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Dr. Ingle is chief resident in Diagnostic Radiology at the University of Tennessee at Memphis. He graduated with honors from William Jewell College and Oxford University in 1993, and received his DO from the University of Osteopathic Medicine and Health Sciences in Des Moines, IA. Dr. Ingle plans a fellowship in musculoskeletal imaging at Indiana University beginning July 2002.
Breast cancer accounts for one out of every three cancers diagnosed in women in the United States, with approximately 175,000 new cases and nearly 43,000 deaths annually. Only lung cancer accounts for more cancer deaths in women. 1 With these sobering numbers in mind, emphasis remains on early detection, diagnosis, and staging of breast cancer, with the goal of improving survival and treatment options.
It is generally accepted that the widespread use of routine screening mammography has played a key role in improving detection and survival. Beginning in 1989, the number of breast cancer deaths decreased significantly, 1,2 and rates have continued to decline at an average of 1.8% per year. 1 One study from Malmo, Sweden reported a 43% decrease in the death rate from breast cancer in that city since the introduction of screening mammography. 3
Although screening mammography has had a tremendous impact on overall outcomes, the false-negative rate reportedly ranges from 8% to 10%, 4 with some studies suggesting that as many as 25% of breast cancers may be missed on screening mammography. 4,5 Several recent studies have found MRI to be much more sensitive than mammography for detecting breast cancer. 6-11 Four of these studies also found MRI to be more sensitive than mammography in defining tumor extent (figures 1 and 2) with reported sensitivities of 100% vs. 33%, 6 85% vs. 32%, 7 98% vs. 55%, 8 and 96% vs. 44%, 9 respectively.
Contrast-enhanced MRI has very high sensitivity for detecting invasive breast cancer--approaching 90% to 100% 10-16 --and can detect mammographically and clinically occult breast cancers (figure 3). 6-17 One advantage of contrast-enhanced MRI over conventional imaging is the ability to depict malignant changes caused by tumor angiogenesis. 9,10,15,18,19 Tumor angiogenesis (the induction of new capillary vessels in response to specific mediators produced by tumor cells) is crucial to the development of various tumors, including breast cancer. Such neovascularity is one of the most important characteristics distinguishing breast cancer from benign processes. 9,15,18 In fact, the presence of intratumoral, marginal, and peritumoral vascularity on MRI as an indicator of malignancy has been shown to have a positive predictive value of 95%, 87%, and 92% respectively. 18 Angiogenesis has also been shown to correlate with tumor aggressiveness. 15
In conjunction with angiogenesis, the contrast-enhancement characteristics and patterns can be used to distinguish benign and malignant lesions. Malignant tissues tend to enhance earlier than benign lesions or normal glandular tissue, with a stronger and faster increase in signal intensity. 9,10,14-16,20-23 Breast malignancies demonstrate early enhancement after contrast administration due to a preferential accumulation of gadolinium (figure 4). This shortens the T1 relaxation of water protons, thereby yielding brighter signal intensity on the T1-weighted images. 9 An altered or increased vascularity in breast cancers relative to benign or normal breast tissue is the likely reason for this stronger and earlier enhancement. 9,15,18,23
One method of increasing both the sensitivity and specificity of breast MRI is assessment of enhancement kinetics and the signal intensity time course. This is accomplished by placing a region of interest (ROI) in the most enhancing part of the lesion with a subsequent plot on a time-signal intensity curve. 6,10,15,20-23 A relative increase in signal of 80% or more in the first post- contrast minute is a sign of malignancy, while lesion with values less than 80% are usually benign. 15 Several studies have shown added specificity by evaluating the intermediate and late post-contrast periods. 6,10,15,20-23 Based on these studies, three enhancement patterns have been described: type I demonstrates steady enhancement; type II demonstrates plateau of signal intensity; and type III demonstrates washout of signal intensity. 6,10,20-23
Studies by Kuhl et al 6,20 and Kinkel et al 22 have shown that the contrast washout time-signal intensity curve is extremely useful in differentiating benign and malignant lesions. A washout pattern is characterized by an initial upstroke, after which enhancement is abruptly cut off, followed by a signal intensity decrease (washout) in the intermediate post-contrast period. Kuhl et al 20 showed an 87% likelihood of malignancy with a washout pattern and Kinkel et al 22 reported an 85% likelihood. In comparison, a steady time-signal intensity curve, characterized by continued increase over the entire dynamic period, appeared in 94% of benign lesions in one study 20 and in 95% in the other. 22 Kuhl et al 20 found the signal intensity time course to be substantially more specific in identifying breast cancer than enhancement rate alone, with an improved specificity of 83% vs. 37%, respectively.
Integration of both morphologic features depicted on breast MRI and the dynamic enhancement characteristics are needed to optimize the diagnostic capability of breast MRI. 10,11,13,15,16,20-23 This is evidenced by the fact that approximately 10% of malignancies--including lobular, medullary, and some ductal carcinomas, as well as metastases--will enhance slowly this is a pattern typically seen in benign lesions. 15,21 In these instances, morphology may be critical to making the correct diagnosis. Lesions with irregular, ill-defined or spiculated borders (figure 5); peripheral enhancement; and ductal enhancement are suggestive of malignancy. 6,7,10-13,15,16,20-23 Morphologic features suggestive of benign disease include: smooth or lobulated borders, lack of contrast enhancement, non-enhancing internal septations, and patchy parenchymal enhancement. 13,16,21,22 Nunes et al 13 found these characteristics to be highly predictive of benign disease. Lesions with smooth borders demonstrated a 100% negative predictive value (NPV), while lobulated borders had an 87% NPV. Additionally, they demonstrated that the presence of spiculated borders had an 88% positive predictive value (PPV) for malignancy. 13
Combining the morphologic features and dynamic enhancement characteristics has led to the following proposed diagnostic criteria: any lesion with spiculated margins, regardless of enhancement pattern, or lesions with lobulated margins that demonstrate washout are considered malignant. Lesions without spiculated margins or washout are considered benign. 13,15,20,22 Using these criteria, Kinkel et al 22 reported a NPV of 96% and PPV of 97%.
Despite some general agreement among radiologists regarding the importance of both morphologic features and dynamic enhancement characteristics, no standard interpretation guidelines have been formally established. 21,22 Most published diagnostic criteria have involved site-specific software programs or unique MR sequences. 22 One reason for the lack of a general consensus regarding interpretation criteria is that considerable overlap exists between the enhancement characteristics of benign and malignant lesions, 13,15,16,21-23 with specificities ranging from 37% to 97%. 13,15,16 Benign lesions such as fibroadenomas, fibrocystic changes, radial scars, mastitis, atypical ductal hyperplasia, and lobular neoplasia have been shown to enhance similar to malignant lesions. 16,21 Normal breast tissue has also demonstrated variable enhancement during different phases of the menstrual cycle, 21-24 however, this can be minimized by imaging during the second week of the cycle. 24
The recent studies by Kuhl et al 20 and Kinkel et al 22 address many of the issues that have prevented the acceptance of more standard interpretation guidelines. Their work incorporates both lesion morphology and time course kinetics, which optimizes the discriminatory capability of breast MRI. Although the overall study populations have been small, it appears that the principles remain valid. The enhancement kinetics as represented by the time-signal intensity curves differ significantly among benign and malignant lesions. This shows great promise for enabling breast MRI to have both high sensitivity and specificity.
Much of the reason for the lack of consensus regarding diagnostic criteria for breast lesion evaluation has stemmed from different image acquisition protocols emphasizing either high-spatial-resolution images or dynamic breast MRI. 13,15,16,20-22 These two concepts involve the competing demands of adequate spatial and temporal resolution. High-spatial-resolution techniques place emphasis on morphologic features, such as margins and internal characteristics, while sacrificing some temporal resolution. 13,15,16,20-22 In comparison, contrast-enhanced dynamic MRI emphasizes the enhancement characteristics and involves high-temporal resolution of approximately one minute or less. 22 Since both types of information have been shown to be useful, integrating both the kinetic and morphologic information through an acceptable imaging technique seems logical. The recent work of Kinkel et al 22 provides an example of one such technique combining the morphologic and semi-dynamic data by acquiring three-high-spatial-resolution MR sequences.
Just as no formal interpretation guidelines exist, standardized imaging protocols have not yet been developed either. Part of the reason for this is the fact that nearly all of the early and current work has occurred primarily in a research setting. The work of Kuhl et al 20 and Kinkel et al 22 combining both high-temporal and spatial resolution, is such an example. A wide range of protocols exist based on the different hardware and software available, clinical indications, desired results, clinical experience, 15 type of breast coil, magnetic field strength, and imaging parameters. 16
Despite this variability, some agreement does exist regarding general imaging techniques. It is agreed that the signal from fat should be removed because enhancing lesions may become isointense to fat after gadolinium contrast administration and therefore may be missed. 14,16 This can be accomplished by either post-processing image subtraction or by different fat suppression techniques. 16 One pitfall to post-processing image subtraction is that there can be no patient motion between the pre-contrast and post-contrast images. 16 The rotating delivery of excitation off resonance (RODEO) sequence is an example of a fat suppression technique combined with magnetization transfer and T1 weighting in an efficient non-selective three-dimensional acquisition. 7,12,14,25 Radiofrequency spoiling is used to depict lesions with a high fluid content. This helps to distinguish cysts from enhancing masses, which produce opposite signals. Masses are hypointense on pre-contrast and hyperintense on post-contrast RODEO MR images, while cysts are hyperintense on pre-contrast and hypointense on post-contrast images. 12,14 With this technique, Harms et al 25 demonstrated a nearly 100% negative predictive value for malignancy, with only 3 false negatives in more than 3,000 cases.
Currently, most MRI protocols use two- and three-dimensional T1-weighted gradient echo techniques for dynamic breast imaging over 6 to10 minutes after bolus injection of gadolinium-based contrast agents. A T2-weighted sequence is also performed to depict cysts or cystic lesions. One of the more recent techniques being investigated involves fast T2*-weighted perfusion imaging, which uses susceptibility-mediated perfusion imaging of the breast to distinguish between benign and malignant tumors. The individual sequence patterns and imaging protocols vary according to the manufacturer. High magnetic fields and strong gradients are recommended. Also, breast coils with compression devices help reduce motion artifacts, thus improving subtraction images. 15
While breast cancer remains one of the most devastating diseases in women's health, advances and experience in MRI of the breast hold great promise for allowing earlier and more accurate detection of breast cancer. In turn, it is hoped, this will provide more favorable and effective treatment op-tions. MRI of the breast has the ability to detect both clinically and mammographically occult malignancies. It also has a very high sensitivity and specificity for breast cancer detection. Perhaps just as important, it has a negative predictive value of malignancy approaching 100%.
Tremendous advances have been made in the past 10 years in breast MRI, including improved MRI units, breast coils, imaging sequences, clinical experience, and the introduction of contrast-enhanced imaging. Future directions of breast MRI are focused on developing additional imaging sequences, new contrast agents, and MRI needle localization-biopsy systems.
I wish to thank Dr. Waleed Qaisi for his valuable support in preparing this manuscript. I also would like to thank Dr. Steven Harms for allowing the generous use of images.


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Turducken -- a turkey, stuffed with a duck, stuffed with a chicken, with oyster dressing inside the chicken, Andouille dressing between the chicken and the duck, and cornbread dressing between the duck and the turkey. It's a lot of fun to let your guests think you're serving them a regular holiday turkey. When you start to carve the "turkey," they'll be quite surprised to see you cut through its "bones!"
Visit the Website: http://www.chefpaul.com/
Episode #111 / Length: 26 minutes
On TV
- Saturday, November 23rd at 6:00 AM on KLRU Create
- Saturday, November 23rd at 6:00 PM on KLRU Create
- Sunday, November 24th at 12:00 PM on KLRU Create

subset: commoncrawl


text:
Cory Fravel ●
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acwill07 said...
I don't think Tajh would be a high draft pick if he came out this year (probably round 4-6), but that list is absolutely laughable.
Stephen Morris? Logan Thomas? James Franklin? Bryn Renner?
Give me a break.
Also the guy doesn't even correctly scout Tajh. "more of a threat to run, than pass" No mention of his cannon arm. If Tajh goes to the NFL, he won't be running the ball too much I don't think.


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Canwest Productions brings you the experience and knowledge of a leading integrated Show company. The largest independent Show Producer in Western Canada, Canwest produces 21 successful retail trade shows each year.
"Trade Shows still continue to be big business for all businesses... Business-to-business spending for trade shows is 3rd to advertising & promotion. In a world of websites, emails, & voice mails, trade shows offer one of the true opportunities to build relationships with face-to-face contact. Something every business can use a little more of."
- Darrell Zahorsky, Small Business Information, About.com


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I would not advise anyone to book this hotel as they have no integrity. Despite offering to leave us a key for a late arrival ( in fact were did arrive before the deadline ). I asked for further information as to exact location but none was forthcoming so I assumed it would be at the address for which we... More
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- Residenza Ca` Dario Hotel
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Show your sympathy in a heart-felt and heart-warming manner with the Flourishing Garden Basket, brimming with fresh, colorful flowers. It's sure to help lift even the lowest of spirits.
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Browsing School of Public Health by Subject "Non-communicable disease"
Now showing items 1-7 of 7
Hughes, Gail; Puoane, Thandi; Bradley, Hazel A. (SEMDSA (Society for Endocrinology, Metabolism and Diabetes of SA), 2006)[more][less]
Abstract: BACKGROUND: Diabetes constitutes a significant health problem in South Africa. Early detection and good management can prevent or delay complications, with national guidelines for diabetes treatment now available to facilitate this. However, problems are being encountered with their implementation and there is evidence that preventive care is still inadequate in South Africa. Community health workers (CHWs) are lay personnel employed to serve as a link between professional health care staff and the community. They visit homes and can be a powerful force for diabetes prevention and adherence to treatment regimens, given appropriate knowledge. METHOD: We conducted a study to evaluate the knowledge, beliefs and attitudes of a group of CHWs serving a poor urban area, using focus groups and personal interviews. RESULTS: The CHWs did not have the requisite knowledge, attitudes and beliefs to make a positive impact on prevention and management of diabetes. For example, they cited eating sugar as a cause of diabetes. They advised folk remedies that purportedly diluted the blood sugar. Their patients took prescribed medication irregularly. Obesity was not considered an important risk factor. Poverty, however, was recognised as an obstacle to proper treatment. CONCLUSION: Training is clearly needed to empower the CHWs with skills to work within their communities to identify risk factors for diabetes and other non-communicable diseases, with emphasis on diet and physical activity. URI: http://hdl.handle.net/10566/278 Files in this item: 1
HughesDiabetes2006.pdf (242.4Kb) -
Puoane, Thandi; Tsolekile, Lungiswa (Kamla-Raj Enterprises, 2008)[more][less]
Abstract: This paper was conducted to describe some of the circumstances that increases the risk factors for non-communicable diseases amongst the previously disadvantaged South African population. The work presented here is based on an action research in an urban black township of Cape Town. The goal was to develop a Non- Communicable Disease model, which can be used to benefit an urban township community. Using a participatory process data was collected during each stage of the development and implenting interventions. Interviews, observations and situational assessment of resources available for promoting healthy lifestyle in the township were used to collect data. Although urbanisation seems to be a driving force in nutrition transition, there are underlying factors that influence lifestyle changes. These includes the environment in which people find themselves. The city provides variety of cheap unhealthy food at a lower price. Due to poverty and lack of knowledge, healthy foods become of less important. People tend to indulge in food rich in fat and sugars due to the belief that they have missed opportunities of enjoying these foods due to deprivation. This has lead to the increase in the prevalence of NCDs among poor South Africans. In conclusion, this work provided important information regarding the challenges faced by the urbanised poor population in South Africa. Although Khayelitsha was used to illustrate these challenges, the situation is similar to other urban townships of in South Africa. URI: http://hdl.handle.net/10566/242 Files in this item: 1
PuoaneChallenges2008.pdf (28.29Kb) -
Puoane, Thandi; Tsolekile, Lungiswa; Sanders, David; Parker, Whadiah (Health Systems Trust, 2008)[more][less]
Abstract: This chapter will examine the current actions, including lifestyle measures, for the prevention and management of non-communicable diseases within a South African context. It will also focus on the biological, behavioural and social determinants of health. Interventions and initiatives directed at primary, secondary and tertiary prevention of chronic non-communicable diseases are also discussed. This chapter ends with recommended lifestyle changes, which can be taken to influence the adoption of healthy lifestyles, and therefore reduce the risks for chronic non-communicable diseases. URI: http://hdl.handle.net/10566/255 Files in this item: 1
PuoaneChronic2008.pdf (621.8Kb) -
Joubert, Jane; Puoane, Thandi (South African Medical Association, 2007)[more][less]
Abstract: OBJECTIVE: To estimate the burden of disease attributable to excess body weight using the body mass index (BMI), by age and sex, in South Africa in 2000. DESIGN: World Health Organization comparative risk assessment (CRA) methodology was followed. Re-analysis of the 1998 South Africa Demographic and Health Survey data provided mean BMI estimates by age and sex. Population attributable fractions were calculated and applied to revised burden of disease estimates. Monte Carlo simulation-modelling techniques were used for the uncertainty analysis. SETTING: South Africa. SUBJECTS. Adults ≥ 30 years of age. OUTCOME MEASURES. Deaths and disability-adjusted life years (DALYs) from ischaemic heart disease, ischaemic stroke, hypertensive disease, osteoarthritis, type 2 diabetes mellitus, and selected cancers. RESULTS: Overall, 87% of type 2 diabetes, 68% of hypertensive disease, 61% of endometrial cancer, 45% of ischaemic stroke, 38% of ischaemic heart disease, 31% of kidney cancer, 24% of osteoarthritis, 17% of colon cancer, and 13% of postmenopausal breast cancer were attributable to a BMI ≥ 21 kg/m2. Excess body weight is estimated to have caused 36 504 deaths (95% uncertainty interval 31 018 - 38 637) or 7% (95% uncertainty interval 6.0 - 7.4%) of all deaths in 2000, and 462 338 DALYs (95% uncertainty interval 396 512 - 478 847) or 2.9% of all DALYs (95% uncertainty interval 2.4 - 3.0%). The burden in females was approximately double that in males. CONCLUSIONS: This study shows the importance of recognising excess body weight as a major risk to health, particularly among females, highlighting the need to develop, implement and evaluate comprehensive interventions to achieve lasting change in the determinants and impact of excess body weight. URI: http://hdl.handle.net/10566/284 Files in this item: 1
PuoaneEstimating2007.pdf (412.1Kb) -
Stern, Ruth; Puoane, Thandi; Tsolekile, Lungiswa (Centers for Disease Control and Prevention, 2010)[more][less]
Abstract: Introduction Noncommunicable diseases are increasing in developing countries, exacerbated by growing urbanization. We examined the experiences and perceptions about noncommunicable diseases of people who migrated from rural areas to urban Cape Town, South Africa. Methods We conducted a qualitative study in an impoverished periurban township that has a noncommunicable disease prevention program, including health clubs. We used in-depth interviews, participatory reflection and action groups, and focus group discussions. Results Participants described changes in eating patterns and levels of physical activity. These changes were a result of socioeconomic and environmental constraints. However, respondents were not concerned about these changes. Despite hardships, they were pleased with their urban lifestyle. Furthermore, they approved of their weight gain because it signified dignity and respect. Participants who attended health clubs found them informative and socially and emotionally supportive. Conclusion The study highlighted the complexity of the risk factors for noncommunicable diseases and the need to develop prevention strategies that extend beyond the traditional focus on diet and exercise. URI: http://hdl.handle.net/10566/292 Files in this item: 1
PuoaneExplorationNCD2010.pdf (381.1Kb) -
Puoane, Thandi; Hughes, Gail (South African Medical Association, 2005)[more][less]
Abstract: HIV/AIDS continues to ravage sub-Saharan Africa, and in South Africa accounts for 30% of all mortality, making it the leading cause of death. The epidemic has had other negative effects, which have not been fully realised. Among these is the fact that, paradoxically, the awareness programmes implemented to prevent major spread of HIV/AIDS have complicated the prevention of non-communicable diseases (NCDs). URI: http://hdl.handle.net/10566/283 Files in this item: 1
HIV and NCDs m_samj_v95_n4_a6.pdf (219.2Kb) -
Bradley, Hazel A.; Puoane, Thandi (International Society on Hypertension in Blacks, 2007)[more][less]
Abstract: The project aimed to identify factors that contribute to hypertension and diabetes and to design and implement appropriate local interventions to prevent these non-communicable diseases and promote healthy lifestyles. This was a community-based participatory action research project in which researchers and community health workers (CHWs) were the main participants. The triple A approach to planning interventions was used, that is, the process of assessing the situation, analyzing the findings, and taking action based on this analysis. Both qualitative and quantitative methods were employed. Twenty-two CHWs working in site C, Khayelitsha, a deprived urban area of Cape Town, South Africa, participated in the study. Findings from the situational assessment indicated a lack of knowledge among CHWs and the community about hypertension and diabetes and the risk factors for these non-communicable diseases. Economic constraints and cultural beliefs and practices influenced the community's food choices and participation in physical activity. On the basis of these findings, a training program was proposed that would provide CHWs with the skills to prevent hypertension and diabetes in their community. A program was developed and piloted by the project team. A health club that focuses on promoting healthy lifestyles is currently being piloted. This paper illustrates the unique involvement of CHWs in a successful participatory action research project on the prevention of hypertension and diabetes and promotion of health in a deprived urban setting. The project emphasizes the importance of involving local people in community-based initiatives to promote health and identifies that the primary role of health services is to develop appropriate skills in the local community, monitor activities, and facilitate a link with primary health services. URI: http://hdl.handle.net/10566/182 Files in this item: 1
BradleyPuoanePrevention2007.pdf (184.0Kb)
Now showing items 1-7 of 7


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The first thing every entrepreneur or business owner needs to have is his elevator speech.
What is an elevator speech?
It is how you will answer the question of what your business or idea is in the time it takes to ride an elevator with someone — roughly between 30 seconds and one minute. Your elevator speech may be the only chance you have to get someone interested in what you are doing so it has to be good. Your elevator speech should include what is unique about you, should be easy to say and understand and you must believe it and say it with passion.
When you are preparing a full presentation to give, most people tend to think more is better. We have to tell a potential investor everything we know in dozens of slides and we have all the time we need because they are going to be so spellbound by the greatest idea they have ever seen.
The reality is that investors see lots of presentations and are looking for good ideas presented well. Guy Kawasaki, former chief evangelist for Apple, Inc., and managing director at venture capital firm Garage Technology Ventures, has published his rules of thumb for a successful investor presentation.
10-20-30 is the rule of thumb everyone should use. Your Powerpoint presentation should have no more than 10 slides, last no more than 20 minutes and have no font smaller than 30 points.
Ten slides is a good number because it is difficult to comprehend more than 10 concepts at a time. More importantly, if it takes more than 10 slides to explain your business or idea, it is either not very good or you are not focusing as well as you should be, which is a sign of problems for your business.
Twenty minutes is generally a good time to use for the actual presentation. If you have an hour time slot you need time to set up and allow plenty of time for questions. This also goes along with the 10 slide rule. If you need more than 20 minutes, you are probably conveying too much information that won't be absorbed.
Thirty point font is important for any presentation. When using Powerpoint, you do not want your audience to be reading and not listening. You want your slides to support the message you are conveying. People giving presentations want to try to put everything they know on a slide either because they think the audience needs to see it or because they need to read it for their presentation.
You never want to read information from your slides because when your audience realizes what you are doing they will be reading ahead of you and not listening. It shows that you are not really prepared to give a presentation and again that you are unable to focus on the most important elements.
Your 10 slides should talk about the topics an investor is most interested in. They should include:
1. Problem
2. Solution
3. Business Model
4. Technology/product/service
5. Marketing and Sales
6. Competition
7. Management Team
8. Financial Projections and Milestones
9. Current status and timeline
10. Summary and call to action
The time you spend on each slide should be evenly spaced. All of these topics are important. Most inventors and entrepreneurs want to spend most of their time talking about the product or technology, and skip over or minimize the other elements. If you are just inventing something that is important, if you are building a business, other elements are more important.
Practice, practice, practice your presentation until you are doing it in your sleep. Be prepared to give a dynamic, knowledgeable, passionate presentation and to answer questions. Find people who will let you practice on them so you are presenting to a real person.
There are also things an investor does not want to hear from you because it indicates that you really have not done your research and are more passionate than realistic about the business opportunity.
Never say your projections are conservative. You want to build financial projections that are realistic based on the research you have conducted.
Never say your market will reach $50 billion by 2013. This is a big, general number that shows you really don't know what your market will really be. And no matter how big the market you have to know how much you can get and how. You also can't say you only need 1 percent of this market to be successful. First, you don't want to reach just 1 percent of a market and it is not easy building market share. You have to know what you can really do, not just general percentages.
Never say someone is going to sign a purchase order next week or as soon as we receive funding or any other timeframe. If it is not signed it doesn't count.
Never say no one else is doing or can do what we're doing. That either means there is no market or you haven't done your research on competition.
Securing financing from an investor is never easy, nor is it guaranteed, but hopefully if you follow these guidelines you will be better prepared to make a quality presentation.
Loretta Daniel is director of the Murray State University Regional Business and Innovation Center. She can be contacted at 270-809-6071 or firstname.lastname@example.com.


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Kind of nice to see a '50s Chevy that isn't a Tri-Five isn't it? This refreshing 1958 210 Del Ray 2-door nails the '50s... More
Stk. 1797 1957 Chevrolet 210 Detailed description coming soon. . Call 800-650-1055 or visit our website at www.autobarnclassiccars.com for more information. ALL VEHICLES SOLD "AS... More
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If you've admired cars like this 1956 Chevrolet 210 2-door at shows you're not alone. Perennially the most popular cars in America the Tri-Five... More
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- Northern New York Newspapers
- Watertown Daily Times
- The Journal
- Daily Courier-Observer
- NNY Ads
- NNY Business
- NNY Living
- Malone Telegram
LOWVILLE In a failed attempt to pass an Amish buggy, a man driving a pickup truck south on Route 12 between Yancey and Nefsey roads struck a northbound vehicle at 12:28 p.m. Monday after losing control and crossing the center line.
Douglas Patterson, 20, of Greig, was driving a 2001 Dodge Ram pickup south when he allegedly failed to see the Amish horse and buggy traveling in the same direction, even though it was equipped with a slow-moving-vehicle triangle. When he finally saw the rig, he swerved into the northbound lane to pass but saw oncoming traffic and slammed on the brakes. Spinning out of control, the rear of the vehicle slid around and crossed the center line backward into the northbound lane.
The rear of Mr. Pattersons vehicle collided with the front of a 2004 Chevrolet Colorado pickup truck driven by Andrew Roggie, 70, Lowville. Mr. Roggies vehicle sustained severe front-end damage and the crash activated his front air bag.
Both men reported minor injuries at the scene but declined medical treatment. The horse and buggy completely avoided the accident.
After conducting an investigation at the scene shortly after the incident, members of the Lewis County Sheriffs Department charged Mr. Patterson with failure to use due care, imprudent speed when approaching a horse and failure to keep right. He was given an appearance ticket for Lowville Town Court.
Assisting at the scene were the Lowville Fire Department and Lewis County Search and Rescue.


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Isn't it just like our friends at FRIGHT-RAGS to show some love to the lesser favored films in the F-13 series? Damn right it is and they just hit the ball out of the part with this brand new limited edition tee in honor of Roy and Friday the 13th: Part 5. This will only be available thru Sunday, April 15th and this is a one time print. No double dipping in the till here, this is truly a must own for all you Friday fans!
FOLLOW THIS LINK TO ORDER WHILE YOU STILL CAN: http://www.fright-rags.com/


text:
Livex Lighting 5122-91 Brushed Nickel 2 Light 120 Watt 11" Wide Wallchiere Sconce from the Williamsburg Collection
Text BUILD to 24587 for Best Price!
Text and Save
Offer Ends 12/31/2013
Technical Specs
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Height | 9.5 |
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Swing Arm | No |
Theme | Traditional |
Wattage | 120 |
Watts Per Bulb | 60 |
Width | 11 |
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2 Light 120 Watt 11" Wide Wallchiere Sconce from the Williamsburg Collection
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Bronze - 5122-91
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Livex Lighting 5009
3 Light Semi-Flush Ceiling Fixture


text: LOS ANGELES, CA – JANUARY 04: Blake Griffin #32 of the Los Angeles Clippers drives against Patrick Patterson #54 of the Houston Rockets at Staples Center on January 4, 2012 in Los Angeles, California. The Clippers won 117-89. NOTE TO USER: User expressly acknowledges and agrees that, by downloading and or using this photograph, User is consenting to the terms and conditions of the Getty Images License Agreement. (Photo by Stephen Dunn/Getty Images)


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Paparazzi at the 27C3
Posted in Community, Events on January 13th, 2011 by esdenIt has been a little quiet here over the Christmas and New Year break. We were busy though. Felix Ruess, Martin Müller and me (Piotr Esden-Tempski) were at the 27th Chaos Communication Congress in Berlin. We presented Paparazzi and received lot's of interest.
Felix gave an interview about Paparazzi to Projectmovie 2010. It is in German but the makers of the movie are planning to add English subtitles to the movie at some point.
Cheers your Paparazzi Team


text:
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Margaux(tm) 1-1/4" knob
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Made in America | Yes |


text:
Press Releases issued by the Department of Finance
The Tánaiste and Minister for Finance, Mr Brian Cowen TD, has received the Report of the Public Service Benchmarking Body from the Chairman of the Body, Mr Dan O'Keeffe, SC.
Preasráiteas. Tuarascáil Chomhlacht Slat Tomhais na Seirbhíse Poiblí 2007.
Finance Bill 2008. Tánaiste and Minister for Finance, T.D. announces Finance Bill 2008.
Tánaiste and Minister for Finance, Brian Cowen, today (Thursday 14 February) announced the establishment of a Commission on Taxation, fulfilling the commitment in the Programme for Government, to review the structure, efficiency and appropriateness of the Irish taxation system.
Publication of 2008 Revised Estimates for Public Services and Public Capital Programme, 21 February,2008.
Foilsiú Mheastacháin Athbhreithnithe 2008 do na Seirbhísí Poiblí agus don Chlár Caipitil Phoiblí.
Following the announcement of Frank Daly's impending retirement as Chairman of the Revenue Commissioners, the Tánaiste and Minister for Finance, Brian Cowen, TD, has appointed Josephine Feehily as Chairman of the Revenue Commissioners.
Statement by the Tánaiste and Minister for Finance, Brian Cowen, TD. Revenue Defaulters List.
Statement by Brian Cowen TD Tánaiste and Minister for Finance As Tánaiste and Deputy Leader of Fianna Fail I want to respond to the announcement by the Taoiseach, Bertie Ahern TD that he will resign from his position as Taoiseach on May 6th next.
The reduction in the Central Bank economic growth forecast today is a response primarily to the global liquidity crisis, a challenge for every country in the developed world. However, our growth rate this year is expected to be higher than almost all of our fellow EU members. Employment will continue to grow and we will continue to build on the success of recent years.
Mr Eoin Dorgan has been appointed Press Officer at the Department of Finance replacing Mr John Conlon.
Tánaiste and Minister of Finance, Brian Cowen, TD, welcomes positive assessment of the Irish Economy by the OECD
SIGNATURE OF TAX COOPERATION AGREEMENTSWITH THE ISLE OF MAN Mr Brian Cowen, T.D., Tánaiste and Minister for Finance and Mr Allan Bell, Treasury Minister of the Isle of Man signed in Dublin today, 24 April 2008.
Appointments by the Tánaiste and Minister for Finance to the Central Bank and Financial Services Authority of Ireland.
Minister for Finance, Brian Lenihan, TD, welcomes the ESRI's positive assessment of Ireland's medium term prospects.
The Minister for Finance, Brian Lenihan, T.D. notes the Revenue Commissioners recent announcement of a voluntary disclosure initiative for large undisclosed funds held in accounts in Irish banks and building societies.
Minister Lenihan Announces 'Advanced Water Management' R&D Centre for IBM.
Memorandum of Understanding on co-operation between the Financial Supervisory Authorities, Central Banks and Finance Ministries of the European Union on Cross-border Financial Stability.
Minister for Finance, Mr Brian Lenihan TD, today published the Annual Report on the National Development Plan (NDP) for 2007. The report has been placed before the Dáil in advance of a full debate next week. In publishing the report the Minister said:I am pleased that the Dáil will have an opportunity to debate the publication of the National Development Plan Annual Report 2007.
STATEMENT BY BRIAN LENIHAN TD, MINISTER FOR FINANCE Over the last decade and a half, this country has experienced an economic transformation that has been the envy of the world. That transformation has been achieved through the hard work and enterprise of our citizens guided and led by the sound economic policies of successive governments.
The Minister for Finance, Mr. Brian Lenihan, T.D., today the 9th of July 2008, announced the publication of the Ombudsman (Amendment) Bill 2008.
Inniu, 9ú Iúil 2008, d'fhógair an tAire Airgeadais, an tUasal Brian Ó Luineacháin, T.D, Bille an Ombudsman (Leasú) 2008 a bheith foilsithe.
Minister Brian Lenihan T.D. welcomes Dublin City Council's initiative to foster further sustainable economic development Minister for Finance, Mr. Brian Lenihan, T.D., today (24 July 2008) welcomed Dublin City Council's initiative to begin the process of developing a marketing plan to ensure the future economic development of Dublin
Minister for Finance announces major R&D win secured by IDA IRELANDBoston Scientific to invest €50 million in strategic R&D at its Galway facility
Minister for Finance announces increase in Deposit Guarantee Limit
The Government has decided to put in place with immediate effect a guarantee arrangement to safeguard all deposits (retail, commercial, institutional and interbank), covered bonds, senior debt and dated subordinated debt (lower tier II), with the following banks: Allied Irish Bank, Bank of Ireland, Anglo Irish Bank, Irish Life and Permanent, Irish Nationwide Building Society and the Educational Building Society and such specific subsidiaries as may be approved by Government following consultation with the Central Bank and the Financial Regulator.
Minister for Finance Intends to Extend Guarantee Scheme
Minister Mansergh addresses IMF/World Bank Annual Meetings calls for international cooperation to promote global growth and stability and ensure that progress on tackling global poverty is not reversed.
Decentralisation: Key projects going ahead
Minister for Finance signs Commencement Order for Scheme of Accelerated Capital Allowances for Certain Energy Efficient Equipment.
The Minister for Finance today made [24, October] an Order under Section 6 (1) of the Credit Institutions (Financial Support) Act 2008 confirming the first group of banks and building societies to be covered by the guarantee scheme provided under the Act.
Appointment of Financial Services Ombudsman Council The Minister for Finance today announced the appointment of members of the Financial Services Ombudsman Council.
Ireland welcomes EU budget agreement which includes €1 billion in food aid for Africa Dr. Martin Mansergh TD, Minister of State at the Department of Finance, welcomed the agreement reached Friday evening in Brussels on the European Union's Budget for 2009.
The Minister for Finance, Mr Brian Lenihan, TD, today met Mr Plutarchos Sakellaris, Vice-President of the European Investment Bank, who is in Dublin as part of the normal ongoing contacts with various institutions in Ireland and to sign a number of loan agreements with relevant bodies.
Announcement in relation to Covered Institutions
The Minister for Finance welcomes Bank Of Ireland'sNew Business Support Fund The Minister for Finance, Mr Brian Lenihan TD, welcomes today's initiative by Bank of Ireland to launch a new Business Support Fund for small to medium enterprises.
Page 1 ¦ 2


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Groundbreaking new research shows that by grabbing hold of the three-step "loop" all habits form in our brains--cue, routine, reward--we can change them, giving us the power to take control over our lives. "We are what we repeatedly do," said Aristotle. "Excellence, then, is not an act,... read more
"My first act of free will shall be to believe in free will. pg272"William James
PROLOGUE: The Habit Cure
PART ONE: The Habits of Individuals
1. THE HABIT LOOP: How Habits Work
2. THE CRAVING BRAIN: How to Create New Habits
3. THE GOLDEN RULE OF HABIT CHANGE: Why Transformation Occurs
PART TWO: The Habits of Successful Organizations
4. KEYSTONE HABITS, OR THE BALLAD OF PAUL O'NEILL: Which Habits Matter Most
5. STARBUCKS AND THE HABIT OF SUCCESS: When Willpower Becomes Automatic
6. THE POWER OF A CRISIS: How Leaders Create Habits Through Accident and Design
7. HOW TARGET KNOWS WHAT YOU WANT BEFORE YOU DO: When Companies Predict (and Manipulate) Habits
PART THREE: The Habits of Societies
8. SADDLEBACK CHURCH AND THE MONTGOMERY BUS BOYCOTT: How Movements Happen
9. THE NEUROLOGY OF FREE WILL: Are We Responsible for Our Habit?
APPENDIX: A Reader's Guide to Using These Ideas
A Note on Sources
We're hiding the errata, movie connections, books that influenced this book, books influenced by this book, books that cite this book and books cited by this book sections. If you would like to add content to them, you must first make them visible.


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Hale Moana Bed & Breakfast
Warm Island Hospitality and a family friendly setting welcome you at Hale Moana Bed & Breakfast. 30 minutes from Hilo (International Airport) and the Volcanoes National Park, 5 minutes to Pahoa, in Leilani Estates, Hale Moana Bed & Breakfast treats you with the ambiance and Aloha spirit of old Hawaii.
We are conveniently located between Hilo and the Volcanoes National Park in the tropical Puna area, close to Pahoa, in Leilani Estates. Lush and tropical vegetation, wonderful parks, the experience of ancient and new lava flows and the Pacific Ocean make this area so special. Our Hawaii B & B is only minutes away from new lava flows plunging into the ocean, thermally heated hot ponds (Ahalanui Park), beautiful coastal parks (MacKenzie Park, Isaac Hale Park), Kapoho tidepools for snorkeling, Lava Tree Park, Kehena Black Sand Beach, old Kalapana (covered by lava in 1990) and steam vents in an area full of history. The charming town of Pahoa is only 3 miles away and offers a selection of very good restaurants, stores, and galleries. Hilo, the island's capital still has its south-pacific ambience with historic buildings and beautiful views of Mauna Kea and Hilo Bay.
Lava Viewing - Pahoa - Hilo - Volcanoes National Park - Lava Tree State Park
Kapoho Tide Pools - Ahalanui-Hot Ponds - Mackenzie State Park
Kehena Beach - Kalapana - Steam VentsWe are looking forward to welcoming you and sharing our little piece of paradise with you!
Spend your vacation at our cozy Hawaii bed and breakfast on the Big Island. Hale Moana Bed and Breakfast is located in Leilani Estates in the beautiful and tropical area of Puna on the Big Island of Hawaii, 30 minutes from Hilo (International Airport) and the Volcanoes National Park, and 5 minutes from Pahoa. Hale Makamae is a licensed, quality, inspected Hawaii B&B surrounded by two acres of tropical botanical gardens in an ambiance of old Hawaii.
Our Big Island Hawaii Bed and Breakfast offers two suites with living room and kitchenette and one studio. All have private bathrooms and separate entrances. Amenities such as free Wi-Fi, laundry facility, BBQ grill, free parking, outdoor porches, etc. are available to our guests. A gourmet island breakfast is included in our rates. We welcome families.
A wonderful gourmet island breakfast is served every morning at 8a.m. in our cozy breezeway. Breakfast offers a variety of fruits, meats, cheeses, eggs, cereals, jams, breads, pancakes, quiche or french toast.
Kona coffee, tea, juice and milk complete your selection. The breakfast room is a perfect place for our orchids to grow and you will see why the Big Island is also called the Orchid Isle.
Our Hawaii B & B is located in the beautiful and tropical area of Puna on the Big Island of Hawaii. Hale Moana is a licensed and quality inspected Bed & Breakfast surrounded by expansive lush botanical gardens in an ambiance of old Hawaii.
We are only minutes away from new lava flowing down the mountain and into the ocean, thermally heated hot ponds (Ahalanui Park), beautiful coastal parks (Mac Kenzie Park, Isaac Hale Park), Kapoho tidepools for snorkeling, Lava Tree Park, Kehena Black Sand Beach, old Kalapana (covered by lava in 1990) and steam vents in an area full of history.We invite you to stay with us at our Big Island of Hawaii bed and breakfast and welcome you to enjoy the Aloha Spirit of our home. Your comfort and enjoyment during your stay is of utmost importance to us. We strive to make your Hawaii family vacation or romantic getaway as memorable and relaxing as possible. The details and the privacy of our suites reflect the sense of caring and Aloha that we extend to our guests. We welcome families with children and are fully set up to accommodate them. Free Wi-Fi, laundry facilities, a BBQ grill, snorkels & masks, maps, and a shelf full of local resource information is available to our guests.
As you come into our Big Island Hawaii bed & breakfast, you will immediately feel the warm island hospitality and atmosphere. Orchids and tropical flowers will greet you, and we will be there to assist you with all of your questions and to help you plan your days. Your visit at Hale Moana Hawaii Bed & Breakfast with its tropical ambiance will be an experience that you will remember long after your time here.- Sleep peacefully in our comfortable and private lodgings
- Enjoy our gourmet island breakfast
- Feel welcome in our warm family environment – we love children
- Relax in our beautiful and tropical paradise
- English and German spoken
We can help you make arrangements for activites that we personally can highly recommend and that have received great feedback from previous guests:- Personal in-suite massage by a licensed message therapist
- Private Big Island tours with Warren Costa, a local guide, (www.nativeguidehawaii.com) offering day tours to the Volcanoes National Park, Waipio Valley, Mauna Kea, and other destinations tailored to your interests and ideas.
- Spectacular lava viewing from the ocean with Captain Shane and his crew from Lava Ocean Adventures (www.lavaocean.com)


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"Sometimes in my class I have people come in and do monologues inspired by people they know and I always find that to be useful to do specifics about somebody and then you're actually doing a character and not doing some random old lady or something."
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I also think if you're an actor and you can improvise, when you go on an audition and you can improvise you're just a genius. If you can, you know, take a Tide commercial and you can just say one funny line that's not in the commercial they think you're a genius.
Amy Poehler
55% of people like this quote
So, if you're doing good longform with talented people than you can step out and you can be the president or a construction worker and people accept that. It's really the roles you give yourself.
Amy Poehler
53% of people like this quote
In a recent Valentine's Day posting on her fan website, Britney Spears says that - oh, who cares?
Amy Poehler
49% of people like this quote


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NCATE: Encouragement of Political Litmus Tests in Higher Education
The NCATE, a leading accreditor of education schools, agreed to drop the vague and politically loaded recommendation that education students demonstrate a belief in "social justice" in order to graduate. The standards required that candidates in an education program "demonstrate the content, pedagogical, and professional knowledge, skills, and dispositions necessary to help all students learn." The NCATE language to be changed currently states that "dispositions" are "guided by beliefs and attitudes related to values such as caring, fairness, honesty, responsibility, and social justice." The standards essentially resulted in a political litmus test for teachers, as it was virtually impossible to evaluate a student's commitment to "social justice" without evaluating his or her politics.
- "Victory for Freedom of Conscience in Education Schools," June 6, 2006: Would-be teachers have less to fear from political litmus tests today. Yesterday, under pressure from FIRE and other groups, the president of NCATE, a leading accreditor of education schools, said that his organization would drop the vague and politically loaded recommendation that education students demonstrate a belief in "social justice" in order to graduate.
- "FIRE Statement on NCATE's Encouragement of Political Litmus Tests in Higher Education," June 5, 2006
- "FIRE Warns Department of Education Against Supporting Political Litmus Tests on Campus," June 5, 2006: Today, Greg Lukianoff, the president of FIRE, will urge a Department of Education committee to take action against unconstitutional viewpoint discrimination in schools of education. FIRE believes that the National Council for the Accreditation of Teacher Education (NCATE) is abusing its power as a governmentally-authorized accreditor of education schools to promote the use of politically loaded "dispositions." NCATE's recognition as an authorized accreditor is being reviewed today by a committee of the Department of Education, and FIRE will be in Washington to warn the committee that NCATE's endorsement of "dispositions" poses a real and grave threat to freedom of conscience at our nation's schools of education.
Case Materials
- "Accreditor of Education Schools Drops Controversial 'Social Justice' Language,"
by Paula Wasley, The Chronicle of Higher Education, June 16, 2006 - "Group drops 'social justice' rule for teachers,"
The Detroit News, June 10, 2006 - "Paying an ideological ransom for the right to teach,"
by John Leo, USNews.com, June 7, 2006 - "A Spirited Disposition Debate,"
by Elia Powers, Inside Higher Ed, June 6, 2006


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GLAMOUR girls, get your shopping skills ready, because Topshop is coming to Cape Town! The famous UK brand has partnered with SA's boutique retailer, Unknown Union, and is set to launch Topshop's first pop-up shop in Africa on the 12th July which will run until (at least) October.
The dedicated "shop-in-shop" will feature a curated selection of men's (for Topman) and women's fashions that have made both Topman and Topshop synonymous with style and quality at remarkably good value.
So, if you're based anywhere other than Cape Town, we suggest you book those tickets, because this is certainly an event you don't want to miss out on!
Unknown Union, 24 Kloof street, Cape Town


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The Rose beaded medical bracelets is certainly one of N-Style ID's most feminine choices. The centered delicate pink pearl is surrounded by a combination of sterling silver Bali beads and different shapes of pink Swarovski crystals. This bracelet is also strung on stretch cord! For everyday wear, we recommend exchanging the beaded bracelet for one of our interchangeable medical bracelets . All beaded medical bracelets should be removed before showering or water activities. Charms pictured are sold separately and will come attached to the ID tag. Please allow 5 extra business days for delivery on beaded bracelets. To calculate your bracelet size for this bracelet, measure your wrist and add 3/4" to 1".
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You're watching...
The impact of President Obama's executive orders
Former FBI officer, Bill Daly, on whether the President's proposals will help reduce gun violence
Jan 16, 2013
Bill Daly
You're watching...
Former FBI officer, Bill Daly, on whether the President's proposals will help reduce gun violence
Jan 16, 2013
Bill Daly
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Welcome back to on the Honda -- -- dot com live a lot of you -- -- live -- have been asking.
-- these executive -- as the president said he was signing 23 of them.
With regards to his gun control proposals they want the most sweeping measures but a lot of -- -- -- exactly what they -- -- We've put the full list off now at foxnews.com.
You can check a map right that.
Every one of the 23 easy to read.
And also if you want more information -- from.
The White House's point of view there is always a White -- adult Gaza as well of course and there you see the White House website all right.
We're bringing former FBI office of Bill -- now a member all violent hit list.
By his views on this bill what what did you make of the president's proposals and where do we go from media -- according to -- -- well for it it really conjured up what the Second Amendment -- in -- amendment does say the right of people to bear arms.
Shall not be infringed I think definitely the key issue here is what people interpret -- being infringed right what somebody -- -- -- resisting an assault weapon away say you're pretty -- others may say.
That makes sense taking -- a piercing bullets off the street.
Was only military police should be having you know that makes sense other people make an argument.
-- -- -- -- -- -- What do you think about that proposal that's been talked about along the why should.
Why should anybody wandering around on the streets.
Have a military style assault weapon.
And effectively weapons that up bigger stronger more bullets and even lower enforcement generally -- Right and and my view is is that that they should we should be limiting those things that that.
Military people carry that would be these these heavy assault weapons and I think doesn't make sense in my personal view although not very strong Second Amendment -- advocate.
-- I think people within that space you know cover the gamut and I think here we're talking about what is infringing my concern -- they see some limitations such as here in New York.
Within just passed last evening some legislation limiting the number of of bullets in a weapon -- -- that was even more stringent sentence otherwise is a misdemeanor right that you can be be confronted with.
I think that's we start getting into this issue of we now punishing those people who are legally holding the weapons from the focus and all that -- really -- those people.
Who had been illegally we're trying to get it illegally right so you would support universal background checks and one on the support in the background checks because I think that does help us filter out some of those things that we've -- happen whether it's.
The criminal.
History and past.
We hope the mental illness that is Bob I think pointed out earlier that's a very -- -- and magnitude short even with what the president putting forward is that -- -- -- -- -- get around that.
I mean those those issues are very much you ingrained into the health.
And mental health system and to extricate those and tell people that they wouldn't be held accountable for breaking client confidentiality.
I think is gonna -- a lot of a lot of attention before you start getting that information.
Yeah to every port that would preclude someone from and then -- -- a non interest.
That the mental health reporting issues such an interest when Bob I was talking about they saw -- to be in the -- Tripoli yesterday -- -- in reference to the New York State.
Laws that Governor Cuomo signed into -- legislation yesterday.
And there was an interesting.
Quote from the Associated Press.
From a doctor apple -- who's up -- -- -- Columbia university college of physicians who said.
The than what he fears is that the very people that -- trying to get to through this exactly the ones who deliberately therefore either don't go to see that.
Therapist exact don't share their impulses and I think that there's no right or wrong on today just very difficult.
I don't think there's any.
Reason to change the rule that's been in place until now yes every once in awhile people get through but there I'm glad you brought this up Johnson -- I think this is an incredibly important point.
The New York State legislation that I I I was reading about it.
This morning says that you as a mental health professional now have an obligation to report someone who you have a reasonable cause to believe.
Is likely to do substantial damage to themselves.
Or or on the museum.
There -- the number of people who have -- with us idle thoughts is many many many many multiples of the number of people have homicidal thoughts.
Now all of a sudden what are we doing more -- if you really sick you better not see anybody about it.
Because you're gonna get reported to right that's not the right answer guys who we need those people to be -- -- coming would help help.
The -- console -- issues because if if if somebody goes in to that therapist and says.
I'm just wanna get a gun and hurt people and maybe myself suicide by -- I mean if you -- ripple that person then that.
It's a different -- -- and what we cannot and must presume this site OK it's a big big gap between cannot and must so we leave it in that we leave it to the choice of the therapist.
As many we don't know for jewel but may have happened in Aurora Colorado and.
It may have a way to brought that point -- because it just kind of something else and not to try to sites that decision -- I think is an important one but it very normally one with regard to.
You know -- and what what people may need to have to comply with what they feel as though they need to -- release and as you said what -- discourage people from getting mental health who need it.
But I think -- -- -- -- Colorado I think it ties in nicely at some other issues here we're focusing really on guns and hear what President Obama spoke about there's an issue regarding school security.
It was -- and keeping police in the street that's mom and apple pie we want you don't want police -- we want more -- security.
You know one thing -- leading out of this equation aside from the discussion on violence in movies and of the games and end.
And those type of things are out the influencing people is what about all the military style equipment people who by the fellow and -- and in Aurora.
You know had bulletproof -- he had military style gear.
When you look at adversaries who now have access to that on the Internet -- buying it to a catalog somehow I think he's still looking at some of those things because that's when -- gets an adversary.
You know as a police officer or a private citizen and some of them did -- -- home.
They have several weapons on with with multiple clips -- -- bulletproof vests on you now have seven left in your gun here New York State.
What are the chances that you may be able to.
Overtake that individual I think it decreasing and that's where I feel -- still looking the Second Amendment to about infringement I feel so we're starting to question -- water on an area.
Rubber walls right CNET tech -- magazine band makes no sense of the all it will do nothing to -- gun violence.
I'm all for the background checks and enforcing the current rules but this -- the average gun owner.
Not the criminal Matthew -- says -- -- lower abiding citizen not a felon and completely sane.
Now my government is going to tell me -- of a gun that is used in less than 1%.
-- crimes nationwide I think the point Matthew would be.
That the crimes of those type of guns I used gain pretty extraordinary.
-- time Connecticut and Aurora Colorado being just the most recent examples.
Clr 801 that says bill anyone has held a military style layoff for more than five minutes -- fifteen he's.
Referring to that.
For more than five minutes can -- -- in a matter of a couple of seconds.
A thirty round clip as opposed to -- -- -- will make no difference if someone wants to kill innocent people agree or disagree that.
I mean Edgar Padilla would agree to that -- -- -- the fact that you know we're we're looking again at the minutia of how many bullets tonight in it in -- gun.
I happen after the company area that was affected by the Colin -- shooting for those of who may remember he shot commuters on -- railroad right.
And so my neighbors were shot minister Abel was shot I missed that train by a -- couple of minutes and being probably in that car at that time and so I certainly feel.
But certainly the pain I have -- people feel the pain in the community where people are are hurt by this.
But it would probably -- this is a case where someone had multiple rounds in multiple clips this person was reloading your weapon and I think that as a as someone who's who protect themselves now has to be limited by the number of of bullets here in New York State.
To a lesser amount I get more concerned and that's something that has my ire up.
But doesn't but the episode that there's the argument that if you got less.
Bullets a new more weapon -- bullets available less magazines available tee ball.
Going to be less able to protect yourself against somebody who's got along.
But we're talking as well -- keeping it out of the hands of those bad people who go to law as well I mean it is a double edged sword but it -- as.
Bill makes the argument that.
You really can -- this both ways.
It's surely can't mean large capacity magazine has offensive purposes than it has defense -- purposes -- -- -- Which side do you -- -- look at I mean you know I I think you know my own personal point of view would be that I would like to see these limited to a certain number because.
I you know as I look at the news and this is just anecdotal my room and you know my own feeling is I don't see it.
So very often that someone has successfully defended their home from invasion because they had a large magazine clip.
As opposed to a smaller one you but I did see pretty darn often mass killings that are being driven by a large magazine clips and people who were amateurs yes a pro military sniper -- wants to go -- Kill a bunch of people I mean you probably do with a revolver -- about him you know a bit built for the average person big magazine clip is of major advantage.
And having a Porsche shooter take catalog -- when -- -- it was a case the other.
They have again and it really haven't looked at the article that you leave it as a woman protecting your home -- -- -- crawl -- I think had a 55 rounds.
And this person still live -- hobbled off we got into car and drove away.
I mean five we'll get near that point to who's -- who's making decisions to.
How much -- need the other the other issue here and I think it is somewhat of a loophole of is that.
Then how many magazines and you have I mean if you -- -- strapped around you and use it before people can roll when we look pretty quickly they were trained and it.
You can drop that that they -- out of -- pretty spread swiftly so yeah you gonna cost advantages a couple of seconds as well there is this true effect going back to that issue -- oil railroad when when this Colin Ferguson character study shouldn't people waiting with people all the comment is when he went to -- -- he went to go back to his backpack and take out another.
I cannot do what the question is being written in from out before let you go up from JD the point.
Who I think this is a proposed I don't think this is President Obama proposal I think this is an idea that JD has.
Chaos -- hit list about requiring passports.
For gun sales.
Good idea bad idea or is it -- it does become irrelevant if you have universal bank.
That's why they've had at via background checks and again you didn't do an issue of establishing a summons credible background what is a government issued you know back document I -- I think there are some we can use we use driver's license to get an aircraft.
You know if we don't have that.
Obviously if you have some of the formal identification might be able to use a passport but yeah.
I would suggest everyone needs a passport or some government identity card for this we probably have enough government documentation and personal information be provided.
To do -- background checks.
All right build any former FBI also a member of the -- great to have you here bailed him.
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Churchwarden Cigarette Tube
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Winner of the ICMA Concerto Award 2012
"Rachel Kolly D'Alba's playing immediately grabs our attention. Passionate commitment to the music, rich tone and constantly varied expression combine to leave a powerful, memorable impression. ... here she demonstrates, with her first, unaccompanied entry in the Chausson, that she can do just that [simple, tranquil quiet playing], and to beautiful effect. Generally, while stressing the dramatic and colourful side of each work, her interpretations are well balanced and persuasive, too. In the Saint-Saëns she's helped by an excellent, sympathetic accompaniment supervised by Kantorow (a distinguished exponent of the solo part himself): the dramatic recitative at the start of the finale compels attention and the lyrical episodes in the outer movements are warm and romantic. ... I particularly enjoyed the two short Ysaye pieces, in which d'Alba adopts a parlando style that's most affecting. Tzigane is unusually vivid and colourful ..." Gramophone, October 2010
Youtube video
French Impressions; Berceuse De L'enfant Pauvre - Rachel Kolly D'Alba


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Main Page
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Welcome to our new Wiki page, where we will work on organizing the hundreds of videos on this site in an easy to navigate wiki page! Since it is a Wiki, any ChessVideos.TV member can edit any page at any time (Login using the link on the upper right of the page, use your forum username/password). So if you want to create a new category for videos or add some videos to the page, please feel free to do so. Of course abusive users will be banned from editing the Wiki (or the whole site), so please don't cause any messes that we will have to clean up.
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text:
J Brand
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We highly encourage participants to show up to the check-in location 10-15 minutes before check-in time to use restroom facilities and gather any items you may need for the rafting trip. Thank you. Meet at Goodell Creek Campground. Park car, check-in, read & sign participation waiver.Get your gear for the river, change and leave clothes in vehicle. Participate in a Trip talk. Break into raft groups & meet your guide for the day. Basic river rafting instruction. Raft river. Take-out at your vehicles & change into dry clothing.
A neoprene sleeveless wetsuit, booties, and a helmet are provided. Avoid wearing any cotton clothing (cotton is a negative insulator). Try fleece, wool, or polypropylene layers.ITEMS TO BRING:• Swimsuit or swim trunks • Long or short-sleeved shirt(non-cotton) • Visor or hat with brim • Retaining strap for eyeglasses/sunglasses • Drinking water in reusable container (with strap to connect to raft) • Sunscreen • Towel (leave in your car for after the trip)• Guide GratuityPlease give us a call in the office (509) 470.8558 if you have any further questions about what you should bring. Lunch and dinner options are available in Marblemount. Please eat before check-in time!
Copyright © 2005-2013 Adventure Office. All Rights Reserved.


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Kelly Clarkson going home for benefit show
Kelly Clarkson going home for benefit show
Kelly Clarkson, who'll perform as part of the presidential inauguration Monday, will soon return to her hometown for a benefit concert.
The March 1 concert at the Verizon Theatre at Grand Prairie, Texas, will benefit Opportunity Education Foundation and will be the American Idol winner's first hometown show in more than a year.
The Omaha, Neb.-based Opportunity Education brings quality education to...
Read More


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Palmetto State Quartet Tickets
Sorry! Looks like there aren't any events.
But it's not the end of the world! Click Track above and you'll be the first to know when Palmetto State Quartet tickets are available.
Palmetto State Quartet Ticket Prices
Past 10 Concerts
Palmetto State Quartet Emmanuel Baptist Church — Charleston , WV
Palmetto State Quartet Chapel In The Glen — Watkins Glen , NY
Palmetto State Quartet Open Bible Church — Cambridge , MD
Palmetto State Quartet Green Grove Gardens — Greencastle , PA
Palmetto State Quartet First Assembly of God — Fort Myers , FL
Palmetto State Quartet Ticket Prices Overview
Past Tour Dates for Palmetto State Quartet
Palmetto State Quartet Tour Dates 2013
date city state venue 04/27/2013 Charleston WV Emmanuel Baptist Church 04/21/2013 Watkins Glen NY Chapel In The Glen 04/20/2013 Cambridge MD Open Bible Church 04/19/2013 Greencastle PA Green Grove Gardens 03/03/2013 Fort Myers FL First Assembly of God 02/24/2013 Pensacola FL First Baptist Church of Pensacola 01/27/2013 Bradenton FL Happy Gospel Center 01/04/2013 Houston TX Harvest Time Church Of God Palmetto State Quartet Tour Dates 2012
date city state venue 11/18/2012 Lansdale PA Family Worship Center 11/10/2012 Liberty KY Central KY AG Expo Center 11/09/2012 Benton KY Kentucky Opry 11/04/2012 Watkins Glen NY Chapel In The Glen 11/03/2012 Cambridge MD Open Bible Church 10/27/2012 Louisville KY Louisville Palace 10/26/2012 Hart MI Hart Middle School 10/22/2012 Pigeon Forge TN Dollywood Celebrity Theatre 10/21/2012 Hiawassee GA Anderson Music Hall 10/15/2012 Butte MT First Baptist Church 10/14/2012 Lethbridge AB College Drive Community Church 10/13/2012 Calgary AB Grace Baptist Church 10/12/2012 Sherwood Park AB Sherwood Park Alliance Church 10/11/2012 Saskatoon SK Circle Drive Alliance 10/09/2012 Regina SK Orr Centre 10/08/2012 Minot ND West Minot Church of God 10/04/2012 Palmer IA Faith Lutheran Church 10/03/2012 Fort Atkinson WI Fireside 10/02/2012 Fort Atkinson WI Fireside 09/30/2012 Murfreesboro TN Fair Haven Independent Baptist Church 09/29/2012 Fort Payne AL VFW County Agri Fair 08/31/2012 Topeka KS Lakeview Church Of The Nazarene 08/30/2012 Branson MO Silver Dollar City 08/26/2012 Clarksville TN Living Hope Baptist Church


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Could being a diabetic be the cause of not ovulating and having an extremely thin endometrium that does not thicken?
Thursday, April 10th, 2008No. Not ovulating is the cause for the thin endometrium as there is no estrogen production to grow it. Diabetes is however not a reason for this and the problem should be sought elsewhere (reasons for anovulation)
- Week 10 answers kindly provided by Dr. Stephan Volschenk -


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Foxcroft Basic Non-Iron Shirt
Not what I expected
Expected a BASIC Foxcroft shirt -- the BASICs of the Foxcroft line (and they are described by the manufacturer as basic!) have no princess seams. This did. Please don't use the word BASIC when there is princess seaming.
November 27, 2013
well cut
This is a very well cut blouse with a gentle fit and flare for my size 12 apple frame. Not too much to tuck in smoothly but equally nice worn untucked due to the high hip length and side vents. Would buy this in other colors.
November 12, 2013
Ill fitting
Too tight across bust and sleeves way too long. I am 5ft. 7inches tall and a size 14 or 16, depending on manufacturer.
November 4, 2013
Great shirt
I've looked at this shirt for some time and finally bought one after talking with a woman returning from a long trip who was wearing one. It is such a crisp looking shirt and needs very little pressing to look as though it just came from the laundry. It still looks pretty good without pressing.
November 17, 2013
I was so excited to see this shirt, knowing the reputation of Foxcroft. I have worn these shirts for work and always look professional, however after several washings little holes began opening up on the sleeves. I thought that I had somehow damaged it myself. But then as I examined the others that I had purchased they too have holes developing, only on the sleeves. Needless to say that I will not be ordering any more of them. the durability of the fabric will not hold up and at $69.00 per shirt I can not afford to replace them every 3 months.
August 7, 2013
Awesome shirt!
I don't usually wear woven fabric shirts, especially to work, but this one is so comfortable, and the color is fantastic. Wear with a pencil skirt and leggings or tights, or with black pants. Easy care, and would travel well.
September 19, 2013
Looks Great
This shirt looks great right out of the box and out of the dryer.
A friend worn one almost constantly on a two week trip to Africa and I couldn't wait to get home and order mine. It was one of the few dressier items that could fit over the cast I had to wear for several weeks. I even bought another with 3/4 length sleeves.
July 8, 2013
Shirt review
Great shirt, well made. Size is as advertized. Washes well.
June 13, 2013


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Photos of Mark Fast For Topshop Collection Summer 2010
Mark Fast Launches Topshop Collection and Faster Line
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