text:
National and State Treatment Need and Capacity for Opioid Agonist Medication-Assisted Treatment.
National and State Treatment Need and Capacity for Opioid Agonist Medication-Assisted Treatment.
Am J Public Health. 2015 Jun 11;:e1-e9
Authors: Jones CM, Campopiano M, Baldwin G, McCance-Katz E
OBJECTIVES: We estimated national and state trends in opioid agonist medication-assisted treatment (OA-MAT) need and capacity to identify gaps and inform policy decisions.
METHODS: We generated national and state rates of past-year opioid abuse or dependence, maximum potential buprenorphine treatment capacity, number of patients receiving methadone from opioid treatment programs (OTPs), and the percentage of OTPs operating at 80% capacity or more using Substance Abuse and Mental Health Services Administration data.
RESULTS: Nationally, in 2012, the rate of opioid abuse or dependence was 891.8 per 100 000 people aged 12 years or older compared with national rates of maximum potential buprenorphine treatment capacity and patients receiving methadone in OTPs of, respectively, 420.3 and 119.9. Among states and the District of Columbia, 96% had opioid abuse or dependence rates higher than their buprenorphine treatment capacity rates; 37% had a gap of at least 5 per 1000 people. Thirty-eight states (77.6%) reported at least 75% of their OTPs were operating at 80% capacity or more.
CONCLUSIONS: Significant gaps between treatment need and capacity exist at the state and national levels. Strategies to increase the number of OA-MAT providers are needed. (Am J Public Health. Published online ahead of print June 11, 2015: e1-e9. doi:10.2105/AJPH.2015.302664).
PMID: 26066931 [PubMed - as supplied by publisher]
When Your College Kid's Home for the Summer
Has your college kid moved back home for the summer? Your family is likely thrilled to have her under your roof again, but may be experiencing a bit of tension, fueled by your undergrad's emotional state.
Perhaps she's struggling with her loss of independence, missing college friends, disappointed that high-school friendships aren't what they used to be, uninspired at her summer job, frustrated to have to follow your rules or just really, really bored.
We asked parenting expert Sue Scheff to help parents better understand the state of mind of their living-at-home-again college student, and how they might help their child best cope and stay healthy and safe during this time of transition. She shared four things to keep in mind.
1. Your child is probably a bit anxious about being home.
Teenagers usually go off to college with a sense of excitement about the prospect of being on their own. It's often their first taste of freedom from their parent. Your teen has spent a year in a more unstructured and unsupervised environment. She has new friends you probably don't know. It was a year of growth for her and, in reality, you may not know your child as well as you used to. Now she's coming home to a family that expects her to be the same person she was when you dropped her off at school almost a year earlier. For all of these reasons, it's common for her to be a bit anxious about coming home.
One way to ease your teen's anxiety is to talk with her about what she's going through. Remain calm, and really listen to what she has to say. Put yourself in her shoes and try to think about how you felt when you were her age. Remember to ask lots of open-ended questions (questions designed to elicit more than just a "yes" or "no" response) that keep conversations moving in the right direction.
2. Establish mutual respect by discussing the rules together
Respect is a two-way street. Make it clear that you'll respect her independence and will make allowances as she is now maturing into an adult, however, she has to respect your household rules too. Instead of getting caught up in a power play, remain calm and curious and treat her with the respect she wants in return.
As soon as your college kid arrives home, sit down and negotiate the household rules and what you expect from her. Be sure to discuss curfews, chores, if you expect her to get a summer job, as well as your feelings about drinking and substance use. Instead of lecturing, have a conversation, respect her opinion and let you're her feel heard. You don't have to agree to her every request, but giving her a voice will make her feel understood.
Wondering how to talk to your teen about marijuana? Download our Marijuana Talk Kit to find out.
Also, use this as an opportunity for your teen to establish what she expects from you in return regarding her own personal wishes. Having an immediate conversation at the beginning of the summer can prevent confrontations during her stay at home.
3. Help your child learn coping skills
Your teen may be struggling to figure out where she belongs. Her friends may have changed, and maybe things aren't exactly the way she thought they would be. Having a conversation with a sense of understanding and compassion can let her know you are on her side.
Whatever it is she's facing, help her understand that not everything in life will go the way we want it to. Learning healthy coping skills is an important part of being an adult. And using alcohol or drugs to cope with emotional pain is not a solution.
Show your concern and ask permission to help her find healthy alternatives to dealing with difficult feelings than turning to drugs. Sit down with your teen and have her make a list of positive skills to implement in her day-to-day life while at home. This could be whatever she enjoys, including sports, yoga, listening to music, hiking, dancing or even trying out a new activity. Volunteering is a great way to fill time and give back to others, and also instills self-esteem to help make better choices.
However, it's important to stay alert to possible mental health issues. Between the ages of 18 and 25 are when a lot of disorders, like anxiety, can develop. There is a strong link between mental and physical health issues and the use of drugs and alcohol. Be sure to find mental health resources for your child if needed.
4. If she's drinking and using drugs.
If you suspect your teen has a substance abuse problem, call the Partnership's Toll-Free Helpline (1-855-DRUGFREE) to speak with a trained specialist.
Here are expert tips on what to do if you know your 19-25-year-old is using.
Don't overlook the prescription drugs in your home, which teens often have easy access to and can abuse. Be sure your prescription medicines are secured and that expired/unused medicines in your home are properly disposed of.
It is important to note that car crashes are the leading cause of death for US teens. And, according to the National Highway Traffic Safety Administration, the period between Memorial Day and Labor Day is the deadliest for drivers ages 15-20. Drinking and driving, and texting while driving, are incredibly dangerous. Make it clear to your child this behavior is unacceptable, and that if she needs a ride or help getting out of a situation, you are there for her.
Lastly, remind her that you love her and care about her and are there to talk about these – or any other – issues that she's dealing with. It's not all about the topic of drinking, drug use and safety – it's about maintaining a generally healthy, supportive relationship. Your child needs to know that if any problems or difficult situations arise, she can always turn to you for help – whether she's away at college or back at home.
Thank you to Sue Scheff for her sharing her insights. Sue is an author, parent advocate and cyber advocate. As founder and president of Parents' Universal Resource Experts Inc. (P.U.R.E., 2001), Sue is concerned with parents helping parents and promoting awareness of cyberbullying and other online issues. Sue uses her own personal experiences to assist other parents who face the same challenges she faced while searching for a reliable program for her own daughter during her troubled teenage years. Over the past decade, P.U.R.E. has gained both national and international recognition for its success in helping thousands of parents locate safe and effective therapeutic schools and programs for their at-risk teens.
And special thanks to Grayson Ponti for his help in preparing this post.
The post When Your College Kid's Home for the Summer appeared first on Partnership for Drug-Free Kids.
Growth In Buprenorphine Waivers For Physicians Increased Potential Access To Opioid Agonist Treatment, 2002-11.
Growth In Buprenorphine Waivers For Physicians Increased Potential Access To Opioid Agonist Treatment, 2002-11.
Health Aff (Millwood). 2015 Jun 1;34(6):1028-34
Authors: Dick AW, Pacula RL, Gordon AJ, Sorbero M, Burns RM, Leslie D, Stein BD
Opioid use disorders are a significant public health problem, affecting two million people in the United States. Treatment with buprenorphine, methadone, or both is predominantly offered in methadone clinics, yet many people do not receive the treatment they need. In 2002 the Food and Drug Administration approved buprenorphine for prescription by physicians who completed a course and received a waiver from the Drug Enforcement Administration, exempting them from requirements in the Controlled Substances Act. To determine the waiver program's impact on the availability of opioid agonist treatment, we analyzed data for the period 2002-11 to identify counties with opioid treatment shortages. We found that the percentage of counties with a shortage of waivered physicians fell sharply, from 98.9 percent in 2002 to 46.8 percent in 2011. As a result, the percentage of the US population residing in what we classified as opioid treatment shortage counties declined from 48.6 percent in 2002 to 10.4 percent in 2011. These findings suggest that the increase in waivered physicians has dramatically increased potential access to opioid agonist treatment. Policy makers should focus their efforts on further increasing the number and geographical distribution of physicians, particularly in more rural counties, where prescription opioid misuse is rapidly growing.
PMID: 26056209 [PubMed - in process]
A New Formulation of Buprenorphine/Naloxone.
A New Formulation of Buprenorphine/Naloxone.
J Addict Nurs. 2015 Apr-Jun;26(2):104-105
PMID: 26053085 [PubMed - as supplied by publisher]
Do We Really Need to Continue Pharmacotherapy for Opioid Use Disorder (OUD) Indefinitely?
Do We Really Need to Continue Pharmacotherapy for Opioid Use Disorder (OUD) Indefinitely?
J Reward Defic Syndr. 2015;1(1):16-19
Authors: Badgaiyan RD, Sinha S, Blum K
It is unclear whether pharmacotherapy for opioid use disorder (OUD) should be continued for short or long-term. Before introduction of buprenorphine, methadone was the primary pharmacotherapy for OUD in the United States. Because of its specific pharmacokinetic properties methadone was recommended for long-term use with some justification. Introduction of buprenorphine however has altered the treatment protocol because of milder adverse effects and withdrawal symptoms. The adverse effects of buprenorphine are milder but not negligible. Therefore, indefinite prescription is justified only if there is a significant benefit. Studies that have compared short and long-term treatment of buprenorphine protocols do not show a significant benefit of long-term treatment over relatively short-term (few months) treatment protocols. Obviously, the ultra short-term treatment lasting a few days has very little or no benefit on long-term treatment of buprenorphine protocols that use buprenorphine for 3 to 9 months is comparable to that of the long-term (years to lifetime) treatment without financial and medical consequences of the long-term treatment.
PMID: 26052555 [PubMed - as supplied by publisher]
An international perspective on using opioid substitution treatment to improve hepatitis C prevention and care for people who inject drugs: Structural barriers and public health potential.
An international perspective on using opioid substitution treatment to improve hepatitis C prevention and care for people who inject drugs: Structural barriers and public health potential.
Int J Drug Policy. 2015 Apr 27;
Authors: Perlman DC, Jordan AE, Uuskula A, Huong DT, Masson CL, Schackman BR, Des Jarlais DC
People who inject drugs (PWID) are central to the hepatitis C virus (HCV) epidemic. Opioid substitution treatment (OST) of opioid dependence has the potential to play a significant role in the public health response to HCV by serving as an HCV prevention intervention, by treating non-injection opioid dependent people who might otherwise transition to non-sterile drug injection, and by serving as a platform to engage HCV infected PWID in the HCV care continuum and link them to HCV treatment. This paper examines programmatic, structural and policy considerations for using OST as a platform to improve the HCV prevention and care continuum in 3 countries-the United States, Estonia and Viet Nam. In each country a range of interconnected factors affects the use OST as a component of HCV control. These factors include (1) that OST is not yet provided on the scale needed to adequately address illicit opioid dependence, (2) inconsistent use of OST as a platform for HCV services, (3) high costs of HCV treatment and health insurance policies that affect access to both OST and HCV treatment, and (4) the stigmatization of drug use. We see the following as important for controlling HCV transmission among PWID: (1) maintaining current HIV prevention efforts, (2) expanding efforts to reduce the stigmatization of drug use, (3) expanding use of OST as part of a coordinated public health approach to opioid dependence, HIV prevention, and HCV control efforts, (4) reductions in HCV treatment costs and expanded health system coverage to allow population level HCV treatment as prevention and OST as needed. The global expansion of OST and use of OST as a platform for HCV services should be feasible next steps in the public health response to the HCV epidemic, and is likely to be critical to efforts to eliminate or eradicate HCV.
PMID: 26050614 [PubMed - as supplied by publisher]
Hepatitis C virus infection and pain sensitivity in patients on methadone or buprenorphine maintenance therapy for opioid use disorders.
Hepatitis C virus infection and pain sensitivity in patients on methadone or buprenorphine maintenance therapy for opioid use disorders.
Drug Alcohol Depend. 2015 May 22;
Authors: Tsui JI, Lira MC, Cheng DM, Winter MR, Alford DP, Liebschutz JM, Mao J, Edwards RR, Samet JH
BACKGROUND: Patients with opioid use disorders on opioid agonist therapy (OAT) have lower pain tolerance compared to controls. While chronic viral infections such as HCV and HIV have been associated with chronic pain in this population, no studies have examined their impact on pain sensitivity.
METHODS: We recruited 106 adults (41 uninfected controls; 40 HCV mono-infected; and 25 HCV/HIV co-infected) on buprenorphine or methadone to assess whether HCV infection (with or without HIV) was associated with increased experimental pain sensitivity and self-reported pain. The primary outcome was cold pain tolerance assessed by cold-pressor test. Secondary outcomes were cold pain thresholds, wind-up ratios to repetitive mechanical stimulation (i.e., temporal summation) and acute and chronic pain. Multivariable regression models evaluated associations between viral infection status and outcomes, adjusting for other factors.
RESULTS: No significant differences were detected across groups for primary or secondary outcomes. Adjusted mean cold pain tolerance was 25.7 (uninfected controls) vs. 26.8 (HCV mono-infection) vs. 25.3 (HCV/HIV co-infection) seconds (global p-value=0.93). Current pain appeared more prevalent among HCV mono-infected (93%) compared to HCV/HIV co-infected participants (76%) and uninfected controls (80%), as did chronic pain (77% vs. 64% vs. 61%, respectively). However, differences were not statistically significant in multivariable models.
CONCLUSION: This study did not detect an association between HCV infection and increased sensitivity to pain among adults with and without HIV who were treated with buprenorphine or methadone for opioid use disorders. Results reinforce that pain and hyperalgesia are common problems in this population.
PMID: 26048638 [PubMed - as supplied by publisher]
A Retrospective Evaluation of Inpatient Transfer from High-Dose Methadone to Buprenorphine Substitution Therapy.
A Retrospective Evaluation of Inpatient Transfer from High-Dose Methadone to Buprenorphine Substitution Therapy.
J Subst Abuse Treat. 2015 May 13;
Authors: Oretti R
The product license of buprenorphine/naloxone for opioid substitution therapy indicates reducing methadone concentrations to 30mg or less per day for a minimum of 1week before transferring patients to buprenorphine and no sooner than 24hours after the last methadone dose, because of the risk of precipitated withdrawal and a corresponding high risk of relapse to opioid use. There are few studies describing high-dose methadone transfers. This retrospective case review assessed the feasibility of transferring patients on methadone doses above 30mg/day to buprenorphine or buprenorphine/naloxone in the inpatient setting. Six of seven patients on 60-120mg/day of methadone successfully completed the transfer, and four cases tested negative for opiates at long-term follow-up (6-15 months). This suggests that methadone transfer to buprenorphine can be performed rapidly without the need to taper methadone doses in patients indicated for a therapeutic switch. This small study is hypothesis-generating; larger, well-designed trials are needed to define a protocol that can be used routinely to improve and widen transfers to buprenorphine when indicated.
PMID: 26048187 [PubMed - as supplied by publisher]
Combined administration of buprenorphine and naltrexone produces antidepressant-like effects in mice.
Combined administration of buprenorphine and naltrexone produces antidepressant-like effects in mice.
J Psychopharmacol. 2015 Jun 4;
Authors: Almatroudi A, Husbands SM, Bailey CP, Bailey SJ
Opiates have been used historically for the treatment of depression. Renewed interest in the use of opiates as antidepressants has focused on the development of kappa opioid receptor (κ-receptor) antagonists. Buprenorphine acts as a partial µ-opioid receptor agonist and a κ-receptor antagonist. By combining buprenorphine with the opioid antagonist naltrexone, the activation of µ-opioid receptors will be reduced and the κ-antagonist properties enhanced. We have established that a combination dose of buprenorphine (1 mg/kg) with naltrexone (1 mg/kg) functions as a short-acting κ-antagonist in the mouse tail withdrawal test. Furthermore, this dose combination is neither rewarding nor aversive in the conditioned place preference paradigm, and is without significant locomotor effects. We have shown for the first time that systemic co-administration of buprenorphine (1 mg/kg) with naltrexone (1 mg/kg) in CD-1 mice produced an antidepressant-like response in behaviours in both the forced swim test and novelty induced hypophagia task. Behaviours in the elevated plus maze and light dark box were not significantly altered by treatment with buprenorphine alone, or in combination with naltrexone. We propose that the combination of buprenorphine with naltrexone represents a novel, and potentially a readily translatable approach, to the treatment of depression.
PMID: 26045511 [PubMed - as supplied by publisher]
Enucleation for treating rodent ocular disease.
Enucleation for treating rodent ocular disease.
J Am Assoc Lab Anim Sci. 2015;54(3):328-32
Authors: Wilding LA, Uchihashi M, Bergin IL, Nowland MH
Our standard of care for rodent corneal lesions previously included treatment of the primary lesion, application of topical NSAIDs, and systemic NSAIDs in severe cases. When intensive medical management was unsuccessful, animals were euthanized, leading to premature loss of valuable genetically modified animals and those on long-term studies. We investigated enucleation surgery as a treatment for 15 cases of rodent corneal disease that did not respond to medical management. Enucleation was performed under isoflurane anesthesia and involved removal of the globe, extensive hemostasis, and packing the orbital space with absorbable gelatin sponge. The lid margins were closed by tarsorrhaphy and tissue glue. Analgesia was provided by using buprenorphine preoperatively and carprofen chew tabs postoperatively. To date, we have a 100% success rate with this procedure (n = 20; 15 clinically affected rodents [2 rats, 13 mice], 5 healthy controls), which included a 60-d follow-up period. The single complication involved dehiscence of the tarsorrhaphy site and was repaired by trimming the lid margins to provide fresh tissue for closure. Histologic examination at both 1 and 3 mo after surgery revealed no evidence of infection of the enucleation site. Enucleation in rodents is a straightforward procedure that represents a refinement to our current standard of care for rodents, does not cause significant inflammation of remaining periocular structures, and has reduced the number of animals euthanized prior to study endpoint because of severe ocular lesions.
PMID: 26045460 [PubMed - in process]
Effects of Dexmedetomidine and Ketamine-Dexmedetomidine with and without Buprenorphine on Corticoadrenal Function in Rabbits.
Effects of Dexmedetomidine and Ketamine-Dexmedetomidine with and without Buprenorphine on Corticoadrenal Function in Rabbits.
J Am Assoc Lab Anim Sci. 2015;54(3):299-303
Authors: González-Gil A, Villa A, Millán P, Martínez-Fernández L, Illera JC
Anesthetics may influence adrenal function and consequently alter serum glucocorticoid concentrations, leading to erroneous interpretations of results from anesthetized rabbits. However, decreases in glucocorticoid concentrations may be advantageous in protocols designed to minimize the stress response to surgery. This study characterized the variations in adrenocortical function based on changes in corticosterone and cortisol levels after various doses and combinations of dexmedetomidine, ketamine, and buprenorphine. Each rabbit received all treatments with a minimal interexperiment interval of 10 d. Rabbits were allocated to 7 groups (n = 10 per group) and received either 1 mL saline solution; dexmedetomidine at 0.05, 0.15, or 0.25 mg/kg; ketamine (35 mg/kg) and dexmedetomidine (0.25 mg/kg) without or with buprenorphine (0.03 mg/kg); or ketamine (35 mg/kg) and buprenorphine (0.03 mg/kg). Blood was sampled before drug administration and at 10, 30, 60, and 120 min and 24 h afterward. Serum glucocorticoid levels fell in all treatment groups except the one receiving ketamine-dexmedetomidine; in that group, serum glucocorticoids increased. Rabbits that received ketamine-dexmedetomidine-buprenorphine had the lowest serum glucocorticoid levels overall. In conclusion, dexmedetomidine reduces glucocorticoid secretion in rabbits but, when combined with ketamine, increases corticosterone and cortisol levels as well as heart and respiratory rates. The addition of buprenorphine to the ketamine-dexmedetomidine mixture reduces serum glucocorticoid levels. The influence of anesthetic drugs should be considered when designing a protocol to minimize the glucocorticoid response to surgery or when measuring glucocorticoid levels in rabbits.
PMID: 26045456 [PubMed - in process]
IL-1 receptor antagonist improves morphine and buprenorphine efficacy in a rat neuropathic pain model.
IL-1 receptor antagonist improves morphine and buprenorphine efficacy in a rat neuropathic pain model.
Eur J Pharmacol. 2015 Jun 1;
Authors: Pilat D, Rojewska E, Jurga AM, Piotrowska A, Makuch W, Przewlocka B, Mika J
An interesting research and therapeutic problem is the reduced beneficial efficacy of opioids in the treatment of neuropathic pain. The present study sought to investigate the potential role of IL-1 family members in this phenomenon. We studied the time course of changes in IL-1alpha, IL-1beta, IL-1 receptor type I and IL-1 receptor antagonist mRNA and protein levels experienced by rats after chronic constriction injury (CCI) of the sciatic nerve using qRT-PCR and Western blot analysis. In CCI-exposed rats, spinal levels of IL-1alpha mRNA were slightly downregulated on the 7(th) day, and protein levels were not changed on the 7(th) and 14(th) days. Levels of IL-1 receptor antagonist and IL-1 receptor type I were slightly upregulated in the ipsilateral part of the spinal cord on the 7(th) and 14(th) days; however, protein levels were not changed at those time points. Interestingly, we observed that IL-1beta mRNA and protein levels were strongly elevated in the ipsilateral part of the dorsal spinal cord on the 7(th) and 14(th) days following CCI. Moreover, in rats exposed to a single intrathecal administration of an IL-1 receptor antagonist (100 ng i.t.) on the 7(th) and 14(th) day following CCI, symptoms of neuropathic pain were attenuated, and the analgesic effects of morphine (2.5µg i.t.) and buprenorphine (2.5µg i.t.) were enhanced. In summary, restoration of the analgesic activity of morphine and buprenorphine by blockade of IL-1 signaling suggests that increased IL-1beta responses may account for the decreased analgesic efficacy of opioids observed in the treatment of neuropathy.
PMID: 26043968 [PubMed - as supplied by publisher]
Your Child Lied. Now What?
So, you just caught your teen in a lie. Your instinct may be to lose your cool: to panic, feel hurt and maybe yell at your child. But before you let your emotions get the best of you, take a deep breath. It is important to think about why your child is lying – and then use some important conversation skills to talk with your teen before you impart a consequence.
First, understand that all people – including teens – usually lie in order to avoid something. That can be a feeling, a reaction, a perception or a consequence.
Second, before you confront your child, it's just as crucial to determine the underlying reason behind the lie as it is to address the lie itself. Think about this: why do you think your teen was dishonest with you? Was it because he didn't want to worry or upset you? Because he knew you'd get angry and present a serious consequence? Or maybe he was trying to avoid feelings of shame or guilt in order to get away with something that he knew you wouldn't approve of? Trying to understand this will help you approach the conversation with a clear perspective.
Remember: Just because your teen lied doesn't mean your teen is a bad person. If your teen equates lying with being a bad person, this can actually facilitate additional distrust and cause even more lies down the road.
Third, to have an open and honest conversation with your teen, try to remain calm, curious and objective. Yes, this is difficult – but the more you can try to suppress the personal sting you feel after being lied to, the better position you will be in to get your teen to talk with you. Do your best to avoid finger-pointing and accusations that will shame your teen, and instead try something like this:
"You said you had only smoked weed once, but I know that isn't true. Why didn't you feel like you could tell me the truth about that?" You can also ask questions like, "What were you trying to accomplish by lying?"
Or: "What can I do to help you feel more comfortable telling me the truth next time?"
These questions get to the heart of why the lie happened, and can help you understand what you need to look out for in the future.
Finally, once you have talked about the reason behind the behavior you can then explain the consequence. Be sure to think about what this might be beforehand, so that you can clearly communicate the reasoning behind it and be sure that he understands why you chose it and why the consequence is important. The consequence should fit the violation, and should be specific. In other words, try not to make the emotion around the situation (shaming, name-calling) become the consequence itself.
The post Your Child Lied. Now What? appeared first on Partnership for Drug-Free Kids.
Interventions for female drug-using offenders.
Interventions for female drug-using offenders.
Cochrane Database Syst Rev. 2015 Jun 2;6:CD010910
Authors: Perry AE, Neilson M, Martyn-St James M, Glanville JM, Woodhouse R, Hewitt C
BACKGROUND: This is an updated version of a Cochrane review first published in Issue 3, 2006 (Perry 2006). The review represents one in a family of four reviews focusing on the effectiveness of interventions in reducing drug use and criminal activity for offenders. This specific review considers interventions for female drug-using offenders.
OBJECTIVES: To assess the effectiveness of interventions for female drug-using offenders in reducing criminal activity, or drug use, or both.
SEARCH METHODS: We searched 14 electronic bibliographic databases up to May 2014 and five additional Website resources (between 2004 and November 2011). We contacted experts in the field for further information.
SELECTION CRITERIA: We included randomised controlled trials (RCTs) designed to reduce, eliminate or prevent relapse of drug use or criminal activity in female drug-using offenders. We also reported data on the cost and cost-effectiveness of interventions.
DATA COLLECTION AND ANALYSIS: We used standard methodological procedures expected by The Cochrane Collaboration.
MAIN RESULTS: Nine trials with 1792 participants met the inclusion criteria. Trial quality and risks of bias varied across each study. We rated the majority of studies as being at 'unclear' risk of bias due to a lack of descriptive information. We divided the studies into different categories for the purpose of meta-analyses: for any psychosocial treatments in comparison to treatment as usual we found low quality evidence that there were no significant differences in arrest rates, (two studies; 489 participants; risk ratio (RR) 0.82, 95% confidence interval (CI) 0.45 to 1.52) or drug use (one study; 77 participants; RR 0.65, 95% CI 0.20 to 2.12), but we found moderate quality evidence that there was a significant reduction in reincarceration, (three studies; 630 participants; RR 0.46, 95% CI 0.34 to 0.64). Pharmacological intervention using buprenorphine in comparison to a placebo did not significantly reduce self reported drug use (one study; 36 participants; RR 0.58, 95% CI 0.25 to 1.35). No cost or cost-effectiveness evidence was reported in the studies.
AUTHORS' CONCLUSIONS: Three of the nine trials show a positive trend towards the use of any psychosocial treatment in comparison to treatment as usual showing an overall significant reduction in subsequent reincarceration, but not arrest rates or drug use. Pharmacological interventions in comparison to a placebo did not significantly reduce drug use and did not measure criminal activity. Four different treatment comparisons showed varying results and were not combined due to differences in the intervention and comparison groups. The studies overall showed a high degree of heterogeneity for types of comparisons and outcome measures assessed, which limited the possibility to pool the data. Descriptions of treatment modalities are required to identify the important elements for treatment success in drug-using female offenders. More trials are required to increase the precision of confidence with which we can draw conclusions about the effectiveness of treatments for female drug-using offenders.
PMID: 26035085 [PubMed - as supplied by publisher]
Pharmacological interventions for drug-using offenders.
Pharmacological interventions for drug-using offenders.
Cochrane Database Syst Rev. 2015 Jun 2;6:CD010862
Authors: Perry AE, Neilson M, Martyn-St James M, Glanville JM, Woodhouse R, Godfrey C, Hewitt C
BACKGROUND: The review represents one in a family of four reviews focusing on a range of different interventions for drug-using offenders. This specific review considers pharmacological interventions aimed at reducing drug use or criminal activity, or both, for illicit drug-using offenders.
OBJECTIVES: To assess the effectiveness of pharmacological interventions for drug-using offenders in reducing criminal activity or drug use, or both.
SEARCH METHODS: We searched Fourteen electronic bibliographic databases up to May 2014 and five additional Web resources (between 2004 and November 2011). We contacted experts in the field for further information.
SELECTION CRITERIA: We included randomised controlled trials assessing the efficacy of any pharmacological intervention a component of which is designed to reduce, eliminate or prevent relapse of drug use or criminal activity, or both, in drug-using offenders. We also report data on the cost and cost-effectiveness of interventions.
DATA COLLECTION AND ANALYSIS: We used standard methodological procedures as expected by Cochrane.
MAIN RESULTS: Fourteen trials with 2647 participants met the inclusion criteria. The interventions included in this review report on agonistic pharmacological interventions (buprenorphine, methadone and naltrexone) compared to no intervention, other non-pharmacological treatments (e.g. counselling) and other pharmacological drugs. The methodological trial quality was poorly described, and most studies were rated as 'unclear' by the reviewers. The biggest threats to risk of bias were generated through blinding (performance and detection bias) and incomplete outcome data (attrition bias). Studies could not be combined all together because the comparisons were too different. Only subgroup analysis for type of pharmacological treatment were done. When compared to non-pharmacological, we found low quality evidence that agonist treatments are not effective in reducing drug use or criminal activity, objective results (biological) (two studies, 237 participants (RR 0.72 (95% CI 0.51 to 1.00); subjective (self-report), (three studies, 317 participants (RR 0.61 95% CI 0.31 to 1.18); self-report drug use (three studies, 510 participants (SMD: -0.62 (95% CI -0.85 to -0.39). We found low quality of evidence that antagonist treatment was not effective in reducing drug use (one study, 63 participants (RR 0.69, 95% CI 0.28 to 1.70) but we found moderate quality of evidence that they significantly reduced criminal activity (two studies, 114 participants, (RR 0.40, 95% CI 0.21 to 0.74).Findings on the effects of individual pharmacological interventions on drug use and criminal activity showed mixed results. In the comparison of methadone to buprenorphine, diamorphine and naltrexone, no significant differences were displayed for either treatment for self report dichotomous drug use (two studies, 370 participants (RR 1.04, 95% CI 0.69 to 1.55), continuous measures of drug use (one study, 81 participants, (mean difference (MD) 0.70, 95% CI -5.33 to 6.73); or criminal activity (one study, 116 participants, (RR 1.25, 95% CI 0.83 to 1.88) between methadone and buprenorphine. Similar results were found for comparisons with diamorphine with no significant differences between the drugs for self report dichotomous drug use for arrest (one study, 825 participants, (RR 1.25, 95% CI 1.03 to 1.51) or naltrexone for dichotomous measures of reincarceration (one study, 44 participants, (RR 1.10, 95% CI 0.37 to 3.26), and continuous outcome measure of crime, (MD -0.50, 95% CI -8.04 to 7.04) or self report drug use (MD 4.60, 95% CI -3.54 to 12.74).
AUTHORS' CONCLUSIONS: When compared to non-pharmacological treatment, agonist treatments did not seem effective in reducing drug use or criminal activity. Antagonist treatments were not effective in reducing drug use but significantly reduced criminal activity. When comparing the drugs to one another we found no significant differences between the drug comparisons (methadone versus buprenorphine, diamorphine and naltrexone) on any of the outcome measures. Caution should be taken when interpreting these findings, as the conclusions are based on a small number of trials, and generalisation of these study findings should be limited mainly to male adult offenders. Additionally, many studies were rated at high risk of bias.
PMID: 26035084 [PubMed - as supplied by publisher]


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Class Action
Halliburton, Schlumberger, Baker Hughes face fracking suit
A new fracking-related suit is accusing three oilfield service companies of trying to quash their competition.
J&J agrees to pay $22.9 million to settle recall suit
The world's largest health care products manufacturer has agreed to pay for its mistakes.
Supreme Court upholds class arbitration decision
The high court has handed down its decision in Oxford Health Plans v. Sutter, a case that employers had been closely watching.
Class action suit against Greenberg Traurig settles
A class action suit that claimed law firm Greenberg Traurig underpaid its women lawyers has settled, according to Thomson Reuters.
Judge orders Dow Chemical to pay $1.2 billion for price-fixing
A federal judge has ordered Dow Chemical Co. to pay $1.2 billion for fixing prices on the chemical urethane, upholding an earlier guilty verdict handed down by a federal jury earlier this year.
Macmillan settles e-book class action
Another chapter closes in the e-book antitrust fiasco.
Intel uses Supreme Court Comcast ruling in its own antitrust case
The Supreme Court issued its decision in Comcast v. Behrend just last week, but Intel Corp. has already used the ruling to defend itself in its own long-running antitrust suit.
Anheuser-Busch sues ex-manager, claims he divulged trade secrets
A former Anheuser-Busch InBev (AB) manager says the company is punishing him with a lawsuit for going public with its misdeeds.
Court upholds dismissal of Boeing investor lawsuit, considers sanctions against plaintiffs' attorneys
It's having troubles in the air, but Boeing Co. got a courtroom win on Tuesday when an appeals court upheld both the dismissal of a class action investor suit against the company and sanctions against the plaintiffs' attorneys.
Judge will approve settlement in Madoff feeder fund case
A federal judge said late last week that he will approve an $80.25 million class action settlement that will benefit those that invested in Fairfield Greenwich Group funds.

subset: commoncrawl


text: I stayed at the Premier Palace Hotel for 5 nights during a recent business trip to Kiev. It's nicely located near the Maidan and the subway and is within walking distance of numerous shops, restaurants and cultural facilities. The rooms are nicely sized and well equipped. Breakfast is included and served in a restaurant on the 8th floor (be sure... More


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Capitol Heights
Woman Fights Off Man Who Tried To Assault Her
Prince George's County Police are looking for a man who tried to sexually assault a woman in Capitol Heights.
Police: Md. Boy, 12, Recants Report Of Abduction Attempt
Prince George's County police say a 12-year-old boy has recanted his report of an attempted abduction.
Victim In Gas Station Stabbing Identified
Prince George's County Police have identified a man who was fatally stabbed in a fight at a gas station in Capitol Heights.
2 Firefighters Suffer Minor Burns In Prince George's Co. House Fire
Two Prince George's County firefighters received minor burns when they battled a house fire in Capitol Heights.
Prince George's Police Asking For Help In Slaying Of Woman
Prince George's County police are planning to distribute flyers asking for help in solving the slaying of an elderly woman in Capitol Heights.
Man Slain In Capitol Heights
Prince George's County Police say a man who was found dead in a car in Capitol Heights is the victim of a homicide.
Man Shot In 2010 Dies; Cops Arrest 4 In The Killing
A man shot in Capitol Heights two years ago has now died of his injuries, and Prince George's County police say they've arrested four men in the killing.
Md. Police Find Car, Missing Kids Accounted For
Prince George's County police say a woman who alleged that her car was stolen with her three children inside while she was pumping gas will be charged with making a false police report.
Police ID Suspect In Capitol Heights Slaying
Prince George's County police have identified a suspect in the fatal shooting of a woman in Capitol Heights.
High School To Honor Slain Student
Students and staff at a Prince George's County high school are paying tribute to a student who was fatally shot this week.
Teen Fatally Shot Walking To School In Md.
Prince George's County police say a high school student was fatally shot while walking to school in Capitol Heights.
Capitol Heights Man Arrested In Death Of Woman Found In Creek
Prince George's County police say they've arrested a man in the killing of a woman whose body was found in a creek last month.


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Mission and history
To spark imagination and celebrate the legacy of innovation and the activist spirit, SCUA pursues an ambitious program of collecting materials of enduring historical value and offers strong support for research and learning. Through our collections, programs, public events, and exhibitions, SCUA promotes meaningful engagement with the record of social change in America and innovation and entrepreneurship, as well as the histories and cultures of the peoples of New England and the UMass Amherst community. We embrace the university's historic role as a center of knowledge for the people of the Commonwealth and are committed to using the highest professional standards and practices and the best available technologies to provide free and unfettered access to our holdings for all.
Department history
In 1931, nearly half a century after Librarian Henry Hill Goodell first authorized the permanent retention of the official records of Massachusetts Agricultural College, the Library established a College History Collection. Documenting the activities of the administration and faculty and the life of its students, this collection grew steadily, until in 1953, the Library dedicated a room named in honor of Dean William L. Machmer to serve as the first true home of the University Archives.
The timing of Goodell's proposal to preserve the College archives coincided roughly with the Library's first efforts to assemble a collection of rare books to support its educational mission. Although the campus had no separate library building until 1885, the College accepted several significant gifts of books, beginning as early as 1868, when the apiarist and state Adjutant General Henry K. Oliver donated twenty scarce volumes on bee culture, followed by other donations of important works in agriculture, history, and science. By the time the library published its first catalogue in 1875, rare books were a small, but distinctive part of the collections. Among the Library's earliest acquisitions were the first London edition of William Bartram's Travels Through North and South Carolina (1792), François Augier de Marigny's The History of the Arabians (London, 1758), and two early bee manuals by John Keys, The Practical Bee-Master (London, 1780) and The Antient Bee-Master's Farewell (London, 1796) — both courtesy of Oliver. All remain part of the collections today.
From its initial focus on agriculture, horticulture, and the natural sciences, the Library soon extended its collections to encompass the history and culture of New England. With the acquisition of the records of the Valley Peace Center and the papers of ethnographer Jozef Obrebski in 1973, the Library began to acquire collections of personal papers and organizational records of historical significance. The rare book and manuscript collections were combined administratively with the University Archives in the early 1990s to form the current Department of Special Collections and University Archives. Today, SCUA oversees a growing research collection of primary materials that includes rare books and manuscripts, historic maps, photographs, prints, and the official records of the campus at UMass Amherst.
New England Intercollegiate Lacrosse League
New England Intercollegiate Lacrosse League Records, 1893-1977.
Call no.: MS 331
When Charles Marsters founded the Boston Lacrosse Club in 1913, the club was the only one in New England to play teams from outside of the region. Under Marsters's leadership, however, participation in the sport rose steadily at both the high school and collegiate level, helping establish New England as one of the centers of the American game. In 1935, he and Tom Dent founded the New England Intercollegiate Lacrosse League (NEILL) to continue to build the sport.
The NEILL records document the growth of lacrosse from informal club team play to a more regulated, interscholastic and intercollegiate varsity sport. The bulk of the collection consists of correspondence, minutes, and agendas kept by co-founder Charles Marsters and a handful of other NEILL officers, but with material documenting the growth of the sport at UMass Amherst from the 1950s onward and the addition of women's lacrosse as a collegiate sport. The collection also includes some printed material (including rulebooks), news clippings, and photographs.
- College sports--New England
- Lacrosse for women--United States
- Lacrosse guide
- Lacrosse--New England--History
- School sports--New England
- University of Massachusetts Amherst--Sports
- Boyden, Frank L. (Frank Learoyd), 1879-1972
- Marsters, Charles E
- New England Intercollegiate Lacrosse League
New WORLD Theater
New WORLD Theater Records, 1979-2010.
Call no.: RG 025/F2/N4
New WORLD Theater was founded at UMass Amherst in 1979 by Roberta Uno with the mission of presenting innovative works of theater by contemporary artists of color, with the goal of fostering creative communities, promoting cultural equity, and embracing diverse cultural backgrounds, social engagement, and a commitment to justice. For more than thirty years New WORLD Theater produced many dozens of plays and other dramatic works representing new voices in the theater, as well as plays from the traditional multicultural repertory, and they have supported the arts through performance residencies, conferences and colloquia, and a variety of initiatives aimed at the diverse communities they serve, youth, and theater professionals. New WORLD Theater has contributed significantly to national conversations on cultural equity. After more than three decades of acclaim and recognition, New WORLD Theater was closed by UMass Amherst in summer 2010.
The bulk of the New WORLD Theater collection consists of administrative records documenting the day-to-day activities of the theater, however, it also contains an extensive and exceptionally rich archive of taped interviews, conferences, and theatrical productions. Taken together, the audiovisual material traces the history of New WORLD through the words and performances of artists who both contributed to and benefited from the theater.
- African Americans--Drama
- American drama--Minority authors
- Asian Americans--Drama
- Ethnic groups--United States--Drama
- Hispanic Americans--Drama
- Minorities--United States--Drama
- University of Massachusetts Amherst
- New WORLD Theater
- Page, Priscilla
- Uno, Roberta, 1956-
Types of material
- Audiovisual materials
- Sound recordings
Perske, Robert
Robert and Martha Perske Papers, 1964-2005.
Call no.: MS 772
While serving with the U.S. Navy in the Philippines during World War II, the teenaged Bob Perske became aware of the vulnerable and disabled in society and turned his life toward advocacy on their behalf. Studying for the ministry after returning to civilian life, Perske was appointed chaplain at the Kansas Neurological Institute, serving children with intellectual disabilities for 11 years, after which he became a full-time street, court, and prison worker — a citizen advocate — laboring in the cause of deinstitutionalization and civil rights of persons with disabilities, particularly those caught in the legal system. After Bob married his wife Martha in 1971, the two became partners in work, with Martha often illustrating Bob's numerous books and articles. In 2002, Perske was recognized by the American Bar Association as the only non-lawyer to ever receive the Paul Hearne Award for Services to Persons with Disabilities.
The Perske Papers contains a fifty year record of published and unpublished writings by Bob Perske on issues surrounding persons with disabilities, along with correspondence, photographs, and other materials relating to the Perskes' activism. The correspondence includes a particularly rich set of letters with a fellow advocate for persons with disabilities, Robert R. Williams.
- Mental retardation--Social aspects
- People with disabilities--Deinstitutionalization
- People with disabilities--Legal status, laws, etc.
- Perske, Martha
- Williams, Robert R.
Types of material
- Photographs
Polish Jubilee
Polish Jubilee Catalogs and Souvenirs, 1906-1988.
Call no.: MS 057
Includes booklets containing parish and community histories, photographs, and local advertisements celebrating Jubilee, other anniversaries, and events in over twenty Massachusetts Polish American parishes; booklets furnishing histories and names associated with Polish American groups (such as the Brotherly Aid Society and Polish American Veterans); an historical paper on the Chicopee Polish Community; a pamphlet including songs and recipes; photographs; a booklet; and two books.
- Chicopee (Mass.)--History
- Polish Americans--Massachusetts
Roche, John P.
John P. Roche Collection, 1886-1965.
Call no.: RB 008
A political scientist, writer, and government consultant, John P. Roche was born in Brooklyn, N.Y., on May 7, 1923, the son of a salesman. A liberal Social Democrat and fervent anti-Communist, Roche spent his academic career at Haverford College and Brandeis and Tufts Universities, writing extensively on American foreign policy, constitutional law, and the history of political thought in America, and maintaining a strong interest in the history of the American left. During the 1960s and early 1970s, he served as an adviser to the Kennedy, Johnson, and Nixon administrations.
The Roche Collection consists of over 300 publications pertaining to the political left in the United States, with a smaller number of works from the radical right and from European Socialists and Communists. Concentrated in the years spanning the Great Depression, the Second World War, and the McCarthy hearings, many of the works were produced by formal political parties in response to particular political campaigns, current events, or social issues, with other works geared primarily toward consciousness raising and general political education on trade unionism, fascism, war and peace, American foreign policy, and freedom of speech and the press.
- Communism
- Fascism
- Pacifism
- Socialism
- United States--Foreign policy--20th century
- World War, 1939-1945
- Coughlin, Charles E. (Charles Edward), 1891-1979
- Roche, John P.
Rotundo, Barbara
Association for Gravestone Studies Collection
Barbara Rotundo Photograph Collection, ca.1970-2004.
Call no.: PH 050
A long-time member of the English Department at the University of Albany, Barbara Rotundo was a 1942 graduate in economics at Mount Holyoke College. After the death of her husband, Joseph in 1953, Rotundo became one of the first female faculty members at Union College, and after earning a master's degree in English at Cornell University and a doctorate in American Literature from Syracuse University, she served as an associate professor of English at the University of Albany, where she founded one of the first university writing programs in the United States. Avocationally, she was a stalwart member of the Association for Gravestone Studies, helping to broaden its scope beyond its the Colonial period to include the Victorian era. Her research included the rural cemetery movement, Mount Auburn Cemetery, white bronze (zinc) markers, and ethnic folk gravestones. Her research in these fields was presented on dozens of occasions to annual meetings of AGS, the American Culture Association, and The Pioneer America Society. In 1989, after residing in Schenectady for forty-six years, she retired to Belmont, NH, where she died in December 2004.
Consisting primarily of thousands of color slides (most digitized) and related research notebooks, the Rotundo collection is a major visual record of Victorian grave markers in the United States. The notebooks and slides are arranged by state, with an emphasis on the eastern states, and white bronze (zinc) markers also are represented in photographs and a separate research notebook. The collection also includes several rare or privately published books.
- Cemeteries--New York (State)
- Sepulchral monuments--New Jersey
- Sepulchral monuments--New York (State)
- Sepulchral monuments--Pennsylvania
- Rotundo, Barbara
Types of material
- Photographs
Roxbury Action Program
Roxbury Action Program Collection, 1944-1975 (Bulk: 1966-1974).
Call no.: MS 765
The Roxbury Action Program and Black Panther Party of Boston were both founded in the Roxbury section of Boston following the riots of 1968. RAP pursued community revitalization through Black self-determination and enjoyed success in its housing initiatives and in providing social services ranging from support for Black businesses to Black draft counseling, health and legal referrals, a Black library, and community awareness program.
Although the exact provenance of this small collection is uncertain, the materials appear to have been collected by an individual, possibly a woman, associated with the early days of the Roxbury Action Program and Boston branch of the Black Panther Party. Steeped in Black Power ideology, the collection includes publications of the Black Panther Party, the Nation of Islam, and other organizations, as well as an insightful series of transcripts of Roxbury Action Program meetings held during its first few months of operation.
- African Americans--Massachusetts--Boston
- Black Panther Party
- Black power
- Housing--Massachusetts--Boston
- Nation of Islam (Chicago, Ill.)
- Roxbury (Boston, Mass.)--History
- Morrison, George
Types of material
- Newspapers
- Photographs
Siteman, Stephen
Stephen Siteman Papers, 1942-1998.
Call no.: MS 503
A member of the Post War World Council, an ardent pacifist, and anti-imperialist, Stephen Siteman was a long-time member of the Socialist Party of America, serving for seventeen years as secretary to the party's leader Norman Thomas. In his late teens, Siteman was imprisoned as a conscientious objector during World War II. Although he was later pardoned, his time as a prisoner led him into active involvement in prison reform and the peace movement.
During his long involvement in the Socialist Party, Siteman collected a large quantity of material relating to important socialist issues, including Socialist Reform, the peace movement, conscientious objection, and prison reform. The collection also includes a small selection of Siteman's personal correspondence with Frank Zeidler, former Socialist mayor of Milwaukee, and the novelist Mark Harris.
- Conscientious objectors
- Democratic Socialists of America
- Pacifists--United States
- Peace movements--United States
- Prison reformers
- Prisons--United States
- Socialists--United States
- Thomas, Norman, 1884-1968
- War Resisters League of America
- World War, 1939-1945
- Harris, Mark, 1922-2007
- Siteman, Stephen
- Zeidler, Frank P
Solander, Arvo A.
Arvo A. Solander Papers, 1930-1958.
Call no.: MS 587
Graduating from Harvard in the thick of the Great Depression, Arvo A. Solander worked as a civil and sanitary engineer for a variety of state and federal agencies, including the Civil Works Administration and the Civilian Conservation Corps. During the 1930s, as opportunity arose, he filled positions as a road engineer, in the design and construction of water and sewage plants, in pollution control, as a safety engineer in the shellfish industry, and in mosquito control, taking jobs throughout Massachusetts and as far away as Tennessee. After using his talents as an officer in the Sanitary Corps during the Second World War, based primarily in Arkansas, Solander returned home to Massachusetts and opened a private engineering office in South Hadley. He worked as a civil engineer and surveyor until his death in January 1976.
The Arvo Solander Papers consists of twenty-four bound volumes documenting thirty years of varied work as an engineer, including his contributions to the construction of the Quabbin Reservoir. Within the bound volumes are a wide range of reports, typescripts, sketches and diagrams, graphs, contracts and design specifications, photographs, and postcards.
- Civil engineers
- Civilian Conservation Corps (U.S.)
- Depressions--1929
- Fisheries--Massachusetts
- Mosquitoes--Control
- Quabbin Reservoir (Mass.)
- Roads--Design and construction
- Sanitary engineers
- Sewage disposal plants--Design and construction
- United States. Federal Civil Works Administration
- Water--Pollution--Tennessee
- Water-supply--Massachusetts
- Westfield State Sanatorium
- World War, 1939-1945
- Wrentham State School
- Solander, Arvo A
Types of material
- Photographs
- Scrapbooks


text:
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text:
Breakfast of Champions (1973) provides frantic, scattershot satire and a collage of Vonnegut's obsessions. His recurring cast of characters and American landscape was perhaps the most controversial of his canon; it was felt by many at the time to be a disappointing successor to Slaughterhouse-Five, which had made Vonnegut's literary reputation.
When Mike came to Mangrove two years ago, Hutch gave him a job and a place to stay in his guesthouse, where Mike has remained ever since. Despite the rumors circulating about them, Hutch knows Mike is straight and looking for the right woman. But his friends disagree, and after some hints to the contrary, even Hutch finally has to admit that maybe the rest of the town sees something he's been missing.
Powder River continues the stories of the citizens of Clearmont, Wyoming in the year 1884. In "The Summer Visit," Jacob returns to town after his second year in college, and seems a changed man, while Britt, Dawes, and Cheyenne are faced with the mystery of "The Phantom Train." "Incident At Dry Wells" finds Britt in a standoff with a killer who has left a trail of death behind him from Georgia to Wyoming, and the beautiful Nadya seems to have some of the men in Clearmont under her spell in "The Gypsy Curse."
In the same tender, uplifting, and heartwarming style of Stories for the Heart is this wonderful collection of stories selected for a woman's heart. These inspirational stories by communicators like Ruth Graham, Gigi Tchividjian, Kay James, and Luci Swindoll instill Christian values and virtues. They motivate, encourage, and honor women. These are timeless treasures selected to inspire your thoughts and stir your soul.
From the pen of best-selling western author Zane Grey comes The Heritage of the Desert. It is the story of John Hare, who has arrived in the West to recover after a health scare and finds himself a hunted man. His crime? He is "Dene's Spy". From dealing with Mormons and Indians to riding with rustlers, dealing with land thieves, and discovering the canyons of Utah, he lives the life of a true pioneer trying to find his way in a brand new world. Forget Buffalo Bill and Wyatt Earp - John Hare is the name of a true American legend.
A moving and eloquent novel about love, grief, renewal - and the powerful language of flowers. Ruby Jewell knows flowers. In her 20 years as a florist, she has stood behind the counter at the Flower Shoppe with her faithful dog, Clementine, resting at her feet. A customer can walk in, and with just a glance or a few words, Ruby can throw together the perfect arrangement for any occasion.
Marriage counselor Paige Reinhardt is counting down the days to summer, eager to reconnect with her workaholic husband at their cozy rental cottage in the Hamptons. But soon a mysterious crisis at Dave's work ruins their getaway plans. Paige is still figuring out how to handle the unexplained chill in her marriage when her troubled sister suddenly returns after a two-decade silence. Now, instead of enjoying the lazy summer days along the ocean, Paige is navigating the rocky waters of a forgotten bond with her sister in the sweltering city heat.
Varro Dacien spends his life riding toward the next adventure. Brian Christie, his best friend and touchstone, the one person who's always truly seen him, plays sidekick on these madcap adventures and subsequent trips to the hospital until he can't take it anymore. While Brian can see Varro, Varro has never caught on that he's breaking his best friend's heart.
Penguin presents the unabridged, downloadable audiobook edition of My Sunshine Away by M. O. Walsh, read by Kirby Heybourne. One day Lindy Simpson cycles home from school and straight into a trap: Someone is lying in wait for her, a wire strung between lampposts across the path. She is raped just yards from her front door. No one sees a thing, and the perpetrator is not caught.
At Black Rabbit Hall nothing much ever happens - time seems to move slower at this idyllic holiday home in Cornwall. Until the worst thing happens and for the Alton children time feels like it's stopped altogether. In the present day, Lorna Smith is searching for her perfect wedding venue and is inexplicably drawn to the now crumbling Black Rabbit Hall, unaware that her own history is locked up in those derelict walls....
Villanelle is the ultimate assassin. Beautiful and heartless, she's been trained to be the best. Her latest target is a firebrand Russian leader whose extreme political theories threaten to unleash global conflict. But lying in wait for Villanelle is intelligence officer Eve Polastri. A hunter by nature, fiercely clever, Eve is ready to pursue her adversary wherever the search leads her. And so starts a deadly game between two brilliant and determined female protagonists…
From the coauthor of the international best seller The Guernsey Literary and Potato Peel Pie Society. "I can't stand this poky little town any more. How can I bear it for three more months? Today alone has lasted years...." Disinherited by her father, the debutante Miss Layla Beck is forced to spend the hot summer of 1938 in Macedonia, West Virginia, and is tasked with recording the small town's history. She arrives with one goal: to get out as quickly as possible.
On a forested island off the coast of Istanbul stands Portmantle, a gated refuge for beleaguered artists. There, a curious assembly of painters, architects, writers and musicians strive to restore their faded talents. Elspeth "Knell" Conroy is a celebrated painter who has lost faith in her ability and fled the dizzying art scene of 1960s London. On the island she spends her nights locked in her blacked-out studio, testing a strange new pigment for her elusive masterpiece. But when a disaffected teenager named Fullerton arrives at the refuge, he disrupts its established routines.
It's 1883. Thaniel Steepleton returns home to his tiny London apartment to find a gold pocket watch on his pillow. Six months later the mysterious timepiece saves his life, drawing him away from a blast that destroys Scotland Yard. At last he goes in search of its maker, Keita Mori, a kind, lonely immigrant from Japan. Although Mori seems harmless, a chain of unexplainable events soon suggests he must be hiding something.
Set in England when Vikings are on the brink of invasion, this is an epic tale of seduction, war, and unrequited love from an outstanding new voice in historical fiction. In 1002 AD Emma, a young Norman girl, must take her place as bride to England's King Æthelred, a ruler who is looking for nothing more than a political pawn to protect his shores and bear his next child.
Hotshot entrepreneur Benjamin Da Silva is used to being in the driving seat, but when he finds himself in need of a chauffeur, beautiful, straight-talking Jess Murphy proves that sometimes taking his foot off the pedal can be equally pleasurable! Jess isn't impressed by his wealth; she knows she should steer clear - so why can't she get off the collision course leading right towards Benjamin?
The dazzling story of family, passion, secrets and vengeance, woven through the hardships of both World Wars and revealing the intriguing history of the Palace, the opulent Blue Mountains hotel famed for its luxury and mysterious owner. A sweltering summer's day, January 1914: the charismatic and ruthless Adam Fox throws a lavish birthday party for his son and heir at his elegant clifftop hotel in the Blue Mountains. Everyone is invited except Angie, the girl from the cottage next door.
Nobody in the world knows our secret...that I've ruined Bev's life, and she's ruined mine. Petra's romantic life has always been a car crash, and even in her sixties she's still capable of getting it disastrously wrong. But then she falls in love with Jeremy, an old chum visiting from abroad. The fatal catch? Jeremy is her best friend's husband. But just as Petra is beginning to relax into her happy ever after, she finds herself catapulted to West Africa and to Bev, her best friend whom she's been betraying so spectacularly.
From the author of The Ballad of Trenchmouth Taggart and set in the boom years of the West Virginia coalmining industry, this is an epic story of personal ambition, exile and return, and a grand heist. Keystone, West Virginia, 1910. In the hot August rain, the townspeople gather to witness the first public hanging in over a decade. At the gallows are none other than poker player Abe Baach and his lover, the madam of the town's brothel, one Goldie Toothman.
All you have to do is find out why Harry is prepared to blame an innocent man. That's the thread. Follow it. You'll reach the Silent Ones. This is your way - our way - of making a difference. With this challenge from Father Edmund Littlemore, Anselm returns to the Old Bailey to fight the most difficult and troubling case of his life. The man in the dock is Littlemore himself. He is charged with grave offences against Harry Brandwell, who, it seems, is both a victim and a liar.
Set in the extreme landscape of Alaska, The Quality of Silence follows the story of Yasmin and her deaf daughter, Ruby. Yasmin arrives in Alaska to be told her husband, Matt, is dead, the victim of a catastrophic accident. Yasmin, unable to accept this as truth, sets out into the frozen winter landscape, taking Ruby with her, in search of answers. But as a storm closes in, Yasmin realises that a very human danger may be keeping pace with them.
Meet Ove. He's a curmudgeon - the kind of man who points at people he dislikes as if they were burglars caught outside his bedroom window. He has staunch principles, strict routines, and a short fuse. People call him "the bitter neighbor from hell". But behind the cranky exterior there is a story and a sadness.
"The best I've listened to in years!"
A masterful, intensely suspenseful novel about a reader whose obsession with a reclusive writer goes far too far - a book about the power of storytelling, starring the same trio of unlikely and winning heroes King introduced in Mr. Mercedes. "Wake up, genius." So begins King's instantly riveting story about a vengeful reader. The genius is John Rothstein, an iconic author who created a famous character, Jimmy Gold, but who hasn't published a book for decades.
"More Hodges, less parallels..."
An historic literary event: the publication of a newly discovered novel, the earliest known work from Harper Lee, the beloved, best-selling author of the Pulitzer Prize-winning classic To Kill a Mockingbird. Originally written in the mid-1950s, Go Set a Watchman was the novel Harper Lee first submitted to her publishers before To Kill a Mockingbird. Assumed to have been lost, the manuscript was discovered in late 2014.
Marie-Laure lives with her father in Paris near the Museum of Natural History, where he works as the master of its thousands of locks. When she is six, Marie-Laure goes blind and her father builds a perfect miniature of their neighborhood so she can memorize it by touch and navigate her way home. When she is 12, the Nazis occupy Paris and father and daughter flee to the walled citadel of Saint-Malo, where Marie-Laure's reclusive great-uncle lives in a tall house by the sea. With them they carry what might be the museum's most valuable and dangerous jewel.
"Time well spent"
Ayla, one of the most remarkable and beloved heroines in contemporary fiction, continues to explore the world and the people around her with curiosity, insight, and, above all, courage. As the story opens, Ayla, Jondalar, and their infant daughter, Jonayla, are living with the Zelandonii in the Ninth Cave - a shelter of stone. Ayla has been chosen as an acolyte and has embarked on the arduous task of training to become a spiritual leader.
"Be careful what you wish for!"
From the #1 New York Times bestselling author comes Kristin Hannah's next novel. It is an epic love story and family drama set at the dawn of World War II. She is the author of twenty-one novels. Her previous novels include Home Front, Night Road, Firefly Lane, Fly Away, and Winter Garden.
An anonymous young woman murdered in a run-down hotel, all identifying characteristics dissolved by acid. A father publicly beheaded in the blistering heat of a Saudi Arabian public square. A notorious Syrian biotech expert found eyeless in a Damascus junkyard. Smoldering human remains on a remote mountainside in Afghanistan. A flawless plot to commit an appalling crime against humanity.
"Please let this all be fiction."
In the frigid pre-dawn hours, in a distressed Midwestern city, hundreds of desperate unemployed folks are lined up for a spot at a job fair. Without warning, a lone driver plows through the crowd in a stolen Mercedes, running over the innocent, backing up, and charging again. Eight people are killed; fifteen are wounded. The killer escapes. Mr. Mercedes is a war between good and evil, from the master of suspense whose insight into the mind of this obsessed, insane killer is chilling and unforgettable.
"Love this style of King!!!"
Offred is a Handmaid in the Republic of Gilead, serving in the household of the enigmatic Commander and his bitter wife. She may go out once a day to markets whose signs are now pictures because women are not allowed to read. She must pray that the Commander makes her pregnant, for in a time of declining birthrates her value lies in her fertility, and failure means exile to the dangerously polluted Colonies. Offred can remember a time when she lived with her husband and daughter and had a job, before she lost even her own name....
"My Top Pick for 2012"
No matter what he does or the decisions he makes, when death comes, Harry always returns to where he began, a child with all the knowledge of a life he has already lived a dozen times before. Nothing ever changes. Until now.As Harry nears the end of his 11th life, a little girl appears at his bedside. "I nearly missed you, Doctor August," she says. "I need to send a message." This is the story of what Harry does next, and what he did before, and how he tries to save a past he cannot change and a future he cannot allow.
"Read for the concepts and not for the characters"
New York Times best-selling author Diana Gabaldon enchanted scores of fans with Outlander, her electrifying historical saga set in 18th-century Scotland. Now this sequel sweeps listeners back into the past as Claire relates more of her perilous sojourn there with her Scottish warrior husband, James Fraser. Twenty years after her strange journey back in time, Claire has returned to Scotland with her daughter, determined to share with her the secret she has harbored since her time travel.
"I ADORE this series!"
Why we think it's a great listen: If you've ever loved a dog - or even patted a dog - this book, told from the perspective of man's best friend, will tug at your heartstrings...and won't let go until long after Welch performs the last word. Enzo knows he is different from other dogs: a philosopher with a nearly human soul (and an obsession with opposable thumbs), he has educated himself by watching television extensively and by listening very closely to the words of his master.
"Enzo (because he's so wize) for president."
From the Booker Prize-winning author of The Remains of the Day and When We Were Orphans, comes an unforgettable edge-of-your-seat mystery that is at once heartbreakingly tender and morally courageous about what it means to be human.
"Nothing short of brilliant"
Meet Zoe and Greg Milton, a married couple who have let themselves go a bit. Zoe was a stunner in her college days, but the intervening decades have added five stone, and removed most of her self-esteem. Greg's rugby-playing days are well and truly behind him, thanks to countless pints of beer and chicken curry. When Elise, a radio DJ and Zoe's best friend, tells them about a new competition, it seems like the perfect opportunity to turn their lives around.
"I freakin loved this book!"
After 30 years and with three million copies in print, Michael Shaara's Pulitzer Prize-winning Civil War classic, The Killer Angels, remains as vivid and powerful as the day it was originally published.
"Great book!!"
Set in the intriguing Scotland of 200 years ago, the third installment in the romantic adventures of Jamie and Claire is as compelling as the first. Now that Claire knows Jamie survived the slaughter at Culloden, she is faced with the most difficult decision of her life. She aches to travel back through time again to find the love of her life, but, in order to do that, she must leave their daughter behind.
"7 Stars!! Brilliant!!"
The story begins in 1962. On a rocky patch of the sun-drenched Italian coastline, a young innkeeper, chest-deep in daydreams, looks out over the incandescent waters of the Ligurian Sea and spies an apparition: a tall, thin woman, a vision in white, approaching him on a boat. She is an actress, he soon learns, an American starlet, and she is dying. And the story begins again today, half a world away, when an elderly Italian man shows up on a movie studio's back lot - searching for the mysterious woman he last saw at his hotel decades earlier.
"My mind wandered"
Graham Greene's evocative analysis of the love of self, the love of another, and the love of God is an English classic that has been translated for the stage, the screen, and even the opera house. Academy Award-winning actor Colin Firth (The King's Speech, A Single Man) turns in an authentic and stirring performance for this distinguished audio release.
"Colin Firth Kills It"
The irascible A. J. Fikry, owner of Island Books - the only bookstore on Alice Island - has already lost his wife. Now his most prized possession, a rare book, has been stolen from right under his nose in the most embarrassing of circumstances. The store itself, it seems, will be next to go. One night upon closing, he discovers a toddler in his children's section with a note from her mother pinned to her Elmo doll: I want Maya to grow up in a place with books and among people who care about such kinds of things. I love her very much, but I can no longer take care of her.
"Loved, Loved, Loved It!!"
The Great Recession has shuffled Clay Jannon out of his life as a San Francisco Web-design drone - and serendipity, sheer curiosity, and the ability to climb a ladder like a monkey has landed him a new gig working the night shift at Mr. Penumbra's 24-Hour Bookstore. But after just a few days on the job, Clay begins to realize that this store is even more curious than the name suggests. There are only a few customers, but they come in repeatedly and never seem to actually buy anything....
"What a lovely and unexpected tale"
Penobscot Indian Molly Ayer is close to "aging out" out of the foster care system. A community-service position helping an elderly woman clean out her home is the only thing keeping Molly out of juvie and worse.... As she helps Vivian sort through her possessions and memories, Molly learns that she and Vivian aren't as different as they seem to be. A young Irish immigrant orphaned in New York City, Vivian was put on a train to the Midwest with hundreds of other children whose destinies would be determined by luck and chance.
"Read more than listened!"
Macbeth: A Novel brings the intricacy and grit of the historical thriller to Shakespeare's tale of political intrigue, treachery, and murder. In this full-length novel written exclusively for audio, authors A. J. Hartley and David Hewson rethink literature's most infamous married couple, grounding them in a medieval Scotland whose military and political upheavals are as stark and dramatic as the landscape in which they are played.
"Narrator choice inspired"
Nicola Marter was born with a gift. When she touches an object, she sometimes glimpses those who have owned it before. When a woman arrives with a small wooden carving at the gallery Nicola works at, she can see the object's history and knows that it was named after the Firebird - the mythical creature from an old Russian fable. Compelled to know more, Nicola follows a young girl named Anna who leads her into the past on a quest through the glittering backdrops of the Jacobites and Russian courts, unearthing a tale of love, courage, and redemption.
"More heavy on the romance than the historical"
The modern audience hasn't had a chance to truly appreciate the unknowing dread that readers would have felt when reading Bram Stoker's original 1897 manuscript. Most modern productions employ campiness or sound effects to try to bring back that gothic tension, but we've tried something different. By returning to Stoker's original storytelling structure - a series of letters and journal entries voiced by Jonathan Harker, Dr. Van Helsing, and other characters - with an all-star cast of narrators, we've sought to recapture its originally intended horror and power.
"Gothic Horror Never Sounded So Good"
Abby Cooper senses a convicted killer is innocent, but she'll need hard evidence to save the woman before it's too late.... A ticked-off judge has tossed Abby in the slammer for contempt of court, and during her brief but unpleasant stay she learns the story of a condemned woman who is facing a far more serious sentence. Skylar Miller has been found guilty of murder and faces the death penalty. Everyone believes she's guilty, including her own family and her ex-husband - everyone, that is, except Abby.
Golden Globe-winning actor Michael C. Hall (Dexter, Six Feet Under) performs Truman Capote's masterstroke about a young writer's charmed fascination with his unorthodox neighbor, the "American geisha" Holly Golightly. Holly - a World War II-era society girl in her late teens - survives via socialization, attending parties and restaurants with men from the wealthy upper class who also provide her with money and expensive gifts. Over the course of the novella, the seemingly shallow Holly slowly opens up to the curious protagonist.
"Subtle yet Extravagant"
Of all of John Irving's books, this is the one that lends itself best to audio. In print, Owen Meany's dialogue is set in capital letters; for this production, Irving himself selected Joe Barrett to deliver Meany's difficult voice as intended. In the summer of 1953, two 11-year-old boys – best friends – are playing in a Little League baseball game in Gravesend, New Hampshire. One of the boys hits a foul ball that kills the other boy's mother. The boy who hits the ball doesn't believe in accidents; Owen Meany believes he is God's instrument. What happens to Owen after that 1953 foul ball is extraordinary and terrifying.
Hailed by The New York Times as "a marvel of storytelling", The Things They Carried's portrayal of the boots-on-the-ground experience of soldiers in the Vietnam War is a landmark in war writing. Now, three-time Emmy Award winner-Bryan Cranston, star of the hit TV series Breaking Bad, delivers an electrifying performance that walks the book's hallucinatory line between reality and fiction and highlights the emotional power of the spoken word.
"Heavy Load"
A classic novel by John D. MacDonald with an exclusive introduction written and read by Dean Koontz. Welcome to Golden Sands, the dream condominium built on a weak foundation and a thousand dirty secrets. Here is a panoramic look at the shocking facts of life in a Sun Belt community - the real estate swindles and political payoffs, the maintenance charges that run up and the health benefits that run cut... the crackups and marital breakdowns... the disaster that awaits those who play in the path of the hurricane...
"Disaster Movie Material with Heart and Substance"
Having inspired a classic film and Broadway play, The Caine Mutiny is Herman Wouk's boldly dramatic, brilliantly entertaining novel of life—and mutiny—on a Navy warship in the Pacific theater. It was immediately embraced upon its original publication as one of the first serious works of American fiction to grapple with the moral complexities and the human consequences of the Second World War. In the intervening half century, this gripping story has become a perennial favorite, selling millions throughout the world, and claiming the Pulitzer Prize for fiction.
"Even Better than the Movie"
Academy Award nominee Samuel L. Jackson (Pulp Fiction) rocks this mock bedtime story, capturing a hilarious range of emotions as the voice of a father struggling to get his child to sleep. Go the F**k to Sleep is a bedtime book for parents who live in the real world, where a few snoozing kitties and cutesy rhymes don't always send a toddler sailing blissfully off to dreamland.
"Read the F--king REVIEW!"
In the secluded Dutch territory of Sleepy Hollow, nebbish schoolmaster Ichabod Crane competes with the town hero for the hand of Katrina Van Tassel, the 18-year-old daughter and sole child of a wealthy farmer. As Crane leaves a party at the Van Tassel's farm one autumn evening, he is pursued by the Headless Horseman, an apparition said to be the ghost of a Hessian trooper snuffed out by a stray cannonball.
"Treasures Of Jolly Autumn"
The year is 1984 and the city is Tokyo.
A young woman named Aomame follows a taxi driver's enigmatic suggestion and begins to notice puzzling discrepancies in the world around her. She has entered, she realizes, a parallel existence, which she calls 1Q84 - "Q" is for "question mark". A world that bears a question....
"Slow, Strange, and (ultimately) Satisfying"
Narrator Dan Stevens (Downton Abbey) presents an uncanny performance of Mary Shelley's timeless gothic novel, an epic battle between man and monster at its greatest literary pitch. In trying to create life, the young student Victor Frankenstein unleashes forces beyond his control, setting into motion a long and tragic chain of events that brings Victor to the very brink of madness. How he tries to destroy his creation, as it destroys everything Victor loves, is a powerful story of love, friendship, scientific hubris, and horror.
"A great listen"
In the 17 wide-ranging essays collected for the first time in Love and Other Ways of Dying, he brings his full literary powers to bear, pondering happiness and grief, memory and the redemptive power of human connection. In the remote Ukranian countryside, Paterniti picks apples (and faces mortality) with a real-life giant; in Nanjing, China, he confronts a distraught jumper on a suicide bridge.
The richest, most depraved man on Earth, Malachi Constant, is offered a chance to take a space journey to distant worlds with a beautiful woman at his side. Of course, there's a catch to the invitation....
"Absolutely Outstanding"
Emmy Award-winning actor Bryan Cranston (Breaking Bad, Malcom in the Middle) follows in the exasperated footsteps of Samuel L. Jackson, giving voice to the long-suffering father whose indifferent child will just not eat in this hilarious follow-up to Adam Mansbach's international best seller, Go the F--k to Sleep.
"Another role that Bryan Cranston plays to a T."


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Current Units
Disease Impact Project (Research)
Click HERE to explore the BioDigital Human, and find out more about diseases and disorders that affect human organ systems.
(NOTE: You do have to register , but it is FREE and has TONS of great information.)
X Chemistry Summer Assignment
Click HERE to download the summer assignment if you are planning on taking X/ACP Chemistry for the 2015-16 School year.
Weekly Agenda & Homework
Lion Catchers
Click HERE to access your grades and other important school-related information.
Click HERE to download the Skyward App for for your mobile device.
The DOCscars
Best Animated Motion Picture
TOPIC: Invasive Species
Best Direction
TOPIC: Water Pollution
Best Foreign Motion Picture (Australia)


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News Archive
September 11, 2006
A group of leading historians has published an open letter calling on ABC to cancel "The Path to 9/11," which the network calls a "dramatization" of the events leading up to the terror attacks that took place five years ago today. The historians' letter cites "numerous flagrant falsehoods" that it says make the show inappropriate.
September 11, 2006
President who left in 1969 had been told by police that he had 24 hours to leave town or face arrest over abuse allegations.
September 11, 2006
Since 1999, Gabrielle Stryker has been an assistant professor of biological sciences at Oakland University, in Michigan -- one of a handful of women specializing in the hard sciences at the institution.
September 11, 2006
Brigham Young places professor on leave over 9/11; Southern Maine shuts exhibit by man who killed police officer; and more incidents.
September 8, 2006
The National Association for College Admission Counseling on Thursday released an updated version of its guide for prospective college students.
September 8, 2006
With formal unveiling of commission's report a few weeks away, Spellings weighs in on higher ed "report card."
September 8, 2006
Experts consider why a strike failed to get NYU to recognize a union -- even as graduate students seek new strategies to win collective bargaining.
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Key things you need to know aboutDr. Kaib:
Dr. Kaib's Experience
Research training, expertise and qualifications
Dr. Kaib's Specialties
- Emergency Medicine
- View 1 specialty
More About Dr. Kaib's Background
Hospital Quality
The right hospital is as important as the right doctor
- Tuality Community Hospital
- 335 South East 8th Avenue
- Hillsboro, OR 97123
9 Facts About Hospital Quality
Patients' risk of dying during a hospital stay for heart bypass surgery could be 85.2% lower, on average, at a hospital rated 5 stars compared to a hospital rated 1 star for that procedure. Choosing the right hospital is critical to your health. View Slideshow
Patient Satisfaction
Patients' feedback on their experience with Dr. Kaib
Be the first to evaluate Dr. Kaib by taking our Patient Satisfaction Survey.
Your feedback will help other patients make informed decisions, and let the doctor know how he's doing.
8 Facts About Patient Satisfaction Surveys
Patient satisfaction surveys provide a standardized way of reporting about healthcare experiences. But there can be more than meets the eye when reviewing scores. Here's what you should know
Appointments & Offices
Check insurance plans, locations and make an appointment
- Northwest Emergency Physicians
- Northwest Emergency Physicians
- 1809 Maple St
- Forest Grove, OR 97116
- 4535 SW 27th Ave
- Portland, OR 97239
7 Tips to Prepare for Your Appointment
The key to a successful appointment is communication. To get the most out of your visit, prepare ahead of time so you can lead the conversation with your doctor. These 7 tips will get you ready
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STAGE TUBE: Sneek Peek at Columbus Arts Festival, 6/7
It's all things art at the Columbus Arts Festival 2013! Check out the video below!
The 2013 Columbus Arts Festival will take place June 7-9 on the Columbus Riverfront. The newly revitalized Scioto Mile Park along the river features lush green spaces, a charming promenade, mesmerizing water features, plazas, paths and bikeways.
The Columbus Arts Festival celebrates its 52nd anniversary this year. Festival goers can choose from a variety of creative and original works of art including sculpture, painting, photography, woodcarvings, glasswork, jewelry, multimedia compositions, and more. Thousands of dollars of art is sold during the festival, ranging from one-of-a-kind art to quality reproductions and limited editions. A highly competitive, juried art show, the festival receives over 1,000 applications from which an esteemed panel of judges selects 300 of the country's finest artists. Enjoy food and drinks from great area restaurants and vendors, children's art activities and entertainment.
The Festival Mascot, the Art Shark, makes appearances each day at the Festival in the Hands On Activity area and the Bicentennial Park fountain.
About Author
- STAGE TUBE: Watch Blooper Real from Season 4 of HBO's GAME OF THRONES!
- STAGE TUBE: Idina Menzel, Glom Gazingo Bury the Hatchet at Oscars
- STAGE TUBE: John Legend, Common Perform 'Glory' from SELMA at Oscars
- STAGE TUBE: Jennifer Hudson Pays Tribute to Those Lost with Shaiman, Wittman Song
- STAGE TUBE: Rita Ora Performs 'Grateful' from BEYOND THE LIGHTS at Oscars
- STAGE TUBE: Neil Patrick Harris Strips Down in Ode to BIRDMAN, WHIPLASH
- STAGE TUBE: Tim McGraw Pays Tribute to Glen Campbell with 'I'm Not Gonna Miss You' at Oscars
- STAGE TUBE: The Lonely Island, Tegan and Sara Perform 'Everything Is Awesome' at Oscars
- STAGE TUBE: Adam Levine, Maroon 5 Sing Nominated Song 'Lost Stars' from BEGIN AGAIN
- STAGE TUBE: New Clip from Upcoming Season of Fox's HELL'S KITCHEN!


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You can now invite anyone to meet at your favorite Starbucks.
Limited-time feature
33 year old man | Hollywood, FL, USA | Seeking women 18-50 within 50 miles
No More Broken Heart Surgery
Hello everyone I'd just like to meet the sweetest, most caring young woman with a good big heart and an adorible smile that enjoys fun, hard laughs and good times no matter where we are and what we are doing... I am the biggest happy go lucky person in the world never letting much if any bother me at all... If there are any single ladies out there that sound anything like that please do not feel free to drop me a line on here lol!
Camping , Coffee and conversation , Cooking , Dining out , Fishing/Hunting , Movies/Videos , Museums and art , Music and concerts , Exploring new areas , Nightclubs/Dancing , Performing arts , Playing cards , Playing sports , Religion/Spiritual , Travel/Sightseeing , Video games , Volunteering , Watching sports , Wine tasting
Auto racing / Motorcross, Baseball, Basketball, Billiards / Pool, Bowling, Cycling, Dancing, Football, Golf, Inline skating, Martial arts, Running, Skiing, Tennis / Racquet sports, VolleyBall, Walking / Hiking, Weights / Machines, Yoga
I exercise 5 or more times per week.
I have Dogs
I like Birds, Cats, Exotic Pets, Fish, Horses, Other
Z{{Cta}} {{#if HasMoreInfo}} ?{{CtaSecondary}} {{/if}}
|What he is looking for
|6'1" (185cms)
|5'2" (157cms) to 8'11" (271cms)
|Body type:
|Athletic and toned
|Slender, About average, Curvy, Athletic and toned
|Black, Blue, Brown, Grey, Green, Hazel
|Dark brown
|Auburn / Red, Black, Light brown, Dark brown, Blonde, Salt and pepper, Platinum
|No Way
|No Way, Occasionally, Daily, Yes, but trying to quit
|Social Drinker
|Never, Social Drinker, Regularly, Moderately
|Self-Employed / Entrepreneur
|No preference
|I'll tell you later
|No preference
|Never Married
|No preference
|Have kids:
|No preference
|Wants kids:
|Definitely, Someday, No, but it's OK if my partner has kids
|Black / African descent, Native American
|Asian, Black / African descent, East Indian, Latino / Hispanic, Middle Eastern, Native American, Pacific Islander, White / Caucasian, Other
|Spiritual but not religious
|No preference
|No preference
|Some college
|High school, Some college, Associates degree, Bachelors degree, Graduate degree, PhD / Post Doctoral


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Wine, Unfussed
Wines to Drink with Grilled Meat
Here's what to drink when you light up the grill this holiday weekend.Read More »
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love, heart, valentines day, peace, i love, i like, icon, nice, positive, beautiful, romantic, comic, best, couple, together, word, happy, family, friendly, favorite, design, style, cool, cheeky sexy
This great product in noble brown from our department Men and T-Shirt category can be printed just for you in the size and style you like. The design love was created by Style-o-Mat and uploaded to Spreadshirt for you to have printed on a T-Shirt. Next to a host of other great designs, you can find this love design in Spreadshirt's Romance category. If you are interested in topics like Couple or Design, then you'll love love designs by Style-o-Mat. Spreadshirt also offers a huge selection of personalised T-shirts, hoodies and accessories for the category Romance as well as top Friendly clothing. Style-o-Mat's designs have already impressed many of our customers, so we are sure that we've got right stuff for you! Spreadshirt is your shop for great designs of all kinds – whether it's Couple, Design or Friendly. We are sure that you will find something nice in our shop, there are many amazing personalised Romance T-shirts, jumpers or accessories for you to find! Tags: Design ID: 14546412
Meine absoluten Bestseller gibt's auf www.style-o-mat-shirts.com | Folge dem Link unten, es lohnt sich!
Elite Classic Radar Designed by Stuart Hogton
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true love T-Shirts Designed by CheesyB
The Spreadshirt Collection stands for best-possible print results on top-quality products An huge range of sizes makes sure that our gear fits everyone, big and small alike. What's more, the Premium T-Shirt offers an sheer infinite choice of combination opportunity with other items.
still to fill


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Fairly new to classes in PHP, so bear with me.
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private $doc = new SimpleXMLElement('routingConfig.xml', null, true);
private function getTablenames()
//do stuff
I'm trying to ultimately utilize the SimpleXMLElement object within my class, among several private functions. What is the correct method for going about this, and why doesn't my current method work?


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Tag "mobile hotspot"
Sprint LivePro: pocket projector, mobile hotspot, power supply, and more
Sprint on Wednesday introduced the LivePro, a mobile-minded accessory that wears multiple hats. Touted as the "world's first commercially available pocket projector and mobile hotspot", the unit lets users project
Virgin Mobile debuts 4G LTE mobile hotspot in Netgear Mingle
Virgin Mobile USA this week introduced its first 4G LTE mobile hotspot, the Netgear Mingle. Priced $99, the device piggybacks off of Sprint's network and is equipped for the carrier's
Sprint sunsets 5GB Mobile Hotspot plan, debuts new options
Sprint recently took to their forum to announce that they've stopped offering the 5GB/$29.99 Mobile Hotspot plan. Effectively last Friday (May 18) the carrier began offering two new options in
Amazon: Buy a hotspot-ready Android, get a $100 gift card (Even penny phones!)
The holiday promotion runs through the end of the year.
AT&T Details Mobile Hotspot Pricing
AT&T sheds some light on the details for their new Mobile Hotspot data and application. Things kick off in a few weeks with the release of the HTC Inspire 4G.
T-Mobile Set to Offer $15 Tethering, WiFi Sharing Option November 3rd
The Boy Genius Report has been passed some information that shows T-Mobile gearing up for mobile tethering and Wifi sharing options for smart phone (Android) users.
Verizon Touts Mobile Hotspot in Latest Droid X Spot [VIDEO]
Verizon's latest television commercial is out and it shows off the mobile hotspot capability built into the phone. For those of you with this device (or the EVO 4G), you'll


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But what is the midnight movie? you ask while presumably tearing out your hair in frenzied anticipation. You'll just have to read the article to find out.
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