text:
Section 7
An Agenda for Research in Ambulatory Patient Safety
Notes (continued)
21 The risk is not absolutely zero. If medical records document that particular threats to safety were known but no effective action taken over a substantial period of time, this information could be used against the organization during determination of fault and cause in a liability action.
22 Heinrich (1941) is cited in a report (analogous to the Institute of Medicine's report To Err is Human) from the United Kingdom, An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the National Health Service, Department of Health. London: The Stationery Office Limited, 2000.
23 The body of knowledge that has developed to explain these multifactorial interactions is called "complexity science." A concise explanation of complexity science is provided in Appendix B (Plsek 2001) of the Institute of Medicine report (Institute of Medicine 2001) Crossing the Quality Chasm: A New Health System for the 21st Century. Additional sources include a four part series of recent articles in the British Medical Journal (Plsek and Greenhalgh 2001, Wilson and Holt 2001, Plsek and Wilson 2001, Fraser and Greenhalgh 2001).
24 The extent to which the VA experience can be generalized is not clear. The VA system is different from other health care systems with respect to both individual liability and the structure of accountability. Patients must sue the Federal Government under the Torts Claims Act. In the event of a settlement or judgment, a peer review panel recommends whether or not individual practitioner(s) should be reported to the National Practitioner Data Bank.
25 See chapters 5 and 7 in the Institute of Medicine's report Crossing the Quality Chasm (Institute of Medicine 2001).
26 To inform and provide a context for designing research, what we know about ambulatory care should be assembled into a conceptual model that includes all the elements of ambulatory care. A complete and accurate conceptual model of ambulatory care would capture the many people and tasks, the key processes and systems, and their interactions, interdependencies and complexity.
27 James and colleagues found that 62 of more than 600 identifiable clinical conditions (and associated clinical processes) accounted for over 90% of hospital-based care delivery. They have also identified about 40 key clinical support processes that account for about 80% of the resource use in support operations such as the clinical laboratory, pharmacy, a nursing unit, an ICU, a procedure suite, a therapy group, etc. (Brent C. James, M.D., M.Stat., personal communication, June 2001).
28 Technology can bring its own risks. Inadequate operator training and equipment maintenance may lead to misuse and malfunction. If a clinician or other person believes that a device or machine essentially eliminates risk, they may be less vigilant and less likely to detect errors as they are happening (Senders 1994, Macklis et al. 1998, Bates et al. 2001).
29 Redistributing responsibilities and tasks among several clinicians working together would also be expected to reduce costs as less costly people do some tasks that physicians would have done—and do them as well or better.
30 A change in this mental model may be quite difficult to achieve so long as the influence of the tort liability system in medicine is so strong. At the least, it will be necessary to erect protective barriers to enable learning from adverse events.
31 Of course, standardized processes must be built to accommodate differences among patients.
32 Analysis of data from MGMA's annual Cost Surveys (1995 ff) and annual Physician Compensation and Production Surveys (1995 ff) for the years 1995-2000; David Gans, personal communication, April 2001; and Gans 2001.
33 Pursuing Perfection: Raising the Bar for Health Care Performance, is a recently launched program of the Robert Wood Johnson Foundation. It is one example of an approach to large scale, sustained, multifaceted research and demonstration projects (see http://www.rwjf.org).
34 Five of Minnesota's largest health plans (Blue Cross Blue Shield of Minnesota, Medica, Preferred One, UCare MN, and HealthPartners) recently agreed to work together as sponsors of the Institute for Clinical Systems Integration to promote and support the use of medical practice guidelines and protocols developed at the Institute (Quality Letter 2001).
35 Information on Virginians Improving Patient Care and Safety is available at www.vipcs.org. The National Patient Safety Foundation (www.npsf.org) incubates regional patient safety coalitions through its Education Program.
36 Betsy Lehman died in 1996 after an overdose of chemotherapy in a Boston Hospital in 1995. Willie King suffered amputation of the "wrong leg" in a Florida Hospital in 1996, after giving informed consent to amputation of his other leg.
37 105 Code of Massachusetts General Laws, ch. 111, sec. 203; ch. 112, sec. 5, ch. 112, sec. 52 (1999).
38 Secretary Thompson Announces HHS Patient Safety Task Force. HHS Press Release, April 23, 2001. Department of Health and Human Services. Washington, DC.
39 HHS Announces $50 Million Investment to Improve Patient Safety. Press Release, October 11, 2001. Agency for Healthcare Research and Quality, Rockville, MD.
40 Remarks of Arnold Milstein, Partnership Symposium 2001: Patient Safety Stories of Success, October 11, 2001, Dallas, TX (see http://www.p4ps.org).
AAAHC Institute for Quality Improvement. Medical Event Reporting: Special Report. Accreditation Association for Ambulatory Health Care, Chicago, IL, Spring 2001.
Agency for Healthcare Research and Quality. AHRQ Research Activities Number 254, October 2001, p. 22-3.
AMA/Specialty Society Medical Liability Project (AMA/SSMLP). Risk Management Principles & Commentaries for the Medical Office. American Medical Association, Chicago, IL, 1990.
American College of Surgeons (ACS). Guidelines for Optimal Ambulatory Surgical Care and Office-based Surgery, 3rd ed. ACS, Chicago, IL, 2000.
American College of Surgeons (ACS). Office surgery regulation: improving patient safety and quality care. Health Policy Brief. ACS, Chicago, IL, October 2000.
Aparasu R, Fliginger S. Inappropriate medication prescribing for the elderly by office-based physicians. Annals of Pharmacotherapy 31(7-8):823-9, 1997.
Avorn J. Improving drug use in elderly patients. Journal of the American Medical Association 286(22):2866-6, 2001.
Baker M, Bell L, Avner J. The efficacy of routine outpatient management without antibiotics of fever in selected infants. Pediatrics 103:627-31, 1999.
Balas EA, Weingarten S, Garb CT, et al. Improving preventive care by prompting physicians. Archives of Internal Medicine 160(3):301-8, 2000.
Balas EA. Information systems can prevent errors and improve quality. Journal of the American Medical Informatics Association 8:398-9, 2001.
Barach P, Kelly MJ. Medical errors and patient safety in Massachusetts: what is the role of the Commonwealth? Massachusetts Health Policy Forum (MHPF). Boston: MHPF, 2000.
Barach P, Moss F. Delivering safety health care: safety is a patient's right and the obligation of all health professionals. British Medical Journal 323:585-6, 2001.
Barach P, Small SD. Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. British Medical Journal 320:759-63, 2000.
Barillo D, Cancio L, Kim S, et al. Fatal and near fatal complication of liposuction. Southern Medical Journal 91(5):487-92, 1998.
Barr K, Breindel C. Ambulatory care. In Wolper, L. (editor) Health Care Administration. Aspen Publishing. New York, 1999. pp. 431-67.
Batalden PB, Mohr JJ, Nelson EC, et al. Continually improving the health and value of health care for a population of patients: the panel management process. Quality Management in Health Care 5(3):41-51, 1997.
Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. Journal of the American Medical Association 280(15):1311-6, 1998.
Bates DW. Using information technology to reduce rates of medication errors in hospitals. British Medical Journal 320:788-91, 18 March 2000.
Bates DW, Gawande A. Error in medicine: what have we learned? Annals of Internal Medicine 132(9):763-7, 2001.
Bates DW, Cohen M, Leape LL, et al. Reducing the frequency of errors in medicine using information technology. Journal of the American Medical Informatics Association 8:299-308, 2001.
Bates DW, Teich JM, Lee J. The impact of physician order entry on medication error prevention. Journal of the American Medical Informatics Association 6:13-21, 1999.
Battles JB, Kaplan HS, Van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicine. Archives of Pathology and Laboratory Medicine 122(3):231-3, 1998.
Becher EC, Chassin MR. Improving quality, minimizing error: making it happen. Health Affairs 20(3):68-81, 2001.
Benedict GS. Chapter 2, Forces driving physicians into medical groups, and Chapter 3, Benefits of medical groups for physicians. The Development and Management of Medical Groups. Englewood, CO: Medical Group Management Association and Chicago, IL, American Medical Association, 1996.
Berwick DM, Leape LL. Reducing errors in medicine. British Medical Journal 319(7203):136, 1999.
Berwick DM. Not again! British Medical Journal 322(7281):247-8, 2001.
Billings CE. Some hopes and concerns regarding medical event-reporting systems: lessons from the NASA Aviation Safety Reporting System. Archives of Pathology and Laboratory Medicine 122(3):214-5, 1998.
Birkmeyer JD, Birkmeyer CM, Wennberg DE, et al. Leapfrog patient safety standards: the potential benefits of universal adoption. The Leapfrog Group, November 2000.
Bogardus S, Holmboe E, Jekel J. Perils, pitfalls, and possibilities in talking about medical risks. Journal of the American Medical Association 281(11):1037-41, 1999.
Bovbjerg R. Medical malpractice: folklore, facts and the future. Annals of Internal Medicine 117(9):788-91, 1992.
Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients. New England Journal of Medicine 324(6):370-6, 1991.
Brennan TA. Reporting of errors: how much should the public know? Effective Clinical Practice 3(6):298-9, 2001.
Briefings on Patient Safety. Reporting medical errors poses many challenges for ambulatory facilities. Pp. 8-11, September 2001.
Buck ML. Preventing medication errors in children. Pediatric Pharmacotherapy 5(10):1-4, 1999.
Burstin H, Lipsitz S, Brennan T. Socioeconomic status and risk for substandard medical care. Journal of the American Medical Association 268(17):2383-7, 1992.
Chassin MR, Galvin RW, and the National Roundtable on Health Care Quality. The urgent need to improve health care quality. Journal of the American Medical Association 280(11):1000-5, 1998.
Chung F, Mezei G. Factors contributing to a prolonged stay after ambulatory surgery. Anesthesia Analog 89(6):1352-9, 1999.
Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. Journal of the American Medical Association 266:2847-51, 1991.
Classen DC, Pestotnik SL, Evans RS, et al. Description of a computerized adverse drug event monitor using a hospital information system. Hospital Pharmacy 27(9):774,776-7,783, 1992.
Classen DC, Pestotnik SL, Evans RS, et al.. Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. Journal of the American Medical Association 277(4):301-6, 1997.
Classen DC. Clinical decision support systems to improve clinical practice and quality of care. Journal of the American Medical Association 280(15):1360-1,21, 1998.
Clemmer TP, Spuhler VJ, Oniki TA, et al. Results of a collaborative quality improvement program on outcomes and costs in a tertiary critical care unit. Critical Care Medicine 27(9):1768-74, 1999.
Cohen MR. Why error reporting systems should be voluntary. British Medical Journal 320:728-9, 18 March 2000.
Coleman W, Hanke C, Lillis P, et al. Does the location of the surgery or specialty of the physician affect malpractice claims in liposuction? Dermatological Surgery, 25(5):343-7, 1999.
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. British Medical Journal 320:791-4, 2000.
Cooper RA, Laud P, Dietrich CL. Current and projected workforce of nonphysician clinicians. Journal of the American Medical Association 280(9):680-7, 1998.
Cullen DJ, Bates DW, Leape LL, et al. Prevention of adverse drug events: a decade of progress in patient safety. Journal of Clinical Anesthesiology 12(8):600-14, 2000.
Davis J. Ambulatory surgery: how far can we go? Medical Clinics of North America 77(2):365-75, 1993.
Davis RM, Wagner EH, Groves T. Advances in managing chronic disease. British Medical Journal 320(7234):525-6, 2000.
Delaney DC, Fitzmaurice DA, Riaz A, et al. Can computerized decision support systems deliver improved quality in primary care? British Medical Journal 319:1-3, 1999.
Dexter PR, Perkins S, Overhage JM, et al. A computerized reminder system to increase the use of preventive care for hospitalized patients. New England Journal of Medicine 345(13):965-70, 2001.
Deyo RA. A key medical decision maker: the patient. British Medical Journal 323(Sept 1):466-7, 2001.
The Writing Group. Conducting the direct observation of primary care study. Journal of Family Practice 50(4):345-52, 2001.
Duffy SQ, Farley DE. Patterns of decline among inpatient procedures. Public Health Reports 110(6): 674-81, 1995.
Escarce J, Chen W, Schwartz J. Falling cholecystectomy thresholds since the introduction of laparoscopic cholecystectomy. Journal of the American Medical Association 273:1581-5, 1995.
Evans RS, Classen DC, Pestotnik SL,et al. Improving empiric antibiotic selection using computer decision support. Archives of Internal Medicine 154(8):878-84, 1994.
Evans RS, Pestotnik SL, Classen DC, et al. A computer-assisted management program for antibiotics and other antiinfective agents. New England Journal of Medicine 338(4):232-8, 1998.
Evans RS, Pestotnik SL, Classen DC, et al. Evaluation of a computer-assisted antibiotic-dose monitor. Annals of Pharmacotherapy 33(10):1026-31, 1999.
Ferguson T. Digital doctoring-opportunities and challenges in electronic patient-physician communication. Journal of the American Medical Association 280(15):1361-2, 1998.
Field TS, Gurwitz JH, Avorn J, et al. Risk factors for adverse drug events among nursing home residents. Archives of Internal Medicine 161(13):1629-34, 2001.
Fischer G, Fetters MD, Munro AP, et al. Adverse events in primary care identified from a risk management database. Journal of Family Practice 45(1):40-6, 1997.
Fitzgerald, M. The midlevel provider: colleague or competitor? Patient Care 29(1):1996.
Flowers L, Riley T. State-based Mandatory Reporting of Medical Errors: An Analysis of the Legal and Policy Issues. Portland, ME, National Academy for State Health Policy, March 2001.
Forkner-Dunn DJ. Commentary: to err is human—but not in health care. American Journal of Medical Quality 15(6):263-6, 2000.
Fraser SW, Greenhalgh T. Coping with complexity: educating for capability. British Medical Journal 323:799-803, 2001.
Gaba DM. Human error in dynamic medical domains. Chapter 11 (pp. 197-224) in Human Error in Medicine. Bogner MS, editor. Hillsdale, NJ: Lawrence Erlbaum and Associates, 1994.
Gaba DM. Anaesthesiology as a model for patient safety in health care. British Journal of Medicine 320:785-8, 2000.
Gandhi T, Burstin H, Cook E. Drug complications in outpatients, Journal of General Internal Medicine 15(3):149-54, 2000a.
Gandhi T, Puopolo A, Dasse P, et al. Obstacles to collaborative quality improvement: the case of ambulatory general medical care. International Journal of Quality in Health Care 12(1):115-23, 2000b.
Gandhi TK, Seger DL, Bates DW. Identifying drug safety issues: from research to practice. International Journal of Quality in Health Care 12(2):69-76, 2000c.
Gandhi TK, Weingart SN, Seger DS, et al. Medication errors and adverse drug events in the ambulatory setting. Journal of General Internal Medicine 16(supplement 1, April):133, 2001a (abstract).
Gandhi TK, Weingart SN, Seger DS, et al. Impact of basic computerized prescribing on outpatient medication errors and adverse drug events. Journal of General Internal Medicine 16(supplement 1, April):195, 2001b (abstract).
Gans DN. Just how good were the good old days? MGMA Connexion, pp.30-1, October 2001.
Garr DR, Marsh FJ. Medical malpractice and the primary care physician: lowering the risks. Southern Medical Journal 79:1280-4, 1986.
Gawande AA, Bates DW. The use of information technology in improving medical performance. Part II. Physician-support tools. MedGenMed February 14:E13, 2000.
Gelissen RHM. Incident Reporting Systems in the Medical Field: An Inventory Using the NMMS Framework. Unpublished doctoral thesis, Eindhoven University of Technology. Thesis supervisor: Dr. T.W. van der Schaaf, Eindhoven University of Technology, Safety Management Group.1997.
Glauber J, Homer CJ, Berwick DM. Reducing medical error through systems improvement: the management of febrile infants. Pediatrics, 105(6):1330-2, 2000.
Goldberg HI, Neighbor WE, Cheadle AD, et al. A controlled time-series trial of clinical reminders: Using computerized firm systems to make quality improvement research a routine part of mainstream practice. Health Services Research 34(7):1519-34, 2000.
Greely, HT. Do Physicians have a duty to disclose? Western Journal of Medicine 171:82-3, 1999.
Green LA, Dovey SM. Practice based primary care research networks: they work and are ready for full development and support. British Medical Journal 322:567-8, 2001.
Gurwitz JH, Sanchez-Cross MT, Eckler MA, et al. The epidemiology of adverse and unexpected events in the long-term care setting. Journal of the American Geriatric Society 42(1):33-8, 1994.
Gurwitz JH, Field TS, Avorn , et al. Incidence and preventability of adverse drug events in nursing homes. American Journal of Medicine 109(2):87-94, 2000.
Haas JS, Cook EF, Puopolo AL, et al. Differences in quality of care for women with abnormal mammogram or clinical breast complaints. Journal of General Internal Medicine 15:321-8, 2000.
Hackman JR (editor). Groups That Work And Those That Don't: Creating Conditions for Effective Teamwork. Jossey-Bass, 1990.
Hall M, Lawrence L. Ambulatory surgery in the United States. Vital Health Statistics 300:1-16, 1998.
Hanlon JT, Schmader KE, Koronkowski JM, et al. Adverse drug events in high risk older outpatients. Journal of the American Geriatric Society 45(8):945-8, 1998.
Hanlon JT, Schmader KE, Ruby CM, et al. Suboptimal prescribing in older inpatients and outpatients. Journal of the American Geriatric Society 49(2):200-9, 2001.
Harbrecht M, Thomasson G, Quinn R, et al. Conference to Develop a Research Agenda for Ambulatory Patient Safety: Summary from Copic Insurance Company. Copic Insurance Company, Denver, CO. November 2000.
Hatlie MJ. Thoughts on the future of the patient safety movement. Chapter, American College of Surgeons Patient Safety Manual, 4th ed. American College of Surgeons, Chicago, IL, publication pending.
Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. Journal of the American Medical Association 286(4):415-20, 2001.
Heinrich HW. Industrial Accident Prevention: A Scientific Approach. New York and London, 1941.
Helmreich RL. On error management: lessons from aviation. British Medical Journal 320:781-5, 18 March 2000.
Helmreich RL and Schaefer, H. Team performance in the operating room. Chapter 12 (pp. 225-253) in Human Error in Medicine. Bogner MS, editor. Hillsdale, NJ: Lawrence Erlbaum and Associates, 1994.
Helmreich RL, Musson DM, Sexton B. Applying aviation safety initiatives to medicine. Focus on Patient Safety 4(1):1-2, 2001, National Patient Safety Foundation.
Hess AMR, Nelson EC, Johnson DJ, et al. Building an idealized measurement system to improve clinical office practice performance. Managed Care Quarterly 7(3):22-34, 1999.
Hofer TP, Kerr EA, Hayward RA. What is an error? Effective Clinical Practice 3(6):261-9, 2000.
Holman H, Lorig, K. Patients as partners in managing chronic disease: Partnership is a prerequisite for effective and efficient health care. British Medical Journal 320(7234):526-7, 2000.
Honigman B, Lee J, Rothschild J, et al. Using computerized data to identify adverse drug events in outpatients. Journal of the American Medical Informatics Association 8(3):254-66, 2001a.
Honigman B, Light P, Pulling RM, et al. A computerized method for identifying incidents associated with adverse drug events in outpatients. International Journal of Medical Informatics 61(1):21-32, 2001b.
Hunt DL, Haynes RB, Hanna SE, et al. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. Journal of the American Medical Association 280(15):1339-46, 1998.
Institute for Healthcare Improvement. Idealized design of clinical office practices. http://www.IHI.org/idealized/idcop. August 2001
Institute of Medicine, Committee on Quality of Health Care in America. To Err is Human: Building a Safer Health System. Kohn LT, Corrigan JM, Donaldson MS, eds. Washington, D.C: National Academy Press, 1999.
Institute of Medicine, Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy of Sciences, 2001.
James BC. Making it easy to do right. New England Journal of Medicine 345(13):991-3, 2001.
Jencks SF, Cuerdon T, Burwen DR, et al. Quality of medical care delivered to Medicare beneficiaries: a profile at State and national levels. Journal of the American Medical Association 284(13):1670-6, 2000.
Jencks S. Public reporting of serious medical errors. Effective Clinical Practice 3(6):299-301, 2001.
Jha AK, Kuperman GJ, Teich JM, et al. Identifying adverse drug events: development of a computer-based monitor and comparison to chart review and stimulated voluntary report. Journal of the American Medical Informatics Association 5:305-14, 1998.
Jha AK, Kuperman GJ, Rittenberg E, et al. Identifying hospital admissions due to adverse drug events using a computer-based monitor. Pharmacoepidemiology and Drug Safety 10(2):113-9, 2001.
Johnson J, Bootman J. Drug related morbidity, mortality and the economic impact of pharmaceutical care. American Journal Health System Pharmacology 54: 554-8, 1997.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Revisions to Joint Commission Standards in Support of Patient Safety and Medical/Health Care Error Reduction, Effective July 1, 2001. JCAHO, Oakbrook Terrace, IL, 2001.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Kernicterus threatens healthy newborns. Sentinel Event Alert. JCAHO, Oakbrook Terrace, IL. Online at http://www.jcaho.org/ptsafety_frm.html, April 2001.
Kaplan HS, Battles JB, Van der Schaaf TW, et al. Identification and classification of the causes of events in transfusion medicine. Transfusion 38(11-12):999-1003, 1998.
Karson AS, Bates DW. Screening for adverse events. Journal of Evaluation in Clinical Practice 5(1):1-4, 1999.
Katzenbach JR, Smith DK. The Wisdom of Teams: Creating the High-Performance Organization, Harper Collins, New York, 1993.
Kaushal R, Barker KN, Bates DW. How can information technology improve patient safety and reduce medication errors in children's health care? Archives of Pediatrics and Adolescent Medicine 155(9):1002-7, 2001.
Kilo C, Berwick D. Interview with Chuck Kilo and Don Berwick of the Institute for Healthcare Improvement. Managed Care Quarterly 7(3):1-4, 1999.
Kovner AR, Elton JJ, Billings J. Evidence-based management. Frontiers of Health Services Management 16(4):3-24, 2000.
Kowalczyk L. With costs up, HMOs to monitor patients: Blue Cross-Blue Shield, Tufts OK claim analysis. Boston Globe, April 8, 2001.
Kozak L, McCarthy E, Pokras R. Changing patterns of surgical care in the United States 1980-1995. Health Care Financing Review 21(1):31-49, 1999.
Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Annals of Internal Medicine 131.12:963-7, 1999.
Kravitz R, Rolph J Peterson L. Claims and the limits of defensive medicine. Medical Care Research and Review 54(4):456-71, 1997.
Leape L. Error in Medicine. Journal of the American Medical Association 272(23):1851-7, 1994.
Leape LL. Institute of Medicine medical error figures are not exaggerated. Journal of the American Medical Association 284(1):95-7, 2000.
Leape LL, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. Journal of the American Medical Association 274(1):35-43, 1995.
Leape LL, Cullen DJ, Clapp MD, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. Journal of the American Medical Association 282(3):267-70, 1999.
Leape LL, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Joint Commission Journal on Quality Improvement 26(6):321-31, 2000.
Leapfrog Group. Leapfrog initiatives to drive great leaps in patient safety. Online at http://www.leapfroggroup.org/safety1.htm and http://www.leapfroggroup.org/safety2.htm. December 2000.
Luft HS, Greenlick MR. The contribution of group- and staff-model HMOs to American medicine. The Milbank Quarterly 74(4):445-67, 1996.
McDonald CJ, Overhage M, Dexter PR, et al. Canopy computing: using the Web in clinical practice. Journal of the American Medical Association 280(15):1325-9, 1998.
McDonald C, Weiner M., and Hui S. Deaths due to medical errors are exaggerated in Institute of Medicine report. Journal of the American Medical Association 284(1):93-5, 2000.
Macklis RM, Meier T, Weinhous MS. Error rates in clinical radiotherapy. Journal of Clinical Oncology 16:551-6, 1998.
Malpass A, Helps SC, Runciman WB. An analysis of Australian adverse drug events. Journal of Quality in Clinical Practice 19(1):27-30, 1999.
Medical Group Management Association. Cost Survey—for the years 1995, 1996, 1997, 1998, 1999, 2000. Englewood, Colorado: Medical Group Management Association.
Medical Group Management Association. Physician Compensation and Production Survey—for the years 1995, 1996, 1997, 1998, 1999, 2000. Englewood, Colorado: Medical Group Management Association.
Messinger SF, Welters TL. The value of the group practice model: results from a comprehensive survey. Group Practice Journal February:11-16, 2001.
Mezei G. and Chung F. Return hospital visits and hospital readmission after ambulatory surgery. Annals of Surgery 230(5):721-7, 1999.


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"You put a 35mm camera on their heads, and they whine," Dana Brown says. "It's like, 'Here, let me put a bowling ball on the other side for balance.'"
The heads to which Brown was referring belonged to riders and crewmen covering the Baja 1000—excuse me, Tecate SCORE Baja 1000. Brown's gone from the surf (for his most-excellent 2003 film Step Into Liquid) to the turf with Dust to Glory, which opens here Friday but got its Orange County premiere March 29 at the Lido Theatre in Newport Beach.
After a tubby guy wearing a too-tight checkered-flag shirt stretched across his belly and hugging the world's largest tub of popcorn finally found his seat in the front row, Newport Beach Film Festival (NBFF) CEO Gregg Schwenk welcomed the packed house, as this screening benefited this year's fest, which runs April 21-30. Schwenk noted that the Brown family has received much love from the NBFF: Dana's dad, Bruce Brown (TheEndless Summer, On Any Sunday), was honored at last year's festival, and entered this year is Islands in the Stream: A 16mm Surf Documentary, which Dana's son Wes co-directed.
Despite Brown's familiarity with locals (he grew up in Dana Point), he found the turnout for his $2 million film "overwhelming."
"I'd like to take all the credit, but I brought people with me," Brown said before introducing the film's "star" (and co-producer) Mike "Mouse" McCoy and co-producer/co-editor/Springsteen look-alike (at least in a darkened theater) Scott Waugh, who explained, "We wanted to show it to our community first."
Based on this crowd, you could peg that community as mostly male and about 37. As the movie played, the extremely few times that loud engines or music were not blaring from the speakers, you'd hear these manboys whooping, "YEAH!" and, "AHHHHH-OOOOOO!"—especially if the onscreen action involved vehicles bumping one another (which is apparently the universally agreed-upon signal for the slower driver in front to move over). It was really cute when DusttoGloryfollowed a team of wives, daughters and mothers of longtime Baja 1000 male racers; when they, too, bumped a buggy in front of theirs, females at the Lido unleashed their own "AHHHHH-OOOOOO!"
As the final credits rolled, McCoy, Waugh and Brown, clutching a copy of everyone's favorite OC alt. weekly (props to our product-placement department), took questions from the fans. Mouse—who'd just appeared onscreen riding the entire 1,016 miles alone on a motorcycle, the first ever to accomplish the feat—thanked the crowd for showing up at the Lido and Brown for showing up at Baja.
"He was just like the racers," McCoy said of Brown. "He kept going and going and going. He had the same spirit as racers."
Brown, modest, gave the props to his 90-man crew. "We had people we didn't even know were working for us," Brown said of those scraping mud off 55 cameras along the route, inside buggies, overhead in helicopters and, yes, even mounted to helmets. Shooting in 35mm, 16mm, direct video (DV) and mini-DV formats, most cameras wound up covered in silt. Brown got a $13,000 cleaning bill.
Many who'd run the race were in the audience, and the director apologized that his final cut did not include participants from every SCORE class. "I know a lot of you told your girlfriends that we shot you, and it's got to be disappointing not being in the movie," he said. He had 250 hours of footage to trim into a 90-minute film, something he and Waugh accomplished after a year of 20-hour days in postproduction.
Brown had been quite familiar with the Baja 1000, as his father filmed it in 1968 for ABC's Wide World of Sports, but experiencing the 2003 race gave him a whole new perspective.
"It's dangerous," he said. "Those guys are fast, and those crowds get close. It's that bullfighting mentality."
And the drivers: "You guys are crazy!"
He described Baja California, which he knows better from surfing than riding, as "magical."
"You can be up here and hear people talking about UFOs and think, 'There's no UFOs.' Go to Baja, and there's UFOs. It's a trippy place, and you don't have to travel very far to find it."
Despite his new role in promoting a race that's been criticized for destroying nature, Brown said he's proud of the contributions such legends as motorcyclist Malcolm Smith and auto racing's Parnelli Jones have made to the region after the Baja 1000 exposed them to it. Smith, as shown in the film, supports a local orphanage. Brown said he showed his film to Baja residents and officials to make sure they agreed he was respectful to their home.
That could have been cause for worry the first day he arrived for filming and Waugh mentioned, "I hope my streak gets broken." Turns out Waugh had been arrested during every previous visit to Baja. Yes, the streak was indeed broken.
McCoy also broke a streak, vowing, "No more solo ever again." As the film shows, riding a bike for 1,000 miles numbs your hands, makes you daffy and almost kills you just short of the finish line.
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Mouse started riding at age four, but as a teen, he got burned out and spent seven years off motorcycles. Asked what caused him to quit, he explained, "I had to get shit out of my system as a kid."
Brown interrupted him to point to a kid, a gentle reminder that this wasn't a PG-13 audience.
"Oh, shit," Mouse said sheepishly.
Brown was coy about his next film. He said he has an idea but doesn't want to expose it for fear of getting people involved excited, and then dropping those plans. "You have to fall in love with these things," he said. "My dad warned me, too: 'You don't want to do that for a living.'"

subset: commoncrawl


text:
|07 Mar 2014
Windows 7 Pro x86 32bits
BSOD on a HP dc7900 SFF with M500 Crucial SSD
Hi all,
I have encountered several BSOD since I have upgraded my computer with a SSD see reference in the above subject.
Ex. When I have tried to install MS Office 2010 and/or the complete HP driver for my AIO printer ..
Please find herewith the report.
Hope that helps ..
Thank you so much in adavance.
|My System Specs
|07 Mar 2014
Microsoft Windows 10 Pro Insider Preview 64-bit
Hi Rayon.
I am seeing two different things there.
First, the USB wireless adapter is failing when the computer wakes up from sleep.
BugCheck 9F, {3, 85a5d030, 8078adb0, 872f28b8} Probably caused by : usbhub.sys Followup: MachineOwner -------------------------------------- >[ 16, 2] 0 0 85ab0028 00000000 00000000-00000000 *** WARNING: Unable to verify timestamp for netr28u.sys *** ERROR: Module load completed but symbols could not be loaded for netr28u.sys \Driver\netr28u Args: 00015400 00000001 00000004 00000003 [ 16, 2] 0 e1 85af3e08 00000000 00000000-00000000 pending \Driver\vwifibus Args: 00015400 00000001 00000004 00000003 [ 0, 0] 0 0 00000000 00000000 00000000-85043ec8 Args: 00000000 00000000 00000000 00000000
BugCheck F4, {3, 85a85978, 85a85ae4, 82a2deb0} ----- ETW minidump data unavailable----- Probably caused by : wininit.exe Followup: MachineOwner ---------
KERNEL_DATA_INPAGE_ERROR (7a) The requested page of kernel data could not be read in. Typically caused by a bad block in the paging file or disk controller error. Also see KERNEL_STACK_INPAGE_ERROR. If the error status is 0xC000000E, 0xC000009C, 0xC000009D or 0xC0000185, it means the disk subsystem has experienced a failure. If the error status is 0xC000009A, then it means the request failed because a filesystem failed to make forward progress.
ERROR_CODE: (NTSTATUS) 0xc000000e - A device which does not exist was specified. DISK_HARDWARE_ERROR: There was error with disk hardware
4077 errors : !nt (82b38000-82b38fff)
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BSOD process or thread crucial to system operation has ended
I've getting occasional BSOD lately. They sometime occur only a day a part, sometimes a week. It started I'd say a month or so ago, which was also couple weeks after I had reinstalled Windows 7, which I did after an uninstall of Office 2013 seemed to have not completed correctly, and had also never...
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TITLE: V-MODA BoomPro Microphone C-BP-BLACK Review
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V-MODA BoomPro Microphone C-BP-BLACK Review
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Chameleon Club Presents...
Black Stone Cherry
Evelyn's Ashes, Small Town Titans (Phil solo)
Chameleon Club
223 North Water Street
Lancaster, PA, 17603
This event is 18 and over
The Kentucky-bred hard rockers in Black Stone Cherry have had their music blared from speakers large and small, toured relentlessly with the likes of Nickelback and Motörhead, and debuted at #1 on the UK rock chart with their sophomore release, 2008's Folklore and Superstition. In the face of these successes, the band members decided to put themselves to the ultimate test for the creation of their third full-length, Between the Devil and the Deep Blue Sea: they took a year off from touring and focused all their energy on songwriting.
Holed up in their rehearsal space, dubbed The Practice House, which in actuality is a rundown farmhouse, the quartet—vocalist Chris Robertson, guitarist Ben Wells, bassist Jon Lawhon and drummer John Fred Young—crafted almost 50 songs of soaring, Southern-fried hard rock about everything from being proud of where you come from and true to who you are, on lead single "White Trash Millionaire," to songs like the rip roaring "Blame It On The Boom Boom," that will make you want to jump up and shake what your mama gave ya. The album that Black Stone Cherry emerged with is a blistering set of intoxicating anthems, much like a modern version of their heroes in Lynyrd Skynyrd or the Marshall Tucker Band, whose 1975 country-rock classic "Can't You See" has been revamped by the band for this go 'round. They poured everything they could into building the strongest hooks and the most passionate lyrics, both of which come through stunningly in songs like "Won't Let Go" and "Like I Roll." And they found inspiration in the pictures of Lynyrd Skynyrd, Cream, Howlin' Wolf, and Muddy Waters that Young's dad, Richard Young, and uncle, Fred Young—founding members of classic country rockers the Kentucky Headhunters—pinned to the walls of The Practice House when they formed the band as teenagers over a decade ago.
For as hard as Black Stone Cherry worked, the most difficult part was taking off a year from touring. "This past year was the longest break from touring that we've ever taken, since forming the band," Wells says. "Being in one place for so long was something we had to readjust to, but looking back, it gave us a chance to reflect, re-bond as brothers and craft the best songs we absolutely could." Young adds, "It took being home with all these great people we love to create kick ass rock n roll like we do!"
Armed with an impressive arsenal of tracks, Black Stone Cherry pulled off another first-time personal feat: they recorded Between the Devil and the Deep Blue Sea (an Old English euphemism for choosing between two undesirable situations) thousands of miles from home, in Los Angeles. Under the friendly watch of producer extraordinaire Howard Benson (Theory of a Deadman, Daughtry, Three Days Grace), the bandmates tightened up their oeuvre in the studio. In fact, being on the opposite coast with Benson was how "In My Blood" came about. The song is a heartfelt auto-biographical tale about being drawn to living life on the road, despite missing family and friends. "Howard said he was missing one more song from us, one that came from our hearts," Wells says. "We sat at his house and he just pulled it out of us. We wrote it in 20 minutes." During the recording of the album, Benson guided them to play nontraditional instruments like mandolins, banjos and drums bought from an old high school marching band.
Between The Devil And The Deep Blue Sea is chocked full of well-crafted tales that give listeners a glimpse into life as Black Stone Cherry know it and live it. "I owned a 1981 Smokey and the Bandit Trans-Am that I drove around in primer paint when we wrote 'White Trash Millionaire'," Robertson says. "I spent countless hours working on it at the garage. We don't need mansions or expensive sports cars to be content in life." Moreover, Lawhon adds that they wrote the line about "the couch on the front porch," because the house where they rehearse literally has a sofa on the front porch. "Of course the cushions don't match," he adds.
Another song that shows off the group's affinity for celebrating the simple things in life is "Like I Roll." A song that could mean as much to a trucker driving an 18-wheeler in a convoy as it could to a rock band on a world tour as it recalls the free spirited life of living on the road. "The song is a reminder that no matter what you have to do, do it your way," Robertson says. "And if no one supports you, at least you took that opportunity." Wells says, "It's about people who travel from city to city and love every single minute of it. It's the life we live when we're on the road."
Other standouts on the album include the emotional "Won't Let Go" that really shows the strength in Robertson's vocals. "The lyrics were pouring out of us because we could all relate to them," Robertson says. "No matter where we go, we're not going to let go of who we are and where we come from." Showing their powerful vision, the band's cover of "Can't You See" sounds as if it were actually written by Black Stone Cherry, thanks to some thick guitars and more forceful melodies. "Blame It on the Boom Boom," which has a fist-pumping chorus, is a party rocker par excellence, custom-built for sporting events and jukeboxes alike. Young expounds: "Blame it on the Boom Boom" is about anything you want! Whatever gets you in trouble is the Boom Boom!" If anything, the album presents an even keel between Black Stone Cherry's most memorable bangers and their most introspective songs.
What's clear, when the band looks back on the hard work they put into making the record, is that the time off was worth taking. It was a long process, but Black Stone Cherry's Between the Devil and the Deep Blue Sea is one of the most well-rounded hard rock releases to come out of the last ten years.
Phil Freeman - Bass/Vocals
Ben Guiles - Guitar
Jonny Ross - Drums
The Small Town Titans are a power trio from York, PA who take pride in their songs, their energetic live shows, and their authenticity as artists through rock n' roll. Their music and attitude is straightforward and simple and their goal is the same at every show. To make new fans that will be back the next time they are in town. With influences spanning from classic rock, blues, pop, and more, STT's songs blend loud aggressive music with honest songwriting that always starts in a basement with just guitars, drums, and microphones.
After touring for the better part of 2015, STT landed a managing deal with Round 2 Live joining a roster including Artifas, NoMara, KrashKarma, and more. Performing over 85 shows last year allowed the Titans to hone their craft and share the stage with acts such as Papa Roach, Sebastian Bach, and Islander. These names are part of a growing list of major rock artists they have performed with since forming in 2011. Other notable names include Black Stone Cherry, Pop Evil, Saving Abel and Otherwise.
Their latest album "Reflection" was recorded with Kevin Soffera (drummer for Seether on their critically acclaimed and platinum selling "Disclaimer II" album) at Hybrid Studios. The record touches on the recurring theme of looking to the past to better the future. Featuring ballads such as "Doorbell" and "Broken Record" and heavy hitting numbers such as "Rowdy and Reckless" and "Shadows", there is something for every kind of modern melodic rock fan on "Reflection". The Titans are currently preparing for a busy year of touring with their new family at Round 2 Live. For more info on all things STT visit smalltowntitans.com.
$12.50 - $15.00
Upcoming Events
Chameleon Club
Tue, November 21
Balance and Composure
Fri, November 24
ZOSO - The Ultimate LED ZEPPELIN Experience
Sat, November 25
Hollywood Undead
Wed, November 29
Fri, December 1
The Wild Hymns


text:
Theater Professor Writes Tips for College on 'Huff Post'
Fri August 8, 2014
Ann Marie Gardinier Halstead, associate professor and chair of performance and communication arts, offers incoming students some valuable — and sometimes witty — tips for starting the semester off right and for being successful all year long.
Read her full article on the Huffington Post.
Listen to Gardinier Halstead interviewed on Healthylife.net.


text:
Artist description:
When I first started on this it seemed like it would be pretty easy...by was I wrong. It didn't turn out the way I intended it to but here it is never the less.
Canvas Draw Created Apr 18, 2011 640 x 460px Unless noted Copyright 2011 KUTEDYMPLES.
We encourage you to submit a comment and let the artist know what you think of this drawing. Please log in or join to post a comment.
Post a comment
Excellent work!
really really beautiful so eye catching
This is very good. i really like it good luck.
Our drawing never really turn out the way we first percieve them...usually turn out better...great detail and color..you exceeded your expectations on a very difficult draw....enjoy it! ^A^ 5h c f
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WoW! warm and wonderful colour, great detail and drawing Kute. 5♥s and Fave..
Amazing , love it....5/5


text:
If Gay Talese knows one thing, it's The New York Times. However, when we read that he told Vanity Fair "I think the Times is now better than ever," it was pretty surprising. After all, the paper is a lot different now. Hell, everything is a lot different than when Talese wrote about the paper back in 1969. But he said he liked it, so there you have it.
Here's a few more gems from Talese:
On Arthur Sulzberger, Jr.:
I think the Times is now better than ever. Better than when I worked for it. And Sulzberger the publisher has to take credit for it. And I think that the reporters we celebrate tonight are the quintessential journalists of my lifetime, and the editors too: The Jill Abramsons, the Bill Kellers, and the publisher Sulzberger. Here I am sort of making a belated celebration of and tossing of the hat to and making my genuflection to people I criticized four or five years ago.
On journalism:
Journalism is for the young. Young people who go into journalism as a calling are entering, I think, the most worthwhile profession that is possible, and the reason I say that is that there is no profession or industry or calling that tries very hard to tell the truth and to sell the truth and to make the truth make money.
On the Times' mission:
The clergy doesn't tell the truth. Bankers don't tell the truth. The government doesn't tell the truth. Bush doesn't tell the truth. Obama doesn't tell the truth. Nobody tells the truth as much as the Times tries to tell the truth. And without the Times, we might as well be the Soviet Union in the old days.


text:
GLENDALE, Ariz. — Jose Quintana made it to the 200-inning mark last season. Now the Chicago White Sox lefty wants to add even more to his workload.
The 25-year-old from Colombia made his spring debut on Monday, going three innings in Chicago's 9-7 victory over the Kansas City Royals.
"I feel good for the first outing of the year," Quintana said. "I threw all the pitches. The fastball, curve and changeup were working good. I had two good innings, one inning was a little uncomfortable."
In the second, Johnny Giavotella had an RBI triple and scored on Jarrod Dyson's ...
** Subscribers Log in to read this full article.


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The Firing Line Forums
The Hide
The Dave McCracken Memorial Shotgun Forum
> Back boreing
View Full Version :
Back boreing
September 10, 2005, 08:01 AM
What is Back boreing, and what is it"s purpose ?? (I don't even know if i'm spelling it right.)
September 10, 2005, 08:13 AM
Back boreing or over boreing is when you open up the barrel of the shotgun a few thousands of an inch to help reduce the friction of the wad and shot column in it's passage through the barrell. It helps create a better, tighter pattern in many cases. Many factory target shotguns are already backbored to a certain extent.
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text:
I know! I know! We all just want to throw on our sweatpants and hoodies so we can sleep in until the last second. And because, well, no one is going to tell you, "you can't". What you might not realize is that how you look your first day, leaves an impression. Showing up to your classes looking like a lazy slob sends a message to your professor. It tells them that you don't care, you're lazy, and that you don't take anything serious. You want to start off on the right foot, just incase you need an extension on an essay or to retake a quiz. You want your professor to like you. And don't forget about all the new hotties you're going to be running into! So what should you wear if you can't wear your go-to sweatpants? Check out these adorable outfit ideas, perfect for your first day of college.
What To Wear Your First Day of College
By Holly Joffrion
on July 20, 2014
With 0 comments
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GPs fear failure of patient data scheme
GPs have accused NHS bosses of creating a "crisis of public confidence" which puts their flagship data-sharing scheme at risk of collapse.
The Royal College of GPs said it would be a tragedy if the scheme failed because of poor communication. Many doctors and patients are suspicious of the plan and the college urges the Government to act to address concerns before it goes live in less than two months.
Under a plan known as care.data, information will be taken from patients' GP records and linked with similar data from hospitals before being anonymised and made public. Health bosses say this will save lives by allowing researchers to track the progress of new diseases and the effect of drugs, or spot areas where the NHS…


text:
Cuyuna Country success and Challenges
- Posted: July 3, 2012 at 9:31:54 AM
- In: Cuyuna Lakes Ride Center | Hansi Johnson | Lake Country Journal | Midwest Region
- By: Hansi Johnson
- 0 Comments
A great new article out on Cuyuna in the Lake Country Journal.
Check it out. Also, Cuyuna has had some really bad luck this season. They have had three huge rain and wind events. Events that would have totalled most trail systems. Solid design has been the foundation of the trails surviving, but mainl it has been the huge amount of volunteer hours from the Cuyuna Lakes Mountain Bike Crew that has saved the day.
Great job CLMBC, you folks are a shining example of what it takes to keep and maintain a world class trail system. If you are a MN off road rider, feel free to contact the Cuyuna Crew and see how you can help out, financially or physically, join MORC, join their club and help out!


text:
Morgan forced to bow out
Gloucester's twice-capped England international Olly Morgan has confirmed his retirement with immediate effect.
Morgan, 27, has not played since tearing his lateral collateral and anterior cruciate ligaments in his knee in a game against Worcester in January 2012.
The full-back has made numerous attempts to get match-fit but has now accepted that his career is over.
"It's been such a difficult decision. Even though I've had a long time to consider this moment, it doesn't make it any easier," he said on Gloucester's website.
"The frustrating element is that we've actually made so much progress with my knee.
"However, I have had to reluctantly accept that the knee would not be able to cope with the stresses of matches week in and week out, as well as regular training sessions. It would just be too much."
Morgan's England caps were won in the 2007 Six Nations against Scotland and Ireland, and he looks back on international selection as a particular highlight.
"There have been so many great moments. I've loved every minute of my time as a Gloucester player, and I represented my country. Not many people can say that," he added.
"It's disappointing that I'm not able to bow out in the way that I'd like, but I've had so many highs and made so many great friends. You can't have any regrets when you look at it like that.
"I'd like to thank my team-mates, the coaching staff, everyone who works at Kingsholm and the supporters of course. It's been a special experience.
"This particular chapter has come to an end. And it's disappointing that injury got the better of me. But that's a fact of life in modern rugby."
Morgan retires having made 131 appearances for Gloucester since his 2004 debut. He scored 30 tries.


text:
If Kathryn Bigelow and Mark Boal are nervous about "Zero Dark Thirty" opening in D.C. while the Senate probes whether the CIA leaked classified information about the Osama bin Laden raid, the controversial movie's director and screenwriter aren't admitting to it.
Bigelow and Boal have been dogged by questions about torture in the film since the movie's early release began.
On Tuesday night, during a screening of the movie at the Newseum, protesters outside lined the windows dressed in orange prison jumpsuits and black hoods with signs saying "Torture is Immoral" and "ZD30 Fantasy Torture Propaganda."
On the red carpet, Boal was asked if he was surprised by Washington's response to the film thus far.
"It hasn't even opened in D.C. yet. So I would love to have this conversation with you after the opening weekend in D.C., because I think there are a lot of people in this town who are going to be interested in the movie," Boal said.
"I hope there are. Because what the movie really does is shines a spotlight on people who work in D.C. as civil servants who often don't get a lot of credit for the work they do. And so I expect the movie to do reasonably well here."
Pressed further on the Senate investigation into the movie, Boal said the focus on torture stemmed from debates pre-dating the film.
"It's a little bit above my pay grade," Boal said. "But to my understanding some of this controversy probably pre-dates the film and these are controversial topics and it's part of the discussion in the political arena."
Bigelow digressed when asked a similar question about torture in the movie.
"I think everyone's entitled to their own opinion and there's certainly more complexity to that 10-year hunt, but what I'm most proud of is that the film sheds light on the individuals — the professionals in the intelligence community that spent 10 years, dedicated their lives, some of whom sacrificed their lives, to this operation," Bigelow said.
During a question-and-answer session after the movie, former Sen. Chris Dodd (D-Conn.), now the chairman of the Motion Picture Association of America, said focusing on the film's portrayal of torture missed the point of the movie.
"This was a great moment. This was with remarkable people. At the CIA and the pentagon. These young soldiers who after 10 and a half years did something that all of us hoped would happen," said Dodd, who was interviewing Boal and "Zero Dark Thirty" actor Chris Pratt.
"And the fact that we're sitting here, bickering a bit about whether or not this scene or two of this movie, which some people think captured an acknowledgement or acceptance of a certain strategy, I think misses the point entirely. I think in years to come, this film will be a way that an awful lot of people will recognize the incredible efforts of some remarkable Americans whose names they will never ever know and never get the chance to personally thank for what they did."


text:
OTAY LAKES - An experienced skydiver whose parachute apparently malfunctioned spun out of control and landed in some trees, fatally injuring himself Monday near the Otay Lakes glider port, according to rescuers and a broadcast report.
A witness told KNSD that he could tell something was wrong when the skydiver, a man in his 40s whose name was withheld, tried to open his parachute and began spinning out of control about 3,000 feet above the ground.
The man reportedly had been "free-falling" from a jump that originated at 13,000 feet. He was parachuting with members of Skydive San Diego, a local skydiving school, and was using his own equipment, according to the television station.
The parachutist landed east of the Lower Otay Reservoir near the 13500 block of Otay Lakes Road shortly before 3:55 p.m., according to Department of Forestry Capt. Steve Foster.
Rescuers tried cardiopulmonary resuscitation, but the man died at the scene, Foster said.


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Brood Mare, Excercise service
Frenchmans Cash Guy at stud. Barrel or perfomance horse bloodlines including Dash for Cash AND Frenchmans Guy
We specialize in breeding fine quality AQHA horses. All horse breeds are welcome and encouraged. We also specialize in green horse training, problem…
Summer time Training,Riding lessons, Boarding, trail rides and pony rides at delta fair


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wikiHow to Strain and Freeze Turkey Broth and Drippings
When you roast a turkey it leaves behind a lot of drippings in the pan. These drippings can be the base ingredient for gravy, sauces or soups. Take advantage of the good stuff left behind by straining and freezing that turkey broth or drippings if you can't use it right away.
1Remove the turkey and any stuffing from the roasting pan.
2Wait a few minutes. The pan will br extremely hot after being removed from the oven. Give it some time to cool down so it can be easily handled.
3Find a colander or strainer. Set it over a large bowl/pan.
4Separate the liquid from solid. Pour the contents left in the roasting pan into the colander and let it drain.
5Discard the residue left in the colander.
6Gather the drippings from the bowl or pan. Use the collected turkey drippings immediately to make gravy or proceed to the next step.
7Let sit. Put the bowl or pan with the collected turkey drippings in the refrigerator for about an hour.
8Get rid of fat. Take the bowl or pan with the drippings out of the refrigerator and skim off the layer of fat that will have collected on the top with a spoon. Discard fat.
9Store. Freeze the collected turkey drippings in zip close freezer bags or freezer containers for up to 6 months. Make sure to label and date freezer bags or containers.
Community Q&A
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- Some cooks do not separate the fat from the drippings and freeze the drippings right after straining.
- The amount and type of drippings left in the turkey roasting pan will depend on what the turkey was basted with, if the turkey was injected with a saline solution and how the turkey was cooked.
- Some people like to let the drippings sit in the refrigerator before making gravy so they can skim off the fat, others like the fat flavor in the gravy.
- Chilled drippings may become jelly-like.
- Salt and seasonings used on the turkey will be in the saved drippings so take them in account when seasoning soups or gravies you make with the drippings.
- Do not let the drippings sit for more than 30 minutes before refrigerating or freezing them for food safety.
- Use drippings within 3 days or freeze them for food safety.
Things You'll Need
- Colander
- Pan or bowl
- Spoon
- Freezer bags or containers
Sources and Citations
- Editors, Time-Life Books- Poultry, Alexandria, Virginia, Time-Life Books, 1979 pg 168
- Lundberg, Kotschevar, Understanding Cooking, Amherst, Mass., University Press, 1965
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6th Edition Necron Ramblings
Well damn. If Codex Necrons was designed for 6th, I see a lot more rage directed at me. Specifically the "our most basic gun can kill your most advanced tank. In *Three-Four* shots. This is fair and legal." Welcome back to fourth? I never played it, but I foresee bitching.
They can't possibly complain about my night fight anymore, it will be useful, due to the relative ease of getting cover now, Vehicles obscured at 25% and night fight pumping cover saves based on distance away. The 6th rules seemed to nerf what was considered retarded and broken about the Necron book. Night fight no longer denying shots but grants cover, and then making it so Fast Skimmers can only move 12″ in the move phase (meaning Sweep Attacking Command Barges are less of a threat), but then allowing them to charge… and granting them fearless in combat and +1 armor save while embarked. Hmmmmm. Chariot also has hammer of wrath as a heads up.
But then in turn, they made it possible for my entire army to kill tanks. Reliably. They buffed Heavy Destroyers which were already incredibly badass. They also made Night Scythes (not the death ray ones, but the transports), the single coolest, most enjoyable vehicle in the game. Adding the special rule 'invasion beams' is all too true, and you completely feel it when you zoom 24 inches, drop a solid unit of immortals or warriors, give them TANK HUNTER from Zandrekh (so they reroll failed armor pen rolls), and glance a tank to death while the night scythe fires it badass Twin linked tesla destructor, wrecking havoc on the foolish mortals below.
It's thematic.
The one thing I won't ever get over though, is what they did to Lychguard and Praetorians. The already subpar very pricey units got nerfed. Were they too good? Last I checked they weren't worth a thing til 2500 point games. Hyperphase Swords only AP3 now, so terminators of all varieties will simply thrash on them, and if you keep the warscythe the only thing they can thrash on would be vehicles, and things with Initiative 1
This saddens me. Great, I now own a 450 point unit, that will never be able to earn its points back.
Praetorians also took a swift kick in the nuts, and it was essentially beating a dead horse. Their rod of the covenant, is a +1 Str AP3 I1 weapon. Awesomeeeeeeee. The shooting attack from it does more damage at Str5 AP 2. Wraiths are now the new thing, since rending remained AP2.
And then, GW did something ridiculous. They made Ghost Arks even better. 4 Hull points, and the troops inside may fire overwatch shots when vehicle is charge?? Imagine this. 20 man blob of Necron Warriors, led by none other than Nemesor Zandrekh granting them tank hunter every turn to reroll non glances (all the other shots) . On average you do 4 glances at full range (bye land raider). They all have 4+ reanimation protocols, due to the Nemesor's Orb. It will be flanked by two Ghost Arks, repairing an additional 2d3 warriors every turn, these ghost arks are both full, and shooting down their own targets. Enjoy.
Nemesor Zahndrekh is an auto-take, give a unit of warriors tank hunter, reroll all those failed glances and watch them strip a Land Raider down to size. Give your Ghost Ark stealth for 4+ jink when it moves, further increasing to 3+ or 2+ if you used night fight.
Recently I have been using and abusing Night Scythes, their mobility, combined with the Tesla Destructor, and the fact the unit inside can disembark when it moves 36, make it a retarded unit. Also, if it dies, the unit inside doesn't die, they go into reserve, taking no damage. Hurray!
Once you start using fliers, you have to include Orikan, who I have also recently found a love for. Turn 2 pop his little 're-roll failed reserve rolls' and fly your entire Scythewing in, watch it pound the shit out of your opponent. Then when that nasty Terminator unit or etc. is barreling at you, have him go super mode (since there is a reroll Cryptek in his unit, this gives you some control over it), and charge them, I4, 5 attacks at WS5 and Str7, he rerolls failed hits with timestrike, and wounds on a 2+ ignoring armor saves, not power weapon, ignores armor. Also, T7 with 3++ invuln. I fucking love this guy.
I have played 4 games of sixth as of right now, one against IG, two against demons and one in a 2v2 team format, with those demons against Dark Eldar and Grey Knights. Each time my list has consisted of Annihilation barges and Night Scythes, and it is equally devastating each time. My most recent games against daemons I had 3 Annihilation barges and 3 Night scythes, 24 Twin Linked Str7 shots, 6's grant two more hits, and it can arc to other units on a 6. Also Zahndrekh, Orikan, the reroll Cryptek and his 5 mandatory warriors sit in a ghost ark chillin out. It's dirty.
These are just my inital thoughts, I'll probably shoot you fellas a battle report in 6th next week. Happy hunting.


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Apple has announced the death of co-founder Steve Jobs. The news first broke earlier today that he finally had succumbed to his pancreatic cancer.
His death comes only one day after the new iPhone 4s was introduced. Before the 4S, Jobs had handled every single media event and keynote.
"Apple has lost a visionary and creative genius, and the world has lost an amazing human being. Those of us who have been fortunate enough to know and work with Steve have lost a dear friend and an inspiring mentor. Steve leaves behind a company that only he could have built, and his spirit will forever be the foundation of Apple. We are planning a celebration of Steve's extraordinary life for Apple employees that will take place soon. If you would like to share your thoughts, memories and condolences in the interim, you can simply email firstname.lastname@example.com. No words can adequately express our sadness at Steve's death or our gratitude for the opportunity to work with him. We will honor his memory by dedicating ourselves to continuing the work he loved so much," Apple CEO Tim Cook stated in an email to employees.
His keynotes were always entertaining and Jobs had the uncanny ability to energize a crowd with his charisma and enthusiasm. Also, his traditional "one more thing" line will forever be remembered, as he would often release the best new features after it.
Jobs was unlike any other CEO of any major company. He was a hands-on leader that propelled Apple to where it is today. In fact, Apple is currently the largest company in the world, in terms of market cap. Jobs leaves behind well over 300 patents that are credited to his name.
Jobs is arguably the most known face to the tech world, even surpassing Bill Gates and Michael Dell. Forbes named him CEO of the Decade in 2009 and he has been often compared to other business visionaries like Walt Disney and Henry Ford.
The family released a statement late Wednesday evening,
"Steve died peacefully today surrounded by his family. In his public life, Steve was known as a visionary; in his private life, he cherished his family. We are thankful to the many people who have shared their wishes and prayers during the last year of Steve's illness; a website will be provided for those who wish to offer tributes and memories.
We are grateful for the support and kindness of those who share our feelings for Steve. We know many of you will mourn with us, and we ask that you respect our privacy during our time of grief."
Oct 6, 2011
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You're so welcome, ianafer : )
This was quite tricky, Dagmar. I struggled with all the pastel colours too. I just wanted to make something bright for Easter, and to make up for the lack of Spring!I'm glad you had fun, and you're always so welcome : ))
Glad you enjoyed it, anther. I had a lovely Easter, thank you ~ I hope you did too : D
I finally managed to finish 1 hour six and a half minutes of lots of fun, but it took me three long days of snatched moments to get it done. I really is lovely but it's difficult for me to distinguish the pastel tones, I suppose because of that I like it nice and bright LOL. Thanks for some wonderful fun I really enjoyed my moments. :))
A lovely puzzle Debs - I liked the lettering through the diagonal. Thanks. Hope your Easter was pleasant and peaceful.
Thank you, Gaillou. You are so welcome, and I hope you are having a very Happy Easter : ))
I really enjoyed this, Debs. Thank you.


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CSSN Ernsley Victome, an English/Creole translator, talks with a 12-year-old girl who broke her leg when a wall fell on her during the earthquake in the pediatric ward on board the USNS Comfort, a U.S. Naval hospital ship, on January 21, 2010 in Port-au-Prince, Haiti. The Comfort deployed from Baltimore with 550 medical personnel on board to treat victims of Haiti's recent earthquake, and arrived on January 20.
- Copyright
- 2009 Getty Images
- Image Size
- 5616x3744 / 14.1MB
- Contained in galleries
- USNS Comfort


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Woomera, Australia (SPX) Dec 09, 2010
The Royal Australian Air Force launched two Raytheon Joint Standoff Weapon Cs from the RAAF's new F/A-18E/F Super Hornet, marking the first time a U.S. ally has operationally tested a JSOW C. This test series also marked the first time the JSOW C variant has been employed outside the continental United States.
The RAAF also has placed an order for the JSOW C-1, which is currently in production; deliveries are expected to begin in 2011. The JSOW C-1 maintains the land attack capability of JSOW C and adds a moving maritime target capability by incorporating a datalink. This enables the JSOW to receive target updates as it flies to its target.
"The successful tests are a result of the hard work and close cooperation between the U.S. Navy's JSOW program office, the RAAF and Raytheon," said Harry Schulte, vice president of Raytheon Missile System's Air Warfare Systems' product line.
"Raytheon congratulates the U.S. Navy and the RAAF on this milestone; we are pleased to be a trusted partner on this important new capability for Australia."
JSOW is a family of low-cost, air-to-ground glide weapons with a range of 70 nautical miles (80.5 statute miles) that employs an integrated GPS-inertial navigation system and terminal uncooled infrared seeker that guides the weapon to the target.
The JSOW C carries a single BROACH warhead that has blast, fragmentation and penetration effects. JSOW is integrated on all variants of the F/A-18 and will be integrated on the Joint Strike Fighter.
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Raytheon's Advanced Combat Radar, the latest Active Electronically Scanned Array radar, has successfully completed a series of flight trials on a U.S. Air Force F-16 at Edwards Air Force Base, Calif. The radar demonstration flights were conducted in partnership with the U.S. Air Force and Lockheed Martin. The RACR team highlighted the multirole capabilities RACR could bring to the F-16 Fig ... read more
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The African Drum
Multiple Venues
Jaunary 27-March 13
Our perennial favorite for African-American History Month! The African Drum is a truly magical "shadow puppet-and-people" show beloved by children for almost three decades. Come listen to the wit, wisdom and humor of four wondrous African folktales told by our drummer, our storyteller, our talented cast of performers - and See-More, our hallmark puppet. Listen to the beat of the African rhythms as they reveal the exciting musical adventure of the little girl Kijana, her animal friends, and the Zimwe (bad man) who tricks her. Learn How The Turtle Got Its Shell, How The Animals Got Their Colors, and why the Egret Flies Free all woven together within Kijana's Tale.
"My rating on African Drum is Excellent! Outstanding! Superb! Each and every year, my classes absolutely love the show. I, myself, never get tired of it even though I have now seen it many, many times… Keep up the good work! It is learning applications like this that truly makes learning fun !" - Teacher, PS 225 Queens
See More Reviews Ticket prices: Group rates for shows $8.00
For individual tickets $10 in advance/$15 at the door for Weekdays and Weekend Family Shows


text: Hi, I'm in a death/thrash metal band and our rythm guitarist decided to stop. We decided to go on without rythm guitarist but we've noticed that a lot of sound drops while the guitarist is playing a solo. The question is: Do you guys know of any effect that would help fill out the empty space during the solo? I already use an overdrive and I also have a fuzz pedal which I don't use in that band, could the fuzz help? Thanks in advance


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Oregon at Arizona State
Arizona State is coming off a tough road loss and faces a formidable Oregon offense at home in Week 4.
Oregon Offense vs. Arizona State Defense
• Oregon offensive coordinator Mark Helfrich's version of the spread offense is more run-heavy than Arizona State's but both teams get the ball out quickly when passing. The Ducks feature bubble screens and quick-hitting routes out of three-receiver sets that simplify the reads for first-year starting QB Darron Thomas, and an experienced receiving corps that includes Jeff Maehl, Lavasier Tuinei and D.J. Davis is also an asset for Thomas. Keep an eye on the 6-foot-5 Tuinei, who will give Oregon CBs Omar Bolden (5-10) and Deveron Carr (5-11) problems. Helfrich can also roll Thomas out of the pocket and give him a half-field read with a run-pass option. Thomas is still developing in terms of accuracy and reading coverage, though, and he gives defenses too many chances to make plays on the ball. Arizona State has intercepted four passes in three games and the secondary is responsible for all four, which is an important point. The Ducks' potent ground game will set up play-action and the Sun Devils' linebackers have been getting sucked up by play fakes this season so the secondary will be counted on heavily this week.


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Aqualina Bayside
Parliament and Lake Shore | Arquitectonica
Starting at $322,500
Designed by the Arquitectonica of New York City, an internationally recognised architectural, Aqualina Bayside has 363 refined spaces and offers supreme waterfront living, situated near the water's edge.
The Penthouses and Signature Collection Suites will be made up of glass tubes closest to the water – all shining, shimmering and splendid. The roof top will feature of various amenities and recreational spaces including the infinity pool, lounge and sun deck.
Expected to be completed in the year 2016, Aqualina Bayside is actually just a part of a larger development plan for the Toronto's waterfront.
Refined Features
Apart from being a condominium with an infinity pool, another great feature of Aqualina Bayside is it's location in a currently non-so-congested area next to George Brown's waterfront campus and Corus Entertainment.
Aqualina Bayside condominiums are now open for VIP sale, with lower pricing. Units start at $322,500 and you can register with us to get access to all of the floor plans and pricing and also get a worksheet started to give you first pick ahead of everyone else.
Aqualina Bayside is closest to a TTC bus route that takes you to all of the major streets as it heads northbound (King, Adelaide, Richmond, Queen, Dundas, Carlton, Wellesley and Bloor), ending at Sherbourne Station on the Bloor Subway line. Buses are also available in other directions, 24 hours a day, 7 days a week. Plus, the Crosstown LRT will be close to completion when the building is complete and will run across Queen's Quay.
Should you decide to purchase a property in Aqualina Bayside, you'll also be singing up for a wealth of on-site and nearby retail, commercial and dining offerings, including Loblaws, Distillery District, St. Lawrence Market, Berkely Bistro, No Frills, TNT and Pizza Nova.
Aqualina Bayside is the first condominium in six of the master planned Bayside Toronto community, and is also within walking distance to Cherry Beach and Portlands!
Aqualina Details
The site will be located at 200 Queen Quay east, and is a subtle 13 floor establishment. There will be 363 total units which all vary from 1 bedroom to 3-bedroom units. As for square footage, the sizes of the units range from 560 to 2,100 with the starting price as low as $322,500.
Aqualina Bayside condominium spaces are without doubt – a wise purchase!
Join the TheRedPin.com VIP Condo Club
TheRedPin.com gives interested buyers the opportunity to invest in a property during its VIP period, giving access to the best floor plans at the best prices. If you are interested in Link Condos and Townhouses, please register via the blue button located above for more information. An Angel from our Customer Loyalty Team will contact you as soon as possible. When you register for this project as a VIP, not only do you get first access but you get a ton of benefits as part of our VIP Condo Club:
- Access to all the best floor plans at the best prices
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- Special pricing for multiple unit purchases
*This message is not intended to solicit clients currently listed or under buyer's agency agreements. TheRedPin.com Realty, Brokerage does not represent the builder and is not responsible for accuracy of information. Offer is for limited time.


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The euro held firm above the $0.8700 level in initial trading here on Tuesday when one euro bought $0.8777
The single European currency had slipped to $0.8731 in late Asia trading, before rebounding in London.
Analysts here said the currency was likely to come under further pressure over the next few weeks.
But they were uncertain whether further intervention efforts by the European Central Bank and the central banks of the Group of Seven (G7) industrialized nations, which took the market by surprise on Friday, would be enough to prevent the currency from falling to new low values.— (AFP)
© Agence France Presse 2000
[1] http://www.albawaba.com


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ARM Cortex-R8 processor design is out
Aiming for modems and storage device
ARM has released the new Cortex-R8 processor design which it says can provide low latency and high performance for modem and storage device chips.
ARM shrugs off poor Apple sales
Profits up
Chip-designer ARM appears to have shrugged off a slump in smartphone sales that damaged everyone, even Apple and is reporting profits up 17 per cent on last year.
Google backing ARM servers
Don't get your hopes up
Google is set to announce that it is working with Qualcomm to design servers based on ARM processors, in a move which could give the British chip designer some street cred in the data centre market.
Cypress shows off One-Chip ARM Cortex-M0
Claims it is superflexible
Cypress introduced a new series from its PSoC 4 programmable system-on-chip architecture claiming it is the most flexible single-chip SoC.
Apple knock-on effect
Partners suffer
Apple's "shock" announcement that its business is not growing anymore is having a major effect on all the companies it propped up and their rivals.
Jaguarboard creates x86 hobbyboard
Armless IoT
A kickstarter campaign has started for an Atom based IoT board to allow people to come up with x86 projects.
Qualcomm does ARM server deal with Chinese
Working with the government to build ARM server chips
Qualcomm is setting up a server chipset design and sales unit with a provincial government in China.
ARM releases 4K Mali-DP650
4K streaming from your phone
ARM has announced a new mobile graphics chip, the Mali-DP650 which it said was designed to handle 4K content a device's screen and on an external display.
AMD launches Opteron A1100 Seattle
First A57 chip after a year's delay
Miracles apparently can happen after AMD just announced its long delayed Cortex A57 based Opteron A1100 SoC. It took longer than many expected but the Opteron A1100 aka Seattle is finally out.
Amazon sells its own brand of chips
Right to bare ARMS
Online book seller Amazon is selling its own brand of ARM-based computer chips.


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The International Business Machines Corporation (IBM)
FILKOM UB has conducted intensive cooperation with one of the best current ICT corporation, IBM. Some benefit has been provided by IBM include:
- FILKOM in its academic needs can use all thousands IBM software products, free and licensed.
- Supporting intensive training and assistance of IBM hardware management that used in FILKOM.
- Granting Certification IBM DB_2 Academy to all of FILKOM UB community.


text:
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- Sold Date:
- Source: eBay
HTF..Antique 1929 Hazel Atlas large berry bowl, in cobalt blue. Pattern is "Fancy" aka "Diamond Arches" Beautiful perfect condition 9" bowl..This bowl has the ruffled edges, some you might see have the straight sides, the ruffled edge bowls are more collectable and valuable. Pretty diamond arch pattern. Crisp, clear coloring. This beautiful pattern was only made for one year in 1929. Becoming harder to find. I also have another large berry bowl with a set of 3 matching berry bowls. Low starting price. Does not reflect the value of this bowl.Thank you for looking, be sure and check out my other items listed, you never know what kind of treasures you may find. Gladley combines shipping when items end in a 3 day period .Payments are due within 3 days of sale !! I am not an expert in old glass or any type of Antiques, tfore I can only go by what I'm told by the original owner or auctioneer and any research I can do by my books.Please use your own judgement. If for any reason a return is made, item must be sent back within 5 days of receiving item, shipped back insured and must be in the same condition as you received it.. .99 % of my items are from estate sales/acutions, moving sales etc..If in doubt, ask!! No refunds, All sales are final !! No returns for Buyers Remorse. I am not an expert, I try and find out much as I can ... read more


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by Hilary Kramer | October 12, 2012 10:00 am
Third-quarter earnings season is upon us. Negative pre-announcements and lackluster economic data already have set the stage for a mild earnings season, so investors are looking to the fourth quarter for signs of growth.
But that doesn't mean you should too. I've got my attention locked on what's happening now and am keeping my eye on a number of companies this earnings season. I want to make sure you don't miss them either, as they'll be important to anticipating what's coming in the fourth quarter and close of the year.
Here are three to keep an eye on:
Amazon (NASDAQ:AMZN[1]) could outperform box-store competitors like Best Buy (NYSE:BBY[2]) and Bed Bath & Beyond (NASDAQ:BBBY[3]), underscoring the significance of e-commerce moving forward. AMZN is scheduled to report Oct. 25.
Exxon Mobil (NYSE:XOM[4]) has had to contend with global economic concerns and tensions in the Middle East. Steady earnings, though, could give energy stocks a much-needed lift. Exxon reports Nov. 1.
Darden Restaurants (NYSE:DRI[5]), which owns popular eateries like Olive Garden and Red Lobster, is a barometer of middle-class consumer spending. Its earnings will come just ahead of the holiday shopping season.
As of this writing, Hilary Kramer did not own a position in any of the aforementioned securities.
Source URL: https://investorplace.com/2012/10/key-earnings-to-watch-this-season/
Short URL: http://invstplc.com/1nSlHht
Copyright ©2017 InvestorPlace Media, LLC. All rights reserved. 700 Indian Springs Drive, Lancaster, PA 17601.


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The Son That Former NFL Player Rae Carruth Tried To Kill Turns 18, Still Suffering From Permanent Brain Damage
The former wide receiver, who plotted the murder of his ex, Cherica Adams, is scheduled to be released from prison soon.
Chris Brown has a probation hearing today and the court may be revisiting his involvement in a brawl with Frank Ocean.
According to TMZ, the Brown v. Ocean beef that took place in January outside of Westlake Studios (reportedly stemming from an argument over a parking space and resulting in fisticuffs between the singers and their on-hand associates) is still an open case, and the L.A. County D.A.'s Office could decide to prosecute Brown for criminal battery.
The active file, TMZ reported in January, has Ocean as "the victim" given Brown's absence when police arrived.
The "They Don't Know" singer was served with five years of probation for the infamous assault of ex-girlfriend Rihanna in 2009. Terms of his probation includes obeying all laws.
Ocean and Rih Rih didn't press charges in either case.
Meanwhile, Brown went back to emphatic tweeting this weekend, posting things like, "Half of y'all hate the skin you're in. I don't kiss a-- for covers or respect! When u see me speak up!" and "Be yourself! Acceptance is trivial. When we die, we die alone! Artist worry about their brand. I worry about supporting my family!"
Today also marks the MTV2 premiere of "REDD," the video he directed for the debut single from pop trio U.G.L.Y. (Under Greatness Lies You).
Get ready for the BET Experience, featuring Beyoncé, Snoop Dogg, R. Kelly, Erykah Badu, Kendrick Lamar and many more. Go here for more details and info on how to buy tickets. Sign-up now to attend free film screenings, celebrity basketball games and more.
BET.com is your #1 source for Black celebrity news, photos, exclusive videos and all the latest in the world of hip hop and R&B music.
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(Photo: Jason Merritt/Getty Images)
The former wide receiver, who plotted the murder of his ex, Cherica Adams, is scheduled to be released from prison soon.
Each of the men could be served a life sentence in prison.
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