behind the NHS's poor record in combating cancer in particular. There is very little immediate punishment for failure, which is too easily covered up; South Stafford Hospital for example.
The sooner the NHS starts treating its patients as customers for whose business they compete, not an irritating cost to be borne by the long-suffering nurses, the sooner the NHS will warrant the plaudits lefties so desperately want to give it.
But in prioritising "efficiency" over "keeping people alive" in order to give your pre-chosen answer (a state-run system) a big gold star is a bit desperate, and nothing short of policy-based evidence making. Or as I prefer to put it, immoderately, LYING.


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Superman reaches stratosphere as Action Comics No. 1 hits $2 million mark on eBay
For those of you keeping track of what is surely one of the most important stories of the summer, Darren Adams' copy of Action Comics No. 1 has surpassed the $2 million mark on eBay. The Federal Way comic-book-and-sports-card dealer appears well on his way to setting a world record with the priciest comic book of all time.
I wrote about this one three weeks ago — the world's most perfect copy of the world's most desirable comic book. Action Comics No. 1 features the first appearance of Superman in 1938. Creamy white pages. Not a wrinkle, tear or dimple. Rust-free staples. The holy grail of comic books, and the sort of thing that might remind responsible citizens how much they once loved comic books, and wonder why they let silly business like adulthood get in the way.More
Comments | Topics: action comic, auction, ebay

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Accentuate your bathroom decor with this classic style bathroom light from Minka.More Details >
Quality and style make up this attractive bathroom light from the Minka Lavery Paradox collection. The strong lines are softened with a brushed nickel finish and etched marble glass. The ENERGY STAR® light fixture will add comfort to your bathroom.
Customers most agreed on the following attributes:
Bathroom light fixture gives enough light source. Item looks great!


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Reverence to Stone…
Samothrace album review
In recent years doom metal has been in an incredible state of good health and the last 12 months or so have been testament to this with the likes of Esoteric and Ahab all releasing superb records and on the more traditional doom end of the spectrum, things haven't been too shabby either (see: Hour of 13). Now enter Samothrace, with their second LP "Reverence to Stone", the follow-up to 2008's "Life's Trade", it seems the gestation period for a new album moves at the same pace of their stoner doom music but it's a wait well observed.
Samothrace's stoner doom couldn't sound any bigger or invigorating. Taking much from the obvious Sleep influence, the Seattle based four-piece has still crafted an enthralling and exhilarating doom record in "Reverence to Stone". With just two tracks, but considerably lengthy ones, Samothrace effortlessly pull you into a world that's both serene and sinister. It's the balancing act between lush melodies and dense, crushing doom that really draws one's attention towards this band.
First song "When We Emerged" uncoils with some hypnotic ambience to begin before descending into a wretched din characterised by avalanching riffs, a la Mourning Beloveth, and bile soaked vocals that drench the air. Soon though, the song morphs into something almost unrecognisable from the passages that preceded it. Sleek melodic lead guitars slowly begin to bloom, eventually blossoming into a beautiful instrumental mid-section that sprawls over a couple minutes only to be met by the vocals' return and more tectonic riffing that sees the song then begin to wilt away.
"A Horse of Our Own" then is a grand, 20 minute piece instigating with more of those stunning lead guitars that conjure such an imposing, and sometimes threatening, air. Once again, Samothrace meander through staggering aural vistas dipping into a lush ambient passage around the five minute mark before returning to monolithic riffs and swans in and out of the mellow and the thunderous several times over and over, all with such ease, but ends in wretched, pained fashion as Brian Spinks' screech is the last sound heard.
Much like the mythical tales of Ancient Greece that the band are named after, "Reverence to Stone" is grand, majestic and imposing. Also encased in absolutely stunning artwork, everything about this album has been crafted with nothing but love and care. And it shows in everywhere and most importantly in the music, because this is one stunning record.
"Reverence to Stone" is available via 20 Buck Spin.


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Our 2012 Year in Review out. Click here to check it out !
Also take a look at our new Local Food Recipes page and give us your delicious input.
Malama O Puna means to protect, preserve, cherish and nurture the district of Puna.
We are a Hawai'i non-profit corporation and 501(c)(3) volunteer service organization which focuses on the environment. Our mission is to assure critical habitat for native species and open space for future generations through environmental education, hands-on projects, advocacy, watch-dogging and land trusting.
Please visit our page, Who We Are, for more detailed information about our aims and for a list of our Board of Directors.
Currently, donations for the Uluwehi Native Tree Arboretum is top priority on our wish list.
Thanks to Ann Kobsa, one of our board members, we are now selling organic vanilla pods. All of the proceeds will go to Malama O Puna.
We should all recognize that it would be a good idea to take personal responsibility and, at the very least, reduce our personal dependency on these items. There are many good reasons to do this, starting with the pollution created by their manufacture: they are a petroleum-based product (think oil spills) and the oil refineries produce massive amounts of air pollution. At the consumer end of the cycle, as we all know, there is the (too often) 'mis-disposal' along our roadsides and in our oceans, as well as the failure of the plastics to break down and biodegrade. Unfortunately, many of us have become so used to the convenience of these bags that we can't image life without them. But it wasn't really all that long ago when there was no such thing as a plastic shopping bag (here is where I date myself) and people managed just fine. We had fabric shopping bags as well as cardboard boxes and paper bags - both made from recycled paper - to carry home our groceries. These are still available today. As a matter of fact, there is a larger variety of cloth and recycled shopping bags, in many sizes and colors, than ever before, and they are washable and can hold more weight than plastic. Shoppers at Island Naturals and Cost-U-Less are used to providing their own bags or using the boxes that delivered the merchandise to the store. These stores do a brisk business and have saved money on purchase of plastic shopping bags. In addition, they do not have the problem of disposing of all those boxes. And they can pass the savings on to their customers, because, make no mistake, those bags you are given at the register ARE NOT FREE - their cost is included in your grocery bill. But so many people have testified that they re-use their plastic bags for other things, such as their garbage, and would have to actually purchase trash bags if the ban goes into effect. The good news is that there are alternatives: if you have an animal, the bag the feed comes in is serviceable for garbage. And if you recycle and compost, you will have less garbage and won't 'need' so many plastic bags. I use the boxes from the grocery store to sort my recyclables, and it is really easy. They are all lined up in one area and as I need to dispose of something I just toss it into the appropriate box! When the box is full, I pick it up and carry it to the car and take it to the recycle center. Usually I can even re-use these boxes. But once they have gotten too old and funky, they can be recycled too - or used as a mulch around my plants. A representative of the senior center's nutrition program testified against the bag ban, claiming that the seniors take their leftovers home in the plastic bags, without which they would experience a hardship. Hello. Why can't they bring a lidded container with them and transfer their leftovers to that? This is not rocket science. I believe that we can all be creative and find alternatives to plastic shopping bags, enjoy less pollution, ease the strain on the landfill, protect our ocean and wildlife, and STILL enjoy a quality of life. We just have to decide what is important to us, that that is what we want to do, and then just do it!
Keep the 'Io Flying: This is still up in the air.
In 1993 a mainland group, National Wildlife Institute, heavily funded by Exxon and other large corporations, and with an agenda to dismantle the Endangered Species Act one species at a time, filed a petition with the U.S. Department of the Interior to have the 'Io removed from the Endangered Species List. That group is now defunct, but the government is forced by the rules to continue the process. Archaeological evidence shows that the 'Io were once found on all the major Hawaiian Islands, but now they are only here on the Big Island and nowhere else on earth! Wildfires, land clearing and lava flows have greatly reduced the number of huge 'ohia trees that they require for nesting, perching and fledging. I have noticed fewer birds than ever, and others I know have agreed. Yet Interior, using spurious random sightings and mostly computer modeling, are claiming that the population has recovered and expanded. If you disagree with them, please visit this page for more information and contacts: http://www.gpo.gov:80/fdsys/pkg/FR-2009-06-05/pdf/E9-13116.pdf#page=1 If the 'Io is your aumakua, please mention that and tell them what loss of protection means to you and your ohana. For more information, call us at 965-2000 or email us at firstname.lastname@example.com . Mahalo.
Coastal Land Owners Alert!
There are a lot of people moving here and buying coastal property, and they begin to develop without realizing that the rules are different here than on the mainland. Realtors, very often, will only tell them what they are legally required to disclose, so the buyers are unaware that there is a whole lot more they should know.
For example, because the coastline is constantly changing due to volcanic activity and rising sea level, it is a crucial first step to have a shoreline survey done. This will tell you where your official shoreline is, where you cannot develop at all, where you can develop if you apply for a special management area permit and where you can develop with just a regular building permit. Owners of coastal property have a very special responsibility to both the land AND the sea. Please don't take that responsibility lightly. Violations will cost you much more than just a fine – it will cost you the quality of the environment in which you live and it will cost you the loss of respect of your neighbors.
Development, according to land use definitions, includes even hand-clearing of coastal vegetation within 40 feet of the officially determined shoreline. Learn what plants you have before you go destroying them – some may be endangered and the federal fine is $10,000!!!
Left: From intact native coastal hala forest to nothing
This goes for inland lots as well. There is less and less native forest, our unique environment, every year. Young 'ohi'a may look like "scrub", but give it time and it will someday have a girth of over 11 feet and be full of lehua flowers. It may even harbor an 'io nest. Large albizia may look beautiful, but give it time and it will fall through your roof. You want to make the right decisions before it's too late. As with people, appearances can be deceiving.
Malama O Puna offers a free service to property owners who want to learn about the plants on their lot before they make an irrevocable mistake: we will send a knowledgeable person to walk your land with you and point out what you need to know to make an informed decision. We accept honoraria to cover the person's time and mileage – whatever you feel the service is worth to you. Every property owner who has ever taken us up on this offer has been extremely satisfied. Do yourself a favor and join their ranks. To make an appointment call René at 965- 2000.


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Make history as the legendary Master Assassin, Ezio Auditore da Firenze, in Assassin's Creed® The Ezio Collection, which includes the acclaimed single-player campaigns and single-player add-on content* from Assassin's Creed® II, Assassin's Creed® Brotherhood, and Assassin's Creed® Revelations with enhanced graphics for Xbox One and PlayStation®4 system.
While supplies last, specially-marked packages include a free* movie ticket to see Assassin's Creed in theaters December 21, 2016. Available at select retailers in the United States.
*Movie certificate is good toward one admission (up to $8.00 total value) to see Assassin's Creed at participating theaters in the US. Reward code void if not activated by 2/28/2017, and certificate void if not used by 2/28/2017. If lost or stolen, cannot be replaced. No reproductions will be accepted. No cash value. No change will be provided. Internet access and printer required, and must bring printed certificate to the participating theater box office to redeem. Not valid with any other offer. Offer valid for one-time use only. Not for resale; void if sold or exchanged. If cost of movie admission is more than maximum value of the movie certificate, then user must pay the difference. Limit two rewards per person. Must be 18 or older. Fandango Loyalty Solutions, LLC is not a sponsor or co-sponsor of this program. The redemption of the reward code is subject to Fandango's Terms and Policies at fandango.com/terms-and-policies. Use of the movie certificate is subject to the terms and conditions at activaterewards.com/hmm/terms. See activaterewards.com/assassinscreed/details for full details. All Rights Reserved.
Available Platforms
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Now you can dive deeper into the expanded lore of Assassin's Creed through the world of Assassin's Creed books. From series to gamer guides and original stories, through encyclopedias and biographies, Assassin's Creed books explore unanswered questions, introduce new characters, and give you the tools to conquer the latest games.
Books set within the vast universe of Assassin's Creed. Created especially for the fans by Ubisoft Publishing.
Assassin's Creed: The Essential Guide
Providing both fans and newcomers alike with everything they need to know about the world of Assassin's Creed, this beautifully illustrated hard cover guide is packed with information about the key characters, storylines and historical settings.
Assassin's Creed Heresy
Reliving the memories of his ancestor who fought beside Joan of Arc, high-ranking Templar Simon Hathaway slowly uncovers secrets of the past that could dangerously impact his present…and that of the entire Templar order.
The official movie novelization of the "Assassin's Creed" motion picture.
We work in the dark to serve the light. We are assassins.
Through a revolutionary technology that unlocks his genetic memories, Callum Lynch experiences the adventures of his ancestor, Aguilar, in 15th Century Spain. Callum discovers he is descended from a mysterious secret society, the Assassins, and amasses incredible knowledge and skills to take on the oppressive and powerful Templar organization in the present day.
Explore the Assassin's Creed Collection at ubiworkshop
Shop Now
Available Now on PS4 and Xbox One, and PC.
Explore the Assassin's Creed Collectibles
© 2017 Ubisoft Entertainment. All Rights Reserved. Assassin's Creed, Black Flag, Uplay, the Uplay logo, Ubi.com, Ubisoft, and the Ubisoft logo are trademarks of Ubisoft Entertainment in the US and/or other countries. "PlayStation" and the "PS" Family logo are registered trademarks of Sony Computer Entertainment America Inc. Nintendo trademarks and copyrights are properties of Nintendo. Software platform logo (TM and ©) EMA 2017.


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Boy Scouts considers changing ban on gay members
Parent prganization would allow local chapters to decide
COLORADO SPRINGS, Colo. - A proposed policy change by the Boy Scouts of America would allow local scouting chapters to decide for themselves whether to allow gay members.
BSA has long banned gay members, but a national trend against such discrimination is growing. Some corporations that have stopped donating to BSA because of the ban, believe that supporting it violates their own policies against discrimination.
"A lot of (scouting) laws deal with respect," said Charles Irwin, executive director of Colorado Springs Pride, a gay and lesbian organization. "I think this is more of an issue of being accepting, and not an issue about their sexual orientation. (Changes) would make the BSA stronger."
The Pikes Peak Council of Boy Scouts declined to comment on the issue, referring questions to the national office in Irving, Tex. The office and the Pride both released statements on the issue Monday (see below).
Irwin explained why local scouting chapters, as well as churches, civic groups and other scouting sponsors, have been silent on the issue.
"It probably has a lot to do with letting them see how it plays out in the media -- as unfortunate as that is -- because a lot of times, decisions are made to see how much of a problem this is going to create," he said.
Colorado Springs has in the past been considered a conservative, religious community that was less than welcoming toward the gay community. However, the city's recent ranking as the 13th-best gay community by a national survey apparently is an example of how attitudes are changing locally.
Still, the idea of gays in a traditional organization like the Boy Scouts, generates mixed feelings from the public.
"I have three brothers who were Eagle Scouts and it was so great for them," said Katie Clifford. "It breaks my heart a little bit that there are boys and or leaders who don't have the opportunity to be part of that."
"It depends on how they handle it," said Stone Strickland. "If they left it up to the populace, that's democracy, isn't it? If it's left up to the same people who made the decision for the national ban, then it really has no point."
"A lot of things have happened with the Boy Scouts in the past," said Pat Hofstedt, alluding to controversial allegations of sexual abuse by some scout leaders. "I just don't believe in what's going on with them."
According to some reports, BSA's proposed anti-gay policy change comes at a time when membership in the Cub Scouts, BSA's youngest division, dropped 3.4 percent last year, and membership in Venturers, a group for older teens, dropped 5.5 percent during the same period.
However, the number of Boy Scouts increased slightly last year. The organization was founded in 1910.
BSA did not provide a deadline for a final decision on changing its anti-gay policy.
Here is the statement from BSA:
"For more than 100 years, Scouting's focus has been on working together to deliver the nation's foremost youth program of character development and values-based leadership training. Scouting has always been in an ongoing dialogue with the Scouting family to determine what is in the best interest of the organization and the young people we serve.
Currently, the BSA is discussing potentially removing the national membership restriction regarding sexual orientation. This would mean there would no longer be any national policy regarding sexual orientation, and the chartered organizations that oversee and deliver Scouting would accept membership and select leaders consistent with each organization's mission, principles, or religious beliefs. BSA members and parents would be able to choose a local unit that best meets the needs of their families.
The policy change under discussion would allow the religious, civic, or educational organizations that oversee and deliver Scouting to determine how to address this issue. The Boy Scouts would not, under any circumstances, dictate a position to units, members, or parents. Under this proposed policy, the BSA would not require any chartered organization to act in ways inconsistent with that organization's mission, principles, or religious beliefs."
Here is the statement from Pride:
"Support for equality continues to grow in America, and today equality took yet another step forward with news that the Boy Scouts may finally put an end to years of discrimination.
The Boy Scout ban is psychologically traumatizing to our youth because it forces gay scouts to hide their authentic selves and dictates their silence regarding who they are, especially if they are being bullied.
It furthermore stigmatizes the children of same sex couples, whose parents are prevented from being a part of their children's involvement in the Boy Scouts thus sending the message that they or their parents are second class citizens. That is dangerous, inaccurate and must end.
We look forward to the end of LGBT discrimination at the national level and encourage local scout groups to follow suit."


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The joy of movement program seeks to promote physical, emotional, and mental wellbeing among young and adult women through the rhythms of music. The program is a movement and rhythm dance class that uses music, grounding, breathing, chanting, and hula hooping to encourage women to express their feelings using their body. The program is associated with many positive outcomes including: improvements in self-expression, particularly emotional expression; enhanced sense of self and self-esteem; raised energy levels; and greater body awareness.
The joy of movement program is part of Step Up Active Life (SUAL) - an organisation founded by Rose Genesio and based in Cairns. SUAL offers several programs that all incorporate life therapies through creative arts. The organisation has had much success working with children and adults in the Cairns region and those in isolated communities.
Step Up Active Life
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Sick note as trains fall to zero on time
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Every suburban CityRail train was late, and only 1 per cent arrived within 10 minutes of its scheduled time during peak hour on Monday night, as high levels of driver sick leave and a power fault crippled the network.
CityRail's latest figures show that the network's on-time running figures dropped to record lows this week, after power was cut at an Ashfield substation, stopping all services between Strathfield and the city.
The situation was worsened by a 70 per cent increase in the rate of driver sick leave, with more drivers calling in sick each day than at the height of the February rail crisis.
As many as 98 per cent of suburban trains were late early this year, and CityRail was forced to cancel at least 100 services a day, because of a chronic driver and guard shortage.
A RailCorp spokeswoman, Helen Willoughby, said the network may have hit zero on-time running previously but usually only after severe weather events, such as a large electrical storm.
"Once we had to stop all trains for more than an hour on Monday, and replace them with buses, our ability to recover was lessened," Ms Willoughby said.
Monday's zero on-time running figure was the second for CityRail in a week - not one train was on time on the intercity lines during the afternoon peak hour last Wednesday after "severe weather conditions".
Ms Willoughby said several lines were blocked by trees that had fallen onto tracks at 10 different locations.
"That was completely out of our control because obviously we can't stop trees falling," she said.
More than 80 per cent of trains were also late during Tuesday's evening peak, and 60 per cent of trains were more than four minutes late last Friday, which CityRail blamed on operational problems.
Figures for the morning peak are considerably better, with as many as 85 per cent of trains on time, but still well short of CityRail's target of 92 per cent.
The number of drivers off on short-term sick leave - less than three days - also hit fresh highs this week.
On average 43 CityRail drivers have been calling in sick each day in the second half of this year, compared to 34 in the first half of the year, Ms Willoughby said.
Yesterday, 64 drivers called in sick, while 62 were off on Tuesday and 51 on Monday.
"I think there is some evidence that this sick leave is coinciding with the sharp end of our enterprise agreement negotiations," RailCorp chief executive, Vince Graham, said this week.
Mr Graham said he was aware of situations where staff were deliberately co-ordinating "sickies" in an attempt to disrupt services.
He cited an example at the Hornsby depot where 22 of 50 guards organised to call in sick on the same day.
"I think the EA discussions that we're having at the moment are difficult because we are trying to resolve some important reliability issues for our customers," Mr Graham said.
But the Rail Tram and Bus Union said CityRail management was inflating the number of drivers calling in sick, and disputed that the average daily sick rates had increased.
A union official, Alex Claassens, said the Government was supporting that position in an effort to divert attention away from problems on the network.


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Larelle House is an Award-winning Queen Anne Victorian located in the heart of a Historic District in St. Petersburg, Florida. We're only a block from the shore of Tampa Bay, and the downtown district! (Rates shown include all taxes & fees)
Larelle House offers 4 antique-appointed guest rooms, open verandahs, lush landscaped grounds, and a gazebo covered in-ground hot tub for relaxation. With scrumptious full hot entrée breakfasts and an abundance of amenities, Larelle House seeks to provide every comfort and exceed all expectations.
Each evening, enjoy wine & cheese in the parlor together with your hosts if the guests should so choose. Soft drinks and homemade goodies are available in the dining room mini-refrigerator around the clock.
Unwind in the evening while privately soaking in the custom in-ground hot tub under a columned Grecian gazebo crowned with flowering bougainvillea. Or you may wish to cruise the neighborhood or waterfront on our bicycles, which are available for our guests to use as they wish.
The inn is equipped with high speed wireless internet access for personal laptops. Printing, copying, faxing and scanning are all available. Unlimited local phone calls are free. We also provide luggage storage for late departures.
We are in a perfect location - nestled in the serenity of the historic Old Northeast residential district - yet less than two blocks away from the always happening St. Petersburg waterfront and bustling downtown. Easily walk or bike to The Pier, Baywalk, Vinoy park, North Shore Park and beach, marina, shops, restaurants and the many bayfront attractions and special events. Larelle House in St. Petersburg is centrally located in the Tampa Bay Area within an easy drive to Tampa, Clearwater, Bradenton and Sarasota, and only minutes to Pinellas Counties' beautiful and world-renowned gulf beaches.
The Lavinia room is beautifully decorated with a massive four-poster queen-size bed gracefully draped with sheer fabric under a damask ceiling framed with intricate crown molding. It features a bay window facing the front lawn with a view of the quaint cobblestone street beyond. The ornate writing desk is perfect for tending to business or writing letters to loved ones. The private bath is appointed with an antique clawfoot tub/shower combination and pedestal sink.
The Victorian room is made for romance with its antique iron queen-size bed floating under a high ceiling embellished with purple flowers and bordered with ornate crown molding. An intricately inlaid wood dresser accents a corner and a duo of needlepoint chairs paired with a table topped by a Tiffany lamp beckon intimate company and conversation. It is a large corner room with custom draped windows overlooking the front lawn and side garden accented with a four tiered fountain. The private bath features an antique clawfoot tub/shower combination and pedestal sink.
The Longley room features a mile high intricately carved antique mahogany king-size bed situated under a high ceiling of romantic purple flowers edged by detailed crown molding. A Victorian lamp with a delicately fringed shade adorns a mahogany table whose legs are carved into graceful swans. An antique secretary and stool – perfect for writing out postcards to folks back home – completes the room. The private bath features a period pedestal sink and antique ceramic tile surrounding the combination tub and shower.
The Hemingway room is tucked in the back corner of the house and features exclusive access to its own open-air porch overlooking the rear garden and hot tub gazebo. Decorated with a writer in mind, it features an Old Florida motif with treasures gathered over years of world travel. A handsome secretary desk stands ready with an antique manual typewriter waiting for inspiration to strike. The antique iron full-size bed is romantically draped with netting suspended from the ceiling and a Tiffany style ceiling fan stirs a soft breeze. The small private bath across the hall is equipped with a built-in ceramic tiled tub and shower.


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Ratings and Reviews
Riverside Dog Park [view the full listing]
Dry Land Dog Park
This is good for land dogs but not so good for water dogs as there is no water to play in.
Round Rock Dog Depot [view the full listing]
Round Rock, TX 78664
(512) 218-5540
Round Rock Doggie Park
Yeah we are so happy this park has opened up! We love going here, we have room to room and cool things to play on like the obstacle course! Can't wait for the water feature!
Dessau Veterinary Clinic [view the full listing]
Dessau Vet Clinic is the best
Dr Campbell and her staff are very friendly and helpful and very good at what they do! I really recommend this clinic!posted: April 14th, 2008
Hip Hounds [view the full listing]
Round Rock, TX 78664
I love this place!
I don't normally like going to daycare but I totally LOVE going here! Everyone is really nice here and they take good care of me! The facility is great with indoor and outdoor play areas. I definitely recommend this place! I love Hip Hounds! Bark Bark!posted: March 4th, 2008


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plushenko is the most talented male skater i've ever seen in men's FS since i've been watching the sport.. plushy can beat mikey on a bad day IMOH.
plushenko is the most talented male skater i've ever seen in men's FS since i've been watching the sport.. plushy can beat mikey on a bad day IMOH.
Mike could very well be using this as an intimidation factor, but, I imagine a skater like Plushenko doesn't think twice about Weiss. I should probably shut up, if I send too much negative energy Mike's way, he'll end up pulling a Butirskaya of 99 Worlds and winning. LOL, to mention Maria, I think Mike is the Butirskaya of men's skating. Both are talented and have some impressive attributes, one of which includes an overactive mouth.
Doris Pulaski,
You must be thinking the same thing I was. As for Weiss beating Plushenko, my question is Where and When did this happen? It must have been in his dreams. That's the only place Michael Weiss beat both Plushenko and Yagudin.
Actually, for one of his World Bronze medals, Mike did beat Plush. (Actually, Plush beat Plush in that event by self destructing.)
As to Mike beating Yagudin, he probably did back in the 1997 time frame or earlier? Mike has been around a long time.
But in this time and place, it is hard to think about Mike and Evgeni inside the same head at the same time, let alone Mike beating Evgeni.
One thing this article did bring out, and other posters have mentioned it, is the very compliant, coachable nature of Mike. It does make one wonder who tells him that these are good things to say. It also makes one wonder how controlling his family is of him. Consider all the hours building big muscles in his FATHER'S Gold's Gym when that was not a good thing to do for skating.
I will have to be more charitable about Mike than I have been. I hadn't thought of him as a mentally abused child before.
I don't know Doris, as far as wild conspiracy theories go, I favor the "the wife controls him" scenerio. I think that her rink-side lurking has taken on a Suzanne Bonaily quality. :lol:

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As for voodoo... Abt is already out, three (or four) more to go. [/quote]
 I should have known! :lol:
DEE4707 I will be watching in Hoping to see Alexei in the crowd.
But, in regards to Mike beating Both Plush & Yags. Yeah it did happen. But, not like Mike makes it sound.
He beat Plush back in I think( Not sure of the year) But, either 96 or 97. Needles to say that Plush was a baby. But, it was when Alexei won his second World title. My Bad Also when Alexei won his 1st World title. Alexie just beat out Todd.
As for beating Alexei. The only time that every happen was at the Good Will Games last year. Everyone & their mother knows it was because, Alexei was starving himself & did not have the strength to skate.
So Michael beat them both when 1) they were babies & just finished nursing:lol: or
2) Someone starves themselves & is a much weaken state. That is how Mike beath both Alexei & Plush.
Mike gets on my last nerve but, He does make me & the entire skating world laugh with his statements. I hope that he keeps it up:rollin:
Michael Weiss is merely voicing the timely patriotic idea that Americans are superior to all. He will be up against FRENCH, RUSSIAN and CHINESE skaters. Those people represent disobedient Foreign interests. We as Americans need to rally behind Weiss in his campaign to assert American supremacy. If any of you criticizing Weiss is an American, you are a traitor just like the Dixie Chicks!
Fetal, you forgot to mention what a gas-guzzler the stretch humvie Lisa hired will be.
Fetal - You're in High Style. Luv it.

Quote:
If any of you criticizing Weiss is an American, you are a traitor just like the Dixie Chicks![/quote]
Fetal, if you were even being half way serious,:rolleyes: I wouldn't mind being a traitor.
Fetal's back!!!:lol: :lol:
That was a good one.:lol:
I wouldn't be suprised that he mentions something to that nature:rolleyes: .
But, I love it when Michael puts his foote in his mouth. I think that his foot has a new address there.
The Dixie Chicks are Satanic:evil: :evil: Don't buy their music.
I guess people can't agree to disagree anymore without fear for their jobs now:rolleyes:
Yeah, Mikey put his foot in his mouth again...something that he does with charming regularity. That said, it DOESN'T make him a bad guy, by any means....perhaps he's trying to psych himself up more...not many of us who are approaching a challenge with our work or lives gets to do that in such a public manner. Having diarrhea of the mouth is not a pleasant sensation, I'm sure, but I think it's better than having constipation of the brain...God knows, there are enough of THOSE people out there too.
Good luck Mike!
I will be :rollin: all the way if Michael turns in a first rate performance. Not because I want him to win, but because he is so overly bashed like Sarah was before the Olys.
I can't help but support bashed skaters.
I am with you Joe...
I pray to the skategods every night to make that perfect performance happen one day so that I can see the reactions all over the net. Oh man, that would be the "mother of all suprises".
You think it can't happen? I say never underestimate the PTB.
It might just happen.
Carry on, carry on.


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What you did was fine. sometimes it's easier following a set pattern ie fast efforts of 5, 3, 1, 30 seconds interspersed with 30/60 secs easy and repeat but if you are able to do a good session like you did, then that's fine.
Good that the calf held up. what is the 10k you are targetting?
After a fairly lazy week, I had a busy morning to make up for it. I ran a parkrun at 9am at 90% , took the club hill session for hour at 10am, and found easier to join in, though held back to about 80% and then at noon a club 7.5 mile cross-country race where stretched out a little and was first in age group well ahead of 3 runners who easily beat me in county race a few weeks ago, so looks like I need an excessive and seemingly rather over the top warm up these days!
Nice going Steve! Where was the Cross-country race?
Nice fartlek session Alex. Always my favourite type of session. Used to do lots of this for hockey training years ago and loved it ever since.
I'm really liking the loo kof your plan so far. I've been considering my options for my marathon which is on 12 May and beginning to think this will be the one to follow. Steve - I'll be looking to run 10-15 minutes slower than Alex. Would you suggest I just reduce the speeds down by the appropriate amount? I'm sure I'll be able to handle the mileage.
DS2 - race was at Joyden's Wood in Bexley. Did three hours on bike this morning and now contemplating if have energy to also run before the light goes.
yes suggest you just adjust Alex's given paces by about 30 seconds a mile.
Nice one Steve! I've recently discovered that a 'not all out' parkrun in the morning before an XC race seems to work quite well as a warm up.
Hows your training going DS2? Have you managed to get plenty done over Christmas?
Yesterday was a really busy day for you Steve! Thanks for the pointers for the fartlek, will try it out for the next session.
I've entered Maxifuel Dorney Lake 10k on the 20th of January, It looks to be pretty flat so with 3 more weeks training under my belt and a calm day hopefully be able to have a crack at a sub 38.
13 miles just done, at about 7.35 minute mile bringing me home in 1.38. Calf seems to be getting better every day so hopefully it will be 100% in a day or two. 47 miles for the week total.
Its been a good week all in all, got all the sessions done at the paces set and ran a fairly strong 10k. I've felt pretty good this week, plenty of energy most of the time, just the slight problem with the calf. On to week 3!!!
Another good week's training AW and also a good run today at a fair pace. Good that the calf is easing but the faster sessions will be the one that put pressure on. Re Jan 20 - yes a flat course but is usually windy there so will factor that into your next part of the schedule.
I eventually managed a hour but my fastest mile was about 30 seconds down on your average and my average page a lot slower but suppose ok after yesterday and bike ride.
Steve - I know that area well - my office is in Bexley! Thanks for the advice. I will aim to follow Alex but 5 weeks behind. Was the bike ride alone or with a group? Do you cross train in this way a lot? I am intending to ride from Lands End to John O'Groats in August (10 days) so need to keep doing something if I can on the bike. I have knocked it on the head whilst I've been building the running back up. Trying to decide if I could ride a couple of times (probably on the Turbo) as well as run 6 times per week????
A.W. - I've been doing pretty well and managing about 40 per week now (including Xmas week with 2 rest days!) and feeling very comfortable. I can handle a 10 miler inside 7:30 pace now without too much effort (working but controlled) so feel I'm in quite a good place to attack a sub 3:15 in 19 weeks time! It has been many, many years since I have been able to run 5 times a week so it feels a bit like new teritory. I'm sure I will handle 6 or even 7 days a week ok now the base is there.
Excellent week for you there Alex! I'm looking forward to following your plan! I will be watching with great interest. Good news that the calf is mending itself. I'm sure it will be ok.
That's a good amount of training you've got done today Steve, do you do a lot on the bike? Does it help with the running side of things or is it just good x training?
Hi DS2. It looks like your in a good place at the minute with your training, its always a challenge over Christmas I find trying to fit training and family commitments in. If a 10 miler inside 7.30 pace feels good now in a couple of months time it should feel really easy hopefully.
So into week three!
Mon Dec 31st: rest or 5M easy
Jan 1st: 5 x 1600 in 6 mins with 2 mins rest: 8M in total
Jan 2nd: 8M easy in 8 min miles
Jan 3rd: 6M build up run - starting at 7 min miles up to 6:20s at finish
Jan 4th: 5M easy or rest
Jan 5th: Hills or parkrun - 6M in total
Jan 6th: 16M slow in1:50
week total: 49M
Steve I have a club cross country next Sunday I forgot about. Its 8k so 5 miles, shall I just swap weekend training days around or add 10 miles on after the race?
re club xc - up to you what you find easier. If you do 16 on saturday, then you will probably be tired on Sunday and not run particularly well but at least you will get the run out of the way which in terms of marathon is the more important of the two. Alternatively you could try doing extra miles after the cross-country but if you run hard, then I have found it almost impossible to do any meaningful miles post race. You could do an extra 10 in afternoon when you have recovered more. In terms of training effect not quite the same as doing 16 straight off but at this stage not quite so important.
I do quite like getting on bike, occasionally with group, but usually with friends and it's a way of getting extra endurance but I think 3 hours cycling is only worth a hour of running. However, in new year would get run out of way first and then do any cycling afterwards as the run will be the focus. At moment due to slight loss of running fitness over last 2 years, I have been better at cycling than running in duathlon terms.
Very good week for you AW. Well done. Impressive 10k in those conditions...
I managed 51 miles this week, mainly slowish, but it's been a bit of a slog. Just wanted to get some miles under my belt. I ran Abo in mid October and then took it relatively easy for a couple of months (whilst still running a couple of times a week). Amazing how much fitness I seem to have lost in that period. Another slow parkrun yesterday; I tried running in spikes in view of the conditions but that wasn't ideal as part of our course is over stony paths. Let's hope it stops raining soon...
Steve - I'm not a cyclist but I did have a ride down to Box Hill with some friends a few weeks ago. Have to say that cycling up Box Hill on a mountain bike was every bit as hard as running! The ride back down was easier though!
Good week Alex, and a fun one ahead! Impressed at you getting in the miles especially at the moment.
Have a good New Year, and will check in when get back from a weeks holiday...
A.W. - I like the look of this weeks training. I'm quite excited at the prospect of being there in 5 weeks time, although 16 miles in 1:50 described as slow???? I guess 49 miles in the week is still less than you have been running. Do you feel fresher on the faster stuff?
Steve - I think that makes sense. I need to get my GFA bagged and I'll still have three months after that until the ride so my daily commutes of 35 mile round trips will get me up there pretty quickly once I start back on the bike!
golfer - reminds me of when I first started out on the bike about 4 or 5 years ago. Did you find riding back down scary? If you didn't you weren't trying hard enough!!!!
Hi Clive - nice to hear from you! How was Xmas? How's the training?
Good mileage this week golfer, its all good getting the miles in the bank!
Hi Clive, hope you had a great xmas, enjoy your holiday!
I like the look of this week too DS2, I really like mile reps, its one of my favorite interval sessions. The progressive run suits me quite well too. I did ask Steve about that 16 miles as it seemed a bit quick for a 'slow' run, but it was just a typo putting the slow in. I plan to aim for 7.30's a mile for that one, which will be around the 2 hour mark.
On that 16 miler, I will do it on the Saturday I think Steve and go a bit easier for the XC race on the Sunday. Like you say, the long run is more important for the marathon than the XC.
5 miles done this lunchtime before leaving for new year celebrations! 7.55 a mile for the run finishing in just over 39 minutes. Felt very comfortable, no lingering tiredness from yesterdays long run.
My mile reps tomorrow will be done on the sea front so lets hope its a calm day! It could be very hard one way and easy the other!
Happy new year everyone, wishing you all great success in your running challenges for 2013!
Happy new year Alex!! Sounds like your training is going really well!
Enjoy the celebrations and then the mile reps - when I do mile reps on track I like to mix it up a bit. ie first one pick the pace up each lap, second one 400m hard, 200m float, 400m hard, 200m flat, 400m hard third one fast straights and slower bends, fourth one 50m steady, 150m hard x 8, fifth one, 1200m at relaxed pace, then 400m hard etc but not really practical off the track.
did two parkruns today with some cycling between and just about managed sub-3 marathon pace in both on muddy courses but far harder than it should have been for such slowish times!
Same for me Steve, except couldn't even run at mp. Lloyd and Roundshaw - both very muddy (and more hilly than I'm used to!). Was still good to get out. Happy New Year everyone.
I only managed three reps this morning. I just had nothing in my legs and the wind was proving a bit much for my breathing. Luckily I am only on week 1 of 16. The only way is up!
A.W. /Speedy - good effort on getting out to do reps on New Years Day. Alex, respect for doing them with a hangover!
Steve - two parkruns and cycling between. Must have been like a mini duathlon!
I managed an easy 4.5 miles at 7:55mm. I was glad not to be doing anything harder but it was really pleasant on the downs today. Sunshine! At least we can all say we've run every day this year!
A.W. - could have been nasty. Seems like the week for falls. Glad to hear no real damage though. Did the dog owner say anything?
well done on the session AW in the circumstances - actually it would have been good even if it wasnt windy and you had a hangover! Sorry to hear about the fall.
I live near Greenwich park and it seemed to be very crowded today as sunny and a lot of people off.
On New Year's Day, a few parkrun races have later start times and so it's possible to do one at 9am and another at 10am which have done last three years with a different pair each time.
Happy New Year Alex. Very impressed you managed to get out today. I'm so happy today was a rest day for me. I'd really have struggled otherwise.
Sorry to hear about the rogue dog. As DS2 said, did the dog owner apologise at all?
Good luck with week 3!
Neither A.W. Lack of sleep maybe - next door were having a party until all hours, and the cat always goes a bit bonkers the first night back from the cattery - she runs up and down the stairs and meows a lot. Plus a long drive yesterday.... Never mind, tomorrow's a new day! And yes, it is VLM I'm running.
Hey Alex, hope you had a good new year mate - well done on getting out for a run today, although you clearly need to work on your dog hurdling!


text:
Man, woman arrested for copper wire theft
Suspects caught burglarizing commerical building around 3:15 a.m.
RANCHO MIRAGE, Calif. - A man and woman were arrested after police in Rancho Mirage found them removing copper cable from an electrical room.
Police said an officer patrolling Bob Hope Drive and Highway 111 found a suspicious vehicle backed into a parking lot behind a commercial building around 3:15 a.m. Monday.
When the officer pulled into the lot, Temecula resident Gregory Strahl, 42, ran from the scene. He was located by responding officers a short while later.
Police also found a woman in the vehicle, 43-year-old Loueenia Skgelstad of Menifee. After investigating, both Strahl and Skgelstad were arrested for burglary and possession of burglary tools.
Both suspects were booked into the Riverside County Jail in Indio.
The room they were attempting to steal copper cable from distributes electricity to several business suites within the complex, according to police.
Copper theft continues to be a crime that's plaguing local communities and the Rancho Mirage Police Department said it will continue to provide active patrols to curb the number of offenders.


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Olympic hopeful killed in car crash would have celebrated his 18th birthday today
A young Olympic snowboarding hopeful who was killed in a fiery car crash on Sunday would have celebrated his 18th birthday today.
The "completely devastated" family of Hamish Bagley said they were still in shock after his death on the Lindis Pass in Otago, which had left them planning a funeral instead of an 18th birthday bash.
His father Roy, who was in the United States when the crash happened, said the news had come as "a hell of a shock". However, he said the family had been "absolutely blown away" by the messages of condolence and tribute that have poured in from all around the world, from friends and colleagues of the snowboarding teen.
Hamish had been on the official long list of potential New Zealand competitors for the Sochi Olympics, but wasn't selected for the final 15.
"We've had huge support from all over the world. Hamish has touched so many people that we probably didn't realise." Mr Bagley said quite a few of the international Olympians competing at Sochi had been in touch.
"We're getting all sorts of tributes and wonderful support and feelings through social media, and it's quite humbling."
Speaking from his Arrowtown home, Mr Bagley described his son as a quiet achiever, prepared to give anything a go, but who never blew his own trumpet.
"He just got on with his work, and it's quite lovely to see that he's finally getting a bit of coverage for what he achieved in his nearly 18 years," he said.
"I have always been proud of my son. As a sports person he's always had a good, honest attitude to his sport and given it everything, and it's now nice to see that people are coming out and supporting what he did and expressing their pleasure of having known him and competed against him, and with him.
"I guess if you have to go through this as a parent, and you find this out, it gives you pride in a horrible time," Mr Bagley said.
Hamish, who was also a keen skateboarder, died when he was thrown from his car as it left the road on the Lindis Pass on Sunday night. The car rolled down a bank and exploded.


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Elevate CommunicationsInternet, Utah United States of America
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Door to door salesman came with news of Elevate Communications tauting how good there company was and how much money COULD be saved by switching to this company. Well, I have been disappointed almost as soon as this salesman left through the front door. We received a modem about 2 weeks after - it was supposed to be sent and delivered quickly. I tried to set up the LINKSYS modem but due to technical differculties with my account name I could not sign in to establishe my account. AFter numerous phone call to the Customer Care Number 1-888-337-1115 they tell me I have to contact the Marketing Department.
After making contact with a marketing rep they have not contacted me except through email telling me to activate my account. I have left phone messages on the sales departments phone but they do not return my calls. During these many (6 plus) months They continue to charge my charge card.
Additionally, when my card expired they somehow have been charging my new card with charges. These charges are from a company called VOIP.COM. These charges are unauthorized and I will be contacting authorities to investigate.
This report was posted on Ripoff Report on 12/20/2009 08:45 PM and is a permanent record located here: http://www.ripoffreport.com/reports/elevate-communications/internet-utah-/elevate-communications-account-never-activated-and-they-are-illegally-charging-my-credit-542825. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.
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Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)
Intracranial arterial disease includes thromboembolic events, vascular stenoses, and aneurysms. Endovascular techniques have been investigated for treatment of intracranial arterial disease, as an alternative to intravenous tissue plasminogen activator (tPA) and supportive care for acute stenosis and as an alternative to risk factor modification for chronic stenosis. For cerebral aneurysms, stent-assisted coiling has been evaluated as an alternative to endovascular coiling in patients whose anatomy is not amenable to simple coiling.
Cerebrovascular diseases include a range of processes affecting the cerebral vascular system, including arterial thromboembolism, arterial stenosis, and arterial aneurysms, all of which can lead to restrictions in cerebral blood flow due to ischemia or hemorrhage. Endovascular techniques, including endovascular pharmacologic thrombolysis, endovascular mechanical embolectomy; using one of several types of devices, endovascular deployment of several types of stents, and angioplasty with or without stenting, have been investigated for treatment of cerebrovascular diseases.
Acute Stroke
Acute stroke is the third leading cause of death in the U.S., Canada, Europe and Japan and is the leading cause of adult disability in the U.S. The acute brain injury of stroke has 2 major types: ischemic and hemorrhagic. Of patients with stroke presenting to the emergency department, approximately 80% will be diagnosed with ischemic brain injury. Distinguishing between these types of stroke is important because the established treatments for each are significantly different. The focus of treatment in ischemic stroke is reperfusion of hypoxic brain tissue, while the focus in hemorrhagic stroke is correction of the condition which led to bleeding. If the underlying cause of ischemia is systemic hypotension, this must be corrected. Far more commonly, however, a clot occluding an intracranial vessel is the cause of ischemic stroke. Recanalization of the vessel, particularly in the first few hours after occlusion, has been shown to reduce rates of disability and death.
While spontaneous thrombolysis does occur, treatment of ischemic stroke has focused on the use of intravenous tissue plasminogen activator (tPA) to promote dissolution of the clot and subsequent restoration of blood flow to the ischemic area of the brain. The use of intravenous tPA within 3 hours of stroke onset for selected patients is the standard of care for ischemic stroke treatment. Despite its benefits, widespread implementation of intravenous tPA is challenging. Reperfusion benefits decrease over time; infarcted brain tissue will not recover. In most states, fewer than 10% of ischemic stroke patients arrive in the hospital in time for intravenous tPA within the 3-hour window for its use. Because tPA is associated with an increased risk of intracranial bleeding, it is contraindicated in hemorrhagic stroke and in some ischemic stroke patients in which the risk of bleeding outweighs potential benefit, such as those with mild or resolving symptoms, hypocoagulable state, or advanced age.
There are several ways in which endovascular interventions may be used as a treatment for acute stroke. For patients who present with acute stroke within the time window for thrombolysis and meet other clinical criteria for intravenous tPA, endovascular interventions may be used in combination with thrombolysis. For patients who are not candidates for thrombolysis (eg, who present past the time window for thrombolysis), endovascular interventions can be considered as an alternative to standard conservative medical therapy.
Intravenous tPA has improved outcomes for many, but not all, ischemic stroke patients. Researchers have studied intra-arterial tPA, transcranial ultrasound energy, and mechanical clot destruction or clot removal as an alternative, or second line, to the established intravenous tPA therapy. Clots can be defined as located in large or small vessels. Large intracranial arteries include the internal carotid, Circle of Willis and the first 2 branches of the anterior (A1 and A2), middle (M1 and M2), and posterior (P1 and P2) cerebral arteries. These can be accessed with a catheter; further branches of the cerebral circulation are defined as small vessels and are too tortuous to be mechanically accessed with available technology.
Several types of endovascular treatments for ischemic strokes have been considered:
This policy focuses on the four devices with an indication for endovascular embolectomy for acute stroke.
An additional clinical situation in which endovascular therapies may be used in the treatment of acute ischemic stroke is in the setting of cerebral vasospasm following intracranial (subarachnoid) hemorrhage. Delayed cerebral ischemia (DCI) occurs about 3-14 days following the acute bleed in about 30% of patients experiencing subarachnoid hemorrhage, and is a significant contributor to morbidity and mortality in patients who survive the initial bleed. In cases refractory to medical measures, rescue invasive therapies including intra-arterial vasodilator infusion therapy (eg, calcium channel blockers) and transluminal balloon angioplasty may be used. The mechanism of disease, patient population, and time course of therapy differ for DCI occurring post-subarachnoid hemorrhage compared with ischemic stroke due to atheroembolic disease. Therefore, this indication for endovascular intervention will not be addressed in this policy.
Intracranial Atherosclerotic Disease
It is estimated that intracranial atherosclerosis causes about 8% of all ischemic strokes. Intracranial stenosis may contribute to stroke in two ways: either due to embolism or low flow ischemia in the absence of collateral circulation. Recurrent annual stroke rates are estimated at 4%–12% per year with atherosclerosis of the intracranial anterior circulation, and 2.5%–15% per year with lesions of the posterior (vertebrobasilar) circulation. Medical treatment typically includes either anticoagulant therapy (i.e., warfarin) or antiplatelet therapy (i.e., aspirin). The "Warfarin-Aspirin Symptomatic Intracranial Disease (WASID) trial was a randomized trial that compared the incidence of stroke brain hemorrhage or death among patients randomized to receive either aspirin or warfarin. The trial found that over a mean 1.8 years of follow-up, warfarin provided no benefit over aspirin and was associated with a significantly higher rate of complications. In addition, if symptoms could be attributed to low flow ischemia, agents to increase mean arterial blood pressure and avoidance of orthostatic hypotension may be recommended. However, medical therapy is considered less than optimal. For example, in patients with persistent symptoms despite antithrombotic therapy, the subsequent rate of stroke or death is extremely high, estimated in one study at 45%, with recurrent events occurring within a month of the initial recurrence. Surgical approaches have met with limited success. The widely quoted Extracranial-Intracranial (EC/IC) Bypass study randomized 1,377 patients with symptomatic atherosclerosis of the internal carotid or middle cerebral arteries to medical care or EC/IC bypass. The outcomes in the two groups were similar, suggesting that the EC/IC bypass is ineffective in preventing cerebral ischemia. Due to inaccessibility, surgical options for the posterior circulation are even more limited.
Percutaneous transluminal angioplasty (PTA) has been approached cautiously for use in the intracranial circulation, due to technical difficulties in catheter and stent design, and the risk of embolism, which may result in devastating complications if occurring in the posterior fossa or brain stem. However, improvement in the ability to track catheterization, allowing catheterization of tortuous vessels, and the increased use of stents, have created ongoing interest in exploring PTA as a minimally invasive treatment of this difficult-to-treat population. The majority of published studies of intracranial PTA has focused on the vertebrobasilar circulation. Two endovascular devices have FDA approval for treatment of symptomatic intracranial stenosis and are considered here.
Cerebral Aneurysms
Compared with acute ischemic stroke, cerebral aneurysms have a much lower incidence among the U.S. population, with prevalence between 0.5% and 6% of the population. However, they are associated with significant morbidity and mortality due to subarachnoid hemorrhage resulting from aneurysm rupture. Surgical clipping of intracranial aneurysms has been used since the 1960s, but the feasibility of clipping for aneurysms depends on the aneurysm location. Intracranial stents are also being used in the treatment of cerebral aneurysms. Stent-assisted coiling began as an approach to treat fusiform or wide-neck aneurysms in which other surgical or endovascular treatment strategies may not be feasible. As experience grew, stenting was also used in smaller berry aneurysms as an approach to decrease the rate of retreatment needed in patients who receive coiling. A randomized trial has demonstrated that treatment of ruptured intracranial aneurysms with coiling leads to improved short-term outcome compared with surgical clipping; however, patients who receive coiling need more repeat/follow-up procedures. In 2011, the Pipeline® Embolization Device, which falls into a new device category called "intracranial aneurysm flow diverters," or flow-diverting stent, received FDA premarket approval for endovascular treatment of large or giant wide-necked intracranial aneurysms in the internal carotid artery. The Pipeline device is a braided, wire mesh device that is placed within the parent artery of an aneurysm to redirect blood flow away from the aneurysm with the goal of preventing aneurysm rupture and possibly decreasing aneurysm size.
Several devices for endovascular treatment of intracranial arterial disease have received clearance by FDA through either the 510(k) process or through the humanitarian device exemption (HDE) process. By indication, approved devices are as follows:
Acute Stroke
Intracranial Stenosis
Currently 2 devices have received approval for atherosclerotic disease from the U.S. Food and Drug Administration (FDA) through the humanitarian device exemption (HDE) process. This form of FDA approval is available for devices used to treat conditions with an incidence of 4,000 or less per year; FDA only requires data showing "probable safety and effectiveness." Devices with their labeled indications are as follows:
Intracranial Aneurysms
In 2011, FDA granted premarket approval to the Pipeline® Embolization Device (Covidien/eV3 Neurovascular, Irvine, CA), an intracranial aneurysm flow diverter, for the endovascular treatment of adults (22 years of age or older) with large or giant wide-necked intracranial aneurysms in the internal carotid artery from the petrous to the superior hypophyseal segments (P100018). Approval was based on the Pipeline for Uncoilable for Failed Aneurysms Study, a single-arm, open-label feasibility study that included 108 patients aged 30 to 75 years with unruptured large and giant wide-necked aneurysms.
Three stents have received FDA approval though the Humanitarian Device Exemption (HDE) program for treatment of intracranial aneurysms:
Intracranial stent placement may be considered medically necessary as part of the endovascular treatment of intracranial aneurysms for patients when surgical treatment is not appropriate and standard endovascular techniques do not allow for complete isolation of the aneurysm, e.g., wide-neck aneurysm (4 mm or more) or sack-to-neck ratio less than 2:1.
Intracranial flow diverting stents with FDA approval for the treatment of intracranial aneurysms may be considered medically necessary as part of the endovascular treatment of intracranial aneurysms that meet anatomic criteria (see "Policy Guidelines") and are not amenable to surgical treatment or standard endovascular therapy.
Intracranial stent placement is considered investigational in the treatment of intracranial aneurysms except as noted above.
Intracranial percutaneous transluminal angioplasty with or without stenting is considered investigational in the treatment of atherosclerotic cerebrovascular disease.
Endovascular interventions (mechanical embolectomy, angioplasty, stenting) are considered investigational in the treatment of acute stroke.
Federal Employee Program (FEP) may dictate that all FDA-approved devices, drugs or biologics may not be considered investigational and thus these devices may be assessed only on the basis of their medical necessity.
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language.
Flow-diverting stents are indicated for the treatment of large or giant wide-necked intracranial aneurysms, with a size of 10 mm or more and a neck diameter of 4 mm or more, in the internal carotid artery from the petrous to the superior hypophyseal segments.
This policy only addresses endovascular therapies used on intracranial vessels.
These policy statements are not intended to address the use of rescue endovascular therapies, including intra-arterial vasodilator infusion and intracranial percutaneous transluminal angiography, in the setting of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage.
Medically Necessary is defined as those services, treatments, procedures, equipment, drugs, devices, items or supplies furnished by a covered Provider that are required to identify or treat a Member's illness, injury or Nervous/Mental Conditions, and which Company determines are covered under this Benefit Plan based on the criteria as follows in A through D:
A. consistent with the symptoms or diagnosis and treatment of the Member's condition, illness, or injury; and
B. appropriate with regard to standards of good medical practice; and
C. not solely for the convenience of the Member, his or her Provider; and
D. the most appropriate supply or level of care which can safely be provided to Member. When applied to the care of an Inpatient, it further means that services for the Member's medical symptoms or conditions require that the services cannot be safely provided to the Member as an Outpatient.
For the definition of Medically Necessary, "standards of good medical practice" means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of medical practitioners practicing in relevant clinical areas and any other relevant factors. BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary.
Investigative is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized as a generally accepted standard of good medical practice for the treatment of the condition being treated and; therefore, is not considered medically necessary. For the definition of Investigative, "generally accepted standards of medical practice" means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of medical practitioners practicing in relevant clinical areas and any other relevant factors. In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting.
7/2003: Approved by Medical Policy Advisory Committee (MPAC)
11/11/2005: Code Reference section updated, CPT codes 35475, 36100, 36215-36218 added, 37799 deleted; ICD9 procedure codes 00.40-00.43 added
3/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy
3/10/2006: Policy reviewed, no changes
5/24/2006: Coding update. 36100, 36215-36218 deleted
9/22/2006: Coding updated. ICD9 2006 revisions added to policy
5/10/2007: Policy reviewed, description section updated
8/19/2009: Policy reviewed, no changes
8/18/2010: Policy reviewed. Removed CPT code 35475 from the Non-Covered Codes Table based on the policy statement.
08/11/2011: Policy titled changed from "Percutaneous Transluminal Angioplasty of Intracranial Atherosclerotic Stenoses With or Without Stenting" to "Endovascular Procedures (Angioplasty and/or Stenting) for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)" to reflect the wider scope of the policy. Policy description updated. Added a new policy statement to indicate that the use of stents may be considered medically necessary for treatment of selected patients with intracranial aneurysms. Use is generally reserved for cases where successful occlusion of the aneurysm cannot be obtained with standard endovascular techniques, e.g., wide-neck aneurysms. FEP verbiage added to the Policy Exceptions section. Added a Covered Codes table and moved the following codes from non-covered to covered: 61630, 61635, 00.40, 00.41, 00.42, 00.43, 00.44. Added the following codes to the Code Reference section: 00.45, 00.46, 00.47, 00.48, 00.62, 00.65, 430, 431, 437.3 and 747.81. Deleted 39.50 from the Code Reference section. Deleted the Non-Covered codes table.
06/06/2012: Policy reviewed; no changes.
08/09/2013: Policy reviewed; no changes.
04/22/2014: Policy reviewed; description updated regarding endovascular treatments and available devices with an indication for acute stroke. Added investigational policy statement that "Endovascular interventions (mechanical embolectomy, angioplasty, stenting) are considered investigational in the treatment of acute stroke."
10/30/2014: Added new policy statement that intracranial flow diverting stents with FDA approval for the treatment of intracranial aneurysms may be considered medically necessary as part of the endovascular treatment of intracranial aneurysms that meet anatomic criteria (see "Policy Guidelines") and are not amenable to surgical treatment or standard endovascular therapy. Policy guidelines updated regarding flow-diverting stents.
02/12/2015: Policy title changed from "Endovascular Procedures (Angioplasty and/or Stenting) for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)" to "Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)." Policy description updated regarding endovascular therapy in the treatment of acute stroke. Updated FDA-approved stents for treatment of intracranial aneurysms. Policy statement unchanged. Policy guidelines updated to add the following statement: These policy statements are not intended to address the use of rescue endovascular therapies, including intra-arterial vasodilator infusion and intracranial percutaneous transluminal angiography, in the setting of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage.
08/27/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 00.40, 00.41, 00.42, 00.43, 00.44, 00.45, 00.46, 00.47, and 00.48.
06/09/2016: Policy number A.2.01.54 added. Policy Guidelines updated to add medically necessary and investigative definitions.
09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 037G346, 037G356, 037G35Z, 037G366, 037G36Z, 037G376, 037G37Z, 037G3D6, 037G3E6, 037G3EZ, 037G3F6, 037G3FZ, 037G3G6, 037G3GZ, 037G3Z6, 037G446, 037G456, 037G45Z, 037G466, 037G46Z, 037G476, and 037G47Z.
Blue Cross Blue Shield Association policy # 2.01.54
This may not be a comprehensive list of procedure codes applicable to this policy.
The code(s) listed below are ONLY medically necessary if the procedure is performed according to the "Policy" section of this document.
Covered Codes
CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.


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Talks on Missing Malaysian Airliner Begin in Australia
World News | Indo-Asian News Service | Monday May 5, 2014
The trilateral ministerial talks among China, Malaysia and Australia on the search of missing Malaysian Airline flight MH370 has started in the parliament house in Canberra Monday morning. It is expected to cover the search arrangement in the next phase.
Malaysia, Flight 370 relatives talk financial help
World News | Associated Press | Monday April 21, 2014
As the search continued off the coast of Australia for the missing Malaysia Airlines jet, the airline announced another plane bound for India was forced to make an emergency landing early on Monday after one of its tires burst on takeoff.
Ship hunts for more 'pings' in Malaysia Airlines jet search
World News | Associated Press | Tuesday April 8, 2014
Search crews in the Indian Ocean failed to pick up more of the faint underwater sounds that may have been from the missing Malaysian jetliner's black boxes whose batteries are at the end of their life.
Malaysia Airlines CEO bats away criticism, says passenger relatives top priority
World News | Reuters | Saturday April 5, 2014
The Malaysia Airlines chief executive said on Saturday the airline's role was to take care of the families of passengers who were on its missing jetliner and that it had curbed its advertising out of respect for their well-being.
Regret Missing MH370 plane 'lost', says Malaysian PM: highlights
World News | NDTV | Monday March 24, 2014
The missing Malaysia Airlines jet came down in the Indian Ocean, Prime Minister Najib Razak said on Monday, as the airline reportedly told relatives it had been lost and that none on board survived.
Search returns to Indian Ocean in hunt for missing Malaysia jet
World News | Reuters | Friday March 21, 2014
An international search force resumed the hunt for missing Malaysia Airlines Flight MH370 in the remote southern Indian Ocean on Friday as authorities pored over satellite data to try and confirm a potential debris field.
US examines pilot simulator data as Malaysia plane search falters
World News | Reuters | Thursday March 20, 2014
The FBI is helping Malaysian authorities to analyse data from a flight simulator belonging to the captain of a missing Malaysian airliner, a US official said on Wednesday as investigators grasped for clues 12 days after the plane vanished.
Missing Malaysia Airlines plane puts new satellite sensors in the spotlight
World News | Reuters | Wednesday March 19, 2014
The unexplained fate of Malaysia Airlines flight MH370 has thrown the spotlight on some satellite technologies that will make it easier in future for authorities to track and communicate with aircraft over water and uninhabited areas.
Reports of sightings in Maldives of missing jet are untrue, says Malaysian government
World News | NDTV.com | Wednesday March 19, 2014
The Malaysia airline plane has been missing for the past 12 days. The search is now being expanded to the Southern Indian Ocean with the search area extending close to the size of Australia.
First trip abroad, a new job, just engaged: stories from the missing MH370
World News | Associated Press | Tuesday March 18, 2014
There were 12 crew and 227 passengers on the Malaysia Airlines jet that disappeared about 40 minutes into a flight from Kuala Lumpur to Beijing on March 8.
Malaysian minister addresses media on missing plane: highlights
World News | NDTV.com | Tuesday March 18, 2014
The Malaysia airline plane has been missing for the past nine days. The search has been divided into seven quarters.
Last words from missing Malaysian jet spoken by co-pilot
World News | Agence France-Presse | Monday March 17, 2014
The last words from a Malaysian passenger jet missing for 10 days were spoken by the co-pilot, the airline said Monday, providing a new glimpse into the crucial period when the plane was deliberately diverted.
Co-pilot of missing Malaysian Airlines plane planned to marry pilot girlfriend: report
World News | Press Trust of India | Monday March 17, 2014
Fariq Abdul Hamid, the co-pilot of the missing Malaysia Airlines plane, was planning to marry Captain Nadira Ramli, a fellow pilot from another airline AirAsia, Sabah-based Daily Express reported today.
Pilots' homes searched, flight simulator examined: Malaysia
World News | Agence France Press | Sunday March 16, 2014
Malaysia said Sunday that police had searched the homes of a missing airliner's two pilots and were examining the captain's home flight simulator, but warned against "jumping to conclusions".
Missing Malaysia Airline plane throws spotlight on passport theft
World News | Associated Press | Saturday March 15, 2014
When a German tourist refused to surrender his passport as collateral at a car rental stand along a popular beach in the Thai resort city of Phuket, the woman behind the counter pulled out a bag full of passport books to prove he could trust her.
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Prosecutors say they also posted stolen information including emails and credit card details belonging to millions of people on file-sharing sites like Pirate Bay
One late-night visit by the FBI was all it took for Hector Xavier Monsegur to switch sides and cooperate with investigators to help close a net around five other leaders of the international hacking group Anonymous, according to court documents
Five members of Anonymous and an offshoot hacking group have been charged in the United States with taking part in a computer hacking conspiracy, a U.S. law enforcement official said.
LONDON – Lulz Security hacker group on Monday attacked the website of the Rupert Murdoch owned Sun newspaper, replacing the online version with a fake story pronouncing the mogul's death. The tabloid quickly took down reports that the 80-year-old had been found dead in his garden after...
BOSTON — The Lulz Security group of hackers said in a Tweet that it had launched an attack on the public website of the U.S. Central Intelligence Agency. The site, http://www.cia.gov, was unavailable for a few minutes Wednesday evening, immediately after the group announced the attack via Twitter.


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The landlord does not accept the following in this place:
If you're heading to the wonderful metropolis of Madrid and you're thinking about staying here for a while, then consider staying in this great-looking apartment located in Opañel - close to the metro station - and surrounded by plenty of refreshing green areas!
The flat, situated next to Intercambiador de Plaza Elíptica metro station, consists of four bedrooms, a neatly decorated living room, a fully equipped kitchen and a bathroom. The two available bedrooms are both well-lit and feel very cosy. Check it out!
You will be sharing this property with the landlady.
Looks like no one had the time to review this place yet!
These conditions were defined by the Provider and are subject to change.
We have verified this property. We are still working on having the Landlord's contacts and documents fully verified.
Getting Around
Your new neighbourhood
Path to university
At Uniplaces we make the process of booking an apartment as easy as possible for both tenant and landlord.
That's why we have our own team of professional photographers that verify our properties and pick our landlords carefully in order to save time on viewings: we think it's old-fashioned and time-consuming.
You can look at forty different apartments on our platform in the same amount of time that it takes to see a room.
The pictures you see here haven't been photoshopped, so they'll be really accurate.
If you've still got any doubts, we'll keep the money that you transfer us until 24h after your move-in date.
If something's not exactly what you saw online, we'll help you move somewhere else and return your money.
We can only give you the contact details of your landlord after your booking is accepted. But we can guarantee that Uniplaces chooses the landlords it works with very carefully.
Besides, we've had students whose favourite part was living with a local!
Landlords and host families can be great city guides, help you out with translations and even become your friends.
As soon as your booking is accepted, you're given the landlord's contact details. Then, you can discuss all details directly with them, such as when you'll be moving-in.
Students move in and out at different times, so your flatmates might change during your stay.
It's a great opportunity to make new friends!
We personally speak to students who we place in Uniplaces apartments and are sure we will find the right place for you as well!
At the bottom of the property page, you have a calendar where you can see the availability of that room/apartment, according to the landlord.
But if you're still unsure about that we're happy to help.
Tell us your move-in and move-out dates and we will double-check if the place is available for you!
There are two different types of deposits: the Holding and Security deposits.
By clicking on "Deposit" at the bottom of the offer page you will get more information about each type of deposit.
In general, the deposit is paid to cover for any potential damages that may occur during your period of stay or will be used as rent compensation in case you leave earlier than originally planned.
If no damages occur and you leave on the agreed move-out date, your deposit should be refunded by the landlord in a way you both agree on.


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Branded backpacks and sling bags are a phenomenal way to promote your company, as they make for a practical gift staff and customers can use every day. Seal the deal with prospective new clients, or advertise your business with a stylish product that's sure to receive wear around town. At ePromos, you'll find a vast selection of bags to choose from and options for personalization including various colors and sizes. Allow our team to carry the responsibility of designing the perfect promotional backpack to get eyes on your brand. Start browsing online or talk to a representative from our team to get started!
Nylon and PolyCanvas branded daypack with padded shoulder straps.
These convertible custom backpacks by elleven can transform into the perfect travel bag for overnights or two day travel.
Keep your expensive gadgets protected inside this custom sling backpack by elleven that has plenty of pockets for storage.
Get maximum brand exposure by giving reflective strip custom backpacks out to employees, customers, or students imprinted with your company logo or brand message.
Function and style come together with these Neotec laptop rolling custom backpacks for travel or everyday use!
New Balance now has a special version of the 574 custom backpacks that mixes the classic style with today's needs.
Push mobile technology to the limits with these custom backpacks that provides ports for charging electronics right inside the bag!
This spacious New Balance classic custom computer backpack features your logo and branding details to associate your name with quality.
Give your custom backpacks a sporty look with these New Balance Minimus computer backpacks with unique shapes.
This spacious checkpoint friendly New Balance custom computer backpack features your logo and branding details to associate your name with quality.
Travel smarter by using these computer custom backpacks that are made to be checkpoint friendly in order to keep recipients on track.
Multi-compartment computer custom backpacks built with High Sierra quality and holds up to a 15" laptop.
This spacious New Balance custom computer backpack features your logo and branding details to associate your name with quality.
Quality and details will never go out of style with these New Balance 574 Parks computer custom backpacks to get your brand noticed.
Carry your computer, tablet and other gear in style with these Alternative sling style computer custom backpacks imprinted with your company logo.
Diamond pattern promotional backpack for all students in all grades. This promotional backpack has many features while still being budget friendly.
Rugged 600d PolyCanvas imprinted backpack.
See the world in a different way and travel in style with these deluxe Alternative computer custom backpacks imprinted with your corporate logo.


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The Paleozoic Era is a major division of the geologic timescale, one of four geologic eras.
The Paleozoic includes six geologic periods; from oldest to youngest -- the Cambrian, Ordovician, Silurian, Devonian, Carboniferous and Permian.
It extended from roughly 542 MYA to roughly 251 MYA (ICS, 2004).
It follows the Precambrian Era and is followed by the Mesozoic Era.


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Next month, Colorado Music Buzz will host its third annual Higher Ground Music Festival. Hosted in Denver's RiNo Arts District on Saturday, August 23, this one-day festival boasts a lineup of national and local acts performing across five different stages. Founding owner and publisher of Colorado Music Buzz, Keith Schneider, sat down with AXS to discuss Higher Ground and the unique experience it offers Denver music lovers.
AXS: What has your role been in planning this year's Higher Ground?
Keith Schneider: A bit of everything. As a coordinator, marketing, web guy, sponsorship finder, and liaison to our incredible team!
AXS: Why did CMB decide to hold the Higher Ground Music Festival?
Keith: This is our third year. We felt we needed to embrace the local and touring community with a unique and memorable music event that showcases up and coming national and local talent.
AXS: Was CMB inspired by the music festivals held by other Denver publications, such as Westword and The Denver Post?
Keith: Not really - we totally respect UMS and the Westword showcase - they always do well. We were more inspired by music as a whole and exposing the local and up-and-coming national talent to the masses.
AXS: How would you compare Higher Ground to the Westword Music Showcase or the UMS? How does it stand out in the crowd?
Keith: We do everything in one location - we have five stages, but the way the schedule rotates, you can almost catch a bit of everyone's set. We see how fans want to interact with the artists, so we make it more up close and personal. We also "cap" our ticket sales to ensure that the fan gets the best experience.
AXS: Do you believe CMB has a responsibility to the Colorado music community to host events such as Higher Ground?
Keith: Yes, we do feel it is our responsibility. We have always seen it as a partnership between us and the artist and the fan. How do we make it a fascinating and memorable experience for all? That is always our goal.
AXS: Are you looking forward to any particular performances from Denver/Colorado musicians at this year's festival?
Keith: I am always amazed at the talent pool here in Colorado. We have a lot of new bands as well as some established acts. I really can't wait to see all the acts. Our national talent is exceptional, too. With several bands from Austin, Texas (Sphynx, Holiday Mountain, Calliope Musicals) as well as bands from California (ACIDIC, Pullman Standard, Finish Ticket) and of course our headliners BARCELONA (Seattle Washington), whom recently opened for The Fray at Red Rocks and BAYWOOD (California), who has been receiving a lot of radio attention locally here. These national bands are phenomenal and are worth the ticket price alone.
AXS: How has Higher Ground changed since its inaugural year?
Keith: More attention to details, improving the experience for the fan, and moving it down from the foothills to Denver. Also, increasing the national acts.
AXS: Any CMB events taking place before Higher Ground?
Keith: We are 1000% focused on this one. It will be epic! Five stages, a unique market place, t-shirts on demand, a really great VIP area all within a one block radius! It will be the block party of the summer! You can listen to all the bands, get tickets and details at here.
For a limited time, receive 50% off general admission tickets using promo code Higher here.


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Shure isn't a company that needs to update its products often. Among the audio nut crowd, they're held aloft as one of - if not the - most reliable manufacturer of earphones around. The SE215 takes over from the classic SE210, adding a detachable cable and a new earpiece design.
Shure's new range of SE215, SE315, SE425 and SE535 earphones are the (fairly) new kids in town, and in this revolution the SE215 have arguably gained the most of them all. They're not cheap at around £100, but they benefit from the detachable cable design and great cable quality of their more expensive brothers.
The previous-model Shure SE 205 had a less bulbous look than the manufacturer's higher-end models, but now the whole set has adopted a similar look that's similar to the all-time classic Shure SE530. It's curvier and more organic-looking and demands to be worn over-the-ears. Like Ultimate Ears's top-end earphones, a malleable ear loop is built into the 5cm or so of cable that shoots out of the earpiece.
The Shure SE215 are available in clear plastic or shiny black, the former exposing the wires inside the housing and the gold connectors that form the earphones' detachable mechanism. The bud itself swivels around freely on this joint, with coloured dots on each side of the divide showing you the position they need to be in to be pulled apart - red for the right side and blue for the left, so you don't get them mixed up.
Adding extra moving parts to something as fragile as an earphone is always a concern, but the cable connection seems very solid. A good hard yank is required to pull out the earpiece, and you should only need to do so if your cable packs it in. This shouldn't be a common occurrence either judging by the heavy-duty right-angled jack used here. It's exactly the same as the cable used in the Shure SE535, SE425 and SE 315. Replacements cost upwards of £40 (where Ultimate Ears's cables tend to cost around £20) but this should indicate what a bargain these earphones really are.
The cables have a slightly textured finish that's very successful at reducing tangles. They're reinforced with Kevlar too. It's as though the Shure SE215 is a C-list celebrity invited to an A-lister's dinner party and treated to the fine dining and adulation of the superstars around it. That's not to do these earphones down - we're comparing them directly to the SE535 here, which cost 3-4 times the price.
The Shure SE215 come with six pairs of foam and rubber tips, Shure's standards. These are of excellent quality and you should have no trouble attaining a good fit with them. Also typical of Shure's SE series, sound isolation is excellent. These earphones are the perfect partner for a noisy commute, blocking out screaming children and inane conversations with ease.
Shure SE215-CL Clear Sound Isolating In-Ear DJ Monitoring Headphones/Earphones$99.00 View Item
Shure SE215-K Sound-Isolating In-Ear Stereo Earphones (Black)$99.00 View Item
Shure SE215 In-Ear Only Headphones - Clear$69.99 View Item
Shure SE215 Sound-Isolating In-Ear Stereo Earphones, Translucent Black #SE215-K$89.00 View Item
Shure SE215 m+ Special Edition Sound Isolating Earphones w/ Remote + Mic - White 2 bids$62.00 View Item
Good review, and as a Shure owned myself this is very interesting and not surprising. Glad to hear they've done something to address the key weakness in their range, the weak cables.
However, there is something isn't so obvious and as it is not pointed out in your review. That is, is the performance of the new range relative to their predecessors. I'm an owner of a somewhat knackered pair of SE310s. Would it be an overall upgrade, despite the relative downrange in range?
Thanks a lot!
Hey I just have a quick question. Im looking to buy these headphones, and I was wondering if they would fin in a smaller ear size as they rest on top of the ear rather than hanging down?
Good Review!
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If your physician is willing to provide written permission for you to use clinical hypnosis for pain relief I can help you.
Hypnosis has been accepted as a valid procedure by the prestigious Mayo Clinic and has been used successfully in creating pain relief for many medical conditions.
The use of clinical hypnosis has been successfully used to relieve pain of all kinds - chronic pain as well as sudden acute pain.
Anyone can benefit from modern hypnosis which is a proven method for switching off and reversing the internal pain signal.


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Originally Posted by Rudyy
I kinda miss the FIRE COUGHLIN/GILBRIDE/FEWELL/ELI SUCKS threads, they were a good laugh.
Those haven't been around for a while, definitely not since December 2011. Not sure what you are talking about, but you joined these boards just before our playoff run to the Superbowl. I'd say things were pretty merry around here at that point in time...
Forum Rules


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You really are the question guy
hey guy i need to download a PowerPoint Program for windows XP.... ayone know where to snatch that ?
You really are the question guy
We must teach our children to dream with their eyes open.
-Harry Edwards
Star Office(used to be free, might be able to find some free versions) or Open Office(open source freeware)
Coarse edged youth, the irish pendants string from their smiles
not yet plucked as to slacken the seams
and drag down the features of age,
no folds or creases from unkempt wear
eyes of tranquilty, crystalline-beads
no sign of despair in their hair, nor their hearts
but oh they have yet to be experienced and that makes aging so very worth it...ML circa2012
heeeeeeeerrrrrrrrrrrrrrrrrrrrrreeeeeeeeeeeeeeeeeee ya go
Don't hate the player, hate the game!http://pages.prodigy.net/rogerlori1/...the%20wave.GIF
Before you talk about what you want - appreciate what you have.
A good marriage would be between a blind wife and a deaf husband. -Honore de Balzac
Desire+Consistency='s RESULTS