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NYC mayor at officer's funeral: 'We must help our police'
The mayor called on residents to do their part to protect police as he eulogized an officer ambushed and killed in a parked police vehicle, a woman he said represented the American dream.
"We've watched with horror these attacks on our police here in New York City and all around our country. It sickens us, and we know they cannot be tolerated, and we know they must end," Mayor Bill de Blasio said at Officer Miosotis Familia's funeral.
"But in fact," he added, "we must end it. It's not a one-way street, my friends. We must help our police in every way, just as we ask them to help us in our moment of need. ... They need us to be their eyes and ears. They need our solidarity and support."
The Democratic mayor's remarks came after he faced complaints from critics — including President Donald Trump — for spending the weekend with world leaders in Germany as his city grappled with Familia's death, which happened early on July 5. De Blasio attended Monday's wake.
A sea of police in blue uniforms filled a landmark Bronx movie theater and the street outside to pay tribute to Familia, a 12-year officer, former health care worker and mother of three. A child of immigrants who was the first person in her family to go to college, she had always wanted to be a city police officer, the mayor said.
"She embodied the American dream" and "a beautiful New York City story," de Blasio said, calling Familia a hero who "lived life the right way."
Familia, 48, was in an RV-like command post stationed in a crime-ridden Bronx precinct early Wednesday when 34-year-old Alexander Bonds walked up to the vehicle and fired once through the passenger window, striking Familia in the head. Bonds ran from the scene but police caught up to him and opened fire, killing him after they said he turned the gun on them. Bonds had sought psychiatric care just days earlier.
An ex-convict, he had railed about police and prison officers in a Facebook video last fall.
Familia's commanding officer, Inspector Philip Rivera, on Monday called her "a true asset to this department, to this city, a beautiful person inside and out, a loving mother, loving to her co-workers, always had a smile and a few kind words for everybody."
Bronx resident Bill Simpson, 56, never met her, but felt the need to mourn the loss.
"It hurt everybody. All of us feel it," he said.
After joining the NYPD in 2005, Familia worked her entire career in the Bronx precinct where she was killed.
She has a 20-year-old daughter and 12-year-old twins, a boy and a girl. She also was caring for her 86-year-old mother.
Familia is the first female officer to die in the line of duty since 9/11.
Associated Press writers Deepti Hajela and Jennifer Peltz contributed to this report.


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Simple contractor agreements must contain the agreement component and the consideration component to be legally binding, according to AllBusiness.com. Agreement occurs when one party offers to provide a product or a service, and the other party agrees. Consideration includes both parties agreeing on the offer and the terms of payment.Continue Reading
Contract laws of individual states may differ somewhat, but the basic structure of a simple contractor agreement remains the same. The contract must state specifically what is required of all parties, according to the simple form displayed on Entrepreneur.com. Contractor agreements must be signed or orally agreed upon by individuals age 18 or over. Neither party must be under the influence of alcohol or drugs. Both parties must be mentally competent to understand and sign or orally agree to the contract.Learn more about Carpentry

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Normal behavior?
Elise cries 24/7 in the car seat, stroller, in stores at home, she also slaps herself and bangs her head against floor or walls and is always unhappy or mad. Asking her pedi is a waste a time he always says to let her cry it out. Can a 19 month old be seen by a psychiatrist?
It's a phase, try to calm her and tell her be nice to yourself and others, demonstrate by stroking her cheek saying nice, don't hurt your self and give an ouchie. Try to redirect. Also when out and about if you have someone to help you shop and hold her instead of putting her in the shopping cart right away, it helps to keep them calm. I went through this a few months ago. I hope that helps a little.
Thanks for taking time to answer I barely get answers here. I really hope its a phase its very frustrating, we do carry when we are in stores is when we get tired that we put her in the stroller or cart but she still makes a drama show at the stores and everyone staring! I know she will be a drama queen lol We redirect every time but she gets more angry. Can't wait for her to sleep all night already too! :(
Try singing to redirect, every time i sing wheels on the bus or the alphabet my daughter immediately changes. Keep trying. I put my daughter to bed in the crib and when she wakes up at 5 i breastfeed her and let her sleep with me till morning 8:30-ish
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Cat Rabies Shot
In USA, it is mandatory for cats to receive vaccination against rabies virus as put forward in the "Compendium of Animal Rabies Prevention and Control". The only vaccine administered by the USA laws is the rabies vaccine to protect against spreading of rabies virus to humans.
Every state sets its own law regarding the frequency of the rabies vaccine administration. Normally, the cat is given the cat rabies vaccine after it reaches the age of 3 – 6 months old. After one year, the cat is given a booster injection. The law concerning the annual rabies vaccination differs from state to state. Most states require the cat to receive rabies vaccination annually. However, there are some state requires the cat to be administered with rabies vaccine every 3 years.
There are two types of cat rabies shot including 1 year and 3 years. The one-year cat rabies shot can last for one year while the 3-year cat rabies shot can last for 3 years. The one-year shot offer less protection than the three year shot. Studies have shown that the rabies vaccination can offer protection for up to 7 years.
Though there is a low incidence of cat rabies, it is best that you get vaccinated because rabid animals such as bat often enter into homes. Cats, which are not vaccinated against rabies, will die if they touch the saliva or are bitten by a rabid animal.
Before there is any vaccination or you feel your pet has rabies infection, go for an easy blood test called antibody titer. Another important message is the existence of a special compound adjuvants, which increases the efficiency to the vaccine in other vaccines, has lately shown as cause of cancer or immunological disease at some later stages of cats life. You should make sure the vaccination you give does not support adjuvants. An exception to this kind is canarypox virus-vectored recombinant feline rabies vaccine, which does not contain adjuvants is administered annually.


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I've been a little quiet lately. The holidays have kept me busy and I've been working on a little something behind the scenes! I'm excited to announce that Ivy Rose Photography's first ever 2015 Limited Edition {red velvet} Valentine Mini-Sessions are coming soon! These sessions are exclusively for children and will include a styled set with this year's theme – Red Velvet!All packages will include digital files.
All details coming soon! Email firstname.lastname@example.com to be put on the list!


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By Marygrace Taylor, September 9, 2012 | More posts by Marygrace Taylor
Marygrace Taylor is an Associate Editor for KIWI magazine. Growing up, her favorite school lunch was mac and cheese.
What's the first thing that comes to mind when you hear the words "school lunch?" Likely, it's plastic trays piled high with the unidentifiable goop many of us had to endure as kids. Well, take another look (or bite) because school lunch is not what it used to be! That's become pretty apparent as we here at KIWI magazine have sought out hundreds of schools across the country that serve up healthy, wholesome meals to receive our annual KIWI Crusaders awards -- a search for schools dedicated to serving nutritious fare. To celebrate what's great about school lunch, and for a fun, positive way for parents, schools, and communities to work together to make it even better, KIWI magazine teamed up with the School Nutrition Association (SNA) to launch National Take Your Parents to Lunch Day.
Last year, parents all across the country lined up next to their kids with cafeteria trays for the first-ever Take Your Parents to Lunch Day. It was a big success. At Mystic Valley Charter School in Malden, Massachusetts, moms, dads and kids dined on ravioli with basil marinara sauce and green beans. In the fourteen elementary schools in Utah's Provo City School District, the menu featured rosemary chicken, rice pilaf, steamed vegetables, whole grain rolls, fresh local melon and oatmeal cookies. "It was a great way for parents to see what's actually happening at lunch," says the district's Child Nutrition Director Jenilee McComb. "And we served exactly what we'd be serving anyway. We're proud of what the kids are eating."
This year, KIWI magazine and the School Nutrition Association have joined forces with Whole Kids Foundation® and Stonyfield Organic to make the second annual Take Your Parents to Lunch Day even bigger and better. It's happening on Wednesday, October 17th, and it's not too early to start thinking about how you might bring this fun, community-minded event to your child's school. Visit myhealthyschool.com/lunchday to learn how you can get started. Or, download KIWI magazine's free iPad app and get our digital Lunch Day issue!
Hope to see you in the lunch line on October 17th! Tell me, what was your favorite school lunch?
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Angel Perverse 15Favorites [+]
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Running Time: 128 minutes
Released: 05/2010
Studio Name: Evil Angel Clark Euro Angel Video
Series: Angel Perverse
Director: Christoph Clark
Categories: Anal All Sex Ass-to-mouth Threeway
Description: Bobbi Starr and Dana DeArmond probably made impossible demands when they traveled to Europe to appear in Angel Perverse 15. They must have asked for stunningly pretty girls who can gape and take huge cocks and toys in their asses. As for the men, they required the hardest big cocks on aggressively handsome studs. Amazingly, Christoph Clark complied, creating this carnalcopia for us to feast upon. Lucky Ian Scott gets to appear in two scenes, first with ...More
Description: Bobbi Starr and Dana DeArmond probably made impossible demands when they traveled to Europe to appear in Angel Perverse 15. They must have asked for stunningly pretty girls who can gape and take huge cocks and toys in their asses. As for the men, they required the hardest big cocks on aggressively handsome studs. Amazingly, Christoph Clark complied, creating this carnalcopia for us to feast upon. Lucky Ian Scott gets to appear in two scenes, first with two raven-haired stunners, Bailey and Dianna. Fans of ass-to-mouth get to see Ian's cock traveling between Bailey's puckered smooth ass-hole to Dianna's hungry mouth and vice-versa at a frenzied pace ending with the delectable duo sharing the explosion from Ian's quivering manhood in a race to see who can get more cum in their mouth. Ian himself will have to share the sultry Rosee with legendary French stud David Perry. Together, they satisfy the bawdy brunette's insatiable oral needs, at one point she simultaneously sucks both cocks filling her mouth with two throbbers in one slurp. There's gapes galore and a double dose of facial cumshot from the two uncut swordsmen. For her part, Bobbi serves as a mistress of ceremonies in Bea Stiel's raunchy romp with Greg Centauro. Of course she jumps in to show the Euro-schtuppers how the American pros do it. The finale sequence opens with a gorgeously orchestrated poolside tease by Dana and Alysa (black hair, blue eyes, supermodel beauty). They show off their spectacular bodies, dancing and writhing about in matching outfits: black stockings, patent leather undies and turquoise garter belts. Swarthy stud Kidd Jamaica is seated nearby clutching his engorged cock until the perverse angels finally satisfy his (and our) every desire in a litany of dirty deeds: throat fucking/gagging, deep anal, gaping, dildo-dipping DP, ATM, rimming, four-fingered anal play, toe-sucking, ball sucking and for cum loving girls, sperm-swapping and swallowing... Merci beaucoup, Christoph! ...Less
4 Scenes from Angel Perverse 15
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Starring: Ian Scott Bailee ... More Details
Stars: Ian Scott, Bailee, Diana Stewart
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Starring: Greg Centauro Bobbi Starr ... More Details
Stars: Greg Centauro, Bobbi Starr, Bea Stiel
Sex Acts: Anal Sex, Rim Job, 3-Way, Gapes, Toy Play - Anal, Fishhooking, Vaginal Sex, Throat Fucking, Oral Sex, Toe Sucking, Fondling, Blowjob
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Starring: Rosie Ian Scott ... More Details
Stars: Rosie, Ian Scott, David Perry
Sex Acts: Ass To Mouth, Anal Sex, 3-Way, Jousting, Modeling, Gapes, Fingercuffing - Vaginal, Fingercuffing - Anal, Vaginal Sex, Deep Throating, Oral Sex
Positions: Standing Doggy Style, Standing, Spoons position, Missionary, Laying, Reverse Cowgirl, Cowgirl, Kneeling
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Starring: Dana DeArmond K. Jamaica ... More Details
Stars: Dana DeArmond, K. Jamaica, Alysa Gap
Sex Acts: Anal Sex, Ass To Other Mouth, Rim Job, 3-Way, Masturbation, Gapes, Toy Play - Anal, Vaginal Sex, Straight-To-Anal, Throat Fucking, Oral Sex, Toy Play - Oral, Blowjob
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text: Each weekday, TheStreet.com Ratings compiles a list of the top 10 stocks in five categories -- fast-growth, all-around value, large-cap, mid-cap and small-cap -- and publishes these lists on the Ratings section of our Web site.The rankings are based on our ratings, which assess risk-adjusted returns, as well as other criteria specific to the type of stock. We update the lists at the end of the business day on the basis of information available at the close of the previous trading session. The following day, we publish an article that takes a closer look at the ratings of the stocks on one of the lists. Today we look at all-around value stocks. These stocks are in the top 50% of all stocks rated by our proprietary quantitative model, which looks at more than 62 factors. Other selection criteria for this particular category include annual revenue of at least $500 million; lower-than-average valuation, such as a price-to-sales ratio of less than 2; and leverage that is less than 49% of total capital. First on the list is insurance and financial services company MetLife ( MET), which has merited a buy rating since December 2004. With a strong market position and growing international operations, the company is poised for strong financial performance. MetLife has bolstered its market position in the core insurance and annuity business with its acquisition of TIC. It now has one of the broadest distribution networks in the sector. Growth is expected through ongoing consolidation within the industry. The risks to the buy rating include the negative impact of any changes in interest rates, equity prices and any slowdown of the economy.


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Good food tells a great story, and ours is no exception! Four Daughters Kitchen started as a (literal) hole in the wall. But, with any great restaurant, it's not what you see, its how you see it!
Owner Clint Clausen saw the space as a great opportunity to deliver the North Manhattan Beach area something it had been missing: a beach eatery with fresh, healthy food, a stocked bar, organic coffee and a friendly atmosphere… all at an affordabe price.
All that was left was putting the idea into action. For four months, Clint built out the space by hand. A restauranteur with years of experience made a vision come to life.
The restaurant was named after Clint's own life – he is a father of four smiley little girls – and opened at 7AM the first morning to a crowd of friends and neighbors looking for a steaming cup of coffee, a warm plate of eggs and a friendly smile.
Clausen, the stepson of Las Vegas attorney and close Tarkanian friend Chuck Thompson, played two seasons for the Rebels and appeared in 24 games, totaling 12 points and 13 rebounds in limited minutes. He remained on the team when Rollie Massimino took over as coach in 1992.
"Clint was a great person and a great teammate," said UNLV coach Dave Rice, an assistant on the 1991-92 team that went 26-2. "Everyone respected Clint for what he gave the team, and he loved being a Rebel."
After graduation in 1993, Clausen became involved in the restaurant business. He managed the upscale Italian restaurant Bertolini's in Las Vegas, followed by a position managing Michael Mina's restaurants at the Bellagio and MGM Grand.
He then was director of operations at Innovative Dining Group before relocating to Los Angeles to assume the senior vice president of restaurant and nightlife operations position for SBE Entertainment.
Clausen opened his own restaurant in Manhattan Beach, Calif., in early 2010. Four Daughters Kitchen quickly became a popular dining spot for celebrity athletes and entertainers who lived in the neighborhood. Later that year, Clausen helped oversee the opening of the restaurants at The Cosmopolitan of Las Vegas.
(Steve Carp, Las Vegas Review-Journal August 2014)
apteka mujchine for man ukonkemerovo woditely driver.


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U.S. Citizenship and Immigration Services (USCIS) announced information on the number of filings for H-1B petitions for the fiscal year 2010 program.
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For cases filed for premium processing during the initial five-day filing window, the 15-day premium processing period began April 7. For cases filed for premium processing after the filing window, the premium processing period begins on the date USCIS takes physical possession of the petition.
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Well, this is awkward. Iran's state-run Press TV reported Thursday that a special Revolutionary Guard "electronic warfare unit" had gained remote control of a U.S. drone and landed it after it had flown more than 100 miles into Iranian airspace. Meanwhile, U.S. officials claimed that the stealth aircraft was on a mission in Afghanistan when it went astray, but The New York Times ran a slightly different story about the drone's mission. —KA
Pentagon officials have said they are concerned about Iran possibly acquiring information about the technology.
Iranian media said on Thursday that the foreign ministry had summoned the Swiss envoy to express its "strongest protest over the invasion of a US spy drone deep into its airspace".
[...] A report in The New York Times on Thursday said the "stealth" drone had been part of a US surveillance programme mapping Iran's suspected nuclear sites.
Iranian state television broadcast this image of what it claimed was a U.S. drone captured by a special electronics unit in Iran's military.


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My Hero Mahri and Other Episodes is a fan-fiction VHS/DVD Release featuring one Misty's Greatest Adventures episode, one All Grown Up episode, one Hey Arnold episode, one Charmaine and Latoya episode, one Thomas and Friends episode and one Franklin episode.
- My Hero Mahri (Misty's Greatest Adventures)
- Fools Rush In (All Grown Up)
- April Fool's Day (Hey Arnold)
- The Masked Girl (Charmaine and Latoya)
- One Good Turn (Thomas and Friends)
- Franklin's Promise (Franklin)
- Distributed by USA Home Entertainment.
VHS/DVD Artwork
Front Cover
- Top: Mahri
- Bottom: Arnold from "April Fool's Day"
Back Cover
- Bill and Ben from "One Good Turn"
- Franklin from "Franklin's Promise"


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rand paul
August 5th, 2015
The new platform tØ promises to change financial market by enabling instantaneous transactions.
May 12th, 2015
Patrick Bryne, well-known bitcoin supporter, will start working for the presidential campaign of Senator Rand Paul.
April 17th, 2015
Republican presidential candidate for the 2016 elections, Rand Paul is going to visit a Bitcoin event which is to be held in New York on 19th April.
April 7th, 2015
Rand Paul's supporters have the option of making donations to his campaign using Bitcoin.


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Application of smart phone in "Better Border Healthcare Program": A module for mother and child care
To assess the application of cell phone integrating into the healthcare system to improve antenatal care (ANC) and expanded programme on immunization (EPI) services for the under-served population in border area.
A module combining web-based and mobile technology was developed to generate ANC/EPI visit schedule dates in which the healthcare personnel can cross-check, identify and update the mother's ANC and child's EPI status at the healthcare facility or at the household location when performing home visit; with additional feature of sending appointment reminder directly to the scheduled mother in the community.
The module improved ANC/EPI coverage in the study area along the country border including for both Thai and non-Thai mothers and children who were either permanent resident or migrants; numbers of ANC and EPI visit on-time as per schedule significantly increased; there was less delay of antenatal visits and immunizations.
The module integrated and functioned successfully as part of the healthcare system; it is proved for its feasibility and the extent to which community healthcare personnel in the low resource setting could efficiently utilize it to perform their duties.
Even though the structure of healthcare system is well organized and distributed throughout Thailand, the system still does not function efficiently in many areas, especially in rural and remote communities. The difficulties in those under-served areas include not only the poverty of the communities but also the limited availability and access to healthcare services within the communities; both inhibit the treatment-seeking behaviors of the villagers. The project
The public health services proposed in the better border healthcare project were corresponding to the goals, in part, of the United Nations - Millennium Development Goals as well as to the public health key indicators of Thailand Ministry of Public Health. Three major goals of the Millennium Development Goals targeting at healthcare services include: (1) improve maternal health, (2) reduce child mortality, and (3) combat HIV/AIDS, malaria and other disease. In contrast to metropolitan areas and large cities/towns, the access to care in the rural areas remains a problem due to the limited health resources, lack of health concerns, and poor education. Surprisingly, the use of communication technology, i.e., cellular phone, is becoming popular outreaching even to those living in the remote areas. Thus, application of such technology might be a proven solution to alter treatment seeking behavior and create opportunities for better healthcare access.
The specific objective of the better border health project was therefore to develop models for utilizing smart cell phone as health communication tool: (1) to improve maternal health focusing on antenatal care (ANC), (2) to reduce child mortality focusing on the Expanded Programme on Immunization (EPI), and (3) to prevent/monitor disease incidence and to ensure treatment outcomes focusing on malaria due to malaria endemic in the border areas. The project consisted of 2 models: (1) Mother and Child Care Module (MCCM) and (2) Disease and Treatment Monitoring Module. This study focused on the results of MCCM implementation in the study area; the second module was described elsewhere.
The optimal number of ANC visits as well as the activities at the ANC visits have been discussed in literature
The EPI is a program launched in 1974 by the WHO in attempt to vaccinate and protect as many individuals as possible from preventable diseases including mainly six common diseases: polio, diphtheria, tuberculosis, pertussis, measles and tetanus
The MCCM was developed under software development life cycle approach to cover the ANC/EPI activities mentioned above. The module has been integrating into the existing open-source Health Care Information System (HCIS) which is used by health centers across country. The main objective of this study was thus to assess the module effectiveness in improving antenatal care (ANC) and expanded programme on immunization (EPI) services for the under-served population in border area.
Setting and study population
The MCCM was implemented as a pilot project in one of the Thai-Myanmar border area, Suan Phung District. The area consists of seven sub-districts with one 30-bed community hospital and 13 health centers. Particularly, the target population comprises of 4200 villagers of all ages living in 7 hamlets in a total of 482 households in Tanowsri Sub-district. Tanowsri borders Myanmar on the western front and approximately 90% of its residents are ethnic Karen, many of which are holding designated
Within the area, under Thailand Ministry of Public Health structure, there is one local healthcare clinic with one physician providing primary care service working in conjunction with unpaid 30 village health volunteers living in the villages. In 2007, based on data extraction and calculation from the healthcare clinic at the pilot study area (unpublished data), the statistics of maternal and child care were as follow: (1) Maternal ANC - There were 114 pregnant women and about 20% had less than 4 ANC visits. Of those, about 12 had adverse pregnancy outcomes including 3 abortion/miscarriage, 8 low birth weight, and 1 stillbirth. (2) Child EPI - The coverage included 110 children, and about 10% reported as having missed EPI scheduled appointments.
MCCM module
Within the management of healthcare facilities under Thailand Ministry of Public Health, each healthcare clinic uses standardized open-source information system, so-called HCIS, in collecting primary healthcare data in its responsible areas. One of the standard data tables of the HCIS database contains ANC/EPI data. The data extracted from this ANC/EPI data table are used as baseline data elements of the MCCM; that means, the MCCM is an added-on function to the existing healthcare database system.
Two key functionalities of the MCCM include: (1) automated generation of listing and message reminder of mother and child with ANC/EPI visit due dates, and (2) update information regarding the antenatal care and child's immunization status on mobile phone when performing ANC/EPI activities off healthcare clinic. This module assists healthcare personnel in identifying case location and cross-checking personal history of ANC/EPI status while working in remote areas. Originally, the healthcare staff has to use a log book or printout from HCIS in managing ANC/EPI case follow-up at the healthcare clinic or within their responsible villages when performing routine home visits. Replacing the standard manual paper-based method with the mobile technology-based feature of the MCCM would make it more convenient and timely for healthcare personnel in monitoring ANC/EPI coverage and automatically updating the ANC/EPI status collected on the smart phone onto the HCIS database. Conceptual framework and work/data flow of the MCCM is summarized as shown in Figure
Figure 1
Conceptual framework and work flow of MCCM
Conceptual framework and work flow of MCCM.
The information regarding maternal care and child's immunization from the existing HCIS gets transmitted to the MCCM module. The program then generates appointment dates for each client and sends short message service (SMS) to healthcare worker for visit follow-up. If the mother or family members have listed phone numbers and allow the healthcare personnel to call them, the SMS will be automatically sent to them directly onto their own personal cell phone a few days prior to the scheduled date. For the clients without telephone, the healthcare staff will perform home visit as per scheduled reminder of visit dates and type of immunization shown on their smart cell phones. The visit status of the mother or child can then be updated onto the smart phone and synchronized collected data directly onto the system (see Figure
Figure 2
Screen shots of appointment schedule and update visit status
Screen shots of appointment schedule and update visit status.
The MCCM can also capture ANC/EPI visit locations of the mother and child in the area when healthcare staffs perform their routine visits as per standard practice of the local healthcare system in rural or remote area. This feature makes it easier for healthcare staff by not having to manually draw client's mapping for keep in the paper-based family folder which is the standard practice prior to the MCCM.
With the new functionality of visit schedule reminder, the healthcare staff can update the information regarding visit and activity completion at remote area if the ANC/EPI activities are not performed within the healthcare facility. The information captured on the phone can be done in the area where there is telephone signal coverage, or the area beyond the signal coverage and the healthcare staff can then synchronized information onto the system when signal is available. The mapping of all cases coverage within the health service areas could be seen at healthcare clinic as well as at the upper supervisory level. The history of ANC/EPI visits for each case could also be monitored as report or displayed on the location map (see examples of case mapping in Figure
Figure 3
Screen shots of ANC/EPI visits (case history & location map)
Screen shots of ANC/EPI visits (case history & location map).
Implementation and assessment of MCCM
The MCCM was implemented at the pilot testing area in December 2008 and was full-functioning since January 2009. The healthcare personnel who were in charge of ANC/EPI activities were equipped with smart phones that can handle text messages as well as data capturing in remote areas. They were trained to understand and apply as part of their routine works the new MCCM features and activities in place of the original paper-based activities.
The assessment of the MCCM application was planned to compare ANC/EPI data before and after its implementation. The antenatal care and child's immunization data were extracted from the standard data tables in the HCIS database of the healthcare clinic at pilot testing site, The data were also captured from the added-on data tables of the integrated MCCM and HCIS containing data about short message reminder transmission, and maternal and child care status updated on the healthcare provider's smart phone.
An indicator that could reflect the success of the MCCM application and utility is the compliance and punctuality to the scheduled ANC/EPI visits. In standard practice prior to MCCM, after each ANC visit the consecutive appointment date will be scheduled from the current visit date by the healthcare staff; in contrast, the MCCM automatically calculates each appointment date and transmits message reminder to the responsible healthcare provider as well as to the pregnant woman who is registered at the healthcare clinic. On the other hand for the EPI visit, it was originally managed by paper-based system in making visit schedule and vaccination plan. The healthcare personnel usually perform vaccinations and baby health care activities at a meeting location within each village/hamlet on a monthly preset date for all children who are scheduled for their immunizations around that date. With the MCCM, scheduled visit date and vaccine plan for each registered new born or baby residing in the village will be automatically generated and sent directly to the parents who have phone listed in the database. In this study, the punctuality of ANC/EPI visit was defined as the pregnant women coming to healthcare clinic for their ANC activities or the children coming to get immunization according to their scheduled vaccination plan on the predetermined appointment date. Specifically, the ANC attendance on-time was defined as the woman coming to each consecutive appointment date within a window period for ± 7 days. The EPI attendance on-time referred to the children coming on the appointment date.
As the ANC/EPI data of this study were collected from activities in natural settings of the healthcare facility in the pilot project areas, the analyses were thus based on actual cases and their scheduled visits before and after the MCCM implementation. There were pregnant women and children whose scheduled visits were in overlap period. The exploration of factors associated with being compliance and on-time with ANC/EPI visit schedule was thus based on visits using the Generalized Estimation Equation (GEE) model.
Ethical consideration
It should be noted that all activities in the ANC/EPI management and database containing information associated with such activities are strictly accessed and used by only authorized healthcare personnel who are in charge of case management. The electronic system developed and used as part of MCCM maintains all crucial features of data integrity and confidentiality the same way as it has been routinely done in the paper-based process at the local healthcare clinic or during routine site/home visits.
No written informed consent or assent form was signed by mothers and/or children who visited the healthcare clinics or when meeting with healthcare personnel during site/home visits as all of the activities were routine work of the healthcare standard practices; however, the staff had verbally informed and asked the mothers/children to return to clinic or allow home visits as part of the scheduled follow-ups. The data extracted from the databases of HCIS and MCCM were secondary data with no identification-linked. The authors were granted for using the extracted data for analysis from the authorized person at the District Health Office. This study protocol was reviewed and approved by the Ethical Committee of the Faculty of Topical Medicine, Mahidol University.
ANC visits
Data extracted from the HCIS database during 2007 to 2009 indicated that there had been consistent numbers of pregnancy and delivery; 123 and 100 women attended ANC clinic during 2008 and 2009 while 57 attended in between the two years. As shown in Table
Table 1
Characteristics of pregnant women who visited healthcare clinic for ANC
ANC during
Year 2008
(n = 123)
ANC overlapping
Year 2008-9
(n = 57)
ANC during
Year 2009
(n = 100)
Nationality - n(%)
70 (56.91)
31 (54.39)
55 (55.00)
41 (33.33)
26 (45.61)
45 (45.00)
12 (9.76)
Education Level - n(%)
No education
86 (69.92)
41 (71.93)
73 (73.00)
Primary education
18 (14.63)
13 (22.81)
15 (15.00)
Above Primary education
7 (5.69)
3 (5.26)
12 (12.00)
12 (9.76)
Age group - n(%)
< 18 years
4 (3.25)
2 (3.51)
9 (9.00)
18-20 years
15 (12.20)
10 (17.54)
14 (14.00)
21-25 years
35 (28.46)
18 (31.58)
24 (24.00)
26-30 years
20 (16.26)
16 (28.07)
27 (27.00)
31-35 years
20 (16.26)
7 (12.28)
15 (15.00)
35-40 years
8 (6.50)
3 (5.26)
5 (5.00)
> 40 years
8 (6.50)
1 (1.75)
5 (5.00)
13 (10.57)
1 (1.00)
Parity - n(%)
38 (31.15)
16 (28.07)
32 (32.00)
34 (27.87)
12 (21.05)
24 (24.00)
21 (17.21)
13 (22.81)
17 (17.00)
4 or more
29 (23.77)
16 (28.07)
27 (27.00)
Current Age
Mean (SD)
27.28 (7.21)
25.60 (5.88)
26.24 (7.17)
Number of visits per ANC schedule*
Mean (SD)
2.96 (1.22)
3.02 (1.14)
2.72 (1.22)
Number of actual ANC visits*
Mean (SD)
2.83 (1.88)
4.00 (2.22)
3.23 (2.13)
Gestational age at ANC visits *
Mean (SD)
23.48 (8.56)
19.21 (8.70)
20.63 (7.33)
* Many cases of ANC during 2009 are still on-going ANC visits in 2010
Despite the minimum of four ANC visits as per typical scheduled ANC appointment throughout the pregnancy period, average numbers of ANC visits were 2.96, 3.02 and 2.72 for women attending the healthcare clinic in 2008, 2008-2009 and 2009. The numbers of actual visits among the three cohorts ranged from 1-11 visits, the averages were 2.83 in cohort 2008, and then higher to 4.00 and 3.23 in cohorts 2008-9 and 2009 respectively. It should be taken into consideration that the number of ANC visits of the 2009 cohort has not yet finalized as several women are still on-going ANC visits in 2010. The average gestational ages of the three cohorts were shown somewhat different; 23 ± 9, 19 ± 9 and 21 ± 7 weeks respectively. However, when compared the gestational ages at the four recommended ANC schedule visits before and after MCCM implementation in 2009, no significantly difference were determined. The initial ANC visits in 2008 and 2009 was reported at the same gestational ages of approximately 18 weeks; and at the subsequent three schedule visits were about 27, 31 and 36 weeks (see Figure
Figure 4
Gestational age at ANC scheduled visits before and after MCCM
Gestational age at ANC scheduled visits before and after MCCM.
The 280 pregnant women attended 900 ANC visits during the study period; about 58.68% came on-time as per scheduled dates after MCCM implementation compared to 43.79% before the MCCM (p < 0.001); this increasing trend corresponded to the fact that about 10% of women actually received appointment message reminder on their cell phones and about 10% was updated ANC status by the healthcare personnel on their smart phones while performing home visits (table not shown). It should be noted that most women have usually come to health clinic by themselves and rather not missed ANC scheduled visits, but they tended not to come on-time as per schedule. Among the not on-time visits, the median was 14 days off-schedule and approximately 5% came about one month before scheduled date and 10% came about one month late (table not shown).
As shown in Table
Table 2
Factors associated with antenatal care visit on-time
Personal characteristics
No Education
Primary Education
Above Primary Education
Age Group
< 18 years
18-20 years
21-25 years
26-30 years
> 30 years
4 or more
Application of MCCM
Follow-up cases on cell phone
Send appointment messages
2008 - Before MCCM implementation
2009 - After MCCM implementation
* Odds Ratio (95% Confidence Interval) from Generalized Estimation Equation
** Adjusted for personal characteristics (nationality, education, age, parity)
EPI visits
The MCCM-EPI module had followed cumulative 544 children, 396 cases before and 148 after the module implementation and actively functioned. As shown in Table
Table 3
Characteristics of children who received EPI during 2008-2009
EPI cases
before 2009 *
(n = 396)
New EPI cases
in 2009 **
(n = 148)
189 (47.73)
63 (42.57)
205 (51.77)
85 (57.43)
2 (0.50)
Nationality - n(%)
253 (63.89)
106 (71.62)
141 (35.61)
41 (28.38)
2 (0.50)
Education - n(%)
No education
390 (98.49)
138 (93.24)
Grade 1
4 (1.01)
7 (4.73)
Grade 2
3 (2.03)
2 (0.50)
Age group - n(%)
< 1 year
65 (43.92)
1 year
61 (15.40)
46 (31.08)
2 year
110 (27.78)
6 (4.05)
3 year
118 (29.80)
3 (2.03)
4 year
67 (16.92)
8 (5.41)
5 year
33 (8.33)
1 (0.68)
6 year and above
5 (1.26)
19 (12.84)
2 (0.50)
Number of immunizations per child reported ***
25% - 75% Percentile
Immunizations received (n = 2814) ***
(n = 2266)
(n = 548)
30 (1.32)
34 (6.20)
236 (10.41)
166 (30.29)
470 (20.74)
42 (7.66)
98 (4.32)
34 (6.20)
604 (26.65)
36 (6.57)
170 (7.50)
33 (6.02)
658 (29.04)
203 (37.04)
* Data were extracted from cases receiving EPI from mid 2007-8; almost all cases are still on-going EPI visits
** Data were extracted from cases who were not reported as receiving EPI in 2007-8 but receiving in 2009; almost all cases are still on-going EPI visits.
*** There might be missing, incomplete or non-reported immunizations in earlier years before data extraction from the system.
After the MCCM-EPI was full-functioning, about 17% of the child's parents received appointment reminders on their cell phones, and about 45% of the child's immunization information was updated on the smart phones of the healthcare staff. There was 44.22% of children who came to receive scheduled vaccines on-time on the preset monthly immunization date after the MCCM implementation compared to 34.49% before the MCCM (p < 0.001); among the not on-time visits, almost all children received the scheduled vaccine(s) in the consecutive month (table not shown).
As shown in Table
Table 4
Factors associated with child immunization visit on-time
Personal characteristics
Age Group
< 1 year
1 year
2 year
3 year
4 year
5 year
6 year or above
Application of MCCM
Follow-up cases on cell phone
Send appointment messages
2007-8 - Before visit schedule
2009 - After visit schedule
* Odds Ratio (95% Confidence Interval) from Generalized Estimation Equation
** Adjusted for personal characteristics (gender, nationality, age)
ANC and EPI coverage and practice
The ANC coverage in the study area included both Thai and non-Thai mothers who were either permanent residents or migrants. Most of the non-Thai in this area were Karen with a few Mon and Hill tribe. In a study along Thailand north-western border
The average number of ANC visits among pregnant women in this border area seems to increase reaching towards the four scheduled visits. The gestational age at initial ANC visit was 18 weeks in which following national guideline of recommended schedule visits. Thailand had set policy that the first antenatal consultation should be done prior to the 6th month of pregnancy; and as a standard practice, it is recommended that after the first ANC visit, there should be at least one visit each during month 6-7, month 7-8 and month 8-9, constituting a minimum of 4 visits to ensure effectiveness; otherwise, it would be considered as receiving inadequate antenatal care
Personal characteristics explored in this study including ethnicity, age, education and parity of pregnant women were found not statistically associated with ANC attendance on-time. In contrast to a community-based case-control study conducted in Thailand
In the WHO report, it appears that, at the national level, Thailand's child immunization effort has been successful for nearly two decades ago and the reporting coverage was almost 100 percent
There have been several studies
MCCM application and its effect
The study results have provided some evidence that the MCCM was, in part, effective in terms of improving the punctuality of ANC and EPI attendance. The MCCM-ANC appointment reminder sent directly to women's cell phones increased odds of visit on-time and cut off workload of healthcare staff in using paper-based for generating appointment as well as for case tracking in their responsible villages. Similar effect was shown for the MCCM-EPI for compliance to the vaccination schedule on-time of monthly appointment date. The MCCM-EPI also made it easier for healthcare staff in performing baby heath care follow-ups and updating immunization data on smart phone and cutting down paper-based activities.
Previous studies
This study revealed effective use of mobile technology, particularly the use of mobile phone for data collection and short message distribution, as a tool for outreaching health care services, particularly ANC and EPI coverage. Similar idea of employing text messages for healthcare providers to send reminders to patients had shown success in increasing patients' adherence in vaccination services, asthma care, diabetes control, outpatient clinic attendance in a tertiary hospital and primary health care
Limitations of the study
As the ANC/EPI data were extracted from the data tables in the HCIS database at the healthcare clinic in pilot module testing site over the years before and after the MCCM implementation, the study could be considered as a before-after design without control group, Though the before-after study design has advantage in its ability to measure changes or to assess impact of the intervention within the same population, it has certain disadvantages which may or may not occur at individual or collective level in every study. The prevalence of disadvantage(s) in the study depends upon the nature of intervention, the study population and the method of data collection. Even though the study population was rather static and there was no known counterpart program regarding maternal and child healthcare within the study area during the pilot study period, the changes observed in this study may partially due to unobserved extraneous factors. Despite the increases in punctuality rates for ANC/EPI attendance after the MCCM implementation have made it a promising tool for planning maternal and child healthcare program, it is possible that the rates observed in this study especially after the MCCM may be overestimated. Although the MCCM activities attempted to mimic the routine maternal and child healthcare program situation, efforts to conduct home visits and/or make follow-up appointment by healthcare staff may have been more diligent than normal practices in case management due to sensitizing with the program and equipment. Nevertheless, this finding may reflect what maternal and child healthcare management could have achieved in terms of promoting adherence to healthcare program and case monitoring in ideal situation in which the healthcare staff put full effort in performing their ANC/EPI activities.
MCCM usage
The MCCM has been successfully integrated into ANC/EPI operations at the rural and remote areas. The modified part does not alter the routine work of healthcare staff in performing their ANC/EPI duties but rather change the paper-based to be electronic-based for data capture and data management with an additional feature of mobile technology for data transfer process. The module makes it easier for healthcare staff in case follow-up for treatment and care. From the feedback via conversations with the healthcare staff that used the MCCM at the pilot study site, they expressed satisfaction with the system and requested for expansion of the module for other disease coverage. The results of this study confirm the notion that the success of any health information technology is due to its functionalities that could enable a dramatic transformation in the delivery of health care, making it safer, more effective, and more efficient
Module operation & management costs
In quantifying the costs of designing, implementing and maintenance of this module, there are certain factors required to taking into account. The estimates here are based on only hardware and software, not the personnel costs. As the MCCM is simply an added-on function to the existing HCIS which is implemented and absorbed by the Thailand Ministry of Public Health budgeting; the costs for this HCIS part include one computer and its maintenance. The HCIS is an open-source program developed by Thailand Ministry of Public Health and delivered to each healthcare clinic for its own installation and/or adaptation specifically to fit its own needs, if any. The MCCM has been developed by BIOPHICS with supported from the Microsoft Research Grant and its concept and programming parts are posted as open-source. The MCCM requires a server to manage data processing (appointment scheduling and visit updating) and text message delivery. Currently the server is located at BIOPHICS, but this can be put as part of the existing computer at healthcare clinic. The cost of SMS in Thailand is rather low, about 0.03 US $ per message. The low-cost smart phone that should be distributed for healthcare staff use to perform their duties is dropping down tremendously over the year; in 2009, the phone that used in MCCM was about 200 US $. The module works effectively under telephone signal coverage area and full internet access, but the activities and data updating can be done in areas where there is no signal. Since the healthcare clinic in the study area has already used the internet for other purposes, this cost has thus already been absorbed into the healthcare facility management. The investment for internet access in the remote area where there is not yet available would vary from one location to another.
The limitation in application of the current version of MCCM is that its functionalities are based on the use of data, in part, of the existing HCIS of Thailand Ministry of Public Health. This problem could be resolved by making the MCCM to be independent and interoperable modular for any healthcare systems such that it could be linked and adaptable to different settings and data structures. That means, back to the concept of system development life cycle, this would require enhancement and redesign some parts of the current module.
Key challenges in application of MCCM also lie in driving the existing best practices in healthcare with additional effective technology. One of the key issues is to make system users see the usefulness of the information they collect. In managing even the mandate HCIS, some healthcare staffs still consider it as a burden to do all data entering and processing. The acceptance of any system rely not only the ease of use but the meaningful and useful of the information at the level of data generating. The acceptance will then lead to maintaining both high data quality and timeliness. The system employing electronic-based in place of paper-based, and with simple technology used in daily life, in part, would increase acceptance as it reduces workload while improves desirable health outcomes.
This study revealed an innovative community-based healthcare module that could enhance the health of mother and child in the rural communities, the future consideration is about how to sustain this effective functionality and expand to the larger scale. As suggested in a USAID report
Competing interests
The authors declare that they have no competing interests. However, the development of the MCCM was supported by the Microsoft Research Award.
Authors' contributions
JK: Designed and planned for the study, drafted the first version of the paper, submitted paper and approved the final version.
PS: Assisted in designing and planning the study, writing the submitted paper and approved the final version.
AK: Designed application module and monitored progress of the module, assisted writing the submitted paper and approved the final version.
SS: Designed and programmed the application module, monitored and maintained the module implementation, extracted data for analysis, assisted in writing the submitted paper and approved the final version.
PM: Assisted in application module development monitored and maintained the IT systems used for module functioning, assisted in writing the submitted paper and approved the final version.
AW: Administered and monitored application module at the pilot study area, supervised other local staff in module implementation, assisted in writing the submitted paper and approved the final version.
We would like to acknowledge the Tanowsri Sub-District Health Clinic, Suan Phung District Health Office, Ratchaburi Provincial Health Office for their vision and collaboration for module implementation; the local healthcare personnel at Health Center in Suan Phung area for their devotion of their duties in providing mother and child care; the IT and data management teams at BIOPHICS for their contribution to the system development and implementation, and the Microsoft Research for their funding and great supports throughout the project.
From research to practice: the example of antenatal care in Thailand
"Antenatal Care" In
Thailand Country Report. The 6th ASEAN & Japan High Level Officials Meeting on Caring Societies: "Healthy Next Generation" under the Tight Collaboration between Health and of Social Welfare
The impact of alternate prenatal care with reduced frequency of visits in residency teaching program
Basic Newborn Resuscitation: A practical guide
National-level monitoring of the achievement of universal access to reproductive health: Conceptual and practical considerations and related indicators
Maternal and Child Care in Low Resource Setting: A Case Study in Suan Phueng District, Ratchaburi Province
Accessing Maternal Health Services in Eastern Burma
World Health Report 2005: Make every mother and child count
Factors Associated with Failure to Receive Antenatal Care
Thailand EPI Fact Sheet 2007
Factors affecting routine immunization coverage among children aged 12-59 months in Lao PDR after regional polio eradication in Western Pacific Region
Review of Expanded Program of Immunization Vietnam 2009
The immunization programme in Bangladesh: impressive gains in coverage, but gaps remain
Immunization coverage and its determination in children aged 12-23 months in Gaunsu, China
Maternal and child health services in rural Nepal: does access or quality matter more?
Factors associating acceptance of immunization among children in rural Bangladesh
The immunization programme
Mobile phone text messaging in the management of diabetes
Behavior Change Interventions Delivered by Mobile Telephone Short-Message Service
Interventions to improve patient appointments in an ambulatory care facility
The use of text messaging to improve attendance in primary care: a randomized controlled trial
An overview of interventions to improve compliance with appointment keeping for medical services
Improving asthma control through telemedicine: a study of short-message service
The role of mobile phones in improving vaccination rates in travelers
The development and evaluation of a PDA-based method for public health surveillance data collection in developing countries
Design of a randomized trial to evaluate the influence of mobile phone reminders on adherence to first line antiretroviral treatment in South India - the HIVIND study protocol
Costs and Benefits of Health Information Technology
Why Invest in Communication for Immunization: Evidence and Lessons Learned
Pre-publication history
The pre-publication history for this paper can be accessed here:


text:
WindowBlinds by PoSmedleyWatch
©2008-2017 PoSmedley
2 256x256 pngs
how do you get these to work ?
Wow, it matches the over-used and old design trends of WindowBlinds.
Top Notch!
these are very nice Smedley...I also would like to see that
Nice job Po !
I'd like to see these without the black box...just the palet and brush. That would be sweet.


text:
Join the Radical Honesty Workshop in Hamburg!
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Radical Honesty teaches you how to get outside of your mind and into your experience. By practicing Radical Honesty, you will eventually:
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text:
|Reviews for Hurt
| Dianora chapter 1 . 4/1
Brilliant story! Absolutely wonderful!
| Lady Gwenevire chapter 1 . 9/26/2009
You should have more reviews than this. It's great for something written at two a.m.
| Kbear chapter 1 . 1/11/2009
I LUV this fic! Please continue it! Please! Please!
| Sparrowhawk1952 chapter 1 . 12/13/2008
If the muse hits you ...WRITE!
| perfect star chapter 1 . 10/12/2008
oh my god, please write more...let him go back to her...he loves her! you have to write more on this story! please make it into a long story where he gets the girl(in this case rouge) at the end!
| heyyy chapter 1 . 7/25/2008
please continue?
it would make me very very happy.
| WanderingGrad chapter 1 . 7/9/2008
You must continue this!
Its really good!
| Squid chapter 1 . 6/23/2008
I definitely think you should continue this - this would make a great spin-off into a longer story. This was great in itself so full of emotion, etc., but I would like to see Logan figure out what an ass he's been and come back.
| Generated Anomoly chapter 1 . 5/11/2008
this would be an excellent story, i hope you you continue it!
| Nalana chapter 1 . 4/28/2008
That was quite powerful. I really like your writing style. Ah! The conflict! The angst! This could very easily be extended. I wouldn't mind seeing it done, either!
| SparrowsVixon chapter 1 . 4/26/2008
I absolutely loved it. Personally, I'd like to see more of this from you. So please do so!
| Aramira chapter 1 . 4/25/2008
I liked it a lot, it was true to the characters and their personalities. It's a good oneshot but would also be quite good as a series of some sort.
| D chapter 1 . 4/25/2008
Well, it was well written, I will give you that but I dont think you should continue it. My opinion it was rather boring. Maybe you could practice on it a little more?
| UpYourCupcake chapter 1 . 4/25/2008
Wow that was so intense!
Great one-shot ) I'd love to read more though.


text:
Rick Nehls
Sales/Marketing/Advertising/Retail Merchandiser/Customer service
Location: Costa Mesa CAShare profile
I've been skateboarding since I was about 7 years old because of the best friend that lived on my street. He gave me a Black, Slick-Bottom mini for my birthday. He customized it with a "Trick" sticker that was missing the "T" so it read RICK(so boss). He had no idea what he had started, that moment, that was one of the most memorable moments I have ever had. I've loved it ever since, from using my skateboard as a means of transportation all the way to throwing myself down 15 stairs and boardsliding 10's. Down to the attitude style and culture it has created not to mention the jobs and revenue to keep comunities going. I didny want to be a Cop or a Firemen when I was young, I wanted to be a pro skater! Got close, I rode for a couple local shops when my body was still made out of rubber (LOL). Doing so has definitely taken a toll on my body though, so now I am slightly more critical and try to remember to skate with some wisdom. I also took the chip off my sholders and decided to try and help or manage pro skaters instead of be one. It's kind of a funny thing though, just in the past couple of months I found a completely new love for skateboarding, witch I am SO grateful for. It has honestly changed my life, I know it sounds cliche, but it really has. I'm in much better shape than I was not that long ago. I've lost almost 40 lbs and am back to skating basically everyday, eating healthy, surfing every week even changing the people I surround myself with. Definitely a positive change. It not only has opened my eyes to my own health and well-being but others as well now more than ever. I feal as if I just opened a new chapter of life so now I'm just tring to find out who's in it...
...Stay Stoked!
Rick Nehls
...Stay Stoked!
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Pork & fig terrine
with golden beetroot piccalilli and toasted rustic bread
Hadleigh Road, Sproughton, Ipswich, Suffolk, IP8 3AR
So no matter what time of year it is, we're always happy to help you plan the perfect festive get-together. Just give us a quick call, or why not pop in and speak to us.
Although we won't be able to tell you what will be on the menu yet, below is a sample of what we served up last year, to tickle your taste buds.


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Discover peaceful apartment home living in Oklahoma City, Oklahoma at Retreat at River Bend. Featuring spacious one and two bedroom apartment homes in a variety of well-appointed floor plans, we will surely have something that fits your needs. Just minutes from the Northwest Expressway, Lake Hefner and Central Oklahoma City, Retreat at River Bend is located near the best in dining, shopping and entertainment. Visit Retreat at River Bend in Oklahoma City, Oklahoma today!
Our lease terms are: 3 months, 4 months, 5 months, 6 months, 7 months, 8 months, 9 months, 10 months, 11 months, 12 months (Please note that lease terms may vary, are subject to change without notice, and are based on availability. Inquire with property staff for complete details).
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Comments about MSD Ignition Super Conductor Plug Wire Set:
These work Great. I have a complete MSD system in my 93 Camaro Z28 and these just completed the system and are working awesomely. I would recommend these to anyone that is requiring high performance.
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After looking all over the internet and reading reviews on many different plug wire sets, I came acress this one from Advance Auto Parts. It had great reviews and fit what I was looking for so I bought it online.
The online ordering process was quick, safe, and secure - only took about 5 minutes to check out and receive my order confirmation via email. No driving to the store, waiting in line or having to compare prices since I'd already done that online.


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With First Tutors: Music you can search for a Yateley lute tutor. Lute lessons are a brilliant way to begin a stimulating new hobby, acquire a new talent and gain confidence in lute. Try our site to search for Yateley lute tutors and choose which best suits your needs so you can enjoy your lute lessons in Yateley today!
First Tutors: Music is the best way to discover Yateley lute tutors in the UK, helping you discover Yateley lute tuition close to home and Yateley tutors to help with any instrument like piano, violin or guitar. We can help you find Yateley lute tuition or a one-to-one Yateley lute teacher to prepare for lute grades and improve your lute skills! Our search will order Yateley lute tutors in your area by their lesson charges and distance from you.
If you are a lute tutor wishing to offer lute tuition services in Yateley or anywhere else across the UK, please register with First Tutors: Music or learn about us here. Becoming a Yateley lute tutor is a great way to improve your own knowledge through giving lute lessons while assisting others, all in Yateley!


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The Pheasant is a minor character from Bambi. She became worried that Man and his dogs were coming to hunt her down. As Man drew closer, she was overcome and maddened with fear as she foolishly took flight in a futile effort to escape - only to be shot down offscreen by Man.
Right after she died, Man shot his gun again at her feathers and they went flying through the air in front of the camera.
|v - e - d


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Nov 08 2015
Is it safe to use anti wrinkle creams? It is actually safe to use OTC anti wrinkle creams even if people claim that it hasn't been tested before putting the products in stores. The best wrinkle creams are more reliable to work because that means people tend to buy that brand more than other brands. If it was unsafe to use the products, I don't think that the company would manufacture many of them and make stores sell them. If they did that, many people would sue their company.
The best wrinkle creams often have the same effects as the cheap wrinkle creams. The companies sell their products lower so that people who have a budget can try out their product if they're interested in looking young. Just because they're cheap doesn't mean (more…)


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- 'Canadian hero': the man who killed the shooter
- Canadian Parliament locked down after gunman opens fire
- The Pulse Live: Stephanie Peatling blogs from Parliament
Security around Parliament House in Canberra has been boosted in the wake of the shooting attack in Canada, which Foreign Affairs Minister Julie Bishop says bears the hallmarks of an Islamic State terrorist attack.
Prime Minister Tony Abbott said the attack was "further confirmation" of the threat to "free countries" and "free institutions".
The Canadian capital, Ottawa, has been gripped by fear after at least one gunman shot and killed a soldier at the National War Memorial before opening fire at the country's Parliament.
Politicians, including Canadian Prime Minister Stephen Harper, took shelter in offices and were told to barricade the doors. The gunman was shot dead by the Parliament's sergeant-at-arms Kevin Vickers.
The shooting follows the death of another Canadian soldier earlier in the week after a man rammed his car into two soldiers in the Quebec town of Saint-Jean-sur-Richelieu. One of the soldiers later died.
Ms Bishop sent a text message to her Canadian counterpart John Baird at 4am. He told her he was 50 feet (15 metres) away when the gunmen was shot in the Hall of Honour, where Prime Minister Tony Abbott recently met Mr Harper.
"The body was lying just outside the door where [Mr Baird] was," Ms Bishop said. "He is safe but clearly very shaken by what is a shocking incident. This is grim news indeed.
"It is too early to say the motivation of this attack but it does have the hallmarks of a terrorist attack in the sense that, in the past, terrorist organisations, including ISIL, have indicated they would target countries like Canada, Australia... any country that opposes its murderous and brutal ideology.
"This is a shocking event, it's clearly shaken Canada and it does remind us that this kind of violence can happen at any time."
Security officials met Parliament's presiding officers just before the beginning of Parliament on Thursday.
Mr Abbott began question time with a ministerial statement on the Ottawa attack which he said was an "affront" on Australia's Parliament because of what he says is Australia's cultural closeness to Canada.
"I have been in their Parliament. I have been in the their War Memorial," the Prime Minister said
"I regard Stephen Harper, their Prime Minister, as a friend and almost a brother. So an attack on their Parliament is an affront to this Parliament, too."
Earlier on Thursday, Mr Abbott said: "Australians woke this morning to further confirmation that the threat to free countries and free institutions is very real indeed."
The Prime Minister said authorities were in a "good position" to response to any "hostile acts" in Parliament.
"Whatever happens, this must always be the people's house," the Prime Minister later told a gathering of students and table-tennis athletes.
Defence Force Chief Mark Binskin said the deaths of two Canadian soldiers had caused "some anxiety" for Australian Defence members and their families and urged members of the military to "exercise commonsense and judgment" when wearing their uniforms in public.
"This is not the time for alarm but we should not be complacent about our personal safety," the Air Chief Marshal wrote on Facebook.
"Think about where you're going, be aware of your surroundings, and exercise commonsense and judgment when considering where and when to wear your uniform in public," he advised
Extra Australian Federal Police patrols are being conducted around the Canadian High Commission in Canberra and the Parliamentary triangle in the wake of the Ottawa shooting.
But Speaker Bronwyn Bishop reassured MPs, in a statement to Parliament, that a similar style attack would be very unlikely to succeed in Australia's Parliament.
"The images showing action and barricading themselves into the chamber in Canada are of concern, the range of armed response and security lockdown arrangements that we have in place means that this type of action will not be necessary here," she said.
"Our Parliament and its perimeter are very different in the design to the Canadian parliament.
"We have a number of layers and security measures designed to protect building occupants."
Nevertheless, the Speaker said Parliament House staff would notice an increase in the security arrangements on Thursday.
Parliament House security was dramatically increased after the terror threat warning was increased in September.
Police armed with "long range weapons" began guarding Parliament and access to restricted areas, including the ministerial wing has been severely curtailed.
The Foreign Minister spoke to the Canadian high commissioner to Canberra, Michael Small, on Thursday morning.
Australia's embassy in Canada was locked down during the shooting. Staff were later told they could leave on foot to return home.
Ms Bishop confirmed the powerful national security committee of cabinet will meet to discuss the attack later on Thursday.


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Their Service - Our Heritage
Does your section know about this opportunity?
It was introduced in 2000 for all members of Scouts Australia, with the intention of raising the level of awareness of the Youth Members about our Veterans, and providing Scout Members with the opportunity to actively participate in the "Their Service – Our Heritage" program.
It is an annual award and is achieved each year, with the year commencing on 25th April. The badge will have a different colour edging each year.
Participate in three activities relevant to "Their Service Our Heritage" – for example:
- Take part in an ANZAC Day march or ceremony
- Take part in Remembrance Day
- Invite a Veteran to you meeting to talk to you
- Visit a Veterans' Home or the local RSL Sub Branch
- Maintain you local Memorial
- Visit a Tomb of the Unknown Soldier
The section Record Books have a page to record your involvement, and the badges can be obtained from the Victorian Scout Centre - the cost of $1.50 includes postage and handling - send a cheque and order to the Victorian Scout Centre.
Veterans and the RSL require our help with ANZAC day events. Our Veterans, especially those who served in WW2 are finding it more difficult each year to complete the march and appreciate our assistance to carry signage. Groups are welcome to contact the local RSL to offer their assistance, advising District at the same time.
Melbourne MARCH - Thurs. 25th April 2013
Volunteers are required to carry signage from the starting point at Federation Square to the Shrine. In addition, we need Rovers and Leaders to help with events at the Shrine. If interested, please contact us with your contact details and how many will attend:
A control point will be established at the corner of Southbank and St. Kilda Road, opposite the Arts Centre
Sign in time is 0800 hrs (8.00am) and 0600 Hrs (6.00am) at the Shrine.
JOEY SCOUTS / CUB SCOUTS are welcome to march they need a Leader or Parent/Guardian to march with them.
FREE public transport is available to and from the City on the day. Full Uniform must be worn to obtain the free transport. With your blue uniform you must wear beige or blue pants and black or brown shoes. Please complete a Permission Form on the day, to save a lot of time checking/signing in. There will be a 'sign in sheet' also at Federation Square and at the Shrine if you do forget the Permission Form. A 'participation' card will be issued to all youth member participants who complete the requirements.


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With First Tutors: Music you can search for a Port Talbot tin whistle teacher. Tin Whistle tuition are a brilliant method to learn a stimulating new hobby, pick up a new talent and gain confidence with tin whistle. Please use our service to search for Port Talbot tin whistle tutors and select which best matches your needs so you can begin your tin whistle lessons in Port Talbot straight away!
This is the fastest way to contact Port Talbot tin whistle tutors in the UK, helping you find Port Talbot tin whistle lessons close to you and Port Talbot tutors to assist with any instrument such as piano, violin or guitar. We can help you find Port Talbot tin whistle lessons or a one-to-one Port Talbot tin whistle teacher to prepare for tin whistle exams and improve your tin whistle skills! We order Port Talbot tin whistle tutors near you by their tuition prices and proximity to you.
If you are a tin whistle teacher wishing to offer your tin whistle lessons in Port Talbot or throughout the UK, please register with First Tutors: Music or find out more about us here. Becoming a Port Talbot tin whistle teacher is a fantastic way to re-affirm your own skills by giving tin whistle tuition while helping others, all in the Port Talbot area!


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Free delivery on orders with £10 worth of
VetUK own brand products
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Manufacturer: Waterlife Research
Waterlife Algizin P Pond Blanket Weed Treatment brings about a fast destruction to that troublesome problem of blanket weed.
This highly acclaimed algicide will not harm oxygenating plants as it is has been specifically formulated to target only the blanket weed. It is also completely safe for your fish and will not affect the filtration.
Help your fish to thrive by getting rid of the dangerous oxygen depleting Blanket Weed!


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|Price incl. VAT
|£1,730.95 £1,619
|Price excl. VAT
|Extended warranty + 1 year £129.52 Extended warranty + 1 year
The EB-575W signals a new era in collaborative learning. It's the perfect ultra-short-throw projector for today's BYOD classroom. With brilliant widescreen WXGA resolution, plus advanced network connectivity and wireless performance, this projector makes it easy to share larger-than-life lessons and control the projector remotely. Offering 3x Brighter Colours than competitive models, Epson EB-575W projectors ensure bright, vivid lessons. Featuring 2700 lumens of colour brightness and 2700 lumens of white brightness, this ultra short throw projector delivers truly dynamic images.
Epson is a technology company based in Japan. It is a subsidiary of the Seiko Group, and on of the most important manufacturers of printers, scanners and multimedia projectors. The company's offerings are much broader though, encompassing industrial robots, cash registers, and more.
Specifications can be changed without notice. Images are for illustrative purposes only. Retail Price (MSRP) means the manufacturer's/supplier's suggested retail price.
Link to Manufacturer's Website: Enter link to the external review


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One man is dead and another in critical condition after they were both hit by a vehicle while attempting to cross Broadway Road near Country Club Drive in Mesa early Sunday morning.
Mesa police are looking for a teal-green Honda passenger car, possibly a two-door Civic, with an unknown license plate. It lost both side mirrors and likely sustained severe front-end damage before leaving the scene of the collision about 2:30 a.m., according to a statement from Mesa police spokesman Edward Wessing.
The pedestrian who died suffered extensive injuries, including a severed leg that may still be with the vehicle that fled the scene, Wessing said.
Anyone with information about the vehicle or the collision can call Mesa police at (480) 644-2211.


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|Thomas Edison
Thomas Edison, from Martian Dreams
Famous inventor Thomas Edison (1847-1931) was one of the members of the original 1893 expedition to Mars.
When the Avatar met him in Martian Dreams, Edison had been working for some time to find a way to restore power to the human settlement of Olympus, in case it was needed to build the new space cannon. He'd heard about the lens towers north of Argyre that his rival, "that whippersnapper," Nikola Tesla said were supposed to broadcast power. Robert E. Peary had actually seen them; Edison, however, was convinced they wouldn't work, and might have even been responsible for destroying the Martians to begin with.
Edison had also seen much of the Martian machinery, and knew that some of it was powered by Radium. He'd also been fascinated by the dream machine there at Olympus, but it was ordered destroyed by Jack Segal before he could seriously study it. Edison seemed fairly certain that, if a working control panel was found elsewhere and rewired to replace its smashed-up one, he could rewire it to get the machine functioning again. He seemed to recall seeing such a panel in the underground access tunnels beneath Olympus.
The Avatar was able to procure the correct control panel, and Edison was indeed able to rewire the device to work with the dream machine. He was also called upon later to repair a broken motor from one of the broadcasting towers. "Fascinating technology," he remarked upon returning it. "Not too bright, though."
At the adventure's end, Edison returned with the others to Earth in the space bullet.
Lore Edit
America's most prolific inventor, and the first entrepreneurial scientist, Edison was issued over 1,000 patents in his lifetime. He is popularly credited with inventing such history-making devices as electric lights, the phonograph, and the motion picture. I was quite taken aback by the animosity between Edison and Dr. Tesla. Friendly competitors they most assuredly were not. I can only assume Edison saw in Tesla's alternating current motor the demise of direct current, of which he was a leading proponent. One can only wonder what these two geniuses could have accomplished had they been able to work together. Still and all, Edison's engineering expertise proved invaluable in our attempts to understand and repair a variety of Martian machines.
- from Time Travel (Worlds of Ultima: Martian Dreams)
See Also Edit
- Thomas Edison on Wikipedia.


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Home > Product Categories > Pro-Video > Video Production Tools > Teleprompters & Cue Prompters > PT-150MP
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This low cost unit features a 15" SVGA color LCD monitor and comes complete with top of the line EZPrompt pormpting software, mouse controller and 25' cable. Large HD-wide angle glass Beam Splitter trapezoid mirror measuring 16.5" x 15". PLEASE NOTE, your prompting software must reverse the text for you. Monitor is 110/220 volts AC.
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Traveling over Easter week with a family of 6, it was challenging to find a hotel that could accommodate us. We had a suite at Arenal Parasio, but it had an odd setup with a kitchen/sitting area and then 2 bedrooms on either end of the main room. That would have been fine except the main room did not have air conditioning and with it being 85+ degrees we could not congregate as a family in this room and therefore had to separate into the bedrooms while at the hotel. I agree also with other reviews that the beds were not that comfortable and I was not impressed with the expensive food.
- Official Description (provided by the hotel):
- Enjoy of cozy & comfortable rooms surrounded by tropical gardens, with the best view of Arenal Volcano. Discover the wellness of our hot springs and our Mayin Spa. Taste the Costa Rica flavor, international cuisine and the best steak house in the area. Feel the adrenaline on our Canopy Tour, and take the best shots of Arenal volcano on our horseback riding. ... more less
- Reservation Options:
- TripAdvisor is proud to partner with TravelClick, Expedia, Booking.com, BookIt.com, Orbitz, TripOnline SA, Travelocity, Hotwire, Hotels.com, Cancelon and Evoline ltd so you can book your Arenal Paraiso Hotel Resort & Spa reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.
- Also Known As:
- Arenal Paraiso Hotel La Fortuna De San Carlos
- Arenal Paraiso Hotel Resort And Spa
- Hotel Arenal Paraiso
- Arenal Paraiso Hotel Resort & Spa Costa Rica/Arenal Volcano National Park


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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.
Added 26/07/2016
weekly clean of three bedroom bungalow
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Lock won't engage witou manipulation with screwdriver
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Relaying patio Paving stones still usable
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Managing your job is easier with the Rated People Homes App, download it today.


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By: King, Marcus
Date: circa 1942-1943
Description: This is an original artwork for a World War II poster by Wellington graphic artist Marcus King. Design Painted with great care and detail, King has designed a powerful and emotional plea to the older generation. The image shows a respectable citizen in shirt and tie covered in overalls coming out of retirement to 'muck-in'. King deepens the two dimensional space of the poster by having the citizen gesture over his shoulder to an evocative wartime scene in the distant background. The linking of masculinity to the machinery of heavy industry is a common device in war posters throughout the world. King Marcus King was a respected graphic artist in the 1930s and 1940s, working for various government agencies including the Post Office.
Usage: Share, Modify, Use commercially?
Category: Images
Subject: propaganda, War, History Collection


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Psycho Charge Gama (サイコチャージガマ Saiko Chāji Gama) is one of Juni's and Juli's special attacks, introduced in Street Fighter Alpha 3. This attack can only be used in Shadaloo-ISM mode.
Description Edit
Only Juni (CPU) can do this attack. Juni will catch Juli through a Mach Slide, bringing her partner to her. So Juni will regenerate a portion Juli's life with a Psycho Charge Alpha.
Tactics Edit
While they do attack, they are fully exposed to the opponent and unable to defend their attacks. Any attack that takes them at that time, the damage will be doubled because of the two Dolls have been caught.


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Patient Satisfaction
National Survey
According to the Centers for Medicare & Medicaid services, Sigourney Care Center has an overall quality rating of This rating is influenced by the facility's health inspection results (5.0 out of 5), quality measure data (5.0 out of 5) and staffing levels (4.0 out of 5). Visit medicare.gov for more information.
The patient satisfaction is a measure of the extent to which a patient content with the health care which they received from their health care provider.
Have you been to Sigourney Care Center before? Be the first to review!
Similar Nursing Homes
See how Sigourney Care Center compares to similar Nursing Homes below:
Manor House Care Center
Sigourney, IA
Maplewood Manor
Keota, IA
English Valley Care Center
North English, IA
Address & Directions
Facility Information
Below is the general information for Sigourney Care Center
- Breakdown for facility beds
- 46 Total Beds
- 54% Occupied
- 25 residents
Ownership Type
- For profit - Partnership
Medicare & Medicaid
- Provider participates in:
- Medicare
- Medicaid
Below are services offered at Sigourney Care Center


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Personalised Mugs
Personalised Chilli and Bubble's Book of Love for Her
This personalised "Chilli and Bubble's Book of Love for Her" allows you to tell the significant other in your life you love them whilst making them laugh too. With her name incorporated on each of the covers as well as a poem embedded in the back and throughout the book, you can even craft together a lovely message to go with this. Browse through this ideal, light-hearted book filled with illustrations and one liners that show how special every relationship can be!
The Design Process
This personalised "Chilli and Bubble's Book of Love for Her" book will show the name of the beautiful woman in your life adorned on each page of the illustrations in this book. Her lovely name, of which can be up to 12 characters, will also be embedded on the front cover and alongside the back with the accompanying poem. The funny one liners on each page will no doubt make her light up with joy and laughter but with the sweet message you can write to go with this is what she can carry in her thoughts forever as a reminder of how much you really care. Your short and sweet personalised message can only be up to 2 lines of 40 characters and will appear in the inside page after initially opening your thoughtful gift. So treat the special lady in your life to a gift that light-heartedly shows her how much you care with this unique and quirky gift; perfect for her birthday, as a valentine's gift or even as a gift for your anniversary.
Additional Information
- Your personalised message and names on this "Chilli and Bubble's Book of Love for Her" book will be processed by our printers exactly as written by you, so please double check over it all for any errors such as spelling or grammar mistakes
- This personalised book is A6 (15cm x 10.5cm) and will have a hardback cover so your missus can treasure it for a lifetime
- Each page within this book for her will be of high quality 120gsm satinated paper
- This book of "Chilli and Bubble's Book of Love for Her" will contain 15 funny images and one liners with the name of your lady throughout the book as well as the covers on either side
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Posted by ESPN.com's Adam Rittenberg
ANN ARBOR, Mich. -- Former walk-on Nick Sheridan will start at quarterback for Michigan in today's season opener against Utah. Sheridan and redshirt freshman Steven Threet had been competing for the starting job throughout training camp. True freshman Sam McGuffie will start at running back ahead of classmate Michael Shaw.
The son of a former Michigan defensive assistant, Sheridan appeared in two games last season and did not attempt a pass. Threet, who came out of spring ball with a slight edge in the competition, has never appeared in a college game after transferring to Michigan from Georgia Tech. Coach Rich Rodriguez expects both quarterbacks to play today.
Other previously undetermined starters include wide receiver Greg Mathews, right guard David Moosman, center David Molk, tight end Carson Butler and wide receiver Darryl Stonum.


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Welcome to the Carli Banks Club, where you will get to enjoy all the hottest pictures and videos of this naturally busty blonde babe! Carli Banks loves getting naughty for the camera, and we have some of the hottest pictures ever taken of her all in one place for you to enjoy. Check out the free tour, and see what Carli Banks has in store for you!
Enter The Carli Banks Club