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Please note that we're really quick at packing your order up which means we can't make many changes once you've placed it. If you need to change your order please contact us asap and we will try our best.
Delivery in Canada is estimated at 3-6 days, we always include tracking for this service. Shipping rates (if any) are calculated during checkout.
These delivery times are exclusive of non-business days.

subset: commoncrawl


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Made with whole or reduced fat milks, canned evaporated milk adds creaminess and caramel-like flavor notes to savory sauces, desserts, and soups.
- Photo: Lee Harrelson; Styling: Ana Kelly, Mindi Shapiro Levine
Enrich Your DishWith more than half the water removed, the texture of evaporated milk is a bit thicker and creamier than fresh milk. That's why it's often used to enhance custards, frozen desserts, pie fillings, and rich sauces. If allowed to freeze slightly, evaporated milk can be whipped into a creamy topping.
Smokin' Macaroni and CheeseTampering with mac and cheese seems almost un-American. But this rendition shakes things up in a deliciously good way, tossing macaroni with a creamy thick sauce laced with smoked ham, smoked Gouda, evaporated milk and whole milk. On top: buttery crushed cornflakes.
Beef Fillets With Green Peppercorn SauceEvaporated milk stands in for cream to lighten this elegant French sauce that pairs pungent green peppercorns with sweet Marsala wine. If beef tenderloin isn't in the budget, try the sauce drizzled over pan seared chicken breast or pork tenderloin.
Sweet Potato CasserolePerfect for potlucks and holiday meals, this easy casserole combines baked sweet potatoes with evaporated milk, sugar, butter, and eggs to make a rich filling that's then crowned with a pecan-streusel topping. Don't like your casseroles too sweet? Cut the topping amount in half.
Guava-Candied Ginger GelatoCombining three types of milk—evaporated milk, dried milk, and 2% reduced fat milk—helps add creamy richness to this exotic, light gelato. Look for guava paste in the Hispanic foods section of the supermarket, specialty cheese shops, or gourmet groceries. Crystallized ginger can be found on the spice aisle.
Plum Island Sound Clam ChowderThis light New England style chowder can be made with fresh or canned clams. Thyme, bacon, red potatoes, two types of milk (evaporated milk and reduced fat 1% milk) and a splash of sherry keep it authentic, but if you like your chowder thick consider making a roux.
Butterscotch PieIf it's authentic butterscotch flavor you're craving, this cool custard pie won't disappoint. The rich tasting filling sports two light milks (evaporated skim milk and reduced fat milk) to help keep calories and fat in check. To save time, use a refrigerated store-bought crust.
Indian Bread PuddingAll the flavors of Bombay are laced into this slightly sweet bread pudding made with evaporated milk, butter, and rose-flower water. A creamy custard sauce made with pistachios and ground cardamom adds a delicate sweet finish.


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Job Opportunities
This page contains job postings for Curtis Memorial Library.
Applications for employment must meet the specified requirements as advertised. The Library will only accept applications for positions when there are vacancies to be filled or when an eligibility list must be established.
There are no job openings at this time.


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Download this .pdf tutorial and learn how easy it is to send a form letter to 1,000 different contacts.
Inside this course:
Suppose that you want to send a form letter to 1,000 different contacts. With the Mail Merge Manager, you can write one form letter, and then have Word merge each contact's information with the letter that you created. It's simple, and much faster than the manual alternative.
Before you begin
1. Understand the basics
2. Add a record to the data source
3. Select the mail merge type
4. Associate the data source and main document
5. Insert placeholders in the form letter
6. Filter recipients
7. Preview the letters
8. Complete the mail merge
Quick Reference Card
Practice file
Tutorial lessons are designed to be viewed in order. Download and use these practice files for hands-on experience while taking the tutorial.
MailMerge.docx (305 KB)
DataSource.xlsx (9 KB)
More courses available at Microsoft Office Training.


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My ears perked up when I heard the news that Mauro Perani, professor of Hebrew at the University of Bologna, has found what he believes is the world's oldest complete Torah scroll. Perani was updating the University library's Hebrew manuscript catalogue in February, when he realized the scroll had been wrongly dated by the last cataloguer in 1889.The 1889 cataloguer, a Jew named Leonello Modona, had described the letters in the scroll as "an Italian script, rather clumsy-looking, in which c … [Read more...]
Maimonides and a new Torah Scroll Controversy
June 3, 2013 by Leave a Comment
(Re)writing the Bible in Antiquity and Today
July 31, 2010 by 12 Comments
CANON The New Testament writers and early Church Fathers used the Septuagint (LXX) for proof texts and for personal and communal worship. The LXX is based on the Old Greek translations of the Hebrew and Aramaic Scriptures … [Read more...]


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The Rick James Presidency
posted at 7:42 am on June 28, 2009 by Kid from Brooklyn
Until now, I'd struggled to find a way with which to wrap my head around the endless "24" episode that is this abortive Obama presidency. The Carter II comparison seems apt given the toxic brand of galling pussilanimity with which this Administration conducts its foreign policy…as does the Nixonian label for its Alinskyite vindictiveness, and the Johnsonian appetite for governnment control over the daily affairs of the citizenry. I was at a loss, however, to find a precedent for the cavalier way with which The One swats away his critics…like so many impertinent interview-interrupting flies.
That is, until it dawned on me that we are staring down the barrel of the Rick James presidency. Who among us did not convulsively ROTFLMAO at David Chapelle's rendition of the now-departed Superfreak? Witness Obama's curt dismissiveness at the slightest hint of critique, whether he's trying to sumit the GOP House delegation into supporting Purkulus or reacting to John McCain's condemnation of the Teheran crackdown. "I'm POTUS, bitch". Look at Obama's relationship with a groupiesque media that covers for his catastrophic shortcomings between leg thrills. "Bitches, show POTUS your bias". Is not Obama's brazen contempt for taxpayers the equivalent of the "F*** yo' couch…" tirade?
Be not deceived by Obama's past preference for powdered confections a' la Rick James ("cocaine's a hell of a drug"). Obama's brain is now addled by his hatred of capital and individual achievement. Here's hoping our own electoral Charlie Murphy turns up in short order.


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Finding a local insurance agency used to be very simple with the help of the phone book that was in every home. Times have changed. Now, people look to their phones, tablets or computers to help them find a local insurance agent. But how do you get your agency to appear in those search results? When a phone only pulls up five local insurance agencies, how does the consumer decide which agency? Local business listings with online reviews help with both of these things.
Business Listings
Websites like Google+, Yelp, Angie's List and Facebook all allow customers to leave reviews of local businesses. Adding as much information as possible to your profile about your agency, including quality photos, correct address and contact information, is pivotal. This all helps communicate to potential clients that your agency is one they can trust to provide quality insurance and good service. You can create free business listings on all of these websites. Yelp also has an option for paid listings with more information, but a paid listing does not give more visibility than a free business listing.
Once you have these business listings set up, it is important to advertise them. A good first step is asking long time trusted clients for a review. When talking with these clients, asking them to review your agency is a good way to gather a few quality reviews. Next, advertise, advertise, advertise! Icons that link to these websites in your email signature and on your website are a great way to advertise. After a client has renewed his or her policy is the perfect time to ask for an online review. Ask your followers on social media to leave an online review. Be sure to include the link to your business listings. You want to make it as easy for them as possible. You can also ask for reviews and include links to your business listings in your agency newsletter.
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1415 Halsey Way, Suite 314 |
Carrollton, TX
75007 | Phone: (800) 383-3482
1415 Halsey Way, Suite 314 | Carrollton, TX 75007
Phone: (800) 383-3482


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Patient accommodation at Harlem Hospital
News from the health front: Gardenburger is trying to persuade hospitals, cardiac centers, and nursing homes to serve its Veggie Medley to its patients other than heart attacks on buns that constitute hospital food at the moment.
While I applaud this endeavor, I can't help noticing that there's still a McDonald's in the Cleveland Clinic, and only recently did McDonald's leave Harlem Hospital. So, there's a long way to go before eating in hospital doesn't leave you sicker.
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text: Home > How To > Cutting Holes in Sheathing How To Q&A Cutting Holes in Sheathing By JLC Staff Login or Register to download the PDF version of this article. (227.92 kB) Are there any code restrictions on cutting outlet boxes into the sheathing of an interior alternate braced wall panel?A.JLC staff responds: The IRC, in Section R602.10 (which covers braced wall lines), does not make specific reference to holes in any type of a braced wall panel. But there are some real structural limitations to cutting holes in the sheathing that provides bracing on these types of structural walls, and the decision to pierce the sheathing plane... Login or Register to continue reading


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Welcome from WI
This is a discussion on Newbie from CO within the New Members Introduce Yourself forums, part of the Welcome To DefensiveCarry.com category; Welcome to DC from Ga......
Welcome from Kansas!
I have sworn upon the altar of God, eternal hostility against every form of tyranny over the mind of man. -Thomas Jefferson
Welcome to the forum
"The Second Amendment: America's Original Homeland Security"
Welcome from Virginia...via Germany
Magazine <> clip - know the difference
martyr is a fancy name for crappy fighter
You have never lived until you have almost died. For those that have fought for it, life has a special flavor the protected will never know
Welcome from Mesa, Arizona via Fort Bliss, Texas
OEF Veteran
Welcome from Ohio.
"What lies behind us and what lies before us are tiny matters compared to what lies within us." - Ralph Waldo Emerson
Welcome from Milwaukee Wisconsin


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Federal grand juries meet on Thursdays and Fridays and there may even be a Wednesday grand jury. I want more on Ray Ray. maybe something will leak out tomorrow.
Nola.com has an opinion piece by James Gill that is pretty good.
Ray Nagin was a flop as a politician and a businessman: James Gill
Every time I think about the C. Ray investigation the song Lets Get it Started by the Black Eyed Peas comes to mind.


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Groups by Breed - Domestic Shorthair Groups
***The Quiz Club***
*Favorite Feline Foods*
Big Boned Brigade
Bombays Rule!
calico cats
Cat Lovers
Cat's "R" Cool
Crazy cats
Cuddly Calicos
Fat Cat Society
Friends till the End.
Fun with Domestic Shorthairs
Gorgeous Foggy Cats
Here Kitty Kitty
here kitty kitty!
Highlife of Seattle Hansome/Pretty Cat Society
Justice for the Animals
Kings & Queens of Catster!
Kitty and Doggy Dating Service
Kitty Channel
little kittens with big dreams
Lucky Cat Club!
NJ kitties
On the prowl at midnight
Ontario Catsters
Patchwork Calicos!
pazzy and daisy's group!
Planning for Albert's Catchelor Pawty!!!
Purr of Love
Rescued Tabbys 'R Us
Senoir Cats Clan
Siamese domestic shorthairs.
Snow kitties
Tabbies are the Cat's Meow!
Tabbies With Gratitude!
the black is back
The Black Kitties
The Downtown london cats
The official Domestic Short-hair Group
The Pampered kitty's group
TortoiseShell Cats
Yellow Cuties club
You're my breed (Domestic short or long hair)
~Domestic Shorthairs of Awesomeness!~


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The only sticker I have is my bailbondsmans logo and phone number
This is a discussion on Stickers on vehicles or not? within the Concealed Carry Issues & Discussions forums, part of the Defensive Carry Discussions category; No stickers for me; but, I'm not sure anybody pays any any attention to them unless they're vulgar....
No stickers for me; but, I'm not sure anybody pays any any attention to them unless they're vulgar.
The only sticker I have is my bailbondsmans logo and phone number
i only have one sticker on my truck.most people dont know what it means ( got sig? )
whenever someone asks me what it means,i say i don't know,i found it somewhere. besides everyone in Austin has some type of sticker, or ten on their rides.
Government, even in its best state, is but a necessary evil; in its worst state, an intolerable one.
― Thomas Paine
If You Want To POPULATE Heaven
You Have To PLUNDER Hell!!
4th Man Ministries
I don't have any stickers either. Maybe some day...
No stickers for me and I agree with the "gray man" mindset.
- - - - -
Outside of a dog, a book is man's best friend. Inside a dog, it's too dark to read. -Groucho Marx
I've got a large locker in the garage that collects my stickers... on the INSIDE of the doors!
But I do have some more, maybe I might share them with a liberal and his car!
ALWAYS carry! - NEVER tell!
"A superior Operator is best defined as someone who uses his superior
judgement to keep himself out of situations that would require a display of his
superior skills."
I was thinking of buying a Toyota Prius and putting a Gore and a Kerry sticker on it. Surely there's no firearms in that car. It was also keep security from wanting to search my car (LOL). No, I'm a good employee and always go to the lock-up for my weapons.
No stickers for me.... I even take the dealer stick on's off.
Nope, no need to advertise by putting any gun or shooting related stickers on your car or home windows.
Save them for your shooting box, gun cart or ammo cabinet.
I have my FOP and NRA in my window. Thats it.
Don't hit at all if it is honorably possible to avoid hitting; but never hit soft!
-- Theodore Roosevelt --


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This event brings together distinguished personnel from banks, government bodies and technology companies to discuss and address crucial issues on how to seize new opportunities in retail banking and wealth management while making it beneficial for all stakeholders.
Banking: East Africa
The East African banking market is becoming increasingly characterized by economic resilience, ease of customer access and a high level of technological adoption. Here's what you need to know about Africa's most promising banking market:
For more information about the East Africa Future Banking Summit, please write to email@example.com
Interested in this topic?
15th Annual Retail Banking Forum
As the region's favorite conference, the Retail Banking Forum is the industry's meeting place, where seasoned banking professionals combine C-level insights on successful retail banking strategies and hands-on case studies, transforming the current financial ecosystem.
Collateral Management Forum
The most established Collateral Management Forum in Europe is approaching its 11th Annual. 2017 is turning out to be filled with questions on initial margin and variation margin deadlines, MiFID II, Brexit, digitalization in collateral management and more, which will be answered at this forum.
Sales and Marketing in Insurance
Currently, insurers must compete not only among themselves, but also with insurtech startups and disruptors. This event focuses on the latest trends in channel management, digitization, customer-centric strategies, digital customer journeys as well as product innovation.
More articles
White paper: Collateral Management 2.0 - Preparing for OTC Derivatives Margin Regulation and Beyond
Take a look at the White Paper by our Partner DTCC-Euroclear Global Collateral
The Human Face of Big Data
Modern customers are savvy, and want to choose where, when and how they wish to interact.
Interview with Michaël Nieuwesteeg
Recently, we conducted an interview with our prominent speaker – Michael Nieuwesteeg Managing Director at Netherlands Packaging Center (NVC) the future growth of packaging industry in ME region


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Back in the day, all you needed to write was a pen and some paper—or a stick and tree bark, if you want to go that far. Technically that still holds true, but why deprive yourself when there are better tools in your arsenal? Writing software can help you better plan your structure, check your grammar, format your text, and minimize distractions, among others. Here are some cool programs that can help you in writing essays or that novel, or screenplay—or at least make the job easier.
Open-source word processing
Maybe you're a hard-up writer or a student trying to get your first break. In any case, you can't afford the $300-plus Microsoft Office suite, and Notepad simply isn't doing the job. The answer is open-source software—programs written by a community of developers and made available to the public for free. OpenOffice has all the functionalities of Word and is able to save in all formats. AbiWord is also a great option, especially for those working in multiple languages or across various operating systems.
Collaborative work
If you're working with other writers, you'll want to be able to access your files simultaneously and track the changes your partner makes. Google Docs is a free system that lets you store documents of all file types, including .doc, .ods, .pdf, and .rtf. A strong competitor is Writeboard, which allows you to save every change and revert to any previous version. Although strongly made for collaborative documents, it works just as nicely for solo work.
Fiction writing
A 60,000-word novel or 200-page screenplay can be too much for even the latest version of Word to handle. In this case, you'll need more specialized software. New Novelist, for instance, allows you to start with notes and references, divide your book into chapters and headings, and even choose from about a dozen preset structures. If you're having trouble planning, check out Character Pro by Typing Chimp Software—it uses a programmed psychological structure to help you round out your characters.
Need a hand with some French dialogue or want to polish your English? There's probably a program for that too. WhiteSmoke is based on a technology called natural language processing (NLP), which goes beyond the basic grammar and spelling runs to check your text for smoothness, professionalism, and overall flow. Lokalize, a professional translation program, is great for translating context-specific text and correcting foreign-language grammar.


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Age 18-24 + Liposculpture Q&A
Liposculture on Upper Arms Cost?
How much does Liposculpture cost? I am a petite 5 foot tall 22-year-old and I am looking to get lipo on my upper arms. I do not have a lot to be... READ MORE
What is the best way to get curvy hips for an athletic 21 year old female with square hips? (photos)
Hi, I am a 21 year old student. I'm very athletic and fairly muscular. I work out and exercise 6 days a week. I have very square hips, no curves at... READ MORE
Do You Get Better Results when You Have More Fat in You than when You Almost Have Your Ideal Weight in Liposuction?
Hi km 20 years old km 5'1 and I'm going to be getting liposculture in 3 months but I am about 40 pounds overweight should I loose weight first to get... READ MORE
Too narrow hips. Fat tummy, boobs etc but no hips or bum.
Hi :) I'm an 18 year old female and I have really narrow hips. I'm a bit fat and biggish boobs but for some reason I have no hips and I feel like it... READ MORE
I'm a 19 Year Old Trans Woman. I Want to Know About Liposuction and Body Contouring?
As the title says I'm a 19 year old Trans Woman. I'm 5'8 and 170 pounds. I've been on HRT for 7 months now with little change to my overall body shape... READ MORE
Lipo or No Go?
I reached my goal weight of 180lb on my 5'3 frame. Im 22 y.o and would like to undergo a liposculpture procedure while augmenting my breast/butt. I... READ MORE
I'm considering liposculpture. Can I expect a true hour glass shape with a flat stomach? (Photo)
I am 24 years old. I never had children. I am a bariatric patient, lost 70 pounds. I do not really have any loose skin. I am at my ideal weight... READ MORE
I'm 19 and I'd like liposculpture. Is it a bad idea?
I would like to get a liposcuplture with fat transfer. i gained 20 pounds in 1 year. i don't have kids but plan to in the future. I want to make sure... READ MORE
What surgical options are available for an early 20 something young woman who already has a nice figure?
My goal is to have a much smaller waist and rid myself of back fat I've acquired as a result of a breast reduction. I absolutely do not want a tummy... READ MORE
I'm 23, 5'4, & weigh 145lbs. I would love to get Liposculpture, trim some fat on my face, & add some fat to my butt. Cost??
I do kickboxing 6-7 days per week and love working out. I eat healthy and I have lost 40lbs in a short amount of time (3-5months). I've been trying to... READ MORE
What is the difference between liposculture, Brazilian butt lift and fat transfer? (Photo)
Hello doctors! I'm 22, I had twins 2 years ago and even though I lost most of the baby weight I still don't have the body I had. My goal is to have a... READ MORE
What are there body contouring procedures for a person within their normal weight range? (photo)
I'm 19 and weigh 127lbs. I'd like an hourglass figure but I'd say I have a square shaped body. And would waist shrinking require weight gain? READ MORE


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Background and Objectives
Complications resulting in hospital readmission are important concerns for those considering bariatric surgery, yet present understanding of the risk for these events is limited to a small number of patient factors. We sought to identify demographic characteristics, concomitant morbidities, and perioperative factors associated with hospital readmission following bariatric surgery.
We report on a prospective observational study of 24,662 patients undergoing primary RYGB and 26,002 patients undergoing primary AGB at 249 and 317 Bariatric Surgery Centers of Excellence (BSCOE), respectively, in the United States from January 2007 to August 2009.
Data were collected using standardized assessments of demographic factors and comorbidities, as well as longitudinal records of hospital readmissions, complications, and mortality.
The readmission rate was 5.8% for RYGB and 1.2% for AGB patients 30 days after discharge. The greatest predictors for readmission following RYGB were prolonged length of stay (adjusted odds ratio [OR], 2.3; 95% confidence interval [CI], 2.0–2.7), open surgery (OR, 1.8; CI, 1.4–2.2), and pseudotumor cerebri (OR, 1.6; CI, 1.1–2.4). Prolonged length of stay (OR, 2.3; CI, 1.6–3.3), history of deep venous thrombosis or pulmonary embolism (OR, 2.1; CI, 1.3–3.3), asthma (OR, 1.5; CI, 1.1–2.1), and obstructive sleep apnea (OR, 1.5; CI, 1.1–1.9) were associated with the greatest increases in readmission risk for AGB. The 30-day mortality rate was 0.14% for RYGB and 0.02% for AGB.
Readmission rates are low and mortality is very rare following bariatric surgery, but risk for both is significantly higher after RYGB. Predictors of readmission were disparate for the two procedures. Results do not support excluding patients with certain comorbidities since any reductions in overall readmission rates would be very small on the absolute risk scale. Future research should evaluate the efficacy of post-surgical managed care plans for patients at higher risk for readmission and adverse events.
Citation: Dorman RB, Miller CJ, Leslie DB, Serrot FJ, Slusarek B, Buchwald H, et al. (2012) Risk for Hospital Readmission following Bariatric Surgery. PLoS ONE 7(3): e32506. https://doi.org/10.1371/journal.pone.0032506
Editor: Mercedes Susan Mandell, University of Colorado, United States of America
Received: January 5, 2012; Accepted: January 31, 2012; Published: March 7, 2012
Copyright: © 2012 Dorman et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: The authors have no funding or support to report.
Competing interests: The authors have declared that no competing interests exist.
The astonishing rise in obesity prevalence and the marked decline in perioperative mortality over the previous two decades have both contributed to the growing popularity of bariatric surgery. In the period from 1998 to 2003, the number of bariatric procedures performed increased 10-fold [1], and in 2009 alone, 220,000 bariatric surgeries were performed in the United States and Canada [2]. Despite the clinical benefits, the potential for serious and costly major adverse events deters many patients and payers from utilizing its advantages.
Bariatric surgery is safe with a 0.15% to 0.5% 30-day mortality rate [3]–[6], however an appreciable proportion of patients suffer at least one major adverse event within the first 30 days following either Roux-en-Y gastric bypass (RYGB) or adjustable gastric banding (AGB) that results in hospital readmission. A hospital readmission increases the average 180-day cost of a bariatric operation from approximately $27,000 to $65,000 [7]. In response to the high costs of hospital readmission, in 2008 the National Quality Forum indicated that hospital readmission rates would be a central factor in evaluating hospital performance with penalties being levied against hospitals with high readmission rates.
Identifying patient and surgical factors that increase perioperative risk of readmission would improve both the tenability of bariatric surgery for patients and the cost-effectiveness for payers. Comprehensive assessment of patient risks a priori would provide physicians with a framework for either tailoring the selection of intervention or identifying patients most in need of enhanced education or monitoring post-operatively, which could, in turn, reduce the frequency of readmission following bariatric surgery. We have utilized the Bariatric Outcomes Longitudinal Database (BOLD), the largest prospective database of bariatric patient outcomes worldwide, to identify predictors of serious postoperative complications requiring hospital readmission within 30 days of discharge.
Design Overview
We obtained patient data from BOLD collected between January 1, 2007 and August 31, 2009 at 450 Bariatric Surgery Centers of Excellence (BSCOE). Data collection for BOLD was overseen by the Surgical Review Corporation (SRC). Written informed consent was obtained from all patients, and the protocols of this study were approved by the University of Minnesota institutional review board.
The American Society for Metabolic and Bariatric Surgery (ASMBS) founded SRC in 2003 as an independent, nonprofit research organization to oversee compliance and collect data on patient outcomes for accredited BSCOE hospitals. The criteria set forth by the ASMBS for BSCOE certification include: performing at least 125 bariatric surgeries per year in hospitals or 100 bariatric surgeries per year in surgery centers; surgeons must have completed 125 bariatric surgeries during their career and must continue to perform at least 50 bariatric surgeries per year; a multidisciplinary staff including a team of nurses, surgeons, dieticians and other consultants; onsite inspections of BSCOE must be performed every three years; and, hospitals must report their outcomes to the BOLD database.
BOLD, an internet-based database implemented in 2007, represents the largest repository of clinical bariatric patient surgery information in the world with 521 contributing BSCOE. BOLD collects standardized assessments of patient demographics, preoperative morbidities, medication use, surgical procedures, and post-surgical follow-up visits. Additional details regarding the operational procedures of BOLD have been reported previously [8]. Standard protocol for BSCOE requests that patients return to their operating physician for periodic follow-up visits including at least one visit one month post-operatively. At each follow-up visit, visit-specific information is recorded into BOLD on weight, complications, and readmissions since the previous follow-up visit regardless of whether the readmitting hospital was BSCOE-certified.
Setting and Participants
Enrollment and data entry for BOLD is ongoing, though we excluded surgeries which took place after August 31, 2009 to ensure that all patients had adequate opportunity to follow-up with their surgical center and BSCOE had sufficient time to submit patient data as of the most recent database closing on March 1, 2010. For each patient in the study, we extracted complete data on demographic information, comorbidities, inpatient data, and post-surgical follow-up, including data on readmissions, complications, and mortality. Self-reported data on demographics and comorbid conditions were complete for nearly all patients and suspect data entry errors were rare. Suspect BMI values were replaced with data from an alternate visit. Patients were eligible for inclusion if they underwent a non-revision RYGB or AGB and had complete follow-up through at least 30 days following discharge.
The 30-day follow-up rate among BOLD participants was 91.6% during the study period, however follow-up rates were variable across BSCOE. Analysis of the within-BSCOE relationship between the follow-up rate and readmission rate indicated that centers with lower follow-up rates tended to report lower readmission rates, suggesting that centers with lower follow-up rates underreported their true readmission rates. To ensure high accuracy of outcomes reporting, we excluded BSCOE reporting complete 30-day outcome data for fewer than 90% of their surgical patients. Statistically significant differences between patients from included and excluded BSCOE were observed for several baseline characteristics due to the large sample sizes and correspondingly small standard errors, but these differences were small in magnitude and not clinically relevant. Sensitivity analyses on the effect of restricting participants to highly compliant BSCOE were performed on the readmission and mortality rates under a wide variety of assumptions, but had little effect on the rates due to the relative rarity of the outcome.
Outcomes and Follow-up
Predictors of interest were demographic, health, and surgical variables. Clinical definitions of comorbid conditions are presented in Table 1. Prolonged length of stay was defined as a hospital stay ≥4 days for laparoscopic RYGB, ≥6 days for open RYGB and ≥2 days for AGB. Our outcome was all-cause hospital readmission within 30 days of discharge requiring hospitalization for >23 hours. We considered patients to be at risk for readmission on the day of discharge. No serious intraoperative complications requiring additional hospitalization were classified as readmissions. Patients were considered at risk for mortality on the day of surgery. Patients who were readmitted and died in the hospital within 30 days of surgery were classified as both readmissions and mortalities; patients who died outside a hospital were classified as mortalities but not readmissions.
Statistical Analysis
The demographic characteristics and medical histories of patients undergoing the two surgeries were compared with t-tests for continuous variables and chi-square tests for categorical variables, and Fisher's exact tests for rare counts. Risk factors for readmission were evaluated using a series of generalized linear mixed-effects models. Demographic, health, and surgical covariates were estimated as fixed effects and a random effect was estimated for BSCOE to account for variation between and correlation within BSCOE in their readmission rates. Those covariates significantly associated with readmission in univariate analysis at a significance level of 0.10 or greater were entered into a multivariate model with an iterative backward selection procedure that continued until all variables were significant at the 0.10 level.
We used expanded mixed-effects logistic models with interactions to examine mediation of risk factors by surgical approach. Readmission risk was higher among open surgeries, however the risk factors for open and laparoscopic RYGB approaches were not significantly different in the expanded models, so we controlled for the higher rate of readmission among open procedures with an additional fixed effect and did not stratify models by surgical approach. All P values are two-sided and are unadjusted for multiple comparisons. Statistical analyses were conducted in SAS version 9.2 (SAS Institute Inc., Cary, North Carolina) and graphs were generated in R version 2.14.0 (R Development Core Team, 2011).
Figure 1 details the patient selection process. Among BSCOE eligible for analysis, 24,662 RYGB patients from 249 BSCOE and 26,002 AGB patients from 317 BSCOE were followed-up at 30 days. Bariatric surgery patients had a mean age of 45.9±11.9 years and were predominantly female (78.9%) and Caucasian (80.1%). Patients undergoing RYGB had higher BMI and higher prevalence of comorbidities than patients who underwent AGB (Table 2). The laparoscopic approach was employed for 90.7% of RYGB and 99.7% of AGB operations. Prior to discharge, 1,728 (7.7%) laparoscopic RYGB patients, 159 (7.0%) open RYGB patients, and 1,183 AGB patients (4.6%) had a prolonged length of stay.
Readmission and mortality
In the first 30 days after discharge, 1437 (5.8%) RYGB patients and 322 (1.2%) AGB patients were readmitted (Figure 2; P<0.001 for difference). Patients undergoing RYGB procedures with the laparoscopic approach had fewer readmissions than patients who underwent RYGB with an open approach (5.6% v. 7.9%, P<0.001). The most commonly reported complications at readmission were nausea/vomiting and dehydration for both procedures, though more than one reason could be recorded for a readmission (Table 3). For RYGB, other common complications at readmission were gastrointestinal bleeding, stricture, and obstruction; pneumonia, device-related infection, and obstruction were common complications reported at AGB readmissions.
Within the 30 days of the primary operation, 35 (0.14%) RYGB patients and 6 (0.02%) AGB patients died (P<0.001 for difference). For RYGB patients, causes of mortality were sepsis (n = 11), cardiac failure (n = 6), myocardial infarction (n = 4) respiratory failure (n = 4), stroke (n = 2), pulmonary embolus (n = 1), or could not be determined (n = 6). For AGB patients, causes of death were myocardial infarction (n = 3) or indeterminate (n = 3).
Predictors of readmission
Table 4 presents univariate and multivariate risk factor analyses for readmission. After adjusting for other significant covariates, prolonged length of stay more than doubled the odds of readmission for a RYGB patient and the open surgical approach nearly doubled odds of readmission. Patients with current symptoms of clinical depression or psychosocial impairment, peripheral vascular disease, pseudotumor cerebri, or those with a previous history of gallstones or cholecystecomy were more likely to be readmitted than those without those symptoms. The number of medications used preoperatively was also associated with higher readmission rates, and an African-American patient had 34% higher odds of readmission compared to a Caucasian individual holding other factors constant.
For AGB, prolonged length of stay also doubled a patient's odds of readmission. Male patients had nearly 50% greater odds of readmission than female patients, and disabled and retired employment statuses were more likely to have been readmitted than employed individuals after controlling for other significant demographic and health factors. Patients undergoing AGB with symptomatic asthma, gastroesophageal reflux disease (GERD), obstructive sleep apnea (OSA), or a history of deep venous thrombosis or pulmonary embolism (DVT/PE) had significantly higher odds of being readmitted within 30 days compared to patients without those medical complications.
The overall reduction in mortality and the resolution of chronic diseases such as type 2 diabetes are substantial following bariatric surgery [9]–[15]. However, the potential for serious complications is a barrier for patients and payers to utilizing the long-term advantages offered by bariatric surgery. The penalizing of hospitals for early readmissions is already underway, and several states are imposing mandates that call for further reductions in readmissions. Primary care providers and surgeons alike will see substantial decreases in reimbursements for readmitted patients, and it is therefore imperative that systems be in place to prevent the occurrence of readmissions. In this study, we have identified factors predictive of severe events requiring hospital readmission within 30 days of RYGB or AGB in the largest prospective bariatric cohort to date and have established that short-term risk for readmission is low for both procedures and risk profiles are largely unique to each procedure.
We observed a RYGB readmission rate nearly five times higher than AGB. Previously reported hospital readmission rates for bariatric surgery vary widely in the literature [6], [7], [16]–[20]. Possible explanations for these disparities may be due to differences in the patient populations, the definition of a hospital readmission, the proportion of patients within a sample undergoing open versus laparoscopic procedures, or surgeon experience.
The higher readmission and mortality rates for RYGB relative to AGB might suggest that AGB is preferable, however such risks must be weighed with the treatment outcomes. RYGB has been shown to result in greater weight loss and superior improvement in comorbid illness [11], [21]–[23]. Our group recently reported on greater one-year improvements among patients with type 2 diabetes with respect to weight loss, hemoglobin A1C, medication scores, and rates of diabetes resolution for RYGB patients compared to matched AGB controls [11]. Short-term complications must be weighed against the long-term benefits and complications of each procedure.
The clearest predictors of readmission following RYGB were the use of the open surgical approach and prolonged length of stay. While open procedures are justified for certain complex cases [24], our results, when considered with previous research [25], suggest that laparoscopic techniques should be preferred to open surgery in the absence of contraindications for laparoscopy. Patients with previous histories of bariatric surgery or other anatomical abnormalities may be best suited for open surgeries and would understandably be at higher risk for readmission. However, 7.6% of hospitals (19 of 249 BSCOE) conducted >80% of their RYGB procedures using the open approach and accounted for 46.6% of all open procedures in the database, suggesting that the open approach may be often dictated by surgeon preference in these hospitals rather than case difficulty.
The influence of serious comorbid disease on readmission risk for RYGB patients is expected, though the causal pathway of elevated risk for African-Americans is less clear. We suspect that the association with race may have been confounded by unmeasured variables such as surgical preparation, social support, economic status, or dietary intake. For AGB, readmission risk factors were quite different from those identified with RYGB with the exception of prolonged length of stay and severe ASA score: disability status, asthma, male gender, history of DVT/PE, and the presence of OSA or GERD.
Surprisingly, the profiles of risk factors for readmission were almost entirely distinct for the AGB and RYGB procedures. Prolonged length of stay following surgery was one of the only factors that significantly predicted readmissions in both surgical populations in multivariate analysis. That procedure-specific risk factors contrast so greatly between the two procedures is an important finding potentially overlooked by prior investigations. Previous studies have chosen to pool patients across procedures for analysis assuming that the underlying risk factors were the same [5], [26]. While several of our results are complementary, the choice to aggregate surgical patients may account for some important differences in results. Some previous studies examining readmission rates have identified high BMI as a risk factor for readmission [5], [17], while our own did not. Risk analyses that pooled patients from multiple procedures may have observed an artificial inflation of risk for high-BMI patients who tend to undergo RYGB, which has a significantly higher readmission rate than AGB. The relationship between BMI and readmission risk may also have been confounded by a less complete comorbidity profile in risk models, since many conditions are more prevalent among individuals of greater weight. The ability to examine the role of a very extensive list of comorbidities is a major strength of this analysis.
Many of the identified risk factors, while complex, multifactorial, and often not necessarily modifiable, provide an impetus to follow patients at higher risk for readmission more aggressively following discharge. Prolonged length of stay, for example, was identified as an important risk factor yet the reasons for the longer stay varied widely in BOLD; both preoperative and perioperative factors can interact to influence the duration of a patient's stay. Despite this heterogeneity, prolonged length of stay could be utilized as a prompt for enhanced post-discharge monitoring in patients at higher risk for readmission. Intervention studies are needed to determine if and how enhanced monitoring, adjunctive treatments, or additional education might reduce readmission rates for high-risk patients. Certainly, enhanced monitoring is unlikely to prevent more serious readmissions such as those in patients who develop gastrointestinal leaks or obstructions. Further, it is unknown at this time how much effort would need to be applied to significantly lower the current readmission rates that are already acceptably low. However, it may be possible to impact the most prevalent reasons for readmission, nausea and vomiting, by establishing infusion centers for patients suffering from a slow return of bowel function and dehydration.
It is important to recognize the magnitude of relative risk differences associated with the predictors of readmission in this analysis; primarily, comorbid conditions must be weighed with the absolute risk for each procedure. For example, a relative risk of 1.5 for a high-risk patient group compared to a group of typical patients would equate to an increase of the readmission rate from 5.8% to 8.7% for RYGB and from 1.2% to 1.8% for AGB, or absolute risk differences of 2.9% and 0.6%, respectively. Patients, payers, and practitioners alike may find these higher risks acceptable if outweighed by the benefits of surgery, which are often greatest among patients with more severe comorbidity profiles. For these reasons, we deem that the current results do not support patient selection, but rather highlight patient groups that could benefit from appropriate preventative or educational efforts, and possibly, closer post-discharge follow-up.
This study has several limitations. The exclusion of centers with low follow-up rates is the most important limitation, since it is possible that BSCOE excluded for low follow-up rates may have been the hospitals with the highest readmission rates, as well. Our sensitivity analyses comparing included and excluded centers did not indicate that there were substantive clinical differences between the patient populations (Tables 5 and 6), and if such a bias were present, it is highly unlikely that an underestimation of readmission rates would have a considerable impact on the strength or direction of the risk factors themselves. Long-term follow-up in BOLD was limited and precluded the examination of readmissions occurring beyond 30 days. RYGB patients continue to require readmission up to and beyond one year, and the need for band revisions generally do not occur within the first 30 days of surgery; however, the greatest proportion of readmissions occur within 30 days [17], [18], so the current study likely captures the most important risk factors for readmission.
The present analysis was also unable to control for surgeon volume, an important factor in readmission [16], [19], [20]. however surgeons reporting to BOLD must log over 50 cases annually in order to maintain BSCOE certification. Also, the distribution of readmission rates was not consistent with a uniform rate across centers (Figures 3 and 4). An appreciable number of BSCOE, for AGB in particular, reported readmission rates considerably lower than would be expected under a constant rate across centers of varying surgical volume. We suspect that unusually low BSCOE readmission rates reflect unmeasured variables such as surgical experience, and those with high rates of readmission could be indicative of either surgeon inexperience, case difficulty, or surgeon preference for open procedures. Data entered into BOLD is self-reported by BSCOE, so post-discharge events are potentially underreported in the database, though our selection of centers with high follow-up rates was undertaken to offset potential underreporting in the larger database.
Circles represent BSCOE hospitals with the size weighted by the number of patients who underwent the procedure in the hospital during the study period.
Circles represent BSCOE hospitals with the size weighted by the number of patients who underwent the procedure in the hospital during the study period.
Finally, the observational nature of the study precludes causal inference about risk factors. Given that examination of factors influencing relatively rare events like readmissions requires thousands of patients to be adequately powered to assess differences in risk, it is unlikely that randomized studies of these factors will ever be performed. Therefore, decisions on patient selection and risk calculations will inevitably be based on large prospective observational databases like BOLD. Nested case-control studies, in which more extensive collection of possible explanatory variables is performed, may shed light on the problem of unmeasured confounders in the BOLD dataset.
In conclusion, we have characterized patterns of risk for readmission associated with patient and intraoperative factors for the two most common bariatric procedures in the largest prospective cohort of bariatric surgery patients to date. While the overall readmission rates for both procedures are low, the present results may prove to be an important clinical tool in the development of patient education programs, algorithms for procedure selection, and follow-up plans. In an effort to maximize patient benefit and cost-effectiveness of bariatric surgery and to reduce penalties from payers, primary care providers and surgeons should understand patient-specific risks to optimize clinical care for patients when both selecting for and immediately following their bariatric operation.
We would like to acknowledge Deborah Winegar and Bintu Sharif of the Surgical Review Corporation for their assistance in the review of the manuscript. We would also like to thank Barbara Sampson of the University of Minnesota Department of Surgery for her administrative and technical assistance and Avis Thomas of the University of Minnesota Division of Biostatistics for her intellectual contribution to the study design.
Author Contributions
Conceived and designed the experiments: RBD CJM DBL FJS BS HB JEC SI. Analyzed the data: RBD CJM JEC SI. Contributed reagents/materials/analysis tools: BS. Wrote the paper: RBD CJM JEC SI. Conducted statistical analyses: CJM JEC. Contributed to manuscript revisions: DBL FJS BS HB.
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text:
Snowboarding Forum - Snowboard Enthusiast Forums (http://www.snowboardingforum.com/forum.php)
- Boards (http://www.snowboardingforum.com/boards/)
- - Best affordable 'twin rocker' board? (http://www.snowboardingforum.com/boards/51495-best-affordable-twin-rocker-board.html)
Best affordable 'twin rocker' board?
Affordable = not Never Summer or Libtech. I came to the conclusing that the boards I was lusting for are out of my league, probably both in terms of skill level as in terms of $$$.
Here's what I came up with so far, all boards that are available in a local-ish webshop:
Drake DF2: Haven't found too many reviews or tests yet.
Nitro Subzero Hotwing: Came across a couple really negative reviews of Nitro's 'gulwing' profile.
Forum Youngblood Doubledog: Seems to be more park oriented, not sure if's perfect for hardpack/pow.
Smokin Superpark CTX: Dito. Maybe dispite the name it'll hold it's own all across the mountain?
Forum Destroyer Doubledog: Don't see much difference with the youngblood:dunno:
Apo MTD: It's supposed to be an allmountain freestyle board, but it only gets a 5 and a 6 on Apo's own carving and powder scale.
Experiences and opinionins would be very much appreciated, as well as other suggestions.
I'm mainly after an all mountain freestyle board, not just a park/jib stick. Preferably a true twin, but that's not a must. Light weight, flexible, but still something I can depend on in pow and mainly hardpack and icy groomers, where I'll spend most of my time. Basicaly something like the NS SL or Libtech TRS, only a lot less pricey:)
Thanks a lot, and srry about the semi cross post:)
what about last years NSs or lib techs?
how much $ is "affordable"?
103 Attachment(s)
To address the original question: I would go with the Superpark - it is like an upgraded/improved version of the TRS. And Magnetraction helps on East Coast ice.
449Euro for a superpark isn't THAT much of a killer deal imo, almost all those other ones in my little list are about hundred euro cheaper:s
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Adding the Gnu carbon credit to the list, thanks. Cheapest of the bunch, especially out of the ones with some sort of fancy technology:)
Found a webshop that has a 153 carbon credit for 252Euro, which to european standards -trust me- is a steal. I wasn't too sure at first when I read about the 'nearly flat camber' area on the outsides, but since the next best thing would easily cost me 150 more, I can't afford NOT to take this deal in serious consideration. I think it's supposed to be an entry level board though, right? Nothing wrong with that, but in all honesty, I don't consider myself a novice, and I plan on hanging on to this board for as long as possible...So it might make more sense not to be a cheapskate and to spend a little more on something that's supposed to be an advanced/expert board. What is it exactly that makes the carbon credit a beginners deck though? A lot of noob questions, I know. It's the first time I have to worry about this, I'm totally clueless when it comes to equipment.
Anyone know where I can find a drawing/pic/whatever that shows exactly what the profile of the Carbon copy looks like? Like which lib tech board has the same shape? Thanks.
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You can see in the drawing that it's definitely not a flat rocker. There's the rocker in the center and then from the inserts out it starts out 'flat' in the sense that there is no curvature to this portion of the board although it continues upwards towards the contact points where it blends the very mild camber curvature.
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text:
Los Angeles official seeks to shut hotels for maternity tourists
By Dan Whitcomb
LOS ANGELES (Reuters) - A Los Angeles official moved on Tuesday to crack down on so-called maternity hotels he said have sprung up across parts of Southern California as pregnant women travel to the United States in a growing "birthing tourism" trend.
Los Angeles County Supervisor Don Knabe asked colleagues to approve a series of steps designed to ultimately close the hotels - typically single-family homes carved into bedrooms where visiting women pay to stay in anticipation of giving birth to a child who will be born a U.S. citizen.
"His intent here with this motion is not to regulate these maternity hotels, it's to eliminate them," Knabe's spokeswoman, Cheryl Burnett, said following a Board of Supervisors meeting.
"These are really underground money-making schemes that attract women to the U.S. to have their babies," she said.
The issue of maternity tourism bubbled to the surface in recent months when residents of an upscale Los Angeles suburb protested against what they said was a maternity hotel operating in their neighborhood to host pregnant women from China. They complained it caused sanitation and other issues.
The U.S. Constitution grants citizenship to any child born on U.S. soil, regardless of parentage, and immigration experts said there was nothing inherently illegal about women coming from abroad to give birth to children in the country.
Burnett said that Knabe's action was directed at zoning and health and safety issues associated with the hotels, noting that county officials have no jurisdiction over immigration laws. She said U.S. Immigrations and Customs Enforcement would be asked to determine how the women were entering the country.
Burnett said the board of supervisors was expected to approve the motion next week, directing a number of county agencies to investigate the hotels. It also orders the county counsel to draft zoning ordinances that would put them out of business in Los Angeles County. Continued...


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It's a topic that would probably make the average individual's eyes glaze over, but will have a profound impact on the economy - for better or worse. The topic - financial regulation reform.
With Senate Banking Chairman Sen. Chris Dodd, D-Conn., setting his proposal out for the public, the take away on the reporting from two of the country's major newspapers - The New York Times and Wall Street Journal can give readers a view where their reporters' loyalties lie.
On CNBC's March 15 "Squawk Box," co-host Joe Kernen raised this point - the Journal with its more pro-Wall Street point of view and the Times with a liberal pro-Democratic Party one.
"You - I like the way you highlighted the Journal's take, 'Ohh, this thing is ahh, much worse,' but The New York Times - 'consensus-building,'" Kernen said. "But The New York Times is talking about consensus-building within the Democratic Party, I think, right? I mean, normally that's who they're speaking to, isn't it?"
But this led Kernen to raise a larger point about The New York Times in general - with a milquetoast conservative columnist in David Brooks and Howell Raines recent remarks about Fox News.
"David Brooks is their conservative," Kernen said. "David Brooks is the Times conservative, it's like he's a conservative Democrat. I love Howell Raines quotes, too. Howell Raines, did you see some of his quotes?"
Kernen accused the Times of coming from "the left with propaganda" in the past and said it's the Times own fault for creating a niche for a conservative Fox News audience, which he deemed "the yin and yang of the world."
"I'm not even going to get into it - I can't, I can't even get into it," Kernen said. "But the reason that a space was saved for a place like Fox News was because of the left being staked out by The New York Times over the years, over the years, over the years coming from the left with propaganda. And yet, he has the nerve to talk about Fox News."
Not surprisingly, almost to script, CNBC's senior economics reporter, who has openly came things from a pro-government interventionist perspective took the Times side on this issue.
LIESMAN: When you look at The New York Times story, I kind of get their point of view and my reporting kind of backs it up.
KERNEN: Are we supposed to hold the presses that you get the Times point of view?
LIESMAN: No. Hold on a second, I want to be clear here. What he is doing, as I said in my report, he's choosing to go with votes on his left rather than votes on his right while keeping things open in case the Republicans want to come to the table. So as I quoted a source saying, it reflects his conversations with [Sen. Bob] Corker, but it's not a bipartisan bill. Does that make sense? I mean, it's not easily labeled.
Dodd's bill, lacking bipartisan support, would create a consumer protection division within the Federal Reserve, crackdown on banks certain so-called "speculative trade practices," unwind institutions deemed "too big to fail," monitor systemic risk, give the Security and Exchange Commission the authority to regulate corporate governance and require large hedge funds to be registered with the federal government.


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Tag Archives: Rain Out
Rained Out: Mets vs DodgersApril 26, 2010
According to WFAN tonight's game has been cancelled. It will be made up tomorrow, Tuesday April 27, 2010 as part of a double header starting at 4 pm EST.
Posted in Baseball, New York Mets
Tagged LA Dodgers, Rain Out
Tagged LA Dodgers, Rain Out


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Hotels in Sourzac
Sourzac Hotels
No result found. Please try again later.
Sourzac is a small village in the Dordogne region of France. The Dordogne region is celebrated for its great wines and its wonderful cuisine. There are plenty of quality restaurants in this little village where you can enjoy some of the local gastronomic delights washed down with some of the superb regional wines. So if you want to take advantage of sampling some of these wonderful wines with your evening meal, why not book one of the cheap hotels in Sourzac at EasyToBook.com so you dont have to worry about drinking and drivingLocal places of interest include the Musee du Tabac (Museum of Tobacco) in nearby Bergerac where you will learn all about the tobacco growing in this region, and its social history through paintings and other works of art and craftsmanship. The beach resort of Aubeterre-sur-Dronne is but a short jaunt away with its fabulous sandy beach, sailing and cafes. The small town itself is a popular tourist attraction and is well worth a visit. The region is great for touring and you can base yourself here easily by booking one of the cheap hotels in Sourzac through the listings here at EasyToBook.com.


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Stone Chapel Pentecostal Holiness Church
1996 W Highway 378 Hannah
Pamplico, SC 29583
Rev. Brandon Poston
Men's Fellowship
Women's Ministries
M-Pact Kids' Club
Articles of Faith
Our History
Contact Information
M-Pact Kids' Club
Our M-Pact Kids' Club is for children of all ages. For the parents' convenience, the Kids' Club is held during our second Sunday evening service of each month that begins at 6 PM. The Club has fun-filled Christ-centered meetings. These are hour-long meetings and are filled with praise and worship, Bible study, and refreshments.
Katherine Poston ---- Coordinator
M-Pact Kids' Club 5-Fold Purpose
To win children to Jesus Christ through love and acceptance.
To teach them to obey everything Jesus commanded us --- developing them spiritually and mentally.
To provide encouragement, support, and accountability through lasting Christian relationships.
To provide and environment for children to develop their gifts and abilities.
To acquaint them with the Great Commission of Jesus Christ our Lord.
M-Pact Code:
"Whatsoever things are true,
Whatsoever things are honest,
Whatsoever things are just,
Whatsoever things are pure,
Whatsoever things are lovely,
Whatsoever things are of good report;
If there be any virtue,
And if there be any praise,
Think on these things."
--- Philippians 4:8
--- Philippians 4:8
2013 Camping Trip to Yogi Bear Campground in Tabor City, NC
2012 Event Photos
Built and supported by eFFECTIVE Web Sites
Copyright © 2013 Stone Chapel Pentecostal Holiness Church


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Ioka-Yaegashi: Full Report
By Joe Koizumi
Photos: Sumio Yamada
WBC strawweight champ Kazuto Ioka (10-0, 6 KOs), 105, unified the 105-pound belts as he pounded out a close but unanimous verdict (115-114 and 115-113 twice) over WBA titlist Akira Yaegashi (15-3, 8 KOs), 105, over twelve hard-fought rounds on Wednesday in Osaka, Japan.
Carlos Sucre (US) saw the see-saw affair 115-114, Anek Hongtongkam (Thailand) and Koichi Sugiyama (Japan) both had it 115-113, all for the 23-year-old Ioka. The referee was Yuji Fukuchi (Japan) who handled the fast-moving affair well.
Ioka's opening attack had Yaegashi's left optic swollen from the first round, which kept the loser from showing his usual combinations against the sharpshooter. The WBA champ's corner began to use Enswell to reduce Yaegashi's swelling from the end of the initial session, but it began to be swollen bigger and bigger so that it looked like a black egg in later rounds.
Taller by two inches, Ioka outpunched Yaegashi, 29, to take the first session, but the WBA ruler took back a point with solid short rights to the face in round two. The third was Ioka due to his left jabs, which became a factor of his victory as the contest progressed. The fourth saw Ioka circling with occasional jabs to the willing mixer Yaegashi.
After the fourth, the open scoring system indicated deadly even 38-38 by all judges. The official tallies showed after the fight that they were least identical and some rounds of the first four were given to either.
Yaegashi, despite his swollen eye, turned loose in the fifth, smoothly throwing jabs and combinations to the cautious counterpuncher. But it was Ioka that took the sixth with good display of left jabs and quick counters. Referee Fukuchi had the damaged optic of Yaegashi examined by the ringside physician midway in the sixth, and the doctor advised the ref to have it go on.
After the eighth, the announced tallies were as follows: 77-75 twice for Ioka, and 77-76 for Yaegashi. It really looked a hairline give-and-take battle.
The last four sessions were evenly fought by the still fast-punching combatants, but Ioka was in command in three rounds, while Yaegashi dominated the twelfth and final stanza.
The victor Ioka said, "I really appreciate people's spiritual supports, with which I could win this most important game of my life. Yaegashi was strong and durable, so I had a very tough fight."
The crestfallen loser reviewed the process and said, "Without such a badly swollen eye I could have shown a better performance, but I did my best."
Ioka will make his decision as to which of the WBA or WBC belts he will renounce in ten days since mandatory challengers of the two organizations are waiting for their turn. Both supervisors of the WBC and the WBA, Robert Yalen and Alan Kim, highly praised the furious fight. "It might be the Fight of the Year here in Japan."
Although there were no knockdowns, the crowd looked fully entertained by the give-and-take battle. Now our male world champs reduced to seven, out of which are champs in the same categories (bantam and super-feather classes). Since such a unification bout is so interesting, we hope they will materialize also in the 118 and 130-pound divisions. If so, the rarity value of the world championship will become higher without doubt.
Promoter: Ioka Promotions in association with Ohashi Promotions.


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NBC News political director Chuck Todd on Thursday labeled the new NBC miniseries about Hillary Rodham Clinton a "total nightmare" for the network's news division -- adding another voice to the increasing backlash against the project.
"This is why this miniseries is a total nightmare for NBC News," Todd said on MSNBC's "Morning Joe." "We know there's this giant firewall. We know that we have nothing to do with it. We know that we'd love probably to be as critical or whatever it is going to be, if it comes out."
Todd added, though, that regardless of whether the Clintons or Republicans are upset with the portrayal, NBC News will pay the price.
"No matter what, only we are going to own it, because people are going to see the peacock, and they see NBC, and they see NBC News, and they think, 'Well, they can't be that separate,' " Todd said.
Todd later tweeted:
To any entertainment folks looking for a compelling political mini-series: try John Edwards
— Chuck Todd (@chucktodd) August 8, 2013
The Republican National Committee announced earlier this week that it would not partner with NBC or CNN for debates if they pushed forward with planned projects about Clinton's life story.
Some voices on the left have also joined the effort, including New York Times columnist Maureen Dowd and the liberal media watchdog group Media Matters for America.
The host of "Morning Joe," former GOP congressman Joe Scarborough (Fla.), also offered some critical words about the project.
NBC and CNN have shown no signs of backing off, though.
Update 5:34 p.m.: Andrea Mitchell, another major voice on NBC News, also criticized the Hillary Clinton miniseries on Thursday.


text: The acme triumph is nothing less than exquisite. Rich filigree and lavish scroll work is ornamented with lustrous nickel trim. this antique beauty will add character to your classic kitchen while meeting the demands of the most rigorous cook. the electric convection oven measures an incredible 24 inches deep. The cook surface houses six gas burners and a gas griddle. discretely tucked away in the bun warmer back you will find an exhaust fan, a warming plate and two individual lights. although the venting the stove is not required, a piece of faux piping has been installed to preserve its authentic appearance. Manufactured by the newark stove works in newark, ohio, the acme triumph represents a paragon of excellence in cooking and construction.


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Tip: Put a + in front of words that must be included. To search for Monster Hunter and only receive results with both words, use +Monster +Hunter
The last of the Jing girls. Tiny, cute, and sews a mean stitch.
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SailNet Community (http://www.sailnet.com/forums/)
- Boat Review and Purchase Forum (http://www.sailnet.com/forums/boat-review-purchase-forum/)
- - New To Forum ? about Cabo Rico (http://www.sailnet.com/forums/boat-review-purchase-forum/38125-new-forum-about-cabo-rico.html)
New To Forum ? about Cabo Rico
Want to hello to all the people out there I have been lurking for awhile but wanted to post. I have found a boat in my area and wanted some feed back. I am fairly new to sailing but want to continue to do it the rest of my life. The boat is a Cabo Rico 38 cutter rig it is way more boat than I need at the moment but would consider it to fix up over the next several years while I continue to learn more. Have not seen the boat but the owner says it has lots of equip. but does need some work. Just looking for some opinions. I will know more about equip. and see what the owner says it needs, also hopefully some pics.
Cabo Rico has always been a boat I've admired. It's a solid BW boat but is not known for it's speed. What year is it and have you had a survay done yet? What work do you actually know about that needs to be done? How do you plan to use it? Live aboard costal crusing or passagemaking?
Cabo Rico makes a great bluewater boat. The CR38 is very good. Usually there is an extensive amount of varnish on Cabo's (and I mean extensive). What year is it? If it's an older one, then the work is probably in the area of rebedding hatches/ports, brightwork, engine, etc.
Wilsdad...welcome! I agree that a CR38 in good shape is a great and seaworthy boat. A CR38 in not good shape can be an endless sinkhole of $$ to fix and may make the FIX more expensive than a similar boat in good condition would be worth.
So...whatever you do...don't take ANYONE else's word on the condition of the boat. Get a survey and seatrial and diesel guy to go over her and tell you what is really needed and what the cost will be to fix.
The boat is a 1981 and I am just getting started no survey but will hopefully know more today. I am sure I will have a ton of ?'s for the board and look forward to all the resposes.
Cam that is what will scare me. I plan on the boat being a weekend boat for the next few years and then hoping to cruise in the islands not long passages.
In addition to what Cam suggested, you also might want to have a rigger come out to the boat and do a rigging survey as part of the buying process. Given the boat is over 25 years old, if the rigging hasn't been replaced, it is very likely to be due soon.
Wilsdad, you don't happen to be in TN or KY do you?
If you do, I saw that boat too. Way underpriced. Although can't believe what one in good shape goes for (80K-170K).
That's a big boat for lake sailing.
There was an Ericson 29 up that way not too long ago, pristine condition, and half the price.
BTW did you get a response from the owner? I haven't.
Wilsdad..I know a secret you will want to know about THAT boat...
But...there is a price...first I want a photo of you.....then I tell you what you want....
slurp.....slurp....the last cabo rico owner....I ate his liver with a nice Chianti.....
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mswinzow wrote:How on earth has no one mentioned Krispy Kremes?! - but only when the "Hot" light is on.
Nope - Hot or not, KK tastes like grease!
heavilyrxmedicated wrote:Ladies and Gentlemen, may I present to you... the Bacon Maple Pazcki.
It's your standard fluffy pazcki, covered in a maple glaze and coated with candied bacon. The smokehouse near where I work (Lazybones Smokehouse in Roseville MI) makes them every year for Fat Tuesday. THEY ARE DELICIOUS.
If you ever see a Southern Maid with the Hot sign on, do yourself a favor and pull in for donuts.
AFAIK this only applies to those passing through Northwest Louisiana, the Dallas area, or New Zealand. But if you're lucky enough to be one of those places, they are the best thing ever.
Cheese pockets. You can hear your ateries hardening while you eat.
Voodoo Donuts! (Portland, OR) are the best, and a must try if you are ever in the area.
Custard filled
wow3192 wrote:Voodoo Donuts! (Portland, OR) are the best, and a must try if you are ever in the area.
If the Rogue Brewery interpretations of their treats are any indication, I'm in.
(Love the pink!)
+1 Sprinkles!
Fresh, warm beignets are very good.
For donuts, give me chocolate with chocolate frosting and coconut. Oh my gawd.
The best donuts are Krispy Kreme Chocolate Covered Glazed.
The best donuts are: The one I'm eating when someone asks me...The best donuts are?
View All →


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Well everyone is FURIOUS about Lino's MBE & tbh I do not blame them? I'm like, seriously, babes, what are you like, Dave is like soz babes, unintended consequences, even Lynton makes mistakes, I'm like excuse me did I not totally warn you this would happen, now Lino has NO appointments until January 2017, I mean ask Ant & Dec, you cannot even get a fringe-trim, plus just try getting in anywhere else, did you even stop to think how all the other hairdressers would feel, Mummy was just cut dead in John Frieda and Nicky Clarke will defo leave the country if he is not upgraded? Dave is like, fine, just get me his number I will make him a lord, I'm like, well did you consider the colourists, I'm thinking Orders of the Bath, minimum, which leaves British Empire Medals for the juniors, you had better give them something or you can totally forget about a head massage, even the leg-waxers are livid, now if you will excuse me I need to find another hairdresser, Grant Shapps knows a place in Streatham that might do something for a baronetcy, thank God for HS2 is all I can say.
Dave is like, but wait up, my roots will be through in 10 days, plus what about the deficit, Lino was still working on the welfare cuts & he had not even started on disability benefits I'm like, maybe you should have thought about that before listening to Mr Cobber, & btw I do KNOW he is sleeping in the Wendy House, one of Nancy's hula hoops is missing, why don't you ask him what genius does Boris? Dave's like, great idea babes *shoots self*.
So I call the Goveys anyway, to ask if Dave can have Michael's next appointment, he's like, forgive me, but whatever claptrap a Mr Siegfried Sassoon may have fed to leftwing cynics, top historians are agreed on the importance of meticulous grooming on the Western Front, all trenches were equipped with salons & Haig's "Tommy" range of gentlemen's toiletries, I'm like WHAT? Govey's like, just look at Rupert Brooke's 'do, Samantha, the least we can do to celebrate the glorious dead in their special year is look our best, my tint, cut & blow dry is non-negotiable.


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Witness: My Japanese grandparents' silence over the A-bomb
Yoko Kubota is a Reuters correspondent based in Tokyo, who covers political and general news in Japan.
Aged 28, she grew up in Japan and the United States and joined Reuters in 2007.
In the following story, she reflects on how difficult it was for her grandparents to speak about their experiences as Hiroshima atomic bomb survivors.
By Yoko Kubota
HIROSHIMA, Japan (Reuters) - I was 22 years old when my grandmother first told me about what she saw in Hiroshima as a survivor of the atomic bomb that leveled this city 65 years ago, and how it completely changed my grandparent's lives.
As a child growing up near Tokyo, I had visited them often around this time of the year, when the city hosts various events to commemorate the hundreds of thousands that died.
But they never talked about what happened on that day, 65 years ago, and it would be years before I would ask them.
Some survivors of the bomb chose to speak to their families about it, so that their painful legacy could live on.
But for my grandparents, like many other Japanese who lost families and homes to the bomb, the experience was just too cruel to recall. Another relative also raised concerns about discrimination against bomb survivors, their children and grandchildren, in getting jobs or getting married. Continued...


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Good morning everyone!! PRE-RELEASE has begun another session, opening yesterday for its 3rd round, this time the theme is "hangover resolution". The last theme was "party" appropriately for the New Year Celebration, this theme made me giggle when I seen it & the items even more, thinking of how many people really felt the 2013 hangover, lol The owners had sent out a sort of "ideas helper" to the designers, just to help get the creative juices flowin, & remind them of how you feel on hangover day, tired, wanting to feel warm & cozy, basically serious couch potato mode 😉 We`ve all been there 🙂 So enough of me chatting, let`s get to the good stuff & see all the PRE-RELEASED items that you will find for under 125L, remember these items are exclusive, these are the first time being sold in SL, so get your L`s ready to do some shopping 🙂
The first designer featured in above pics as well as this next collage is *INFAMOUS* with this lace bodysuit that comes in pink & also teal. These come with Lola Tango Appliers also. (The Vanity Set is by Ruca Tease, which is a PRE-RELEASE designer, but this item is not part of this session, you can find this at the mainstore.)
The jewelry set, earrings & necklace shown in above pics are from Phoebe, they are part of PRE-RELEASE. Phoebe`s also has a belly piercing with color change hud & a dollarbie belly piercing as well.
The second item from *INFAMOUS* -Shirt, shorts & tango applier.
This next creation is from FIREBIRD DESIGNS – mesh leopard print robe & matching slippers.
AVAGIRL brings you two outfits, one "HIS" shirt & "SHHH pajamas.
Next we have RUCA TEASE with "DOTME" mesh sleepwear. Robe, slippers, teddybear, latte & croissant 😉 (Mesh Socks shown are from DDWX, these come in 3 colors, blue, gray & pink & also with or without the lil puffy ankle ball 🙂
Next is DIRTY LITTLE SECRET – Mesh Cardigan, tank, leggins & boots.
Here you can see the Phoebe`s belly piercing….
BEDAZZLE – Lounge sweats & tank. (The pants have a color change hud)
PINK SUGAH with Walk Of Shame Dresses, first 3 called "RAWR" the next set is "SHADES OF GRAY"BLAH BLAH BLAH – hangover pajamas.
SHINE by [ZD] – roll neck mesh dress.
[[[NOISE]]]- avoid hangovers…
TORI STYLEZ – "Aly" Jacket with lace or without lace sleeves & dress.
FALLEN DREAMS INC. – Princess hangover.
POMPOSITY – 2 sets of earrings, one "falling hearts", & the second set – "traffic light" with full color menu.
MYSTIC CANVAS- 3 TONES including skin appliers for Lola Tango`s.
KAITHLEEN`S – Comfy Sweater in pink & blue.Hope you have enjoyed the post & I know you can`t wait to get over to PRE-RELEASE, so let me grab you your taxi & send you on your way 🙂
As always a great big thank you for visiting & supporting "PUNKI`S FASHION PASSION!" Muahz xo


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Digital recording of a series of sound during the night in Boquete using a AT 895 mic.
Nicely done and it's LONG! Thank you.
i can't save it on my pc, what's wrong with it??
www.myspace.com/tophethell - sorry :)
Great sound. Will use it in one of my songs. You will be able to hear it soon at www.myspace.com/tophethell. Credits to contributor!
Thank You! Great sound!
Please log in to comment


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Absolutely, I'm a feminist. It kind of burns my ass when some women go out of their way to make it clear they're not feminists, since they've undoubtedly benefited from the hard work done by feminists in older generations.
It also burns my ass that so many people equate feminism to man-hating. Just an attempt to shame women out of fighting for equal rights. "Oh, of course I don't hate men! Here, take your privilege back with my sincerest apologies." Nope.


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Absolute best mount for the Aimpoint 3x magnifier is by Larue Tactical. Pivot type mount. Rock solid. Also it comes in a couple different heights. What are you going to be running it behind ? An Aimpoint CompM style red dot ?
Here is the mount: COMBO/Aimpoint 3X Magnifier (#11324) and LT755-30S QD Mount (SHORT) | LaRue Tactical
Here is the mount sold by its self: http://www.laruetactical.com/larue-t...qd-pivot-mount
They also have a "short" pivot mount if your running an optic that requires a shorter in line/tandem operation with your primary red dot or hollowgraphic.


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Eagles fans burn DeSean Jackson jersey (Video)
Philadelphia Eagles fans have no love lost for DeSean Jackson.
Philadelphia Eagles fans have no love lost for DeSean Jackson.
The Dallas Cowboys officially parted ways with DeMarco Murray on Thursday, and the team's fans wasted no time doing the same.
Robinson Cano has signed with the highest bidder, which is a popular move among professional athletes.
Jacoby Ellsbury signed with the New York Yankees on Tuesday.
The Houston Texans were one of the teams favored to contend for an AFC Championship entering the 2013 season.
Mark Sanchez had another abysmal performance for the New York Jets on Monday night against the Tennessee Titans, this time putting the final nail in the coffin for the 2012 season and possibly his ca
Angry fans often express their displeasure with a player who has left for another team by burning their jersey. That is nothing new.
Unfortunately your browser does not support IFrames.
The fact that Bears fans have gotten to the point where they are ready to start burning Jay Cutler's jersey is not a surprise.


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A 2003 winter storm dumped a record 27.5 inches of snow in Boston. No. 5 on the list is a 2005 storm that dropped 22.5 inches. The Blizzard of 2013 looks likely to top that, at least.
The meteorological dilettantes among us will periodically prod snowbanks with yardsticks as the Blizzard of 2013 deposits its snow on eastern Massachusetts and beyond this weekend. But when it comes to storm records for Boston, all eyes will be on Logan Airport's snow gauge – the ultimate arbiter.


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San Jose, CA
Crime Scene Clean-Up
Professional & Compassionate Service
Aftermath understands the challenges associated with biohazard situations such as unattended death cleanup, suicide cleanup, hoarding cleanup and other trauma scene cleaning. We've been in the industry since 1996, delivering valuable specialty sanitization assistance to families and businesses nationwide. To learn more about how professional crime scene cleaners can help provide peace of mind and protect the health of your home and your family, call us today. We are available 24/7 to take your call.
We provide crime cleanup throughout California 24/7/365.
We service neighborhoods in and around San Jose, CA including Willow Glen, West San Jose, Los Gatos, Downtown and all the surrounding areas.
- Local offices throughout the US
- Professional and compassionate service provided with care
- Specialists in trauma cleanup – fully trained, licensed, bonded and insured
- Most insurance accepted, financial assistance programs available
- Additional support and guidance provided to help you regain your life
- Residential, commercial and industrial clean up services
Satisfied Customers in and around San Jose, CA
"The services rendered by this amazing company have not only provided technical support and services but with a compassionate attitude. We can't recommend this company highly enough should you ever need the services that they offer. We were guided, supported by knowledgable, compassionate staff. A company with a heart."
– Pauline M., Redlands, CA
Case Studies of Jobs Performed in the San Jose, CA Area
(San Jose, CA)
When an Aftermath supervisor met with the owner of a San Jose, California property, the man explained that an altercation between a tenant and the police had led to the individual's death. Working from clean to dirty, technicians remediated biological material from the hallway walls using the towel/bucket method, replacing the towels to avoid cross-contaminating clean areas. Moving to a large pool of fluid, a scraper was used to lift dried-on matter and the floor was wiped again.
Though the surface appeared clean, the floor was sprayed with a reacting agent to see if the blood had penetrated the surface of the wood. Because wood is a porous material, it can retain fluids as well as odors, which can lead to further contamination and long-term damage. In this case, a positive test determined that the wood could not be cleaned. With the owner's consent, the crew used a circular saw to extract the impacted area. Floorboards in a nearby closet also tested positive for bio and were removed. By strategizing the cleanup and using a variety of techniques at their disposal, Aftermath service technicians helped to assure the landlord that the unit was free from all biohazards and ready to remodel for future tenants.


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This screencast demonstrates how to find photos on Flickr using the Creative Commons filter in the Advanced Search settings on Flickr. The download of a photo from Flickr will also be demonstrated. video platform video management video solutionsvideo player
365 Sketches is a project in which I use free and open source software to do a single visual design every day. The project is currently in its second year of production, and was started as a way to force … Continue reading
Modern copyright law guarantees authors full rights over their work even without the inclusion of the © copyright notice. "All rights reserved" gives authors (for the length of their lives plus 70 years) the sole right to copy their works, … Continue reading


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Judge Blocks Ohio Executions
(Columbus) - A federal judge has ordered a halt to executions scheduled in Ohio this summer to allow court to hear arguments over the state's execution procedures. The state has announced plans to modify the lethal injection procedures following the execution of Dennis McGuire earlier this year. It took McGuire 26 minutes to die and he appeared to gasp for breath at times.
Get breaking news sent to your mobile phone.Text "news" to 21095.
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