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Gothenburg very early supported discharge study (GOTVED) NCT01622205: a block randomized trial with superiority design of very early supported discharge for patients with stroke
Cerebrovascular disease and stroke
Stroke is the disease with the highest costs for hospital care and also after discharge. Early supported discharge (ESD) has shown to be efficient and safe and the best results with well-organised discharge teams and patients with less severe strokes.
The aim is to investigate if very early supported discharge (VESD) for stroke patients in need for on-going individualised rehabilitation at home is useful for the patient and cost effective.
A randomized controlled trial comparing VESD with ordinary discharge. Inclusion criteria: confirmed stroke, >18 years of age, living within 30 min from the stroke unit, on day 2 0–16 points on the National institute of health stroke scale (NIHSS) and 50–100 points on the Barthel Index (BI), with BI 100 then the patient can be included if the Montreal Cognitive Assessment is < 26. Exclusion criteria are: NIHSS >16, BI < 50, life expectancy < 1 year, inability to speak or to communicate in Swedish. The inclusion occurs on day 4 and in block randomization of 20 and with blinded assessor.
Primary outcome: levels of anxiety and depression. Secondary outcomes: independence, security, level of function, quality of health, needs of support in activities of daily living and caregiver burden.
Power calculation is based on the level of anxiety and with a power of 80%, p-value 0.05 (2 sided test) 44 persons per group are needed. Data is gathered on co-morbidity, re-entry to hospital, mortality and a health economic analysis. Interviews will be accomplished with a strategic sample of 15 patients in the intervention group before discharge, within two weeks after homecoming and 3 months later. Interviews are also planned with 15 relatives in the intervention group 3 months after discharge.
The ESD studies in the Cochrane review present hospital stays of a length that no longer exist in Sweden. There is not yet, to our knowledge, any study of early supported discharge with present length of hospital stay. Thus it is not clear if home rehabilitation nowadays without risks, is cost effective, or with the same patient usefulness as earlier studies.
Trial registration
ClinicalTrials.gov NCT01622205
Stroke is a life-altering event that affects a large number of individuals throughout the world; one in six people worldwide will have a stroke in their lifetime. Based on data from year 2005, global estimates of stroke incidence indicate that 16 million people worldwide experience first-time strokes each year, resulting in 5.7 million deaths (
Early rehabilitation ideally begins in the inpatient settings, immediately after a diagnosis of stroke has been confirmed and the patient is stabilized. Here, the priority goals are patient mobilization, prevention of secondary stroke and stroke-related sequel, encouragement of self-care, provision of emotional support and education, and assessment of general health. With their resources focused on the acute phase of stroke, stroke units may discharge patients with inadequate early rehabilitation services (
Rehabilitation concerns optimizing the levels of function, activity and the persons own participation in hers/his context. A multidisciplinary approach is needed in complex situations, as after a stroke, and the rehabilitation must be individualised according to personal goals. The rehabilitation begins in the stroke care unit, but needs to go on for months and sometimes years if the person will regain optimal levels of function and activity. In Sweden the primary health care and the local government are responsible for the basic rehabilitation after a hospital stay. However, there are indications of lack of competence for stroke rehabilitation and the rehabilitation is rarely based on multidisciplinary team that work integrated. Therefore, many stroke patients don't get optimal rehabilitation which can be seen in the report from the Swedish stroke quality register, where only about 60% of the patients in Gothenburg are satisfied with the support of their needs after discharge (
Early supported discharge (ESD) has shown to be efficient and safe in different setting (
In Sweden, supported training in the home setting has been suggested to be a bridge between stroke unit care and the health care of the primary care organisation and the local government. Home rehabilitation as early supported discharge of stroke patients is recommended (priority 3) in the Swedish National Guidelines of stroke 2009: "Stroke patients with mild to moderate remaining symptoms who gets early supported discharge from the stroke care unit of a multidisciplinary team for home rehabilitation, have shorter hospital visit, less severe dependence of others for activities of daily living (ADL) and are more satisfied with the care" (
The studies in the Cochrane review (
The aim is to investigate if very early supported discharge for stroke patients in need for on-going individualised rehabilitation at home due to motor and/or cognitive dysfunction is useful for the patient and cost effective. The intervention should be person-centered (
Hypothesis and expected results
The main hypothesis is that the intervention will lead to less distress for the person with stroke. As secondary hypothesis, the assumption is that the distress will be less for the next of kin as well as result in better or likewise motor and/or cognitive function, at one, three and twelve months after the stroke.
The expectation is that the results will show that early supported discharge is medically safe for the patient. The patients and the relatives will feel more secure after discharge from the stroke care unit and thereby the patients perceive less depression, higher levels of function and activity and better health quality. The next of kin might experience less caregiver burden. Another aim is to analyse the participation of the patient in the rehabilitation process.
Further, the expectation of the qualitative interviews is that they will reveal how the patient and the next of kin experience the home rehabilitation and possibilities and obstacles to patient and care giver's participation in the rehabilitation.
Patient/PopulationPersons with stroke at a stroke unit
InterventionVery early supported discharge to the home
ComparisonOrdinary discharge to the home
OutcomeReduction in anxiety, same amount of re-admissions and the same level of improvement in motor skills, ADL function and cognition as for the control group
Design and population
The design is a randomized controlled trial with blinded assessors. The study population is the stroke patients at the Sahlgrenska stroke care unit. The Stroke unit at Sahlgrenska University Hospital serves the larger Gothenburg urban area, thus all persons from this catchment area are randomly referred to the Sahlgrenska University Hospital. The project is approved by the Regional Ethical Review Board in Gothenburg
Primary outcome levels of anxiety and depression. Secondary outcomes are independence, security, level of function, quality of health, needs of support in ADL and caregiver burden.
Data entered the Riks-stroke database is used for back-ground information of each patient as well as stroke type, location, length of stay etc. Data on support and training given after discharge as well as home modifications during the first year will be gathered.
Assessments (all translated into Swedish)
•Montreal Cognitive Assessment (MoCA) (
•The MoCA has been proposed as a screening tool that promises good sensitivity to deficits arising from stroke and vascular cognitive impairment The MoCA includes sections on visuospatial/executive, naming, attention, language, abstraction, delayed recall, and orientation. It is scored out of 30 (extra point for <13 years' education) and the recommended "normal" cut-off is ≥26.
•modified Rankin Scale (mRS) (
•The mRS is used to describe overall disability. The scale runs from 0–6, running from perfect health without symptoms to death.
•Fugl-Meyer sensory motor assessment (FMA) (
•Fugl-Meyer Assessment, Upper (maximum score of 66 corresponds to normal motor function) and Lower extremity (maximum score of 34). The non-motor domains of FMA sensation, passive range of motion and pain during passive joint motions will be completed as well.
•Figure of 8 for the hand
•To assess hand volume on both hands using an ordinary tape measure (cm).
•Time up and go (TUG) (
•The TUG is testing basic mobility. The time (s) required for an individual to stand up from a standardized chair, walk a distance of three meters, turn, walk back to the chair and sit down again. A shorter time indicates better performance. The has been shown to be reliable and valid in this group of patients
•Berg Balance Scale (BBS) (
•The BBS assesses functional balance. Performance in this test is scored from 0 (cannot perform) to 4 (normal performance) on 14 different tasks, including ability to sit, stand, reach, lean over, turn around and step. The maximum score on the BBS is 56. A higher score indicates better balance skills
•ADL taxonomy (
•The ADL taxonomy is used for the investigation of ADL task performance and includes 12 activities. The first seven activities deal with the Personal ADL and the other five, with Instrumental ADL. During each activity are also a number of subtasks that are ranked by difficulty and can be judged on various aspects such as independence, dependent or not relevant.
•Barthel index (BI) (
•The BI measures the extent to which somebody can function independently and has mobility in their ADL i.e. feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfer, ambulation and stair climbing. Each performance item is rated on this scale with a given number of points assigned to each level. In this study the modified version with 0–100 is used, where a lower score indicates dependency.
•Stroke Impact Scale (SIS) 3.0, (
•Stroke Impact Scale is a questionnaire on different aspects of the stroke recovery where the person replies on their perception regarding their life after the stroke. The 59 questions are divided into 8 domains; strength, memory, emotion, communication, activities of daily living, mobility, hand function and social participation.
•Impact on Autonomy and Participation, English version (IPA-E) (
•IPA-E is a generic outcome measure for adults with chronic conditions where the person estimates perceived limitations in participation and autonomy related to dependency in the current living surrounding. The subscales include autonomy indoors, family role, autonomy outdoors, social life and relationships, work and education. Additionally, IPA-E identifies the extent to which limitations in life are experienced as problematic in areas of mobility, self-care, activities, economy issues, social life, work and education. IPA-E is valid, reliable and sensitive to change after stroke.
Caregiver Burden Scale (CBS) (
The CBS is a questionnaire with 22 questions (answered in written by the carer) concerning burden from the aspects of the caregiver's health, feeling of psychological well-being, relations, social network, physical workload and environmental aspects that might be important. When the scale was developed, factor analysis was used to yield five indices – general strain (8 questions), disappointment (5 questions), isolation (3 questions), emotional involvement (3 questions) and environment (3 questions). The items are scored from 0 to 3 (Not at all, Hardly, Somewhat and Definitely), maximum score 66. (Caregiver burden could be viewed as an environmental factor)
•Hospital Anxiety and Depression Scale (HADS) (
•The HADS is a 14-item questionnaire that consists of anxiety (HADS-A) and depression (HADS-D) subscales. It has good psychometric properties and is well suited for assessing symptom severity in stroke patients. A HADS-Total score of greater than 10 indicates clinically significant emotional distress.
•Falls efficacy Scale (FES) (
•The FES assesses perceived self-confidence in ADL-task performance without falling. It consists of 13 items including personal activities of daily living, items 1–6 and instrumental activities of daily living, items 8–13 and item 7, assessing the ability to walk up and down stairs. Confidence in performing each activity is rated on a visual numeric scale ranging from 0, not at all confident, to 10, completely confident, giving a possible maximal score of 130, and a total score of 60 for each of the two subscales.
•EuroQol Quality of Life Scale (EQ-5D) (
•EuroQol Quality of Life Scale is a widely used generic measure and includes five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The EQ-5D includes a visual analogue scale on which the patients rate their own health between 0 and 100.
Confirmed stroke according to WHO´s criteria
>18 years of age
Living within 30 min from the stroke unit
On day 2 National institute of health stroke scale (NIHSS) (
MoCA index < 26 if BI = 100.
Life expectancy < 1 year (as with severe malignancy)
Does not speak or communicate in Swedish prior to the incidence
A power calculation has been performed based on the level of anxiety (assessed with the HADS) in patients at stroke units (
Interviews will be accomplished with a strategic sample of 15 patients in the intervention group before discharge, within two weeks after homecoming and 3 months later to describe the patient's subjective expectations and experiences of early discharge and rehabilitation. Interviews are also planned with a sample of about 20 relatives (caregivers) in the intervention group 3 months after discharge to describe their subjective experiences of early discharge and rehabilitation from the perspective of caregivers. In both cases, interview guides with question areas will be used. The interviews will be recorded and transcribed verbatim and further analysed with qualitative content analyses according to Krippendorff (
The planning of the home rehabilitation with the patient together with the team will be studied to analyse possibilities and/or obstacles for patient participation and activity in this process. Data will be gathered by digital audio recording of 10 planning meetings and note-taking and analysed with qualitative content analyses.
Further, observation through participation will be used to study the interaction between the patient and the team when the person is at home and how the patient participates in the rehabilitation. Data will be gathered by video recording and note-taking and analysed with both a quantitative and a qualitative approach.
Day 2: (36–60 hours)
BI and MoCA performed by the occupational therapist
Day 4: (+/− 1 day)
Information about the study and randomization after informed consent
Demographic data will be collected during the first assessment. Stroke subtype will be confirmed by imaging. Ischemic strokes will be classified for subtype and site for lesion by using TOAST and Bamford classifications(
Day 5: (+/− 1 day)
•Assessment 1
Assessment 1 (HADS, SIS, MoCA FMA, mRS)
Day 5–10 Discharge planning
Day 5–10 Discharge (First interview)
Within 24 hours after discharge: TUG, BB, ADL taxonomy, BI, HADS, EQ5D and FES.
Within two weeks after discharge: Second interview
Assessment 2 (1 month) ADL taxonomy, BI, BT, TUG, HADS, EQ5D, FES and mRS.
Next of kin: HADS
Assessment 3 (3 months) ADL taxonomy, BI, BB, TUG, HAD, EQ5D and FES, SIS, mRS and IPA-E.
Third interview with patients and interview with relatives.
Next of kin: HADS and CBS
Assessment 4 (12 months) BI, BB, TUG, HAD, EQ5D, FES, SIS, mRS and IPA-E. FMA and MoCA.
Next of kin: HADS and CBS
Discharge planning at the stroke unit
The stroke nurse has the responsibility during the in-patient time to communicate with the patient in order to understand the experience of the stroke, which, together with the objective signs of the stroke, is the base for discussions and the planning of the care with the patient together with the team. The nurse is also responsible for the discharge planning, the co-ordination of the rehabilitation and the contacts with primary health care. The nurse also co-ordinates the contacts with the next of kin and involves them in the planning. If the patient and nurse have identified the need for home help service, the nurse also makes these contacts. Patients with need for speech therapy after discharge will receive this at a speech therapy out-patient clinic. Before discharge the patient, the VED team and next of kin explore the patient's needs and wishes and decide on individual goals for the intervention period.
Intervention in the very early supported group
A rehabilitation team made up of physiotherapists, occupational therapists and a stroke nurse from the stroke care unit continues the rehabilitation in the patient's home. The intervention has a person-centered approach which is based on who the person is: their context, their history, their next of kin, their individual strengths and weaknesses (
At discharge, the intervention group will get an individual schedule for the first week of home rehabilitation. The intervention comprises 2–4 visits per week of the home rehabilitation team members and one to two stroke nurse's visits. The intervention may imply training in different activities or to think through different ways to adapt in difficult situations in order to achieve a goal. For some patients the intervention may be to try the pursued activities with safe support so that they may feel secure in their performance.
The patient and the home rehabilitation team decide when the supported discharge should end, with a maximum of four weeks after discharge. During this period contacts will be made with those who will carry on the rehabilitation afterwards. Important for the period is also information and support to next of kin and home care service on how to best support the patient. Speech and language therapy will be delivered if needed.
Control setting after discharge
The control group will have support as usual after discharge e.g. if needed home help service, outpatient rehabilitation of a physiotherapist and or an occupational therapist or speech and language therapy.
Time plan
The project started in May 2011 and recruitment is estimated to take 3 years.
There are at least three different perspectives of significance in the project; the personal, the societal and the public health.
From the personal perspective, to get back home as soon as possible and to be able to participate in the planning of the rehabilitation and decide the goals should results in empowerment and hopefully better satisfaction with the stroke care. Less anxiety increases the chance of well-being.
From the societal perspective, the possibility that it is safe to discharge patients early with support from the stroke unit means that money will be saved. If the family feels less distressed when support is given in the home, the risk for re-admittance as well as stress induced symptoms in the next of kin should be reduced. This is also a chance to enhance quality for the family of a stroke survivor and perhaps reduce the risk of ill health for the care giver.
From the public health perspective, the chance to reduce anxiety and support the next of kin in the large population of stroke survivors should have a high priority. The relatives often today report a high caregiver burden.
The expectation is to show that early supported discharge is safe. The patients and the relatives will feel more secure after discharge from the stroke care unit and thereby the patients perceive less anxiety and depression, higher levels of function and activity and better health quality.
Preliminary results
A pilot study at started in April 2010 in order to evaluate a model of early supported discharge. The overall goal for the project was to improve the quality of the care at home after discharge from the stroke care unit. Stroke patients in need for on-going training at home of motor and/or cognitive dysfunction have been included in the study. The patients, the relatives and the involved rehabilitation staff in the pilot study have been mostly overwhelmingly positive to the supported discharge. The patients in the pilot project received 3–19 visits at home (on average 9 occasions). The division of labour between the professions depending on needs and goals resulted in1.6 visits by the nurses, 3.4 visits by the occupational therapist and 4.3 by the physical therapist. The support at home seems to make the patients and the relatives more secure and the patients seems to have a better chance to regain activities and functions with home rehabilitation.
The current project started in May 2011 with inclusion for 3 weeks prior to the vacation period and continued in September. So far, 40 patients have been included.
Ethical considerations
The study has ethical approval (110221, 042–11).
There is an ethical problem that a practice of early discharge is developing in Sweden that is not evidence based and not always quality controlled. Support in the home is sometimes given from a team from a stroke unit, sometimes from primary care and often from home care personnel. Therefore, the ethical problem here deals mainly with assessing patients and caregivers many times, where the results of the assessment not necessarily will be of benefit for the assessed person. Qualitative research with interviews of the patient and the next of kin where areas such as having influence of the care/rehabilitation will be discussed may yield discomfort. In order to minimize this, the interviewer will be from outside ordinary care at the hospital and well trained in qualitative research.
The ESD studies in the Cochrane review present hospital stays of a length (33 days) in the control group that no longer exist in Sweden. The average hospital stay after is 15 days. There is not yet, to our knowledge, any study of early supported discharge with present length of hospital stay. Thus it is not clear if home rehabilitation nowadays is without risks, is cost effective, or with the same patient usefulness as earlier studies. The research on emotional and practical support in the home after discharge gives conflicting results and the scientific evidence is insufficient. The reason for choosing level of anxiety as primary outcome is that this is a common problem after stroke and probably can be affected by having support in the home setting. The length of stay will probably vary very little between the groups and the training efforts in the intervention group might not necessarily show in the areas of body function or ADL.
(ADL): Activities of daily living; (BI): Barthel index; (BBS): Berg Balance Scale; (CBS): Caregiver Burden Scale; (ESD): Early supported discharge; (EQ-5D): EuroQol Quality of Life Scale; (FES): Falls efficacy Scale; (FMA): Fugl-Meyer sensory motor assessment; (HADS): Hospital Anxiety and Depression Scale; (IPA-E): Impact on Autonomy and Participation; (MoCA): Montreal Cognitive Assessment; (mRS): modified Rankin Scale; (NIHSS): National institute of health stroke scale; (SIS): Stroke Impact Scale; TOAST: Trail of Org 10172 in Acute Treatment; (TUG): Time up and go.
Competing interests
The authors declare that they have no competing interests.
Authors' information
All authors affiliated with the Gothenburg University Center for Person-centered Care
Authors' contribution
KF, LR and AB were involved in the pilot study. KSS designed the large trial together with KF, LR and AB with input from ÅLN and AD. CP and AB specifically looked into the outcome measures for occupational therapy, AD and LR at the outcome used for balance. KSS and ÅA were responsible for the qualitative part of the study with input from ÅN. KSS were financially responsible. All authors read and approved the final manuscript.
A grant from the Swedish Science council (VR2012-3523) has been approved for the study.
The project is part of Gothenburg Centre for Patient-Centred Care
The Health & Medical Care Committee of the Regional Executive Board, Region Västra Götaland has given a grant. Financing has also been given from the Axel Linder's foundation, the Foundation of the Swedish National Stroke Association; the Local Research and Development Board for Gothenburg and Södra Bohuslän Hjalmar Swenson's Research Foundation; Greta and Einar Askers Foundation; Rune and Ulla Amlöv's Foundation; and John and Brit Wennerströms' Foundation and LUA/ALF Gothenburg.
Preventing stroke: saving lives around the world
The impact of stroke
Neurorehabilitation of stroke
Factors that influence the stroke care team's effectiveness in reducing the length of hospital stay
Optimizing stroke systems of care by enhancing transitions across care environments
Services for reducing duration of hospital care for acute stroke patients. Early Supported Discharge Trialists
Early supported discharge after stroke
Early supported discharge and continued rehabilitation at home after stroke: 5-year follow-up of resource use
A consensus on stroke: early supported discharge
Person-centered care–ready for prime time
The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment
Recovery of motor function after stroke
The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance
The timed "Up & Go": a test of basic functional mobility for frail elderly persons
The balance scale: reliability assessment with elderly residents and patients with an acute stroke
The ADL taxonomy- from individual categorical data to ordinal categorical data
Functional evaluation: the Barthel Index
The stroke impact scale version 2.0. Evaluation of reliability, validity, and sensitivity to change
The development of a handicap assessment questionnaire: the Impact on Participation and Autonomy (IPA)
Caregiver's burden of patients 3 years after stroke assessed by a novel caregiver burden scale
The hospital anxiety and depression scale
Falls efficacy as a measure of fear of falling
Interrater reliability of the NIH stroke scale
Emotional symptoms in acute ischemic stroke
Screening for anxiety and depression after stroke: comparison of the hospital anxiety and depression scale and the Montgomery and Asberg depression rating scale
Anxiety, depression, and psychological well-being 2 to 5 years poststroke
Four-fold increase in direct costs of stroke survivors with spasticity compared with stroke survivors without spasticity: the first year after the event
Classification and natural history of clinically identifiable subtypes of cerebral infarction
The Canadian occupational performance measure: an outcome measure for occupational therapy
Pre-publication history
The pre-publication history for this paper can be accessed here:


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Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
im 20 years old & I got a Ticket for stealing class C, I tried stealing two light bulbs for a car. and today i got a letter from walmart saying to pay the amount of $200, idk what to do, i don't have the money. i just quit my job.
i can get the ticket taken off by a judge because of connections that my gf's dad has. but idk is that possible. i herd people get their tickets taken off. tickets worth $500- $2000 dollars for drunk driving and stuff. does a judge have that kind of power?
how much would it cost to clean my record? im young and most jobs have money and merch involved :/
Do i need a laywer for the letter. basically it says i need to pay or ill get sued.
The letter from walmart threatening to sue you if you don't pay is a scare tactic with little to no chance that you will be sued. Several of my clients have received similar letters demanding payment as "liquidated damages" with threats to sue if payment is not made. I tell my clients to ignore the letter and not one has been sued. Besides, it would probably cost them close to $200 to file and have you served with little expectation of a return. In other words, it would be like throwing good money after bad.Ask a similar question
Don't worry about the letter. It has nothing to do with the criminal case. I've never seen a retailer follow up with any civil action on one of those letters. Your only concern is the criminal citation. As long as you receive a deferred disposition, you can expunge the case from your record completely.
Macy Jaggers's answer to a legal question on Avvo does not establish an attorney-client relationship. Ms. Jaggers offers everyone a free consultation to discuss their case. Feel free to call her office at 214-365-9800 to make an appointment (phones are answered 24 hours) or visit her website at www.macyjaggers.com for more information about her services and recent victories.Ask a similar question
I am going to advise you to not post connections that you may or may not have with a judge online where anyone can read. This can get you and the judge in serious trouble. I am going to tell you to hire an attorney that can help you with this problem. The letter from Walmart is most likely their civil fine for what you did. The problem with paying it without having any written agreement is that this can be used against you in a court to help them prove your guilt.
Answering this question does not create an attorney-client relationship. Legal advice has not been given. Also, this question and answer is posted on a public forum and therefore any attorney-privilege is waived.Ask a similar question
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subset: commoncrawl


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KINDLE AMAZON ASSOCIATE EARNINGS DROP FROM 10% TO PERFORMANCE %Updated correction: I realize now that if you use the Performance Structure (All Categories except Consumer Electronics) payout on Amazon Associates like I do -- your Kindle sales will pay out at a rate of 4% to 8.5% -- depending on how many total items you sell that month:
|1 - 6
|7 - 30
|31 - 110
|111 - 320
|321 - 630
|631 - 1570
|1571 - 3130
|3131 +
Here's praying for over 3,131 items sold monthly!
Perhaps I was out to lunch when Amazon.com announced they were dropping the Amazon Associate referral fees for the Amazon.com Kindle from 10% to 6.5% for each Kindle sold.
Amazon probably sent an email to us associates telling us about the referral fee drop. (Man was that sweet that time God led me to do a fast for several days and get offline -- and when I'd gotten back online after a week, I was amazed to see I'd made more than $3,500 from selling Kindles.)
Now, thankfully, coming off some more intimate time with Him, I noticed I sold some $139 Kindles -- and even an $189 Kindle -- so naturally I wanted to see if us Amazon Associates still make 10% per Kindle sold.
Turns out sometime before June 2010, the referral fee for Kindles dropped to 6.5% from 10% for associates.
I guess Amazon.com figured 10% was too much of a cut -- but at least 6.5% is better than the 4% they pay for "electronics" category stuff. Glad Kindles fall into their own "Kindle Hardware" category on Amazon. And thank the Lord that these new $139 and $189 are loved by customers and selling well.
I'm excited about actually getting a book listed on Amazon.com -- publish, promote and prosper -- and then making sure when I write about it to use Amazon affiliate links so as to not throw money away.


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Progress has been the motivation for immigration to the United States.
During the 2016 election, the issue of employment was the most important for the majority of the voters. But many think that the illusion of the American dream is in jeopardy under the new administration of Trump. With the new policies of a Republican government in Congress and the Executive Office what will be the impact on the daily life of the residents of the DMV?


text:
Welcome to Custom Cabinets by Ken Leech
Check out featured projects
Welcome to High-End Custom Cabinetry by Ken Leech
Whether your style is warm and welcoming, bright and cheerful, cool and contemporary, grand and elegant, or inspired and eclectic, Ken Leech builds custom cabinets and accessories that are made to last for a unique and memorable masterpiece in your home. Specializing in the planning, designing, and implementation of quality custom cabinetry, with a strong emphasis on detail, Ken has the skill necessary to produce commercial and residential cabinetry from start to finish. He will work with you to customize your cabinets with beautiful and functional designs. Please do not hesitate to contact High-End Custom Cabinetry by Ken Leech at 412-605-8738.
Prior to starting his own business, Ken Leech was a part owner at Harbor Place Woodcraft where they specialized in the design, construction and installation of high-end custom furniture in Pittsburgh and the surrounding area for 25 years. Ken's exceptional talent, commitment to detail, and unique six step processes of hand applied staining, rubbing, and glazing has resulted in literally hundreds of successful projects throughout the Pittsburgh area.
All Content Copyright © Ken Leech Custom Cabinets. 149 Oak Lane, Canonsburg, PA 15317. All rights reserved.


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Beer, everyone's favorite foodMarch 18, 2007 7:34 am borschke
So I have been a little busy lately and haven't had the chance to go out to eat. Sorry kids. The weekend was also spent in Indy getting crunk for St. Patrick's Day. Basically going on a liquid diet of car bombs and Bass. So, this got me to thinking … what is everyone's favorite beer and brewery around here. There is nothing better than a good brew and columbus is not short of any new brewery's. Off the top of my head there is:
Elevator House
Gordon Biersch
All of these are really good and offer one of my favorite things to do which are flights where you get to try a little bit of every beer that they make. The problem being that some of them really just aren't that good. Barley just invited me to a keg tapping party where they are starting a coffee beer …. yeah that just sounds kinda nasty.
So hands down my favorite brew is Strongbow followed by Guiness. Truthfully, I think that I would pick one of these over almost any brewery beer. I know that may be sad to some people but hey thats why I am making this post. Where is your favorite place to go? Sorry for the lack of review but its been busy. Next week I will do better I promise!
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- mellotron
6:30 am? Shouldn't you have a splitting headache right now??? :lol:
So, since you mentioned non-Cbus beers, I'll mention my favs: I like the mild bitterness of Czech Pilsners, specifically Urquell and Staropramen. Also, I never remember the names, but I've never had a Belgian Abbey Ale that wasn't delicious.
As for local micros, I'm realizing I don't frequent them enough. But with a small sample size, I'm going with The Elevator at the moment.
- brothermarcus
Favorite Beer:
Sleeman's, Canadia's #1 Craft Beer… makes me happy in my mouth. Meijer carries their honey brown and original on occasion.
Bell's Two Hearted Ale is also very good, they have it at Surly Girl. MAC bar has Tetleys, which is also one of my favourites.
As far as local breweries, I've never been satisfied by anything around here- I'm not a snob but some of them taste like bug spray. Great Lakes Brewery has some varieties that I can tolerate, but I haven't enjoyed a single beer from any of the greater Columbus area breweries to date. I'd love to be proven wrong and handed a kick-ass beer from a local, but I doubt that will happen.
- Coremodels
- twistofreality
Barring that, since it's seasonal:
- The Hegemo
- naps
Barley's makes some great beers!!! I used to work for Hoster's a LONG time ago, they brewed some good beers too!!! Too bad they didn't make it though, I liked that spot!
BUT damn I miss Great Lakes beers!! Great brewing company!!! 8)
Oh the beers of Ohio….. :( how I miss thee
- vestanpance
If you like English beer, this is the best of the best
(Tetley's Bitter if the picture link breaks)
- CMH Gourmand
Claddaugh has a great beer flight – 11 three ounce beers. Yummy. Studio 35 has a monthly glass special – buy the glass and get $2 refills in that class for the rest of the run of that beer. (Not sure if they still do that with all of the changes going on there).
- Rocknrolloutlaws
Barley's (and, even more so Barley's #2) is my pick for best micro-brewery in town. I usually find that most places there are at least one or two of their beers that aren't quite as good as the rest, or are geared towards people who don't really actually like beer. At Barleys though i've found that every single thing they have is delicious.
I like #2 better because of the bbq there. their ribs are delicious.
- Coremodels
Word from some of the Park people was that the new Z Pub (Taverna Opa's old spot on High) has a huge selection of beer, going to have to check that out myself!
- Brewmaster
1) Elevator
3) all the rest
- Ndcent
When drinking beer to drink beer, I like to do so with the seasons.
When dining I like to order beer to compliment the meal.
Without getting into specific brands, the styles of beer I like most are IPA's and Imperial IPA's, followed by American Pales, ESB's, Belgian Ales, or Lambics even.
Beers I very much don't like are White Ales of any sort, Nut Brown Ales and Miller Lite.
If I was stranded on a deserted island with one beer to drink forever, I would pick Guinness.
Beers that make my heart happy include all of Stone Brewing Co.'s IPA and Imperial IPA's…Arrogant Bastard, Double Bastard, Ruination, Etc. Or Dog Fish Head 120 min or 90 min IPA's, or Bells Two Hearted. Chimay's trio of ales, Unibroue (spl?) beers…the Maudite, the Tres Pistoles, the green apple Ephemere…really almost anything from Bells – Great Lakes – Dog Fish Head – etc. so many more.
Bells has an EXCELLENT limited spring release out right now if it's not all gone yet called Consecrator Dopplebock…it's about $13 a six pack but totally worth it.
I could talk about beer all day.
- vestanpance
Ndcent wrote
I could talk about beer all day.
I could drink beer all day :D
English bitters are still my fav.
- lifeliberty
I can and have drank just about anything from black label to guinness, cept never had a Blatz.
- 20thousandinmypocket
I dont know i dont drink any of these beers never really got into them. I still strick to either heini or corona 80% of the time, and the other 20% would be guniess. here and there i might buy other brands but for the most part i keep it simple.
- Coremodels
If you like those two, you'd probably like Stella. It's very light, but lot of flavor…I'm hooked.
- vestanpance
Coremodels wroteIf you like those two, you'd probably like Stella. It's very light, but lot of flavor…I'm hooked.
Just don't be shocked when you order it and they bring it to you in a stupid looking glass. :shock:
for an everyday beer i too mostly drink Heni.
- Ndcent
Coremodels wroteIf you like those two, you'd probably like Stella. It's very light, but lot of flavor…I'm hooked.
I never realized until just the other day that those Stella bottles are 11.2oz.
- logan
raspberry winter ale from barley. hands down.
- ddavis
I recently had Columbus Brewing Company apricot ale and it was very tasty with just a hint of apricot. I really enjoyed it. A great seasonal is Brooklyn Black Chocolate Stout. And I enjoy a Blue Moon or Rolling Rock on occassion. Really I'm game for all types of beers.
- Brewmaster
So I went back to Lotus last night to find that they had beer on tap (the previous two times I went they were still getting the system up and running).
They had some phenomenal drafts…Guiness, Boddington's, Great Lakes Burning River, Arrogant Bastard Pale Ale, and Dogfish Head IPA!
Fantastic selection…especially for pale ale and IPA lovers like myself. It's pretty hard to find those last three on tap!
- Ndcent
Should there be a Columbus Underground Beerdie meetup?
- Brewmaster
ddavis wroteA great seasonal is Brooklyn Black Chocolate Stout.
I've had that…and it is tasty!
The Elevator just had a Chocolate Stout in January and currently has a Coffee Porter. I liked the stout better, but the Coffee Porter is definitely worth trying.
Also…a company called Rogue Brewing Co. makes a great Chocolate Stout and an even better Mocha Porter. They also make great bitter ales. Trader Joe's and the BD Kroger carry them.
And I second Ndcent's idea!
- vestanpance
Brewmaster wroteBoddington's!
- lifeliberty
Ndcent wroteShould there be a Columbus Underground Beerdie meetup?
Yes. I believe there should.
should start with places that either brew their own beer, or carry many different hard to get beers on tap (eg surly girl)
- Ndcent
I'll take a shot at organizing a Columbus Beer Hop…pun intended.
Stay tuned.
- twistofreality
Ndcent wroteShould there be a Columbus Underground Beerdie meetup?
Soon, CU will have as many "meetups" as Columbus has "hops".
- JimL2
borschke wroteSo hands down my favorite brew is Strongbow.
I was a little shocked when I read this. I cannot stand hops, so my drink of choice tends to be hard cider (with a Belgian wheat beer as a ready standby). But Strongbow seems to be way overpriced considering what it is… as far as I can tell, it's the Budweiser of the UK.
However, I've never been willing to pony up the $8 to buy a four-pack of it, and I've certainly never seen it on tap, so… am I missing out on something here? What do you like about it??
Also if anyone has any suggestions on where to get hard cider on draught around here–or where to get a non-Woodchuck Amber/non-Strongbow hard cider in bottles, I'd really appreciate it. I'm always looking for an excuse to drink something that tastes good.
I read recently that Mad Mex has Woodchuck 802 on draught, so I might head up there later today. Oh wait, now their website says they only have Strongbow on draught. Well, fine.
I'll get you for this, Mad Mex. Just you wait…
- vestanpance
JimL2 wrote[as far as I can tell, it's the Budweiser of the UK.
Well it is sorta the budweiser of the UK but it's still not a bad IMO. I think they have it on tap at Macs
- brothermarcus
i had strongbow draught at brazenhead on 5th? i've had it from the tap several places around town.
- ddavis
Brewmaster wroteAlso…a company called Rogue Brewing Co. makes a great Chocolate Stout and an even better Mocha Porter. They also make great bitter ales. Trader Joe's and the BD Kroger carry them.
I've had the Rogue Mocha Porter as well and it was good too! Anderson's also carry's Rogue….
- ndekke39
Mmmm… some great choices on beer listed here. I personally go for Barley's and Elevator as my favorite local breweries. I'd love to see more! Favorite beers include almost anything from the above breweries, plus Great Lakes Brewing Co, Bell's, Founder's, Goose Island, Great Divide.
So, to expand the discussion… what are your favorite places to buy beer (i.e. for consumption at home)? My favorites include:
Grapes of Mirth (at North Market)
Spagio Cellars
Gentile's (King & Northstar)
Trader Joe's
- Ndcent
ndekke39 wroteGrapes of Mirth (at North Market)
Spagio Cellars
Gentile's (King & Northstar)
Trader Joe's
I'm not familar with Spagio or Gentiles…I'll have to check them out.
I'd add to your list:
Weilands Gormet Market (3600 Indianola)
Viking Premium Beverage (237 King)
Andy's Carryout (2480 N. High)
- twistofreality
ndekke39 wroteSo, to expand the discussion… what are your favorite places to buy beer (i.e. for consumption at home)? My favorites include:
Grapes of Mirth (at North Market)
Spagio Cellars
Gentile's (King & Northstar)
Trader Joe's
Anderson's is definitely at the top of my list. Whole Foods has a very decent selection, as well. I like that their selection of standard domestic beers takes up about four feet cubed.
There's a place just north of where 315 stops being a freeway called Hill's Market that has a pretty decent selection, as well.
- ddavis
Jungle Jim's (when I happen to be in Cinci).
- WildmanDan
I would add Palmers at 3375 Indianola in Clintonville (not open on Sunday however), and Kenny Road Market at 4958 Kenny Road (right after Godown Road) has a hug selection that you dont expect looking at it from the outside.
- Ndcent
Ndcent wrote
ndekke39 wroteGrapes of Mirth (at North Market)
Spagio Cellars
Gentile's (King & Northstar)
Trader Joe's
I'm not familar with Spagio or Gentiles…I'll have to check them out.
I'd add to your list:
Weilands Gormet Market (3600 Indianola)
Viking Premium Beverage (237 King)
Andy's Carryout (2480 N. High)
I would like to remove Viking from the list of places I buy beer.
Apparently they recently JACKED their prices up, to where most common six packs are between $8.50 and $9.99.
Ex: Fullers ESB = $9.99.
I'm sorry but that is a blatant rip off, so a big FYYFF goes to everyone at Viking "premium beverages." I will never buy beer there again.
- WildmanDan
I quite agree about Viking, they have always been overpriced, plus they stock beer that clearly past it's due date, such as breweries that haven't been in business in over two years as the most painful example.
- Brewmaster
Just picked up a six pack of Stockyard Oatmeal Stout at TJ's for $5 or $6. I'd recommend it if it were $8. An awesome stout with a nice smokey chocolate/coffee flavor. Tasty.
- Walker
Ndcent wroteI'll take a shot at organizing a Columbus Beer Hop…pun intended.
Perhaps we can find a good spot where we could do some sort of BYOB meetup. Everyone brings a 6-pack of their favorite beer that they want everyone else to try, and then everyone who attends get to try six different beers from the stash?
- lifeliberty
I'm thirsty. whatever happened to this meeting? Saturday preferred.
- Ndcent
Fuck I give up…
I can host…and drink…as far as conceiving original ideas and implimenting them, darrrr…
- lifeliberty
walkers idea is good. but if mtg in a bar pick a place. surly girls selection is great and they have a back room for us all to sit. I heard thirsty ear has a great selection of tap beers as well.
take the reins.
- lifeliberty
some consideration for having it centrally would be nice, also consider people need to get home so no out of the way obscure places either.
- Walker
Could just do the 6-pack-fest idea at your place then, nd. 8)
- Ver-snatchie
i love a good orgy of ideas
we can do it at our place we have a great back yard plenty of parking and we are totally centrally located ….
With the exception of dirt bike trips here are some great dates for us
Sat May 12 or Sunday May 13
Sat May 25 or Sunday May 26
Sat June 1 or Sunday June 2
I love the BYOB we also havea grill so it could be a BYOMeat
maybe a restaurant or a FEW could sponsor some Appetizers….
sniff sniff i smell a summer party
- Ndcent
Saturday May 12.
Six Pack Jump Off.
6pm…my place…be there – or don't, wtf do i care?
Being this time of year I want to see some mai-bocks, spring ales, double bocks, etc.
I will make grill snacks and the Wii will be ready.
- Ver-snatchie
Email either ndcent or myself for address and parking detials
we are located in the short north just steps away from the park
- lifeliberty
Ndcent wroteFuck I give up…
I can host…and drink…as far as conceiving original ideas and implimenting them, darrrr…
well, so much for giving up :)
good thing your girl kicked your ass in gear! thanks jenn!:)
- borschke
I love how we are creating so many other meetups this is awesome. A meetup to boose a meet up for food a meetup for …. monthly meetup. Lets booze it up!
- 3horseshoes
ddavis wroteJungle Jim's (when I happen to be in Cinci).
my home away from university is just 5 minutes away from JJ's. :) i've been so spoiled growing up with it right there, i love that place.
another good place in cinci is the party source, technically it's in newport, ky. just across the river. this place is insanely huge. among the choices they stock are basically all the bell's and rogue.
honestly, giant eagle is sometimes the best for cheap deals on good microbrews. they always have all the seasonal essentials
- Daz
Since there are quite a few people in here with some taste, what are the best locals?
I'm an avid drinker of the IPA, so that is always preferable, but I appreciate all types (with the exception of bad beer, man.. I'm getting really sick of going out and only seeing bad beer on tap… KILLIANS IS NOT GOOD!!! WHO PUT THIS IDEA IN YOUR HEADS?!?!?! IT IS PISS BEER JUST LIKE BUDWEISER AND JUST LIKE MILLER!!!!! ahem.. ok.. I'm done..)
- Ndcent
Honestly I'm not very fond of many of the local brews.
As deep as my love of beer goes…I can't say I have a hometown favorite.
- lifeliberty
as far as I know you have barleys, cols brewing co, and elevator. but I dont drink them. I used to drink hosters when i used to go there, but it is closed. but if you consider great lakes local(cleveland), that's my pick anytime I buy a quality beer(aka not piss) from the market.
- Daz
Ndcent, that makes me sad inside, very much unlike what beer normally does.
- Ndcent
Ok, if we can go for Ohio Breweries…then most definately Great Lakes Brewing.
Their new Commodore Perry IPA is damn good!
- Daz
Can I purchase this at.. persay.. a Giant Eagle?
- Ndcent
They just released it…so it's hard to say…it is a year round release though so that helps in finding it.
- lifeliberty
Daz wroteCan I purchase this at.. persay.. a Giant Eagle?
that's the only place I've bought it at so far, but normally the edmond fitz or the multi pack 12-pack. dunno bout the commodor.
- Brewmaster
CBC Pale Ale is good stuff. For the warmer weather, I'm really liking thier IPA (its got a hint of grapefruit or something citrusy). Very refreshing.
Elevator's IPA is reliably good, and thier beer of the month is Imperial India (IPA), so it should be pretty hoppy.
Don't miss the Columbus Microbrew Festival this year at the North Market. It was tons of fun last year. All of the local breweries were represented (including Hoster…I guess someone is brewing it from the old recipe). It was only about $12 for 8 half-glass samples and they let you keep the festive pint glass. Everyone was obviously having a good time! :)
- Ndcent
What's the date on that brew?
- Ndcent
I've got some killer beers for saturday if anyone is coming.
- Walker
Might want to make a new thread in the "Misc Events" with all the details!
I'll be there! 8)
- Ndcent
Walker wroteMight want to make a new thread in the "Misc Events" with all the details!
I'll be there! 8)
- mattkaz
Any Bells beer!
Two Hearted especially.
- gigantor
Looks like I'm a little late to the party.
Bells, Founders, 3 Floyds are all fantastic breweries.
I highly suggest trying Bell's Hopslam and Expedition Stout when they are "in season". Check out their website for when they release beers.
- WildmanDan
Always been a fan of Bells and have actually visited that Brewpub as well as Founders. But let's not forget Stone, the California Brewer with Central Ohio roots.
- Gerbeel Haamster
I agree, both Bells and Founders make good beers. I am especially fond of Bells' Third Coast Beer (not the ale) — it's a much more bitter, but lighter version of Anchor Steam.
My latest favorite is Otter Creek out of Vermont. They make a very good (acceptable to anybody's taste) Pale Ale, but their best is the "Copper Ale"… not a "red" beer – has a very clear "hard water" aftertaste that I really like.
Another is Two Brothers (out of Illinois) "Bitter End" Pale Ale. It's actually more of a light English Bitter, with a wonderful, buttery and then hard water aftertaste. But BEWARE of the "bottled on" date! This beer can go very bad, very quickly, if out-of-date.
- naps
Gerbeel Haamster wrote
My latest favorite is Otter Creek out of Vermont. They make a very good (acceptable to anybody's taste) Pale Ale, but their best is the "Copper Ale"… not a "red" beer – has a very clear "hard water" aftertaste that I really like.
yeah, great beer!! I stopped there after boarding at Killington and was very pleased with all their brews!! 8)
- Gerbeel Haamster
U Lucky. Love Vermont/N.H. Great creeks and waterfalls. Woods to get lost in.
- Trixie
I wish I hated beer.
The Mr. and I went to Barley's on 33 the other night. Brought home a gallon of their pilsner. Mmmmmmmmmmmmm… tried the pale ale. REALLY hoppy. The rest was awful. The wings were icky… the nachos were blah… I guess I have to eat deep fried wings from here on out.


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Red Wines
Other Red Blends
Central Coast
My Rating (circle) :
Date Printed: 7/24/2017
Troublemaker Red Blend
Troublemaker Red Blend
search item no.
has fluid
has fluid 360
has large label
has bottle ishot
volume buy
Wine Enthusiast rating:
90 points
Winemaker's Notes:
Inspired by varieties that flourish in Paso Robles and California's Central Coast, Troublemaker is a truly distinct Paso blend consisting of Syrah, Grenache, Mourvedre, Petite Syrah and Zinfandel. By using a multi-vintage approach, winemaker Austin Hope allows the wine to show uncanny complexity in its youth, yet rich and fruit-forward characteristics that make it ready upon release. With rich aromatics that display hints of smoke and violets, bright fruit on the palate and a long finish, Troublemaker shows amazing depth and structure.
My Notes:
About Troublemaker:
The Hope family arrived in Paso Robles in 1978 in search of land and new opportunity. As they've planted vineyards, grown grapes and made wine over the past 30 years, Paso Robles has become a viticulture region of significance, capable of producing world-class wines. As one of the pioneering families of this distinctive wine community, the Hope family is dedicated to sustainable farming and making wines that are delicious, accessible and memorable. Still family-owned and operated, Hope Family Wines now makes five individual brands: Liberty School, Treana, Candor, Troublemaker and Austin Hope.


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Lookbook: Work Wear Bump Style9:00 AM
Maxi Dress c/o TJ Maxx - I actually found the exact same dress by LC Lauren Conrad (and it's on sale) but mine is a different brand. I adore this dress and has been a go to during my pregnancy. Also love this chevron stripe maxi dress and this one is similar and under $30!
Juicy Couture Cardigan - I just love long cardigans and I'm always on the lookout for long ones. Love this hot pink one that's on sale!
Prada Bow Flats - I think those are this year's version as I got mine awhile back but these are one of my favorite flats. So comfy and love the big bow! These are a bit more classic looking and I'm loving blue for the fall.
t+j Designs Necklace and Bracelet - new arrivals today! Check out all of our new pretties!
YSL mini Chyc - Here is the larger and newer version of my bag. The mini is a bit harder to find so if you have your eye on the bag, nab it when you see it or else I'm sure it will be gone! I actually have this little mini crossbody on the top of my wishlist!
Chloe Sunglasses - I actually see my style on a lot of the flash sale sites like Gilt, Ideeli or Hautelook. I actually bought my second pair of these on Gilt, that's how much I love them!
9 comments
I think this has been my favorite look from you from this series - so sleek, but easygoing and cute, as well!ReplyDelete
I think I will make this one my favorite look since you have started sharing all of your amazing looks with your baby bump. Love that dress and all of your accessories. You look stunning as usual.ReplyDelete
What a perfect preggo dress. You look great!ReplyDelete
You always look so chic Tiff! Love how the blazer dresses up the maxi dress, the stripes are so fun and chic at the same time. ps. Congrats on the second anniversary of your jewelry line, wish you lots of success!ReplyDelete
Cee. ♥
Code Overdressed
Looking great! ;)ReplyDelete
I love maxi dresses! Looks gorgeous on you!ReplyDelete
Priya xoxo
You're always so stylish with your baby bump, it's super cute =)ReplyDelete
ahh, you mommies are looking pretty good. ha ha I have the same maxi too.ReplyDelete
You look wonderful Tiff! I think I have that same exact dress (and wore it while preggers too!)ReplyDelete


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Sit back on the couch and adjust brightness in the room from your phone or tablet. Design the perfect lighting scene using the GE Smart Dimmer and a Z-Wave gateway controller. Save your favorite settings and recreate the ambiance anytime with a single click.
The smart dimmer makes for a great replacement of your existing light switch. It provides wireless and in-wall light control. The dimming feature sets the right mood and cuts your energy bill, letting your bulbs live longer.
The unit is compatible with any Z-Wave certified gateway.
Once paired with your Z-Wave hub, the device can be managed in groups of multiple lights and controlled within interior lighting scenes. With fully adjustable brightness, you can create an ideal setting for a romantic dinner or one for cooking the perfect meal. Schedule the scenes or set them up from your wireless device on the go. Create a library of custom settings to bring back the ambiance with a single click.
Even if used manually, the switch is easily reachable in the dark thanks to an integrated blue LED indicator.
The GE 12724 Smart Dimmer will work with most dimmable LED, CFL, halogen, and all incandescent bulbs.
GE smart dimmer uses your existing wiring and saves space with its screw terminal installation. It is easy to replace your existing switch with the the Z-Wave unit once you carefully read the manual. So please follow all necessary steps provided in the instructions to avoid unnecessary frustration.
Here are some helpful installation tips:
Make sure the electric wiring in your home includes the neutral wire - you will not be able to connect the smart switch properly without a neutral wire.
Unlike your regular electric switches, Z-Wave smart switches require particular wires to be connected exactly as indicated - line and load wires cannot be swapped as it often happens to the most experienced electricians.
When used by itself for 2-way control, please make sure that the screw terminal for the traveler wire is insulated (Do Not Remove the tape over are not using the traveler connection).
You will need an auxiliary (add-on) switch for Z-Wave Three-way or Four-way installations.
How do I choose the right installation type?
Two-way wiring (single pole) configuration turns the light or appliance on/off from one location. Three-way wiring configuration turns the light or appliance on/off from two separate locations. Four-way wiring configuration turns the light or appliance on/off from three different locations.
GE 12724 Z-Wave In-Wall Smart Dimmer Manual (PDF)
GE 12724 Z-Wave Protocol Implementation Conformance Statement (PDF)
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Originally posted on Steelers Depot | Last updated 1/4/13
PITTSBURGH - DECEMBER 07: Charlie Batch #16 of the Pittsburgh Steelers looks on from the sideline against the Cleveland Browns December 7, 2006 at Heinz Field in Pittsburgh, Pennsylvania. The Steelers won 27-7. (Photo by Gregory Shamus/Getty Images)
The Pittsburgh Steelers offseason has started and it is that time of year unfortunately to start breaking down and analyzing the free agents as we head towards the start of free agency. We will knock out a few of these a week and will start with the unrestricted free agents first before moving to the restricted and exclusive rights free agents. First up on the list of unrestricted free agents is quarterback Charlie Batch. Player: Charlie Batch Position: Quarterback Experience: 14 Years Free Agent Status: Unrestricted 2012 Salary Cap Hit: $605,000.00 2012 Season Breakdown: Batch Read more [...]
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Series: Methods in Enzymology Volume: 260/A
540 pages, Figs, tabs
The critically acclaimed laboratory standard for forty years, "Methods in Enzymology" is one of the most highly respected publications in the field of biochemistry. Since 1955, each volume has been eagerly awaited, frequently consulted, and praised by researchers and reviewers alike. More than 250 volumes have been published (all of them still in print) and much of the material is relevant even today - truly an essential publication for researchers in all fields of life sciences. Its key features include: structural and functional analysis of oxidative phosphorylation complexes; import of proteins and RNA into mitochondria; ion and metabolite transport systems in mitochondria; biophysical methods for mitochondrial function analysis; and mitochondrial inheritance and turnover.
Praise for the Series "The Methods in Enzymology series represents the gold-standard." --NEUROSCIENCE "Incomparably useful." --ANALYTICAL BIOCHEMISTRY "It is a true 'methods' series, including almost every detail from basic theory to sources of equipment and reagents, with timely documentation provided on each page." --BIO/TECHNOLOGY "The series has been following the growing, changing and creation of new areas of science. It should be on the shelves of all libraries in the world as a whole collection." --CHEMISTRY IN INDUSTRY "The appearance of another volume in that excellent series, Methods in Enzymology, is always a cause for appreciation for those who wish to successfully carry out a particular technique or prepare an enzyme or metabolic intermediate without the tiresome prospect of searching through unfamiliar literature and perhaps selecting an unproven method which is not easily reproduced." --AMERICAN SOCIETY OF MICROBIOLOGY NEWS "If we had some way to find the work most often consulted in the laboratory, it could well be the multi-volume series Methods in Enzymology...a great work." --ENZYMOLOGIA "A series that has established itself as a definitive reference for biochemists." --JOURNAL OF CHROMATOGRAPHY
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Short promo designed for delivery as a YouTube Ad.
Illustrations by Ed Hathaway.
A collection of Motion Graphics work.
A series of short narrative animations created as part of an Interactive Dining Experience for Understory Ltd.
Animation produced while Creative Director for the financial non-profit Positive Money.
Music Video for IDM/Glitch producer Rob Clouth, created for Traum Schallplatten record label.
Nonsensical Short created with Rob Clouth. Viral sensation and regular fixture of the Internet Cat Video Festival. No, really...


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Nothing makes me sadder about winter than my salt-stained boots. That pesky salt ages the leather and makes it look dirty. From the ankles down, I look like an extra from The Revenant! I realize I live in Canada and that it's winter, but I don't think I should have to look sloppy, especially my boots. I know I'm not alone.
To save my soles (and my uppers, and my vamps) from the worst snowstorm of 2016, I peeled open a pack of Boot Rescue wipes. Essentially they are like face wipes, with similar size, texture, dampness and even packaging. The scent is clean and light (I detect a hint of vinegar and lemon) and the formula is "all natural." There is no ingredient list on the label, so I can't say what's in it.
A touch of black dye from my almond-toe Chelseas did come off onto the white wipe, but it was not enough to alarm me. I was more concerned about the salt stains, which were a cinch to rub off. I love how polished and shiny my boots looked. So much so that I've even used the wipes on my leather backpack (that stain took a bit more elbow grease to come clean though). A colleague mentioned that it worked on the salt stains on the cuffs of his jeans. They can also be used on fabric and suede. This excites me since each fall we're told flared bottoms are coming back in style, and I cannot imagine tucking wide-leg pants into boots.
Thankfully, I've kicked salt stains to the curb and have packed Boot Rescue in my purse and at my desk. Bring it on, winter!


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A Winamac man was arrested after a late Friday night accident that injured two people.
A call had been placed into the Starke County Dispatch Center of a man speeding and driving off the side of the road. A short time later, Starke County emergency personnel were called to a two-vehicle accident at County Road 450 South and County Road 210 near Bass Lake. The driver of the vehicle that reportedly caused the accident, Gregory Moore, was extricated from his vehicle and taken to IU Health Starke Hospital. A blood draw was performed which showed that Moore was intoxicated at the time of the crash with a BAC of 0.25, which is more than three times the legal limit.
The pair in the victim's car were transported to IU Health Starke Hospital due to the nature of their injuries.
Once Moore was released from the hospital, he was taken to the Starke County Jail where he was booked on two preliminary charges of Operating a Vehicle While Intoxicated Causing Serious Bodily Injury, a Class D Felony and a misdemeanor charge of Reckless Driving. Formal charges are pending with the Starke County Prosecutor's Office.


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Look at other dictionaries:
urocyst — SYN: urinary bladder. [uro + G. kystis, bladder] … Medical dictionary
urocyst — uro·cyst … English syllables
urocyst — … Useful english dictionary
urinary bladder — noun An elastic, muscular sac situated in the pelvic cavity, into which urine from the kidneys is stored prior to disposal by urination. Urine enters the bladder via the ureters and exits via the urethra. Syn: bladder, cystis urinaria, vesica,… … Wiktionary
Bladder — The organ that stores urine. The bladder is a hollow organ in the lower abdomen. The kidneys filter waste from the blood and produce urine, which enters the bladder through two tubes called ureters. Urine leaves the bladder through another tube,… … Medical dictionary
urocystic — adjective see urocyst … Useful english dictionary


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from £441.00
Product Code: DB2548
The Genoa Raspberry Red Dining Bench looks fabulous in modern open plan kitchen diners. The soft, quilted faux leather seat is perfect for family get togethers and casual dining for a larger group. It is also available with a backrest.
The modern loop legs are available in either chrome or brushed metal and just need to be affixed with the supplied screws on delivery. The Genoa range of dining benches comes in a wide variety of contemporary colours in faux leather and they are made to order. The smallest size available is 110cm in length, increasing in increments of 10cm to a maximum size of 210cm.
If you would like a colour swatch before ordering please request one via the Swatch Request button.
Speedy delivery and lots of help and kind customer service before the delivery was made. Thanks Danetti L Long, Welshpool
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Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
My boyfriend is being charged with "violent" crimes based on witness statements. The witness states by BF pulled a gun on him. Our witnesses say there was no gun. If their witness doesn't show up, but defense witnesses do what happens? Would the charges have to be dropped if there is no other evidence other than the witness? I've been told their witness moved out of state.
Generally speaking, if the only evidence the State has is eyewitness testimony (in other words, they do not have physical evidence or the defendant's own statements), and the eyewitnesses do not show up, then they would be unable to prove their case. Often times, if the matter is set down for trial and the witnesses fail to appear after being subpoenaed, the prosecutor will dismiss the charges or at least offer a plea deal on reduced/amended charges.
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Any answer I submit on this site does NOT establish an attorney-client relationship with you. The answers I provide are meant for general educational purposes only.
I am an attorney who practices criminal defense and appeals in RI and MA. Because the laws in each state can be vastly different, I cannot guarantee that any insight I have on a particular area of law apply in your jurisdiction.
If you have an attorney, and an answer I provide differs from the answer your attorney gave you, you should probably rely on your attorney's answer, since he or she is the one who is familiar with you and the facts of your case.Ask a similar question
If I'm not mistaken, your boyfriend's situation has been the subject of several questions over the past two months or longer. In any event, I assume your boyfriend has counsel representing him. That attorney should be the sole source of information and advice about his case. Opinions from lawyers who don't have the necessary facts available to them runs a high risk of misleading and confusing the attorney/client relationship he has with his attorney. Let counsel handle this--no answer you will get here will in any way advance the interests of your boyfriend. Your interest is understandable but you need to leave the lawyering to the lawyer.Ask a similar question
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A London Season(1997)
A novel by Patricia Bray
Invited by her aunt to a London Season, Jane Sedgwick's blunt country ways were considered hoydenish by the glittering "ton". Lord Glendale, though not in the market for a wife, wagered that he could bring Jane into fashion. His plan succeeded so well, that Jane blossomed into a most desirable lady. Now, even the nobleman, himself, was about to gamble his heart in a challenging game of true love.
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Used availability for Patricia Bray's A London Season
See all available used copies of this book at Abebooks UK or Abebooks US
Paperback Editions
October 1997 : USA Mass Market Paperback
|Title: A London Season (Zebra Regency Romance)
Author(s): Patricia Bray
ISBN: 0-8217-5768-7 / 978-0-8217-5768-0 (USA edition)
Publisher: Zebra
Availability: Amazon Amazon UK Amazon CA
Kindle Editions
May 2015 : USA, Canada, UK Kindle edition
|Title: A London Season
Author(s): Patricia Bray
Publisher: Diversion Books
Availability: Amazon Amazon UK Amazon CA
Genre Pages


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6808 Wood Road, Muskegon 49444
See more homes for sale in Muskegon, MI
This property has been Sold!
07/21/2016 at $210,000
Extremely well built custom home tucked back in the woods with plenty of privacy and wildlife. Sitting on over 2 acres, this raised ranch has the features you're looking for! Open floor plan, hardwood floors, granite counter tops, cathedral ceilings, central air and more. Quality is found throughout, from the Anderson windows, solid doors and trim, slider to deck overlooking the woods, and finished garage. Walkout lower level that's finished tops it off. Very private, yet just minutes from shopping, the lakeshore, and highways. If you're looking for a quality, lasting home in a great location, look no further!
Property Information
- Status
- Sold
- Address
- 6808 Wood Road
- City
- Muskegon
- Zip
- 49444
- County
- Muskegon
- Township
- Norton Shores City
- Total Finished SqFt
- 2,056
- Above Grade SqFt
- 1,336
- Garage Desc.
- 2, Attached
- Waterview
- Waterfront
- Waterfront Desc
- Private Frontage
- Waterfrontage
- 126.0
- Body of Water
- Black Creek
- Water
- Well
- Sewer
- Septic System
- Year Built
- 2004
- Taxes
- $2,646
Rooms and Land
- MasterBedroom
- 16X12 1st Floor
- Bedroom2
- 12X11 1st Floor
- Bedroom3
- 11X10 1st Floor
- Bath
- 9X7 1st Floor
- Dining
- 14X11 1st Floor
- Kitchen
- 14X12 1st Floor
- Living
- 16X14 1st Floor
- Rec
- 30X14 Lower Floor
- Basement
- Walk Out
- Cooling
- Central
- Heating
- Forced Air, Natural Gas
- Acreage
- 2.3
- Lot Dimensions
- 106 x 475
- Exterior Materials
- Vinyl, Wood
Listing Video for 6808 Wood Road, Muskegon MI 49444
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Listing Courtesy of Re/Max West
Office Address 5969 Harvey St Ste 200
Listing Agent Rob Stark
Listings last updated: . Some properties that appear for sale on this web site may subsequently have been sold and may no longer be available.
Our Michigan real estate agents can answer all of your questions about 6808 Wood Road, Muskegon MI 49444. Real Estate One, Max Broock Realtors, and J&J Realtors are part of the Real Estate One Family of Companies and dominate the Muskegon, Michigan real estate market. To sell or buy a home in Muskegon, Michigan, contact our real estate agents as we know the Muskegon, Michigan real estate market better than anyone with over 100 years of experience in Muskegon, Michigan real estate for sale.
The data relating to real estate for sale on this web site appears in part from the IDX programs of our Multiple Listing Services. Real Estate listings held by brokerage firms other than Real Estate One includes the name and address of the listing broker where available.
IDX information is provided exclusively for consumers personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing.
All information deemed materially reliable but not guaranteed. Interested parties are encouraged to verify all information. Copyright© 2017 MichRIC LLC, All rights reserved.


text: The The Time of the Preacher wiki last edited by MoonBoi on 05/01/16 03:50PM View full history Jesse Custer is a small-town preacher losing his faith--until he merges with a divine being called Genesis. Now he has firsthand knowledge of both Heaven and Hell and a voice that's automatically obeyed by anyone. Joined by an Irish vampire and an ex-lover, Jesse sets out on a mission to find God.


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Liberales versus libertarios
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Volume (Year): 6 (2004)
Issue (Month): 10 (January-June)
Pages: 241-249
|Contact details of provider:
| Postal: Cra. 1 No. 12-68 Casa de las Mandolinas
Phone: (571) 2826066 Ext. 1307
Fax: (571) 2826066 Ext. 1304
Web page: http://www.economiainstitucional.com
More information through EDIRC
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Alejandro Gaviria Uribe & Martha Luz Henao V., 2001. "Comportamiento del desempleo en los últimos años y estrategias de los hogares para enfrentrarlo," COYUNTURA SOCIAL 012953, FEDESARROLLO.
- Salomón Kalmanovitz, 1997.
"Las Instituciones, La Ley Y El Desarrollo Económico,"
- Salomón Kalmanovitz, 1997. "Las Instituciones, la Ley y el Desarrollo Económico," Borradores de Economia 069, Banco de la Republica de Colombia.
- Sen, Amartya, 1993. "Markets and Freedoms: Achievements and Limitations of the Market Mechanism in Promoting Individual Freedoms," Oxford Economic Papers, Oxford University Press, vol. 45(4), pages 519-541, October.
- Nancy Birdsall & Juan Luis Londoño, 1997. "Asset Inequality Does Matter: Lessons from Latin America," Research Department Publications 4066, Inter-American Development Bank, Research Department. Full references (including those not matched with items on IDEAS)
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Graphite Design Tour AD DI Series Shaft
Graphite Design's new Tour AD shaft for 2010 is the DI Series also known as Deep Impact. The DI is already the top shaft on the JPGA tour where Graphite Design has held the number 1 position for over 7 years running by a very large margin.
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The mid bend profile of the Tour AD DI allows the player to load the shaft properly, yet maintains a firm enough tip section through IMPACT producing optimal spin and launch conditions. Result, the Graphite Design Tour AD DI will deliver players to the next level in shaft performance and impress an epic IMPACT on your game!
The DI has a mid kick point and a higher launch but with the lowest spin of any Tour AD shaft for maximum carry + run. Besides being the number one shaft on the Japanese tour it is the premier upgrade choice of most major OEM's in Japan for most premium drivers. Available in 4 weight ranges with various flexes.
The Tour AD DI shaft carries the Tour AD moniker which stands for Tour Accuracy and Distance and has long been known for high quality and superior performance.
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Once a gadfly, now the governor
Expand Messages
- http://www.suntimes.com/news/metro/blagojevich/1404717,patrick-quinn-now-governor-012909.article
Once a gadfly, now the governor
Quinn sworn in at 5:02 p.m. to replace Blagojevich
January 29, 2009
BY ABDON PALLASCH Political Reporter
The gadfly is now the governor.
Patrick Quinn, sworn in as governor at 5:02 p.m. today, has been a populist crusader for citizen initiatives in Illinois for more than 40 years.
At one point, he made it all the way up to state treasurer. Then, he was banished to the political wilderness, holding lightly attended Sunday news conferences for his longshot causes.
But against just about all the establishment Democratic Party officials in the state, Quinn narrowly won the Democratic primary for lieutenant governor in 2002, creating a shotgun marriage with Gov. Rod Blagojevich, who did not want Quinn as his running mate.
They reached an uneasy agreement and ran together twice, setting up today's unlikely ascendance by Quinn to the state's highest office.
Just four months ago, Quinn was standing out the outside, protesting, when Blagojevich was the featured speaker at a City Club of Chicago luncheon.
This month, a world later, Quinn was the featured speaker at the City Club. And the man who could not attract reporters to his Sunday news conferences now sold out all 350 seats at the City Club and had 900 more people on a waiting list.
As Quinn, 59, made his way through the parties and balls of President Obama's inauguration in Washington, D.C., last week, he was mobbed with suddenly infatuated fans who had to have their picture taken with him. The same was true Monday at the Rainbow/PUSH Coalition's Martin Luther King breakfast, where, in years past, he could walk unnoticed.
Quinn says his heart is still in the same place as when he launched his hooray-for-the-little-guy crusades as head of the "Coalition for Political Honesty" in the '70s.
One of his first major victories, through a citizen referndum, was ending the century-old practice of allowing legislators to collect their full year's pay on their first day in 1976. In 1980, he succeeded in passing a citizen referendum that cut the size of the Illinois Legislature by one-third.
Quinn was born in Hinsdale in 1948 and graduated from Georgetown University and Northwestern University's School of Law. He practiced tax law before the Cook County Board of Tax Appeals and was elected a commissioner of that body in 1982. He authored a book, How to Appeal Your Property Taxes . . . Without a Lawyer.
In 1983, he launched another petition drive that resulted in the creation of the Citizens Utility Board, the state's utility watchdog agency.
Mayor Harold Washington named Quinn revenue director for the city, and Quinn launched a controversial amnesty proposal to get people to pay old parking tickets.
He was elected state treasurer in 1991 but lost a race for secretary of state to George Ryan in 1994.
Plenty of top Democrats, tired of Quinn's crusades and hoping for favors from Ryan — which many of them got — quietly worked for Ryan over Quinn.
Four years later, Democratic leaders chose DuPage County Coroner Mary Lou Kearns to be their candidate for lieutenant governor. But Quinn crashed their party, and with his higher name recognition, came within 1,500 votes of being the party nominee. In 2002, Quinn was back and this time won the lieutenant governor's nomination over Joyce Washington, becoming the odd-couple mate with Blagojevich.
Now, Quinn said he plans to take advantage of his chance to champion the cause of the little guy as the state's top official.
"We can do great things in the next 700 days," Quinn said. "I plan to fumigate state government."
Illinois Republicans have argued that Quinn's reputation as a maverick was tarnished when he enthusiastically endorsed Blagojevic and worked for his re-election in 2006, even after many of his alleged misdeeds were known.
"Quinn could have embraced [primary rival] Edwin Eisendath, who was in the primary," said Illinois Republican leader Andy McKenna. "His behavior sent a signal to voters that Rod Blagojevich was OK. I think he had a responsibiity to do more."
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