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Emily and Alissa Castro commit to play for Notre Dame de
Sisters Emily and Alissa Castro have shared countless hours together on the softball diamond throughout their playing days over the years.
Whether it was with Little League, travel-ball teams or with Gilroy High School, through most of the ups and downs they have been wearing the same uniform.
A 13-month age difference hasn't allowed for much separation between the two sisters in regards to softball, and last Wednesday, Emily, 18, a freshman at Gavilan College, and Alissa 17, a senior at Gilroy High, signed – separately – their Letter of Intent to attend Notre Dame de Namur, continuing a unique softball journey together.
"We have been playing together since I was 11 and she was 10," Emily said. "We weren't planning on going to college together, but I think it's a cool thing. I always say I don't like her, but I do."
For their big moments, Emily was accompanied by Gavilan women's softball coach Nikki Dequin, and Alissa was joined by long-time coach Joey Gonzales, who has fine-tuned Alissa's skills since the eighth grade.
"It was just cool to see that all my hard work had paid off and that it was all worth it," Alissa said about making her destination official. "It hasn't really hit me yet that I will be graduating and heading off to a four-year. I'm excited to get my life going, get into college and make a career out of something."
The sisters' Dad, Dennis Castro, has played an instrumental part in helping his daughters achieve their goals, preaching sportsmanship along the way.
"My dad always put us in sports and he always taught us how to be good sportsmen and good players and having a good attitude," Alissa said. "He has been the one to help us through everything. Even though we are girls, we have always wanted to be like him."
Needless to say, Dennis is thrilled at the opportunity to watch both of his daughters play for the same college just an hour north of Gilroy in Belmont.
"As parents, we are so proud of the girls," Dennis said. "It is a dream for us to see all their hard work be recognized and rewarded. They have learned teamwork, humility, leadership, and gained confidence that will carry them from the diamond through the rest of their lives.
"The girls work hard at being the best they can, and if there is one thing I can say about both my daughters is that they give 110 percent and leave it all on the field, and we are so proud of them."
Emily said that a familiarity with the coaching style of NDNU coach Steve Rianda was one of the factors leading to her decision.
"I really felt that he was a nice guy. Everyone respects him and you hear that from all the other coaches," Emily said.
Though the pace of the game will undoubtedly increase as compared to the high school level, Alissa, who has already been exposed to talented players while a member of the Silicon Valley Glory 18 Gold, has a quiet confidence that she will acclimate well to the collegiate level.
"I have an idea of what to expect and I went to watch a few games," Alissa said. "I went to one of (Notre Dame's) tryouts and actually hit a home run over the fence against their pitcher."
Despite the excitement of advancing in their softball careers, both Emily and Alissa have some unfinished business to take care of at their current locations.
Emily and the Lady Rams finished second in the Coast Conference South and have earned a spot in the NorCal Regional playoffs, which begin May 1.
Meanwhile, Alissa and the Lady Mustangs are holding tight to the second spot in the Tri-County Athletic League as the season winds down and heads toward the Central Coast Section


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This Week in Rangers Nation: November 28 – December 4
Here's what's happening in Rangers Nation during the week of November 28 – December 4.
Monday, November 28
Take advantage of deals during CYBER MONDAY at RangersAuthentics.com.
Tuesday, November 29
91.5 THE BEAT BREAKFAST: Tune in to The Beat Breakfast on 91.5 The Beat on Tuesday morning from 8am-9am as two Kitchener Rangers will join Carlos, Dave and Laura in studio. They'll do everything from talk pop culture, play games, and of course help start your day off right with tons of laughs.
Be sure to tune in Wednesday morning to find out who will be on the air! Here's a hint, one of the players may or may not be a member of our leadership group…
KW HABILITATION: Four members of the Rangers will be making an appearance from 10am-11am for their annual visit to KW Habilitation.
GIVING TUESDAY: Join us at Conestoga Mall from 5pm-7pm for a visit with Tex and get your Sun Life Financial Kids in Gear Car Draw tickets. From 7pm-9pm Dylan Di Perna, Connor Bunnaman and Adam Mascherin will be on hand to sign autographs!
Wednesday, November 30
READ WITH THE RANGERS, RBC SCHOOL TOUR: Two Rangers players will visit Suddaby Public School for Read with the Rangers on the RBC School Tour. For more details on the RBC School Tour, click here.
THE ERIC DROZD SHOW ON 570 NEWS: Tune in to 570 News – or watch on Rogers TV Waterloo Region – from 12:30pm-1pm as a member of the Rangers will join The Eric Drozd Show to discuss their lives on and off the ice.
Adam Mascherin was the most recent guest on the show, so listen and/or watch on Wednesday to find out who this week's guest will be!
Thursday, December 1
SAVE OF THE WEEK: Visit Rangers Authentics at the Aud, open to the public from 4pm-8pm! Can't make it to the Aud? Shop online anytime at RangersAuthentics.com.
Be sure to check out the Save of the Week for November 28 – December 4; the HL Rangers Scarf. Originally $24, save 50% and get yours now for just $12! (While quantities last.)
Friday, December 2
KITCHENER RANGERS vs. KINGSTON FRONTENACS 7PM
The Kitchener Rangers make their one and only visit to the K-Rock Centre to take on the Kingston Frontenacs on Friday at 7pm. The Fronts will make their only visit to the Aud just one week later, on December 9.
Friday will mark the final game in Kingston for Rangers' alternate captain and former Frontenac Dylan Di Perna.
Last season Kingston handed Kitchener its first regulation loss of the season on November 7 in Kingston, 5-3. The Rangers won the second meeting back at the Aud, 3-1, on January 10.
Saturday, December 3
The Rangers complete their eastern swing with a 2pm matinee versus the Ottawa 67's on Saturday.
Kitchener skated to a 3-1 win in Ottawa on November 6 last season, then dropped the 67's 5-1 here at the Aud on December 4.
Sunday, December 4


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- Home
- Cinemas
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- Girls Night Out - A Star Is Born
- My Hero Academia: Two Heroes
- Doctor Who: The Woman Who Fell To Earth
- Harry Potterthon
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- I Am Paul Walker
- CULTure Fix
- The Dawn Wall
- MIFF Travelling Showcase
- Andre Rieu's Sydney Town Hall Concert
- National Theatre Live
- Exhibition and Art on Screen
- Opera, Ballet and Live Theatre
- Willsy's Choice
- Seniors Day
- Fundraising
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- Families
- Gepps X Market
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Mildura Cinemas
93 Deakin Ave, Mildura, Vic, 3500
03 5023 4452
More Information
03 5023 4452
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Showing Today
Now Showing
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117 mins
Blake Lively, Anna Kendrick.
A mommy vlogger who seeks to uncover the truth behind her best friend Emily's sudden disappearance.
Session times at Mildura
104 mins
Hayley Atwell, Ewan McGregor, Chris O'Dowd.
A working-class family man, Christopher Robin, encounters his childhood friend Winnie-the-Pooh, who helps him to rediscover the joys of life.
Session times at Mildura
120 mins
Constance Wu, Michelle Yeoh.
Follows native New Yorker Rachel Chu to Singapore to meet her boyfriend's family.
89 mins
Rowan Atkinson.
After a cyber-attack reveals the identity of all of the active undercover agents in Britain, Johnny English is forced to come out of retirement to find the mastermind hacker.
Session times at Mildura
109 mins
Rachael Taylor, Julia Ormond, Angourie Rice
Ladies in Black is an alluring and tender-hearted comedy drama about the lives of a group of department store employees in 1959 Sydney.
Session times at Mildura
88 mins
Nicolas Cage, Kristen Bell, Will Arnett.
A villain''s maniacal plan for world domination sidetracks five teenage superheroes who dream of Hollywood stardom.
99 mins
Cate Blanchett, Jack Black
A young orphan named Lewis Barnavelt aids his magical uncle in locating a clock with the power to bring about the end of the world.
Session times at Mildura
107 mins
Yvonne Strahovski, Olivia Munn.
When a young boy accidentally triggers the universe's most lethal hunters' return to Earth, only a ragtag crew of ex-soldiers and a disgruntled science teacher can prevent the end of the human race.
Session times at Mildura
Advance Tickets
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Lady Gaga, Bradley Cooper.
A movie star helps a young singer and actress find fame, even as age and alcoholism send his own career into a downward spiral.
Session times at Mildura
125 mins
The King of Waltz will bring his New Years concert, recorded live in Sydney, Australia, to millions of fans across the world.
Britains Ultimate Pop Star, Cliff Richard is celebrating 60 years in the music industry and he wants to invite you to the most fabulous big screen party of the year! His incredible energy and passion on stage will sweep you off your feet and be sure to have you swaying in the aisles.
90 mins
The highly anticipated series sees Jodie Whittaker take control of the TARDIS as the Thirteenth Doctor.
Session times at Mildura
Session times at Mildura
Session times at Mildura
90 mins
The Royal Edinburgh Military Tattoo celebrates 100 years of the RAF with colourful performers joining the event from across the globe.


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Trust in Self-Driving Cars Has Plummeted in the Last 6 Months
Americans are generally pretty optimistic when it comes to new technologies. But there's one futuristic tech that Americans are getting more and more afraid of with each passing year: Driverless vehicles. A whopping 73 percent of Americans don't trust autonomous vehicles, up from 63 percent in late 2017.


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Saturday University with Suk-Young Kim
DMZ Crossings: Performing Emotional Citizenship along the Korean Border
The Korean Demilitarized Zone may be a small strip of land (only two miles wide and 155 miles long), but it is one of the most dramatic places on earth. It has provided passage for defectors, spies, political emissaries, separated families, war prisoners, cultural troupes, environmental activists, and tourists alike. Established as a buffer zone between the two Koreas in 1953, the DMZ helped bring about a temporary ceasefire. Since then, it has witnessed the two Koreas' tumultuous relationship, from dangerous hostility to hopeful moments of reconciliation.
This talk explores how border crossings between the two Koreas are represented in the 1965 South Korean film The DMZ. Shot in the actual DMZ, the film is a poignant vignette to evoke the contested space of the DMZ where the tragic and yet hopeful dimensions of family ties stand for splintered citizenship in Korea.
About the Presenter:
Suk-Young Kim is a Professor of Critical Studies in the Department of Theater at UCLA where she also directs the Center for Performance Studies. She is the author of Illusive Utopia: Theater, Film, and Everyday Performance in North Korea (2010), and DMZ Crossing: Performing Emotional Citizenship Along the Korean Border (2014). Her comments on North and South Korean cultures have been featured on major media outlets, such as NPR, BBC, CNN, NYT and Billboard Magazine among others.
Saturday University is held in partnership with the University of Washington Jackson School of International Studies, Seattle University, and Elliott Bay Book Company.


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Lake Oswego, Oregon LSAT Course offerings
TestMasters offers 160-hour (60 hours in-class plus 100 hours online) Live LSAT courses within the state of Oregon for Lake Oswego-area students who would rather take a traditional classroom course. For Lake Oswego-area students who want to take one of our LSAT prep courses but who cannot attend an in-person course, TestMasters' in-depth online course is a perfect option. Oregon students who would rather prepare for the LSAT one-on-one with a private tutor can either work exclusively with one of our LSAT private tutors or use a tutoring package along with a TestMasters LSAT course.
Full Length LSAT Course
- 160 hours of instruction (60 in class and 100 online)
- Instructors who have scored in the 98th percentile or higher on an actual LSAT
- The comprehensive set of TestMasters coursebook and practice tests delivered free via courier, including access to all previously released LSAT questions (over 8500 total)
- Six proctored (and twelve additional) full-length LSAT PrepTests and access to comprehensive score analyses for each
- Thorough homework assignments that contain real LSAT prep questions, LSAT prep drills, numerous analyses and other LSAT study tools, and a systematic question type classification for every released LSAT question
- Access to TestMasters' proven methods and techniques
- Written or video explanations for all logic games, line reference notes for each reading comp passage, and written, video or audio explanations for numerous logical reasoning questions
- Full access to the LSAT study tools in our Online Resource Center—use the Online Resource Center to score LSAT Prep Tests, examine score reports, take psychometric quizzes, view instructional videos and read written explanations, sharpen argument evaluation skills with the Flawed Methods of Reasoning database, search for questions using the LSAT Search Engine, and read special bulletins concerning the LSAT and law school admissions
- 24/7 Academic Support from our LSAT faculty
- Cost—$1550
Online LSAT Course
- Over 160 hours of instructional videos by TestMasters founder Robin Singh, the world record-holder for perfect scores on the LSAT
- Full access to the LSAT study tools in the TestMasters Online Resource Center—here, students can score LSAT PrepTests, examine score reports, take psychometric quizzes, view instructional videos and study written explanations, sharpen argument evaluation skills with the Flawed Methods of Reasoning database, locate specific questions using the LSAT Search Engine, and read academic bulletins concerning the LSAT and law school admissions
- The comprehensive set of TestMasters course materials delivered free via courier, including materials that contain over 8500 real LSAT questions
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- Eighteen full-length diagnostics and access to comprehensive score analyses for each
- 24/7 Academic Support from our LSAT faculty
- Cost—$950
Frequently Asked Questions
TestMasters offers students many options for taking LSAT classes at alternate locations. One option students have is to attend individual classes at a different location. These students must first print out an audit pass and then present it to the LSAT instructor at the alternate location. Another option students have is to permanently relocate to an LSAT class in a different area. Students wishing to exercise this option should contact the TestMasters offices immediately to make sure there is space available in the new LSAT class location.
Students can register for a TestMasters LSAT prep course online, over the phone, or in the TestMasters office. Students paying with a Visa, MasterCard or Discover debit or credit card can enroll with at least a $100 deposit online, over the phone, or by submitting their payment information on their submitted student enrollment agreement. Students paying with check or money order can mail their payment along with their student enrollment agreement to the TestMasters offices. All personal checks must be received no later than 10 days prior to the first class meeting. All other methods of payment can be made up until 7 days prior to the first LSAT class meeting.
Students can email our Academic Assistance department to ask a TestMasters instructor questions about the homework, diagnostics, LSAT study tips, etc.
The TestMasters LSAT course includes 24 hours of proctored diagnostic testing on top of the 60 hours of live in-class instruction and 100 hours of online instruction. Six proctored diagnostic tests are scheduled at regular intervals throughout the course, but students who have scheduling conflicts can print out audit passes online to attend a proctored exam at a different location on a different day. If there are no available make-up exams in the area or they conflict with a student's schedule, the exams can be self-administered at home and scored in the Online Resource Center.
No. The TestMasters LSAT prep classes are designed to give you the best LSAT studying techniques and the most comprehensive LSAT preparation available, so working through any other prep books is not only unnecessary but in some cases may actually be counterproductive.
Students can work with a TestMasters private LSAT tutor if there is one available in their area. Typically tutors are available in locations where the full-length LSAT Course is offered, but depending on availability we may have a tutor available in a different city. Students interested in LSAT tutoring outside of a city where it is offered can purchase online/telephonic tutoring to work one-one-one with a qualified TestMasters LSAT tutor.
The deadline to register for a TestMasters LSAT course is one week prior to the first class meeting. By that deadline students must complete their payments in order to attend class. Payments can be submitted in multiple installments through the TestMasters Online Resource Center, over the phone, or via regular mail.
The Law School Admission Test measures a student's ability to read carefully and reason critically. As admissions to law school have become more competitive, the LSAT serves as a common denominator by which all candidates can be evaluated equally. The LSAT is a half-day exam, and is only administered four times in any calendar year.
Generally, TestMasters advises students to take the Law School Admission Test when they are satisfied with their practice LSAT test scores. If they wait too long to take the test, the material they have studied may no longer be fresh in their minds. When applying to schools with rolling admissions, students should keep in mind that applications are prioritized by when they are received.
Robin Singh created TestMasters in 1991 and has continually worked to ensure that TestMasters is the best LSAT prep course available. Not only is Robin Singh himself the foremost expert on the LSAT, holding the world record for perfect LSAT scores, he also directs the TestMasters research and development department in creating coursebook updates every year.
Unlike many other standardized graduate entrance exams, the LSAT is only administered a finite number of times a year. Test administrations occur in February, June, September/October, and December.
TestMasters only prepares students using officially licensed LSAT questions. Other than publications purchased directly from the Law School Admission Council, LSAT private tutoring students may not use materials other than the TestMasters course books in their tutoring sessions. If students do not want to purchase TestMasters LSAT course materials, they should buy real LSAT PrepTests from the LSAC to work through with their LSAT tutor.
There are many ways that TestMasters tutors work with students to help them with their LSAT preparation. Some students who have already taken the TestMasters class sign up for private tutoring because they would like assistance understanding some of the toughest concepts they were exposed to in their classes. Other students sign up for private tutoring before doing any LSAT prep because they prefer to do their studying with a private tutor. For these students, TestMasters offers tutoring packages at a reduced rate.
The Law School Admission Test is typically the most important element of the law school admissions process. Although undergraduate GPA is also important, it usually doesn't compare in importance to the LSAT. The LSAT is not only a standardized measure, it also tests the sorts of skills students need to do well in law school—namely the ability to reason effectively and read carefully.
TestMasters has been helping students study for the LSAT for many years. Since 1991, over 150,000 students have taken TestMasters LSAT prep courses to reach their admissions goals.


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New Obake no Q-taro Manga
New Akiba reports that during the 25th Anniversary Jisedai World Hobby Fest, a new Obake no Q-taro (by Fujiko Fujio) manga titled Shin Obake no Q-taro was announced for Shogakukan's children's magazine CoroCoro Comic.
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Manga Zombie
ComiPress teams up with writer Udagawa Takeo and translator John Gallagher to publish an online version of the English-language translation of Manga Zombie.
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An ongoing conversation about the philosophy behind manga both in the U.S. and abroad.
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Monthly charts of comparative manga rankings based on aggregate online sales listings from Matt Blind.


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Customer Reviews
All reviews are from people who have redeemed deals with this merchant.
What You'll Get
It's always inadvisable to bite the hand that feeds you, especially since it's usually your own hand and the food is on the fork anyway. Sink your teeth into this Groupon.
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$43 for a one-hour make-your-own-pizza class for four adults (an $80 value)
- Make, bake, and eat pizza
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- Two toppings and fountain drinks included
- Add members to group for $20 each

$32 for a five-visit punch card, valid for one large pizza per visit (a $99.75 value)
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The menu includes the meat-lover's pizza ($13.95–$19.95) and a falafel Pitawich ($7.45).

The Fine Print
Promotional value expires 120 days after purchase. Amount paid never expires. Limit 1 per person, may buy 1 additional as a gift. Limit 1 per table. Valid only for option purchased. Reservation required; subject to availability. Dine-in only. Must use promotional value in 1 visit. Merchant is solely responsible to purchasers for the care and quality of the advertised goods and services.
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Golden splatters of magma embellish the eatery's fire-red walls and draw eyes to the back of the dining room, where a 10-foot-high volcano pulses with flames. Well, it's actually a custom oven, but it houses real hot lava rocks designed to cook up to 10 large Mediterranean-inspired pies in two minutes flat.
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Senior apartments neighborhoods near downtown orlando apartments for rent - orlando, fl sort by: best match 55 west 101 south eola drive, orlando, florida. See all the best apartments under $500 in orlando, fl currently available for rent each apartmentscom listing has verified availability, rental rates, photos, floor. From contemporary townhomes and apartments to single-family homes and estates, lake nona offers an array of award-winning communities for every lifestyle.
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Saturday, June 2, 6 am is when it all begins — your downward spiral into a mad shopping spree {ours too actually}. Because unlike the rest of the Saturdays gone by, this one is a super one. Yes, say hello to Super Saturday, the massive sale happening only at the Indiranagar outlet of Jack & Jones, Vero Moda, and ONLY, where everything's available at flat 60 per cent off {on MRP}. Flat. 60. Per. Cent. Let those words sink in guys. So make sure you keep your day free for this shopping frenzy starting 6 am till 12 midnight.
Remember the sale scene{s} in Confessions Of A Shopaholic? Yeah, it's going to be just like that, so be ready to channel your inner Rebecca Bloomwood and get ready to shop till you drop. Be it those slim fit jeans from Jack & Jones you have been eyeing for a while, or that essential grey cardigan from Vero Moda, or love-at-first-sight dresses from ONLY, you know you will find everything that you are looking for. Impulsive buys are highly likely to happen as well.
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When: Saturday, June 2, 2018
Where: 100 Feet Road, Indiranagar
Timings: 6am to midnight


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DSN Code Black Review- Helps to Improve Performance on Bed?
If you are experiencing any of the s3xual disorders such as reduced s3x drive or libido, erectile dysfunction, fatigue, or loss of lean muscle mass with added body fat then you are suffering from a decline in testosterone levels, which is a steroid hormone responsible for the development of male secondary s3xual characteristics. Luckily, I would like to introduce you to DSN Code Black which is a dietary supplement that primarily works to support levels of free testosterone in the body to enhance your s3xual stamina, energy levels and your overall performance in the bedroom while having intercourse.
How does the supplement DSN Code Black work?
After the formula of DSN Code Black penetrates your bloodstream, it works to increase the levels of free testosterone in your body which results in increased performance levels in the bedroom so that both you and your partner can enjoy a satisfying intercourse with intense orgasms.
What are the ingredients used in DSN Code Black?
- Horny Goat Weed – It helps to stimulate the production of testosterone which ramps up your workout performance while burning excess body fat.
- Boron – It helps the body to metabolize key vitamins and minerals such as magnesium and phosphorus.
- Tongkat Ali – It helps to improve libido or s3xual drive and supports normal hormone levels in males.
- Sarsaparilla – It helps for rapid recovery and allows you to perform challenging workouts for longer duration without getting tired. It also enhances your focus and concentration levels.
- Tribulus Terrestris – It helps to increase stamina, libido and overall s3xual function and also dramatically improves muscle building and endurance.
What are the advantages of using DSN Code Black?
- Helps to promote the production of testosterone in the body to boost your stamina, energy and performance levels
- Helps to maintain healthy functioning of immune system to increase your power and strength
- Increases the ability to metabolize nutrients and helps to burn excess fat stored in the body while also increasing lean muscle mass
How should you take DSN Code Black to get best results?
Each bottle of DSN Code Black is packed with 60 capsules made with effective all-natural potent ingredients. It is recommended that you take two (2) capsules of DSN Code Black on a daily basis with a glass of water.
What are the safety measures that need to be followed?
- Before you start taking the supplement, seek medical advice from your physician or a qualified health care professional.
- Do not exceed recommended dose and strictly follow the instructions on the label of the product to get best results.
- If you experience any change in your medical condition, stop using DSN Code Black immediately and consult with your physician.
- If you found the safety seal to be damaged or broken at the time of the delivery, do not use the supplement and return it.
- Store the container in a cool and dry place, also away from direct sunlight.
How can you place an order for DSN Code Black?
DSN Code Black can be ordered by going online to the official website of the product.


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Support PDF,DOC,DOCX,TXT,XLS,WPD,HTM,HTML fils up to 5MB
Job Details
Company name
Organization TypeIn-House
Job Type
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Years of Experience
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Posted on
Tax Attorney The candidate responsibilities will include: Estate tax planning and preparation and review of estate and fiduciary income tax returns; Gift tax planning and preparation and review of gift tax returns; Research tax law (i.e. corporate and partnership complex transactions); Review individual, partnership, corporate and fiduciary income tax returns; Set tax policy and manage the tax department; Meet with clients regarding the above. Must possess a JD degree and CPA license. Should have 5+ years of experience handling the Primary Responsibilities listed above. Recent CPA firm experience is preferred. Proficient use of technology, especially accounting software is required.
Company infoHiring Coordinator


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Tooth And Claw
A family of dragons gathers on the occasion of the death of their father, the elder Bon Agornin.
- More Below…
Product Description
- Author
- Jo Walton
- Binding
- Paperback
- Cat No.
- 2760599
- 9781472100863
- Genre
- Fantasy
- 9781472100863
- Publisher
- Constable & Robinson
- Type
- Books
A family of dragons gathers on the occasion of the death of their father, the elder Bon Agornin.
As is custom, they must eat the body. But even as Bon's last remains are polished off, his sons and daughters must all jostle for a position in the new hierarchy. While the youngest son seeks greedy remuneration through the courts of law, the eldest son - a dragon of the cloth - agonises over his father's deathbed confession. While one daughter is caught between loyalty to her family by blood and her family by marriage, another daughter follows her heart - only to discover the great cost of true love… Here is a Victorian story of political intrigue, family ties and political intrigue, set in a world of dragons - a world, quite literally, red in tooth and claw.
Full of fiery wit, this is a novel unlike any other.
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How does an idea move through the legislative system and become official? Read a case study that illustrates the process of how laws that govern the profession come to be put into effect.
Sue Beam and Sam Ray work as radiologic technologists at a small rural hospital in a state that does not license medical imaging and radiation therapy professionals. Sam and Sue are registered radiologic technologists and provide excellent care to patients who need imaging examinations. Their hospital decides that it needs to offer more diagnostic services and adds on three new "radiology technicians." Because their state doesn't require licensing for anyone performing medical imaging or radiation therapy procedures, three people are hired away from a local car dealership to learn how to perform diagnostic imaging examinations and provide quality patient care.
During their break one day, Sam and Sue discuss their situation and say, "There ought to be a law." Knowing that health care workers who do not meet education and certification standards can compromise diagnostic image quality, the effectiveness of treatment and, ultimately, the safety of the patient, Sam and Sue discuss the issue during a meeting of their state society.
Sam and Sue discover through their research that other radiologic technologists in hospitals all around the state are experiencing the same issue, and they agree to spearhead a legislative initiative to ensure that all people in their state who perform medical imaging procedures or administer radiation therapy treatments meet licensure standards and that a program is developed that will give the state authority to determine the qualifications needed to legally practice radiologic technology. After putting together their legislative committee, the state affiliate applies for the ASRT Affiliate Advocacy Program (AAP) and the legislative committee starts researching the laws for radiologic technologist licensure in nearby states. Through the AAP, a survey is sent to all ASRT members in the state asking about registered technologists' attitudes toward licensure and whether there are other R.T.s willing to help or serve on the legislative committee. After analyzing the situation occurring in their state and what direction the affiliate wants their bill to take, the committee works with ASRT to start drafting a bill to present to the state legislature.
While drafting their bill, Sam and Sue realize that it might affect other health care workers. In fact, they don't realize how many people in a large variety of settings are performing medical imaging examinations. In a few physicians' offices, nurses are being asked to perform medical imaging, and chiropractors are instructing their assistants to obtain spinal images. After discussing this with the legislative committee and also with the state nursing association and chiropractic association, the affiliate legislative committee determines a limited-scope permit is in order, as long as the person performing the examination meets appropriate educational and competency assessment standards to perform only a specific type of examination on a designated anatomical area. As news of the radiologic technology bill gets out to the medical community, other health care groups start calling. Some groups support the legislative initiative, but some have concerns and suggestions. Sam and Sue know that it is important to secure support for the bill and to discuss and mitigate opposition to their legislative endeavor. Like any type of negotiation process, some requests are reasonable and could be written into the bill, while others raise dissension.
After fine-tuning their draft bill and securing the support of some professional groups affected by the legislation, Sam and Sue start looking for sponsors to introduce the bill in the state house of representatives and state senate. After talking to the other members of the state society, they find out that Representative Smith, whose district houses the largest hospital in the state, has a close tie to the radiology community. They also talk to Senator Jones, whose daughter is a radiologic technologist in an orthopedic clinic in another town. Rep. Smith and Sen. Jones are also members of the House and Senate Health Care committees — the first committees that will review the bill after it is introduced.
Rep. Smith and Sen. Jones, after a little persuasion from Sam and Sue and some visits and phone calls from radiologic technologists living in their districts, decide to introduce the bill in the House and Senate. The House version of the bill (House Bill 1) is introduced and referred to the House Health Care Committee and to the House Professional Licensure Committee. The Senate version (Senate Bill 2) is referred to the Senate Health Care Committee.
The House Health Care Committee decides to take up H.B. 1 quickly and schedules a committee hearing on the bill. Sam and Sue prepare some written comments to submit to the committee and also prepare a short speech telling committee members why H.B. 1 is important for patient care. They also closely scrutinize the bill and prepare answers for any questions the committee members might have. During the hearing, Rep. Smith asks Sue and Sam to express how the education and qualifications of the person performing a diagnostic imaging examination can affect the quality of the medical image produced and how licensure will positively affect health care in the state. Sam and Sue explain who they are, the education and experience they possess and how they contribute to the patient care team. The House Health Care Committee agrees that people performing medical imaging and radiation therapy procedures should be licensed and meet education and competency standards. They vote and report H.B. 1 favorably with no amendments.
Meanwhile, in the Senate, S.B. 2 progresses through the Senate Health Care Committee just as it did in the House. Sen. Jones and Rep. Smith communicate with their colleagues to ensure the bill's success. Sam and Sue encourage R.T.s to write, call, and visit their state senators and representatives to express support for H.B. 1 and S.B. 2.
H.B. 1 moves to the House Professional Licensure Committee. During that hearing, it is learned that the podiatric community wants podiatry assistants to be able to perform foot and ankle x-ray examinations under the supervision of a podiatrist. Because a provision for this is not included in the original language of the bill, Rep. Foote, a member of the committee, proposes an amendment that is voted on and adopted. H.B. 1 is reported favorably with amendment.
S.B. 2 is placed on the Senate calendar and H.B. 1 is placed on the House calendar for their second reading. The second reading opens the bills up for floor debate. The state's R.T.s meet at a gathering hosted by their affiliate society and go to the state capitol to rally for their bills. There is little debate in the House, except for one representative's attempt to tack another professional licensure bill for fast food workers on to H.B. 1 as an amendment. Her amendment is defeated, and H.B. 1 is placed on the calendar for its third reading.
In the Senate, things are a little more exciting. Debate over S.B. 2 rises from senators whose physician constituents are concerned that they will not be permitted to perform medical imaging examinations themselves because they do not directly meet the specified standards for licensure contained in the bill. Sam and Sue realize that this was an oversight and work with the physicians to develop some exemption language to be amended into the bill. Sen. Jones explains the proposed amendment that will permit licensed physicians to perform and supervise licensed individuals performing medical imaging and sponsors it on the floor. The amendment is adopted, and S.B. 2 is placed on the calendar for its third reading.
Upon the third reading, each bill is voted on and passed by its respective chamber. Now H.B. 1 goes to the Senate and S.B. 2 is heard in the House. In essence, the whole thing starts over again. Each bill makes it through the committee process and the second reading for floor action. Representatives and senators start to realize there are two versions of the bill that vary slightly, and decide to call a conference committee together to come up with a compromise. The conference committee discusses the differences in each bill, combines H.B. 1 and S.B. 2 into an entirely new bill —H.B. 3 — and issue a conference report. H.B. 3 is placed on the calendar in the House and Senate and is passed by each chamber with unanimous consent. H.B. 3 is enrolled and sent to the governor for signature.
The governor reads the bill and signs it into law with R.T.s from the state looking on. From there it goes into the rule-making and regulatory process, which will be covered in a future chapter.
This case study demonstrates how a law gets passed, but there are always two sides to every story. If a bill needs to be defeated, there are many parts of the process that can be affected. Committee hearings and contact with legislators can also be used to voice opposition to legislation and to propose alternatives that might be more agreeable. In the legislative forum, open, constant, direct and honest communication with lawmakers is key.