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Walking away from type 2 diabetes: trial protocol of a cluster randomised controlled trial evaluating a structured education programme in those at high risk of developing type 2 diabetes
The prevention of type 2 diabetes is a recognised health care priority globally. Within the United Kingdom, there is a lack of research investigating optimal methods of translating diabetes prevention programmes, based on the promotion of a healthy lifestyle, into routine primary care. This study aims to establish the behavioural and clinical effectiveness of a structured educational programme designed to target perceptions and knowledge of diabetes risk and promote a healthily lifestyle, particularly increased walking activity, in a multi-ethnic population at a high risk of developing type 2 diabetes.
Cluster randomised controlled trial undertaken at the level of primary care practices. Follow-up will be conducted at 12, 24 and 36 months. The primary outcome is change in objectively measured ambulatory activity. Secondary outcomes include progression to type 2 diabetes, biochemical variables (including fasting glucose, 2-h glucose, HbA1c and lipids), anthropometric variables, quality of life and depression.
10 primary care practices will be recruited to the study (5 intervention, 5 control). Within each practice, individuals at high risk of impaired glucose regulation will be identified using an automated version of the Leicester Risk Assessment tool. Individuals scoring within the 90th percentile in each practice will be invited to take part in the study. Practices will be assigned to either the control group (advice leaflet) or the intervention group, in which participants will be invited to attend a 3 hour structured educational programme designed to promote physical activity and a healthy lifestyle. Participants in the intervention practices will also be invited to attend annual group-based maintenance workshops and will receive telephone contact halfway between annual sessions. The study will run from 2010–2014.
This study will provide new evidence surrounding the long-term effectiveness of a diabetes prevention programme run within routine primary care in the United Kingdom.
Trial Registration
ClinicalTrials.Gov identifier:
The high prevalence of type 2 diabetes mellitus witnessed in the United Kingdom and globally represents one of the greatest public health challenges in the 21st century
Physical activity and lifestyle in the prevention of type 2 diabetes
Type 2 diabetes is widely considered a lifestyle disease because of its strong links to deleterious lifestyle practices associated with industrialisation. For example, it has been shown that 80–90% of all cases of type 2 diabetes could be prevented through a healthy lifestyle
Translation of research into practice
Lifestyle diabetes programmes with proven effectiveness have used resource-intensive behaviour change strategies involving multiple one-to-one patient contacts which are incompatible with routine healthcare settings given competing health care needs and resource and infrastructure limitations
Risk identification
In order to identify those who should be referred into a prevention programme, it is also important to design and evaluate pragmatic methods of identifying those with a high risk of developing type 2 diabetes which can be integrated into routine health care systems. Evaluated diabetes prevention programmes have recruited those with impaired glucose tolerance, commonly referred to as prediabetes, identified through an oral glucose tolerance test (OGTT)
Study aim
The aim of the study is to establish whether a pragmatic structured education programme with proven efficacy can promote health behaviour and improve metabolic health in individuals at high risk of type 2 diabetes identified through a validated risk score in primary care.
Primary objective
· To investigate whether a lifestyle intervention programme, based on a brief pragmatic education programme with minimal ongoing support, can promote sustained long-term increases in physical activity in those identified with a high risk of type 2 diabetes in a primary health care setting.
Secondary objectives
· To investigate the impact of a lifestyle intervention programme on glucose regulation, progression to type 2 diabetes and conventional cardiovascular risk markers in those identified with a high risk of type 2 diabetes through a validated risk score
· To investigate the impact of a lifestyle intervention programme on measures of quality of life and depression in those with a high risk of type 2 diabetes
· To investigate the natural history of progression to type 2 diabetes over a three year period in high risk individuals identified through risk score technology.
Study design
This study is a clustered randomised controlled trial. Randomization will be conducted at the level of the GP practice by a trained individual who is independent of the study team. Practices were randomised (1:1) to receive control conditions or a structured education programme. A blocked design stratified for practice size was used. The study is designed to adhere to internationally recognized criteria for developing complex interventions
Figure 1
Design and flowchart for the walking away from type 2 diabetes study
Design and flowchart for the walking away from type 2 diabetes study.
Sample size
This study was powered to detect a difference in change in ambulatory activity of 2000 steps per day between groups; a difference of this magnitude reflects the primary behaviour change aim of the intervention programme and is consistent with the national physical activity recommendations and the intervention effect observed in the proof of concept study that preceded this trial
This sample size will also have sufficient power to enable clinically significant differences to be detected between groups for change in important secondary outcomes. For example, based on a power of 80%, a significance of 0.05 and a intracluster correlation coefficient of 0.02
Ten GP practices will be recruited from the Leicestershire region (city and county primary care trusts). Initial contact with each GP practice will be through a letter of invitation to take part. All recruited practices will have an induction visit from the study co-ordinator who will provided training and support for the administrative staff in each of the study sites. Eligible participants will be identified using an automated version of Leicester Risk Assessment tool developed and validated by our group
Risk factor Score = 0.0407 x age
+ 0.296 (if male, no change in female)
+ 0.934 (ethnicity, as a practice proportion of south Asians)
+ 0.0859 x BMI
+ 0.440 (if family history of type 2 diabetes, no change otherwise)
+ 0.374 (if on antihypertensive medication, no change otherwise)
In this study, high risk individuals will be classified as those above the 90th percentile of the calculated risk score. Eligible individuals will be sent a letter of invitation, a patient information sheet and stamped addressed envelope by a member of their GP practice. Contacted individuals will be requested to return a reply slip confirming or declining their interest in taking part; those who wish to take part will be contacted by the study team where a baseline consent appointment is arranged.
Individuals will be excluded from the study if they have an existing diagnosis of type 2 diabetes or are diagnosed with type 2 diabetes at baseline, are taking steroids or are unable to speak English; our experience suggests this approach does not limit recruitment and is able to produce a study population that fully reflects the ethnic makeup of the local population.
Based on a typical GP practice of 4500 adults without known type 2 diabetes, 450 will be eligible for inclusion into the study based on the risk score. Of these we anticipated that 330 (75%) will meet the initial inclusion criteria and be invited to take part in the study. Around 100 (30%) are then expected to consent to take part, of which 10 (10%) will have screen detected type 2 diabetes and therefore excluded at baseline; therefore we anticipate the average cluster size to be 90 individuals (see sample size calculation).
Those diagnosed with diabetes over the course of the study will be informed of their diagnosis and referred back to their health care team for standard care. Progression to type 2 diabetes will be included as a secondary outcome.
The study is co-ordinated from the University Hospitals of Leicester. However, clinical measurement sessions and the educational programmes will be run in a variety of different locations within the Leicestershire area, including: hospital, primary care and community settings. Locations that are as near as possible to the recruited GP practices will be identified, including within the practice itself where possible.
Treatment regimens
Control subjects will receive a booklet detailing information on risk factors for type 2 diabetes and how physical activity and lifestyle change can be used to prevent or delay the disease. The leaflet addresses factors around type 2 diabetes risk using the five domains (causes, consequences, identity, control/treatment, and timeline) highlighted by Leventhal's common sense model
The intervention group will be offered the Walking Away from Type 2 Diabetes group-based structured educational programme. This programme is based on the content and behaviour change techniques of the successful Prediabetes Risk Education and Physical Activity Recommendation and Encouragement (PREPARE) programme; a full description of the rationale, development and efficacy of which can be found elsewhere
The programme content is underpinned by an integrated theoretical framework, focused on linking motivational and volitional determinants of health behaviour. The framework is based on mutually complementary health behaviour theories, including Bandura's social cognitive theory
The walking Away programme was adapted for a broader range of high risk individuals, such as those identified through a risk score, in order to make it suitable for translation into usual healthcare practice. This necessitated a shift in focus from the PREPARE programme, which targeted illness perceptions around prediabetes, to those associated with a more generic high risk label. In order to meet this need, an additional section was added to the programme that was aimed at communicating the meaning of risk and risk status. Modifications to the PREPARE programme were undertaken following an established cyclic process that involved training a pool of educators and then piloting the programme to a reprehensive patient group whereupon patient and educator level feedback were collected and the programme revised accordingly. This process was repeated twice.
Educator recruitment, training and quality assurance
A pool of around 10 educators will be recruited from primary and secondary care and the community. Those recruited from a health care setting will be registered health care professionals and those from the community will be required to process a degree in a health science or be employed within a relevant vocation (i.e. gym instructor). Educator training will consist of two full core days followed by regular ongoing support. Training will be provided through fully accredited national trainers for structured education programmes hosted by the DESMOND collaborative. In order to ensure that the programme philosophy and content are adhered to, a quality assurance procedure was also developed based on established criteria used within the DESMOND programme
Follow-up support
After the participant's annual clinical measurement session, all individuals in the intervention group will be invited to attend annual group-based sessions at 12 and 24 months in order to establish the impact of minimal maintenance support on long-term outcomes. These follow-up programmes will be designed to help participants interpret and analyse their annual biochemical and anthropometric follow-up data, review progress and goals and respond to issues, queries and barriers; the main objectives of the programme will also be reinforced. Each follow-up programme will last 2–3 h and will be conducted by a trained educator. All participants will also receive telephone contact between annual sessions in order help participants maintain their motivation.
Primary outcome
Physical activity
The primary end point will be ambulatory activity assessed by tri-axial accelerometers (GT3X, Actigraph, FL, USA). This outcome reflects the overall aim of the intervention and is consistent with the fact that walking activity is the preferred choice of activity within the population. Participants are asked to wear the accelerometer, fitted on their trunks (placed on right anterior axillary line) with a waistband, for seven consecutive days during waking hours. These accelerometers are one of the most extensively validated and accurate on the market and are the only commercially available accelerometers to correlate with energy expenditure as measured by double-labelled water
Overall physical activity as defined by total body movement (counts per day), and time in sedentary, light-, moderate- and vigorous-intensity physical activity will also be assessed by accelerometer and determined by validated counts-per-minute cut-points
Self-reported physical activity will also be measured using the short last-seven-days self-administered format of the International Physical Activity Questionnaire (IPAQ). This questionnaire provides a comprehensive measure of walking and other moderate- to vigorous-intensity activities carried out for more than 10 continuous minutes at work, in the home, as transport and during leisure time. IPAQ has been shown to have reasonable validity compared to accelerometer data (ρ ~ 0.4) and test-retest reliability (ρ ~ 0.7) in the United Kingdom when used as a measure of total moderate- to vigorous-intensity physical activity
All physical activity outcomes will be measured at baseline and 12, 24 and 36 months.
Secondary outcomes
Biochemical variables
This study will measure relevant markers of metabolic and renal health including fasting and 2-h post challenge glucose, HbA1c, lipid profile, liver function tests (albumin, total bilirubin, alkaline phosphatase [ALP], alanine transaminase [ALT]), urea and electrolytes (sodium, potassium, creatinine). Analysis is conducted in the same laboratory located within Leicester Royal Infirmary, UK, using stable methodology standardized to external quality assurance reference values.
Participants will be invited to attend each clinical measurement session after a 12-h fast and 24 h of avoiding vigorous intensity exercise. In concordance with WHO recommendations, those who have a fasting or 2-h blood glucose level in the diabetes range at any clinical measurement session will be called back for a confirmatory oral glucose tolerance test
All venepuncture and OGTT timings will be undertaken by trained phlebotomists who are not part of the scientific advisory team for this study and who are blinded to treatment allocation. All biochemical analysis will also be conducted blinded to treatment group.
Anthropometric and demographic variables
Arterial blood pressure will be measured in the sitting position (Omron, Healthcare, Henfield, UK); three measurements will be obtained and the average of the last two measurements will be used. Body weight and body fat percentage (Tanita TBE 611, Tanita, West Drayton, UK), waist circumference (midpoint between the lower costal margin and iliac crest) and height will also be measured, to the nearest 0.1 kg, 0.5% and 0.5 cm respectively. Information on current smoking status, medication history, and ethnicity is obtained by self-report. Social deprivation will be determined by assigning an Index of Multiple Deprivation (IMD) score to participant postcodes
Diet will be measured using the Dietary Instrument for Nutrition Education (DINE) food frequency questionnaire, which was designed as a method of measuring fibre, fat and unsaturated fat intake in primary care
Health related quality of life
Health related quality of life will be measured by the 15D instrument, which can be used as a profile or a single index score utility measure
Perceptions and perceived knowledge of diabetes risk
Perceptions and perceived knowledge of diabetes risk will be measured with the validated brief illness perceptions questionnaire
Depression and anxiety
Depression and anxiety will be measured with the Hospital Anxiety and Depression Scale (HADS)
Data analysis
The study will be reported according to the internationally recognised CONSORT statement for the reporting of cluster randomised control trials
Interim analysis will be conducted and reported at 12 months.
In concordance with other physical activity randomised controlled trials undertaken by our group and others
Current status
This study gained full ethical and governance approvals from the Nottingham Research Ethics Committee 2 and the Leicestershire, Northamptonshire and Rutland Comprehensive Local Research network in April 2009. Recruitment of patients was initiated in 2010.
To our knowledge this will be the first study in the United Kingdom to establish the long-term effectiveness of an intervention programme designed to promote lifestyle change in those with a high risk of type 2 diabetes identified using a risk score within primary care. Whilst both the effectiveness and cost-effectiveness of lifestyle intervention programmes at preventing type 2 diabetes have been established
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
TY wrote the manuscript and contributed to the conception and design of the study. MJD, JT and KK contributed to the conception and design of the study and revised the manuscript for important intellectual content. JH, CE and LG contributed to the design of the study and revised the manuscript for important intellectual content. All authors read and approved the final manuscript
This study was supported by funding from the National Institute for Health Research Collaboration in Applied Health Research and Care for Leicestershire, Northamptonshire and Rutland. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health.
Global healthcare expenditure on diabetes for 2010 and 2030
Unanswered questions over NHS health checks
Healthy living is the best revenge: findings from the European Prospective Investigation into Cancer and Nutrition-Potsdam study
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Pharmacological and lifestyle interventions to prevent or delay type 2 diabetes in people with impaired glucose tolerance: systematic review and meta-analysis
Epidemiological evidence for the role of physical activity in reducing risk of type 2 diabetes and cardiovascular disease
Exercise as a therapeutic intervention for the prevention and treatment of insulin resistance
Effectiveness of a pragmatic education programme aimed at promoting walking activity in individuals with impaired glucose tolerance: a randomized controlled trial
Prevention of diabetes: A reality in primary care?
Preventing Type 2 Diabetes: can we make the evidence work?
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Effectiveness of a structured education programme on individuals newly diagnosed with Type 2 diabetes: a cluster randomised controlled trial of the DESMOND programme
Developing and evaluating complex interventions: the new Medical Research Council guidance.
CONSORT group. CONSORT statement: Extension to cluster randomised trials
Start active, stay active: a report on physical activity from the four home countries' Chief Medical Officers
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Intraclass correlation coefficients from three cluster randomised controlled trials in primary and residential health care
Cluster randomised trials: methodological and ethical considerations
Intraclass correlation coefficients for cluster randomized trials in primary care: the cholesterol education and research trial (CEART)
Finnish Diabetes Prevention Study Group. The finnish diabetes prevention study (DPS): Lifestyle intervention and 3-year results on diet and physical activity
Efficacy of a theory-based behavioural intervention to increase physical activity in an at-risk group in primary care (ProActive UK): A randomised trial
Automated detection of high risk for impaired glucose regulation and type 2 diabetes mellitus, using primary care electronic data, in a multi-ethnic UK community setting
The common-sense representation of illness danger
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How many steps/day are enough?
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The heuristic model of persuasion
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Pre-publication history
The pre-publication history for this paper can be accessed here:


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It was 30th december 2011...i was sitting in a hotel room in Goa impossibly alone and single...i always thought there was something remotely erotic about hotel rooms...it might be because whenever my ex-girlfriend and I got it on, it was always in a hotel room...but apart from that, a hotel room has its own anonymity...you might have a dozen couples move in and out of a room, but as long as it is clean, no one will know...the hotel room has its dim, subdued lighting that makes you want to sit closer to each other, making it nearly as good as a candlight dinner...there are this satin white sheets, with the slight mustard or brown blankets that make you want to snuggle up in an cool cozy air conditioned environment...the small TV in the corner that you can leave on to cover up any loud moans you make...the shower that washes away the scent of sex from your body...the lift in which you can grab, kiss and get a feel for the last time...i sighed remembering my ex-girlfriend...we had a long two years lusicious relationship...and now she dumped me just because she was going abroad to study and I wasn't, and had left me broken hearted...my family had a big laugh at my expense...I was all alone, and thankfully two of my friends, armaan and prem decided to drag my ass out of depression...their cure was simple...A vacation in Goa for new year...So, we planned it...and now we are here in a posh beachside 5 star hotel, thanks to my fathers bank balance...we got two adjoining rooms, just in case if our luck clicks and we get some sexy chicks for night out...
I made my way over and introduced myself...
"What are you doing in a bar so early?"I asked...
"Well, it's a long story."
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"My friends and I came down for a week, you know...and basically its four of us, two guys and two girls...my girl friend brought her guy along and I don't even know where they are...and the other guy he's gay...he hit it off last night with this cute Latino guy and they've gone back to our place...and I'm here, locked out of my own hotel room, waiting for them to come back." she pouted...and i felt sympathetic for her...
"I tried...but they are either not answering or switched off...so, I am waiting here." she sighed...
"Till what time are you going to wait here?" i felt concerned...
"I don't know, till they come back."
"Which is?" i raised my eye brows...
"I guess around noon...then, I'm going to get some sleep."
"OK...how do you find Goa? And where are you from?" i tried diverting her mind and started a conversation...
"So, have you been to the beach yet?" I asked.
"We did walk by it." she replied...
"No, I mean to the beach...into the sea."
"No...we might go this evening...if my friends return"
"hmmm...chalo let's go for a swim"...i asked casually...
"No way" she replied quick enough...
"Come on, lets take a walk and we put our feet in the water at least."
"No, my dress will get spoilt...and I don't have sandals for the sand."
"Neither do i...lets go take a wash in the sea...Come on"...I said, and cast off my shoes and socks...my keys were at the reception and I was going to take a wash in the sea...
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ANNOUNCMENT: SKCC Straight Key Sprint
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- This Months Straight Key Sprint will take place on Wednesday, 22
October, from oooo to 0200 UTC...Note that this is TUESDAY night in
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Although it is a contest, the SKS (straight key sprint) is rather
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Proof That Marilyn Monroe Had Plastic Surgery
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You can now own Marilyn Monroe's plastic surgery records! The late actress's medical records and X-rays are going up for auction next month. While it may be surprising that her personal medical records are being auctioned off, more people are actually surprised to find out she had plastic surgery!
Are you surprised that Marilyn had plastic surgery?
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LODHA Eternis
Andheri East
Paradise Sai Riverdale
Oberoi Sky City
Borivali East
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Brand new resale 3bhk flat in brigade sonata located in vasanth nagar,With 2 car parks,Looking for genuine buyers.Expected price 18000sft
Price : 4.5 Cr
Status : Ready to move
Floor : On 2nd floor (of 5 Floors)
Bedrooms : 3
Bathroom : 3
Construction Age : 0-1 Year Old Property
Ownership : Freehold
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text:
Lyrics Depot is your source of lyrics to Darling Come Home by Marty Robbins. Please check back for more Marty Robbins lyrics.
Darling Come Home Lyrics
Artist: Marty Robbins
Album: Good'n Country
The TV is turned down the kids are in bed
And thoughts of you darling spin around in my head
Bobby still loves you and as he walks by
He says where's mommy and I started to cry
Darling come home darling come home
Susie still needs you what can I say
I am just not enough she needs a woman's ways
I started a letter but something went wrong
I picked up a thought of mine and I sang out this song
I hope that you hear it and come back to us
You were the one we love and the one we could trust
Darling come home darling come home
Marty Robbins Lyrics
Marty Robbins Good'n Country Lyrics
More Marty Robbins Music Lyrics:
Marty Robbins - Am I That Easy To Forget Lyrics
Marty Robbins - Another Lost Weekend Lyrics
Marty Robbins - Ava Maria Morales Lyrics
Marty Robbins - Crawling On My Knees Lyrics
Marty Robbins - I'm In The Mood For Love Lyrics
Marty Robbins - Island Echoes Lyrics
Marty Robbins - Strawberry Roan Lyrics
Marty Robbins - You Gotta Climb Lyrics


text:
I'll admit it. I completely missed the Mumford & Sons boat. The first time I ever heard any of their songs was Australia Day 2010 when 'Little Lion Man' was number 1 on triple j's hottest 100. Give me a break; it was a bad music time for me.
I haven't gained ground since then and have never independently listened to much of their music, so going to see the band live at the Sydney Entertainment Centre on 18 October felt like a redemption moment for me.
There was a surprisingly large turnout to see first support act Willy Mason, whose performance was incredibly mature for his 27 years. Mason's gravelly voice has the depth of a much older performer and even when it was just him and his guitar up on stage, the simplicity of his act was powerful and rich.
Edward Sharpe & the Magnetic Zeros followed up as the second support act with their usual on-stage love-fest. The band is more at home as a festival act, but they're such a loveable group of malnourished carnies. Edward Sharpe & the Magnetic Zeros definitely got the crowd juiced up for the main act, particularly when Marcus Mumford made a surprise appearance and joined them on stage for their last couple of tracks.
When Mumford & Sons finally came on stage in full, they opened with 'Lover's Eyes.' Their kick-off was a bit average, but the band ratcheted it up with follow up track 'Roll Away Your Stone,' which set the level of intensity for the rest of the night. Mumford & Sons have an interesting combination of fast paced country songs and quieter, subtler folksy tracks. The blend worked well to maintain the audience's attention.
Marcus Mumford himself is an enigmatic guy. He barely talked and kept a straight, unsmiling face throughout the entire night. Mumford's stillness was noticeable surrounded by energetic performances from the rest of the band, and compelling when contrasted against his incredibly expressive vocals.
There was a girl standing behind me yelling "I love you Marcus" throughout the set, and that was pretty indicative of the fervent devotion from Mumford & Sons' fan base. Maybe I've been to a few too many pretentious hipster gigs lately but I was surprised at the enthusiasm of the crowd, who cheered and sang along for the entirety of the band's lengthy performance.
It was a strangely assembled set. By the half way mark, the band had already played both their biggest singles, 'I Will Wait' and 'Little Lion Man.' Maybe it worked well for the established fans, but Mumford & Sons lost me a few tracks after that and never got me back again.
Towards the end of the band's second (and, I assumed, final) encore, I slipped out in an attempt to avoid the crowds. As I was leaving, I heard the band swinging into a third encore. Once again, I missed the boat. Sorry guys.
Photo by the AU review.


text:
LAFAYETTE — With rough weather expected to hit late Saturday, UL-Lafayette has moved its game with Appalachian State to 1 p.m.
The game was originally scheduled to start at 4 p.m. — but with a load of festivities on the menu, including senior day, the schools agreed to the earlier kickoff time.
According to the National Weather Service, Saturday calls for a 60-percent chance of precipitation, with "showers and thunderstorms likely, mainly after noon. Some of the storms could be severe."
"I think it's a good move so we can beat the rain," Cajuns coach Mark Hudspeth said.
The earlier kickoff does not affect anything the Cajuns had planned, including the pregame ceremony to honor the team's seniors and the halftime ceremony to retire Charles Tillman's number.
The early notice of the game's rescheduling helped the team with regard to preparation, Hudspeth said.
Everything has already been moved ahead a couple hours, including when the players wake up and when they take the field for pregame.
"We'll have to start our mental clocks earlier, and we addressed that with our team today," Hudspeth said.
Saturday's game is the final game at Cajun Field this year. The Cajuns are 4-1 at home this season and 18-3 at Cajun Field under Hudspeth.
Tatford goes to committee
Junior tight end Evan Tatford was selected as one of 32 representatives to serve on the NCAA Division I Student-Athlete Advisory Committee.
The St. Thomas More graduate will represent the Sun Belt Conference through July 2016. He was one of 15 new committee members selected after he applied for the position last spring.
"It's a great honor and a humbling experience to learn that I was chosen from all the Sun Belt representatives," Tatford said in a news release. "It's a great experience and it's a great way to meet new people from all across the country, see their sports and see the way that their schools work."
Hudspeth was not surprised when he found out about Tatford's new role.
"That says a lot about him as a person," Hudspeth said. "Evan is not only a good student and a good football player, but he's got his ducks in a row with his life. School is important, education is important, career is important and he's got leadership skills.
"That's probably one of the reasons why he's on those committees. I can see where he would do a great job."
Salute to service
Saturday will be Military Appreciation Day at Cajun Field. A special coin will be used for the pregame coin flip, and a Chevrolet truck will go to a wounded veteran.
The Cajuns will also feature a slideshow on the video board to recognize the late Capt. Steven L. Bennett, a Vietnam veteran and UL-Lafayette alumnus who was posthumously awarded the Congressional Medal of Honor in 1974.
Hudspeth said he's not anticipating any change to the starting lineup he used against ULM. Trevence Patt will start at cornerback opposite Corey Trim, and true freshman Travis Crawford will remain in place as the starting free safety.


text:
Reader: City, O' City Does Many Things Right — But Can Get Dinged for Slow Service
The doorway to City, O' City, a vegetarian mecca.
Chelsea Keeney
City, O' City recaptured the crown as Best Vegetarian Restaurant award in the Best of Denver 2015, but there's also a lot for non-vegetarians to enjoy at the restaurant...even if service can be sporadic, according to readers. Says Sporobolus:
City, O' City does so many things right — variety & creativity of food, atmosphere, beer menu, hours … but they sometimes get dinged for their service. I think that's because when it's busy, the kitchen can be slow, so come with patience; the staff is skilled and hard-working, so just check in with them instead of chewing them out and you'll enjoy yourself.
Have you eaten at City, O' City? What did you think of the food? The service?
Related Location
206 E. 13th Ave.
Denver, CO 80203
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text:
Each month, Rated People connects over 50,000 homeowners with quality tradesmen - simply enter your job details in the form above to get started.
We'll match your job to the relevant tradesmen in your area - those interested will pay to see your contact details and call you to quote.
As each tradesman expresses interest in quoting on your job, we'll send you their profile and ratings to help you choose the right one for you.
After the work is complete, return to the site and rate your tradesman based on their quality of work, reliability and value for money.
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I have a problem with damp that needs addressing fairly urgently. Grateful for contact to arrange...
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the outhouse need to be demolished and rebuilt with non-permanent structure. there is at the...
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Top guy, very punctual and competitive quote. Worked to a very tight schedule. Employed for a second job- rendering outside walls. Couldn't be more helpful.
Managing your job is easier with the Rated People Homes App, download it today.


text:
Veterans Day is November 11. As older Iowans remember, it was originally called Armistice Day. It celebrated the end of World War I. The peace treaty for that war was not signed until June 28, 1919. However, a cessation of fighting, or armistice, began seven months earlier at the 11th hour of the 11th day of the 11th month, in 1918. In other words, November 11. In 1938, Congress officially made Armistice Day a national holiday, to honor the veterans who had fought in the World War, the war to end all wars. It was, unfortunately, not the last war. After World War II, veterans asked Congress to change the name to Veterans Day, rather than Armistice Day, and Congress did so in 1954. Henceforth, the day would honor all veterans.
One day, however, can not adequately repay the 267,500 veterans living in Iowa. Over the years, the Legislature has enacted a number of programs to help those who have served our country. This past session was no exception. The Injured Veterans Grant Program was created in 2006 and additional funding was provided this year. The program provides grants up to $10,000 to veterans injured while in a combat zone. The grants are provided in increments of $2,500 every 30 days until reaching $10,000 while the injured veteran is hospitalized or receiving medical care or rehabilitation services authorized by the military.
The Veterans Homeowners Assistance Program provides matching grants of up to $5,000 to veterans to help provide down payments and closing costs to home purchases. The grants are for veterans (or surviving spouses) who have served on active duty in the armed forces since September 11, 2001. We also took care of some unfinished business, as it relates to veterans of the Vietnam Conflict. A Vietnam Conflict bonus was awarded, but only to those who had served until 1973. The recognized dates of the Vietnam Conflict are February 28, 1961, through May 7, 1975. Those serving beyond 1973 did not receive a bonus payment for dates served. They will now, if they apply through the Iowa Department of Veterans Affairs.
A new outreach program has been started to insure veterans receive the counseling services they need. The Department of Veterans Affairs is to coordinate efforts to provide assistance to veterans and their families, to reduce the incidence of alcohol and chemical dependency and suicide among veterans, and to make mental health services available to veterans. The Department of Veterans Affairs is to develop a plan, to provide regional coverage for Veterans Affairs services. The plan is required to foster the development of county veteran affairs offices, yet ensure that the state provides coverage where county services are not readily available.
Profits from the sale of veterans license plates will now go to the Veterans Affairs Commission to benefit veterans. In addition, a new license plate, displaying the Gold Star emblem, will be available to a surviving spouse, parent or child of a deceased member of the armed forces, who died while on active duty. The Iowa Veterans Home, in Marshalltown, continues to receive funding from the state of Iowa, as does the new state-owned Veterans Cemetery in Iowa, which is scheduled to open next spring.
Today, November 5th, the Department of Defense and the National Guard Bureau, located in Washington, D.C., have announced that the Iowa Army National Guards 1133rd Transportation Company has been alerted for possible federal active duty, that could commence in late 2008. This action is part of Operations Noble Eagle, Iraqi Freedom, and Enduring Freedom, and the global war on terrorism.
The 1133rd Transportation Company is based in Mason City, with Detachment 1 located in Fort Dodge. The unit is a medium truck company that transports equipment and supplies in a theater of operations. The 1133rd Transportation Company previously deployed in 2003-2004, for Operation Iraqi Freedom. The soldiers may be ordered to active duty for one year that can be extended for an additional year by the Secretary of the Army. The actual mobilization date and duty location have not been received. Please keep the members of the 133rd and their families in our thoughts and prayers.


text:
Print advertisment created by Lowe, South Africa for Cape Times, within the category: Media.
You can't get any close to the news.
The Cape Times. Know all about it.
Executive Creative Director: Kirk Gainsford
Art Director: Dane Alexander
Copywriters: Natalie Rose, Melanie Horenz
Agency Producer: Tenille Abrahams
Photographer: David Prior
a bit weird that they refer to past news. But the visual idea is great !
the ad which wasn't there
@ wes014 I'd prefer recent news. i don't read my newspaper to get 1950's news. Maybe you do.
the ad which wasn't there
Average says it all. Very well done guys. Congrats!
Creative Director. www.aitorborras.com
The warmth displayed in the photo is great. Very well executed.
Popular Reads
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text:
Ocean Journey B510
- Private Pool
- Pool Table
- WiFi
- Fireplace
- Hot Tub
- No Smoking
- Bed & Bath Linens
- Pillows & Blankets
- Coffee Maker
- Toaster
- Blender
- Dishes, Utensils, & Cookware
- Dishwasher
- Microwave
- Iron & Ironing Board
- Stereo with CD Player
- Telephone
- TV & DVD Player
- Central Heat & Air Conditioning
- Washer & Dryer
- Outdoor Furniture
- Outdoor Shower
- Grill
- Beach Chairs (5 per home)
Home Details
|Unit Number:
|Ocean Journey
|Duck Landing
|Check in Day:
|Check-in Office:
|Distance to Beach:
|View Map
|7 (2K, 3Q, 2BS, 1Duo)
|Master Bedrooms:
|7 Full 2 Half
|Parking for 5-6
|Heated Gated Private
|Pool Size:
|Heated Pool:
|Not Avail July/Aug
|Heated Pool Fee:
|$400 Plus Tax/Week
|Private Pool Dates:
|Fireplace Availability:
Welcome to "Ocean Journey", an oceanside retreat in Duck Landing. Enjoyment for you and your family is certain with all this home has to offer. The homes location is convenient for beach access and walking or bike riding to all the great shops and restaurants in Duck.
Main House
|Level 1
|Two MBRs (Q, 2BS); den with pool table, wet bar and full-size refrigerator; half bath.
|Level 2
|Four MBRs (K with whirlpool, Q with deck access, Q with deck access, Duo); laundry room.
|Level 3
|MBR (K) with whirlpool and deck access; great room with gas fireplace; kitchen; dining area; half bath.
|Private optionally-heated pool, hot tub, multiple TVs/DVDs, surround sound and outdoor speakers, gas grill, charcoal grill, volleyball court, basketball goal.
Ratings & Reviews
- Tomas 7/1/2017
- Tori 6/3/2017
- Kim 5/20/2017
- Tracy 5/13/2017
- Christina 4/8/2017
Great decorations in all rooms with great amenities.
- Tom and Dorothy 9/24/2016
- Jason 9/10/2016
- Patrick 8/27/2016
We love staying @ our home. It's was beautiful and felt like home
- Olga 8/20/2016
When our family first reviewed this house online through Twiddy we were impressed by the photos and the amenities that were offered for vacationers. We all agreed, if the pictures were a representation of the actual house once we arrived, we were in for a fantastic vacation. Upon arrival, we all went "Wow." The house was beautiful, fabulously appointed and decorated, clean, with a wonderful pool and sand volleyball court. All of the bedrooms were decorated with a personal touch that made you feel at home. The owners have made an additional effort to make our stay a pleasant one. We checked in to the house on Saturday and by Monday we had decided to rent the same house for the next year. There really are too many positive amenities to mention that added to our stay. You will have to experience them yourself when you visit this house. Even the landscaping was attractive considering the sweltering heat that we have experienced this summer. All thing considered, we applaud the owners.
- David 8/6/2016
- Mark 7/9/2016
- Mandy 6/25/2016
- Paul 6/18/2016
I love this house it we in a very good location and it is decorated so nice
- Rodney 6/11/2016
- Jane 5/28/2016
for us, perfect location and house
- Arthur 4/16/2016
Questions & Answers
Any chance that they would allow a non-shedding, house trained dog?
Rob, unfortunately pet are not allowed in our non-pet friendly homes. Exceptions cannot be made out of respect for our guests who have allergies.
- Answered by Twiddy on 12/28/2016
Does the home have an ocean view from any of the decks?
Scott, B510 does not offer ocean views. However, this home is just a short walk from the beach and Duck Landing Clubhouse.
- Answered by Twiddy on 11/7/2016
When using the amenities search for properties, this home shows up when keyless entry is selected. Is this home now keypad entry, or is the amenities search incorrect in providing this home as an option for keyless entry?
Liz this home does offer keyless entry.
- Answered by Twiddy on 8/1/2016
Thanksgiving question - are there double ovens? I can't tell by the fotos
Kim, G510 currently offers 1 oven.
- Answered by Twiddy on 7/14/2016
We'll be visiting 10/8 to 10/15/16. Will the pool still be open?
Bill, yes the pool will be open. Our pools close for the season on October 15.
- Answered by Twiddy on 7/4/2016
If we arrive early and cannot check in until 4pm, do we have access to the Community Pool and Club House?
Jennifer, the Duck Landing community does allow guests to use the community amenities prior to check-in.
- Answered by Twiddy on 6/17/2016
Is there WiFi available
Thank you for your inquiry, Suzy! Yes, WiFi is provided for B510.
- Answered by Twiddy on 6/18/2015
Does this home have keypad or key entry?
Mandy, B510 currently has regular keys.
- Answered by Twiddy on 6/16/2015
Hi, we are visiting Duck next Saturday and will be renting out this home. I was wondering how deep the pool is? thank you!
We look forward to welcoming you to the beach, Abby! Private pools average 3ft - 5ft in depth. Diving is not permitted.
- Answered by Twiddy on 6/13/2015
we loved OJ when we rented in June of 2014. I notice you are only showing availability up to May of 2016. When will the rates be shown for end of June 2016?
We would love to welcoming yo back to Ocean Journey in 2016, Carolyn! Rates for 2016 will be available in the fall of this year. In the meantime, you can view the comparable 2015 rate on the availability calendar as a ballpark estimate for 2016. We post the rate online once 2015 the week passes. The rate will appear in gray.
- Answered by Twiddy on 6/12/2015
Is there a griddle in the kitchen?
That's a fantastic question, Mandy. Griddles are considered specialty items and are not advertised or guaranteed amenities. We suggest bringing one with you from home if you're needing this type of appliance. We apologize for any inconvenience.
- Answered by Twiddy on 6/2/2015
Is there a coffee maker? If so, is it a single serve or a multi cup machine?
Thank you for your inquiry, All! B510 currently provides a standard drip style coffee maker. It is a multi cup machine.
- Answered by Twiddy on 5/29/2015
Is there a high chair or crib in the house?
Ally, baby equipment is not a standard amenity for Twiddy homes. If you would like to rent baby equipment for your stay, Just for the Beach, Moneysworth, and Ocean Atlantic Rentals all provide baby equipment rentals. For contact information, please visit www.twiddy.com/activities/services.aspx.
- Answered by Twiddy on 5/29/2015
Is there an ice maker?
Mandy, B510 currently provides an ice maker, however, this is not a guaranteed amenity and it subject to change.
- Answered by Twiddy on 5/29/2015
Could the house be rented from Wednesday October 7th to either Sunday the 11th or Monday the 12th. We are coming for a wedding
Thank you for your inquiry, Melody. This home rents from Saturday to Saturday and only accepts weekly rentals. It would not be able to accommodate your partial request.
- Answered by Twiddy on 2/22/2015
what is the weather "typically" like 5/9 - 5/16?
Hi Ken, for a chart of the area's average air and water temperatures please visit the following link: www.twiddy.com/faq.aspx#watertemp
- Answered by Twiddy on 1/13/2015
Is there lighting for the volleyball court?
Blake, B510 has flood lights providing lighting to the pool, deck, and volleyball areas.
- Answered by Twiddy on 1/13/2015
How closest is the nearest grocery store?
Hi Mandy, the home is roughly 6 miles north of the Food Lion in Southern Shores, however depending on traffic it can sometime be quicker to visit the Harris Teeter in Corolla just 10.5 miles north of the home.
- Answered by Twiddy on 12/30/2014
Does the house have beach chairs and a utility cart for renters to use?
Thank you for your inquiry, Jen! Every Twiddy homes provides 5 beach chairs. Items such as beach carts are not a standard amenity for our homes. If you would like to rent beach equipment for your stay, Just for the Beach, Moneysworth, and Ocean Atlantic Rentals all provide this service. For contact information, please visit www.twiddy.com/activities/services.aspx.
- Answered by Twiddy on 7/3/2014
We noticed basketball as an amenity, but don't see the hoop in the pictures. Is it on the right side of the driveway, which isn't visible in the pictures? Also, we love to play corn-hole. Is there a set already at this property?
Yes Darrin, the basketball goal is on the right side of the driveway as you look at the home. Currently, corn hole is provided at the home, however, this is not a guaranteed amenity and is subject to change.
- Answered by Twiddy on 6/18/2014
Is propane provided for the gas grill or will we need to bring it/buy it when we get there?
Yes NIck, the gas will be provided for you!
- Answered by Twiddy on 5/29/2014
We love the house and are coming for the third year in August, but what are these updates I am hearing about?
Marilyn, the owner is in the process of updating the furniture for the great room, master bathroom improvements, as well as new audio/visual updates to the great room and outside pool area!
- Answered by Twiddy on 3/31/2014
We are interested in coming down 4/12-4/19...any chance the private pool could be opened for that week?
No Jennifer, because of the delicate nature of pool heaters, and the wind and weather conditions that may prevail in April, we are not able to open and heat the pools that early!
- Answered by Twiddy on 2/24/2014
When will the updated rooms be ready?
Elana, we anticipate the updates to be completed by mid-March!
- Answered by Twiddy on 2/6/2014
Is the community pool that is listed an indoor or an outdoor pool?
Annette, the Duck Landing community pool is an indoor one
- Answered by Twiddy on 1/26/2014


text: We are delighted that Ringo Starr, legendary Beatles drummer, has been awarded the GQ Humanitarian of the Year award. Ringo has supported WaterAid since 2003 through The Lotus Foundation, which he set up with his wife Barbara. The foundation has donated funds to WaterAid and to date has supported projects in Ghana, Ethiopia, India, Uganda, Ethiopia and Liberia. Ringo believes passionately that clean water is a human right and his support has ensured that many communities now have access to clean, safe water. He has also supported WaterAid in other ways. In 2005, Ringo, a keen gardener and regular visitor to the Chelsea Flower Show, was asked to open a garden and to nominate a charity to benefit. He chose WaterAid. He supported us again at the flower show in 2012 and 2013, when he opened gardens highlighting our work in Africa and India. In 2011, he designed a boot to raise money for WaterAid through a charity auction arranged by clothing company Timberland. There were 75 boots auctioned and they raised nearly $20,000. The ongoing commitment from Ringo and Barbara has helped transform many lives around the world, and we are extremely grateful to them for their support.


text:
*4oz Facial Cleanser
"COQUETTE" (FLIRT) -Our Luxurious, plant-based, Daily Facial Cleanser provides gentle & effective daily cleansing. Toxin-free. It is rich in natural antioxidants for ultimate free-radical protection and also works to keep skin clear of acne and breakouts. Delicately scented with rose.
Directions: Use daily, morning and night, for optimum skin cleansing & softening. Finish with LAUDUN TM "Rose Water Frost" Facial Toner.
KEY INGREDIENTS: Organic TAMANU OIL- Organic Moringa Oil, Organic Plaintain Leaf Extract- Organic Damasc Rose
* 4oz Facial Toner
Our Original, botanical, Daily Facial Toner provides naturally gentle & effective daily toning of skin. Wonderful to use following facial cleansing- its delightful, cooling scent will revive your skin and your senses! Made with the purest botanical essential oils, extracts & soothing, anti-inflammatory Cucumber Extract; Pure Rose Damasc Water, so only a small amount is needed for ample treatment of face & neck; noticeably firms, tones & prepares skin to receive moisture. ALCOHOL FREE
Directions: Use daily, morning and night, for optimum skin toning & preparation for moisturizing. Gently press down on the spray nozzle, and lightly spray the toner around the face; or spray a small amount of toner onto a gauze pad or cotton ball and gently apply around face using circular motion.
KEY INGREDIENTS: Organic Cucumber, Citrus & Rose Damasc
+Contains Absolutely NO harshChemicals,Synthetic Preservatives,Petro-chemicals (like Mineral Oil),Parabenor Phthalates-completely Non-Toxic.


text:
Serene HD Realistic Resource Pack is a modern realistic pack, that is great for modern building and looks beautiful with shaders, Leave a comment and let me know what you think. Don't forget to also leave a diamond if you like the textures. Thanks!
for Minecraft 1.9.4 and 1.10.2
Author: FlyingV


text:
The Maritime Museum of British Columbia—Western Canada's oldest Maritime Museum—is dedicated to telling the story of the province's rich maritime heritage. Our collection showcases B.C.'s dynamic history seen through the lens of humankind's relationship with the sea, from the First Peoples of this province, to journeys of exploration and adventure, to the CPR steamships that plied these waters, and everything in between.
Stop by this summer to experience our Summer of Discovery, featuring special exhibits on the voyages of Captains Cook and Vancouver and the ill-fated HMS Erebus under the command of Sir John Franklin, as well as the remarkable nautical artwork of renowned painter John Horton! We're open daily from 10-5.
Our new exhibit space at 634 Humboldt Street in Nootka Court showcases and rotates the best of our collection and extensive library and archives. It is guaranteed to be exciting and educational to veteran sailors and landlubbers alike.


text:
This program is based on the Workflow diagramm presented by David Allen in his book "Getting Things Done", which allows the user to handle many different real life tasks without spending too much time with it.
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I agree to receive quotes, newsletters and other information from sourceforge.net and its partners regarding IT services and products. I understand that I can withdraw my consent at any time. Please refer to our Privacy Policy or Contact Us for more details
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text:
The First Baptist Community
Discover ways you can connect with First Baptist Church Hilton Head Island through a multitude of opportunities provided throughout the week. Click the links below to find out more.
Our Mission Statement:
Our Mission at First Baptist Church Hilton Head Island is to present the Lord Jesus Christ, through the Bible, so that people may come into this fellowship, to love Him, to serve Him and to share Him with all people.
9:00 AM - Coffee Fellowship, Family Life Center
9:15 AM - Sunday School for All Ages
10:30 AM -Worship Service in the Sanctuary
Discover ways to connect with the FBCHHI. Find out more...
Please click the Ministries button, choose Children's Ministry from the drop down menu, and follow the link to the Vacation Bible School registration form.


text:
Long-lasting, insecticide-treated bed nets may not be as effective in the fight against malaria as previously believed, reports a study published in the Lancet. In fact, the use of the bed nets may actually aid a resurgence of the disease.
The study, which observed residents of Dielmo, Senegal shows that the Anopheles gambiae mosquito, which is responsible for about half of the malaria cases in Africa, may be developing resistance to the insecticide on the treated bed nets which have become a norm in preventing malaria. However, this isn't where the bad news ends. While the malaria population is in decline, people may lose their immunity to the parasite, making them more susceptible to contracting the disease when the mosquito population recovers.
Doctors from the Institute for Development Research in Dakar distributed bed nets in Dielmo in August 2008 after studying the mosquito population for a year and a half. For the first two years, malaria cases quickly declined — from August 2008 to August 2010, incidence of malaria decreased to less than eight percent in the village. However, between September and December 2010, the numbers increased again and malaria incidence rose to 84 percent.
However, critics of the study have cautioned against any drastic conclusions. Joseph Keating and Thomas Eisele, from the Tulane University School of Public Health and Tropical Medicine wrote in a commentary that while the study was thorough, the duration was too short and it only focused on one village in rural Senegal. This, they claimed, was not enough to state that the bed net program is ineffective.
Other critics of the study agreed, arguing that occurrence of malaria varied from year to year.
The news comes as the U.S. Agency for International Development (USAID), announced expansion of its Indoor Residual Spraying (IRS) program, a strategy that involves spraying safe insecticides to indoor walls and ceilings of homes, hoping to disrupt malaria by killing mosquitoes carrying the parasite. The three-year contract for $189 million will be implemented along with the Centers for Disease Control and Prevention (CDC).


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By Jack Markman, Nick Penrose, Tyson Barnes, and Quentin Ochoa The Big Rip The Beginning of the Universe is widely accepted as being the Big Bang. This was an event where the Universe was created from a speck the size of an atom. The Universe was created when this atom exploded outwards with enough energy to launch the Universe into being. In the billions of years since the Universe began, it is still expanding, propelled by the Big Bang explosion. For many years, scientists believed that the Universe would end when the propulsion from the Big Bang would be overcome by gravity. The Universe would end and be crushed back into the "atom" it was created from. Recently, however, scientists have postulated new theories on the fate of the Universe. Here is where science stands. Scientists have discovered a new force, called Dark Energy, which makes up 73% of mass-energy of the Universe. They know next to nothing about it, hence it's mysterious name. All they know is that it is overpowering gravity and speeding up the expansion of the Universe. One of the theories posited about Dark Energy was that it would accelerate everything in the Universe to such a speed that everything in the Universe, down to the atoms, would be ripped apart. Another theory was that Dark Energy will continue to accelerate the Universe, but that it won't grow in strength and Universe will get larger, but will not be ripped apart. Despite the little knowledge we have on Dark Energy, some scientists have calculated that the Universe will not be ripped apart. They say it will just keep expanding until everything in the Universe is so far away from everything else in the Universe that nothing is visible in the night sky (except maybe the moon) This is called indefinite expansion. So if you are planning on stargazing, do it now, because in 27.5 billion years, you won't have much to look at. Bibliography http://www.universetoday.com/22382/no-big-rip-in-our-future-chandra-provides-insights-into-dark-energy/
http://scienceblogs.com/startswithabang/files/2011/05/56197main_dark_schematic-lg.jpeg The End ...of the Universe? Quiz 1. What was the name of the theory of gravity crushing the universe?
2. What was the name of the theory of dark energy ripping apart the Universe?
3. What is the velocity of a bullet in space?
4. What is the name of the theory of the Universe that is not ripped apart? Answers 1. The Big Crunch
2. The Big Rip
3. A few kilometers a second.
4. Indefinite Expansion This theory is called the Big Crunch. Video here.
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The Big Rip
The Rest In Peace for our vast home
Jack Markmanon 13 April 2013
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By Jake Sapon
I wrote, at the beginning of our process, a few definitions of Compassionate Creativity.
Now, after over 15 gatherings and 7,000 miles of experience, I feel it's time to revisit these definitions—to notice what about my relationship to our project, to compassion, and to creativity has evolved.
Throughout our journey, each person and place we have encountered has helped me to reflect upon my values, my dreams, and the limitless ways to be both compassionate and creative in the world.
From Lindsay in Fayettville, and Claire in Philadelphia, I learned how hospitality is an art form. From Kenny and John in Bisbee, I learned about generosity. From my cousin Rena in New York City, I learned a new frame through which to think about compassion and creativity. From guests at our gathering in Kansas City, I learned the importance of courage and openness in sharing my own art. From Ravi in Silver City, John in California, and my Aunt Sarah and Uncle Richard in Philomath, Oregon, I learned the importance of spiritual practice to my life.
The list goes on and on.
In each place we arrive, we bring all of these people and all of these lessons with us. As we continue, our definitions and values evolve, shift and grow. I write to you with immense gratitude for both all that I have received and learned and for what I have taught and given.
Through this learning, I have come to understand Compassionate Creativity as an attitude towards our relationships with ourselves, others around us, and the world. I associate the word Creativity with a sense of moving within a realm of expansiveness and imagination—a willingness to believe in possibilities, and to choose which possibilities to make real. I associate the word Compassion with a sense of connection—a felt sensation of the interconnectedness between all people.
Kāli describes her new book as a memoir that looks at the integral relationship between Compassion and Creativity, especially within moments of uncertainty and when moving through deep grief.
When I let these two qualities interact within me, I find myself creating and refining a system of values and beliefs through which to live my life:
- Compassionate Creativity is assuming that everyone is an artist. It's believing that creativity is not some special characteristic only available to a select few, but the basic core of human expression. Compassionate creativity is understanding that the way we live our lives is our Art.
- Creative Compassion is listening. It's listening to each other and to ourselves not only with our heads, but also with our hearts and our guts as well. It's learning how to communicate, even when we think it's impossible, and learning how to believe that healing is constantly possible. It's understanding that every person, every animal, every child, and every being can be our teachers.
- Compassionate Creativity is creating our own definitions of success, understanding that there are as many ways to be successful as there are people in the world. It's knowing that you—not anyone else—have the power to define your own dreams.
- Creative Compassion is believing in the power of human connection. It's trusting that we have things to learn from our ancestors and our descendants, that community can sustain and empower us, that open hearts are just as important as sharp minds. It's understanding that one small action of kindness or of healing can have a very big ripple.
- Compassionate Creativity is understanding that our processes are perhaps even more important than our products, and that work can and should be playful and joyous and loving.
- Creative Compassion is learning how to work with our own feelings, particularly our own negativity. It's learning how to navigate our doubt and our fear, our anxiety and our depression. It's learning to blow upon the tiny sparks of playfulness, joy and compassion that can warm and sustain us in times of despair.
- Compassionate Creativity is courageously learning how to share your art and your work with the audacity to believe that you have the power to shift the whole world.
- Creative Compassion is choosing to believe that people are basically good-- that kindness and generosity tend to be the rule, not the exception.
- Compassionate Creativity is creating or discovering your own system of values to anchor you through your journey in the world
- Creative Compassion is understanding that these values will need constant interpretation, work and practice, play and love, and that the discipline of creating our lives requires both gentleness and precision.
What does Compassionate Creativity mean to you? Creative Compassion?
What have you learned about these words from your life experience?
By Jake Sapon, CC Storyteller
Seen through the lens of CC value 44: Sharing what you believe and believing in what you share...
Up until this point, I have written little about our gatherings—the book readings, community potlucks, and musical performances that have been the heart of our tour.
It's been far easier to talk about my own learning, growth, and experience than to reflect on the ways that we might, in turn, be affecting others. Though I can feel in my gut that I am making a positive impact in the world through this journey and these sharings, I don't know—at least not in exact, precise terms-- what that impact is. Part of me is afraid to even express my hope that what I am doing is making a difference, for fear that I might be judged as grandiose, or naïve to think that something as simple as gathering 20 people in a room and sharing music, food, and stories could change the world.
"Know That You're Every Action Has A Lasting Effect:" Angels on the Road
By Jake Sapon, CC Storyteller
At our gathering in Farmington, we talk about Angels.
In Hebrew, the word for angel (malach) literally means "messenger." Thus, an angel is not necessarily a divine being, but is rather anyone who, at exactly the right place and time, carries a message. It is said that each of us here on earth is an angel, carrying a message to be delivered at a specific time and place, though we might not ever know when our message has been delivered.
Post by Jacob Sapon, CC Storyteller
As isolated incidents, each of our encounters on the road is merely a collection of events. A description of foods, colors, conversations, people, names, places, smells, sounds.
When put together in order, these encounters begin to form a more full picture-- like microscopic dots of paint that, when examined from a distance, become a painting. This painting of places and people, told through words, is a story with a particular interpretation—an interpretation where people are, again and again and again and again, generous and kind. A story in which the world we live in is fundamentally characterized by a longing-- pulsing within all of our flaws and vulnerabilities--- to connect.
By Jake Sapon, CC Storyteller
On our ten our drive from Kansas City to Denver, I pick Wilson off of the map to stop for lunch based on its close proximity to the highway, a hunger for diner food, and a strange sense of intuition. We pull into the town, and realize that we have arrived in "The Czech Capital of Kansas." We stop beside a giant, spherical structure and a sign that proudly declares that we are looking at "the largest Czech egg in the world." I feel as if I have stepped into a time machine, but I'm not quite sure what time I'm in. The town is quiet and friendly. Children and grown-ups wave to us as we drive by. The buildings around us remind me of a set from The Good, The Bad, and the Ugly.
By Jake Sapon, CC Storyteller
Stephanie and Don, our hosts, greet us with homemade baked bread, spiced nuts, and fresh strawberries. The room fills with artists and creators—musicians, clowns, theater artists, and dancers.


text: 1870 was a year in the 19th century. Events Twenty Thousand Leagues Under the Sea was published. Retrieved from "http://backtothefuture.wikia.com/wiki/1870?oldid=8479" Ad blocker interference detected! Wikia is a free-to-use site that makes money from advertising. We have a modified experience for viewers using ad blockers Wikia is not accessible if you've made further modifications. Remove the custom ad blocker rule(s) and the page will load as expected. Categories: Years


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There's something fishy going on here and we love it. This vintage Limoges porcelain trinket or pill box is topped with an exotic tropical striped fish. It's hand-painted and sits high on a cobalt blue oval box with an ornate textured brass frame. The clasp is a fish too...of course.
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This box has never been used and it's in excellent condition.
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Time flies when you're having fun! Our Alpha Program has been progressing tremendously since I last spoke about it in April. Since then, there are a number of new features that were brought about thanks to you, our users and readers!
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During the next few weeks we plan to add exciting features to our software – so keep the ideas and suggestions coming! Leave a comment below if you're looking for a particular feature, and if you are not yet part of our Alpha, please sign up today because we are still sending early invites even at this stage.


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I'll have to borrow a page from Safia Minney on this one, who explained it concisely and thoughtfully in a People Tree blog post:
Fair Trade Fashion is a product – clothing or accessory that is made by a Fair Trade certified group that works to the World Fair Trade Organisations 10 Fair Trade principals – see them here. Primarily Fair Trade fashion is fashion created with a goal of empowering marginalised people while paying them a fair wage and ensuring fair working conditions.
Fair Trade Fashion is sometimes covered by a wider term 'Ethical Fashion'. Fair Trade Fashion may also incorporate sustainable practice, including the use of organic cotton, achieving Soil Association organic certification, safe dyes and carbon neutral production methods.
Sustainable Fashion is a product that is often made to environmentally-friendly standards including eco fibres like certified organic cotton, upcycled and recycled fabrics, reclaimed and fabric off cuts. Some new fibres like bamboo, hemp and linen are also included, but depending on the methods of processing bamboo and hemp, these fabrics are not always considered environmentally-friendly. Some people will group Fair Trade Fashion under sustainable fashion as the production is considered 'sustainable' to communities of farmers and artisans in providing livelihoods and investing in eco-projects.
Ethical Fashion is a broader term that can encompass Fair Trade and sustainable fashion but is not always explicit. Ethical fashion has no distinct set of rules, practices or governing body. Ethical Fashion emerged out of the broad school of ethical, responsible consumption in the early 90's, and is based on a 'do no harm' principle. It includes Fair Trade concerns, but also encompasses organic and recycling issues, as well as paying attention to animal husbandry practices and the overall activities of a company. Ethical fashion includes pioneering brands working on everything from upcycling (reclaiming fabrics from second-hand or end of roll) to Fair Trade hand-knitted hats and a range of 100% organic t-shirts. For example sustainable fabrics sourced abroad but cut sewn and trimmed in the UK would be considered ethical. Or for example clothing produced in larger factory units which have been issued with social compliance certificates such as Fairwear certification, FLO-CERT, GOTS certification, SA8000 and other solid audit controls in place could be considered ethical as labour standards are being upheld in these factories. Fair Trade Fashion is always/ by default ethical fashion, ethical fashion, is not by default Fair Trade or adhering to the Fair Trade principles.
There is too little investment in Fair Trade and ethical fashion for there yet to be definitive studies of their environmental and social impact, but these would be very valuable for consumers to help them shop. What is clear is that, if you're buying new clothing, you will be making a positive difference in buying a product that checks the box in as many best practices as possible. Consumer values are different too – a vegetarian may decide that buying leather shoes is less bad than plastic that doesn't degrade in 500 years, for example. Ethical consideration and choices are therefore not always straightforward. They are about the values that consumer holds most important to them.
We avoid using synthetic material wherever possible. Leather degrades in 25-40 years, whereas polyurethane (PU) and polyester -- fancy words for plastic -- up to 400 years. On top of that, these materials are petroleum-based, meaning their production uses fossil fuels. They are a known polluter of the oceanic food chain, which ultimately kills more animals than the small-time tanneries MadeFAIR partners use. We abhor the ill-treatment of animals during their lifespans and we don't stock items made from factories that mass produce leather and dump harmful chemicals into drinking water of local communities.
Having said that, it's important to us to provide durable shoes and accessories that will be a closet staple -- nay, essential -- for years to come. Therefore, we stock leather. We also have vegan "cork leather" bags which ar naturally waterproof and stain resistant, made from material literally shaved from the cork tree. It's biodegradable and completely ethical -- in every sense of the word.
Lots of places! First, Cambodia is our home away from home, so we've built relationships with several social enterprises around the country.
Also, we're a member of the Ethical Fashion Forum which connects us with like-minded labels who value human and environmental capital while appreciating a fabulous pair of shoes.
We're not a 501(c)3 organization, nor do we have shareholders and investors. We're an independently owned business that often works with charities and social enterprises by purchasing their products.
Due to the high volume of pitches we receive, we can't guarantee we'll respond to every company. However, we love discovering new businesses and seeing the latest design-driven ethical pieces, so we'd love to hear from you. Email hello[at]madefair[dot]co with your linesheet and we'll talk.


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Monday, February 28, 2011
Thom Powers and the rest of New Zealand pop outfit The Naked and Famous are REALLY busy right now. My first attempt at an interview was rescheduled when I caught Thom checking out of a hotel in London. The night before, the band won the Philip Hall Radar Award at NME Shockwaves. And they were already on their way to Cambridge when I interrupted. When I spoke to Thom again the next day, he was in Bristol, 10 minutes away from another soundcheck.
From the UK, The Naked and Famous are off to the rest of Europe. Then the States. And besides Flight of the Conchords, they're already the most successful band to break out of New Zealand (Split Enz?). Here's what Thom had to say anyway. Their debut album, Passive Me, Aggressive You, is out now (but not fully).
Every time I read your name I get The Presidents of the United States of America stuck in my head. I believe it comes from a Tricky song?
Ha ha… Yeah, Pre-Millennium Tension, 1996. From a song called 'Tricky Kid'.
How was the NME Awards show? Judging from your Twitter updates, things got pretty out of hand?
Heaps of fun. Big shock. I didn't even know why I was there. We just kind of got invited at the last minute.
One of your tweets was, "Dear aggressive drunks, you are everything that is fucked. Ever". What happened? A real life case of Passive Me, Aggressive You?
Click here to read the full interview on Don't Panic Online.
Posted by Vandelay Industries at 21:13
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