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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 67-year-old woman is transferred to the cardiothoracic intensive care unit (ICU) after undergoing repair of an abdominal aortic aneurysm. She has a 12-year history of type 2 diabetes mellitus.
Her blood glucose level on arrival at the ICU is 289 mg/dL (16.0 mmol/L). Although no longer on a cardiopulmonary bypass pump, she remains intubated and on vasopressors.
Which of the following is the best treatment to control her blood glucose level during her ICU stay?
A. Insulin glargine, once daily
B. Intravenous insulin infusion
C. Neutral protamine Hagedorn (NPH) insulin, twice daily
D. Regular insulin administered on a sliding scale
MKSAP Answer and Critique
The correct answer is B. Intravenous insulin infusion. This item is available to MKSAP 15 subscribers as item 40 in the Endocrinology section. Part A of MKSAP 16 was released on July 31. More information is available online.
The intensive control of glucose levels in hospitalized patients during critical illness has garnered substantial attention over the past decade. Several randomized clinical trials have shown a benefit to patient morbidity and mortality with stringent glycemic control. Whereas the precise target remains controversial, the bulk of the data suggests that treating to achieve glucose levels between 140 and 180 mg/dL (7.8 and 10.0 mmol/L) may be optimal. In the setting of an ICU, this is best and most safely achieved through the use of intravenous insulin. Intravenous delivery of insulin allows for more rapid titration and does not rely on subcutaneus absorption, which may be diminished or delayed in patients with cardiogenic shock or other critical illnesses associated with poor peripheral circulation.
If it appears that ongoing insulin is required once this patient is ready for transfer to a general ward, she should be transitioned to an injectable regimen involving long- or intermediate-acting and rapid-acting insulins. Oral agents can be restarted before discharge as long as renal function is normal and no contraindications exist.
Insulin glargine, the dosage of which is typically adjusted every 2 to 3 days until optimal glycemic control is achieved, cannot quickly guarantee adequate control during the 1 to 2 days that this patient is likely to be in the ICU. For similar reasons, using neutral protamine Hagedorn (NPH) insulin twice daily is unlikely to be the best treatment.
Although the dosage of regular insulin can be adjusted more frequently when administered on a sliding scale, this approach to glycemic control is considered inadequate because insulin is provided only when hyperglycemia becomes established. This method is not proactive enough to result in acceptable glycemic control during an ICU stay.
Key Point
- Intensive glycemic control is best achieved in the intensive care unit with an intravenous insulin infusion.
Learn more about ACP's MKSAP 16.
This content is excerpted from MKSAP 15 with permission from the American College of Physicians (ACP). Use is restricted in the same manner as that defined in the MKSAP 15 Digital license agreement. This material should never be used as a substitute for clinical judgment and does not represent an official position of ACP. All content is licensed to KevinMD.com on an "AS IS" basis without any warranty of any nature. The publisher, ACP, shall not be liable for any damage or loss of any kind arising out of or resulting from use of content, regardless of whether such liability is based in tort, contract or otherwise.


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Jean-Pierre Jeunet's whimsical rom-com Amélie - a global hit on its release in 2001 - is to be reinvented as a Broadway musical.
But one of the French film's key elements, Yann Tiersen's joyous and hypnotic soundtrack, will not accompany the romantic tale as it heads to the stage.
Dan Messé of indie group Hem has been commissioned to adapt the film, along with playwright Craig Lucas and lyricist Nathan Tysen.
Messé is self-admittedly "not a fan of modern musicals" but admitted to Paste magazine: "It's like one of the best movie scores there is. It's one of the reasons why I love the film.
"But, it's not what I do. [Tiersen's] a very different sort of composer than I am. And I'm not interested in doing Parisian music. I don't think I'm even going to use accordion in my score."
Here's the trailer for the original film:

subset: commoncrawl


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Pat Moore & Stevie Bell, alongside The Youngblood crew of Cameron Pierce, Niko Cioffi, Niki Korpela, Austen Sweetin, and Ethan Morgan, spent a few weeks in Mammoth filming on all sorts of different features. Some shots made their way into FOREVER while some, well, didn't. Not to be thrown to the pits of video-Hell for all eternity, they have found salvation here on TWS. Enjoy.
FOREVER is Forum's sixth team-video release, and is now available on DVD and in the iTunes Store HERE
(US iTunes only)
Forum Fridays comes to you as an extension of Forum's most recent team-inspired snowboarding release, FOREVER. While the footage is admirable, it was dropped on the cutting room floor, but swept back up for your visual indulgence.


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This is a stunning combo from the house of Sharnam Art. Its fine cuts and unique design makes this piece of jewellery worth owning. You can team it up with a traditional dress for the next special occasion. The trust of our clients and patrons is the real essence of our esteemed organization, which inspires us to create ''better than the best'' jewellery for women. Serving the needs of our customers, Sharnam Art is engaged as eminent manufacturer, exporter and importer of the products like earrings, bracelets, necklaces, bangles, junk jewellery, polki jewellery, bridal jewellery, pearl jewellery, stone jewellery, Italian jewellery, kundan jewellery, fashion jewellery, imported jewellery, traditional jewellery, imitation jewellery, handcrafted jewellery, women clothing, fashionable accessories etc. Disclaimer: The product colour may differ from the colour shown in the image.
The images represent actual product though color of the image and product may slightly differ.


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Sports roundup: Oct. 25
Agate Pigskin
The Agates finished their regular season at home with a 21-7 victory over the Deer River Warriors to finish up with a record of 5-3. Three different Agates crossed the goal line to give the Agates six points. This happened after Jesse Miller returned the opening kickoff 85 yards for a Warrior touchdown, which would also be the last points the Warriors would score.
Lucas Kempffer ran in from 16 yards out to tie the game at seven before the first quarter concluded. With less than a minute left in the first half, Kyle Omtvedt hit pay dirt from four yards out to give the Agates a 14-7 lead at the half, after Kyle Linn ran for the two point conversion. Mike Nordean raced in from 32 yards away in the third quarter and a kick by Eli Hebl concluded the game's scoring.
Linn rushed for 126 yards on 24 carries to lead the Agate ground attack which totaled 354 yards. Kempffer added 98 yards on 19 carries. Kempffer led the defense with 11 tackles followed by Tim Bott with seven and Lane Cavallin, Nick Torgerson and Nick Osbakken each with four. The Agates received the No.4 seed in Section 7AAA and hosted the No.5 International Falls Broncos on Tuesday. The Agates beat the Broncos 30-28 earlier this season at the Falls.
Cross Country
The Cook County/Two Harbors cross country team traveled to Proctor for its final regular season meet under wet, windy and cold conditions. It was the varsity team's last chance to gain a spot on the section meet team. All the teams from Section 7A minus the Iron Range Conference schools, along with four teams from Section 5 and Duluth Denfeld and East participated.
Ten girls ran in the combined varsity/JV 2.5 mile race. Senior Audrey Summers led the way placing 18th overall and 10th among Class A runners, which earned her a medal with a time of 17:25. Eighth-grader Maya McHugh medaled with a 15th place finish and a time of 17:39. Freshman Alyssa Martinson was 30th at 18:12, Abigale Seipke of Two Harbors came in 35th at 18:31. Matea Acero was 48th and Ruby Walsberg came in at 19:54.The team finished fourth behind South Ridge, Esko and Crosby-Ironton.
A dozen boys ran among 260 runners in the combined varsity/JV five-kilometer meet. Senior Joey Chmelik led the way finishing 22nd overall and 13th in class, which was good for a medal with a time of 18:40. Sean MacDonnell was 31st with a time of 19:35 and eighth-grader Jake Peron of the Agates came in 40th at 20:01.Pete Summers came at 52nd in 20:32 and Owen Cruikshank of Two Harbors finished at 22:11.The boys finished fifth overall and fourth among the A schools.
The JV team finished fifth in the JV standings. Nate Carlson came at 21:29, Finn Garry at 21:39, Rusty Day at 22:11 and Roman Schronbich at 23:02. Everett Hommes and Drew Christensen finished at 22:05 and 22:20.
The section meet was held yesterday for both the boys and girls at the Cloquet Country Club.
Silver Bay drew a No.10 seed in the Section 7A playoffs and played at No.7 Floodwood on Monday. The winner of that match took on No.2 South Ridge on Wednesday.
The Agates drew a No.8 seed in Section 7AA and played at number one Hermantown on Wednesday. The winner of that plays the winner of Virginia-International Falls today at Duluth Denfeld.
The Section 7A swimming meet will be at Duluth Denfeld on Nov. 7-9.


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Thank you Jan - Dianemccambridge - Mandy.Such nice and kind comments! I'm very happy that you all enjoyed this experiment - and I will experiement more. The "rainbow thing" seems very promising and versatile - so be prepared for more to come :-)))PJ
LOL PJ, have you been on the Smarties!!!! I love the rainbow colours :~)
Challenging and fun.Keep up the good work.
I have no idea how to describe this other than WOW! Great and colorful fun! Keep on experimenting! LOL Thanks, PJ!3:23


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I left New Zealand mid-2003, bound for Istanbul and a new lif. After two years, a Belgian guy lured me into his world, deep in the heart of Europe. For a long time I was an in-process immigrant. One day we married. These days it's about photography, a little red wine and wandering ... and so the journey goes.
Sunday, August 17, 2008
The Exhibition ...
Peter Niviozarlenga, borrowed from swirlygirl.
I picked up the exhibition posters and smaller fliers today.
The invitations arrive next week.
I pulled one of the A3 posters from the pile and hung it up on my noticeboard, just to remind it's all real and happening.
We're on track for setting up 3 September.
Gert has been managing all of the serious work, making a fabulous job of things like the press kit information and etc ...
Next week I commit to having the 15 photographs printed.
3 comments:
Oh don't I wish I could be there on opening night to ooh and aah and talk a bit too loudly about how fabulous your work is.
- Sunday, 17 August, 2008
- Di Mackey said...
Oh, don't I wish it too! Not the loud talking but just the fun of having you there, the creature who always believed that I could xx
- Sunday, 17 August, 2008
- Peter said...
Di, I'm so excited you've finally reached this point in your career!
I'm obviously dying to watch it all happen live: any chance of getting an invitation?
I'm not trying to gate-crash, it's just a polite request ;-)
- Tuesday, 19 August, 2008


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To open a client connection, you use the CIMClient class to connect to the CIM Object Manager. The CIMClient class takes four arguments:
name – Required. An instance of a CIMNameSpace object that contains the name of the host and the namespace used for the client connection. The default value is root\cimv2 on the local host. The local host is the same host in which the client application is running. Once the client is connected to the CIMOM, all subsequent CIMClient operations occur within the specified namespace.
principal – Required. An instance of a UserPrincipal object that contains the name of a valid Solaris user account. The CIMOM checks the access privileges for the user name to determine the type of access that is allowed to CIM objects.
credential – Required. An instance of a PasswordCredential object that contains a valid password for the UserPrincipal Solaris account.
protocol – Optional (string). Protocol that is used for sending messages to the CIMOM. Possible values are RMI, which is the default value, or HTTP.
In this example, the application connects to the CIM Object Manager running on the local host in the default namespace. The application creates a UserPrincipal object for the root account, which has read and write access to all CIM objects in the default namespace.
{ ... /* Create a namespace object initialized with two null strings that specify the default host (the local host) and the default namespace (root\cimv2).*/ CIMNameSpace cns = new CIMNameSpace("", ""); UserPrincipal up = new UserPrincipal("root"); PasswordCredential pc = new PasswordCredential("root-password"); /* Connect to the namespace as root with the root password. */ CIMClient cc = new CIMClient(cns, up, pc); ... }
In this example, the application first creates an instance of a CIMNameSpace, UserPrincipal, and PasswordCredential object. Then, the application uses the CIMClient class to pass the host name, namespace, user name, and password credential in order to create a connection to the CIMOM.
{ ... /* Create a namespace object initialized with A (name of namespace) on host happy.*/ CIMNameSpace cns = new CIMNameSpace("happy", "A"); UserPrincipal up = new UserPrincipal("Mary"); PasswordCredential pc = new PasswordCredential("marys-password"); CIMClient cc = new CIMClient(cns, up, pc); ... }
You use the SolarisUserPrincipal and SolarisPasswordCredential classes to authenticate a user's role identity. This example authenticates as Mary and assumes the role Admin.
{ ... CIMNameSpaceRole cns = new CIMNameSpace("happy", "A"); SolarisUserPrincipal sup = new SolarisUserRolePrincipal("Mary", "Admin"); SolarisPswdCredential spc = new SolarisPswdCredential("marys-password", "admins-password"); CIMClient cc = new CIMClient(cns, sup, spc);


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In Germany, Hannover's three-game season-opening losing streak ended with a 2-1 win over Wolfsburg. Steve Cherundolo was back in the starting lineup after being used as a sub in the previous game. For the first time since joining Hamburg SV last season, Benny Feilhaber dressed for a First Division game, but he did not see action in 1-0 loss to Borussia Dortmund. He's played seven Third Division games this season.
In Norway's Second Division, Aalesund, with Adin Brown in goal, beat
Honefoss, 5-3, to return to first place and it sits 10 points within the promotion zone. ... In Denmark, Aalborg, for whom Danny Califf starts in defense, saw its first-place lead shrink to a point
after losing, 1-0, to Odense.
English Premier League
Everton (GK, Tim Howard, 90 min.) 2, Wigan 2.
Tottenham 0 Fulham (D, Carlos Bocanegra, 90 min., cautioned; F, Brian McBride, 66 min.) 0.
Watford (D, Jay DeMerit, 45 min.) 0 Aston Villa 0.
German First Division
Alemannia Aachen 4 Borussia M'Gladbach (GK, Kasey Keller, 90 min.) 2
German Second Division
1860 Munich 1 (D, Gregg Berhalter, 90 min.) Freiburg 1
Belgium First Division
Standard Liege (D, Oguchi Onyewu, 90 min., cautioned) 2 FC Brussels 1


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Written on: 22/03/2013 by liatlorin (1 review written)
i ordered blackberry 9930 3 weeks ago called cell2get to get a tracking # they asked me to call the next day. so i called the next day same story they said its takes 1-3 days to process order and there is no tracking # avivalble i asked to speak with the manger thats after a week i dident received the phone. the manger refunded my shipping cost and gave me an extra $20 discount i received the phone yesterday and its as advertise so at least i am happy about that


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|07 Dec 2009
[URGENT] All System Restore Point Gone!![/URGENT]
The problem occurred when I made a standard user account and through that i redirected to the admin profile under c:/Users/xxxx and i right clicked the profile>properties>security> and i removed the standard account access to that admin folder and got some "Access denied error". After i logged off and login into the admin account, i got the error "settings.ini is being used by another process" from windows sidebar and windows sidebar was not working. After realizing that, i login with the standard account and wasn't having that problem........then i went to system restore and noticed "all my system restore points are gone". I got pissed and boot into safe mode and still the same thing, there was no system restore. I was able to get rid of the settings.ini problem by disabling UAC. So i was wondering what the hell happened and how can i get everything back to normal!! Please reply fast!!
|My System Specs
|07 Dec 2009
7600.20510 x86
|My System Specs
|07 Dec 2009
|My System Specs
|30 Jan 2010
Windows 7
I had the same problem and the problem shows up in one of the two accounts (the one with administrator rights) that I have on the machine.
I tried many suggestions from the web including the one aboe, but none would work.
I also tried doing a restore from a previous restore point, but it would fail with an error that a file could not be replaced.
As I examined the Application Logs, I noticed that there were many errors about user profile errors related to bad entries in the registry.
The recommendation in that error is to perform an advanced restore, which restored the whole disk from a week old backup disk image.
BTW, That's a neat new feature in Windows 7 in that it also offers to backup user files that can be recovered after the re-image of the drive...
I could not pin it down to the culprit as I had not dome much on the machine since the date of that image backup I had.
In the restore point history were a few Windows updates over that week (1/22/10 to 1/29/10) and and update to the Yahoo IE Tool bar to 8.1 (which was the last thing I did to the machine).
If it was data corruption in the registry that would be a bad side effect of one of these updates (highly suspect is the Yahoo IE Tool bar 8.1).
|My System Specs
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Urgent Problem! Can't restore registry backup, Can't Boot Windows.
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*URGENT* System restore fail, Device manager wiped out, Many more.
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Hi Guys, This is quite a long story, So let me get straight to the point. :) On my Dell Optiplex 360 Computer (Windows 7-Ultimate) I partitioned the hard drive to make space for another windows installation. I then installed Windows Vista Ultimate on it. All of that went successfully but...
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Release Date: 2008 |
Tyler EMERITUS (2.5)An almost consistently good, but never great album....Themadhatter (4)2008s Overcome is an aggressive, tactile, and well produced album that any fan of the genr...CoreySzn (3)A solid effort from All That Remains but they still need to take it to that next level to ...ZomarK (3)While I Feel that Overcome is good album, I cant get the nagging hope out of my head that ...
Locrian (2)All That Remains replace progression with mediocrity....McDiggitz (2.5)A so-so effort, seeming like they are departing metal for a more generic "rock"....
Album Rating: 1.5This was probably a really poor review. I've been a little lazy recently, so it'd be no surprise if this isn't that good of a review. Hope I got my point across, though. It's much shorter than all my other reviews, probably because I didn't have much to say apart from 'it's crap'.This Message Edited On 09.20.08
Album Rating: 2.5Review is well written, so nice job. I disagree with you for the most part. It's definitely nothing spectacular, but I like it. I also think the soloing is great, especially Undone.
Album Rating: 1.5I just find that the whole album only jumps out at me once in the whole thing, and that's the chorus of Two Weeks. The rest of it just bores me loads, which is a real shame, since I really liked their other albums (I only got This Darkened Heart a few days ago, and got BSAS and this yesterday because they were really cheap in one of the CD shops in town). I've listened to every one of their albums at least several times, and this is the only one I dislike at all, really.
for having one of the best drummers in metalcore, possible in metal full stop
Album Rating: 2.5
In my mind, Phil's typical mid pitch screams only ever sounded decent at best
but with a fantasticly high scream and
At least, it was- Everything about him seems
The guitars are simple, revolving almost without exception around power chord riffs
Album Rating: 1.5Well, maybe the tabs I looked at were crap, but it was just power chord, harmonized lick, rinse and repeat.
Your review is excellent. I like all of your reviews really, but I think you should shorten them a bit and make them more concise, even this one. Still nice work.
Yeah what i heard from this it doesn't come anywhere close to The Fall of Ideals. Good review
I like your review. I think I like the album slightly more than you do, and although I agree with the staff rating more, your review is a far better explanation of your rating. And it seems that you actually understand what overproduced music is....whereas the staff reviewer actually thinks that The Fall of Ideals had more overproduced vocals...
The vocals on this album are too layered, too overproduced, have too much chorus/reverb...and worst of all, too much producer intervention. Anyone who has seen them live (seen them 3 times) can tell that the previous albums lack the vocal production because his voice sounds nearly identical without effects and major reverb being used in their live show...I'll be interested to see how they compare to the new songs in concert and how obvious it is that effects are being used.
Aside from a few minor nuances in your review, this seems to continue the trend of user reviews being far better than their staff counterparts...and I say this after admitting that I don't even completely agree with your rating.This Message Edited On 09.21.08This Message Edited On 09.21.08This Message Edited On 09.21.08
Album Rating: 1.5Thanks for all the great comments I'm probably just very bitter about this album because I nearly broke my CD player in despair when I first heard Before The Damned thanks to Phil's growling. I can still slightly enjoy this album, but TDH and TFOI are two of my all time favourite (in a loose sense, they're no where near classics, but two of the albums I ENJOY the most) albums, really, so I'm probably judging this a bit harshly.
It's great that my reviews are getting good feedback, I thought I would just use this site for commenting and reading, but I saw a fairly empty gap in the Eminem section, and I got really into writing reviews from there. I do know that my reviews are almost the opposite of concise, and I hoped this was an improvement (apparently it was ).This Message Edited On 09.21.08
i swear, i am like the only sputnik member that likes the new releases of all these bands.
Album Rating: 2.5Well 32 other people consider it above average...you are just the only person actually voicing a positive opinion...you aren't alone :thumb:This Message Edited On 09.21.08
Album Rating: 2.5Don't worry, I like this album too.
Digging: Swallow the Sun - The Morning Never Came
So, the opposite of Trivium's new album?
Weird, I just read your soundoff for that album*Duh Duh Duhhhhhhhhhhhhhhhhh*. Ummm thats hard to say since I have't listened to Shogun yet. I've had this sitting on my itunes for a couple of days now and I'm finding it really difficult to get through even two songs at a time. Pretty generic stuff and I see no room for potential or even growth on this disc. Its like they're painting themselves into a corner.
I am starting to think Trivium are just a bunch of generic and mediocre musicians who gave people the illusion of talent.
This band is pretty decent for metalcore.This Message Edited On 09.21.08
nah, Paulo and Corey are great, Travis and Matt are just decent though. And the band as a whole needs to learn how to write their own music, or just improve on the Ascendancy formula, that might be good cuz that was a pretty solid album n all and obviously the Metallica formula isnt working. How has everyone heard the Trivium album already anyways, I couldnt find it using that stuff sputnik does not condone. =/
I am starting to think Trivium are just a bunch of generic and mediocre musicians who gave people the illusion of talent.
This band is pretty decent for metalcore.
that's true... at least Converge rules.
Bands: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


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Sci Fi Must Be Pretty Above All?
Never mind the quality, dig the visuals. That's the sentiment being expressed over at Warren Ellis's Whitechapel message board, where fans are talking about the films that may not be very good, but are still very watchable. What are their suggestions for what looks great but ultimately tastes less so?


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Genre: Cooking, How-to
Premise: This Nigella series focuses on the easy and accessible. It doesn't really matter if you can't cook; Nigella Lawson's recipes are designed for minimal effort and fantastic results. Using a variety of pantry staples, the British cookbook author and TV chef shares recipes that inject elegance into even the quickest meal.


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.- Priests for Life is calling on the Democratic Party to be more representative of grassroots Democrats and inclusive of pro-lifers. It issued this statement after former congressman Tim Roemer dropped out of the race for chairman of the Democratic National Committee.
The Catholic and former Indiana Representative had joined the race at the beginning of January hoping to expand the party both geographically to the south and ideologically to include pro-lifers.
"Mr. Roemer's opposition to abortion rights, and his call for his party to be more inclusive of pro-life Democrats, is far more representative of grassroots Democrats than the extreme position that marks the party's official stance," said Priests' for Life.
The national pro-life priests' organization is now calling on Gov. Howard Dean of Vermont, a favorite in the race for DNC chairman, to be inclusive of pro-lifers.
"We now call upon Mr. Dean to show grassroots Democrats how serious he is regarding making more room in the party for pro-life Democrats," said the statement.
DNC members will pick a successor to outgoing Chairman Terry McAuliffe at a meeting Feb. 12 in Washington, D.C.
The other candidates include: former Rep. Martin Frost of Texas; Simon Rosenberg, head of the centrist New Democratic Network; former Ohio state party chairman David Leland; and Donnie Fowler, a veteran party activist and campaign manager for retired Gen. Wesley Clark's presidential bid.


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My DH's step-mom (I consider her my second MIL) brought me a trunk load of goodies when she came back from her moms, there's a bunch, you'll see in the pics.
The sad part is I'm getting this because her mom just went home from the hospital and is on hospice because she has terminal cancer that is spreading and complications. She's been in my prayers for a long time and I know there is no recovery but I pray for her to be out of pain and for a miracle that we all wish for.
for any interested in the panel. Hancock of Paducah has it for $4.00!
overview of most of it
hand-pieced with more block to add on if wanted
lots of cardboard patterns, not all shown here. I just love the double wedding ring :)
misc. items
snaps, round velcro thingys, sheer fabric, small baskets like for dolls or something
some blocks
more blocks
he was not happy lol doesn't like his picture taken right after he gets off work. Holding up the start of a quilt blocks in the above pic goes to this
cheater cloth for queen size bed, sandwiched and almost half quilted!


text: Home > News and Events > Media Centre > Press Releases > Centenary landmark for The Camping and Caravanning Club Centenary landmark for The Camping and Caravanning Club Search Press Releases Friday 20 February 2009 Lloyds and the Club celebrate 100 years The Camping and Caravanning Club is celebrating 100 years of banking with Lloyds TSB Corporate Markets.Since its inception in 1901, the Club has enjoyed a strong partnership with the bank, which provides financial banking and advisory services to businesses and organisations with a turnover of £15 million.The Club's Director General, Robert Louden, said: "The Camping and Caravanning Club is delighted to be working with the professional and supportive team at Lloyds TSB, which works hard to understand the Club and its requirements and provides cost effective financial solutions."Britain currently faces a testing time with the world economy in a difficult situation so that makes our long-standing relationship with Lloyds TSB all the more notable.Lloyds TSB Corporate Markets recently provided the Club with a competitive funding package of £11.5million to enable it to acquire a 51 per cent stake in Forest Holidays, which added an additional 5,000 pitches to its ever-increasing portfolio.The Club also made history by becoming the first 'not for profit' organisation to enter into a Public Private Partnership (PPP) with a Government Agency.Richard Smith, Relationship Director at Lloyds TSB Corporate Markets, added: "The Camping and Caravanning Club is a great British institution, and Lloyds TSB is proud to have built up a solid relationship with it over 100 years of its history."There are few companies that can claim to have such a longstanding customer, and we look forward to supporting the club's continued growth and success over the next century."In addition to meeting its funding requirements, Lloyds TSB also regularly provides advice to the Club on treasury matters, including risk management and foreign currency purchases. - Ends - For further media information or pictures please Contact Us Editorial Notes:The Camping and Caravanning Club is 108-years-old and is the largest and oldest Club in the world for all forms of camping. It has 109 award-winning sites throughout the UK and, through a partnership with the Forestry Commission, Forest Holidays now runs a further 21 Camping and Caravanning and six Cabin Sites. National Camping and Caravanning Week (NCCW) was launched in 2001 by The Camping and Caravanning Club and will take place between May 23 and 29 this year. The aim of this week is to raise the profile of camping amongst the general public. Its timing is deliberate to coincide with the Spring Bank Holiday, traditionally one of the busiest camping weeks of the year. National awards include: Practical Caravan 2009 Top 100 Parks Regional Winner (Scotland) – Lauder Club Site Practical Caravan 2009 Top 100 Parks Regional Winner (north-east) – Bellingham Club Site MMM 2009 Camping & Caravanning Site of the Year – Thetford Forest Club Site Loo of the Year 2008, Delamont Country Park Club Site – Winner Holiday Parks category in Northern Ireland David Bellamy Conservation Award 2008 Gold Award – Charmouth, Glencoe and Trewan Hall Club Sites The Maison de la France Tour Operator Awards for Best Camping/Mobile Home Operator 2008 - Carefree International Travel Service Practical Motorhome 2007 Sovereign Awards – Carefree Travel Service awarded Gold Sovereign Loo of the Year 2007, Milarrochy Bay Site - Winner Family Friendly Facilities in Scotland Loo of the Year 2007, Kessingland Site - Winner Family Friendly Facilities in England Loo of the Year 2007, Glencoe Site – Winner Camping and Touring or Static Caravan Sites category in Scotland


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I had one primary goal when I ordered a Kindle Fire: it would free up the iPad to leave home during the day for my wife and kids to use. (Okay, okay, stop looking at me like that. I also love shiny new things. Like you don't?)
While the iPad has held a steady place in my workflow, my primary use for it during the day was reading.… Read more


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Published: November 29, 2012
Rebecca Streb submitted this photo, adding "One of the best feelings ever was to hear that the Mahoning Valley ranked under the New York Giants! We delivered 18,531 pounds of supplies to the Food Bank in New Jersey. Be thankful for what you have today because in a blink of an eye it could all be gone!"
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Classical Musings
I went through a discovery phase about 30 years ago and was fascinated by classical. Now it is merely background music in the Christmas season.
I consider Beethoven the greatest composer.
Although the Mendelssohn violin concerto is one of my favorites pieces.
In college, I took a very brutal Introduction to Music course. By brutal I mean that we had about 12 LPs to listen to during the quarter and we had to memorize the songs. Happily, I had a friend who had attempted the course the quarter before and I was able to make cassette copies that I listened to continuously during the quarter. Students did have the option of listening to the music in the Music Department's library. :lol:
Come finals, the needle dropped. The professor took care to choose some of the most obscure and atypical sections of the songs. Because I had been listening so consistently, I got a C+, which apparently, was one of the highest grades anyone got. The student outrage was so great that the course got pulled and the professor reprimanded. When it returned in later years, it apparently had been transformed from a tiger to a püssycat.
But there was one jewel out of the class for me, Berlioz' Symphonie Fantastique. It also got me listening to a wider range of music, which led to an interest in world music and my favorite music, from Ghana.
No guarantees though. The worst concert I was ever at was put on by the Riverside County Symphony. Every musician knew the notes, but I got the impression that they were all music teachers and had done all of their practice independently and had strong ideas on the timing. So while everyone was playing the notes that they should, their timing with respect to each other was slightly off. The music sounded like it had motion blur. This was consistent throughout the concert and it was painful to hear. But it made me respect the work required to play in a group like that.
Wagner is among my favorites...
Mostly because I love the smell of napalm in the morning.
That is a tough one.
I'm in a chamber choir that specializes in doing Baroque music, often with period instruments, so I favour much of the earlier works. But I find that I need to change it up, and we often do dip into Romantic period stuff, and occasionally modern classical composers.
My favorite is often what I am working on for the next performance. For the record, the next performance is the Faure Requiem and Vaughan Williams Five Mystical Songs.
One of my fellow choristers is quite the avid cyclist. He has two cheap bikes, one a mountain bike for winter, and a road bike for the rest of the year. He commutes to work (20Kms) rides to rehearsals, sometimes as far as 50 kms (ride 50K, sing for 2-3 hours, ride another 50K). You'd never know to look at him, it doesn't look like he has lost a pound.
Sunday Baroque: Sunday Baroque
And while not my cup of tea, a bit gimmicky ATMO....
I like to play and listen to early music, from before 1700. A few of the later composers I like are Shostakovich, Stravinsky, Schubert, Beethoven and Ravell.
I could easily see the market for being a classical musician being in serious trouble in the next while. Replace them with an array of speakers arrayed in the same formation and make amazing music.
Bernard Parmegiani
and then there is Edgar Varese (Frank Zappa on Varese)
two of my favorite composers
Andre Jolivet
Claude Debussy
A good group listens to each other and follows the conductor. In our case, the conductor is often playing the harpsichord, so we have to watch his head movements, and pay close attention to each other. It is a learned skill, but a vital one. A good conductor can play with the timing just like a soloist can.
O bruit doux de la pluie
Par terre et sur les toits!
Pour un coeur qui sennuie,
O le chant de la pluie!
@clemsongirl :
Il pleure sans raison
Dans ce coeur qui s'écoeure.
Quoi ! nulle trahison ?...
Ce deuil est sans raison.
|All times are GMT -6. The time now is 11:09 AM.


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Adaptive Swing Seat
|Because Your Child Is Special...
Designed and made for smaller special needs children but able to accommodate all children up to 55 lbs. This swing has full support, is smooth, rounded and has been engineered to meet ADA standards. It is roto molded and comes with a 5 point harness and chains. Fasten your child and he'll enjoy a great ride just like his friends do!
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|Write a Review


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About Us
Less travel . . . more style!
Opened in August 2011, Ready or Knot brings a chic, stylish, & modern experience for Omaha area brides in search of the perfect wedding dress & stylish bridesmaid attire.
Why should you have to drive several hours (or have to hop on an airplane) to have an amazing time with your closest friends & family as you select your wedding dress? Just because you are from Nebraska or Iowa (or South Dakota) doesn't mean you have to compromise on style. Ready or Knot offers big city couture styles (not found anywhere else in Nebraska) with small town service & an intimate, personalized experience unique to Nebraska.
Congrats on your engagement… now grab your family & bridesmaids – let's find the dress of your dreams!
Because we offer a boutique like setting that focuses on each bride, our hours are by appointment.


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Release Date: 2005 |
IsItLuck? EMERITUS (2.5)Opeth produces an album that follows suit with previous works in what is an underachieving...Mongi123 CONTRIBUTOR (4)Ghost Reveries may not be anything drastically new for the band, but it has everything one...metallicaman8 (5)This album shows great expansion on the barriers of metal and music in general. Every sing...Confessed2005 (5)...
TheSunSleeps348 (4.5)...thesystemisdown (4)Another excellent Opeth album that plays to convention a little more than fans accustomed ...Brendan Schroer (4.5)...Slowburner (4)Holding her down, channeling darkness......
Shadows (4.5)...Altmer (4.5)Another excellent outing from an outstanding band breaching the boundaries of metal musici...souleater (4)Seamlessly well crafted with some absolutely stellar tracks that is unfortunately let down...xeroxparadise (4.5)In summary, Ghost Reveries is an album filled with great musicianship, flawless vocals, d...
askingalexandriasuck (3)Dull...
I have Blackwater Park, which I thought was okay, but I should listen to it more. Intresting idea putting lyrics after every song description
Its pretty much a concept album, except for Isolation years. Well, thats what I've read/heard. Good review.
Album Rating: 4.0it is a concept album, yes. isolation years isnt part of the concept, but they wanted it to be on here anyway.
and i stopped reading this review after you compared them to tool.
Album Rating: 4.5 | Sound Off^I did the same.
This Message Edited On 04.15.07
Album Rating: 4.5I didn't on the other hand...
I can see why he compared them to Tool however.
This is a cool review - neat idea, concise and well written.
To be honest, any Opeth album is awesome. But I do like this one a lot.
Digging: Converge - The Dusk in Us
The Tool comparision was a bit weird. I've never heard that before but decent review, some spelling and grammer mistakes but not too many. Also try to stray away from track by tracks. Non track by tacks are just easier and more interesting to read.
Album Rating: 4.5yeah, opeth destroys tool any day.
good review though.
Album Rating: 4.5Good review for a TBT.
But I don't read those usually.
Six reviews, two 5's and four 4.5's? Is someone going to rate this lower than a 4 soon? Just wondering.
Tool and Opeth are not sonically related at all. The only similarities is that they're both progressive, and they both rock.
Good review for a TBT.
But I don't read those usually.
Album Rating: 5.0Great track by track review. I would say that this review was unnecessary because their are alot of them, but you certainly put forth your two cents quite well. Your history on the band name taught me something new and was an excellent addition to your review.
One question though, how can you compare Tool and Opeth? Besides the long songs, that is like comparing night and day!
Album Rating: 4.5Pretty good review
ad i agree with syn in that there should be at least one tbt per album, at least that's what i think.
My thrid fav opeth release.
My fifth, just behind Morningrise and ahead of Deliverance
Album Rating: 4.5I don't mind em... I just find flowing text a lot easier to read. Especially if you're a good writer...
Album Rating: 4.5Excellent album, right up there with blackwater park, although still life is my album of choice.Also, it's obvios that this album has quite a prominant occult theme, and wikipedia said that is was their first occult themed album for a while. I didn't know they had another occult themed one? what are your thoughts?
Bands: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


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CUNA, NAFCU comment on broker-dealer issues
WASHINGTON-In separate comment letters, two national credit union trade associations supported the idea of credit unions being permitted to offer sweep account services without being required to register as broker-dealers with the Securities and Exchange Commission (SEC). The issue has arisen out of an application for the Evangelical Christian Credit Union (ECCU) to do just that. "Allowing credit unions to offer such services without registering as a broker-dealer will enhance the ability of credit unions to compete with banks and thrifts, which will benefit both credit union members as well as bank and thrift customers," wrote CUNA Senior Vice President and Associate General Counsel Mary Dunn. "The regulatory framework and the examination standards that apply to credit unions will be sufficient to protect the interests of investors." "NAFCU supports extension of this exemption to ECCU and strongly encourages the Commission to extend such relief to all federal credit unions, the deposits of which are insured by the National Credit Union Share Insurance Fund, so that these credit unions may offer sweep accounts on the same terms and conditions as banks and thrifts," NAFCU President and CEO Fred Becker wrote. "As stated in NAFCU's comment letter to you dated July 17, 2001, federal credit unions have a consistent track record of exemplary service to their members, as well as unparalleled safety and soundness. NAFCU believes the extension of the exemption to federal credit unions is appropriate, in the public interest and consistent with the need for protection of investors." He emphasized that if measures are not taken, federal credit unions will be at a significant competitive disadvantage to banks and thrifts. "Registering as a broker-dealer involves significant fees and examinations that are well beyond the means of most credit unions," Becker wrote. Dunn proposed that CUNA's Broker Activities Task Force members meet with the SEC as it creates a process for the agency to address future exemption requests from individual credit unions seeking to offer other broker services. "We believe that seeking comments whenever a new service is requested would be needlessly burdensome for the credit union system as well as for the SEC," Dunn wrote. "We will contact SEC staff within the next few weeks to begin these efforts." -firstname.lastname@example.com


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My Nonprofit Reviews
Review for People for Guatemala Inc, Naples, FL, USA
I've personally visited homes/people assisted by this organization. People for Guatemala's aim is to empower the people to help themselves. While visiting in homes, we've heard the testimonies from the Guatemalan women who have the chapina stoves that improve the air they breathe while cooking, lessen the amount of time they have to search for wood, and keep their children safe from open fires. We've met with women seeking the filters for their homes that produce cleaner drinking water. And we've seen the amazing organizating work the group has done to teach and encourage unschooled women to petition for assistance from an all-too-often unresponsive local government and from potential donors. It was most moving and impressive to see the personal and social growth in this group of more than 30 women. Lois and Ken Werner are always willing to have visitors and potential donors see the results of the organization's work, and to hear first-hand testimonies from the men and women who have been helped. It's an organization I endorse totally.
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As we choose to reveal more and more personal information to others via blogs, social networks, and email, privacy concerns are of paramount importance. Although most of us simply don't want our personal lives to intersect with our professional lives, a far bigger threat is identity theft, the fastest growing crime in our nation today, according to the Identity Theft Resource Center.
What is identity theft?
The term identity theft is used in both a broad sense and a narrow sense, further contributing to the difficulty of quantifying the scope of the crime. Basically, it is the fraudulent use of another's personal information for some sort of gain. However, note that a hacked email or social network account is not legally considered to be identity theft!
Oftentimes, a criminal can obtain someone's information with relative ease, but the repercussions can echo far into the future as the victim attempts to re-establish his or her good name.
How does it work?
Sensitive information can be obtained in a variety of ways—someone could glance over your shoulder as you type in a credit card number for an online purchase; a customer in line behind you could catch a glimpse of your PIN; a thief could steal your wallet containing the credit cards you hold most dear. Remotely, someone could hack into your accounts online or scams could trick you into revealing more than you intended.
To what end?
Most criminals stand to gain financially—they could rack up hundreds of thousands of dollars in debt, but they could also steal someone's identity to pose as another in real life, or attempt to usurp another's medical benefits.
How can I protect myself?
Most importantly, be extremely selective when giving out personal information and always err on the side of caution. Tear up junk mail, credit card offers, etc before throwing them out. Choose smart passwords and protect your information. A burgeoning treasure trove of information, however, is readily found online, and as privacy concerns grow, everyone needs to learn to have a less accessible presence online.


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A SERIES of improvements are planned for a skate park, which has proved a big hit with its users.
The Thirsk8 Park, in the North Yorkshire market town, opened six months ago and has proved popular with young people, with about 100 using the site regularly.
Now its management committee wants to build on this success. Next year, they are planning to landscape the area, add extra seating, bins and signs and hold workshops and skate jam events for young people.
Loading article content
They are also looking to recruit more volunteers to the group.
"The park is managed by a small team of volunteers, but more people are needed to help open and close the facility each day and do small litterpicks – jobs that will take no more than ten minutes," said chairman David Bird.
"We urge anyone with children who use the park and who live locally to consider volunteering. Any offers of help would be gratefully received."
The plaza-style, skate park, made from moulded concrete, is open every day from 8am until dusk, but no later than 9pm.
To volunteer help, contact Lisa Wilson at lisa.wilson@hambleton.


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Book Two
Book Two of Don Quixote, originally published as a separate volume, includes an unusual literary twist. Before Cervantes published his authentic Quixote sequel, a pirated Book Two written by an author named Avellaneda appeared in print. Outraged, Cervantes wrote the pirated book into his sequel. Thus in Cervantes' Book Two, Don Quixote and Sancho Panza overhear talk of Avellaneda's pirated version of their adventures while dining in an inn and set off to Barcelona, where they kidnap one of Avellaneda's main characters.
We soon meet a new character in Book Two, as well. Samson Carrasco is a young man from Don Quixote's village who has recently graduated from Salamanca University. He picks up where the priest and the barber left off in Book One, attempting to rescue and protect Don Quixote.
Determined to travel to Toboso to pay his respects to Dulcinea, Don Quixote rejects Carrasco's attempts to dissuade him, and knight and squire set off for Toboso. When they encounter three peasant girls, Sancho tries with some deception to pass off one of them as Dulcinea. Don Quixote, always certain that enchanters are working their mischief against him, is convinced that evil enchanters have made Dulcinea look like an ugly peasant girl.
Don Quixote unexpectedly wins a battle with The Knight of the Mirrors, who turns out to be none other than Samson Carrasco in disguise. Samson's plan to get the Don back home to safety by beating him in a duel (while disguised as a rival knight-errant) fails when Don Quixote wins the battle.
Don Quixote and Sancho Panza then meet The Knight in the Green Topcoat and play parts in the pastoral tale, "Camacho's Wedding." The adventure of Don Quixote's descent into the Cave of Montesinos follows, after which, in a trance, the Don describes the marvellous things he experienced in the Cave. Later, Sancho and Don Quixote attend Master Peter's puppet show. Our knight-errant gets carried away by the spectacle of the puppet Moorish knights doing battle with puppet Christians and attacks them with his sword.
Later, Don Quixote accepts an invitation to the unnamed Duke and Duchess's palace. The Duke and Duchess poke fun at Don Quixote by organising a series of burlesque pageants and arranging for Sancho to govern the Island of Barataria. Although the squire's talent for leadership surprises everyone, he renounces the life of a feudal governor and the elaborate prank played by the Duke and Duchess in a courageous act of loyalty to Don Quixote.
After his journey to Barcelona to kidnap the Avellaneda character, Don Quixote gets involved with a bandit named Roque Guinart. After this meeting, Don Quixote and Sancho arrive at Barcelona where they are the guests of Don Antonio Moreno, who also proposes to have fun at Don Quixote's expense.
In Barcelona, The Knight of the White Moon challenges Don Quixote to a battle in the presence of a distinguished company. Don Quixote is quickly defeated by the Knight, who turns out to be none other than Samson Carrasco. As a condition of his defeat, Don Quixote is forced to abandon knight-errantry for the rest of his life
The remaining chapters recount the journey of Don Quixote and Sancho Panza back to their village in La Mancha, including an additional stay with the unnamed Duke and Duchess and sundry other humiliating experiences.
When they arrive in the village, the now quite ill Don Quixote is put to bed. After sleeping a long while, he wakes and declares his name to be Alonso Quijano once more. Appearing to have regained his reason, he denounces chivalry and knighthood and dies among the lamentation of friends.


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Do they not have google?
If you pull back the covers the software the purchased probably runs Google-Fu
This just shows how stupid the media has become. To some in the print media they think the internet is like CB radio – a fad that will soon go away so they can go back to business as usual.
But for years, the media has told us that they are superior to pajamas- wearing bloggers because of the layers and layers of fact checkers and professional editors.
You mean the media lied????
Remember, I do this to entertain me, not you.
Uncle Pays the Bills
Find Local


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ACParadise Network: American Cosplay Paradise American Cosplay Experience American Cosplay Snapshots
Cosplayer metalsummer > Costume of Jade Harley (MS Paint Adventures / Homestuck)
- Most Recent Photo
- 01-06-2013
- Series
- MS Paint Adventures / Homestuck
- Character
- Jade Harley
- Special Variation:
- god tier
- Year Completed:
- 2013
- Construction Difficulty:
- Easy
About this Costume
- Construction Details:
I am so proud of this cosplay because I made just about everything. I sewed the skirt shirt and hood. The hood was the hardest part and took a lot of trial and error.
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I am a foreign student; how do I apply to Paris-Sorbonne University ?
The process is different, depending on whether you come as an individual, as part of an Erasmus program, as part of an international convention or as a participant in our summer school. Please find the appropriate contact information here : http://www.english.paris-sorbonne.fr/admission/


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Rangers sending Hamilton back to Texas for tests
Rangers sending Hamilton back to Texas for tests
The determination was made that the symptoms remain, and Hamilton would return to Texas to see the team's doctors. The Rangers open a three-game series in Seattle on Friday night.
Hamilton played three innings with two at-bats in Tuesday night's series opener, left the game and the stadium and spent Wednesday seeing "every doctor known to man to rule everything out." An ear, nose and throat specialist prescribed antibiotics, and Hamilton was hoping they'd take effect quickly enough to allow him to play.
"Everybody in my family's been sick," Hamilton said. "The last five or six days I've been battling something. Every time I get sick it turns into a sinus infection, and that causes me to get off kilter, off balance. If your head's a little stopped up, you can get a little starry-eyed, dizzy.
"It's not a big deal. I had a little of that earlier in the year."
Hamilton, under the watchful eyes of manager Ron Washington and his staff, was getting ready to stretch, warm up and take some swings. Adrian Beltre, recovering from non-diagnosed abdominal pain, was able to convince the manager he could return to the lineup.
"If I feel I can play, I'll play," Hamilton said, before being ruled out. "I've played through sinus stuff before. This time of the season, it matters tremendously. If we have somebody healthy who can run balls down -- [Craig] Gentry, [Leonys] Martin -- get 'em out there. I don't want to misjudge a ball out there. These are too big of games."
Hamilton stressed that there's nothing wrong with his vision.
"My eyesight is good," he said. "Got that checked and it's 20/15. It used to be 20/10 but I'm getting older."


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GRAPHICS/VIDEO: Testing starts on 40-nm low power HDMI transmitter analog IP core silicon
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Sunnyvale, Calif. - Silicon Image, Inc. has begun testing what they say is the industry's first 40-nm HDMI version 1.3 transmitter analog silicon, targeting ultra low-power and performance driven system-on-chip (SoC) applications.
The new solution offers dual-mode functionality, supporting both HDMI technology and MHL, a Silicon Image high-definition (HD) video and audio connectivity solution that specifically focuses on the requirements of mobile devices.
As mobile device developers begin incorporating HD video and audio capabilities into phones, cameras, digital camcorders and portable multi-media players, digital TV interconnect standards such as the HDMI and MHL technologies are expected to play significant roles.
Silicon Image's 40nm designs are designed to meet the needs of this growing HD-enabled mobile market. In addition, Silicon Image is working with industry leading mobile consumer electronics companies to support and foster the MHL technology as a standard for broad market adoption.
"We have already begun testing silicon for both our low-power and performance versions of the 40nm HDMI-MHL transmitter analog PHY IP core design," said Ron Richter, director of business development at Silicon Image, Inc. "These new IP cores are designed to provide our SoC customers with the flexibility and ultra-low-power capabilities required to connect mobile phones directly to digital TVs."
Designed with the flexibility and ultra-low-power capabilities required to connect mobile phones directly to digital TVs, the ultra low-power version of the HDMI-MHL IP core uses 1.8V transistors with a built-in-self-test (BIST) for easy production testing and packaging support for both wire-bond and flip-chip implementations.
Silicon Image is also providing a performance general-purpose version of the HDMI-MHL transmitter PHY. Both 40nm analog IP cores will be offered along with a configurable link digital IP core that is already being licensed to mobile SoC suppliers.
For more information visit www.siliconimage.com.


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As reported by The Boston Globe:EX-SKID ROW SINGER CHARGED AFTER BAR FRACAS By Associated Press, March 15, 2002 MIDDLETOWN, N.J. -- Former SKID ROW lead singer Sebastian Bach was charged with making terroristic threats and drug possession after a dispute with a bartender at a restaurant. Bach, 33, whose real name is Sebastian Bierk, was released Thursday on $10,000 bail on the charges, which also included disorderly conduct, possession of under 20 grams of marijuana and possession of drug paraphernalia. Authorities said Bach was at the Lincroft Inn on Wednesday night when he went outside with a drink. He became angry when a bartender told him he had to come back inside, police said. Bach told police who arrived at the restaurant that he was going to return to his Middletown home, get a gun and shoot a bartender and others in the bar area, authorities said. At police headquarters, Bach became verbally abusive when a detective attempted to explain the charges against him and continued to make threats against the bartender, police said. Police said that when Bach was asked if he understood the charges, he replied: "Yeah, because I smoked a lot of weed." Bach is the host of VH1's Forever Wild series. Bach's manager, Carol Kaye, declined to comment. For a more in-depth report on Bach's arrest, click here.
Ex-SKID ROW Singer Charged After Bar Fracas
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My Nonprofit Reviews
Review for National Council on Aging, Arlington, VA, USA
NCOA provides a lot of good and timely information which can be very helpful. I share many of the articles with other professionals, clients, and seniors. The articles are written in easy to understand terminology and pertain to issues which are important for seniors and professionals to understand. Jim Ferman has taken this non-profit from a little known asset to a well known jewel. I certainly hope the funding continues for this worthwhile organization.
More Feedback
If I had to make changes to this organization, I would...
Be sure to research how the Medicaid programs work in each state. Often times this site only provides info regarding Medically Needy states and not Categorically Eligible states. They should at least add a disclaimer noting the handful of states which are categorically eligible states, such as Colorado.
How does this organization compare with others in the same sector?
Very Well
How much of an impact do you think this organization has?
Will you recommend this organization to others?
When was your last experience with this nonprofit?


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Q. I like jazz, obscure rock and all sorts of world music. I think I'd be happy with a satellite-based radio system that would let me pull in streaming audio from some of the stations I have found on the road without being tethered to a deskbound computer. Then I could listen to KKJZ or "Morning Becomes Eclectic" to my heart's content.
I believe you had a column awhile back about Internet radio. If you have some thoughts on what sort of service would satisfy my ears at home and on the road, I would appreciate hearing them. Thanks!


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NUCCA Chiropractor Dr. Devin Luzod
Welcomes You!
Las Vegas Chiropractors|NUCCA Chiropractic Treatments May Help You Feel Better Today
Las Vegas Chiropractors Devin Luzod and Daniel Hecker use the NUCCA Chiropractic Method and other chiropractic approaches to help treat patients with headaches and migraines, low back pain, neck pain, fibromyalgia, disc herniations, carpal tunnel and many other painful or chronic health conditions. Other natural remedies used by our Las Vegas Chiropractors include Low Level Laser Therapy. While we utilize the NUCCA Chiropractic method our Chiropractors use all available chiropractic methods.
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c1852Levasseur Dept De La Haute Vienne
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c1852 Levasseur's Dept De La Hte Vienne
This is steel-engraved map with outline color to the map. The map is surrounded by a series of beautiful vignettes depicting the various features of the Department. This plate is 11 x 17 inches and has margins all around. It is taken from a French Atlas by Victor Levasseur (middle edition) which was arguably the last decorative atlas of the 19th century. This is an extra sharp engraving and the detail is superb. The maps were published in Paris and are on heavy paper. This is an engraving that combines art and cartography in a pleasing ensemble. The vignette images are meticulous in design and of an extremely high quality, both in accuracy and composition. All of these maps are exceptionally attractive to view as well as being useful for informational purposes. The vignettes themselves illustrate events and lifestyles of those who lived in the area shown and provide a certain amount of historical information. This map depicts the region of Haute Vienne which is in SE France. It was formed from parts of the ancient regions of Marche t and Limousin. The principal city is Limoges, famous for its porcelain-ware products. In 1850 the 300,000 population was still principally engaged in agriculture although some mining was done. Map is in VG+ condition.
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A Trial of Closed Hemorrhoidectomy Under Local Perianal Block Versus Spinal Anesthesia
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- No Study Results Posted
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- How to Read a Study Record
|Postoperative Pain Complications Satisfaction
|Procedure: spinal block Procedure: Perianal block
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:
|A Randomized Clinical Trial of Closed Hemorrhoidectomy Under Local Perianal Block Versus Spinal Anesthesia
- The degree of pain measured by visual analogue scale at 6 and 24 hrs after surgery. [ Time Frame: within 24 hrs ]
- Patients' satisfaction with the anesthetic techniques, postoperative voiding complications, and other complications [ Time Frame: within 24 hrs ]
|Study Start Date:
|December 2006
|Study Completion Date:
|November 2007
|Assigned Interventions
Active Comparator: 1
spinal anesthesia: Active Comparator
The SA group were received a subarachnoid block with 1.5-2.0 ml of 0.5% bupivacaine.
Procedure: spinal block
0.5% bupivacaine 1.5-2 ml injected to subarachnoidal space
Other Name: marcaine 0.5%
Experimental: 2
Perianal block with 0.25% bupivacaine
Procedure: Perianal block
0.25% bupivacaine injected at perianal region
Other Name: Marcaine 0.25%
Detailed Description:
Objectives: To study analgesic efficacy, postoperative voiding problems, patients' satisfaction, and other complications after closed hemorrhoidectomy comparison between local perianal block and spinal anesthesia.
Research design: Randomized controlled trial Setting: Phramongkutklao Hospital Research methodology: A total of 64 subjects (32 males and 32 females) underwent elective hemorrhoidectomy were randomly allocated into two groups. Thirty-two patients were randomly allocated to receive spinal anesthesia (SA group) while 32 patients received local perianal block (LA group). Duration of analgesic effect, pain measurement with visual analogue scale (VAS) at 6 and 24 hours, quantity of analgesic medication administered, postoperative complication, and patient's satisfaction with the anesthetic technique were recorded.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
|Ages Eligible for Study:
|18 Years to 60 Years (Adult)
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Patients aged between 18 and 60 years with grade 3 or 4 hemorrhoid.
- Had no history of bupivacaine allergy.
Exclusion Criteria:
- Complicated hemorrhoid e.g. prolapsed or incarcerated hemorrhoid, gangrenous hemorrhoid.
- Associated anorectal disease.
- Patients whose characteristics of his/her buttock were difficult to gained adequate exposure when performing surgery under local anesthesia such as the mounds of his/her buttock is very high and rise almost straight up from the anal verge.
- Patient was unfit for surgery e.g. heart disease, liver cirrhosis, or coagulopathy.
- Patients who had symptoms of benign prostatic hypertrophy or bladder neck obstruction.
- Pregnancy.
- Patients with neuropsychotic problems.
- Did not agree to participate this study
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00925912
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00925912
|Principal Investigator:
|Sahaphol Anannamcharoen, M.D.,M.Sc.
|Phramongkutklao College of Medicine and Hospital
|ClinicalTrials.gov Identifier:
|NCT00925912 History of Changes
|Other Study ID Numbers:
|First Submitted:
|June 18, 2009
|First Posted:
|June 22, 2009
|Last Update Posted:
|June 22, 2009
|Last Verified:
|June 2009
Keywords provided by Phramongkutklao College of Medicine and Hospital:
perianal block
local anesthesia
spinal anesthesia
Additional relevant MeSH terms:
Pain, Postoperative
Neurologic Manifestations
Nervous System Diseases
Postoperative Complications
Pathologic Processes
Signs and Symptoms
Central Nervous System Depressants
Physiological Effects of Drugs
Anesthetics, Local
Sensory System Agents
Peripheral Nervous System Agents


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To get ready for the start of Georgia's spring football practice Tuesday, DawgNation will do a position breakdown each day and feature one player to watch at that position. Today we look at the offensive line and newcomer Mark Beard.
ATHENS, Ga. -- There are few positions on Georgia's roster where many players will make their first career starts this fall -- not counting the offensive line.
Georgia has three experienced guards in Dallas Lee, Chris Burnette and Kenarious Gates, but the line will otherwise be about as green as it gets.
The Bulldogs have five scholarship offensive tackles on their spring roster, none of whom has started a single college game. And if that is not the scariest position on Georgia's roster, it's center, where Ben Jones started nearly every game since 2008.
In short, the Bulldogs have serious holes to fill on the offensive line -- and they hope junior college transfer Mark Beard can fill one of them.
The 6-foot-4, 300-pound Beard was an honorable mention junior college all-American last year at Coffeyville (Kan.) Community College before choosing Georgia over offers from Arkansas and Mississippi State.
The native Alabamian said on national signing day that he hopes to win the Bulldogs' left tackle spot, since he has been playing the position since seventh grade. But he might not play tackle at all.
Some recruiting services -- including ESPN -- view Beard as a more natural fit at guard in college, so offensive line coach Will Friend will have time this spring to experiment and see where Beard can best help the Bulldogs.
Actually that applies to several of Georgia's linemen, many of whom are possibilities at multiple positions. Watts Dantzler and Gates could easily play tackle or guard. Burnette could play guard or center.
Obviously it will be a work in progress this spring and that will continue to be the case throughout the summer months.
With key offensive tackle signee John Theus (Jacksonville, Fla./Bolles) and Greg Pyke (Baltimore/Boys Latin) not on campus yet, it's hard to imagine Friend settling on his starting tackles until after they join the competition. But players like Beard, Dantzler, Austin Long, Xzavier Ward and Zach DeBell get an early start on that preseason competition by having spring practices to use to their advantage.
For now, Beard is the newest figure in that rotation, so he has a clean slate as he fights to win a role on Friend's line. If he proves he can hold his own against SEC competition this spring, that would help alleviate some of the concerns about the offensive line as the season nears.


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Fly Gypsy ft. Tattiana Aqeel-de Oliveira - You
Fresh off their contribution to our exclusive freestyle series, D.C. buzzmakers Fly Gypsy are back on our front page with a new single dedicated to You – that's right, you. Producer Alexei Jendayi, catchy, sax-accented instrumental sets a chilled-out mood as Kowboy Kom delivers his conversational rhymes, notably revealing a penchant for food-related foreplay: "I'm feedin' you from a plate of fresh fruit/ Can you taste the pineapples, the kiwis, the juice from the grapes?" Rolling with the fruit theme, Tattiana Aqeel-de Oliveira guest vocals are the cherry on top of this musical ice cream sundae, delivering a memorable hook and heavy-lidded ad-libs throughout, the singer showcases a smooth, off the cuff style that perfectly matches the record's relaxed feel. For more unconventionally catchy, ear-pleasing jams from Fly Gypsy, check out the duo's Change for a Dollar EP, released today and available for purchase here. Stay tuned for the premiere of this single's official video, shot in Jamaica.


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WILL pensions liberation next year spark a rush into buy-to-let?
A Scottish property management company has drawn up a blueprint for anyone tempted to invest their pension savings on a mission to become a later-life landlord.
Since George Osborne's shock Budget announcement that from next April over-55s would be free to spend their defined contribution pension pots any way they liked, many have predicted it will suck more assets into property.
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But David Alexander, principal of letting and estate agency DJ Alexander, says retirees may not always make good landlords.
"Someone who is newly-retired, or nearing retirement, will clearly have a different perspective on buy-to-let than someone in their twenties, thirties or forties. For example, a pensioner will not have a regular salary to fall back on if the investment goes wrong, and there may be dangers in tying up all of one's capital in a property - issues unlikely to apply to a younger person with a good income. There are also separate tax issues to consider although the biggest consideration of all could be 'do I want to get into this at my time in life?'"The firm's checklist for the over-55s is:
l Even with expert help, buy to let property is rarely entirely hassle-free so consider your ability to handle the pressure.
l If you still want to go ahead, a property in need of some refurbishment will likely provide the best overall return as it will be less expensive to buy and can be improved relatively inexpensively. As for property in 'move in' condition, 'traditional' will show better capital growth than 'modern' although the latter is less likely to have repair and maintenance issues.
l If choosing refurbishment, someone of your age should, ideally, have relatives and friends prepared to 'pitch in' with the work, or have sufficient funds to pay for reputable contractors.
l If you are nervous of going it alone, consider a shared purchase with younger members of the family or even a joint venture with a newly-retired friend
l Remember location is everything - a two-bedroom flat in a top area will almost always provide a better overall return than a four-bedroom one in a mediocre area. Set personal taste aside, you are not buying a 'second home' but making an investment.
l Take into account rental void (periods when a property lies unoccupied, usually due to a changeover of tenant). Depending on seasonal vagaries, rental void in any one year could be anything between one and eight weeks. Also set aside part of rental income for repairs, maintenance, buildings insurance, management fee and, increasingly, the cost of annual certificates required of landlords.
l If selling on, consider the implications of capital gains tax (CGT). Investors in stocks and shares can spread profits over several years to avoid or at least minimise CGT whereas this is not possible with a property sale if it produces a large enough surplus. Currently the annual threshold is £11,100, and anything above that is taxed at a standard rate of 18 per cent or 28 per cent for higher-rate taxpayers.
l Remember a property bought with a pension pot is a capital asset, which the authorities can compel you to use to contribute to care or nursing home costs.
l But you can bequeath a property on death. Currently the IHT rate is 40 per cent on all assets over £325,000 (unless passed on to a surviving spouse).
l Remember all income over £31,865 per annum is currently taxed at 40 per cent.
l Don't tie up your entire pension fund in property.
l Be honest with yourself. While property offers the security of savings plus the more favourable returns associated with the stock market, it requires more effort.


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This firesale is part of a grand restructuring plan and sales documents have already been distributed to potential buyers.
A frustrated bidder has brandished the information memorandum "chronically unprofessional."
According to my man with the calculator and a wad of cash, the confidential document is missing balance sheets and a detailed breakdown of internal costs and expenses.
A source close to the sale admits the advertisement may have been put together in a rush. Could this have anything to do with the full-year results due on February 23?
But he said fuller details would be provided in the next stage of the sales process.
Still my bidder bangs his fists. It doesn't give enough financial reality for him.
"Obfuscatory, but not quite a Booker prize for fiction contender" he moaned.
What goes up must come down
On to an RBS competitor.
Barclays Capital published its Skyscraper Index this week.
The research shows "an unhealthy correlation between construction of the world's tallest buildings and an impending financial crisis."
It lists the Empire State Building in New York 1930; Chicago 1974, Kuala Lumpur 1997 and Dubai 2010.
You get the picture.
But what about Frankfurt 2012?
Hold on to your hats - the new premises for the European Central Bank consists of two towers, with 45 and 43 floors respectively.
The Ruckertstrasse will stand at a height of 185m and is described as a "distinctive silhouette" that will complement Frankfurt's skyline.
Plenty of rum in Barbados but no champagne deal for Matalan
Fashionista Chloe Green describes herself as "designing a footwear collection to sell as a concession in Topshop" - the fashion retailer owned by Sir Philip Green, aka Daddy.
The star of the reality TV show Made in Chelsea is taking a break. According to Twitter, Chloe spent Christmas in Barbados with dad and chums Jade and Piers Hargreaves-Adams - kids of Matalan chairman, John Hargreaves.
Time flies with you're having rum eh Chloe?
"Sorry I know I am late. But merry christmas and a happy new year", she Tweeted On January 6.
Chloe continues "@JadeH_A Jade!!! I miss u already. Barbados isn't the same without you + PiersHA I am coming to visit soon I promised. Love u xxx"
A beautiful friendship or is a Top Shop-Matalan joint venture on the sun-kissed horizon?
Sadly, a spokesman for Matalan dashes any hope of a partnership.


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A pair of rear-end collisions Friday afternoon on northbound Interstate 205 near Salmon Creek resulted in three people's being transported to a nearby hospital.
At around 3 p.m., Larry Janssen, 51, of Vancouver failed to brake his 1999 Honda Accord for slow-moving traffic on I-205, rear-ending a 1997 Saturn, the Washington State Patrol said. That started a chain reaction that resulted in damage to a total of four cars, according to the report.
The Saturn's driver, Renee Kuhn, 41, of Ridgefield, was treated at Legacy Salmon Creek Medical Center for neck and back pain, and then released.
Ruth Janssen, 88, of Vancouver, a passenger in the Honda Accord, was at the same hospital for chest pain as of 8 p.m., hospital staff said.
Both Janssen's and Kuhn's vehicles were totalled. The two other vehicles involved — a 2000 Toyota Camry and a 2006 Subaru Forester — suffered $2,000 and $700 damage, respectively, police said.
Investigators blamed speed and inattention for the crash. The Washington State Patrol cited Janssen for speeding.
Three-vehicle pileup
The second wreck happened around 40 minutes later and less than a mile north of the first.
Police said Erik Jensen, 42, of Rainier was driving a 2009 Kenworth tractor trailer north when he rear-ended a 2005 Ford Expedition, causing the SUV to hit the back of a third vehicle, a 2008 Chevrolet full-size van.
Police said Jensen had been following too closely, but it was not immediately reported whether he received a citation.
One of the SUV's four passengers — Ava Sin, 7, of West Linn, Ore. — was taken to Legacy Salmon Creek Medical Center with back and neck pain. She was later released.
Although others reported neck and back pain, nobody else was taken to a hospital.


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We offer the rental of an apartment in Chinaillon in le Grand-Bornand to the mountain ski resort
2 bedrooms
3 roomsLiveable floor area : 860 Sq.ft.
Ground surface : 1,600 Sq.ft.
- View : Unobscured, not overlooked, mountain, country side, forest, river
- Kids welcome
- Setting : Mountainy
- Ski slopes at 0.3mi.
- Ski
- Exposure : South
Reviews about the Advert 3317
Advert details 3317
Our rental in le Grand-Bornand, Chinaillon offers the charm of a mountain village. In the heart of the Massif des Aravis, Haute-Savoie, ideally located between the Mont Blanc, Annecy Lake and Switzerland, Le Grand-Bornand offers the best of the Alps! Le Grand-Bornand, is of course a tourist resort, the summer like winter, but also a real charming village that lives year-round and here, the generous nature has done things well... It starts with the chain of Aravis, splendid backdrop, 2750 metres under the advanced breakthrough, iconic mountain, from which of the curves at once harmonious, verdant, forested and accessible glide down to the village.
Assets Apartment-Flat
Interior Apartment-Flat with View: unobscured, not overlooked, mountain, ...
Exterior Vacation rental in Setting: mountainy
Rates Calendar Availability Vacation rental in Le Grand Bornand
Seasons & Availability Apartment-Flat in Le Grand Bornand
Rates Apartment-Flat in Le Grand Bornand
For your guidance
Booking conditions
Leisure, Surroundings, Location Apartment - Flat 3317
Leisure Le Grand Bornand - Upper Savoy
Le Grand Bornand is a station to human size ideal for a family who comes to ski or summer holiday. It is of course a tourist resort, the summer like winter, but also a real charming village that lives year-round. Between Le Grand-Bornand village and the col de la Colombière, 12 miles above, the Valley of Chinaillon view over his laces, dear to the cyclists and the Tour de France riders. At halfway, the typical and beautiful hamlet of Chinaillon saw, over time, develop around its Chapel and cottages, the resort of le Grand-Bornand. 29 ski lifts allow skiers to practice all slip to the top of the Lachat while summer, many trails criss-cross the pastures to the peaks that surround the Valley: Lachat, Maroly, Jalouvre, rock of the towers, etc...
SurroundingsMountain - Upper Savoy
Location AccessApartment-Flat Le Grand Bornand
38 km from Annecy and the TGV train station. 50 km from Geneva international airport. 6 km from le Grand-Bornand village


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I live in a Condo so I have a window sill garden . At one time Orchids were a plant that I could not grow then suddenly I got the hang of growing Orchids . Now I have a window sill full of Orchids. When I go in my second bedroom to see my Orchids Cleo runs in no matter what she is doing to check out what is going on .We talk to the plants and politely ask for flowers .I take my hand wave it and say Swish flowers please Cleo looks at me in amazement
The Orchid in the picture that is blooming was dying at Produce Junction last year . I picked it up for a dollar but my heart was in love. I was shocked when it bloomed this year So far it is the only one blooming but another one has just spouted .So more blooms to come .
When I want flowers I go to my favorite flower store which is also my favorite place to buy vegtables ,fruit and herbs .Produce Junction located 2901 Knights Rd in Bensalem Pa . You get great deals on flowers there they are really beautiful . I sometimes wonder why people spend so much money for the same flowers at other stores. There was an Orchid in a store they were selling for $29 at one store at Produce Junction the same Orchid was $7 . I told the woman . She didn't care and bought it anyway . You can get a colorful bouquet for $6
Well Fall is on it's way and the colors of the trees and flowers will be changing soon .
Let's enjoy beautiful colors of summer .
entry for Belinda Spillman Summer Challange
Pictures are by Hannah Williams not to be duplicated without permission .HelpfulHannahs.com is a Real Estate website please visit it if you are interested in information about homes or any information about the Philadelphia or Bucks County Pennsylvania area or call me direct 215-215 953 8818 or by cell 820-3376 i will be glad to assist you.Unless otherwise noted, the content, both written and in pictures,are the property of Hannah Williams. If you wish to use something you see here,( please ask for permission) Most likely I will oblige, with a link back to my original content as well as an acknowledgment. Thank you to all my friends,neighbors and clients who allowed my to use their photos and videos maybe you will get to Hollywood Ca
To SEARCH for HOMES PLEASE VISIT HELPFULHANNAH.COM


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Cult of Mac reader, Richard, emailed us today with the following issue:
I was trying to move my photos from my Mac to an external drive and during the transfer it kept asking me if I wanted to cancel or replace the image because that image was already there. I didn't want to stop the process so I kept saying cancel. Afterwards, I realized that I was probably replacing images with the same number (e.g., img. 18) but that the images were probably different because, for example, I had simply reused sd cards from my camera and created a whole new set of images. Does this make sense? If I did indeed do that, are those images gone forever?
Yikes! We've all done this at some point in our Mac lives, some of us (looking right at myself) more than once. How can we get these replaced files back? There are three options that I know of.
One, if you use Time Machine, you can launch it and go back to a time before you replaced the images and either roll your entire hard drive back to that earlier state, or just restore the replaced images in place. This is assuming you've set Time Machine up correctly, and that you've included the hard drive the images were on in the first place in your Time Machine backup.
Two, you can try a file recovery utility, like FileSalvage. The trick here is that your Mac doesn't actually get rid of files you replace or trash, it just pretends they don't exist anymore, and marks their place on the hard drive as free space. If you haven't used that disk much, there's a good chance that the files have not been overwritten. File recovery utilities can look at that free space directly, and figure out what files are there, even though your MAc acts as if they are not. Launch the app, let it scan your external drive, and see what's been replaced.
Once you find your replaced files, do yourself a favor and start backing them up to more than just one hard drive. Also, if you routinely copy files from a specific camera or device, be sure to create a new folder in the backup hard drive each time you do so, so that any files with duplicate names don't have to be replaced.
Good luck, and thanks for the question, Richard!


text: On 10/21/10 2:32 PM, Christopher Done wrote: >> [1] http://imgur.com/lnkE7.png >> [2] http://previasports.com/haskellers_website/ > > I like the colour theme of the former and the layout of the latter. > The colour theme of the first is more professional, I think. I vote > that styles should be consistent. +1. I'd vote for the second layout (though the map looks glitched up) but changing the red/dayglow/teal/orange scheme to match the first color scheme better. The orange and teal of #2 are fairly close to the orange and navy of #1, so it shouldn't alter things too badly. Though because of the dark background, we may want #2' to have slightly lighter colors than #1. It's the dayglow and red which strike me as out of place. -- Live well, ~wren


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Home / TEFL Videos / TEFL Videos - TESOL TEFL Reviews - Video Testimonial - Chantelle Unit 4
This is what one of our TEFL graduates feels he has gained from the course, or a part of it, and how he plans to put into action what he has learned.
I have learned a lot about the different aspects of a classroom layout, classroom management, and the various aspects that go into teaching the sub-ages of the young learners. Whether it's arranging the class in a way that facilitates student interaction, as well as a focus on the teacher, the various roles of a teacher as an instructor, psychologist, or policeman. These are all vital aspects of ensuring that a classroom is prepared for student learning. This unit explains gneral theories about learning and development and how students learn he first and second language. It further discusses what approach teacher should take and how to prepare environment in he classroom. Finally, it is explained what activities are suitable for two main age groups of young learners during an English class. I have learnt that smaller kids love movement and noise while older kids can be more concentrated during a class.
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This video shows how the theory of "Total Physical Response" (TPR) led James Asher to develop a new teaching methodology
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