text:
Hermitage Research Facility
Hermitage Research Facility
Solomon K.F.,Hermitage Research Facility |
Zeppa A.,Hermitage Research Facility |
Mulugeta S.D.,North West University South Africa
Plant Breeding | Year: 2012
The objectives of this study were to evaluate the importance of heterosis for agronomic and quality traits in shrunken (sh2) sweet corn, assess the usefulness of combining ability to predict the value of parents and their crosses for further genetic improvement and examine whether genetic divergence can predict heterosis or F 1 performance. Ten genetically diverse shrunken (sh2) sweet corn inbred lines were used to generate 45 F 1s. F 1s and parents were evaluated for agronomic and quality traits across environments. Heterosis was more important for yield-related traits than it was for ear aspects and eating quality. Heterosis for most traits was mostly dependent on dominance genetic effects of parental lines. Parents and F 1per se performance were highly correlated with general combining ability effects and mid-parent values, respectively, for most traits. Hybrid performance for flavour and plant height was significantly but weakly related to simple sequence repeat (SSR)-based genetic distance (GD). Phenotypic distance (PD), estimated from phenotypic traits was correlated with heterosis for total soluble solids, ear length and flavour. © 2012 State of Queensland.
George-Jaeggli B.,Hermitage Research Facility |
Jordan D.R.,University of Queensland |
Van Oosterom E.J.,University of Queensland |
Broad I.J.,Fisheries and Forestry |
Hammer G.L.,University of Queensland
Field Crops Research | Year: 2013
Presence of the dw3 sorghum dwarfing gene had negative effects on grain yield in some genetic backgrounds and environments. In a previous study we showed that this was due to a significant reduction in shoot biomass (mainly via reduced stem mass), which in turn negatively affected grain size. The current study examines whether shoot biomass was reduced via effects of dw3 on traits associated with resource capture, such as leaf area index (LAI), light interception (LI), and canopy extinction coefficient (k) or with resource use efficiency, such as radiation use efficiency (RUE). Three pairs of near-isogenic sorghum lines differing only in the presence or absence of the dwarfing allele dw3 (3-dwarfs vs 2-dwarfs) were grown in large field plots. Biomass accumulation and LI were measured for individual canopy layers to examine canopy characteristics of tall and short types. Similar to the previously reported effects on grain yield, the effects of dw3 on RUE, LI and k varied among genetic backgrounds and environments. Interactions between dw3 and genetic background, but also interactions with environment are likely to have modulated the extent to which RUE, LI, or k contributed to biomass differences between tall and short sorghum. © 2013 .
Gilding E.K.,University of Queensland |
Frere C.H.,University of Exeter |
Cruickshank A.,Hermitage Research Facility |
Rada A.K.,University of Gottingen |
And 5 more authors.
Nature Communications | Year: 2013
The production of adequate agricultural outputs to support the growing human population places great demands on agriculture, especially in light of ever-greater restrictions on input resources. Sorghum is a drought-adapted cereal capable of reliable production where other cereals fail, and thus represents a good candidate to address food security as agricultural inputs of water and arable land grow scarce. A long-standing issue with sorghum grain is that it has an inherently lower digestibility. Here we show that a low-frequency allele type in the starch metabolic gene, pullulanase, is associated with increased digestibility, regardless of genotypic background. We also provide evidence that the beneficial allele type is not associated with deleterious pleiotropic effects in the modern field environment. We argue that increasing the digestibility of an adapted crop is a viable way forward towards addressing food security while maximizing water and land-use efficiency. © 2013 Macmillan Publishers Limited.
Solomon K.F.,Hermitage Research Facility |
Martin I.,Kairi Research Facility |
Zeppa A.,Hermitage Research Facility
Euphytica | Year: 2012
The objectives of this study were to quantify the components of genetic variance and the genetic effects, and to examine the genetic relationship of inbred lines extracted from various shrunken2 (sh2) breeding populations. Ten diverse inbred lines developed from sh2 genetic background, were crossed in half diallel. Parents and their F1 hybrids were evaluated at three environments. The parents were genotyped using 20 polymorphic simple sequence repeats (SSR). Agronomic and quality traits were analysed by a mixed linear model according to additive-dominance genetic model. Genetic effects were estimated using an adjusted unbiased prediction method. Additive variance was more important than dominance variance in the expression of traits related to ear aspects (husk ratio and percentage of ear filled) and eating quality (flavour and total soluble solids). For agronomic traits, however, dominance variance was more important than additive variance. The additive genetic correlation between flavour and tenderness was strong (r = 0. 84, P < 0. 01). Flavour, tenderness and kernel colour additive genetic effects were not correlated with yield related traits. Genetic distance (GD), estimated from SSR profiles on the basis of Jaccard's similarity coefficient varied from 0. 10 to 0. 77 with an average of 0. 56. Cluster analysis classified parents according to their pedigree relationships. In most studied traits, F1 performance was not associated with GD. © 2011 Springer Science+Business Media B.V.
Borrell A.K.,University of Queensland |
van Oosterom E.J.,University of Queensland |
Mullet J.E.,Texas A&M University |
George-Jaeggli B.,Hermitage Research Facility |
And 3 more authors.
New Phytologist | Year: 2014
Summary: Stay-green is an integrated drought adaptation trait characterized by a distinct green leaf phenotype during grain filling under terminal drought. We used sorghum (Sorghum bicolor), a repository of drought adaptation mechanisms, to elucidate the physiological and genetic mechanisms underpinning stay-green. Near-isogenic sorghum lines (cv RTx7000) were characterized in a series of field and managed-environment trials (seven experiments and 14 environments) to determine the influence of four individual stay-green (Stg1-4) quantitative trait loci (QTLs) on canopy development, water use and grain yield under post-anthesis drought. The Stg QTL decreased tillering and the size of upper leaves, which reduced canopy size at anthesis. This reduction in transpirational leaf area conserved soil water before anthesis for use during grain filling. Increased water uptake during grain filling of Stg near-isogenic lines (NILs) relative to RTx7000 resulted in higher post-anthesis biomass production, grain number and yield. Importantly, there was no consistent yield penalty associated with the Stg QTL in the irrigated control. These results establish a link between the role of the Stg QTL in modifying canopy development and the subsequent impact on crop water use patterns and grain yield under terminal drought. © 2014 New Phytologist Trust.
Mace E.S.,Hermitage Research Facility |
Singh V.,University of Queensland |
van Oosterom E.J.,University of Queensland |
Hammer G.L.,University of Queensland |
And 3 more authors.
Theoretical and Applied Genetics | Year: 2012
Nodal root angle in sorghum influences vertical and horizontal root distribution in the soil profile and is thus relevant to drought adaptation. In this study, we report for the first time on the mapping of four QTL for nodal root angle (qRA) in sorghum, in addition to three QTL for root dry weight, two for shoot dry weight, and three for plant leaf area. Phenotyping was done at the six leaf stage for a mapping population (n = 141) developed by crossing two inbred sorghum lines with contrasting root angle. Nodal root angle QTL explained 58.2% of the phenotypic variance and were validated across a range of diverse inbred lines. Three of the four nodal root angle QTL showed homology to previously identified root angle QTL in rice and maize, whereas all four QTL co-located with previously identified QTL for stay-green in sorghum. A putative association between nodal root angle QTL and grain yield was identified through single marker analysis on field testing data from a subset of the mapping population grown in hybrid combination with three different tester lines. Furthermore, a putative association between nodal root angle QTL and stay-green was identified using data sets from selected sorghum nested association mapping populations segregating for root angle. The identification of nodal root angle QTL presents new opportunities for improving drought adaptation mechanisms via molecular breeding to manipulate a trait for which selection has previously been very difficult. © 2011 Her Majesty the Queen in Rights of Australia as represented by The State of Queensland.
George-Jaeggli B.,Hermitage Research Facility |
Jordan D.R.,Hermitage Research Facility |
Jordan D.R.,University of Queensland |
van Oosterom E.J.,University of Queensland |
Hammer G.L.,University of Queensland
Field Crops Research | Year: 2011
Positive correlations between plant height and grain yield have been reported for sorghum. The introduction of stay-green in sorghum, and the associated reduction in lodging, has opened the possibility to exploit this positive association. The aim of this study was to analyse the direct effects of the dwarfing gene dw3 (and therefore plant height) on shoot biomass, grain yield, and yield components in pairs of 3-dwarf genotypes and their isogenic 2-dwarf tall mutants. Isogenic pairs with different genetic backgrounds were grown in three field experiments under nutrient and water non-limiting conditions. Tall mutants were significantly taller and produced more shoot and stem biomass than their shorter counterparts. Generally, tall types yielded more grain than short types, but significant interactions between experiment, genetic background and stature affected the consistency of the results. dw3 only affected grain size and not grain number. Increased grain mass of tall types was associated with significantly greater stem mass per grain at anthesis and greater shoot biomass per grain accumulated between anthesis and maturity. The increased biomass of tall plants was therefore important for increased grain yield under optimum conditions. Potential implications of increased biomass production for drought adaptation are discussed. © 2011.
Hickey L.T.,University of Queensland |
Lawson W.,Hermitage Research Facility |
Platz G.J.,Hermitage Research Facility |
Dieters M.,University of Queensland |
Franckowiak J.,Hermitage Research Facility
Genome | Year: 2012
Rph20 is the only reported, simply inherited gene conferring moderate to high levels of adult plant resistance (APR) to leaf rust (Puccinia hordei Otth) in barley (Hordeum vulgare L.). Key parental genotypes were examined to determine the origin of Rph20 in two-rowed barley. The Dutch cultivar 'Vada' (released in the 1950s) and parents, 'Hordeum laevigatum' and 'Gull' ('Gold'), along with the related cultivar 'Emir' (a derivative of 'Delta'), were assessed for APR to P. hordei in a disease screening nursery. The marker bPb-0837-PCR, co-located with Rph20 on the short arm of chromosome 5H (5HS), was used to screen genotypes for the resistance allele, Rph20.ai. Results from phenotypic assessment and DNA analysis confirmed that Rph20 originated from the landrace 'H. laevigatum' (i.e., Hordeum vulgare subsp. vulgare). Tracing back this gene through the pedigrees of two-rowed barley cultivars, indicated that Rph20 has contributed APR to P. hordei for more than 60 years. Although there have been no reports of an Rph20-virulent pathotype, the search for alternative sources of APR should continue to avoid widespread reliance upon a single resistance factor. © 2012 Published by NRC Research Press.
Alam M.M.,University of Queensland |
Hammer G.L.,University of Queensland |
Van Oosterom E.J.,University of Queensland |
Cruickshank A.W.,Hermitage Research Facility |
And 2 more authors.
New Phytologist | Year: 2014
Summary: Tillering determines the plant size of sorghum (Sorghum bicolor) and an understanding of its regulation is important to match genotypes to prevalent growing conditions in target production environments. The aim of this study was to determine the physiological and environmental regulation of variability in tillering among sorghum genotypes, and to develop a framework for this regulation. Diverse sorghum genotypes were grown in three experiments with contrasting temperature, radiation and plant density to create variation in tillering. Data on phenology, tillering, and leaf and plant size were collected. A carbohydrate supply/demand (S/D) index that incorporated environmental and genotypic parameters was developed to represent the effects of assimilate availability on tillering. Genotypic differences in tillering not explained by this index were defined as propensity to tiller (PTT) and probably represented hormonal effects. Genotypic variation in tillering was associated with differences in leaf width, stem diameter and PTT. The S/D index captured most of the environmental effects on tillering and PTT most of the genotypic effects. A framework that captures genetic and environmental regulation of tillering through assimilate availability and PTT was developed, and provides a basis for the development of a model that connects genetic control of tillering to its phenotypic consequences. © 2014 New Phytologist Trust.
Dreiseitl A.,Agricultural Research Institute Kromeriz Ltd |
Dreiseitl A.,Hermitage Research Facility |
Platz G.,Hermitage Research Facility
Crop and Pasture Science | Year: 2012
Barley (Hordeum vulgare L.) is a major crop in Australia and powdery mildew (Blumeria graminis f. sp. hordei) is one of its most common diseases. Genes for resistance to powdery mildew were postulated for 86 Australian barley varieties and nine advanced breeding lines using 40 reference isolates of the pathogen. Fifty isolates collected in Australia in 2011 were used for additional tests of some varieties. In total, 22 known resistance genes [mlo, Mla1, MlaAl2, Mla3, Mla6, Mla7, Mla8, Mla9, Mla12, Mla13, Mlat, Mlg, MlGa, Mlk1, MlLa, Mlra, Ml(Ab), Ml(Ch), Ml(Dr2), Ml(He2), Ml(Lo) and Ml(St)] were detected. The most frequent genes were Mla8 and Mlg present in 43 and 34 varieties, respectively, while MlGa was found in 12 varieties. Each of the specific resistance genes Mla1, Mla3, Mla6, Mla9, Mla13, Ml(St) and the non-specific recessive gene mlo was found in one variety only. The varieties Maritime and Stirling appear to carry no specific resistance genes. Fifteen unknown resistances were detected. It is recommended that Australian barley breeding programs exploit European varieties possessing mlo to improve the resistance to powdery mildew in new varieties. © CSIRO 2012.


text: The living is easy in this immaculate oceanfront residence with sweeping ocean and island views. Spanning 5,000 square feet, the open floor plan seamlessly connects all of the main living spaces and includes a spacious family room with custom fireplace and built-ins, dining area, and chef's kitchen complete with professional grade stainless steel appliances, oversized center island with prep sink, and breakfast bar. A grand master suite features a fireplace, oversized bathroom with luxurious soaking tub and vanity, and disappearing glass doors leading to a private, landscaped back patio complete with oversized in-ground spa and plenty of room for outdoor dining and sunbathing. Further amenities at the home include a media room, elevator, travertine tile, electric solar shades, and heated floors. Located in the private, guard-gated community of Monarch Bay, this custom home is enveloped in light and comfort and embodies resort-style coastal living at every turn. Important note: This property is fee-simple, and not leased land. Purchase of this property includes free and clear ownership of the land lot on which it sits.

subset: commoncrawl


text:
As the controversy around Howard Chaykin's "The Divided States of Hysteria" continues to reverberate throughout the comics' industry, the creators of another Image Comics book, "Moonstruck," have released a statement on their reaction to the series, the firestorm, and their feelings about working with Image. The statement from Grace Ellis, Shae Beagle and Laurenn McCubbin offers more than rebuke, with several proactive suggestions on how Image and comics can be more considerate in the future.
Howard Chaykin is no stranger to controversy, of course. His work has often deliberately pushed the boundaries of what is acceptable content in mainstream comics, particularly when it comes to depictions of sexuality and violence in the medium not to mention the socio-political undertones he often includes in his work. But nothing compares to his most recent series, "The Divided States of Hysteria", a story of a dystopian future where the ugliest elements of American society (racism, bigotry, islamaphobia, ignorance) has been taken to its extreme, resulting in a repressive and nihilistic America. When the title's first issue dropped back in June, it was immediately met with outcry over its depiction of a transphobic hate crime as the inciting action of the book. Many people, fans creators and commentators alike, saw the scene as exploitative and offensive. Here's a response from Eisner-nominated creator Magdalene Visaggio:
Can we just fucking not? How fucking hard is it to lay off putting trans women at the center of hate crimes in fiction ?
— Magdalene Visaggio (@MagsVisaggs) June 9, 2017
Chaykin and Image responded to the outcry by defending their series and Chaykin himself penned an essay that didn't seem to really respond to issue that infuriated people in the first place:
So instead of "Trigger warnings," "Cultural appropriation," "Safe spaces," and "Social Justice Warriors," maybe we on the left should have put aside all this balkanizing nonsense and been fucking Americans for fuck's sake, instead of allowing this nihilistic shithead to mainstream and legitimize the racist, sexist, bigoted and flat-out moronic sensibilities that have always been there, but were held in check by a common understanding that one doesn't get away with that shit in the United States of America.
Things didn't improve when Image released the cover for the fourth issue of the series, which featured a brown-skinned man hanging from a noose, with a racial slur written on his shirt and his genitals mutilated. This graphic lynching image ignited yet another firestorm of recrimination. This time, Image and Chaykin issued a more apologetic statement, which included this passage:
People have described the cover to DIVIDED STATES #4 as distasteful, and they're right, in that: ALL hate crimes are horrifying, dehumanizing, and distasteful, and the intent of this cover was to challenge people to look at what we as a society have become.
But detractors claim that this cover and the previous depiction of the hate crime against a trans woman are exploiting bleak hatred for shock effect, not an honest examination of the issues. And that position has now been given an eloquent voice in a statement from Ellis, Beagle and McCubbin, creative team for "Moonstruck."
In their statement, the creators state:
There is an obvious pattern here: a pattern of sensationalizing hate crimes, a pattern of using minorities as props meant to shock white/cis people, a pattern of refusing to acknowledge the harm that these depictions do to their respective communities. Violence against trans women is an appalling, widespread, real life epidemic; invoking images of these acts without any reverence or weight or care for real-life individuals who experience this type of violence is unacceptable.
While Chaykin's heart and politics may be in the right place, our current political climate and cultural landscape demand that allies listen and understand minority voices and viewpoints. There may have been a time when including minorities in literally any context may have been seen as cutting edge, but today, trans people are seeing the stories of their traumas used for shock value, rather than as an avenue for empathy. It is necessary for creators to take more nuanced and thoughtful approaches to these stories, and we hope our concerns will be taken to heart.
The creators go on to discuss the corporate culture at Image that led to this controversy, admitting that the Image's attitude of being hands-off and the facilitating unfiltered vision of their creators has led to both Chaykin's series and their own. "Moonstruck" is an all-ages book with LGBTQ characters, as well as characters of color and is created by an all-queer creative team of primary non-male creators. The same attitude that provides one of the most effective and successful homes for unfettered creative freedom in comics also provided the space for Chaykin and his title to, in the view of many, cross the line.
The "Moonstruck" team does more than speak their mind, however. They are also offering, to any Image staff or creators, the opportunity to attend a "Trans 101" seminar that the "Moonstruck" team will pay for themselves. They claim the idea is supported by Image publisher Eric Stephenson and they also assert that Stephenson is seeking out more avenues for cultural competency training for the Image staff. If this offer is followed up on, and if Image takes the "Moonstruck" team's further suggestion to actively try to bring more trans voices and people of color into the Image Comics fold, then maybe "The Divided States of Hysteria" will accomplish something positive after all.
You can read the full statement from the "Moonstruck" team here.


text:
Listen to free music played by Loadmaster
Blip.fm is internet radio made social. It's easy to search for, play, and discover free music recommended by real people. Join today to create your own free station and start listening to @Loadmaster.
Loadmaster @southernlizzie - by request. Dailey and Vincent singing Elizabeth. A Jimmy Fortune song originally done by the Statler Brothers.
Dailey & Vincent – Elizabeth| play
Mar 10, 2012 at 1:34 am via YouTube | AMAZON | ITUNES
What other DJs are saying about Dailey & Vincent - Elizabeth
WDavidStephenson still like the Statlers' version best, but this will do.
Mar 7, 2014 at 1:10 pm via YouTube | AMAZON | ITUNES
Loadmaster @southernlizzie - dedicated to Elizabeth.
Feb 29, 2012 at 1:03 am via YouTube | AMAZON | ITUNES


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Last Update date : 2017.04.10
To update the latest software of Samsung Gear 360 app, follow the steps below.
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text: Pulpo is a Dumbo octopus who made his first appearance in Creatures of the Deep Sea. They called him that because Pulpo is the Spanish word for octopus and since he looked a lot like Aviva's new deep sea vessel she named it after him, the Pulponaut. He showed them his world in the Deep Sea and lead them right to the start of a new underwater food chain.


text:
(a collection of cattle), Herdsmen. The herd was greatly regarded in both the patriarchal and the Mosaic period. The ox was the most precious stock next to horse and mule. The herd yielded the most esteemed sacrifice, (Numbers 7:3; Psalms 69:31; Isaiah 66:3) also flesh meat, and milk, chiefly converted probably, into butter and cheese. (32:14; 2 Samuel 17:29) The agricultural and general usefulness of the ox in ploughing, threshing, and as a beast of burden, (1 Chronicles 12:40; Isaiah 46:1) made a slaughtering of him seem wasteful. Herdsmen, etc., in Egypt were a low, perhaps the lowest, caste; but of the abundance of cattle in Egypt, and of the care there bestowed on them, there is no doubt. (Genesis 47:6,17; Exodus 9:4,20) So the plague of hail was sent to smite especially the cattle, (Psalms 78:48) the firstborn of which also were smitten. (Exodus 12:29) The Israelites departing stipulated for, (Exodus 10:26) and took "much cattle" with them. ch. (Exodus 12:38) Cattle formed thus one of the traditions of the Israelitish nation in its greatest period, and became almost a part of that greatness. The occupation of herdsman was honorable in early times. (Genesis 47:6; 1 Samuel 11:5; 1 Chronicles 27:29; 28:1) Saul himself resumed it in the interval of his cares as king, also Doeg was certainly high in his confidence (1 Samuel 21:7) Pharaoh made some of Joseph's brethren "rulers over his cattle." David's herd-masters were among his chief officers of state. The prophet Amos at first followed this occupation.
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2011 Rockwood Signature Ultra Lite Series M-8314SS Equipment: Prices and Specs
Select 2011 Rockwood Signature Ultra Lite Series M-8314SS Options
Important note for Rockwood
TRAVEL TRAILERS/5TH WHEELS - For Wildwood information after 1996, see Wildwood by Forest River.
Important note for 2011
All models include Convenience Package, carbon monoxide detector and bath roof vent. Windjammer also includes 4 stabilizer jacks, rear ladder and outside grill. Signature Ultra Lite includes 4 stabilizer jacks, hide-a-bed, rear ladder, outside grill and ceiling fan. Ultra Lite includes rear ladder, heated holding taks, day/night shades and chrome look wheel locks. Mity Lite ETC includes outside grill. Mini Lite includes heated mattress and gas oven. Roo includes outside grill, spare tire and carrier, heated mattress and gas oven. Super Lite also includes chrome look wheel covers, day/night shades, heated holding tanks, heated mattress, and rear ladder.


text:
Before Kaelin Clay was seemingly bottled up by Idaho State, he was bottled up on the interstate, driving to Mt. San Antonio College from his home 30-plus miles away in Long Beach, Calif.
From I-405 to I-605 to I-10.
Some days he could do it in 45 minutes. It'd take up to two hours during rush hour.


text:
Pedro and Me: Friendship, Loss, and What I Learned (Paperback)
Friendship, Loss, and What I Learned
Square Fish, 9780805089646, 192pp.
Publication Date: March 31, 2009
Pedro Zamora changed lives.When the HIV-positive AIDS educator appeared on MTV's "The Real World: San Francisco," he taught millions of viewers about being gay and living with AIDS. Pedro's roommate on the show was Judd Winick, who created "Pedro and Me "to honor Pedro Zamora, his friend and teacher and an unforgettable human being. First published in 2000, "Pedro and Me "was a graphic novel pioneer. Its moving portrait of friendship and its urgent message have already reached thousands of people. Now, Pedro's story is reintroduced to today's graphically focused culture with a gorgeous, eye-catching new cover and a foreword from Judd.
About the Author
Praise For Pedro and Me: Friendship, Loss, and What I Learned…
". . . Winick pays tribute to his Real World housemate and friend Pedro Zamora, an AIDS activist who died of the disease . . ." --A Publishers Weekly Best Book of the Year
"The format . . . is enticing, with images that are effusive and alive . . . Engrossing, wise, and impossibly brave." --Kirkus, starred review
"This is an important book for teens and the adults who care about them." --School Library Journal, starred review


text:
Jim's Alien
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Price: $2.03
This novella celebrates the beautiful chaos of life on Earth. It tells the story of Jim, a messy, disorganised average guy. Suddenly ripped from the comfortable rut in which he lives. He is forced through a series of misfortunes to come to terms with the prospect of an existence devoid of mess and disorder. Join Jim as he meets the strange Council Workers presiding of the start, learns the perils of guitar addition in the greater universe and battles the Quanta a force of order creeping though his beautiful messy life. Jim's Alien is for those who appreciate a mix of science fiction, humour and above all enjoy the amazing mess that is our world.
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- May 4, 2014
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Dr. Joseph Fedorchik Jr MD
- General Surgery Bryan, TX
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Dr. Joseph Fedorchik Jr, MD is a Doctor primarily located in Bryan, TX. He has 36 years of experience. His specialties include General Surgery and Thoracic Surgery. Dr. Fedorchik is affiliated with The Physicians Centre, St. Joseph S Hospital and Brazos Valley Physician Ctr. He speaks English.
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Sint Francicus Gasthuis Hospital
Sint Francicus Gasthuis Hospital
De Jong P.H.,Erasmus Medical Center |
Hazes J.M.,Erasmus Medical Center |
Han H.K.,Maasstad Hospital |
Huisman M.,Sint Francicus Gasthuis Hospital |
And 9 more authors.
Annals of the Rheumatic Diseases | Year: 2014
Objectives To compare 1-year clinical efficacy of (1) initial triple disease-modifying antirheumatic drug therapy (iTDT) with initial methotrexate (MTX) monotherapy (iMM) and (2) different glucocorticoid (GC) bridging therapies: oral versus a single intramuscular injection in early rheumatoid arthritis. Methods In a single-blinded randomised clinical trial patients were randomised into three arms: (A) iTDT (methotrexate+sulfasalazine+hydroxychloroquine) with GCs intramuscularly; (B) iTDT with an oral GC tapering scheme and (C) MTX with oral GCs similar to B. Primary outcomes were (1) area under the curve (AUC) of Health Assessment Questionnaire (HAQ) and Disease Activity Score (DAS) and (2) the proportion of patients with radiographic progression. Results 281 patients were randomly assigned to arms A (n=91), B (n=93) or C (n=97). The AUC DAS and HAQ were respectively -2.39 (95% CI -4.77 to -0.00) and -1.67 (95% CI -3.35 to 0.02) lower in patients receiving iTDT than in those receiving iMM. After 3 months, treatment failure occurred less often in the iTDT group, resulting in 40% fewer treatment intensifications. The difference in treatment intensifications between the arms required to maintain the predefined treatment goal remained over time. No differences were seen between the two GC bridging therapies. Respectively 21%, 24% and 23% of patients in arms A, B and C had radiographic progression after 1 year. Patients receiving iTDT had more adjustments of their medication owing to adverse events than those receiving iMM. Conclusions Treatment goals are attained more quickly and maintained with fewer treatment intensifications with iTDT than with iMM. However, no difference in radiographic progression is seen. Both GC bridging therapies are equally effective and, therefore, both can be used.
De Jong P.H.P.,Rotterdam University |
Quax R.A.,Rotterdam University |
Huisman M.,Sint Francicus Gasthuis Hospital |
Gerards A.H.,Vlietland Hospital |
And 6 more authors.
Annals of the Rheumatic Diseases | Year: 2013
Objective To investigate if a glucocorticoid (GC) response at 2 weeks, defined by EULAR response criteria, can predict active disease (Disease Activity Score (DAS)≥2.4) at 3 months. Methods For this study, data of the Treatment in the Rotterdam Early Arthritis Cohort study (tREACH), an ongoing clinical trial that evaluates different induction therapies in early rheumatoid arthritis, were used. We selected patients who had a high probability of progressing to persistent arthritis (≥70% based on the prediction model of Visser). All patients within the highprobability stratum, who had a baseline DAS≥2.2 and a DAS assessment at 2 weeks after randomisation, were included (n=120). Besides GC response at 2 weeks, we investigated which other factors were associated with active disease (DAS≥2.4) after 3 months of diseasemodifying antirheumatic drug (DMARD) treatment. All variables with a p=0.25 were assessed in our logistic regression model with backward selection. Variables were eliminated until all remaining variables had a significant association ( p≤0.05). Results Patients who did not respond to GC bridging therapy at 2 weeks had an overall OR of having active disease at 3 months of 10.29 (95% CI 3.34 to 31.64; p≤0.001) in comparison with responders. The corrected OR was 14.00 (95% CI 3.31 to 59.21; p≤0.001). Our final model predicting response at 3 months included the following variables: gender, GC response, induction therapy arms and baseline DAS, which had an explained variance of 39%. Conclusions GC response at 2 weeks is a useful tool for recognising those patients who will probably have active disease (DAS≥2.4) after 3 months of DMARD treatment.
De Jong P.H.P.,Rotterdam University |
Hazes J.M.,Rotterdam University |
Barendregt P.J.,Maasstad Hospital |
Huisman M.,Sint Francicus Gasthuis Hospital |
And 9 more authors.
Annals of the Rheumatic Diseases | Year: 2013
Objective: To determine the most effective induction disease-modifying antirheumatic drug (DMARD) strategy in early rheumatoid arthritis (RA), second to compare one single dose of intramuscular glucocorticoids (GCs) with daily oral GCs during the induction phase. Methods: The 3-month data of a single-blinded clinical trial in patients with recent-onset arthritis (tREACH) were used. Patients were included who had a high probability (>70%) of progressing to persistent arthritis, based on the prediction model of Visser. Patients were randomised into three induction therapy strategies: (A) combination therapy (methotrexate (MTX) + sulfasalazine + hydroxychloroquine) with GCs intramuscularly; (B) combination therapy with an oral GC tapering scheme and (C) MTX with oral GCs similar to B. A total of 281 patients were randomly assigned to strategy (A) (n=91), (B) (n=93) or (C) (n=97). Results: The Disease Activity Score (DAS) after 3 months was lower in patients receiving initial combination therapy than in those receiving MTX monotherapy (0.39 (0.67 to 0.11, 95% CI)). DAS did not differ between the different GC bridging treatments. After 3 months 50% fewer biological agents were prescribed in the combination therapy groups. Although the proportion of patients with medication adjustments differed significantly between the treatment arms, no differences were seen in these adjustments due to adverse events after stratification for drug. Conclusion: Triple DMARD induction therapy is better than MTX monotherapy in early RA. Furthermore, no differences were seen in medication adjustments due to adverse events after stratification for drug. Intramuscular and oral GCs are equally effective as bridging treatments and both can be used.
de Jong P.H.P.,Erasmus University Rotterdam |
Hazes J.M.W.,Erasmus University Rotterdam |
van Zeben D.,Sint Francicus Gasthuis Hospital |
van der Lubbe P.A.,Vlietland Hospital |
And 5 more authors.
Rheumatology (United Kingdom) | Year: 2012
Objective: To evaluate the therapeutic and economic consequences of various disease activity indices (DAIs) in RA according to 1987 and 2010 criteria. Methods: Data on disease activity states from all sustained visits were assessed from all patients who participate in the treatment in the Rotterdam Early Arthritis Cohort (tREACH) study, a stratified randomized trial to evaluate different treatment strategies in patients with a symptom duration of <1 year. Frequencies of treatment adaptations, based upon exclusive thresholds of various DAIs, were visualized in reclassification tables. The Stuart-Maxwell test was applied to analyse any significant differences between treatment decisions according to the different DAIs. Simulated annual median medication costs were estimated using the tREACH medication protocol with standard national costs.Results. DAIs perform similar in RA according to 1987 and 2010 criteria. A total of 1104 DASs per DAI were available from 296 patients. DAIs differ significantly, compared with DASs, in classifying a patient's disease state. Consequently, treatment intensifications occur more frequently with SDAI, CDAI and DAS-28 usage, compared with DAS. Tapering treatment occurs less frequently with SDAI and CDAI and more frequently with DAS-28 usage. Simulated annual median medication costs are significantly higher if DAS-28, SDAI and CDAI are used compared with DAS usage.Conclusion. Usage of various DAIs in a single patient leads to inconsistent disease state categorizations. Consequently, these inconsistencies significantly influence therapeutic decisions and accompanying costs. As DAI usage is imperative to uphold current European League Against Rheumatology (EULAR) treatment recommendations, physicians should consider these therapeutic and economic consequences before choosing a particular DAI. © The Author 2012. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved.
PubMed | Sint Francicus Gasthuis Hospital, Albert Schweitzer Hospital, Erasmus University, Maasstad Hospital and 4 more.
Type: Journal Article | Journal: Rheumatology (Oxford, England) | Year: 2016
To evaluate direct and indirect costs per quality adjusted life year (QALY) for different initial treatment strategies in very early RA.The 1-year data of the treatment in the Rotterdam Early Arthritis Cohort trial were used. Patients with a high probability (>70%) according to their likelihood of progressing to persistent arthritis, based on the prediction model of Visser, were randomized into one of following initial treatment strategies: (A) initial triple DMARD therapy (iTDT) with glucocorticoids (GCs) intramuscular (n = 91); (B) iTDT with an oral GC tapering scheme (n = 93); and (C) initial MTX monotherapy (iMM) with GCs similar to B (n = 97). Data on QALYs, measured with the Dutch EuroQol, and direct and indirect cost were used. Direct costs are costs of treatment and medical consumption, whereas indirect costs are costs due to loss of productivity.Average QALYs (sd) for A, B and C were, respectively, 0.75 (0.12), 0.75 (0.10) and 0.73 (0.13) for Dutch EuroQol. Highest total costs per QALY (sd) were, respectively, 12748 (18767), 10 380 (15 608) and 17 408 (21 828) for strategy A, B and C (P = 0.012, B vs C). Direct as well as indirect costs were higher with iMM (strategy C) compared with iTDT (strategy B). Higher direct costs were due to 40% more biologic usage over time. Higher indirect costs, on the other hand, were caused by more long-term sickness and reduction in contract hours. iTDT was >95% cost-effective across all willingness-to-pay thresholds compared with iMM.iTDT was more cost-effective and had better worker productivity compared with iMM.


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A B-17's tail wheel casts a shadow on the dawn tarmac.
This image was taken on Sunday, Sep 20, 2009; and was posted on Sunday, Sep 20, 2009 at 16:55 by Jason Franke. All rights are reserved.
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Posted by Jonathan GERBAUD in Entertainment | March 13, 2015 | 11 Comments
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The Works of Mary Wollstonecraft, Volume 6
Mary Wollstonecraft, Janet Todd, Marilyn Butler
New York University Press, 1989 - Health & Fitness - 464 pages
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USA Flag Boys FleecePullover Hoodie
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Me "Hello my good friend google. What is it called when you bedazzle your vagina?"
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Google goes on to tell me how if it had a vagina it would totally be Vajzzling. After all, google was all over that when it first came out. (Google has a big ego, it thinks it knows everything first. If you're keeping up with the Jones', you're really keeping up with google…shhh don't tell. I only know because I got google drunk last week and it let the secret slip.)
Anyhow, I put google in check and said let me see some vajazzled ladies. *wink wink* show me the skin google. So here I sit, looking at vajazzled vaginas! (I call that one sprinkles) haha.
Just when I think my relationship with google couldn't get any stranger, it throws in a whole new world of glittering your junk. Yes ladies, your man can now bling out his Penis. That's right stick and balls, all. Needless to say, I had to question google.
"Oh google, what do you call it when you bedazzle your dick?"
"Oh, honey!" Neil Patrick Harris….(I think he's using his magician and ninja skills to channel in through google.) goes into a fit because I must live under a rock. "Everyone knows that bedazzling your dick is called pejazzling."
"Fine Neil, I'm clearly behind. Stop the drama queen tantrum and show me some blinged out cocks." Of course, he gladly agreed. Apparently he's in search of a new style to use for his boo. (I call this one shaft of mirrors…. With a surprise.) Haha
Oh dear bob, how did I end up here? Looking at blinged out vaginas and dicks? I blame Neil, but hey, since he brought it up…we should talk about it right? I think we own him that much for all the laughs in the Harold and kumar movies, as well as How I Met your mother….and we'll I could go on.
Here's my thoughts on the vajazzle/pejazzle fade.
1. What in the hell is wrong with people? Lady, your vagina looks like a Pinterest craft gone wrong. Get that crap off and move on.
2. If you have to put cheap bling on your private parts to make someone what it….you might just want to put it away. Spare yourself the trouble of picking jewels out your crack.
3. How do you go to the bathroom? (If you looked at the pictures I linked to, you'd be saying the same thing.)
4. How many of those little jewels travel up stream? Are you peeing them out like stones…for days?
5. Doesn't that just get annoying rubbing around all day? I mean, if you're going to spend all that time putting it on….it would only make since to make a day out of it. Lets be realistic here people, none of this makes sense. I would love to see a mom get up, throw her vag jewels on and then go about the day.
HA!! I'm lucky to get a shower in with the three I have. I often shave my legs with an audience. Yeah, that would be great. Sitting on the toilet, one leg on the counter, one on the wall….strategically turning my vagina into a flower. When BAM, the bathroom door fly's open and I fall to the floor in a panic. As questions are then quickly fired at me. Horrible questions like "mom, can I do that?" "Mom, do mine." Omg…I almost threw up.
After the emergency therapy trip for my kids….and myself, I'll return home to do the daily chores. Okay, so kids tootle off to bed and I'm faced with what's left over after a long day. Personally, I imagine this to look like a shiny case of herpes, you know, if herpes were shiny cheap jewels that venture where no jewel has ever gone before. If that image isn't enough to make you run then the thought of picking little jewels out of your vagina should be.
6. If your vagina looks like a busted piñata, no one is going to touch it…no, hoe, not even with a ten foot pole. Wipe the confetti off and move on…oh my bob, girl is that a tootsie roll in your snatch? You really were planning on a fiesta.
7. Men, I know ladies love them some Twilight. I realize you want to get in on the sparkly vampire love feast that is Edward Colin, but dipping your penis in a bag of jewels is not the way. If you show up at our doors and pull out captain winky in a glitter suit…we're going to laugh, shut the door and tell all your friends. Remember that….write it down, save yourself the shame.
8. If it slows sex down its not worth it, just skip that crap.
9. Isn't this a choking hazard and a possible risk of someone vomiting on your down stairs? Sure, it was pretty for a minute, made them want to get their face all up in you, and it was all fun and games….until they choked and puked in your vagina….I'm just saying. Is it worth the risk? I think not.
10. Just grow some balls and pierce something, stop gluing things to your body like a 4yr old, there's some things you should just give up.


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Bran Flax Muffins
1 1/2 cups Unbleached White Flour (I used whole wheat flour instead)
3/4 cup Bob's Red Mill Flaxseed Meal
3/4 cup Oat Bran
1 cup Brown Sugar
2 tsp Baking Soda
1/2 tsp Salt
2 tsp Cinnamon
1 1/2 cups Carrots, shredded
2 Apples, peeled and shredded
1/2 cup Raisins -optional (I used em)
1 cup nuts, chopped. (I used walnuts, and only about 1/4 cup)
3/4 cup Milk
2 Eggs, beaten
1 tsp Vanilla
Mix together flour, Bob's Red Mill Flaxseed Meal, oat bran, brown sugar, baking soda, baking powder, salt and cinnamon in a large bowl. Stir in carrots, apples, rasins, and nuts. Combine milk, beaten eggs and vanilla. pour liquid ingredients into dry ingredients. Stir until ingredients are moistenend. Do not over mix. Fill muffin cups 3/4 full. Bake at 350 degrees F for 15-20 minutes. Yields 15 medium muffins.
(I did use liners in my pan, and I cooked them for the full 20 minutes because they were quite mushy otherwise. I ended up with 19 muffins. So, so good!!


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14417 Manchester Rd
Manchester, MO 63011-4044
Sales: (636) 227-5454
New Price! Priced below KBB Fair Purchase Price! CARFAX One-Owner. Heated Seats, Rear View Camera, Sunroof/Moonroof, AWD, Navigation System. Black Sapphire Metallic 2014 BMW X5 xDrive35i Sport Activity AWD 8-Speed Automatic 3.0L I6 DOHC 24V TwinPower Turbo Odometer is 21754 miles below market average! 27/18 Highway/City MPG Whether you are interested in learning more about our team or are ready to begin shopping with us, we invite you to visit our showroom today. Conveniently located on Manchester Road just west of Hwy 141 in Manchester, MO, our team looks forward to helping you experience new levels of affordable luxury. *See dealer for details. **Note: All sale prices and discounts listed above, include all available factory incentives, discounts and rebates. These are subject to change at any time. Reviews: * Potent and efficient engines luxurious and comfortable interior huge list of features steadfast high-speed stability. Source: Edmunds * From its sleek lines to its sporty athletic stance the BMW X5 demands attention. The X5's aggressive air intakes direct more air to the engine for increased power, centrally positioned fog lights and Xenon Adaptive Headlights with LED Daytime Running Lights distinguish the vehicle's front facia. A matte aluminum finish along with front and rear underside protective cladding, allow the X5 to navigate unpaved roads as easily as tarmac. The long wheelbase and short overhangs at the front and rear, muscular hood and square-shape flared wheel arches, contoured flanks and L-shape rear taillights featuring LED technology all add to the design. An elevated seating position offers a commanding view of the road. With the addition of sumptuous interior materials, the X5 truly becomes a sanctuary of unrivaled comfort and taste. Personalize your X5 with upholstery available in a wide range of colors as well as fine wood trims. Lower the split-folding rear seats to create up to 66cu. ft. of cargo space or, when equipped with third-row seats for two, the driver can share the journey with up to six passengers. Other features include available panoramic glass moonroof and rear seat DVD player with 8 inch screen. With a single twin-scroll turbocharger the xDrive35i will perform 300hp and 300 lb-ft of torque. Generating 413lb. ft. of torque with 255hp, an inline-six Advanced Diesel engine is available on the xDrive35d. A 4.8L V-8 engine yields 4
14417 Manchester Rd
Manchester, MO 63011-4044
(0 Miles)
Sales: (636) 227-5454
Year: 2014
Make: BMW
Model: X5 xDrive35i
Price: $39,360
Mileage: 19,425
Engine: I-6 cyl
Exterior Color: Black Sapphire Metallic
Interior Color: Ivory White/Blk Dakota Leather
Fuel Type: Other
Stock #: T0488-0
City MPG: 18
Hwy MPG: 27
Featured Options
Chrome Line Exterior
Roof rails black
Rear view camera
Fineline Oak Wood Trim
BMW Apps - iOS and Android
Enhanced B/T and Smartphone In
Additional Options
Chrome Line Exterior
Roof rails black
Rear view camera
Fineline Oak Wood Trim
BMW Apps - iOS and Android
Enhanced B/T and Smartphone In
CO2 relevant vehicles
Power adj. steering column
Tire pressure monitor
Universal garage-door opener
Privacy glass
Floor mats
Auto-dimming mirrors
Smoker's package
Lumbar support
Storage package
Heated front seats
Blow-by heater
Automatic PDC
Automatic climate control
Ambient Lighting
Additional 12-V power sockets
LED Fog Lights
Navigation system w/ touchpad
Hi-fi sound system
Satellite radio preparation
DVD Area coding, North America
BMW Assist eCall
BMW TeleServices
BMW Online and BMW Apps
Advanced RTTI
Remote Services
Oil Chg 10,000 mls/12 months
Variable Light Decoding
Daytime driving lights
Transport protection


text:
|GHL Home Key Personnel GHL Projects Contact GHL
GHL Consultants
Transit Shed Apron, Pier 66, Port of Seattle
GHL Consultants prepares contract drawings and specifications for transportation projects including bridges and tunnels, water-front structures and commercial and industrial buildings. Recent projects include, the design of aerial structures for Sound Transits Link Rail and the structural design of 40,000 square feet of pile-supported concrete dock for the Transit Apron as part of the Port of Seattle's Central Waterfront Project at Pier 66.
GHL Consultants is registered as project engineers in the states of Alaska and Washington, and as structural engineers in Washington and Arizona. GHL Consultants' founder and principal, Mr. Girma Haile-Leul, is a registered Civil and Structural Engineer in the states of Washington, Alaska, and Arizona. He has also served as a member of the Structural Engineers Licensing Examination Committee for the states of Washington and Oregon. GHL Consultants is an MBE and DBE firm certified in the State of Washington.


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Line By John + Jenn Jocelyn Sleeveless Knit Bodycon Dress in Pristine Size S
Knit Bodycon dresses are perfect for endless nights out on the town. Slip into this number and you will be unstoppable.
- Fabric: 75% Rayon, 15% Nylon, 10% Spandex
- Color: Black, White
- Sleeve Length: Sleeveless
- Neckline: Scoop
- Knit
- Closure: Extended Back Zipper
- Made In China
- Handwash Cold
Currently there are no reviews available for this product. Be the first to write a review.


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Manchester Court
1358 Manchester Dr NE Conyers GA 30012
for a local advisor
(16)Add a review
Our dedicated staff are well-trained and knowledgeable about the behaviors and needs of those with Alzheimer's and related forms of dementia. We meet each resident in the moment, engaging them and guiding them gently through the day, minimizing the stress of memory loss. The days include mental and physical workouts, daily life skills practice and life-enriching activities that give our residents a sense of self and encourage socialization. We assist with daily living activities such as dressing and medication management, while honoring choice and individuality and promoting independence for as long as possible.
In addition to peace of mind and a comforting environment in our pet-friendly community, we offer many services and amenities, including:
- Three meals a day in our dining room, with eating assistance and consistent seating
- Atrium, butterfly and hummingbird gardens, raised garden plots and an outside patio garden
- Beauty salon and barber shop
- TV lounge, bistro, arts and crafts center, computer room, fitness center and library
At Bristol Village, our residents have a safe and secure place to live, surrounded by a loving and compassionate community.
We value your privacy. By clicking you agree to the terms and conditions of our privacy policy. You also consent that we can reach out to you using a phone system that can auto-dial numbers (we miss rotary telephones, too!). Your consent is not required to use our service.
Or Call: 866-465-5993
*Prices quoted are monthly rental charges and are provided by the communities themselves. Actual prices may differ due to one-time fees, timing and care services required. Speak with your Senior Living Advisor to learn more.
Very nice, well-kept small community. Everyone we met was very friendly. This community was very close to our home and just what we were looking for in a new home for my mother.
Too big!
When we toured the Bristol Village, we thought it was very nice but we were looking for something more home-like. This place was too big and my loved one would not be getting the individual attention we wanted....
I fell in love!
This place has been awesome. I was stressed and needed to find my sister a good place very fast and Matthew [Removed] was excellent. He invited us in and was very helpful and a delight to work with. The staff...See all 16 community reviews
Community Details
Housing Types Provided
The features and amenities that are displayed on this page contain marketing information provided by the community. A Place for Mom has not confirmed the completeness of the provided information, and cannot guarantee its accuracy.
To conduct a complete investigation, seniors and their families should:
- Tour any listed location to confirm the accuracy of the community description;
- Confirm that the community offers services that are required for the senior's specific needs and budget; and
- Check additional licensing and state audit information.
If you become aware of any information that should be updated or noted, please contact A Place for Mom.


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We are less than a month away from the premiere of Star Wars' upcoming movie, "Rogue One: A star Wars Story" which is highly awaited by fans worldwide. This film has built a momentum of excitement that has not been experienced since last year's movie, "The Force Awakens." As the first standalone film feature of Star Wars, Rogue One is an exciting turn from the routine production and storyline that fans of Star Wars are accustomed, but equally, a must watch owing to its originality and relevance.
It is interesting that the movie's trailer has already awakened such a great interest and enthusiasm for the premier. The director of the film has been particularly creative and loyal to the originality of the Star Wars plot and its deep capacity to entertain. To date, this is the primary reason that has given many film enthusiasts a baited breath as they await the release of Rogue One.
The ability of Gareth Edward to differentiate Rogue One from the past Star Wars collection of films is a great strength which comes with the introduction of rebels fighting Stormtroopers in an exotic tropical habitat and forming unlikely alliances. This has never been seen before in Star Wars movies, which is a new bait to make you eager to watch Rogue One. In addition, Rogue One has boldly diverted from the tradition of Star Wars movies use of the Signature Star Wars text crawl which is a major shift that is bound to introduce a new dimension of suspense and thrill in the Star Wars universe.
Candidly, this film is quite promising and it might rank better than the previous Star Wars film ever released. The synopsis of the movie asserts that is an all-new epic adventure during a time of conflict in which unlikely heroes team up on a mission to steal the plans of the Death Star. It also explicates that this event takes place in such a way it makes it possible for ordinary people to come together and choose the course of doing extraordinary things which make them part of something of greater significance than themselves.
The opening of the film is such an intrigue as rebel heroes steal secret plans and make Rogue One and original and a relaxed film that does not feel forced by any measure. This ingenuity makes Rogue One appealing to the pop culture which most Star Wars fans will easily identify with as they can spot the familiarity of this film to past Star wars films. This aspect by itself has a great influence and "push" on people to watch Rogue One although it is not directly comparable to other Star Wars films.
Perhaps, the most captivating drive for most people who await the release of the Rogue One full movie is that it offers a completely new and enthralling set of characters although they are derived from the existing cast of the Star Wars universe. Check out the trailer below:


text:
Run a free scan to identify all PC issues related to emboleobj.dll and affecting PC performance.
Emboleobj.dll is developed by Sun Microsystems, Inc.. Emboleobj.dll is usually located in the %PROGRAM_FILES% sub-folder and its usual size is 194,560 bytes.
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We also recommend optimizing your computer.
Author: Sun Microsystems, Inc.Common path(s): subfolder in %PROGRAM_FILES%Filesize(s): 194,560 bytes
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17850 N 68TH Street #3178, Phoenix, Arizona
$449,9642 Beds2 BathsActive
$449,9642 Beds2 BathsActive
17850 N 68TH Street #3178, Phoenix, Arizona 85054 - Enjoy the lock and leave lifestyle of single level condominium living at Monterey Ridge! Walking distance or a short drive to the area's finest restaurants and shopping. The community is gated and features a community swimming pool, spa, Ramada's, and BBQ's. An elevator in each 9 plex building provides easy access from the 2-car garage to your front door!
Listing Courtesy of Cachet Development, Inc.


text:
Growing Calendar for Petunia Duo Mix - Seeds
- Jan
- Feb
- Mar
- Apr
- May
- Jun
- Jul
- Aug
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Delivery: 5-7 Working Days
This brilliant blend of striped, veined, bicolours and solid colours is ideal in patio containers and summer bedding schemes.
The semi and fully double blooms continue to look good even late in the season, when some other petunias become stretched.
This is really rewarding as you get tons of potential plants for great value. You can keep seeds for a long time- even buying them out of season and waiting until the appropriate time of year. Read our guide on how to get successful flowers from seed.
Our products are all grown with the utmost care and to high standards of quality. We regularly check our nursery stock to determine exactly when they will be at the optimum time for despatch.
We despatch our fresh, nursery-grown live plants (including vegetables, trees and flowers) when they are at a stage of growth ready for you, the customer, to plant on at home.
The delivery period shown on your order confirmation indicates when you can expect to receive your order and we will endeavour to despatch your plants in this period within 7-14 days
Tulip Johann Strauss - Tulip Bulbs
A superb dwarf variety. ... More
Pack Quantity: 12 Bulbs
Tulip Bulbs - Tulipa Menton Exotic
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Pack Quantity: 12x Tulip Bulbs
Tulip Eternal Flame - Tulip Bulbs
Variegated foliage ... More
Pack Quantity: 12x Tulip Bulbs
Snow white blooms ... More
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Pansy Seeds - Big Softies Mix F1
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text:
reading and writing
facilitating memoirs
our transformations
Wendy 2016
I'm palm over pages in love with memoir reading and writing.
Over on my other blog I've shared an author interview I was blessed and honored to have with one of my favorite Canadian writers of memoir. I've purchased, read, and reviewed both of her books: A Good Home and An Honest House . They are 5-star from-the-heart reads.
Have you read any inspirational memoirs you'd like to recommend?
Inspired Blessings ~ Wendy
Here's the link if you'd like to learn more about Cynthia Reyes ( I even asked her about her first date with her husband) :
Be sure to check out her blog if you haven't already. I've included a link to it at the end of the linked post. She also writes from the heart on her blog.
Praise be to the…Father of compassion…
who comforts us in all our troubles,
so that we can comfort those in any trouble
with the comfort we ourselves have received from God.
2 Corinthian 1:3-4 NIV
Sharing our stories multiplies the blessings of all we have learned. #memoir #faith Click To Tweet
Reading and writing memoirs facilitates our healing transformations. #memoir #faith Click To Tweet


text:
- 22-Aug-2017 to 30-Oct-2017 (EST)
- Finance
- Saginaw, MI, USA
- Starting at $13.34
- Hourly
- Casual
Title: Billing Clerk FLSA: Non-Exempt
Department: Patient Accounting
Schedule: Monday - Friday Day Shift - 20 hours per week.
Rate of Pay: Based of experience level starting at $13.34/hour
Position Summary: The Billing Clerk researches and analyzes information for each patient to ensure that accurate and timely billing requirements are met. This position reports to the Patient Accounting Supervisor.
Key Duties and Responsibilities:
• Verifies, monitors, and corrects third party payor documentation received with regards to benefits, eligibility and limitations. Analyzes admitting information, gathers all appropriate data and inputs into computer system. Monitors data necessary for re-billing, including, but not limited to:
o Research rejection problems
o Notifies interdepartmental personnel for additional medical documentation, recognizes medical terminology, diagnosis and computer codes
o Collects and disseminates the data for re-billing
o Reviews Aged A/R and Unbilled Reports monthly and rebills accounts as necessary
• Verifies and reviews the computer generated billing reports.
• Documents number of approved days and authorization numbers mandatory for payment.
• Processes billings for all inpatient, outpatient, and discharged patients.
• Performs billing duties for Long Term Care patients with all insurance carriers.
• Reviews and enters all Long Term Care patient pay amounts.
• Tracks and submits all MDS forms necessary, in the proper order for SNF patients.
• Verifies Medicaid continued stay eligibility for Extended Care patients.
• Updates patient's accounts when insurance coverage changes occur during billing cycle and reports insurance limitations, cancellations, or exhaustion to Patient Accounting Supervisor and applicable departments.
• Analyzes and interprets inpatient and outpatient payment vouchers for payments, pends, and rejections. Resubmits corrected billing within required time limits and notifies the Patient Accounting Supervisor of any trends in rejections, denials, or underpayments.
• Reviews insurance payment vouchers for correct reimbursement amounts. Allowances the difference between billed amount and contractual/negotiated payments received.
• Enters insurance, patient information, and billings, and determines patient's benefits and eligibility.
• Communicates on a daily basis with third party payors, patients and/or responsible parties, and other facility departments in regards to billing problems/inquiries.
• Other duties as assigned.
• Minimum of a High school diploma or equivalent.
• Basic knowledge of accounting principles and medical terminology generally acquired through 6 to 12 months of college/business curriculum.
• Minimum of one year prior experience in a hospital, Long Term Care, or physician's office billing department preferred.
• Familiarity with applicable regulatory agency requirements, such as The Joint Commission, Michigan Mental Health Code, Center for Medicare and Medicaid Services, Community Mental Health agencies is preferred.
• Solid working knowledge of computer applications (i.e. Microsoft applications and E-mail) and office equipment (i.e. copier, calculator, and facsimile).
• Exceptional customer service to interact with a wide variety of internal and external customers.
• Operate independently and perform work quickly and accurately.
• Must be able to handle confidential assignments and maintain a good working relationship with coworkers.
• Maintain confidentiality in accordance with HIPAA regulations.
• Communicate effectively orally and in writing.
• Work within specified timeframes and meet deadlines.
• Strong ability to prioritize, organize, and follow through on work assignments.
• Analyze data or information, including knowledge of mathematics.
Apply Now
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Strategic Real Estate Coach does not belong to any Nations, yet.
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