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A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors
Epidemiology, prevention and public health
Exercise programmes are beneficial for cancer patients however evidence is limited in patients with multiple myeloma (MM), a cancer that is characterised by osteolytic bone disease, giving rise to high levels of bone morbidity including fractures and bone pain.
We conducted a single arm phase 2 study of an exercise programme (EP) as rehabilitation for treated MM patients, to evaluate feasibility, effects on QOL and physiological parameters. Patients were given individualised programmes, comprising stretching, aerobic and resistance exercises, carried out under supervision for 3 months then at home for a further 3 months.
Study uptake was high, 60 of 75 (80%) patients approached consented to the study. Screen failures (11, due to fracture risk and disease relapse) and patient withdrawals (12) resulted in a final 37 patients enrolling on the programme. These 37 patients demonstrated high attendance rates in the supervised classes (87%), and high levels of adherence in home exercising (73%). Patients reported better QOL following the EP, with improvement in FACT-G and Fatigue scores over time from baseline (p<0.01 for both, one-way repeated measures ANOVA) to 6 months. Upper and lower limb strength also improved on the EP, from baseline to 6 months (p<0.01 for both). There were no adverse reactions.
An EP in MM patients is feasible and safe, with high attendance and adherence. Benefits in QOL, fatigue and muscle strength await confirmation in randomized studies, prompting urgent evaluation of the benefits of EP in the rehabilitation of MM patients.
Multiple Myeloma (MM) is bone marrow cancer of plasma cells that affects 15–20 per 100,000 people in the Western world, with a peak incidence in the 7th decade
The benefits of exercise in cancer patients both during and after treatment are now well established, with evidence supporting positive effects on cardiorespiratory fitness and other physiological functions, including muscle strength
There have been few studies of exercise in patients with MM. Skeletal deformities and the risk of further fractures, persistent pain and muscle wasting all render these patients unattractive candidates for exercise intervention. One recent study
To provide further information on the feasibility, safety and efficacy of EP as rehabilitation strategy, we have carried out a pilot study of a tailored EP in treated MM patients. The aim was to assess feasibility and acceptability of an EP, and to obtain an estimate of the effect size in patient-reported outcomes, in order to power a future randomised study.
Institutional ethical approval was obtained from the joint University College London and University College London Hospitals (UCL/UCLH) committee on the ethics of human research, Ref 06/Q0502/42, hence the study has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. Eligible patients (in stable plateau phase following chemotherapy and either off treatment or on maintenance therapy) were recruited. Exclusion criteria included spinal instability, risk of fracture, erythropoietin treatment, unstable angina, or musculoskeletal disease limiting mobility.
Patient recruitment and screening
Suitable patients were identified in multi-disciplinary team meetings, or from outpatient clinics, and interested patients were given a Patient Information Sheet (PIS) to take home. Following informed consent, patients had a skeletal survey, laboratory profile to confirm stable disease and ECG where appropriate. Plain radiographs were assessed for fracture risk in a multi-disciplinary team meeting attended by a musculoskeletal radiologist, clinical oncologist, myeloma specialists, physiotherapist and clinical nurse specialists. Patients considered to be at risk of fractures, e.g. with large lytic lesions of the long bones or extensive lytic disease in the pelvis, underwent cross-sectional imaging with CT or MRI and were referred for surgery and/or radiotherapy. Patients who passed screening underwent baseline assessments for all study outcomes prior to starting on the EP.
Study design
This was a single arm pilot study aimed at recruiting 40 patients. The primary objective was to assess the feasibility (accrual rate, acceptability and adherence to the programme) and safety (adverse events) of the EP. Secondary objectives were to assess the effect of the programme on overall QOL including fatigue, cardiorespiratory fitness, body composition and muscle strength. All patients undertook exercise training 3 times per week for 6 months. For the first 3 months, one session per week was a group session in the outpatient gym (supervised by the study physiotherapist) while the other 2 were home-based. In the subsequent 3 months, exercised sessions were home-based, and subjects attended the gym just once a month. Home-based exercise was supported by regular telephone contact with the study physiotherapist, who assessed all logbooks and maintained the clinical report form for each patient.
Exercise programme
Each patient was given a programme based on their cardiopulmonary fitness and exercise capacity; programmes comprised stretching and mobility exercises, followed by aerobic and resistance training. Each session comprised both aerobic and resistance exercise training, with the aim to improve both cardiorespiratory fitness and muscle function. Aerobic exercise consisted of walking or stationary cycling, starting at 15 minute bouts at an intensity of 50% of heart rate reserve (HRR). During the aerobic training sessions in the gym, patients used heart rate monitors to maintain the prescribed heart rate and therefore control exercise intensity. To support monitoring of correct exercise intensity at home, patients were asked to report their rating of perceived exertion (RPE) using the Borg Scale
Resistance exercises were individually tailored, targeting the major muscle groups for upper and lower limbs. Weight-lifting equipment, elastic exercise bands of varying resistance and body-weight were used for strengthening. When using the elastic exercise bands, the patient was started on the lightest resistance (colour coded accordingly). Likewise with the weight-lifting equipment, a low weight was initially used. Patients performed sets of repetitions, starting at 3 sets of 10 repetitions. The repetitions were progressed to 3 sets of 15 when deemed appropriate by the physiotherapist. The resistance or weight was increased when the patient felt that 3 sets of 15 at the current weight or resistance was no longer challenging. The repetitions then started again at 3 sets of 10 at the new resistance level or weight. This was the format in which the strength training was progressed, with the Borg scale being used to guide the progression. Resistance exercises were not modified for patients with vertebral fractures that were stable, except where required, eg for spinal deformity or lower back pain. In these cases, the position for execution of an exercise was changed from standing to sitting, or vice versa.
Each patient was given a demonstration of the exercises by the physiotherapist, followed by a return demonstration by the patient. Progression was achieved by increasing the resistance or the number of repetitions performed on each exercise. Each patient was given a booklet illustrating the exercises, and a log book to record the frequency, intensity and duration of the exercises, as well as their RPE on the Borg scale. The log books were used to adjust the exercise programme, as well as to assess adherence.
Study outcomes
Feasibility was assessed by the rate of uptake, the screen pass rate, and the percentage of patients completing the programme. Acceptability was assessed by attendance rate in the gym-based classes, and by adherence to the programme, as scored from the log-books that patients brought in at each gym class. Adherence to the programme, was scored from the log books as percentage of exercise sessions completed over this period. Safety was assessed by the rate of adverse reactions (AR), ie adverse events (AE) that were clinically judged to be at least possibly related to the intervention, eg. increased bone pain, fractures or falls. Concomitant medication such as analgesia regimens were recorded to monitor pain levels, as a surrogate marker for AE's.
Patient-rated and objective outcomes were assessed at baseline, 4-weekly in the first 3 months, and at 6 months from the start of the programme. Cancer-specific QOL was assessed using the Functional Assessment of Cancer Therapy General Cancer Scale (FACT-G). Fatigue was assessed by the 13-item Fatigue Subscale of the FACIT measurement system
Body mass, standing height, body composition (whole body fat and lean tissue, assessed using Bioelectrical Impedance Analysis), resting blood pressure and heart rate were measured as part of baseline assessment of cardiorespiratory fitness. Aerobic fitness was assessed using an 8 minute submaximal single-stage treadmill walking test
Focus groups
Three focus groups were held to explore patients' views. Twelve patients were invited and five men and five women attended. Focus groups were organised when sufficient patients were at a similar phase in the EP (weeks 6–12). The focus groups were facilitated by a trained qualitative researcher whom the patients had not met. A phenomenological approach was used
All outcome measures were assessed for changes from baseline. Assessments were performed every 4 weeks in the first 3 months, to provide information on the timescale over which effects were seen. A final assessment was performed at 6 months from the start of the programme. Planned analyses were carried out on data at 3 and 6 months, in comparison with baseline. Analyses included all participants who started the EP, regardless of adherence or attendance. Changes are summarized descriptively and comparison with baseline was carried out using a paired
Study uptake, screening and progression through the study
Patients were recruited from October 2006 to December 2007. Of 75 eligible patients approached, 15 patients declined participation, largely due to personal or logistical reasons (Figure
Figure 1
Flow of patients through the study.
Flow of patients through the study. 1 Seven patients declined because of travelling distance, 2 because they felt they were already undertaking sufficient exercise in their lifestyle, or at their local gym, 2 because they were not interested in the programme, and 4 because of family or work commitments. 2 Two patients withdrew because of travelling distance, and 2 because of family/work commitments. 3Three patients had disease progression, 4 withdrew because of family/work commitments, and 1 with depression.
Patient characteristics, attendance and adherence, and safety
Of the 45 patients who completed baseline assessments, approximately half of the patients had significant bone disease with vertebral collapse and/or long bone fractures; 6 had undergone previous orthopaedic surgery and 11 received regular analgesia (Table
Attendance in the exercise classes over the first 3 months of the study was high (87 ± 11%, mean±SD). Five patients failed to hand in their log books, but of the remaining 32 patients, adherence to the programme was 86 ±15 %. In the second 3 months, patients attended the outpatient gym only once every 4 weeks, and carried out the rest of the exercise sessions at home. Of the 28 patients who took part in the second 3 months, 20 handed in their log books; inspection of these revealed that adherence in the second 3 months was 73 ± 24%. All 28 patients attended for their 4-weekly gym sessions in the second 3 months (100% attendance). There were no adverse reactions, in particular there were no falls, or increases in bone pain in patients enrolled in the EP. On the other hand, many patients reduced their use of analgesia, and of 11 patients taking regular analgesics, 7 reduced or discontinued their medication, including 4 of the 6 patients on opioids.
Patient reported outcomes
Participation in the EP produced a marked improvement in patient-reported QOL, with significant increase in FACT-G scores (Table
Figure 2
Effect of exercise study on selected patient reported and physiological outcomes
Effect of exercise study on selected patient reported and physiological outcomes. Changes in FACT-G (A), Fatigue (B), Upper limb strength (C) and Lower limb strength (D) over time. Mean ± SD of each measure.
Patients also reported less fatigue on the EP. This was reflected in a significant improvement in fatigue scores at 3 months, increasing from 37.4 ± 10.4 at baseline to 40.5 ± 9.0 (p < 0.01,
For the HADS scores, 9 of the 37 patients who completed 3 months had a baseline anxiety score of ≥ 8 (borderline or case), in 4 of these, their scores had improved to 7 or less at 3 months. Six patients had a baseline depression score of ≥ 8, and 2 had improved to a score of 7 or less at 3 months. In the group that completed 6 months on the EP, anxiety scores did not change (7 had scores of ≥ 8), while 2 out of 6 patients with baseline depression scores of ≥ 8 had improved to 7 or less by 6 months. Table
Physiological outcomes
Upper limb strength improved significantly over time points (F = 11.81, p < 0.001, one-way repeated measures ANOVA), + 1.9 from baseline to 3 months (95% CI: 0.6 to 3.2, p = 0.003), + 2.8 from baseline to 6 months (95% CI: 0.9 to 4.6, p = 0.002), and + 0.9 from 3 to 6 months (95% CI: -0.4 to 2.1, p = 0.277). Lower limb strength also improved significantly over time (F = 12.01, p < 0.001), + 7.0 from baseline to 3 months (95% CI: 1.2 to 12.9, p = 0.015), + 10.4 from baseline to 6 months (95% CI: 4.0 to 16.8, p = 0.001), and + 3.4 from 3 to 6 months (95% CI:- 0.9 to 7.7, p = 0.152). Figure
Focus groups findings
Patients invited to the focus groups had been on the programme for two to five months. Ten patients (5 men and 5 women) attended three focus groups (one male, one female and one mixed). Several themes were identified. One was the fear associated with the risk of bone damage. The diagnosis of MM was itself frightening and patients described how they were warned of the risk of bone fractures. Hence patients were unsure what exercise was safe, many were not exercising before the study. Patients described how their lives had been transformed by the exercise intervention. They appreciated the programmes were designed to suit individual needs, and felt secure when advised and supervised by a trained physiotherapist. A second theme was an increase in confidence. Patients felt the programme had empowered them, and improved their confidence in other areas of their lives. They reported new activities outside the home, including long walks or travelling abroad. Another theme was the support that the patients gained from contact with other MM sufferers. Observing how fellow sufferers coped gave patients hope and enabled them to talk about their future. Thus, the group exercise experience seemed to influence their perception of the future.
The principal finding of this study is that a tailored EP is safe and feasible in treated MM patients. Patient participating in the study demonstrated improvements in QOL measures, particularly fatigue, and in muscle strength, suggesting possible benefits of such an EP. Our study is the first to systematically explore the feasibility and benefits of a tailored EP in the rehabilitation of treated MM patients. The high rate of uptake (80% of eligible patients) compares favourably with a RCT in lymphoma patients (26%, ref.14) and attests to the keenness of these patients to engage in an EP, despite the perceived frailty of their bones. The attrition rate (24%) was similar to that reported for exercise programmes in other cancer patient populations
In this era of MM therapy where new and effective treatments are increasing remission rates and extending survival
Due to their bone disease and generally older age, (median age of MM survivors is 70 years) many MM patients may not be suited to even moderately intensive aerobic programmes, hence the inclusion of resistance exercises is an important feature of the EP. Resistance exercises can reduce fatigue, improve QOL and muscle strength, and produce longer term improvements compared with aerobic exercises
Our study was designed as a single arm pilot study, which clearly presents limitations when interpreting the results. In particular, because subjects are compared only to themselves previously, this design does not allow us to conclude that the improvements in patient reported and objective outcomes are necessarily due to the intervention. It is possible that patients would have experienced improvements in these parameters over time. A comparator group of patients, in a randomized study, is required to answer this question. Some insights however, may be derived from the focus groups. A focus group is a more natural situation than an interview as the participants share and compare experiences and opinions. The results thus provide a powerful insight into experiences, beliefs and attitudes
A potentially important finding is the improvement in fatigue levels following the EP. Because of the limitations of a single arm study, we cannot conclude that this is due to the EP, however, these findings warrant further investigation. Fatigue is a prominent symptom in cancer patients
In conclusion, we demonstrate that a prescribed EP for treated MM patients is feasible, acceptable and safe. The findings in this single arm study await urgent confirmation in a randomised trial to evaluate the benefits of exercise intervention as rehabilitation in these patients. The longer term benefits of an EP, and the potential for a sustained lifestyle change also need to be explored. While the results of randomised trials are awaited, our observations suggest that physicians can recommend regular exercise to MM survivors, provided suitable screening measures are undertaken, and there is appropriate input from trained physiotherapists.
Competing interest
The authors have no financial relationship with the sponsor of this study. We have full control of all primary data and will allow the journal to review such data if requested. The authors declare that they have no competing interests.
Authors' contributions
LG carried out the exercise programme, analysed the results and drafted the paper, GM carried out the focus groups and analysed the results, RG participated in the design and supervision of the study, APJ conceived of the study and participated in the design and supervision of the study, KVS participated in the design of the study, RS carried out statistical analysis, SDS participated in the design and coordination of the study, KLY conceived of the study, participated in the design and supervision of the study and wrote the paper. All authors read and approved the final manuscript.
This work was supported by Cancer Research UK (LG), UCL/UCLH Comprehensive Biomedical Research Centre (SPD, KLY). We are grateful to Bruce Paton and Cymbeline Gaynor in the Physiotherapy department at UCLH for help in setting up the exercise sessions and to Bruce Paton for advice with the programme and assessments, to Flora Dangwa, Lisa Nicholls, Lydia Ward and other members of the Haematology Clinical trials team for support with recruitment and study conduct, to Nicholas Counsell (CRUK UCL Cancer Trials Centre) for statistical advice and to Dr. Charles House in Radiology department for radiological reviews.
Multiple myeloma
Pathogenesis of myeloma bone disease
Improved survival in multiple myeloma and the impact of novel therapies
Interpretation of quality of life scores in multiple myeloma by comparison with a reference population and assessment of the clinical importance of score differences
Pain, mood disturbance, and quality of life in patients with multiple myeloma
Changes in quality-of-life and psychosocial adjustment among multiple myeloma patients treated with high-dose melphalan and autologous stem cell transplantation
Exercise and quality of life outcomes in patients with cancer
Controlled physical activity trials in cancer survivors: A systematic review and meta-analysis
Review of exercise intervention studies in cancer
Exercise rehabilitation in patients with cancer
Exercise in adult and pediatric hematological cancer survivor: an intervention review
Effects of a Walking Intervention on Fatigue-related Experiences of Hospitalized Acute Myelogenous Leukemia Patients Undergoing Chemotherapy: a Randomized Controlled Trial
Role of a Mixed Type, Moderate Intensity Exercise Programme After Peripheral Blood Stem Cell Transplantation
Randomized controlled trial of the effects of aerobic exercise on physical functioning and quality of life in lymphoma patients
Feasibility of exercise during treatment for multiple myeloma
Effects of exercise in combination with epoetin alfa during high-dose chemotherapy and autologous peripheral blood stem cell transplantation for multiple myeloma
Effects of an outpatient physical exercise programme on hematopoietic stem-cell transplantation recipients: a randomized clinical trial
Association between exercise and quality of life in multiple myeloma cancer survivors
Criterion-related validity of the Borg ratings of perceived exertion scale in healthy individuals: a meta-analysis
The Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System: properties, applications, and interpretation
A critical look at transition ratings
Combining anchor and distribution-based methods to derive minimal clinically important differences on the Functional Assessment of Cancer Therapy (FACT) anemia and fatigue scales
The Hospital Anxiety And Depression Scale
Development of a single-stage submaximal treadmill walking test
Effects of aerobic exercise on the physical performance and incidence of treatment-related complications after high-dose chemotherapy
Is exercise an acceptable and practical therapy for people with or cured of cancer? A systematic review
Effect of weighted exercises on bone mineral density in post menopausal women. A systematic review
Positive effects of exercise on falls and fracture risk in osteopenic women
Randomized controlled trial of resistance or aerobic exercise in men receiving radiation therapy for prostate cancer
Qualitative research. Introducing focus groups
Focus groups: issues of analysis and interpretation
Benefits of supervised group exercise programme for women being treated for early stage breast cancer: pragmatic randomised controlled trial
Understanding and treating cancer-related fatigue
Effects of physical activity on the fatigue and psychological status of cancer patients during chemotherapy
Randomized trial of exercise therapy in women treated for breast cancer
Effects of an endurance and resistance exercise program on persistent cancer-related fatigue after treatment
Research and commentary: Change in exercise tolerance, activity and sleep patterns, and quality of life in patients with cancer participating in a structured exercise program
Improving sleep quality for cancer patients: benefits of a home-based exercise intervention
Pre-publication history
The pre-publication history for this paper can be accessed here:


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Rolling Stones Rhythm Guitarist
February 6, 2012 by staff
Rolling Stones Rhythm Guitarist, FORMER Rolling Stones star Mick Taylor says he's put his health problems aside. The legendary guitarist had to scrap an eagerly-awaited appearance near Perth at the Green Hotel back in October 2010 due to medical issues – but he's now fit and raring to go ahead of a rearranged show at the Kinross venue on March 10.
Taylor told Music Scene in an exclusive interview that he's planning to unveil his new band at the Fifestock event, which will be his only Scottish date.
"I've been rehearsing in London, playing with different musicians and gradually putting a band together," he explained.
"I'm looking to play as much guitar as I possibly can. I'm off to Germany in a few days' time where I'll be playing with the piano player Ben Waters and Charlie Watts in their boogie-woogie rhythm and blues band.
"We're doing five shows and I can't wait to start playing. I have never been a hundred percent healthy but I'm doing the best I can.
"I'm looking forward."
Now aged 63, Taylor was recently ranked one of the top 40 guitarists of all-time in Rolling Stone magazine.
After a stint with John Mayall's Bluesbreakers, he joined The Rolling Stones in 1969 as the replacement for Brian Jones.
Taylor stayed with the band until December 1974 when he opted to join Cream legend Jack Bruce in the wake of strained working relations with Stones mainman Keith Richards.
His first show with the band was a free concert in London's Hyde Park in July '69 in front of an estimated 250,000 fans
"It was an astonishing event," he says, looking back at the show.
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Mayhem at Newport Wedge
By Magicseaweed on
Mayhem during which the protagonists take infinite left hooks and keep bouncing back up often plays theme to footage from Newport wedge.
However this time this isn't the case. This video is dedicated to Newport Beach lifeguard Ben Carlson who lost his life defending the safety of swimmers. The clips in the video were taken the same evening as his passing.


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3 Best Things to Eat and Drink this Weekend in Metro Phoenix
Celebrate Bloomsday with Irish and Arizona-made beers at the Irish Cultural Center.
Quinn Dombrowski / flickr
9th Annual Bloomin' Beerfest at the Irish Cultural Center
Saturday, June 13
Have you ever celebrated Bloomsday? Well, here's your chance, bibliophiles. Surround yourself with Irish literature and culture on Saturday during celebrations based on the events of James Joyce's Ulysses. From 7 to 11 p.m., beer tastings, as well as wine, spirits, and food, will be available in tandem with readings from the modernist novel and live music by Seanachie, SHEELA-na-Gig, and the Irish Cultural Center Academy Band. Festivities will be held at the Irish Cultural Center in downtown Phoenix. Tickets are $25 in advance, $35 at the gate, and can be purchased online.
Take your dad to Luci's for an early Father's Day cooking class.
stu spivack / flickr
Burgers & Beer Father's Day Cooking Class at Luci's Healthy Marketplace
Sunday, June 14
Celebrate Father's Day one week early with a cooking class at Luci's Healthy Marketplace. From 6:30 to 8:30 p.m., you and your designated father figure can learn to make gourmet hamburgers from Chef James Monaci all while enjoying an ice-cold beer. The class costs $39.99 per person, and reservations must be made in advance. Register online, or see Luci's Facebook page for more details.
Grab some duck and foie gras tacos by Chef Silvana Salcido Esparza at Talavera Restaurant.
Talavera Restaurant / Facebook
Monthly Mash-Up at Talavera Restaurant with Chef Silvana Salcido Esparza
Sunday, June 14
We recently suggested some budget-friendly dates, but just in case you want to pull out all the stops for your beloved — or just want to grab some tasty grub — get yourself to Talavera Restaurant at the Four Seasons Resort Scottsdale at Troon North this Sunday. Executive Chef Mel Mecinas will team up with Chef Silvana Salcido Esparza for a one-night-only restaurant concept. Dinner will feature original dishes including Cedar River beef strip loin with huitlacoche empanada, mole amarillo, hoja santa, and calabacitas. Cost per person starts at $95, with optional wine pairings for $35 extra. Visit the event's Facebook page for more details as well as to see the full menu. Reservations can be made by calling 480-513-5085 or by visiting Talavera Restaurant online.
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Long Lake MN Real Estate & Homes for Sale
6 Properties Found
The median home value in Long Lake, MN is $356,000.
This is
higher than
the county median home value of $235,200.
The national median home value is $185,800.
The average price of homes sold in Long Lake, MN is $356,000.
Approximately 63.95% of Long Lake homes are owned,
compared to 33.76% rented, while
2.29% are vacant.
Long Lake real estate listings include condos, townhomes, and single family homes for sale.
Commercial properties are also available.
If you see a property you're interested in, contact a Long Lake real estate agent to arrange a tour today!
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Charming Long Lake home remodeled from top to bottom! Brand new kitchen w/ vaulted ceilings, stainless appliances, granite countertops, amazing skylight filling the room w/ natural light! 3 bedrooms up with fresh new full bath! New basement family room w/ egress window & recessed lighting. Solid hardwood floors throughout the main level! Huge lot w/ large garage and play set. Convenient to Luce Line bike trail, Lake Independence Regional Park, and all that downtown Long Lake has to offer!
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FANTASTIC Rambler!!! This great home has so much more that meets the eye. Hurry and come take a look at what has been done to this home. Located in Long Lake in the Orono school district, to the Holbrook Park and Luce Line Trail. Totally remodeled and up and down. Nice corner lot with fenced in backyard, landscaped, a cute little shed, and a nice patio for entertaining. Wood burning fireplace on the main level and gas fireplace in the lower level.
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A LOT of House for the Money! SOLID 1.5 Story! Nice Cove molding! Main floor Owners With brick frplc, big walk-in closet & 3/4 private bath! Separate main floor wing w/bedrm & private bath! Gorgeous Main floor Cedar Sun Room w/vaulted ceiling. BIG Center Island Kitchen. Nice views of the private backyard! Main floor office w/glass door & oak built-ins. MUD room w/built-in Oak organizer! Upstairs offers Kids Media Area & 2 Nice sized bedrooms w/walk-in closets.FR with brick Fplc Fenced backyard!
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Excellent location! Minutes away from downtown Long Lake shopping and dining. Less than a mile from Orono Golf Course! Lots of green space in both front and backyard, just steps from bike path. 3 bedrooms on one level. Beautiful flooring on main level. Ample storage throughout. Great investment property; current tenants through September 2018.
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Don't miss out on this solid home in Orono Schools. Hwf, fenced yard, large screen porch. Roof less than 8 years old. Newer windows, gutters, garage doors, flooring in lower level, exterior paint. Quiet neighborhood. Park and trails 2 blocks away.
1674 Bollum Lane Long Lake, MN 55356
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Handsome, soft contemporary situated on a quiet cul-de-sac in high demand Orono school dist. Enjoy close in neighborhood, on dead end street within walking distance to Luce Line, downtown Long Lake, schools & golf. Seller has ordered new windows, new skylight & new sliding glass doors. They will be installed as soon as they are received. Seller is also painting ceilings. Features incl; Walk out to patio area featuring fire pit & hot tub, new roof, oversized 3 car, shed & immediate occupancy.
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Home Markets Case Studies Energy & Power
Apache North Sea Forties Project
The professionalism and dedication of the Tata Steel team ensured that this project was completed ahead of schedule, within budget and delivered to the exact specification.
Prosperity in the pipeline for Angola
While the Malongo project was challenging in a number of aspects, all those involved pulled together and made the project a success.


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by Miss Annie
I recently lost my grandmother after a long fight with lung cancer. She was strong and fought the cancer until the end, she beat it. She was cancer free, but the medicines and surgeries she had to face along the way left her feeling a bit less than free from the cancer. Two weeks had gone by since she had found out she was cancer free, and she seemed to be getting along great, her hair was coming back, her weight was coming back up, and her mood was all around brighter and happy. It was great to finally see improvement after months of horror not knowing what would happen. Then my grandmother's best friend passed away. My grandmother went into a sort of funk and couldn't get out. She stopped eating and was put on THC medication to make her hungry and get her appetite back so she could bring her weight back up. But the mixture of medication with the lack of food just made her crazy, she would do things like go out into the back yard and throw her belongings over the fence because she says she was done with those things. She told me things like did you know your father knew my father? Ha ha, these things make me smile now but at the time it was frightening, we didn't know what we could do so we had to put her in the nursing home, my dad was taking care of her all the time and was starting to get in trouble at work because he had missed quiet a bit. Once she went into the nursing home, she gave up fighting. I feel like she gave up on life and all of us. I know she loved us and wanted the best for us, and we didn't want her to be in pain any longer. The nursing home called and asked if we wanted to take her feeding tube out since it made her so uncomfortable and sick and let her be at peace, so that is what we did. They said she could live up to two more weeks without it, but she died that very same night. I feel like a bag of crap she was in that nursing home for 2 weeks and I only visited her one time. She was unresponsive and didn't appear to know I was there, I stayed for an hour and cried the whole entire time. It's been three months and I still cry almost everyday since she has passed. We didn't have a formal funeral for her because that just wasn't what she would have wanted. I feel like I was deprived from full grieving without a funeral. She was cremated and I never saw her before. I feel like I should have gotten that opportunity. I know that she is in Heaven, and I bet she is having a BLAST! She was a fun lady and was always having a good time. Never a dull moment with her, and she taught me a lot about who I am today. I am so thankful for her and I just want her to know that. I love you Granny Annie!
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Bungie's head of production on what would happen if Destiny fails
It's almost time for one of the year's biggest releases – Destiny launches at midnight tonight, so to celebrate, games™ sits down with Bungie's Director of Production – Jonty Barnes – to talk about the impending launch, the impact of the beta, and the studio's hopes for its first game release since it left Halo…
Almost time for release – how does it feel?
Elated. A little sad at the moment because our world is unpopulated. We had this amazing experience of the beta with 4.6 million players – which was wonderful, the things players were doing was just a huge tonic for the team – now it's just like this deserted land. We just can't wait to be launched. We're just excited to have it and play with the fans as much as possible. It's a strange period of quiet, but we're very excited.
Was there anything players did during the beta that surprised you?
A few things – first and foremost the beta was a test, and in many ways we're surprised at the lack of issues that turned up. That sounds a bit strange, but when you put so much effort – and I'm sure there's a lot of engineers saying 'well of course not' – but when you put so much effort into such complex systems, working with so many partners like Sony and Xbox, there's so many pieces that can go wrong in those communications channels, so many players colliding that could be problematic, so the fact it was a good experience for everybody, consistently, was a real win.
There were some things that changed – we found people not matchmaking with the right people in the tower, and they didn't know it, but we really wanted to broaden our knowledge from people's social connectivity and make sure they're the right choices. We optimised that pretty effectively, and our data management as well in terms of knowing that everything's well.
We got some new attaches of new checks we need to make sure that we're doing. But in terms of player behaviour there were a few things that were very reassuring, a great tonic for the team. We didn't anticipate, as much as we wanted it to be true, that there'd be such an even spread of the class choices. We designed them that way but you never really know until you've got such a large audience, it was very even. That was one thing. The enthusiasm of emotes is out of control – the dance party was great and I found some great videos, but we made this stylistic choice of people think they want to chat but they actually don't as a default position.
In fact, the people who want to chat the most are probably the people they don't want to chat to. So we don't want to spoil the tone and atmosphere of the story we're telling in our own environments in Destiny, so we made chat elective, going into the fire team. I think that has resulted in greater enthusiasm for emotes and it's also resulted in us also being much clearer on how we get people to talk together when they do elect to do that, because we couldn't be clearer about that.
That's certainly been an interesting discussion, but it's a very important thing to get right, so it was a big topic. Other than that it's the kind of things you'd expect – we found the hand cannon in competitive multiplayer wasn't quite as punchy as we wanted it to be in terms of effectiveness. We found – well, we kind of knew, but we didn't know what the scale of the issue was – that the interceptor was so strong and powerful that we made a pretty drastic change to that in terms of how powerful it was. We leveled the playing field. Then it was really about, when you're looking at the rate of encounters being completed, which public events are better – nine versus six players – what is the optimum amount of players for challenges that we've got. That has really informed the ongoing updates.
So there's quite a lot of updates for day one in terms of making sure things are clearer or more fun – and that doesn't stop, we're just going to do that forever with Destiny at this point. It's really exciting that we were able to do [the beta] – we were able to… I don't know if you noticed, but at one point everyone got kicked into orbit, we kicked everyone into orbit, and then made a very subtle update to a bunch of statistics. As far as they were concerned it was the beta, so we could do that kind of behaviour with them, and they just went straight back into an activity and lived with that. But things had changed a little bit – it's nice that we can just do that like that, server side, because all the activities live on the server. That was great, proving out that deployment technology.
Then of course we really messed around right at the end – we said 'what would happen if half our servers die? If we can only do so much at once?' – we put the queue on and we had loads of people in the queue, we saw that everyone who wasn't in the queue was playing the game as always, having a good experience, and everybody in the queue knew exactly where they were. It was great to test all of those systems.
And it gives you an excuse to troll people before the game's out properly.
[Laughs] We were very good about telling them the last moments were going to be very tricky. The other good thing which happened was – and this was pretty crazy – we did this moon, we teased the moon from the off, then we gave a very small window so we had a high concurrency [of players]. Unfortunately it had to be while everybody was in the office in America, so it was timed inconveniently for some people.
But it was by getting as many players as possible in a small area of our game. We actually had higher concurrency than any launch time of any Bungie games previously, in the beta. That was incredible. Way over 850,000. That for us was like 'we're better than we've done before' – that builds a lot of confidence in being ready for September.
What are the plans in place for dealing with toxic community members? Similarly, will positive players be rewarded?
We can change things and reward people, we can change a lot of the variables. One of the things we did for the beta is created a forum that we had metrics on so we could see what people liked the most and what they'd complained or asked for the most. We've always had a really – I don't know if you've seen how much we've engaged our community historically… I don't think things like Forge for example would ever have existed in Halo if it wasn't for our relationship with the players out there and the community. I think when you look at the way that we are going to build upon the Destiny universe, the community is now a voice in that. They already changed some of our prioritisation in future work that we have planned.
It's clearly been designed with customisation at its heart, like how the Tower moves the view to third-person…
Yeah absolutely – to expose vanity items and to show off what you've got.


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About the Book
The new Cité de l'Océan et du Surf Museum designed by american architect Steven Holl in collaboration with brazilian artist Solange Fabião opened on 25 June 2011. For three days Fernando Guerra photographed life inside. Whether it was someone inaugurating the museum or simply passing through in a hurry back from the beach, one observed an encounter between the opening ceremony in formal attire and a surfboard under the arm. Figures caught in a structure extending in a perpendicular fashion to the ocean in a concave wave that houses the translucent buildings. A wave is a privileged stage between sky and ocean, as illustrated in Steven Holl's conceptual designs at the root of the project. Here a museum was born that unites scientific research of the ocean with the playful aspect of living and sharing experiences through a sport which, interestingly, Steven himself has been a practitioner of, bestowing him with an extra understanding of the spirit and relationship with the ocean.
This book presents these previously unpublished images, as well as watercolors of the creative process, final drawings and texts about the work written by those who have seen the completed building, as well as a piece by a long-time collaborator with Holl studio. Such elements allow all those who cannot pass through Biarritz to get to know the project in some depth.
Features & Details
- Category Architecture
Standard Landscape, 10×8 in, 25×20 cm
160 Pages
- Publish Date Sep 16, 2011
- Tags Architectural photography, Cité de l'Océan et du Surf, Yehuda Emmanuel Safran, Carla Leitão, Fernando Guerra, Rodolfo Reis Dias, Solange Fabião, Steven Holl
About the Creator
www.ultimasreportagens.com Fernando Guerra and Sérgio Guerra founded studio FG+SG - Fotografia de Arquitectura in 1999. They have been responsible in large part for disseminating contemporary Portuguese architecture over the last 10 years. Fernando Guerra photographs the architecture, while Sérgio Guerra is responsible for producing the articles and managing the atelier. After 5 years of activity, they decided to establish "FG+SG - Livros de Imagem" publishers to promulgate the various architectural works they photograph. Their work is regularly featured in a variety of publications at both the national and international level including Casabella, Wallpaper*, Dwell, Icon, Domus, A+U, among many others. FG+SG collaborates with various portuguese architects such as Álvaro Siza, Carlos Castanheira, Risco Arquitectos, Manuel Graça Dias + Egas José Vieira, ARX Portugal, Promontório Arquitectos, Belém Lima, in addition to international architects such as Jordi Badia, Zaha Hadid, I. M. Pei
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1 Comments
Zamir Garcia Love the Book! The photographs are really beautiful and the building is fantastic!


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Will there be a reunion?, Will we see Machiaveli, Da Vinci, Bartolomeo, and all other important people from Ezio 's life again in AC:R?
I think we will see them again in Ezio 's last chapter, maybe in a big final battle or something, or in Italy when they will all say goodbye to Ezio. Who is going to replace Da Vinci in AC:R, does anyone know Turkish inventors?
I hope parachutes won't be removed from the game, there could be so much more done with the sky in the game, adding another dimension to the game to create even more freedom would be awesome. The ziplines already give us the opportunity to explore the sky more, but what if something else is added to roam the skies?
Do you think any unrevealed game mechanics will be in AC:R? Tell me! :)


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Southern Sunshine – New Orleans & Tampa
Today was the day I was supposed to fly home from Florida, but guess what? I said heck with that, so I slipped Dad's credit card out of his wallet, called up the airline, and extended our stay for another week. Because I haven't finished my tan yet, of course. That, and I'm not really… Read more!


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MySci Mtgs
Bravura Technologies
- October 7, 2016
( 14)
Welcome to the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America meeting app. This app lets you review meeting programs, create your own schedules, view exhibitors, and more.
Slow and not very intuitive Works OK though.
Fast, Handy, Works Great So far this seems like a great little app. I'd rather have all of the info I need in my pocket, rather than lug around a huge meetings program. The schedule feature seems like it will really come in handy. We'll see how it works once the meetings start.
Works well This is a good idea. Haven't had too much time to but seems to work properly.
Junk Says the package is invalid. Couldn't even install it
The permissions of this app are a joke.
Cornell Agronomy MS '13 Very useful app. Looking forward to the meetings.
What's New
Updated for 2016 event.


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3.9 acres in Johnson County, Texas
Perfect spot to build your business on! This is a prime location in great subdivision with lots of traffic!
I35W S to Hidden Creek, W on Hidden Creek, L on Shasta
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Casey Kral
Keller Williams Realty
308 E. Renfro St. Ste. 104
Burleson, TX 76028
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NOTE: The information contained herein is provided as general information only and has been obtained from sources deemed reliable. It is provided without any guaranty, warranty or representation, expressed or implied, made by Lands of America, or any related entity, as to the accuracy or completeness of the information. The information is presented subject to errors, omissions, change of price or conditions, prior sale or withdrawal without notice. Prospective purchasers should make their own investigations, projections and conclusions concerning the information.


text: Why so many Online Sportsbooks added Bitcoin in 2015 By SBR Monday, December 28, 2015 Share with: One bitcoin is presently trading for $425. Bitcoin (BTC) has enjoyed its fair share of ups and downs in recent times, and online sports bettors have celebrated the consistency of the digital crypto-currency. The simple fact of the matter is that the steadier bitcoin holds, the more online sports bettors will replace their standard transactions with BTC. When making a deposit to an online sportsbook involves getting the third degree from cash workers, or ridiculous credit card fees (with an acceptance rate similar to that of the public opinion of US politicians among their constituents), it is clear that the industry is ready for change. Change that will allow online sports bettors to easily and without hassle fund their sports betting accounts, and with the same ease place withdrawals without cost. However, bitcoin is not plug and play. Research is required. Players need to first create a bitcoin wallet, such as with CoinBase for example, and then proceed to link a bank account to upload funds. Of course, players could purchase bitcoin other ways, using cash, credit card, or other, but that would take more time and effort for a newbie looking to wet their beak. CoinBase is the biggest wallet available for North Americans, though the wallet does not wish to actively serve known gambling merchants, and are able to identify these merchants who do not alternate their receiving and sending IDs. Some bitcoin sportsbooks, like Nitrogen Sports (SBR rating B) for example, claim that they use unique codes such that websites like CoinBase could not possibly link player activity to their betting transactions. In 2015 alone, more than 30 online sportsbooks listed in the rating guide added bitcoin as a way for sports bettors to deposit and withdraw. This number is only expected to rise in 2016, as more operators recognize that players are thirsty for a cheap and easy way to fund their accounts, without the requirement of leaving their swivel chair and traveling across the neighborhood all to make a simple sports bet. Sports bettors can find more detailed information on sportsbooks accepting bitcoin using the SBR guide, created during the fall of last year.


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Bach for Soprano or Tenor Recorder and Guitar
(Recorder). Features music to be played on a C recorder (either soprano or tenor), with guitar; however, the upper line may quite effectively be carried by a flute, oboe or violin, and the guitar parts may be played by harpsichord or piano.
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Everytime I see one of these kids split their bones in half I thank god it never happened to me. That's gotta be some kinda defining moment in your life when you see your arm has an extra elbow.
1st homo's
what the fuck was this dumb ass thinking
ya got to be tuff if your gonna be dumb
Who do you want me to call ( my mommy ) fuck sake lol how about phoning for an ambulance you twat :O)
Cool maybe the doc can install some hinges and he could be a star like gumby.
Love these dumbasses, if it wasn't for them we'd have nothing much to laugh at.Except the camel fuckers.
Walk it off, twat.
My mommy! AND DON'T FORGET SUNDAY IS MOTHERS DAY!! SO GO AND GET HER A GIFT OR PHONE HER!!
suck it up
get my skatebob?
ahhh..........it hurts......you guys are funny
must be true you lose 50 IQ points when you wear your cap on backwards
what a fuckin bottom feeder.call my mommy!yea dick
have her bring you a glass of milk to, there brittle boy!
redgtard did you hear the way he said call my mommy... it showed humor courage and that this kid it a tuff egg yet you have to say somthing derogetory about him.... your the bottom feeder pond scum of the earth type of person same as those whom think it is funny to watch others get hurt... also the laughers are likely the ones that would cry like big babies if they did the same thing and that fact is why they think it is funny....covering up their own innate whinnie hood....
where i grew up the pussy boys in the hood woulda beat your punk ass.i was never fuckin stupid enough to do ignorant shit like that.jumping some pussy ass beginner ramp fucking lame!did his mommy not give his frail ass vitamins?i ve taken far worse hits,never cracked a bone. so slide the foreskin back over your mouth and shut the fuck up fore unkle rodgtard lays ya down in da dirt!
ahh just put this shit on scarred for Mtv and call it a day =/
nuthin to say there common cocksucker?thats what i thought. you still wear your moms underwear dont you.thats a nice pic of you also you cross dressing anus licker.forget my name and get on with your pathetic life or feel the rath of rodgtard,,,,,,BITCH!
commoneagle hit the nail on the head ! This kid's arm was broken in no telling how many pieces and still managed to pull a funny comment out while laying there in some serious fucking pain and only a retarted motherfucker would think he was actually serious ! Listen to the tone in which it was spoken and try not to let your IQ levels get in the way of comprehending humor !
okay ,he has guts.damn sure aint got bone structure.you know pain and fear will make you rattle shit off you would never think of on an everyday basis.and i judge his I.Q.because if your gonna break yourself,try it on a grander scale.not some pussy 1ft. chump ramp ,,FUCK!


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Awards - Page 10
Worst Dressed at the 2014 Grammys [PHOTOS]
Matthew McConaughey Delivers the Best Acceptence Speech Ever [VIDEO]
The Screen Actors Guild Awards happened this past weekend and while he probably wasn't the only one, rumors are saying that Matthew McConaughey was high during his acceptance speech.
34th Annual Razzie Award Nominations – 'Grown Ups 2' Stinks
While the Academy Awards celebrate the best of the year, with the exception of Jonah Hill (Seriously, how is he nominated again?), we cannot overlook the contributions of the Golden Raspberry Awards, the Razzies, awarding the worst in film. And again, Adam Sandler seems to be the Razzie's "favorite" actor.
Nominees Announced For 71st Annual Golden Globe Awards
Honoring the best in film and television, the Hollywood Foreign Press Association announced their nominees for the 71st Annual Golden Globe Awards.
Katy Perry Performs 'Unconditionally' as a Beacon of Light at the 2013 MTV EMAs [VIDEO]
Katy Perry became a human prism when she performed 'Unconditionally' at the 2013 EMAs (Nov. 10).
Ellie Goulding Looks Sharp at the 2013 MTV VMAs [Photos]
Ellie Goulding took "edgy" to a whole other level on the 2013 MTV VMAs red carpet! The singer donned a blush gown -- covered in spikes! Keeping in theme with her dress, Ellie wore her hair loose and a little roughed up...
2013 MTV VMAs Winners List
The 2013 MTV Video Music Awards were held tonight (Aug. 25) at Brooklyn's Barclays Center and featured amazing performances by Lady Gaga, Justin Timberlake and Katy Perry. But most importantly, which pop stars received the highly coveted moonman?
Meet Walle, Winner of the 2013 World's Ugliest Dog Contest [VIDEO]
Walle came out as a surprise and somewhat controversial winner because he's… cute.
Watch Neil Patrick Harris' Amazing Tony Awards Opener [VIDEO]
Mike Tyson even stopped in to help with the performance!
2013 Oscars – Nominees + Winners
The Craziest Fashions of Oscar Night 2013
When it comes to taking fashion risks, awards shows are the ideal time to just buck up and go for it. There are like, millions of people watching, after all. That being said, it does take a whole 'lotta guts to ere on the side of crazy couture, but this year's Oscars were bound to have some of those fashion risks, right? You betcha! Check out the craziest getups from the Red Carpet.


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Department Chair
Matt Parrilli
Department Information
Engagement as a citizen, in a career, and as a lifelong learner, requires strong literacy skills, and English classes provide a deep foundation for students with reading, writing, listening, and speaking. English classes range from focusing on reading and understanding fiction and non-fiction text, conducting original research, and writing and speaking for a variety of audiences. Additionally, there are a number of courses that offer college credit as part of successful course completion through both Advanced Placement tests as well as through dual-credit with Oakton Community College.
The major goals of English classes are that students will be able, at various levels of skill development to...
Regardless of the course selected, students will have experiences leading them to the successful accomplishment of these five goals.
2017 Summer Reading Program
The Maine South English Department is proud to present the 2017 Summer Reading Program.
All incoming 9th through 12th grade students will be required to read
one book from the list of titles linked below. Books may be obtained at
book stores, libraries or online and students may read a paper or
digital copy of their selection. English teachers encourage students and parents to learn about the
selected books and the expectations of the program by reading the 2017 MSHS Summer Reading Program document.


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Listen as Nicole & Terri interview Lachrista Greco, a freelance writer, who strives to make a difference through advocacy.
On the show, Lachrista discusses her own experiences as a young child with learning disabilities and how her school sought to help her.
Lachrista helps adults and educators understand the feelings that a child with a learning disabiltiy or special needs may have about leaving the classroom, being separated from peers and not being taught the same lessons as everyone else.
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Obviously, you bought your Police Interceptor Sedan because you understood you would be getting performance and value both impeccably combined into one vehicle. While it's not hard to buy replacement parts for Ford vehicles, these days the necessity for nothing but the absolute best are required to repair your automobile. When your Ford Police Interceptor Sedan was born, it was destined for a driver who values American engineering in their automobile. Ford automobile owners have become used to a certain level of dependability when driving their Police Interceptor Sedan around town.
When Neolithic man invented the wheel, he also had to create other parts to make it useful. Believe it or not, your Ford Police Interceptor Sedan has a suspension and drive train that is built upon ideas and inventions that are millennia old; including the axle and wheel hub. Cars and trucks need a wheel hub at the end of the axle for the wheels to bolt onto. Because your Ford Police Interceptor Sedan wheel hub needs to be bolted to a fixed position (wheel carrier) but rotate freely around the axle, it requires a tapered roller-type wheel bearing be pressed into it. On some advanced wheel hub assemblies, your ABS ring and sensor may be included with it as well.
Don't let a broken Wheel Hub & Bearing bring about the demise of your car, truck, or SUV, and don't gamble with its condition by using anything but the highest quality replacement parts. Get your Police Interceptor Sedan back on the road with the best replacement parts from the experts at Car Parts Discount. At Car Parts Discount, we have live customer service members on the phone with enough expertise to help you buy the correct Ford Police Interceptor Sedan part for your needs. Just choose your year from the list below to find the right Ford Police Interceptor Sedan Wheel Hub & Bearing for your 2016, 2015, 2014, 2013 model.


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SANTA CLARA - Jordan Morris scored a tiebreaking goal in the 88th minute, and the United States beat Jamaica 2-1 Wednesday night for its sixth CONCACAF Gold Cup title and first since 2013.
Jozy Altidore's goal on a 28-yard free kick in the 45th minute beat backup goalkeeper Dwayne Miller after Jamaica captain Andre Blake left early with a hand injury.
Je-Vaughn Watson tied the score when he got away from Morris for a 4-yard volley off Kemar Lawrence's 50th-minute corner kick.
Morris, a star at nearby Stanford from 2013-15, got the breakthrough goal with a 14-yard right-footed shot after Gyasi Zardes crossed....


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Hotel Maa Residency
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- About Hotel
- Reviews
About Hotel Maa Residency
Hotel Maa Residency is located about 1 km from General Bus Stand Jammu and 0.5 km from Raghunath Mandir. This property in Jammu provides guests with 24-hour room service. Accommodation is provided in 20 well-maintained guestrooms, each equipped with television, wardrobe, makeup mirror, and attached bathroom with hot and cold running water supply. This property in Jammu has multilingual staff and is suitable for children. Hotel Maa Residency also provides medical assistance, laundry, luggage storage and front desk assistance. Guests are also provided with parking facilities. Attractions nearby include Bawe Wali Mata Temple (4 km) and Amar Mahal Museum (3 km). The property can be reached from Jammu Airport (6 km) and Jammu Tawi Railway Station (5 km).
Checkin Time: 1200 pm
Checkout Time: 1200 pm
Hotel Amenities
- Newspaper
- Luggage Storage
- Suitable For Children
- Medical Services
- Multilingual Staff
- Room Service
- Parking
- Laundry Facilities
- Front Desk
- Makeup Mirror
- "Bottle Opener
- Smoking Rooms
- H/C Running Water
- Premium TV Channels
- Television-Room
- Attached Bathroom


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There are four Seasons in Stardew Valley: Spring, Summer, Fall, and Winter. Each Season lasts 28 days. The game begins on the first day of Spring.
Many crops, Foraging items, and fish are unique to each season. Crops still standing out of season will wither and die, and fertilizer used on soil will expire. During seasonal shifts, your farm will also experience minor disrepair. Each season has two festival days. Seeds available in Pierre's General Store change each season. A villager's daily routines may change with a new season.
After every season ends, all of the crops that are planted, that do not follow into the season that is starting, will die (pay attention to those growing days).
After completing a cycle of seasons, the game moves forward one year when spring starts again. Years are tied to a few events, but there's no limit on the number of years which can be played.
On the 3rd of Summer of the first year, there will be an earthquake which scatters some debris on the farm and clears the passage north of Robin's carpenter shop, which leads to the Spa and Train Platform.
|Spring • Summer • Fall • Winter


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One person suffered a non-life-threatening gunshot wound Tuesday in Davenport's fourth shooting of 2017.
Davenport police said the incident occurred at 4:15 p.m. in the 400 block of West Kimberly Road as at least one person riding in a vehicle shot into another vehicle.
A short time later, a 24-year-old man went to the emergency room at Genesis Medical Center-East Rusholme Street, Davenport, for treatment of a gunshot wound.
Anyone with information about the incident is asked to call the Davenport Police Department at 563-326-6125, or make an anonymous tip through the department's mobile app at CityConnect Davenport, IA.


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The Dreywar
The Dreywar are a race of beings found in the Four Colour Collective (FCC) Past Universe.
Most of what many other races know of the Dreywar comes from a discovery made some thousand years ago by a mining team sent by the Kingdom of Onas to survey a newly discovered series of underground catacombs. In the darkest depths of these seemingly endless catacombs, the Human team (along with their Orghim minders) came across what we now call the Graghrim Cache, a collection of scrolls and pictographs depicting a race whose name best translates in the Human tounge to 'Dreywar'. Subsequent contact established by the formerly mythical Dreywar Hives has confirmed much of what was discovered in the Cache.
The Dreywar are mentioned but occasionally in the records that survive from before the Second Rain (and even then are fragmented at best) It can be thus assumed that because of this mention, however fleeting, that they are one of the Old Races.
The Dreywar race seemed to enjoy the patronage of none of the Old Gods – unusual in that regard, as each of the Old Races seemed to be created with the blessing of particular Gods in mind. Several scholars have theorised that these creatures were not in fact the creations of any of the Old Gods, and were instead an accidental result of the creation of the other races. Whatever their inception, they still lived and prospered in those early days of peace. Even then, when all living things were like brothers, they were aloof and isolated.
Each Dreywar stands approximately anywhere from two to four feet tall. They can display many variations of shape and colouration, appearing largely bipedal upon first glance, but the more attention given to them, the more and more their insectoid heritage emerges. Their internal structure differs greatly from those of humans, having no less than three stomachs and many redundant nervous and circulatory systems.
The males of the species are the most genetically diverse, as benefits their largely Hive-based society. Workers are the weakest of the kind, with Soldiers being the most physically dominant. There are countless castes and roles to fulfil, and so the exact number of sub-species and how they differ could be endless.
Culture And Society
The Dreywar exist in large Hive communities. The resident Queen (or Queens in the case of the larger Hives) holds complete and utter sway over her resident populace. The population exists solely to fulfil the Queen's command, as she is the heart and (perhaps literally) the soul of the Hive.
Individual (if they can be called that) Dreywar seem to possess little to none sentience. They are essentially inert and mindless creatures, driven on to their tasks by the gestalt sentience of the Hive community itself, directed by the Queen. She is their anchor and voice – even the largest community of Dreywar without a Queen are mindless and directionless beasts. Experiments have yet to determine the exact range upon which an individual Dreywar has to be taken to be out of the 'range' of the Queen and the Hive, but capacity for focused thought and intelligence seems to wane at approximately the one-hundred kilometre range.
The Queens themselves, however, are highly intelligent beings. They are the mothers of nearly all the Dreywar race, and it is through them that their existence continues.


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Vogue 9769 @ 1988. MISSES' DRESS in 2 Styles
Wrap dress, below mid-knee or above ankle, has notched collar, shoulder pads, very loose-fitting blouson (back) bodice, partially elasticized (seamed) waist, straight or flared skirt and short or long sleeves. Narrow hem. Purchased belt. View A has contrast collar.
FABRICS: Silk-like Linen, Lt. Wt. Gabardine, Wool Crepe, Linen, Double Knit.
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insert your photos of this pattern using the button below!
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The Meaning Of InsuranceThe meaning of insurance: Insurance is a policy from a large financial institution that offers a person, company, or other entity reimbursement or financial protection against possible future losses or damages.
The meaning of insurance is important to understand for anybody that is considering buying an insurance policy or simply understanding the basics of finance. Insurance is a hedging instrument used as a precautionary measure against future contingent losses. This instrument is used for managing the possible risks of the future.
Continue reading Comments (0) 30.07.2009. 23:09
Best InsuranceBest Insurance is a relative term to use in case of insurances because there are different segmentations within the insurance market. Generally, the insurance market can be divided into the following three broad categories:
Continue reading Comments (0) 30.07.2009. 22:37
Introduction to Life InsuranceLife insurance is most commonly used to protect your family from any financial effects of your and/or your spouse's premature death. However, it can be difficult to think about or plan for such an event. And, unfortunately, adequate planning is often put off until it's too late.
Continue reading 30.07.2009. 04:05


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The 30th Annual Hunger Walk
The Greater Chicago Food Depository (GCFD) will hold the 30th Annual Hunger Walk on Saturday, June 20, 2015 at 8:30am. Sign up today to walk or sponsor someone else to walk in support of any of the Catholic Charities Food Pantries. Participating in the Hunger Walk is FREE. There is no registration fee. The GCFD will donate $12 back to the pantry for every person who walks with that pantry's team. 100% of all dollars raised by the team goes directly to support that pantry.
Registration information is available at the Greater Chicago Food Depository's website:
. Select "Yes" you are with an agency and search for the pantry of your choice:
• A00551 - Catholic Charities Des Plaines Food Pantry
• A00056 - Catholic Charities Emergency Assistance
• A00024 - St. Sabina Catholic Charities
• A00590 - Catholic Charities South Holland
• A00560 - Catholic Charities West Suburban Food Pantry
• A00977 - St. Blasé
• A00253 - Casa Catalina
• A01470 - St. Irenaeus Catholic Charities
• A01268 - Catholic Charities OUR LADY OF SOLACE Shelter
• A00241 - Catholic Charities St. Francis de Paula Shelter
Come join us. Let's have fun and raise money to help our pantries and serve our community!
Not walking, but want to donate?
Click here and choose Hunger Walk from the drop down menu.
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Holy Family Villa Golf Invitational
Holy Family Villa Golf Invitational
Hunger Walk
Journeys of Courage
Legal Lifelines
Mary's Closet - Encore
Meals on Wheels
Nite at the Net
Patrick J. Ryan Golf Outing
Patrick J. Ryan Main Event
Ryans Joy
Soup-er Stadium Challenge
Veterans In Need Dinner
William E. Joyce Golf Invitational


text:
Must the compression paddle remain parallel to the patient support table when no compression is being applied?
No. The requirement for the paddle to be parallel is only applicable when compression is applied. Once the diagnostic range of compression is reached the paddle should be parallel to the support table and not deflect from parallel by more than 1.0 cm when compression is applied.


text:
Relationships always involve giving, sharing and reaching compromises.
Given the fact that men are generally believed to be the stronger of the pair and sometimes, often the provider, it is not uncommon that women usually have things to ask, demands to make, and changes required of their significant other.
Here are 3 sure ways that will help you get whatever you want anytime you make the request of your man.
1. Go straight to the point
In an attempt to avoid looking so direct and demanding, some choose the other option of 'stylishly' making the requests. This is done by dropping hints, and communicating their desire for that particular thing in no express terms. If you want to get an answer, you need to stick to the point rather than communicating through subtext. Often times, the intention is even lost on your man during the indirect asking and hint-droppings. Hence, make a request for the thing that you actually want, or you just might not get it.
2. Don't guilt trip him
The point here is to discourage you ladies from shaming your spouse or partner into getting what you want. Sure, taking him on a guilt trip might get you want, but that's more down to him trying to save face or maintain his. You really do not want that to be the standard in your relationship.
Nobody wants to feel like they're doing the wrong thing all the time. So instead of saying to your boyfriend or husband, "Why haven't you done this or that for me in six months?" you could instead say "It would mean a lot to me if you do this, or if you do that."
3. Show appreciation
This is almost the simplest thing ever to do, but sadly it is the one taken for granted the most. It is sometimes said that men are like dogs in the sense that they loved to be praised, just the way you would pat your dog on the head for being of 'good behavior' or for some similar act that'll be considered 'good behavior' for a dog.
Though the comparison with dogs doesn't really sit well with me, I have to agree with the logic behind it. Men indeed love to have their egos massaged, they want to feel like they are doing things right. An important part of any relationship is to regularly let your partner know you appreciate the things he does, that you don't take those things for granted


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Dr. Anna-Louise Molette MD
- Pain Management Smyrna, TN
Patient Reviews
Reviews reflect patients' level of satisfaction with the care they received from this provider. Dr. Anna-Louise Molette xhas an overall rating of 2.7.
Dr. Anna-Louise Molette, MD is a Doctor primarily located in Smyrna, TN. She has 21 years of experience. Her specialties include Pain Management and Physical Medicine and Rehabilitation. Dr. Molette is affiliated with TriStar Centennial Medical Center, TriStar Southern Hills Medical Center and Saint Thomas Rutherford Hospital. She speaks English.
Find out the languages this doctor/ or staff may speak.
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Learn where this doctor attended medical school.
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Specialties & Expertise
Dr. Anna-Louise Molette has the following 3 areas of expertise, 2 specialties and 1 board certification.
For the best health care, select a doctor who specializes in your medical condition.
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See areas of expertise for treating specific conditions, procedures and surgeries for this doctor.
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See the board certifications this doctor has received. Board certifications provide confidence that this doctor meets the nationally recognized standards for education, knowledge and experience.
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Health Guides
Get the facts about fibromyalgia, including the symptoms and conditions that may be related to it.
Locations & Directions
Nearby Doctors
Dr. Anna-Louise Molette, MD is similar to these 3 Doctors near Smyrna, TN.


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pros and cons of ecoboost
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text:
I get the yellow AD sync now active, but nothing ever imports, or changes when i edit a user (previously added) to AD. Not sure what im missing. I've also searched and there was no detailed way to set it up that i could find.
This topic was created during version 5.0.
The latest version is 7.5.00101.
5 Replies
Oct 21, 2010 at 10:18 UTC
Clear all the settings, save them so they get saved blank and then follow this guide:
The user you use for AD Sync must have write access to all users if you want to push changes back into AD, this normally means using an Administrator account.
Oct 21, 2010 at 10:49 UTC
Ok, when im able to click sync ad changes i get "saved" and now i should be able to edit people within spiceworks and the update should send to AD right? I am using a domain admin account to authenticate. Any ideas? see attached.. Shouldnt this not say not in AD?
Oct 21, 2010 at 10:53 UTC
The first time you set it up you should see a message saying that it is syncing your AD users and to wait a few minutes.
Once this has completed you can enable the Two way Sync via a tick box under the AD settings.
After this you should be able to go to a user who is also in AD and see the path to their user (what OU they are in etc.), and be able to edit them and have changes pushed back to AD.
Oct 21, 2010 at 11:04 UTC
OK... my view is messed up.. i see users that use @email-domain and some @domain.us.. The domain.us is the domain for the US side, and our email address is different. How can I have the domain be the main contact apposed to the email address? That making sense? See screen shot of what im talking about. How do i delete records that are not in my domain?
Oct 21, 2010 at 11:13 UTC
Basically i want to keep the original email so i get the responses or will i get them. Or can I add the email address so that I still get responses from SW
This discussion has been inactive for over a year.
You may get a better answer to your question by starting a new discussion.


text:
Report from the 2016 NASW WV Fall Conference
Report from 2016 NASW WV Fall Conference
Wednesday & Thursday, September 14 & 15, 2016
Euro-Suites Hotel, Morgantown, WV
"What a sweet and excellent conference!"
Day One began with an expert-filled overview of policy issues affecting Social Workers and those we serve. These included the State Budget Outlook, Medicaid Expansion, implementing a State Earned Income Tax Credit, Mental Health Access in Schools, and elements of the Our Children, Our Future Campaign to End Child Poverty.
Day Two began with a Legislative Outlook by Del. Barbara Fleischauer (D-Mon), followed by excellent workshops and discussions on The Neurobiology of a High ACE Score, Social Work Ethics, Social Work Roles in Medication Assisted Treatment, an Addictions Workforce Issues discussion, and Advance Care Planning!
Many thanks to Planning Committee members for putting together a wonderful program, as well as offering their expertise to provide training, and/or volunteering to help with registration! They are: Paula Taylor, MSW, Chair, Jeanie Brenneman, MSW, Jacki Englehardt, MSW, Diane Market Gaston, MSW, Clarence Mizell, MSW, Mike Toothman, MSW, and Kim White, MSW.
THANK YOU for attending the 2016 Fall Conference!


text:
VideoHive Show Opening 2 238666
After Effects Project \ Openers \ 3D \ Object
Photos \ Included \ Project \ Videos \ Flickr \ Creative \ Commons \ License \ Plugin
After Effects Project - Show Opening 2 238666 by musicant @ VideoHive
After Effects Project \ Openers \ 3D \ Object
Allow me to introduce my new project "Show opening2."
Good performance for your photos and videos
I hope my work will be useful for you. Videos used in the video preview in the Zip folder are not included.
Photos used in the video previews are taken from the site www.Flickr.com
(Creative Commons license)
* CS4 – CS5 Project
* Hd(1280×720) Res.
* No plugin
* Easy to Customize ( You can change photos/video,text, logo)
* Music included
* Video tutorial included
* For any question or customization just send me an e-mail
My favorite project .
After Effects Version: CS4, CS5; Resolution: 1280x720; File Size: 278.448mb.
Crystal Night; Children's Dreams; Life's Memories; Theory of Awards; Platinum shine; Golden Particles; Glam Pack.
Keywords: 3d, color, corporate, elegant, glass, glossy, intro, introduction, logo, opener, presentation, screen, stylish, trailer.


text: I looked for a prior thread on this but couldn't find one, which surprises me actually. Or maybe I couldn't see it for all the group messaging chatter going on (which I agree with)... however, one little thing I noticed this morning. When you click on inbox and see all your PM's, it shows your own avatar at the far left of each listing. I understand that's because they are all outgoing (as the incoming ones show the avatar of the sender), but somewhere across that listing area, there should be a place for the name of the person you sent it to because as it is currently, the only way to tell who you sent them to is to either remember by title or click to see. ETA: I should have specified....if you sent and you were the last responder on the message, then there is no way of seeing who it was sent to as the other end of the column would then have your name.


text:
A dual rabbit vibe with thrusting and rotating power!
- 3 rows of non-jamming beads have 4 patterns of rotating and thrusting action
- Clitoral stimulation features 10 functions of vibration, pulsation and escalation
- Push button controls with easy on/off. 5 inch by 1.25 shaft and 2.5 X 1 inch rabbit
- 3 AAA Batteries (sold separately)
This sex toy is compatible with water-based lubes. It is not recommended to be used with silicone lubes. After use, carefully wash the sex toy with mild soap and water or try a sex toy cleaner for even quicker cleanup. Store this sex toy separately from other sex toys.


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The Village of Trumansburg is analyzing its current zoning ordinance to identify areas of potential improvement, aiming to better align the ordinance with goals in the Village's comprehensive plan. To this end, a Zoning Revision Committee composed of select members of the Village Board, the Zoning Board of Appeals, the Planning Board, and Village residents, is working closely with the Village Planner to identify concepts and strategies that can promote social, economic, and environmental well-being for our community while managing inclusive growth that respects Trumansburg's historic character.
The zoning revision process is ongoing, and will address several topic areas that have been identified as priorities, such as sidewalk infrastructure, guidelines for future residential development, and the siting of renewable energy infrastructure, like ground-mounted solar arrays. Further, this effort seeks to clarify existing definitions in the zoning ordinance and related land use laws, and enhance the overall user-friendliness of these documents.
Matt Johnston, Village Planner/Zoning Officer
This report seeks to provide an assessment of how the housing market in the Village of Trumansburg has been changing and what these trends mean for the future.
Since the 2008 Comprehensive Plan was completed, an increased demand for housing in the Ithaca area combined with Trumansburg's small market, attractive school district, high quality housing, and recent improvements to the downtown have increased demand for housing in the Village. This, coupled with changing demographics and the impending lift of the building moratorium, makes this analysis timely.
This document reviews the current Village zoning ordinance, adopted in 2012, which regulates land use in the Village of Trumansburg. The report includes evaluation of the zoning ordinance and additional Village laws, specifically focusing on historical and recent development patterns of single-family homes within the "Residential 1" (R-1) district. This district covers a majority of the land and homes within the Village. The findings aim to provide useful information should the Village consider revising the existing zoning ordinance.